WQ0014239_Final Permit_20020930

F WArF
O�Q RAG Michael F. Easley. Governor
y William G. Ross Jr., Secretary
r` North Carolina Department of Environment and Natural Resources
p C Alan W. ision or
P.E., Director
Division oWater Quality
September 30, 2002
Jason.T. Martin, Jr., Owner
Route 1, Box 83
Polkton, NC 28135
Subject: Permit No. WQ0014239
Jason T. Martin, Jr.
Single Family
Spray Irrigation Facility
Anson County
Dear Mr. Martin:
In accordance with your request received May 1, 2002, we are forwarding herewith Permit No.
WQ0014239, dated September 30, 2002, to Jason T. Martin, Jr. for the continued operation of the subject single
family wastewater treatment and spray irrigation facilities.
This permit shall be effective to the date of issuance until August 31, 2007, and shall be subject to the
conditions and limitations as specified therein. Please pay particular attention to the monitoring requirements in
this permit. Failure to establish an adequate system for collecting and maintaining the required operational
information will result in future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing upon written request within thirty (30) days following receipt of this permit. This
request must be in the form of a written petition, conforming to Chapter 150B of the North Carolina General
Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC 27699-
6714. Unless such demands are made this permit shall be final and binding.
If you need additional information concerning this matter, please contact Michelle Barnett at (919) 733-
5083 extension 544.
cc: Anson County Health Department
Fayetteville Regional Office, Water Quality Section
Technical Assistance and Certification Unit
Non -Discharge Compliance/Enforcement Unit
Jerry Dalton, Dalton Engineering & Associates, PA
Water Quality Central Files
,.NDPU.Files _ .,
Sincemly,
i
, /
Alan W. Klimek, P.E.
Non -Discharge Permitting Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
DENR Customer Service Center
An Equal opportunity Action Emplover
Internet http://b2o.enr.state,nc.us/ndpu
Telephone [phone] Fax [phone]
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NCDENR

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
SINGLE FAMILY SPRAY IRRIGATION PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as amended,
and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Jason T. Martin, Jr.
Anson County
FOR THE
continued operation of a 350 GPD spray irrigation wastewater treatment and disposal system consisting of a 1,000
gallon baffled septic tank, a 325 ft' subsurface sand filter, a tablet chlorinator with a 229 gallon chlorine contact
tank, an 1,800 gallon storage/pump tank with one (1) 25 GPM pump and high water alarms, and a 20,000 ft2 spray
irrigation area to serve the Martin Residence, and all associated piping and appurtenances with no discharge of
wastes to the surface waters, pursuant to the application received May 1, 2002, and in conformity with the project
plan, 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 the date of issuance until August 31, 2007, and shall be subject to the
following specified conditions and limitations:
I. PERFORMANCE STANDARDS
The spray irrigation facilities shall be effectively maintained and operated at all times so that there is no
discharge to the surface waters, nor any contamination of ground waters which will render them
unsatisfactory for normal use. In the event that the facilities fail to perform satisfactorily, including the
creation of nuisance conditions or failure of the irrigation area to adequately assimilate the wastewater,
the Permittee shall take immediate corrective actions including those actions that may be required by the
Division of Water Quality (Division), such as the construction of additional or replacement wastewater
treatment and disposal facilities.
2. The issuance of this permit shall not relieve the Permittee of the responsibility for damages to surface or
ground waters resulting from the operation of this facility.
3. The residuals generated from these treatment facilities must be disposed in accordance with General
Statute 143-215.1 and in a manner approved by the Division.
4. Diversion or bypassing of the untreated wastewater from the treatment facilities is prohibited.
5. The following buffers shall be maintained:
a) 400 feet between wetted area and any residence or places of public assembly under separate
ownership,

