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Home My WebLink AboutWQ0031131_Application_20210409❑ocuSign Envelope ID: 8EA791EA-1967-4AC6-8143-26E5818A2B8D ROv COOPER Governor- DIONNE DELLFGATTI Secretary b'9� S. DANIEL SMITH NORTH CAROLINA Director Environmental Quality March 22, 2021 MICHAEL RICKER 14236 MAILER BouLEVARD ❑RLANDo, FLoRIDA 32828 Dear Mr. Ricker: Subject: Permit Change of Ownership Permit No. WQ0031131 Catawba Fails Lot # 195 SFR Single -Family Residence Wastewater Irrigation System McDowell County It has come to the Division of Water Resources' attention that the subject single-family residence wastewater irrigation facility has changed ownership. The McDowell County Register of Deeds indicates that Michael Ricker purchased the subject property (Parcel No. 0638-00-15-0765) from April M. Leveque on December 03, 2020 (Deed Book: 13321 Page: 357). The wastewater treatment and irrigation system associated with this property are covered under an individual State -issued non -discharge permit (Permit No. WQ0031131). Accordingly, please complete and submit the attached Non -Discharge Permit Ownership/Name Change application (Form: NDPONC) and the Single -Family Residence Wastewater Irrigation System Operation and Maintenance Agreement (Form: SFRWWIS O&M). These forms have been prefiiled for your convenience. Once the application is received, Asheville Regional Office staff will conduct a site visit and provide an overview of the treatment and disposal system. Upon completion of the site visit and review of the application, a new non -discharge permit will be issued for a length of up to eight years. There is a $60 annual fee associated with this permit, which is not due at this time. Please complete and submit the attached forms within 30 days of receirLnx this notification. Failure to provide these forms shall result in a Notice of Deficiency for operating the subject facilities without a valid permit, which is a violation of G.S. 143-215.1, and may subject you to a Notice of Violation and appropriate enforcement actions pursuant to G.S. 143-215.6A-6C. Civil penalties of up to $25,000 per day per violation may be assessed for failure to secure a valid permit. If you need additional information concerning this letter, please contact Chloe Lloyd at cb 1 oe.11 oyd(a',n cdenr, gov, Sincerely, ❑o�tisrgngd ay- aanierharnburg, Branch Chief Division of Water Resources cc: Asheville Regional Office, Water Quality Regional Operations Section (Electronic Copy) Laserfiche File (Electronic Copy) lox,,, North Carolina Department of Environmental Quality I Division of Water Resources 512 North Salisbury Street 1 1617 Mail Service Center I Raleigh, North Carolina 27699-1617 H.'llill .:saCk?ti' �«� �+ 919,707.9000 1 !�U fl r Dh►ision of Water Resoumes State of North Carolina Department of Environmental Quality Division of Water Resources 15A NCAC 02T .0600 - SINGLE-FAMILY RESIDENCE WASTEWATER IRRIGATION SYSTEM - CHANGE OF OWNERSHIP FORM: SFRWWIS-CO 03-21 Pursuant to 15A NCAC 02T .0107(b), if the application does not include all required information and the necessary supporting documentation, the application shall be returned. The application and attachments shall be prepared in accordance with 15A NCAC 02T .0100, 15A NCAC 02T .06Dd, and Division Policies. For more: information, visit the Water Quality Permitting Section's Non -Discharge Branch website. The Applicant shall submit an electronic copy of the application and attachments uploaded as a single Portable Document Format (PDF) fide to https://edocs.dA,nc.goy/FormsINonDischaree-Branch-Submittai- Form-Vert, or emailed to Nan -Disc_ harge.Reports(a-�nedeur.,gov if less than 20 megabytes (MB). SECTION I- APPLICANT INFORMATION I. Applicant: Michael Ricker 2. Permit No.: WQ0031131 3. Signature authority: Michael Ricker Title: 4. Mailing address: City: (,)x State: FL Zip: P 5. Contact person: I C Yo u )GK L10-7- &va-- ZOOZ Primary phone number: ( ) - Select Email: l • ,GX 9+ • t FJ�'' 1/07- (pa0- 2T79 Secondary phone number: ( } - Select b. Secondary Contact person: Primary phone number: ( } - Select Email: Secondary phonenumber: ( ) - Select SECTION H - FACILITY INFORMATION 1. Physical address: Catawba Fails Lot #195 County: McDowell City: Old Fort State: NC Zip: 28711- SECTION III - BILLING INFORMATION 1. Billingaddress: J 1-23( I2-9/1- E,< BzVO City: Cox-,9,V4y State: FL_ Zip:' SECTION IV - DEED INFORMATION Has a deed been executed and recorded in the County Register of Deeds pursuant to 15A NCAC 02T .0b04(e)(1)? ® Yes - Complete Items 1 through 4 below, ❑ No -- See Attachment B on Page 3. 