WQ0031808_Application_20220422

State of North Carolina
DWRDepartment of Environmental Quality
Division of Water Resources
Division of Water Resources 15A NCAC 02T.0600—SINGLE-FAMILY RESIDENCE
WASTEWATER IRRIGATION SYSTEM—RENEWAL
FORM: SFRWWIS-R 02-21
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.dea.nc.eov/FormslNonDischarge-Branch-Submittal-
Form-Vert,or emailed to Non-Discharge.Reportsca,ncdenr.gov if less than 20 megabytes (MB).
SECTION I—APPLICANT INFORMATION
1. Applicant: Jason T. &Krista Boyd
2. Permit No.: WQ0031808
3. Signature authority: Jason Boyd Title: Owner
4. Mailing address: 4889 Bass Mountain Road
City: Snow Camp State:NC Zip: 27349-
5. Contact person:Jason Boyd Email:[e-mail]
Primary phone number: [phone] Cell Secondary phone number: [phone] Cell
6. Secondary Contact person: Krista Boyd Email: [e-mail]
Primary phone number: [phone] Cell Secondary phone number: ( ) - Select
SECTION II—FACILITY INFORMATION
1. Physical address: 4889 Bass Mountain Road County:Alarnance
City: Snow Camp State:NC Zip: 27349-
SECTION III—BILLING INFORMATION
1. Billing address:4889 Bass Mountain Road
City: Snow Camp State:NC Zip: 27349-
2. Verify the Applicant does not have any overdue annual fees:
https://deq.nc.gov/about/divisions/water-resources/water-resources-permits/wq-epayments
Pursuant to 15A NCAC 02T .0120(cl,permits for renewing facilities shall not be granted if the Applicant or any affiliation has
an unpaid annual fee.
FORM: SFRWWIS-R 02-21 Page 1 of 4

SECTION IV—OPERATION AND MAINTENANCE AGREEMENT
Permit No.: WQ0031808 County: Alamance
Permittee: Jason T. &Krista Boyd(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 uiremen nd agree to these terms as part of the issued permit.
Signature: Date: W,0•76 �
Signature: Date: Li (ZD i
Signature: Date:
Signature: _ Date:
All deeded property owners shall sign this Operation and Maintenance Agreement
FORM: SFRWWIS-R 02-21 Page 2 of 4

ATTACHMENT A---SITE MAP
Was the facility originally permitted or had a major modification issued after September 1,2006?
® Yes—Pursuant to 15A NCAC 02T.0105(d),submit a site map pursuant to the requirements in 15A NCAC 02T.0604(d). These
requirements are:
® A scaled map of the site with topographic contour intervals not exceeding I0 feet or 25 percent of total site relief and showing
all facility-related structures and fences within the wastewater treatment,storage, and irrigation areas.
® Soil mapping units shown on all irrigation sites.
El The location of all wells (including usage and construction details if available), streams (ephemeral, intermittent, and
perennial), springs, lakes, ponds, and other surface drainage features within 500 feet of all wastewater treatment, storage,
and irrigation sites.
® Delineation of the compliance and review boundaries per 15A NCAC 02L.0107 and.0108, and 15A NCAC 02T .0601.
® Setbacks as required by 15A NCAC 02T .0606.
® Site property boundaries within 500 feet of all wastewater treatment, storage, and irrigation sites.
® All habitable residences or places of public assembly within 500 feet of all treatment,storage,and irrigation sites.
❑No—Skip Attachment A.
ATTACHMENT B—SIGNATURE AUTHORITY DELEGATION
Does the signature authority in Section I,Item 3 meet the requirements pursuant to 15A NCAC 02T .0I06(b)?
® Yes—Skip Attachment B.
❑No—Submit a delegation letter pursuant to 15A NCAC 02T.0106(c)authorizing the signature authority to sign.
ATTACHMENT C—FLOW REDUCTION
Does the existing permit include an approved flow reduction?
❑ Yes—Submit a copy of the flow reduction approval letter,as well as the measured monthly average amount of wastewater flow
contributed per unit for the 12 months prior to permit renewal. If any of these monthly averages are within 20%of the approved
flow reduction value, the Permittee shall provide a reevaluation of the reduced flow value pursuant to the requirements in 15A
NCAC 02T .0114(f).
® No—Skip Attachment C.
ATTACHMENT D--EASEMENT,ENCROACHMENT,AND LEASE AGREEMENTS
Does the Permittee own all of the land associated with the wastewater collection,treatment,conveyance,and irrigation system?
® Yes—Skip Attachment D.
❑ No—Pursuant to 15A NCAC 02T .0116(c), provide a copy of all easements, lease agreements, and encroachment agreements
allowing the Permittee to operate and maintain the wastewater collection, treatment, conveyance, and irrigation system on
property not owned by the Pernittee.
ATTACHMENT E—AIFILIATIONS
Are the Permittee's affiliations of record correct? Check affiliations.
® Yes—Skip Attachment E.
❑ No—Provide the corrected affiliations and their contact information.
ATTACHMENT F—COMPLIANCE SCHEDULES
Does the existing permit include any Compliance Schedules?(See Section I of the most recently issued permit)
❑ Yes—Submit documentation that the compliance schedules have been met.
® No—Skip Attachment F.
FORM: SFRWWIS-R 02-21 Page 3 of 4

