WQ0034447_Staff Report_20200911

From:
Barber, Jim
To:
Lloyd, Chloe D
Cc:
Allen, Trent; Thornburg, Nathaniel; Honeycutt, Tony
Subject:
FW: Emailing: WQPS SFR Acknowledgement Letter WQ0034447
Date:
Friday, September 11, 2020 3:42:30 PM
Attachments:
WOPS SFR Acknowledgement Letter W00034447.odf
P9100032.JPG
141 S Lakeshore Drive GIS info Doyle to Ascot Coro.odf
APSARRW entworthSFRW00034447Decem ber2009.doc
O&M aareement and site olan.odf
Chloe Lloyd;
I visited the site for permit WQ0034447 to address the ownership change request on Thursday 10 September. The
site is still undeveloped and nothing has been constructed since the first permit issued on 26 March 2010 to
Wentworth Management, LLC. Colin Webster was the owner/Manager of Wentworth when the site was permitted
and he/Wentworth sold the property undeveloped to David Doyle in March 2011. Per the Sec. of State website,
Wentworth Management LLC is/was Administratively Dissolved on 4 March 2104 by the Sec. of State's office.
Colin Wester created Ascot Corporation, LLC on 13 December 2010 and is still valid today. A copy of the new deed
transferring the property from the Doyle's to Ascot Corporation is attached, along with the recorded deed from
Wentworth to Doyle. I've also attached a copy of the first staff report for this site. Since nothing has been
constructed and the site still undisturbed, comments/recommendations are still the same.
The Doyle's didn't develop the property and sold the property to Ascot Corporation, LLC/Colin Webster. The only
comments I have relative to this ownership change request is to keep the permit shell that has a Soil Scientist
certification page in conjunction with the Engineer's certification page. When the original permit was issued, there
was a need to add some soil to the drip irrigation area to provide added depth to the seasonal high water table. The
original permit and subsequent permits dated 5 December 2011 and 5 July 2017 have the certification conditions 1.1
for engineer and 1.2 for soil scientist, but the 2017 permit didn't have the Soil Scientist certification page. A copy of
the original site plan map should also be included with the permit. Language should be added to permit condition 1.2
or I.4 that the location of the drip irrigation field shall be as shown on the original site plan.
I've attached some documents for reference. If you have any questions or wish to discuss, please give me a call at
the number below. I will be out of the office all day Monday 14 September and will be in the office the remainder of
the week.
Have a great weekend.
Jim Barber
Environmental Engineer
NCDEQ-DWR-WQRO
Fayetteville Regional Office
910-433-3340 voice
910-486-0707 fax
[e-mail]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may
be disclosed to third parties.
Go Green! Print this email only when necessary. Thank you for helping NCDENR be environmentally
responsible
-----Original Message -----
From: Allen, Trent
Sent: Wednesday, September 9, 2020 1:37 PM
To: Barber, Jim <[e-mail]>
Subject: FW: Emailing: WQPS SFR Acknowledgement Letter WQ0034447

Trent Allen
Fayetteville Regional Supervisor
Division of Water Resources
910 433 3336 office
[e-mail]
225 Green Street — Suite 714
Fayetteville, NC 28301
Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be
disclosed to third parties
-----Original Message -----
From: Williams, Kendall
Sent: Wednesday, September 9, 2020 1:10 PM
To: [e-mail]
Cc: Allen, Trent <[e-mail]>; Brantley, Mark <[e-mail]>; Lloyd, Chloe D
<[e-mail]>; Thornburg, Nathaniel <[e-mail]>
Subject: Emailing: WQPS SFR Acknowledgement Letter WQ0034447
Your message is ready to be sent with the following file or link attachments:
WQPS SFR Acknowledgement Letter WQ0034447
Note: To protect against computer viruses, e-mail programs may prevent sending or receiving certain types of file
attachments. Check your e-mail security settings to determine how attachments are handled.

