WQ0021867_Final Permit_20030307

Michael F. Easley, Governor
0 G William G, Ross Jr., Secretary
rNorth Carolina Department of Environment and Natural Resources
j Alan W. KIimek, P. E., Director
Division of Water Quality
March 7, 2003
Matthew Case
4705 Nicks Road
Mebane, NC 27302
Dear Mr. Case:
Subject: Permit No. WQ0021867
Matthew Case SFR
1511 Whippoorwill Lane
Single Family Residence
Surface Irrigation Facility
Chatham County
In accordance with your permit application received September 12, 2002 and additional information
received on October 17, 2002, December 30, 2002, February 3, 2003, February 10, 2003 and February 27,
2003, we are forwarding herewith Permit No. WQ0021867, dated March 7, 2003, to Matthew Case for the
construction and operation of the subject single family wastewater treatment and spray irrigation facilities_
This permit is not transferable. Once the property is sold, a change of ownership request (Form
PNOCF 06100) is required to reissue the pernnit in the new property owner name. Until such time, you
will remain responsible for this permitted system.
This permit shall be effective to the date of issuance until February 28, 2008 and shall be subject to
the conditions and limitations as specified therein. Please pay particular attention to the monitoring
requirements in this permit and any bolded wording (clearing of the wetted area, buffer variances
granted). Failure to establish an adequate system for collecting and maintaining the required operational
information will result in future compliance problems_
N 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 forth 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.
One set of approved plans and specifications is being forwarded to you. If you need additional
information concerning this matter, please contact Marie Doklovic at [phone] extension 371.
cc:
Sincerely,
/' X-9,74�Alan W. Klimek, P.E.
Chatham County Health Department
Raleigh Regional Office, Water Quality Section
Technical Assistance and Certification Unit
Ernie Dodson, PE/Tim Smith, EI, Philip Post & Associates
Water Quality Central Files
NDPU Files
Non -Discharge Permitting Unit
1617 Mail Service Center. Raleigh, NC 27699-1617
DENR Customer service Center
An Equal Opportunity Action Employer
Internet http;//h2o.enr.state.nc.us/ndpu
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3. The surface 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.
4. The issuance of this permit shall noVelieve the Permittee of the responsibility for damages to surface
or ground waters resulting from the operation of this facility.
5. The sand media of the subsurface sand filter must comply with the Division's sand specifications. The
Engineer's Certification will serve as evidence that these specifications have been met.
6_ A leakage test shall be performed on the septic tank and dosing tank to insure that any exfiltration
occurs at a rate which does not exceed twenty (20) gallons per twenty-four (24) hours per 1,000
gallons of tank capacity. The Engineer's Certification will serve as proof of compliance with this
condition.
7. If excavation into bedrock is required for the installation of the septic tank or sand filter, the pit shall
be lined with a 10 mil synthetic Iiner_
8. A sanitary tee and filter shall be installed on the effluent pipe of the septic tank. The Engineer's
Certification will serve as evidence that these specifications have been met.
9. The spray nozzles shall be placed far enough from the property line to avoid over -spray onto
the adjoining property.
10. 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.
11. Diversion or bypassing of the untreated wastewater from the treatment facilities is prohibited.
12. 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.
* A variance has been granted by the adjoining property owner to allow the surface irrigation
disposal field within the buffer distances specified. The variance shall be recorded with the
Chatham County Register of Deeds for each property owner.
12. 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.
13. The disposal system shall be connected to a rain or moisture sensor that shall indicate when
wastewater application is not appropriate in accordance with Condition 11(4) of this permit.

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 Raleigh Regional Office, telephone number (919) 571-
4700, 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:
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.
Occurrences outside normal business hours may also be reported to the Division's Emergency
Response personnel at telephone number [phone], [phone], or [phone].
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.
3. 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

Permit No. WQ0021867
March 7, 2003
ENGINEER'S CERTMCATION
Partial Final
as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe'(p odically, weekly, full time) the construction of the project,
Project Name .Location and County
for the Permittee hereby state that, to the best of my abilities, due care and diligence was used in the observation of the
construction such that the construction was observed to be built within substantial compliance and intent of this permit,
the approved plans and specifications, and other supporting materials.
Signature Registration No.
Date
6

