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Home My WebLink AboutWQ0031133_Application_20210409DocuSign Envelope ID: 8EA791EA-1967-4AC6-8143-26E513I8A2BB❑ RGY COOPER Governor DIONNE DELLI-GATTI Secretary S. DANIEL SMITH Olremr NORTH CAROLINA Envtronmentat Quality March 22, 2021 THE ENTRUST GROUP, INC. FBO MICHAEL J. RICKER ACCoUNT #7230009980 555 12T11 STREET, SUITE 900 OAKLAND, CALIFORNIA 94607 Subject: Permit Change of Ownership Permit No. WQ0031133 2� ]Catawba Falls Pkwy. SFR Single -Family Residence Wastewater Irrigation System McDowell County Dear Mr. Ricker: 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 The Entrust Group, Inc FBO Michael J. Ricker Account #7230009980 purchased the subject property (Parcel No. 063 8-00-05 -9239) from James Ernest Roberts, III on March 20, 2020 (Deed Book: 13041 Page: 221). The wastewater treatment and irrigation system associated with this property are covered under an individual State -issued non -discharge permit (Permit No. WQ0031133). 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 prefilled 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 receivinu 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 chloe.Iloyd@ncdenr.gov. Sincerely, ao++crru8ignad try; .�-� IUAp t oUn it,[ l avun Wj a anie `thornburg, Branch Chief Division of Water Resources cc: Asheville Regional Office, Water Quality Regional Operations Section (Electronic Copy) Laserfiche File (Electronic Copy) North Carolina Departnwnt of Environmental QualPty I MvWon of Water Resources e:-510 1E 512 North Salisbury Street l 1617 Mail Service Center l $aieigh, North Carolina 27699-1617 »+�� r 919.707.900D 1%1 DWR 40, as r� Division of Water Resources 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 .0600, and Division Policies. For more information, visit the Water Quality Permitting Section's Dion -Discharge Branch website. The Applicant shall submit an electronic copy of the application and attachments uploaded as a single Portable Document Format (PDF) file to htt'ps:l/edocs.deg.oc.goy/YQrmsINonD!scharp-e-Branch-Submittal- Form-Vert, or emailed to Non-Discharee.ReuortsCo.ncdenr.gov if less than 20 megabytes (MB). SECTION I - APPLICANT INFORMATION 1. Applicant: The Entrust Group, Inc. FBO Michael J. Ricker 2. Permit No.: WQ0031133 3. Signature authority: Michael J. Ricker Title: 4. Mailing address: / y � 3 & Ee H,- VD City: o� � � State: �, Zip:`72 �a 5. Contact person: ? C L t E 1/07 &LIC ._ ZooZ Primary phone number: ( } - Select Email: M7X 1 M19IL , C a ;k7 4/07-- 6aD-.?-q7y Secondary phone number: ( } - Select 6. Secondary Contact person: Primary prone number: ( ) - Select Email: Secondary phone number: ( } - Select SECTION II — FACILITY INFORMATION 1. Physical address atawba Falls Pkwy LO'r WCounty: McDowell City: Old Fort as State: NC Zip: 28762- 1. Billing address: it/ City: �2i.9 vo SECTION III — BILLING INFORMATION �111_41e 16�Lvz) r 326.2 8 State: Zip: - SECTION IV — DEED INFORMATION Has a deed been executed and recorded in the County Register of Deeds pursuant to 15A NCAC 02T .0604(e)(1)? ® Yes — Complete Items 1 through 4 below. ❑ No — See Attachment B on Page 3. 1. Parcel No.: 0638-00-05-9239 2. Date of Purchase: March 20, 2020 3. Deed Book: 1304 4. Deed Page Nos.: 221 - 223 FORM: SFRWWIS-CO 03-21 Page 1 of 3 SECTION V — OPERATION AND MAINTENANCE AGREEMENT Permit No.: WQ0031133 County: McDowell Permittee: The Entrust Group, Inc. FBO Michael J. Ricker (i.e., all deeded property owners) The Permittee 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. (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. 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. (f 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 off the designated irrigation area; and that there are no objectionable odors. Qfapplicable) 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 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. I/We understand the above requirements and atree to Jhese terms as part of the issued permit. Signature: Date: Signature: Signature: Signature. Date: Date: Date: All deeded property 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 t06(b)? ® Yes — Skip Attachment A. ❑ No — Submit a delegation letter pursuant to _1.5A NCAC 02T .0106{c] authorizing the signature authority to sign. I ATTACHMENT B — PROPERTY OWNERSHIP DOCUMENTATION Has a deed been executed and recorded in the County Register of Deeds pursuant to 15A NCAC 02T .0604(l)(I}? ® 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 15A NCAC 02T .0604(e)(3). Lease agreements shall adhere to the requirements of 15A NCAC 02L .0107. I APPLICANT'S CERTIFICATION I 1, 1 ' I ch C attest that this application (Signature authority's name as noted in Section I, 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(bl, 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 property 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 may be delegated as the signing official if a letter is provided pursuant to 15A NCAC 02T .0106(c). Pursuant to § 143-215.6A and § 143-215.6B, any person who knowingly makes apy false statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may include a fine noq exc S10,000 as well as civil penalties up to $$25,000 per violation. Signature: /" Bate: THE COMPLETED APPLICATION AND ATTACHMENTS SHALL BE SUBMITTED AS A SINGLE PDF FIDE VIA: Email: Non -Discharge. Reno rts(a-)nc denr.toy Lasertiche Upload: httusJledocs.deg,nc p_ov/F'or_ms/NonDischa_ritBranch- Submittal-Form-Vert FORM: SFRWWIS-CO 03-21 Page 3 of 3