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✓Ioore
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Information
Parcels x,
More Info
Tax Department Property Record
Website
Soil Report
Tax Department Billing Information
Website
Parcel ID Short: 00031961
PIN: 858500628181
Deed Book: 3859
Deed Page: 01
Neighborhood: 729
Owner's Name:
DOYLE, DAVID JR & AUDREY W
Owner's Name 2: Null
Mailing Address: 5 ANGEL CIR
Mailing Address cont.: Null
City: ASHEVILLE
STATE: NC
Zip Code: 28803
Township: 07
Property Description:
THAGGARDS LAKE V
Transaction Date: 3/29/2011
Legend
z)lay 50 Results
[ttps://gis.moorecountync.gov/ConnectGIS_v6/Map.aspx?p=Moore_mgd 9/9/2020

Moore County, NC
Page 1 of 2
Summary
Full Legal
Sales
Permits
Land
Dwellings
Additions
Sketch
OBY
Comm Bldg Summary
Value/Asmt
Attached PP Assets
Public
Map
Home Property Search County Website Contact Us
Owner Address Parcel ID Advanced Search Map Search
PARID: 00031961 141 LAKESHORE DR S
TOWNSHIP: 063 CITYNAME: ASHEVILLE NBHD: 729 1 of 1 7771
DOYLE, DAVID JR & AUDREY W ROLL: REAL
Parcel Actions
Parl D / PIN:
00031961 / 858500628181
Record Type:
REAL
Tax Year:
2021
Tax Jurisdiction:
WP : WP
Township:
07 : MCNEILL
Owner
Account Number:
23551200
Name:
DOYLE, DAVID JR & AUDREY W
Mailing Address:
5 ANGEL CIR
ASHEVILLE NC 28803
Legal
Physical Address:
141 S LAKESHORE DR
Legal Description 1:
THAGGARDS LAKE
Zoning:
RS
Plat Cabinet:
Slide:
Recorded Transaction
(Date I Pook
IIPage 11Sale Price
JlValidity Code I
29-MAR-11 3859
01 153,000
VS
12-OCT-07 3314
246 30,000
28-OCT-94 403
384 0
27-JAN-76 403
381 0
29-OCT-75 400
542 0
Description
NBHD Code / Name:
729 :
Class:
RV: RES VACANT
Land Use:
R00 : RES VACANT
Living Units:
0
Topography:
1 : LEVEL
Location:
Parking:
Traffic:
Utilities:
2
6:
Restrictions:
Deeded Acres:
1.81
Calculated Acres:
0
VC Notice / VC Date:
R : 20-MAR-19
Field Notes
(Note:
1INumber:
NEED TO REVIEW STATUS OF PERK
4
FOR 2016 SO 20150119
3
1-1-88 NO PERK ON OLD PROP.
2
Valuation
Appraised Land:
28,000
Appraised Building:
0
Appraised Total:
28,000
Deferred:
0
Exempts/Excluded:
0
Assessed Real:
28,000
Personal:
Total Assessed:
28,000
r85 Printable Summary
Printable Version
Reports
Property Record Card
Go
http://icare.moorecountync.gov/careprd/Datalets/Datalet.aspx?mode=&UseSearch=no&pin=000319... 9/9/2020

BOO K5404 - PAGE 82
For Registration Register of Deeds
Judy D. Martin
Moore County, NC
Electronically Recorded
August 26, 2020 11:56:55 AM
Book: 5404 Page: 82 - 85 #Pages: 4
Fee: $26.00 NC Rev Stamp: $310.00
Instrument# 2020015819
GENERAL WARRANTY DEED?
THIS INSTRUMENT PREPARED BY:
Richard Lee Yelverton III, Esq,
Van Camp, Meacham & Newman, PLLC
2 Regional Circle (28374)
P.O. Box 1389
Pinehurst, North Carolina 28370
NO TITLE WORK COMPLETED BY PREPARING ATTORNEY
Excise Tax: $310.00
Parcel I.P.: 00031961
TO BE RECORDED IN THE
DEED RECORDS OF
MOORE COUNTY, NC
jh
THIS DEED made this _ day of . 2020, by and between:
GRANTOR
DAVID DOYLE, JR.
AND WIFE,
AUDREY W. DOYLE
Address: 5 Angel Circle
Asheville, NC 28803
GRANTEE
THE ASCOT CORPORATION, LLC,
a North Carolina
Limited Liability Company
Mailing Address: 30 Country Club Boulevard
Whispering Pines, NC 28327
WITNESSETH:
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and
assigns, and shall include singular, plural, masculine, feminine or neuter as required by context.
WITNESSETH, the Grantor, for valuable consideration paid by the Grantee, the receipt of which is hereby
acknowledged, has and by these presents does grant, bargain, sell and convey unto the Grantee in fee
simple, all that certain lot or parcel of land (referred to in the singular, whether one or more) situated in the
Village of Whispering Pines, McNeill Township, Moore County, North Carolina, and more particularly
described as follows:
See attached Exhibit "A"
submitted electronically by "Sandhills Law Group"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Moore County Register of Deeds.