b) 150 feet between wetted area and property lines,
c) 100 feet between wetted area and wells,
d) 100 feet between wetted area and drainage ways or surface water bodies,
e) 50 feet between wetted area and public right of ways,
f) 100 feet between treatment/storage units and any wells, and
g) 50 feet between treatment units and property lines.
6. The pump tanks shall have functional high water audible and visual alarms. The name and number of
an emergency contact shall be posted in a conspicuous location.
II. OPERATION AND MAINTENANCE RE UIREMENTS
The facilities shall be properly maintained and operated at all times.
2. A suitable year round vegetative cover of Fescue shall be maintained (or leaf litter in wooded areas).
4. Irrigation shall not be performed during inclement weather or when the ground is in a condition that
will cause runoff.
5. Adequate measures shall be taken to prevent wastewater runoff from the spray field.
The application rate shall not exceed a cumulative loading of 13.0 inches over any twelve (12) month
period at an instantaneous application rate not to exceed 0.15 inches per hour.
7. 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.
No type of wastewater other than that from the Martin residence shall be sprayed onto the irrigation
area.
No traffic or equipment shall be allowed on the disposal area except while installation occurs or while
normal maintenance is being performed.
10. The spray irrigation field shall be fenced with at least a two strand wire fence.
11. 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.
b. The tablet chlorinator shall be checked every week. Tablets shall be added to provide proper
chlorination.
The storage, pump, and alarm systems shall be inspected monthly_ The scum layer shall be
removed at the same interval as the septic tank is cleaned out.
d. The spray system shall be inspected monthly to make certain of the sprayers proper operation,
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.
III. MONITORING AND REPORTING REQUIREMENTS
Any monitoring deemed necessary by the Division to insure surface and ground water protection will
be established and an acceptable sampling reporting schedule shall be followed.

2. The Permittee shall maintain records of all maintenance performed on the system and irrigation area,
as required in Condition II 12 for a minimum of five years. This information shall be provided to the
Division upon request.
Noncompliance Notification:
The Permittee shall report by telephone to the Fayetteville Regional Office, telephone number (910)
486-1541, 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, due to known or unknown reasons, that renders the facility incapable of
adequate wastewater treatment, such as mechanical or electrical failures of pumps, spray heads,
etc.; or
b. Any failure of a pumping station or treatment facility resulting in a by-pass directly to receiving
waters without treatment of all or any portion of the influent to such station or facility.
Persons reporting such occurrences by telephone shall also file a written report in letter form within
five (5) days following first knowledge of the occurrence. This report must outline the actions taken
or proposed to be taken to ensure that the problem does not recur.
IV. INSPECTIONS
Adequate inspection, maintenance, and cleaning shall be provided by the Permittee to insure proper
operation of the subject facilities.
2. Any duly authorized officer, employee, or representative of the Division may, upon presentation of
credentials, enter and inspect any property, premises or place on or related to the disposal site or
facility at any reasonable time for the purpose of determining compliance with this permit, may
inspect or copy any records that must be maintained under the terms and conditions of this permit,
and may obtain samples of groundwater, surface water, or leachate.
V. GENERAL CONDITIONS
This permit shall become void unless the facilities are constructed in accordance with the conditions
of this permit, the approved plans and specifications, and other supporting data.
2. This permit is effective only with respect to the nature and volume of wastes described in the
application and other supporting data.
This permit is not transferable. In the event there is a desire for the facilities to change ownership, or
there is a name change of the Permittee, a formal permit request must be submitted to the Division
accompanied by documentation from the parties involved, and other supporting materials as may be
appropriate. The approval of this request will be considered on its merits and may or may not be
approved.
4. Upon the availability of a municipal or regional sewerage collection system, the subject wastewater
treatment facilities shall be abandoned and all wastewater discharged into the municipal or regional
sewerage system.
5. Failure to abide by the conditions and limitations contained in this permit may subject the Permittee
to an enforcement action by the Division in accordance with North Carolina General Statute 143-
215.6A to 143-215.6C.
6. 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 government agencies (local, state,

and federal) which have jurisdiction, including but not limited to applicable river buffer rules in 15A
NCAC 2B.0200, erosion and sedimentation control requirements in 15A NCAC Chapter 4 and under
the Division's General Permit NCG010000, and any requirements pertaining to wetlands under 15A
NCAC 2B .0200 and 2H .0500.
This permit may be revoked if the Permittee fails to abide by the conditions of the "Operation and
Maintenance Agreement" previously signed by the Permittee.
8. A set of approved plans and specifications for the subject project must be retained by the Permittee
for the life of the project.
9. The annual administering and compliance fee must be paid by the Permittee within 30 days after
being billed by the Division. Failure to pay the fee accordingly may cause the Division to initiate
action to revoke this permit as specified by 15A NCAC 2H .0205 (c)(4).
10. The Permittee, at least six (6) months prior to the expiration of this permit, shall request its extension.
Upon receipt of the request, the Commission will review the adequacy of the facilities described
therein, and if wan -anted, will extend the Permit for such period of time and under such conditions
and limitations as it may deem appropriate.
Permit issued this the 30th day of September, 2002
NORTH, AROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Alan W. Klimek, F.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0014239
4

