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Home My WebLink AboutWQ0022810_Application_20210921DocuSign Envelope ID: 814E935A-853B-425E-8F69-FD69FCFC9172 ROY COOPER Governor Secretary S. DANIEL SMITH Director May 24, 2021 ANTHONY LAmpum AND ALLISON LAMPURI 808 MODENA DRIVE CARY, NORTH CAROLINA 27513 Dear Mr. and Mrs. Lampuri: Subject: Permit Change of Ownership Permit No. WQ0022810 166 Democracy Pl. 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 Anthony Lampuri, and Allison Lampuri purchased the subject property (Parcel No. 0080927) from Gilda Hernandez, and Brian Holste on May 28, 2020 (Deed Book: 876 / Page: 877). The wastewater treatment and irrigation system associated with this property are covered under an individual State -issued non -discharge permit (Permit No. WQ0022810). 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, 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 com ,)fete and submit the attached forms within 30 days of receivin 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 $25,000 per day per violation may be assessed for failure to secure a valid permit. If you need additional information concerning this letter, please contact Chloe Lloyd at chloe.11o,, d u,ncdenr. ti,ov Sincerely, DocuSigned by: Na I.aan it,� TUnAl wu q'hornburg, Branch Chief Division of Water Resources cc: Raleigh Regional Office, Water Quality Regional Operations Section (Electronic Copy) Laserfiche File (Electronic Copy) pllVlllllllf � NorthCarolina Department of Environmental Quality {Division of Water resources i I�IVIVI 512 North Salisbury Street 1 1617 Mail Service Center ( Raleigh, North Carolina 2769 -1617 �H a a 919.70Z9000 DWR State of North Carolina Department of Environmental Quality Division of Water Resources Division of Water Resources 15A NCAC 02T .0600 - SINGLE-FAMILY RESIDENCE WASTEWATER IRRIGATION SYSTEM - CHANGE OF OWNERSHIP FORM: SFRWWIS-CO 03-21 Pursuant to I'5A NCAC 02T .0107(b), if the application does not include all required information and the necessary supporting documentation, the application shall be returned. The application and attachments shall be prepared in accordance with 15A NCAC 02T .01009 15A NCAC 02T .0600, and Division Policies. For more information, visit the Water Quality Permitting Section's Non -Discharge Branch website. The Applicant shall submit an electronic copy of the application and attachments uploaded as a single Portable Document Format (PDF) file to > tsa/edocs.deaL.nc gov/Forms/NonDischar ,e--$ranch Submittal- Form Vert, or emailed to Non -Discharge Rellorts ncdenr.,,q_y if less than 20 megabytes (MB). SECTION I - APPLICANT INFORMATION 1. Applicant: Anthony Lampuri and Allison Lampuri 2. Permit No.: WQ0022810 3. Signature authority: Anthony Lampuri and Allison Lampuri Title: Owners 4. Mailing address: 808 Modena Drive City: Cary State: NC Zip: 27513- 5. Contact person: -�4�, xklx,% �� 1��. .� �,f. IU Email: Vhrvwx�j. Lu :A,jv:1 1 e(-31 6 Primary phone number: �� °" ) ( :u elect Secondary phone number: � .) Its � �iiu elect - - Secondary Contact person: 111„ufttPov��mgww� Email: f0'�(.r�trt:yr�� f Primary phone number: (f lWm - 'ir 1, elect Secondary phone number: ( ) - Select _... . ,m ...... SECTION II -FACILITY INFORMATION 1. Physical address: 166 Democracy Place County: Chatham City: Apex State: NC Zip: 27523- SECTION III - BILLING INFORMATION 1. Billing address: City: State: Zip: - SECTION IV - DEED INFORMATION Has a deed been executed and recorded in the County Register of Deeds pursuant to 15A NCAC 02T .0604d e)d 1,5? ® Yes - Complete Items 1 through 4 below.. ❑ No - See Attachment B on Page 3. 1. Parcel No.: 0080927 3. Deed Book: 02116 2. Date of Purchase: May 28, 2020 4. Deed Page Nos.: 0876 - 0877 FORM: SFRWWIS-CO 03-21 Page 1 of 3 SECTION V — OPERATION AND MAINTENANCE AGREEMENT Permit No.: WQ0022810 County: Chatham Permittee: Anthony Lampuri and Allison Lampuri (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 Chanq:e of Ownershil;b aj)plication 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. above q a 1rer r d Ie understand ae abos and agree to these terms as part of the issued permit. _ Signature: Date: �u Signature ,�� "��.. � _�......- Date: : .n.n.m.............. Signature: Date: ......... .........--.___. ............. .. —..... Signature: ...............................................---...- ...... .. _, . ,,,. ... m. Date: mm.m... All deeded prqggeLirty owners shall si:n this O eration and Maintenance A reement 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 .0106(1b)? Yes — Skip Attachment A. ❑ No — Submit a dele,.Nation 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(0I 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(C3). Lease agreements shall adhere to the requirements of 15A NCAC 02L .0107, APPLICANT'S CERTIFICATION I, attest that this application ($iture authority's'Aame 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. pp ant ,, t.'�rflficotrovided pursuant edto SNCAC A CAC 02T .0106u b % An alternate person may be delegated as Note: The A h signed pursuant 1w),k I makes a� �a � le11 nt repo sentahon, or certification m any applicat�on3-215,6A and § 143-ty of a ,any e signingoffici� 1 �f a letter is a7 Pursuant to 14 person who kn g y yq package shall be guilty of a Class 2 misdemeane4, which may iw� r� de ylm not to excee $10,000 as well as civil penalties up to $25,000 per violation. � III a -Sia.... Dater - THE COMPLETED zt-PPICATIOD � ,"°pTACHMENTS SHALL BE SUBMITTED AS A SINGLE PDF FILE VIA: Email: Laserfiche Upload: Non, -Discharge Rellworts a ncdenr Gov httgns //edocs.de� nc.ggv/Forms/NonDischarj_ee-Branch,- Submittal-Form-Ver2 FORM: SFRWWIS-CO 03-21 Page 3 of 3