BO O K5404 - PAGE 83
This property herein described — is, of is not the primary residence of the Grantor.
And being the same property conveyed by instrument recorded in Book 3859, Page 1, in the Moore
County, North Carolina, Register of Deeds.
This conveyance is made subject to (i) the lien of the County of Moore for taxes and other assessments for
the current year, which taxes or other assessments shall be pro -rated as of the date of closing and which
Grantee by acceptance of this deed expressly agree.-, to pay; (ii) utility easements of record; and (iii)
unviolated restrictive covenants of record that do not materially affect the value of the property.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto
belonging to the Grantee in fee simple_
And Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right
to convey the same in fee simple, that title is marketable and free and clear of all encumbrances, and that
Grantor will warrant and defend the title against the lawful claims of all persons whomsoever except for the
exceptions noted herein.
IN WITNESS WHEREOF, the said Grantor has hereunto set their hand and seal the day and year first
above written.
[SIGNATURES AND NOTARY ACKNOWLEDGMENT ON FOLLOWING PAGE]
2

BOOK5404 - PAGE 84
' (SEAL)
David Do r. Date
� 0
(SEAL)
Audrey W. DoAj
Date
STATE OF /t L'
COUNTY OF ,;z
LCI Mz a notary public f r t e
Count of and the State of , certify
Y ����a -r- y
that David Doyle, Jr. and Audrey W. Doyle, personally appeared before me this day, and
a) ( ) I have personal knowledge of the identity of the principal(s)
b) () I have seen satisfactory evidence of the principal's identity, by a current state
or fe eral identification with the principle's photograph in the form of a.
M
c) ( ) A credible witness as sworn to e j entity o e MpnncipaRs
each acknowledging to me that he or she voluntarily signed the foregoing document for
the purpose stated therein and in the capacity indicated.
WITNESS my hand and seal this _-Zday of Ay , 2020.
a
Signature of Notary Public:
Z-A
My Commission Expires:
j
HAK YONG KIM
NOTARY PUBLIC
HENDERSON COuNTY,NC
f AAy Cornnlisakxt �xp�+es 12 9.2Q21
f '
f Nlot'l[ ` set 11 }

BOOKS404 - PAGE 85
Exhibit "A"
A certain tract or parcel of land fronting on the west side of South Lake View Drive and
Lake View Drive in the Village of Whispering Pines, described as follows:
BEGINNING at a corner in the west line of South Lake View Drive (50 feet wide), said
corner located as being S. 67 deg. 37 min. W. 1229 feet from the southwest corner of Lot
No, 82-A, Section Three, Whispering Pines, recorded in Map Book 7, at Page 54, Moore
County Registry; running thence from the beginning as the west line of South Lake View
Drive S. 27 deg. 23 Amin. W. 400.00 feet to a corner in the west tine of South Lake View
Drive; thence as the highwater line of Thaggard Lake the following chords, N. 2 deg. 59
mein. W. 75.66 feet; thence N. 33 deg. 54 min. W 161.59 feet; thence N. 25 deg. 20 min. W.
191.77 feet; thence N 24 deg. 36 min. E. 121.45 feet; thence S. 81 deg. 58 min. E. 30.7 feet;
thence S. 57 deg. 50 min. E. 263.39 feet; thence N. 83 deg. 39 min. E. 56.50 feet to the
BEGINNING, containing 1.84 acres, more or less.
4