OPERATION AND MAINTENANCE AGREEMENT
SINGLE FAMILY RESIDENCE WASTEWATER TREATMENT SYSTEM
DIVISION OF WATER QUALITY
Owner:
Address:
Disposal Method: SPRAY IRRIGATI
County: � ) S
Permit No.
DRIP IRRIGATION (Circle One)
I agree to operate and maintain the wastewater treatment system as follows:
1) The Permittee is responsible for the operation and maintenance of the entire treatrnerit 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 effluent filter shall be
checked and cleaned at the same frequency of the septic tank.
b) Check one:
VThe tablet chlorinator shall be checked every week. Tablets shall be added so as to provide
proper chlorination.
❑ The ultraviolet disinfection unit shall be checked every week. The lamp shall be cleaned
and/or replaced to ensure proper disinfection.
c) The storage, pump, and alarm systems shall be inspected monthly. The scum layer shall be
removed at the same time interval as the septic tank is pumped out.
d) The irrigation system shall be inspected monthly to make certain of proper operation, that
vegetative growth does not interfere with the system inspection or operation, that the soil is
assimilating the disposed treated wastewater with no surface runoff, and that no objectionable
odors are being generated.
2) Failure of the Permittee to properly operate this system is subject to a penalty up to $25,000 per day.
3) Failure to meet the permit conditions or violation of the State's surface or groundwater regulations
will require evacuating the dwelling and may void the permit.
I understand the above requirements and agree to these terms as part of the issued permit.
Owner Signature: n., ` � , .� . Date: 0 Y12, %z
Notary Signature: f �i �,✓ Notary Seal:
Date: Commission Expiration: Da
SFR O&M 04/0I j
l i
• DN-DZCHAROE PERM'TTIN

I
DIVISION OF WATER QUALITY
September 18, 2002
MEMORANDUM
I
TO: Kim Colson, Unit Supervisor
Non Discharge Permitting and Engineering Unit
and Michel
Proj ect
FROM: Ken A`
Favette
SUBJECT:
ionar Office
WQ0014239
Jason T. Martih, Single Family Spray Irrigation system
Anson County
Please - find encl'I sed the staff report and recommendations regarding issuance of the
subject Permit.
If you have any 4uestions or if I can be of assistance, please advise.
KA/ka
Enclosure
I
cc: Technical Support
1

SOC PRIORITY PROJECT: YES_ NOS
If Yes, SOC No.
To: Permits and Engineering Unit
Water Quality Section
Attention: Michelle Barnett
Date: September 18, 2002
NONDISCHARGE STAFF REPORT AND RECOMMENDATIONS
COUNTY: Anson
Permit No. WQ0014239
PART I - GENERAL INFORMATION
1. Facility and Address: Jason T. Martin, Single Family Spray Irrigation- System
c/o Jason T. Martin
Rt. 1 Box 83
Polkton, NC 28135
2. Date of Investigation: September 17, 2002
3. Report Prepared by: Ken Averitte, Env. Spec., FRO
4. Persons Contacted and Telephone Number: Mr. Jason T. Martin, owner
704-272-7079
5. Directions to site: The site is located on the east side of SR 1224 (Austin Road) in Anson
County, 1.4 mile south of the intersection with SR 1003.
6. Size (land available for expansion and upgrading): Ten acres
Topography (relationship to 100-year flood plain included): gently rolling
Attach.a U.S.G.S. map extract and indicate facility site:
U.S.G.S. Quad No.: U.S.G.S. Quad Name:
H 17 SE Hornsboro
Latitude: 34 deg 51' 53" Longitude: 80 deg 15' 31"
8. Any buffer conflicts with location of nearest dwelling and water supply?
Yes _x— No If Yes, explain:
9. Stream Basin Information:
a. Stream / Classification: UT to Boles Creek, Class "C"
b. River Basin and Subbasin No.: 030717