1. Parcel No.: 0538-00-15-0765 1 2. Date of Purchase: December 3, 2020 3. Deed Book: 1332 1 4. deed Page Nos.: 357 - FORM: SFRWWIS-CO 03-21 Page 1 of 3 SECTION V — OPERATION AND MAINTENANCE AGREEMENT Permit No.: WQ0031131 County: McDowell Permittee: Michael Ricker (i.e., all deeded property owners) The Pernuttee agrees to operate and maintain the single-family residence wastewater treatment and irrigation system as follows: 1. 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) 4. inspect the ultraviolet disinfection unit weekly. Clean or replace the lamps and quartz sleeves as needed. tf 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. 6. 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. (ifapplicable) 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 off the designated irrigation area; and that there are no objectionable odors. {if applicable) 8. Maintain a set of Division -approved engineering plans and specifications. 4. Pay the required annual fee. 10. Request renewal of this permit on Division -approved forms no later than 180 days prior to expiration. It. Sign and provide a Change of Ownership 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. IIWe understand the above requ}rements and agree to these terms as part of the issued permit. Signature: Date: Signature: Date: Signature: Date: Signature: Date: L1191a2I All deeded propertv owners shall sign this Operation and Maintenance Agreement FORM: SFRWWIS-CO 03-21 Page 2 of 3 ATTACHMENT A — SIGNATURE AUTHORITY DELEGATION Does the signature authority in Section I, Item 3 meet the requirements pursuant to 15A NCAC 02T .0 106(b ? ® Yes — Skip Attachment A. ❑ No — Submit a delegation letter pursuant to 15A NCAC 021.0106{c) authorizing the signature authority to sign. ATTACHMENT B — PROPERTY OWNERSHIP DOCUMENTATION I Has a deed been executed and recorded in the County Register of Deeds pursuant to 15A NCAC 02T :0604(f)(1)? ® Yes — Complete Items 1 through 4 in Section IV on Page 1. ❑ No ❑ Submit a written notarized intent to purchase agreement sign by both parties with a plat or survey map pursuant to 15A NCAC 02T .0604(e)(2); or ❑ Submit a written notarized lease agreement that specifically indicates the intended use of the property and has been signed by both parties, as well as a plat or survey map pursuant to 15_A_ NCAC 02T .0604(e)(3). Lease agreements shall adhere to the requirements of 15A NCAC 02L .0107. APPLICA'NT'S CERTIFICATION / C attest that this application (Signature authority's name as noted in Section 1, Item 3) has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this application package are not completed, and that if all required supporting information and attachments are not included, this application package will be returned as incomplete. I further certify pursuant to 15A NCAC 02T .0120(b), that the applicant, or any parent, subsidiary, or other affiliate of the applicant has: not been convicted of environmental crimes under; not previously abandoned a wastewater treatment facility without properly closing the facility; not paid a civil penalty; not been compliant with any compliance schedule in a permit, settlement agreement, or order; not paid an annual fee, Note: The Applicant's Certification shall be signed pursuant to 15A NCAC 02T .0106(b). An alternate person maybe delegated as the signing official if a letter is provided pursuant to 15A NCAC 02T .0106(c). Pursuant to § 143-2 i 5.6A and § 143-215.613 any person who knowingly makes any false statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may indfude a fi e not to peed $10,000 as well as civil penalties up to $25,000 per violation. Signature: Date: THE COMPLETED APPLICATION AND ATTACHMENTS SHALL BE SUBMITTED AS A SINGLE PDF FILE VIA: Emat7: Laserfiche Upload: Non-Discharge.ReuortsAncdenr.p-ov h!Ms://edoes.deo.ne.,zov/Forms/NonDischarge-Branch- Submittal-Form-Vert FORM: SFRWWIS-CO 03-21 Page 3 of 3