WQ0023491_More Information (Received)_20240703

Permit No. WQ0023491 Single Family Residence Wastewater Irrigation System
Michael F. and Kimberly R- Tenoever June 6, 2019
6225 Wake Forest Rd. SFR Durham County
ENGINEERING CERTIFICATION
❑ Partial Final
n
I, C-177� . 'r- c G h � ¢i � — ., as a duly licensed North Carolina Professional
Engineer, periodically / ❑ fully observed the construction of the permitted facilities, do hereby
state to the best o my abilities that the facility was constructed in compliance with G.S. 143-215.1,
Administrative Code Title 15A Subchapter 02T, this permit, and the Division -approved plans and
specifications.
Documentation of any variation to this permit, and the Division -approved plans and specifications, is in the
attached as -built drawings. �j
Description of variations: /Tdl Nt*'ev AC-(01P;jf4J� 1 %A S�C l Col c S ! he f
tiyr ate v W t/ Gt t ✓c�� SLtY1Cv 1f)51"U�.
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Ai'a llo/ rj
Pmf�Eogine�'a Name
Firm Name Firm No.
Address
1?G110 tcj,
City
9 / q —yG7 /Z 3' 1
Telephone
27sG.D-
stow Zip Code
o
�anail
EAL
17069
� MACE%,•`J��/11
seal, Signatiue, and Hate
THE COMPLETED ENGINEERING �_cjnjL"'jLCATION, INCLUDING ALL SUPPORTING
DOCUMENTATION, SHALL BE SENT TO THE FOLLOWING ADDRESS. -
NORTH CAROLING DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
NON DISCHARGE BRANCH
B-- U.S. Postal Service By Courier/Snecial Delivery
1617 MAIL SERVICE CENTER 512 N. SALISBURY ST.
RALEIGH, NORTH CAROLINA 27699-1617 RALEIGH, NORTH CAROLINA 27604
WQ0023491 Version 3.2 Shell Version IS1105
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