i
Part I.- GENERAL INI
C. Distance; to
Part II - DESCRIPThOl
1. a. volume: _
Residuals:
b. Types and i
C. rretreatment
In developmf
Should be re(
2. Treatment Facilities:
a. What is the c
b. What is the a
i
C. Please Drovia
tank With ba
through 3 lir
surface load;
travels throu
pair of conni
water alarm
to irrigate trf
two rows of
d. Please pr',o-v
I
i
3. Residuals handlin€
i
a. If residuals
In
tMATION (continued)
-face water from disposal system: None within 400 feet.
F WASTES AND TREATMENT WORKS
(Design Capacity)
- tons per year
ies of industrial wastewater: NONE
ram (POTWs only): N/A
Approved
3 _ Not needed _
Trent permitted capacity of the facility? 360 gpd
Lual treatment capacity of the current facility? 360 gpd
a description of existing or substantially constructed wastewater
ities: The existing facility consists ofa standard 1,000.gallon septic
.e and sanitary"T" followed by a distribution box Whichisplits flow
over a 25' x 13' foot subsurface sand filter bed. This bed has a
rate of approximately 1.1 gpd/sq.ft: Filtered flow from this bed
i an underdrain collection line,. through a tablet chlorinator and to a
Led 1,000 gallon precast tanks used for storage and pumping. A high
located at the pump tank. A 1.5 HP submersible pump is used
:ed waste onto a land application site of approx. 0.4 acres through
irinklers. Each row contains four full circle and one half circle
a description of proposed wastewater treatment facilities: N/A
1 utilization/disposal scheme: Mr. Martin indicates that the septic
tank is pumped annually by a local
septage hauler.
being land applied, please specify DWQ Permit No.: N/A
Residual Contra
Telephone No.:
i
Residuals stabili
C. Landfill:; I N/A
PSRP_ PFRP_ Other N/A

d. Other disposal/utilization scheme (Specify): N/A
4. Treatment plant classification (attach completed rating sheet): single family spray
irrigation
5. SIC Code(s):
Primary 04 Secondary
Main Treatment Unit Code: 4 4 4 4 Z
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grant Funds (municipals only)? N/A
2. Special monitoring or limitations (including toxicity) requests: none
3. Important SOC, JOC or Compliance Schedule dates (please indicate): none
4. Other Special Items:
Soils Information:
Land Use: rural, extremely sparse development
Crop Management Plan: The application site is grass covered.
PART IV - EVALUATION AND RECOMMENDATIONS
It is the recommendation of this office that Permit No. WQ0014239 be reissued for a period of
five years. This recommendation is based on the satisfactory operation and maintenance of the
above described system. No evidence of runoff was observed.
Signature-tk ort Preparer
Water Quality Regional Supervisor
ci � �' ✓
Date

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A

�oF wArFRo Michael F. Easley, Governor
William G. Ross Jr., Secretary
CO North Carolina Department of Environment and Natural Resources
� r
i I Gregory J. Thorpe, Ph.D., Acting Director
'-'�'•'3G ' Division of Water Quality
�1
May 7, 2002LMAY
0.2002
�JASON T�MARTIIN
a�
RT. 1 BOX 83 `
POLKTON NC 28135
Subject: Acknowledgement of Application No.
WQ0014239
Surface Irrigation
Anson County
i
Dear Mr. Martin:
The Non -Discharge Permitting Unit of the Division of Water Quality (Division) acknowledges receipt of
your permit application and supporting materials on May -1. 2002. This application package has been
assigned the number listed above.
I
Your application package has been assigned to Michelle Barnett for a detailed review. The reviewer will
contact you with a request for ladditional information if there are any questions concerning your submittal.
If you have any questions, ple� se contact Michelle Barnett at 919-733-5083 extension 544, or via Email
at Michelle.Barnett@ ncmailinet. If the reviewer is unavailable, you may leave a message on their voice
mail, and they will respond promptly.
PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAKING INQUIRIES ON
THIS PROJECT.
I
Si� ly,
im H. Colson, P.E.
Supervisor, Non -Discharge Permitting Unit
i
cc: [,ete��i } Mona ire
Permit Application File
1617 Mail Service Center,
DENR
An Equal Opl
14239
�r
NCDENR
e Permitting Unit
Internet httpJ/h2o.enr.nc.state.us/ndpu
NC 27699-1617
Telephone [phone] Fax [phone]
it Service Center
Telephone [phone]
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713-5
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F�
RECEIVED
WATER QUALITY SECTION
MAY 1 2002
NON -DISCHARGE PERMITTING