North Carolina Secretary of State Search Results
Page 1 of 1
- File an Annual Report/Amend an Annual Report - Upload a PDF Filing • Order a Document Online -
Add Entity to My Email Notification List . View Filings • Print a Pre -Populated Annual Report form
Limited Liability Company
Legal Name
The Ascot Corporation, LLC
Information
Sosld: 1179596
Status: Current -Active U
Date Formed: 12/13/2010
Citizenship: Domestic
Annual Report Due Date: April 15th
Registered Agent: Van Camp, Thomas M., Mr.
Addresses
Mailing
2 Regional Circle
Pinehurst, NC 28374-9796
Reg Mailing
2 Regional Circle
Pinehurst, NC 28374-9796
Company Officials
Principal Office
2 Regional Circle
Pinehurst, NC 28374-9796
Reg Office
2 Regional Circle
Pinehurst, NC 28374-9796
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Managing Member
Colin S Webster , Mr.
2 Regional Drive
Pinehurst NC 28374-9796
https://www.sosnc.gov/online_services/search/Business_Registration_Results 9/9/2020

BOOK3859 - PAGE1
VJV
FOR REGISTRATION REGISTER OF DEEDS
Judy D. Martin
Moore County, NC
March 19, 2011 04:21:29 PM
Book 3859 Page 1-1
FEE: $22.00
NC REVENUE STAMP: $306,00
INSTRUMENT # 20f 1004314
INSIRUMENi WON
GENERAL WARRANTY DEED
Excise Tax $306.00 Recording Time, Book and Page Above
RETURN TO: GRANTEE
DRAFTED BY:
D.T. SCARBOROUGH III, ATTORNEY AT LAW
NO TITLE EXAMINATION
PO BOX 1669
PINEHURST, NC 28370
1 1.84 Ac - McNeill Twp
THIS GENERAL WARRANTY DEED made this 9th day of March, 2011, by and between,
Wentworth Management, LLC, a NC Limited Liability Company (hereafter "Grantor"), with
a mailing address of 140 S. Lakeshore Drive, Whispering Pines, NC 28327, and David
Doyle, Jr. and spouse, Audrey W. Doyle (hereafter "Grantee"), of 920 Napiers Post
Drive, Evans, GA 30809.
WITNESSETH•
The Grantor, for valuable consideration paid by the Grantee, the receipt of
which is hereby acknowledged, has and by these presents does grant, bargain, sell and
convey unto the Grantee in fee simple, all that certain lot or parcel (referred to in
the singular, whether one or more) of land situated in the Village of Whispering
Pines, McNeill Township, Moore County, North Carolina and more particularly described
as follows:
A certain tract or parcel of land fronting on the west side of South Lake
View Drive and Lake View Drive in the Village of Whispering Pines,
described as follows:
BEGINNING at a corner in the west line of South Lake View Drive (50 feet
wide) , said corner located as being S. 67 deg. 37 min. W. 122.9 feet from
the southwest corner of Lot No, 82-A, Section Three, Whispering Pines,
recorded in Map Book 7, at Page 54, Moore County Registry; running thence
from the beginning as the west line of South Lake View Drive S. 27 deg.
23 min. W. 400.00 feet to a corner in the west line of South Lake View
Drive; thence as the highwater line of Thaggard Lake the following chords,
N. 2 deg. 59 min. W. 75.66 feet; thence N. 33 deg. 54 min. W 161.59 feet;
thence N. 25 deg. 20 min. W. 191.77 feet; thence N 24 deg. 36 min. E.
-Page 1-