ATTACHMENT G—CIVIL PENALTIES AND OUTSTANDING VIOLATIONS
Does the Permittee have any existing civil penalties or outstanding violations?
❑ Yes(civil penalties)—Submit payment for the civil penalty,or proof of remission request.
❑ Yes(violations)—Submit a copy of your response to the Notice of Violation.
® No—Skip Attachment G.
f
ATTACHMENT H—SETBACK WAIVERS
Does the existing permit include setback waivers?
❑ Yes--Pursuant to 15A NCAC 02T .0606(c), provide setbacks waivers that have been written, notarized, signed by all parties
involved, and recorded with the county Register of Deeds. Waivers involving the compliance boundary shall be in accordance
with 15A NCAC 02L.0107.
® No—Skip Attachment H.
APPLICANT'S CERTIFICATION
� �r
I, fl / 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 Ietter 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 st,tement,representation,or certification in any application package shall be guilty of a Class
2 misdemeanor,which may i' lude a f lnot to exceed$10,000 as well as civil penalties up to$25, 00 per iolation.
Signature: ��� l:„, ' /
Date: /
THE CO I' TED APPLICATION AND ATTACHMENTS SHALL BE SUBMITTED AS A SINGLE PDF FILE VIA:
Email: Laserfiche Upload:
Non-Dlschare.Reports ncdenr.t ov https://edocs.deq.nc.zov/Forms/NonDischame-Branch-
Submittal-Form-Vert
FORM: SFRWWIS-R 02-2I Page 4 of 4

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The
Catena
GrOu 410-g Millstone Drive
p Hillsborough, NC 27278
[phone]
•
SOIL & SITE EVALUATION
ON-SITE SEWAGE DISPOSAL SYSTEMS
•
•
Boyd Tract
Bass Mountain Road
Alamance County
Snow Camp,North Carolina
•
Prepared For:
Jason Boyd
5347 Bass Mountain Road
Snow Camp, NC 27349
Prepared By:
The Catena Group
Hillsborough,North Carolina
•
April 9, 2007
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/"Gary S. Kreiser c .1 "`� �

INTRODUCTION
The following Soil and Site Evulation is submitted to assist in a site assessment for a
single family surface wastewater disposal system for a 13-acre tract located on Bass
Mountain Road near Snow Camp in Alamance County,North Carolina. Previous soil
investigations indicated that the site was unsuitable for subsurface sewage disposal
systems and the Alamance County Health Department issued a denial for an
Improvement permit for the property. The Catena Group,Inc. (TCG)has been retained
to conduct in-situ hydraulic conductivity(KsAT)measurements, determine a suitable area
for a surface system and provide a recommended loading rate.
At the time of the survey,the majority of the property was wooded with a mix of
hardwood and pine trees. A small stream is located near the western property boundary.
An abandoned home is located near the road as well as several farm sheds located
throughout the property.
INVESTIGATION METHODOLOGY
The site was investigated on March 7, 2007. Seventeen(17)soil borings made with a
hand-turned auger were placed on the eastern side of the stream in the general area
investigated by the Alamance County Health Department. Observations of the landscape
(slope, drainage patterns,past use, etc.) as well as soil properties(depth,texture,
structure, seasonal wetness,restrictive horizons, etc.)to a depth>48 inches when
possible were recorded. Soil color was determined with a Munsell Soil Color Chart.
A hand held global positioning system(GPS)was used to locate each soil boring as well
as other pertinent site features. Figure 1 presents the location of the soil borings as well
as other pertinent site information.
Soils were classified into the following two Groups(Group 1, and Group 2). Typical
profile descriptions for each group are presented below in Table 1 and Table 2. .
GROUP 1: These soils are able to accommodate a surface discharge system (have at
least 12 inches of soil without restrictions).
Table 1. Typical soil profile description for Group 1 soils.
Horizon Color Texture Structure Consistence Clay Redox
Depth Mineralogy Depletions
(inches) (Yes/No)
0-6 10 YR 4/3 sandy- granular friable non- No
loam expansive
6-36 2.5Y 4/6 clay- subangular firm slightly No
loam blocky expansive
36-48 2.5Y 4/6 clay- massive friable slightly Yes(10YR
loam expansive 5/2)
1

GROUP 2: These soils are unable to accommodate a surface discharge system due to a
seasonal high water table(less than 12 inches of soil).
Table 2. Typical soil profile description for Group 2 soils.
Horizon Color Texture Structure Consistence Clay Redox
Depth Mineralogy Depletions
(inches) (Yes/No)
0-6 10 YR 5/2 sandy- granular friable non- No
loam expansive
5-11 10YR 6/4 sandy subangular firm slightly- No.(10YR
clay-loam blocky expansive 6/3)
11-30+ 1OYR 5/8 clay subangular Very firm expansive Yes(1OYR
blocky 6/2)
In the area of investigation, there was only a small portion of Group 1 soil. The
remaining area contained unsuitable soil (Group 2), and a gully which is unsuitable for
surface spray systems. Figure 1 presents the approximate boundary between Group 1 and
Group 2 soil. Of note, is that the soil in the center of Group l soil on average had at least
24 inches of suitable soil. However,this area is too small to use for a subsurface disposal
system. It is estimated that there is approximately between 12,000 and 14,000 square feet
of Group 1 soil.
LOADING RATE
Four hydraulic conductivity (Ksat)tests were performed(Ksatl, B16) in order to
determine a loading rate for the Group 1 soil unit. The tests were performed in the most
limiting horizon for Group 1, which was the argillic B horizon that occurred between 15
to 36 inches.An average value of 0.08 inches/hour was measured(see attachment).
The value of the hydraulic conductivity must be modified by an appropriate design factor
to determine loading rates. This factor reflects the influence of several factors including:
inherent uncertainty of test values, long periods of saturation are undesirable, variation of
permeability within a soil,rooting habits of vegetation,drainage characteristics of the
site, and long-term changes in soil permeability due to wastewater application.
Since soil morphology for Group 1 soils indicates a seasonal high water table occurring
between 12 to 24 inches, a design factor of 3 percent was chosen,resulting in a loading
rate of 0.4 inches/week and an instantaneous rate of 0.1 inch/hour.
DESIGN WASTE FLOW AND AREA REQUIREMENTS
The design waste flow rate is 360 gallons per day for a proposed three bedroom
residence. Based on the design flow rate and the recommended loading rate of 0.4
inches/week,the area requirement for a spray system would be approximately 10,000 ft.
2