OPERA
SINGLE FAMILY
k 1
Owner:
ON AND MAINTENANCE AGREEMENT
:SIDENCE WASTEWATER TREATMENT SYSTEM
1IVISION OF WATER QUALITY
Address:
Disposal Method: SPRAY; IRRIGATION DRIP IRRIGATION (Circle One)
County: VhN S O �I
Permit No. �� �� �.i13g
I agree to operate and maintain the wastewater treatment system as follows:
1) 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 effluent filter shall be
checked and cleaned at the same frequency of the septic tank.
b) Check one:
The tablet chlorinator shall be checked every week. Tablets shall be added so as to provide
proper chlorination.
❑ The ultraviolet disinfection unit shall be checked every week. The lamp shall be cleaned
and/or replaced! to ensure proper disinfection.
c) The storage, pump, ;and alarm systems shall be inspected monthly. The scum layer shall be
removed at the same time interval as the septic tank is pumped out.
d) The irrigation system shall be inspected monthly to make certain of proper operation, that
vegetative growth does not interfere with the system inspection or operation, that the soil is
assimilating the disposed, treated wastewater with no surface runoff, and that no objectionable
odors are being generated
2) Failure of the Permittee 1'to pr Iperly operate this system is subject to a penalty up to $25,000 per day.
3) Failure to meet the permit conditions or violation of the State's surface or groundwater regulations
will require evacuating the dwelling and may void the permit.
i
I understand the above requirements and agree to these terms as part of the issued permit.
i
Owner Signature: ).4" Date: O Y Zl
Notary Signature:
Date: L;,, Jo �-,
SFR O&M 04/01
w Notary Seal:
ission Expiration: l �}' Da
tECEIVED ___._— i
F—
WATER OUA!_ITY SECTION
i
MAY 1 2002
NON -DISCHARGE PER(t41TTI�,:�-:

State of North Carolina �o `2 7 Z - S9.rg
De0arti, itent of Environment and Natural Resources
Division of Water Quality
SINGLE FAMILY RESIDENCE SURFACE IRRIGATION SYSTEM
j PERMIT APPLICATION
(THIS FORM MAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL)
Application Number: (to be completed by DW_ Q for new projects)
I. GENERAL INFORMATION:
1
1. Project name (e.g. New Subdivision Lot #1):
2. Applicant's name (Name of the owner of the facility. If a company or corporation it must a registered
with the Secretary of State::
. I
3. Name and complete address of applicant:
R o use
I
City: 1P 4��� OY> State: zip:
Telephone number: ( Q Facsimile number: ( )
Email Address:
4. County where project is located: AhS O Y)
5. Fee submitted: $ (See Instruction C.)
6. Name and complete address of engineering firm: S,Tc&nu cN ArA SSOC 1 Cite , Iv, .
I.
C VA % As -n ' cey s0 37 w190 S,W Y o o.�. S`� `c c,
City: S o l).1 �i\\ State: Zip: CM 3 g
Telephone number: ( COI) f`j9 `l.� `� Facsimile number: (910 } 6\C( �. 7 3'Fi
7. Na'mel land affiliation of contact person who can answer questions about project: m \ C`(\qc�
Email Address:
i
II. PERMIT INFORMATION:
1. Project is: new; modification; renewal without modification
Note: Renewals without modifications should just fill out sections I & II; sign the applicants signature on
Page 6; and attach Form SFR O&M 04/01.
I
2. If this application is being submitted as a result of a modification to or renewal of an existing permit,
provide: existing permit nu I ber U CtiZ CO t 4 Z.l 9 and the issuance date
3. If project includes any strea l or wetland crossings, provide date when Nationwide 12 or 404 permit was
submitted for approval: I
'I I
III. INFORMATION ON WASTEWATER:
1. Volume of wastewater, generated by this project: gallons per day
2. Explanation of how wastewater flow was determined (15A NCAC 2H .0219(1)):
I RECEIVED j
: WATER QUALITY SECTION 4
i
M AY - 1 2002
FORM: SFR-SIA 01-02 i Page 3 of 6
NON -DISCHARGE PERMITTING