BOOK3859 - PAGE2
121.45 feet; thence S. 81 deg. 58 min. E. 30.7 feet; thence S. 57 deg. 50
min. E. 263.39 feet; thence N. 83 deg. 39 min. E. 56.50 feet to the
BEGINNING, containing 1.84 acres, more or less.
This Conveyance is subject to utility easements and restrictive covenants
of record; ad valorem taxes for the current year (prorated to the date of
closing); and such other encumbrances as may be assumed or specifically
approved by Grantee.
The property hereinabove described was acquired by Grantor by instrument
recorded in Book 3314 Pages 246-247.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and
appurtenances thereto belonging to the Grantee in fee simple.
And the Grantor covenants with the Grantee, that Grantor is seized of the
premises in fee simple, has the right to convey the same in fee simple, that title is
marketable and free and clear of all encumbrances, and that Grantor will warrant and
defend the title against the lawful claims of all persons whomsoever except for the
exceptions noted herein.
The designation Grantor and Grantee as used herein shall include said parties,
their heirs, successors, and assigns, and shall include singular, plural, masculine,
feminine or neuter as required by context.
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing, the day and
year first above written.
Wentworth Management, L
(SEAL)
e a er, memoer - manager
o Check this box if the property described herein contains the primary residence
of the Grantor
NOTARY'S ACKNOWLEDGMENT
NORTH CAROLINACOUNTY
I certi fy that the f ollowing person (s ) personally appearedbefore me this
day, each acknowledging to me that he or she voluntarily signed the
foregoing document for the purpose stated therein and in the capacity
indicated: Colin S. Webster, 7777t
o entwort Management,
LLC
Date:>`�
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(Official Seal) My commission expires:
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-Page 2-

North Carolina Secretary of State Search Results
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Limited Liability Company
LegaL Name
Wentworth Management, LLC
Information
Sosld: 0588497
Status: Admin. Dissolved O
Date Formed: 4/19/2001
Citizenship: Domestic
Annual Report Due Date: April 15th
Registered Agent: Webster, Colin S.
Addresses
Principal Office
140 South Lakeshore Dr
Whispering Pines, NC 28388
Reg Mailing
PO Box 1872
Southern Pines, NC 28388
Company Officials
Reg Off ice
140 South Lakeshore Dr
Whispering Pines, NC 28327
Mailing
PO Box 1872
Southern Pines, NC 28388
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Manager
Colin S. Webster
PO Box 1872
Southern Pines NC 28388
https://www.sosnc.gov/online_services/search/Business_Registration—Results 9/9/2020

AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT
Date: 12/14/09 County: Moore
To: Aquifer Protection Section Central Office Permittee: Wentworth Mngt. LLC
Central Office Reviewer: A. Wessner Project Name: 142 S. Lakeshore SFR Drip Irr.
Regional Login No: ?? Application No.: W00034447
L GENERAL INFORMATION
1. This application is (check all that apply): ® New ❑ Renewal
❑ Minor Modification ❑ Major Modification
® Surface Irrigation ❑ Reuse ❑ Recycle ❑ High Rate Infiltration ❑ Evaporation/Infiltration Lagoon
❑ Land Application of Residuals ❑ Attachment B included ❑ 503 regulated ❑ 503 exempt
❑ Distribution of Residuals ❑ Surface Disposal
❑ Closed -loop Groundwater Remediation ❑ Other Injection Wells (including in situ remediation)
Was a site visit conducted in order to prepare this report? ® Yes or ❑ No.
a. Date of site visit: 03/26/08 and 12/01/09
b. Person contacted and contact information: Hal Owen - Soil Scientist & Colin Webster - Wentworth LLC
c. Site visit conducted by: Jim Barber and Vince Lewis 3/26/09 and Jim Barber 12/01/09
d. Inspection Report Attached: ❑ Yes or ❑ No.
2. Is the following information entered into the BIMS record for this application correct?
❑ Yes or ❑ No. If no, please complete the following or indicate that it is correct on the current application
For Treatment Facilities:
a. Location: 142 S. Lakeshore Drive: Whispering Pines, NC 28327.
b. Driving Directions: From Vass, NC take Vass -Carthage road to the intersection with Niagra-Carthage eg road
and turn left onto Niagra-Carthage Road. Go approx. 1 1/2 miles to S. Lakeshore drive and turn right. Take
S. Lakeshore past the WhisperingPines ines pool and bear right, staving on S. Lakeshore. Upon crossing the
bridge 142 S. Lakeshore Drive is the undeveloped lot on the left which is across from the only residence on
this manmade island at the western end of Thaggards Lake.
c. USGS Quadrangle Map name and number: Carthage, NC (F-21 W)
d. Latitude: 35.266207N Longitude:-79.378806W (see attached topo map )
e. Regulated Activities / Type of Wastes (e.g., subdivision, food processing, municipal wastewater):
residential, sin leg family home drip irrigation system for domestic wastewater.
For Disposal and Iniection Sites:
(If multiple sites either indicate which sites the information applies to, copy and paste a new section into the
document for each site, or attach additional pages for each site)
a. Location(s): same as above
b. Driving Directions: same as above
c. USGS Quadrangle Map name and number: same as above
d. Latitude: same Longitude: same
FORM: APSARRWentworthSFRWQ0034447December2009

AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT
IL NEWAND MAJOR MODIFICATIONAPPLICATIONS (this section not needed for renewals or minor
modifications, skip to next section)
Description Of Waste(S) And Facilities
1. Please attach completed rating sheet. Facility Classification: Single Family Drip Irrigation system
2. Are the new treatment facilities adequate for the type of waste and disposal system?
❑ Yes ❑ No ❑ N/A. If no, please explain:
3. Are the new site conditions (soils, topography, depth to water table, etc) consistent with what was reported by
the soil scientist and/or Professional Engineer? ❑ Yes ❑ No ❑ N/A. If no, please explain: 11 11 11Formatted
4. Does the application (maps, plans, etc.) represent the actual site (property lines, wells, surface drainage)? ❑
Yes ❑ No ❑ N/A. If no, please explain: - Formatted
5. Is the proposed residuals management plan adequate and/or acceptable to the Division. ® Yes ❑ No ❑
N/A. If no, please explain: Typical permit language requiring spetic tank be inspected annually and pumped as
needed should be sufficient. The Village of Whispering Pines has a requirement that spetic systems be
insnected by a certified individual (tvnically a installer or nummer) every three years. numped in necessary and
documentation provided to the village that his has been done.
6. Are the proposed application rates for new sites (hydraulic or nutrient) acceptable?
❑ Yes ❑ No ❑ N/A. If no, please explain:
7. Are the new treatment facilities or any new disposal sites located in a 100-year floodplain?
® Yes ❑ No ❑ N/A. If yes, please attach a map showing areas of 100-year floodplain and please explain
and recommend any mitigative measures/special conditions in Part IV: The proposed location of the drip
irrigation field (exisitng site conditions) are right at the 100 year floodplain elevations as identified in the NC
Floodplain Mapping system. To insure and maintain the minimum one foot of seperation to the seasonal high
water table from the drip irrigation system the soil scientist has recommended that some additional fill be
placed (approx. 1.0' to 1.50') over the proposed drip irrigation area. This additional fill should place the surface
of the drip irrigation area just above the currently defined 100 yr. floodplain elevation. The Thaggards Lake
emergency spillway elevation is 288.41 msl (see attached plan).
8. Are there any buffer conflicts (new treatment facilities or new disposal sites)? ❑ Yes or ® No. If yes, please
attach a map showing conflict areas or attach any new maps you have received from the applicant to be
incorporated into the permit:
9. Is proposed and/or existing groundwater monitoring program (number of wells, frequency of monitoring,
monitoring parameters, etc.) adequate? ❑ Yes ❑ No ❑ N/A. Attach map of existing monitoring well
network if applicable. Indicate the review and compliance boundaries. If No, explain and recommend any
changes to the groundwater monitoring program:
FORM: APSARRWentworthSFRWQ0034447December2009

AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT
10. For residuals, will seasonal or other restrictions be required? ❑ Yes ❑ No ❑ N/A If yes, attach list of sites
with restrictions (Certification B?)
M. RENEWAL AND MODIFICATIONAPPLICATIONS (use previous section for new or major modification
systems)
Description Of Waste(S) And Facilities
1. Are there appropriately certified ORCs for the facilities? ❑ Yes or ❑ No.
Operator in Charge: Certificate #:
Backup- Operator in Charge: Certificate #:
2. Is the design, maintenance and operation (e.g. adequate aeration, sludge wasting, sludge storage, effluent
storage, etc) of the treatment facilities adequate for the type of waste and disposal system? ❑ Yes or ❑ No.
If no, please explain:
3. Are the site conditions (soils, topography, depth to water table, etc) maintained appropriately and adequately
assimilating the waste? ❑ Yes or ❑ No. If no, please explain:
4. Has the site changed in any way that may affect permit (drainage added, new wells inside the compliance
boundary, new development, etc.)? If yes, please explain:
5. Is the residuals management plan for the facility adequate and/or acceptable to the Division?
❑ Yes or ❑ No. If no, please explain:
6. Are the existing application rates (hydraulic or nutrient) still acceptable? ❑ Yes or ❑ No. If no, please
explain:
7. Is the existing groundwater monitoring program (number of wells, frequency of monitoring, monitoring
parameters, etc.) adequate? ❑ Yes ❑ No ❑ N/A. Attach map of existing monitoring well network if
applicable. Indicate the review and compliance boundaries. If No, explain and recommend any changes to the
groundwater monitoring program:
8. Will seasonal or other restrictions be required for added sites? ❑ Yes ❑ No ❑ N/A If yes, attach list of sites
with restrictions (Certification B?)
9. Are there any buffer conflicts (treatment facilities or disposal sites)? ❑ Yes or ❑ No. If yes, please attach a
map showing conflict areas or attach any new maps you have received from the applicant to be incorporated
into the permit:
10. Is the description of the facilities, type and/or volume of waste(s) as written in the existing permit correct? ❑
Yes or ❑ No. If no, please explain:
11. Were monitoring wells properly constructed and located? ❑ Yes or ❑ No ❑ N/A. If no, please explain: _
12. Has a review of all self -monitoring data been conducted (GW, NDMR, and NDAR as applicable)? ❑ Yes or
❑ No ❑ N/A. Please summarize any findings resulting from this review:
FORM: APSARRWentworthSFRWQ0034447December2009 3

AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT
13. Check all that apply: ❑ No compliance issues; ❑ Notice(s) of violation within the last permit cycle; ❑
Current enforcement action(s) ❑ Currently under SOC; ❑ Currently under JOC; ❑ Currently under
moratorium. If any items checked, please explain and attach any documents that may help clarify
answer/comments (such as NOV, NOD etc):
14. Have all compliance dates/conditions in the existing permit, (SOC, JOC, etc.) been complied with? ❑ Yes
❑ No ❑ Not Determined ❑ N/A.. If no, please explain:
15. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit? ❑
Yes or ❑ No ❑ N/A. If yes, please explain:
FORM: APSARRWentworthSFRWQ0034447December2009 4

AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT
IV. INJECTION WELL PERMIT APPLICATIONS (Complete these two sections for all systems that use injection
wells, including closed -loop groundwater remediation effluent injection wells, in situ remediation injection wells, and heat
pump injection wells.)
Description Of Well(S) And Facilities — New, Renewal, And Modification
1. Type of injection system:
❑ Heating/cooling water return flow (SA7)
❑ Closed -loop heat pump system (5QM/5QW)
❑ In situ remediation (5I)
❑ Closed -loop groundwater remediation effluent injection (5L/'Non-Discharge")
❑ Other (Specify:
2. Does system use same well for water source and injection? ❑ Yes ❑ No
3. Are there any potential pollution sources that may affect injection? ❑ Yes ❑ No
What is/are the pollution source(s)? . What is the distance of the injection well(s) from the pollution
source(s)? ft.
4. What is the minimum distance of proposed injection wells from the property boundary? ft.
5. Quality of drainage at site: ❑ Good ❑ Adequate ❑ Poor
6. Flooding potential of site: ❑ Low ❑ Moderate ❑ High
7. For groundwater remediation systems, is the proposed and/or existing groundwater monitoring program
(number of wells, frequency of monitoring, monitoring parameters, etc.) adequate? ❑ Yes ❑ No. Attach
map of existing monitoring well network if applicable. If No, explain and recommend any changes to the
groundwater monitoring program:
8. Does the map presented represent the actual site (property lines, wells, surface drainage)? ❑ Yes or ❑ No. If
no or no map, please attach a sketch of the site. Show property boundaries, buildings, wells, potential pollution
sources, roads, approximate scale, and north arrow.
Iniection Well Permit Renewal And Modification Only:
1. For heat pump systems, are there any abnonnalities in heat pump or injection well operation (e.g. turbid water,
failure to assimilate injected fluid, poor heating/cooling)?
❑ Yes ❑ No. If yes, explain:
2. For closed -loop heat pump systems, has system lost pressure or required make-up fluid since permit issuance
or last inspection? ❑ Yes ❑ No. If yes, explain:
3. For renewal or modification of Qroundwater remediation permits (of any type), will
continued/additional/modified injections have an adverse impact on migration of the plume or management of
the contamination incident? ❑ Yes ❑ No. If yes, explain:
4. Drilling contractor: Name:
FORM: APSARRWentworthSFRWQ0034447December2009 5

AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT
Address:
Certification number:
5. Complete and attach Well Construction Data Sheet.
FORM: APSARRWentworthSFRWQ0034447December2009

AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT
V. EVALUATIONAND RECOMMENDATIONS
1. Provide any additional narrative regarding your review of the application.:
2. Attach Well Construction Data Sheet - if needed information is available
3. Do you foresee any problems with issuance/renewal of this permit? ❑ Yes ❑ No. If yes, please explain
briefly.
4. List any items that you would like APS Central Office to obtain through an additional information request.
Make sure that you provide a reason for each item:
Item Reason
5. List specific Permit conditions that you recommend to be removed from the permit when issued. Make sure
that you provide a reason for each condition:
Condition Reason
6. List specific special conditions or compliance schedules that you recommend to be included in the permit when
issued. Make sure that you provide a reason for each special condition:
Condition
Reason
Besides the Engineers Certification, a
In the soil scientist report, recommendations are
certfication or confirmation letter from the soil
made to add soil to the drip irrigation area to
scientist to address the addition of fill material
insure that at least l' of seperation will exist
and the type (consistency with existing soil).
between the SHWT and the drip zone.
Also if all trees are removed, that the site has
not been adversely impacted due to heavy
equipment traffic removing the large pine trees.
If the property is sold to another party and a
Properties that are speculatively marketed have
home not constructed by Wentworth
been sold once and sometimes twice before
Management LLC, that at closing Wentworth
home construction takes place. This has
Management and the new landowner execute a
happened with one property in Whispering
change of ownership application and submit to
Pines on Thaggards Lake that still has not been
DWQ.
developed and is currently under ownership by a
third buyer since intial permitting.
FORM: APSARRWentworthSFRWQ0034447December2009

AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT
7. Recommendation: ❑ Hold, pending receipt and review of additional information by regional office; ❑ Hold,
pending review of draft permit by regional office; ❑ Issue upon receipt of needed additional information; ❑
Issue; ❑ Deny. If deny, please state reasons:
8. Signature of report preparer(s):
Signature of APS regional supervisor:
Date:
ADDITIONAL REGIONAL STAFF REVIEW ITEMS
Application rates and site recommendations are adequate and consistent with State rules and guidelines.
In reviewing the information provided by the consultant, site visits to the proposed property and review of
Moore County GIS files, buffers to homes and property lines appear adequate with no encroachments observed.
Since this permit is being issued to a management/development company that may speculatively market this
property for construction to another party, it may warrant for this permit to be recorded with reference to the
deed for the property so the pWy purchasing the property is informed of the unique type of wastewater system
required to be constructed for this site.
FORM: APSARRWentworthSFRWQ0034447December2009