SURFACE DISCHARGE SYSTEMS
Surface discharge systems require a minimum of 12 inches of separation from the ground
surface to the seasonal high water table. There are two methods of surface disposal,a
spray system or a drip system. While loading rates are typically the same for either
system,the major difference are the setbacks(or buffers)required for each. Some of the
more pertinent setback requirements are listed in Table 3.
Table 3. Surface Discharge Systems Setbacks (feet)
Site Feature Spray(ft) Drip(ft)
Property Line 150 50
Dwelling(off site) 400 100
Dwelling(on site) 200 50
Wells 100 100
Streams 100 50
CONCLUSION
The findings presented herein represent TCG's professional opinion based on our site and
soils evaluation and knowledge of the current laws and rules governing on-site
wastewater systems in North Carolina. There is approximately 12,000 to 14,000 square
feet of suitable soil (Group 1) located on the site. However, a survey may be necessary to
ensure compliance with the required setbacks.
The recommended loading rate for surface application is 0.4 inches/week and an
instantaneous rate of 0.1 inch/hour.
There is no guarantee that the recommended loading rate in the describe system will
function without runoff or soil saturation as such factors are a function of installation,
proper and sound operation and maintenance. The final design of any surface system
must be designed and sealed by a Professional Engineer. The final permit must be issued
by DENR. Any concurrence with the findings of this report would be made at that time.
3

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Legend
Group I boundary '
stream
property boundary
o borings
The Boyd Spray System Date. Apnl2007 Figure
Catena Bass Mountain Rd Scale:
Group equals 15Ofeet
Alamance County, North Carolina
Job No.: 7287

HYDRAULIC CONDUCTIVITY STUDY
Jason Boyd
Date: 3/7/2007 Weather Condition:Sunny,Breezy
Location: B16 Temperature(F): 40
Number: 3
Horizon: Bt cm Inches
Depth(inches): 15.0 SET UP Target Water Level: 18.0 7.1
Jam inches Beginning Water Level: 18.5 7.3
Hole Depth(cm): 38.0 15.0 Ending Water Level: 18.0 7.1
Reference(cm): + 13.5 5.3
Head(cm): - 18.0 71
CHT Tube(s)setting: =33.5 Hole diameter(cm): 5,0
Hole radius(r): 2.5
Valve Setting: x coefficient A: 0.000886
1-ON 2-ON
NOTE:Readings based on Ending Water Level
Coversion Factor(C.F.): 20.0
Water change in Chamber clock Elapsed Time Q K K K
Reading water level C.F. time(min) (min) (hr) (cm3/hr) (cm/hr) (in/hr) gal/ft2/day
20.0 0.0
25.7 0.6 20.0 10.0 10.00 0.167 72.0 0.0637 0.0251 0.375
251 0.6 20.0 20.0 10.00 0.167 72,0 0.0637 0,0251 0.375
24.5 0.6 20.0 30.0 10.00 0.167 72.0 0.0637 0.0251 0.375
' (Final Ksat 0.064 0.025 0.375
HYDRAULIC CONDUCTIVITY STUDY
Jason Boyd
Date: 3/72007
Location: B16
Number: 4
Horizon: Bt cm inches I
Depth(inches): 18.9 SET UP Target Water Level: 18.0 7.1
cm inches Beginning Water Level: 17.0 6.7
Hole Depth(cm): 48.0 18.9 Ending Water Level: 18.0 7.1
Reference(cm): + 13.0 5.1
Head(cm): - 18.0 7.1_..
CHT Tube(s)setting: - =43.0 Hole diameter(cm).5.0
Hole radius(r): 2,5
Valve Setting: x- - coefficient A: 0.000885
1-ON 2-ON
NOTE:Readings based on Ending Water Level
Coversion Factor(C.F.): 20.0
Water change in Chamber dock Elapsed Time Q K K K
Reading water level C.F. time(min) (min) (hr) (cm3/hr) (cm/hr) (In/hr) galRt2/day
34.8 ! 0.0 20.0 10.0 ".
33.7 1,1 20.0 12.0 2.00 0.033 660,0 0.5840 0.2299 3.440
32.7 1,0 20.0 16.0 4.00 0.067 300.0 0.2655 0.1045 1.564
31.7 1.0 20.0 20.0 I 4.00 0.067 300.0 0.2655 0.1045. 1.564
30.7 1.0 20.0 24.0 4.00 0.067 300.0 0.2655 0.1045 1.564
IFlnal Ksat 0.265 0.105 1.564

