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HomeMy WebLinkAboutWQ0037500_Correspondence_20210526DocuSign Envelope ID: D89666CA-F77E-47DA-928E-83A25BADC525 ROY COOPER Governor DIONNE DELLI-GATTI Secretary S. DAMEL SMITH Director JOSEPH W. AND NINA A. LIBERATORE 7 WOODHAVEN COURT SOUTHERN PINES, NORTH CAROLINA 28387 Dear Mr. and Mrs. Liberatore: NORTH CAROLINA Environmental Quality May 26, 2021 Subject: Permit No. WQ0037500 Change of Ownership 218 Carolina Crossings Dr. SFR Single -Family Residence Wastewater Irrigation System Chatham County It has come to the Division of Water Resources' attention that the subject single-family residence wastewater irrigation facility has changed ownership. The Chatham County Register of Deeds indicates that Joseph W. and Nina A. Liberatore purchased the subject property (Parcel No. 0090787) from Thomas and Meghan Roach on June 23, 2020 (Deed Book: 2122 / Page: 1076). The wastewater treatment and irrigation system associated with this property are covered under an individual State -issued non -discharge permit (Permit No. WQ0037500). Accordingly, please complete and submit the attached Non -Discharge Permit Change of Ownership application (Form: SFRWWIS-CO 03- 21). This form has been prefilled for your convenience. Once the application is received, Raleigh 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 receiving this notification. Failure to provide these forms shall result in a Notice of Violation for operating the subject facilities without a valid permit, which is a violation of G.S. 143-215.1, and may subject you to 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 me at nathaniel.thornburg@,ncdenr.gov. Sincerely, DocuSigned by: Nat aA itL, ,evi&I tr a1�1ailitl6R4Thornburg, Branch Chief Division of Water Resources cc: Raleigh Regional Office, Water Quality Regional Operations Section (Electronic Copy) Laserfiche File (Electronic Copy) NORTHD E _ Decerte.n of anmeelwmi ouei� North Carolina Department of Environmental Quality 1 Division of Water Resources 512 North Salisbury Street 11617 Mail Service Center I Raleigh, North Carolina 27699-1617 919.707.9000 DWR State of North Carolina Department of Environmental Quality Division of Water Resources 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 Non -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 https://edocs.deu.nc.gov/Forms/NonDischarge-Branch-Submittal- Form-Ver2, or emailed to Non-Discharge.Reports(ancdenr.gov if less than 20 megabytes (MB). SECTION I — APPLICANT INFORMATION 1. Applicant: Joseph W. and Nina A. Liberatore 2. Permit No.: WQ0037500 3. Signature authority: Joseph W. and Nina A. Liberatore Title: Owners 4. Mailing address: 7 Woodhaven Ct. City: Southern Pines State: NC Zip: 28387- 5. Contact person: Primary phone number: ( ) - Select Email: Secondary phone number: ( ) - Select 6. Secondary Contact person: Email: Secondary phone number: ( ) - Select Primary phone number: ( ) - Select D101 LIJ►IIIEl OFTINIIIIIVAWIDLO] N►1MIII Mt. 1. Physical address: 218 Carolina Crossings Dr. City: Apex County: Chatham State: NC Zip: 27523- 1. Billing address: City: State: Zip: 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.: 0090787 2. Date of Purchase: June 23, 2020 3. Deed Book: 2122 4. Deed Page Nos.: 1076 - 1078 FORM: SFRWWIS-CO 03-21 Page 1 of 3 SECTION V — OPERATION AND MAINTENANCE AGREEMENT dil Permit No.: WQ0037500 County: Chatham Permittee: Joseph W. and Nina A. Liberatore (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. (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 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. 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 agree to these terms as part of the issued permit. Signature: Date: Signature: Date: Signature: Date: Signature: Date: All deeded property owners shall sign this Operation and Maintenance Agreement FORM: SFRWWIS-CO 03-21 Page 2 of 3 TTACHMENT A — SIGNATURE AUTHORITY DELEGATION Does the signature authority in Section I, Item 3 meet the requirements pursuant to 15A NCAC 02T .0106(b)? ® Yes — Skip Attachment A. ❑ No — Submit a delegation letter pursuant to 15A NCAC 02T .0106(c) authorizing the signature authority to sign. ATTACHMENT B — PROPERTY OWNERSHIP DOCUMENTATION 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 15A NCAC 02T .0604(e)(3). Lease agreements shall adhere to the requirements of 15A NCAC 02L .0107. I, 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(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 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 any false statement, representation, or certification in any application package 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. Signature: Date: THE COMPLETED APPLICATION AND ATTACHMENTS SHALL BE SUBMITTED AS A SINGLE PDF FILE VIA: Email: Non-Discharge.ReportsAncdenr. gov Laserfiche Upload: https: //edocs. deo. nc.gov/Forms/NonDischarge-Branch- Submittal-Form-Ver2 FORM: SFRWWIS-CO 03-21 Page 3 of 3