N ` . 1, a •'Ab • -
IV. GENERAL PROJECT INFORMATION:
1. Brief project description:
2. System is (check one) : spray irrigation; or drip irrigation.
3. Does the project conform to all buffers as required in 15A NCAC 2H .02190)(5)? Yes;
No. *Please note that buffers for drip irrigation are those identified as "other surface disposal systems".
If No, please explain how the proposed buffers will provide equal or better protection of the Waters of the
State with no increased potential for health concerns or nuisance conditions:
4. The treatment facilities and wetted areas must be secured in some fashion to prevent unauthorized entry.
Details or notations of restricted access measures should be shown on submitted plans. Briefly describe the
measures being taken (15A NCAC 2H .02190)(7)):
5. a. 100-year flood elevation: feet mean sea level.
b. Are any treatment units or wetted areas located within the 100-year flood plain?: Yes;
No. If Yes, briefly describe the protective measures being taken to protect against flooding._
V. DESIGN INFORMATION FOR'SINGLE FAMILY RESIDENCE SURFACE. IRRIGATION
SYSTEMS:
1. Summary of TREATMENT UNITS to be permitted: Provide the -location of each design element in the
specifications and/or engineering plans:
Treatment Units
(list each separately)
How
Many
Provided
Dimensions
L x W x H
(ft)
Volume
(Gallons)
Surface
Loading
Rate
(GPD/ft)
Page Number in the
Plans & Specifications
Plans Specs
SepticTanks
Must conform to
criteria in T15A 18A`
.1952-.1954
Primary Sand Filters
Secondary an
Filters
-Nu i z: ii a rreaunent system omer inan sans niters are to oe use ror seconaary Treatment please suocnu a
separate page with specific details of sizing and treatment ability and provide manufacturer's documentation
for support.
2. Have effluent filters been provided for septic tank? Yes; No.
3. a. Type of Disinfection:
b. If Chlorine, specify detention time provided:
time is provided for:
minutes. Please indicate where this detention
c. If UV, provide Manufacturer's details with application and specify the number of lamps:
FORM: SFR-SIA 01-02 Page 4 of 6

1G
Professional Engineer's Certification:
1
I,
1
1
attest that this application for
1 has been reviewed by me and is
accurate, complete and consistent with the information supplied in the engineering plans, calculations, and all other
supporting documentation to the best of my knowledge. I further attest that to the best of my knowledge the
proposed design has been prepared in accordance with the applicable regulations. Although certain portions of this
submittal package may have been developed by other professionals, inclusion of these materials under my signature
and seal signifies that I have reviewed this material and have judged it to be consistent with the proposed design.
Note: In accordance with NC Ge'neral Statutes I43-215.6A and 143-215.613, any person who knowingly makes any
false statement, representation, on certification in any application shall be guilty of a Class 2 misdemeanor which
may include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date:
I
i
Applicant's Certification:
�i -
I, wi CA, s o(y1 r1 0. v '\ '� Ni
accurate and complete to the best
completed and that if all required
will be returned to me as incomph
any person who knowingly makes
guilty of a Class 2 misdemeanor v
$25,000 per violation. I
Signature:,r,..�%�„
FORM: SFR-SIA 01-02
J ��attte\st that this application for
has been reviewed by me and is
my knowledge. I understdnd that if all required parts of this application are not
pporting information and attachments are not included, this application package
% Note: In accordance with NC General Statutes 143-215.6A and 143-215.613,
ny false statement, representation, or certification in any application shall be
ich may include a fine not to exceed $10,000 as well as civil penalties up to
Page 6 of 6
Date:
�— RECEIVED
WATER QUALITY SECTION
M AY - 1 2002
0
NON -DISCHARGE PERMITTING

VI. DESIGN INFORMATION FOR IRRIGATION SYSTEM:
1. Summary of Storage and Irrigation Pump Tank information:
2
-
Design Element
age Number in the
Plans &
Specifications
Plans Specs
Dimensions of Storage Tank (if separate from pump tank)
(LxWxH):
Volume of Storage Tank:
Dimensions of Pump Tank (LxWxH):
Volume of Pump Tank:*
Uallons
Capacity of pumps:
UPM
Effective storage volume provided:
Gallons
-Days
Effective storage time provided:
High Water Alarms:
Audible Alarm
Visual Alarm
Equipment to prevent irrigation during rain events:
TiNuiz: ine lilvision requires a minunuin vi j uays sivragc ue prvviucu ui Lill, puny auu Ou„ar LaiMa.
This should be calculated between the pump off elevation and the invert elevation.
List any equipment (note sheet number of the plans or page number in the specifications) not specifically
mentioned above (pump hoist, odor control equipment, etc.):
3. Loading rate recommendation, as determined by the soil scientist: inches per hour
inches per year.
4. Design loading rate: inches per hour; inches per year.
5. Size of wetted irrigation area: square feet; or acres.
6. Summary of Irrigation system:
Design Element
Page Number in the Plans & Specifications
Plans I Specs
Number of Nozzles or Emitters
Design Wetted Diameter of Nbo—zz-re—s
Feet
Design Wetted Area of Emitters
Feet
istance Between Drip Lines
Feet
Distance Between Drip Emitters
Feet
Capacity
GPM
psi
Elevation of Highest ozz a mitter
Feet
FORM: SFR-SIA 01-02 Page 5 of 6