HYDRAULIC CONDUCTIVITY STUDY
Jason Boyd
Date: 3/7/2007 Weather Condition:Sunny,Breezy
Location: Ksat1 Temperature(F): 55
Number: 1
Horizon: Bt - cm inches
Depth(inches): 18.1 SETUP Target Water Level: 18.0 7.1
cm inches I Beginning Water Level: 15.0 5.9
Hole Depth(cm): 46.0 18.1 Ending Water Level: 16.0 5.9
Reference(cm): +14.0 6.5
Head(cm): -18.0 7.1
CHT Tube(s)setting: =42.0 Hole diameter(cm): 6.0
Hole radius(r): 2.5
Valve Setting: x - coefficient A: 0.001103
1-ON 2-ON
NOTE:Readings based on Ending Water Level
Coversion Factor(C.F.): 20.0
Water change in Chamber dock Elapsed Time Q K K K
Reading water level C.F. time(min) (min) (hr) (cm3/hr) (cm/hr) (in/hr) gal/112/day
39.2 ' 0.0 20.0 0.0
38.1 1.1 20.0 5.0 6.00 0.100 220.0 0.2559 0.1008 1.508
36.8 1.3 20.0 12.0 - 6.00 0.100 260.0 0.3025 0.1191 1.782
35.6 1.2 20.0 18,0 6.00 0.100 240.0 0.2792 0.1099 1.645
34.4 1.2 20.0 24.0 6.00 0.100 240.0 0.2792 0.1099 1.645
'Final Ksat 0.287 0.113 1.690
HYDRAULIC CONDUCTIVITY STUDY
Jason Boyd
Date: 3/7/2007
Location: Ksat1
Number 2
Horizon: Bt Icm inches
Depth(inches): 33.1 SET UP Target Water Level: 18.0 7,1
Icm inches I Beginning Water Level: 21.0 8.3
Hole Depth(cm): 84.0 133.1 Ending Water Level: 21.0 8.3
Reference(cm): +12.5 '4.9
Head(cm): -18.0 7.1
CHT Tube(s)setting: =78.5 Hole diameter(cm) 5.0
Hole radius(r):2.5
Valve Setting: x.: coefficient A: 0.000699
1-ON 2-ON
NOTE:Readings based on Ending Water Level
Coversion Factor(C.F.): 20.0
Water change In Chamber dock Elapsed Time Q K K K
Reading water level C.F. time(min) (min) (hr) (cm3/hr) (cm/hr) (in/hr) gal/ft2/day
30 0,0 20.0 0.0
28.3 1.7 20.0 6.0 6.00 0.100 340.0 0.2377 0.0936 1.400
26.9 1.4 20.0 12.0 6.00 0.100 280.0 0.1957 0.0771 1.163
25.6 1.3 20.0 18.0 6.00 0.100 260.0 0.1817 0.0716 1.071
24.3 1.3 20.0 24.0 6.00 0.100 260.0 0.1817 0.0716 1.071
IFlnal Ksat 0.186 0.073 1.098