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OPERATION AND MAINTENANCE AGREEMENT
SINGLE FAMILY RESIDENCE WASTEWATER TREATMENT SYSTEM
DIVISION OF WATER QUALITY SEP 3 G
Owner: Matthew Case--
•r•r.r�•r
Address: 4705 Nicks Road Mebane, NC 27302 P'^
Disposal Method. SPRAY IRRIGA110N - DRIP -IRRIGATION (Circle One)
County: Chatham r }
Permit No. ��� DDO /_� � f i 1 ! ��1i -1
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 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
Owner Signature:
Notary Signature:
Date:�-
SFR 0&M 04/01
and agree to these terms as part of the issued permit.
Commission Expiration
Date: q /2 < D L
Notary Seal:
t0— _I --.2- - Zo()Le

SEP 3 3
AGREEMENT DOCUMENT �--
"2002,
To whom it may concern:
As an adjoining property owner to 1511 Whippoorwill Drive in Chatham County, NC, I
(we) do not object to the construction of a spray irrigation wastewater disposal system on
this lot. I (we) understand that the system will not conform to the required buffers
(setbacks) of 400 feet from a residence and 150 feet from property line, as required by the
North Carolina Non -Discharge Permitting Unit.
I (we) further understand that a signed, notarize copy of this document must be recorded
at the Chatham County Register of Deeds office and will transfer to any re owners of
my (our) property. /.4_71
Signature
David H. Hillman, Trustee
Revocable Trustee of Sigmund Goldblatt
Print Name
Address 1950 Old Gallows Road
Suite 700 Vienna, VA 22182
VIRGINIA,
COUNTY
I, a Notary Public of the County and State aforesaid, certify that
Personally appeared before me this day and acknowledged the exe ution of
this letter.
Witness my hand and official stamp or seal this e�1544T- day of
, 2002.
Notary Public
My Commission Expires: 3�1 D3
(SEAL -STAMP)
�1••r rLrr•'+L r11 L•

WATER POLLUTION CONTROL SYSTEM OPERATORS
CERTIFICATION COMMISSION
CLASSIFICATION
RATING SHEET FOR WATER POLLUTION CONTROL SYSTEMS
FACILITY INFORMATION.-
NAME
NFORMATION:NAME OF FACILITY: Matthew Case
MAILING ADDRESS: 4705 Micks Rd., Mebane, NC 27302
COUNTY: Chatham
CONTACT PERSON: Matthew Case TELEPHONE: [phone]
PERMIT NO.: WQ0021867 Check One: NC WQ ✓ HEALTH DP
ORC: TELEPHONE:
RATING INFORMATION. (Before completing this section, please refer to pages 2-4)
PERMITTED FLOW: 480 GPD BNR? YES NO
CHECK CLASSIFICATION: WASTEWATER: 1 2 3 4
COLLECTION: 1 2 3 4
SPRAY IRRIGATION ✓ SUBSURFACE LAND APPLICATION
PHYSICAL/CHE GRADE I GRADE II
RATED BY: Rand -4o e REGION: RRO DATE: 1114102
REGIONAL OFFICE TELEPHONE NUMBER: 9191571-4700
Page I
Permit No.: WQ0021867
EXT: 255

Classification of Spray Irrigation Water Pollution. Control Systems:
✓ Systems which utilize spray irrigation for the reuse or disposal of wastewater.
These systems include: septic tanks, sand filter, oil/water separators, lagoons,
storage basins, screening, sedimentation. Systems other than those listed above
shall be subject to additional classification.
..............................................................................................................................................................
Classification of Land Application of Residuals Systems:
Systems permitted and dedicated for the land application of residuals that are produced by
a water pollution control system or contaminated soils.
CIassification of Phvsical/Chemical Water Pollution Control Treatment Systems:
Grade I Physical/Chemical: Any water pollution control system that utilizes a primarily
physical process to treat wastewater. This classification includes groundwater remediation
systems **
Grade IT Physical/Chemical: Any water pollution control system that utilizes a primarily
chemical process to treat wastewater. This classification includes reverse osmosis,
electrodialysis, and ultrafiltration systems. **
** Any water pollution control system that utilizes a physical/chemical process to enhance an
activated sludge or fixed growth process, shall not be subject to additional classification
Classification of Subsurface Water Pollution Control Systems:
Systems which utilize the soil for subsurface treatment and disposal of wastewater
And/or are required to have a certified operator under 15A NCAC 18A.1961. ***
** Any subsurface system that has as part of its treatment process a water pollution control
system that may be classified under Rules .0302 through .0307 of th tion shall be
subject to additional classification.
NDIB �CfJ��
Page 1
Permit No.: WQ0021867