WQ0001588_More Information (Received)_20210219

ROY COOPER
CnvFrnor
MICHAEL S. RECAN
Seurer'ri y
S. DANIEL SMITH
Dim -For
FREDRICK IVAN HANCOCK
3043 N. NC HIGHWAY 62
BURLINGTON, NORTH CAROLINA 27217
Dear Mr. Hancock:
I � 1
NORTH CAROLINA
En vironmenta t Quality
January 27. 2021
Subject: Application No. WQ0001588
Additional Information Request
3043 N. NC 62 SFR
Single -Family Residence
Wastewater Irrigation System
Alamance County
Division of Water Resources' Central and Regional staff has reviewed the application package
received December 29, 2020. However, additional information is required before the review may be
completed. Please address the items below no later than the close of business on February 27, 2021.
All deeded property owners are required to sign the Operation and Maintenance Agreement
(Form SFRWWIS-O&M 09-18). The Alamance County Register of Deeds lists Sherri S.
Hancock as a property owner. Please have all deeded property owners sign the attached
SFRWWIS-O&M 09-18 Form.
Please be aware that you are responsible for meeting all requirements set forth in North Carolina
rules and regulations. Any oversights that occurred in the review of the subject application package are
still the Applicant's responsibility. In addition, any omissions made in responding to the outstanding items,
or failure to provide the additional information on or before the above requested date may result in your
application being returned as incomplete.
Please reference the subject application number when providing the requested information. All
revised and/or additional documentation shall be signed, sealed and dated (where needed), with one
electronic copy submitted to my attention at the address below.
If you have any questions regarding this request, please do not hesitate to contact me at (919) 322-
9624 or [e-mail]. Thank you for your cooperation.
Sincerely,
Poonam A. Giri, Hydrogeologist
Division of Water Resources
cc: Winston-Salem Regional Office, Water Quality Regional Operations Section (Electronic Copy)
Permit Application File WQ0001588
Nnrlh Carolina Department of Wromanentat Qua#ty i Dtvislon of Water Resources
512 North Salisbury Slreel W7 Mall Servite Center , Raleigh. North Carolina 27tW) 107

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources SINGLE-FAMILY RESIDENCE WASTEWATER IRRIGATION SYSTEM
OPERATION AND MAINTENANCE AGREEMENT
FORM: SFRWWIS-O&M o9-18
Permit No. WQOOO 1588
Permittee: Fredrick 1. and Sherri S. Hancock
County: Alamance
(i.e., all deeded property owners)
The Permittee agrees to operate and maintain the single-family residence wastewater treatment and irrigation system as
follows:
I . Inspect the septic tank annually, and pump out solids as needed.
2. Inspect and clean the septic tank effluent filter annually. (if applicable)
3. Inspect the tablet chlorinator weekly. Add wastewater grade chlorine tablets (e.g., calcium hypochlorite) as needed.
Swimming pool grade chlorine tablets are not acceptable. (if applicable)
a. Inspect the ultraviolet disinfection unit weekly. Clean or replace the lamps and quartz sleeves as needed. (if
applicable)
5. Inspect all storage tanks, pumps, and alarms monthly. Remove the floating scum layer in all pump/storage tanks
when pumping the septic tank solids out.
G. Inspect the spray irrigation system monthly to verify: proper operation of the spray heads; that there are no leaks;
that vegetative growth does not obstruct the spray heads; that the irrigated wastewater is not ponding in or running
off the designated irrigation area; and that there are no objectionable odors. (if applicable)
7. Inspect the drip irrigation system monthly to verify: proper operation of the drip lines; that there are no leaks; that
vegetative growth does not obstruct the drip emitters; that the irrigated wastewater is not ponding in or running offthe designated irrigation area; and that there are no objectionable odors. (if applicable)
8. Maintain a set of Division -approved engineering plans and specifications.
9. Pay the required annual fee.
10. Request renewal of this permit on Division -approved forms no later than 180 days prior to expiration.
11. Sign and provide a Chanige of Owncrshi application to any future owner of the single-family residence wastewater
treatment and irrigation system for their completion and submission to the Division of Water Resources.
We understand the above requirements and agree to these terms as part of the issued permit.
Signature:A�4Date
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Signature:
Signature
Date
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All deeded property owners shall sign this 'Operation and Maintenance Aizrcernent
FORM: SFRWWIS-O&M 09-18 Page 1 of 1