WQ0006785_More Information (Requested)_20210713

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
S. DANIEL SMITH
Director
RAYMOND S. EATON — ORC
TOWN OF MURFREESBORO
POST OFFICE BOX 6
MURFREESBORO, NORTH CAROLINA 27855
Dear Mr. Eaton:
NORTH CAROLINA
Environmental Quality
July 13, 2021
Subject: Application No. WQ0006785
Additional Information Request
Town of Murfreesboro WWTF
Wastewater Irrigation System
Hertford County
Division of Water Resources' Central and Regional staff has reviewed the application package
received May 6, 2021. However, additional information is required before the review may be completed.
Please address the items on the attached pages no later than the close of business on August 12, 2021.
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
in Section A, 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) 707-
3657 or chloe.11oydgncdenr.gov. Thank you for your cooperation.
Sincerely,
by:[13cul"Siguild
9AK4E89 UNFE...
Chloe Lloyd, Environmental Specialist II
Division of Water Resources
cc: Washington Regional Office, Water Quality Regional Operations Section (Electronic Copy)
Permit Application File WQ0006785
E Q�� 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
NORTH CAROLINA -
geparbit"t at Emlmnmental Quality 919.707.9000

Mr. Raymond S. Eaton
July 13, 2021
Page 2 of 2
A. Application:
1. Please designate the ORC for this facility by submitting the ORC Designation Form (attached).
2. Verify the locations of groundwater monitoring wells: MW-4, MW-11, and MW-12 (see attached).
Coordinates must be in NAD83 and have 6 decimal places.
3. Provide an updated site map in accordance with 15A NCAC 02T .0105(d) that shows the following
(if applicable):
i. Legend, north arrow, and scale
ii. Topographic contours on all disposal sites not exceeding 10 feet or 25 percent of total site relief
iii. Soil mapping units on all disposal sites
iv. All facility -related structures and fences within the treatment, storage, and disposal areas
V. All habitable residences and places of assembly within 500 feet of all treatment, storage, and
irrigations sites
vi. Location of all wells, streams (ephemeral, intermittent, and perennial), springs, lakes, ponds,
ditches, and other surface drainage features within 500 feet of all waste treatment, storage, and
disposal site(s)
vii. Latitude and longitude coordinates of all monitoring wells (decimal degrees to 6 digits)
viii. Location and identification of major components of the waste disposal system
ix. The wetted perimeter of all irrigation fields with field names (named according to the approved
permit)
X. Location and ownership of property boundaries within 500 feet of the disposal area (including
road/rail right-of-ways)
xi. The delineation of compliance and review boundaries
xii. Distance measurements verifying all setbacks are being met
xiii. Stormwater drainage controls
xiv. 100-year floodplain
Please note: The site map is not required to be signed or sealed by a Professional Engineer.
However, the map must indicate the source of information. For example, parcel lines taken from a
county GIS map should reference the GIS website.

WATER POLLUTION CONTROL SYSTEM OPERATOR DESIGNATION FORM (WPCSOCC)
NCAC 15A 8G .0201
Press TAB to enter information
Permittee Owner/Officer Name:
Email Address:
Permittee Signature:
Facility Name:
Date:
Permit #
SUBMIT A SEPARATE FORM FOR EACH SYSTEM CLASSIFICATION: SELECT ONE
Print Full Name:
Certificate Type: Select
Email Address:
Signature:
ORC - OPERATOR IN RESPONSIBLE CHARGE
Work Phone:
Certificate Grade: Select Certificate #:
Effective Date:
"/ certify that I agree to my designation as the Operator in Responsible Charge for the facility noted. I understand and will abide by the
rules and regulations pertaining to the responsibilities of the ORC as set forth in 15A NCAC 08G .0204 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
Print Full Name:
Certificate Type: Select
Email Address:
Signature:
BACKUP ORC
Work Phone:
Certificate Grade: Select Certificate #:
Effective Date:
"I certify that/ agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. 1 understand and will abide by
the rules and regulations pertaining to the responsibilities of the ORC as set forth in 15A NCAC 08G .0204 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
Mail, fax or email
ORIGINAL to:
Mail or Fax a COPY to
WPCSOCC, 1618 Mail Service Center, Raleigh, NC 27699-1618
Email: [e-mail] Fax: [phone]
Asheville
2090 US Hwy 70
Swannanoa, NC 28778
Fax: [phone]
Phone: [phone]
Washington
943 Washington Sq. Mall
Washington, NC 27889
Fax: [phone]
Phone: [phone]
Fayetteville
22S Green St., Suite 714
Fayetteville, NC 28301-5043
Fax: [phone]
Phone: [phone]
Wilmington
127 Cardinal Dr.
Wilmington, NC 28405-2845
Fax: [phone]
Phone: [phone]
Mooresville
610 E. Center Ave., Suite 301
Mooresville, NC 28115
Fax: [phone]
Phone: [phone]
Winston-Salem
45 W. Hanes Mill Rd.
Winston-Salem, NC 27105
Fax: [phone] Phone:
336-776-9800
Raleigh
3800 Barrett Dr.
Raleigh, NC 27609
Fax: [phone]
Phone: [phone]
Revised 1112020

Page 2
Facility Name:
BACKUP ORC
Permit #:
Print Full Name: Work Phone:
Certificate Type: Select
Email Address:
Certificate Grade: Select Certificate #:
Signature: Effective Date:
"1 certify that/ agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. 1 understand and will abide by
the rules and regulations pertaining to the responsibilities of the ORC as set forth in 15A NCAC 08G .0204 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
BACKUP ORC
Print Full Name: Work Phone:
Certificate Type: Select Certificate Grade: Select Certificate #:
Email Address:
Signature: Effective Date:
"1 certify that/ agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. 1 understand and will abide by
the rules and regulations pertaining to the responsibilities of the ORC as set forth in 15A NCAC 08G .0204 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
BACKUP ORC
Print Full Name: Work Phone:
Certificate Type: Select Certificate Grade: Select Certificate #:
Email Address:
Signature: Effective Date:
"1 certify that/ agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. 1 understand and will abide by
the rules and regulations pertaining to the responsibilities of the ORC as set forth in 15A NCAC 08G .0204 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
BACKUP ORC
Print Full Name: Work Phone:
Certificate Type: Select Certificate Grade: Select Certificate #:
Email Address:
Signature: Effective Date:
"1 certify that/ agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. 1 understand and will abide by
the rules and regulations pertaining to the responsibilities of the ORC as set forth in 15A NCAC 08G .0204 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
Revised 1112020

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