State of North Carolinas
Department of- Environmen
And -Natural Resources
Divislonof.Water Quality
James.B::,Hunt, Jr., Governor
Wayne -McDevitt, Secretary
A..Preston'•Howard, Jr., P.E., Di
JASON T. MARTIN
MARTIN, JASON T-SFR/MARTIN I
RT. 1 BOX 83 j
POLKTON, NC 28135
Dear Permittee: '
I
On September 19, 1997 the Divisic
conditions of the subject permit rez
Upon completion of
certification must be
facility has been inst
'approved plans and s
'Unit, P.O. Box 2953,
To date, our records show
facility: has been constructed I and
Operation of the treatment systen:
and is subject to enforcement act
project, HOBBS UPCHURCH &
contact -the Fayetteville Regional
Thank you for your prompt
cc: Fayetteville Regional
File =
P.O. Box 29535, Raleigh, North t
An Equal Opportunity Affirr
I
M VT__- ` ..
i 4
C) E
actor
_ VED
RE
CEOctober 23, 1998
C C i 2 -3 1098
FA,y8 rEv` LL
Subject: CERTIFICATE OF COMPLETION
PERMIT NO. WQ0014239
MARTIN, JASON T-SFRMARTIN PR
ANSON COUNTY
of Environmental Management issued>you the subject permit. One of the
as follows:
;tion and prior to operationof this perinitted facility, a
3 from a professional engineer certifying that the permitted -
accordance with the requirement&of this permit and the
(ions. Mail certification to the -Permits and Engineering
;h N.C:, 27626-0535.
no certification has been received for the subject permit. If the permitted
:ed into operation please submit the required certification: immediately.
)r to submission of the required certification is in violation of your permit
If you have any questions, please contact consulting.. engineer for this
30C 'at [phone]. If the facility has not been constructed, please
e at [phone], so that they can update their records.
to this matter.
Sincerely,
l`�im H. Colson, P.E.; Supervisor .
State Engineering -Review Group
is 27626-0535 Telephone [phone] gRFAX 919-733-0719
Action Employer 50% recycled/ 10% post -consumer paper

K- .: I •..
MEM
TO: Kim Colson,
FROM: Michael'wic
DATE: August 28, 1
RE: WQ0011239
Jason Mi in
MESSAGE: Please find
operational.
notified.I
i
Cc: Ken Avi
Hobbs, Upchurch
& Associates, P.A.
Consulting Engineers
P.O. Box 1737
290 S. W. Broad Street
Southern Pines, North Carolina 28387
[phone] FAX [phone]
HUA PROJECT # AN9706
HUA FILE NO. # AN9706.105
R Spray Irrigation System P.E. Certification
ched the P.E. Certification for this project. The project is complete and
copy of this memo Ken Averitte of the Fayetteville Regional Office has been
1998,
�1Y- ILLE
CE -

a
I, Michael Wicker, P.E. , as the duly registered Professional
i
Engineer in the Statej of North Carolina, having been authorized to observe periodically the
—construction of the project.
(PROJECT NAME)
(PROJECT LOCATION)
(PERMIT NO.)
I
for Jason Martin, Jr.:
(OWNER)
I
hereby states that with the best of my abilities, due care and diligence was used in the observation
- of the project construction such--tliat:tile' coiistrudti6n was observed. -to be built- within substantial
i
compliance and intent !of the approved plans and specifications.
SIGNA'
I
I
REGISTRATION NO.
I
i
gQa9BaIa1114,
-4 ' SEAL
m
it,A 11325
DATE August 26, 1998