WQ0039300_Application_20221123

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 —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 httns://edocs.den.nc.2ov/Forms/NonDischar2e-Branch-Submittal-
Form-Ver2, or entailed to Non-Discharge.Renortsnn ncdenr.2ov if less than 20 megabytes (MB).
SECTION I —
APPLICANT INFORMATION
1.
Applicant: Joseph P. Murphy Jr.
2.
Permit No.: WQ0039300
3.
Signature authority: Joseph P. Murphy Jr.
Title: Owner
4.
Mailing address: 21 Trotting Trl. SFR
City: Chapel Hill
State: NC Zip: 27517-
5.
Contact person: Joseph P. Murphy Jr.
Email: [e-mail]
Primary phone number: [phone] Home
Secondary phone number: ( ) - Select
6.
Secondary Contact person:
Email:
Primary phone number: ( ) - Select
Secondary phone number: ( ) - Select
SECTION II — FACILITY INFORMATION
1. Physical address: 21 Trotting Trl. County: Durham
City: Chapel Hill State: NC Zip: 27517-
SECTION III — BILLING INFORMATION
1. Billing address: 21 Trotting Trl.
City: Chapel Hill State: NC Zip: 27517-
2. Verify the Applicant does not have any overdue annual fees:
hUs://deg.nc. gov/about/divisions/water-resources/water-resources-permits/wq-epUments
Pursuant to 15A NCAC 02T .0120(c), 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

-A SECTION IV — OPERATION AND MAINTENANCE AGREEMENT
Permit No.: WQ0039300 County: Durham
Permittee: Joseph P. Murphy Jr. (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. (ifapplicable)
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. (ifapplicable)
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. (ifapplicable)
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. (ifapplicable)
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
Signature:
Signature:
Signature:
A -1
Date: Nov 23 2022
Date:
Date:
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 10 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.
❑ 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 .0106(b)?
R] 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 M
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 Permittee.
ATTACHMENT E — AFFILIATIONS
Are the Penuittee'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

� 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.
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.
PE APPLICANT'S CERTIFICATION
I Joseph P Murphy Jr. 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: Nov 23 2022
THE COMPLETED APPLICATION AND ATTACHMENTS SHALL BE SUBMITTED AS A SINGLE PDF FILE VIA:
Email:
Non-Dis charge.Ret)orts(&ncdenr.2ov
Laserfiche Upload:
httt)s:Hedocs.deci.nc.Lyov/Fo rm s/NonDischarge-Branch-
Submittal-Form-Ver2
FORM: SFRWWIS-R 02-21 Page 4 of 4

Water Resources
FNVIRONMENIAL WUALITY
January 25, 2018
Joseph Murphy, Jr.
405 Adelaide Circle
Morrisville, NC 27560
Subject: 21 Trotting Trail, Chapel Hill
Residential Flow Reduction
Durham County
Dear Mr. Murphy:
ROY COOPER
Governor
MICHAEL S. REGAN
Seerelary
LINDA CULPEPPER
%nler'im Director
Per the proposed water use data based on the usage of EPA WaterSense fixtures and low -flow appliances provided
on your behalf by the MacConnell & Associates, P.C., the Division of Water Resources hereby approves the use of a
270 GPD design flow for the proposed 3-bedroom home located at 21 Trotting Trail in Durham County.
Regardless of the adjusted design daily wastewater flow rate, at no time shall the wastewater flows exceed the
effluent limits defined in the non -discharge permit for the treatment facility or exceed the capacity of the sewers
downstream of any new sewer extensions or service connection(s).
The granting of this flow reduction does not prohibit the Division from reopening, revoking, reissuing and /or
modifying the flow reduction as allowed by the laws, rules, and regulation contained in 15A NCAC 02T, NCGS 143-
215.1, or as needed to address changed in State and/or Federal regulations with respect to wastewater collection
systems, protection of surface waters and/or wastewater treatment.
If you have any questions, please contact Christyn Fertenbaugh, P.E., at [phone] or via email at
[e-mail].
Sincerely,
for Linda Culpepper
Interim Director, Division of Water Resources
by Deborah Gore, Supervisor
Pretreatment, Emergency Response and Collection Systems Branch
Cc: Gary MacConnell, P.E., MacConnell & Associates (gsmmacassoc(a-bellsouth.net)
Raleigh Regional Office, Water Quality Regional Operations
Tessa Monday, Non -Discharge Unit ([e-mail])
PERCS (electronic copy)
'Nothing Co rnpare.s
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh, North Carolina 27699-1617
• • :1 . 11
n ck°

North Carolina Department of Environmental Quality
Division of Water Resources
Permit Number: WQ0039300
Permit Type: Single -Family Residence Wastewater Irrigation
Facility Name: 21 Trottina Trl. SFR
Facility Addressi: 21 Trotting Trl
Facility Address2:
City, State & Zip: Chapel Hill, NC 27517
Owner Information Details:
MUST submit a Change of Name/Ownership form to DWR to make any changes to this Owner information.
(Click here for "Change of Name/Ownership"form)
Owner Name: Joseph P Murphy
Owner Type: Individual Owner Type Group: Individual
*** Legally Responsible for Permit ***
(Responsible corporate officer/principle executive officer or ranking elected official/general partner or proprietor;
or any other person with delegated signatory authority from the legally responsible person.)
Owner Affiliation: Corrected: Title:
Addressi: 21 Trotting TrI
Address2:
City, State & Zip: Chapel NC 27517
Work Phone: Fax:
Email Address: [e-mail]
*** Permit Annual Fee Billing ***
Billing Month: January
Invoice Number Invoice Date Invoice Due Date Invoice Amount Invoice Status
Owner Contact Person(s)
Contact Name Title Address Phone Fax Email
Facility Contact Person(s)
Contact Name Title Address Phone Fax Email
Permit Contact Person(s)
Contact Name Title Address Phone Fax Email
Permit Billing Contact Person(s)
Contact Name Title Address Phone Fax Email
Joseph P Murphy, 21 Trotting Trl, Chapel Hill, NC 27517 [e-mail]
Jr
Persons with Signatory Authority
Type Contact Name Title Address Phone Fax Email
11/23/2022

Permit Number: WQ0039300
Permit Type: Single -Family Residence Wastewater Irrigation
Facility Name: 21 Trotting TH. SFR
Facility Addressi: 21 Trotting Trl
Facility Address2:
City, State & Zip: Chapel Hill, NC 27517
Designated Operators
If the designated operators listed below are incorrect or no longer associated with the collection system, the information can be updated by su
a completed 'Operator Designation Form" (Click Here for ORC Designation Form). Please provide specific details as to the changes requested, A
the addition/removal of designated operators. For a// other operator questions or issues, please call 919-807-6353.
Facility Classification:
Operator Name
Role Cert Type Cert Status Cert # Effective Date
11/23/2022 Page 2

-{�riti A�dr�s� Stair of North Carolina
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405 AMA Ccnla Dis iyiirit o[Water 12rtir,ttr ci-s
fy'"'i"lk * 4"'4NON-DISCIIARGE WASTEWA14:14 sys- m WAIVER
(7111S F oRM MAY Hk P11f17 A'01'11:1) h-()R USE AS AN (lRIGINA1,1
The Division of Water Resources will odol l'omider this form complete unless all instructions sere followed. Failure
to follow instructions or to submit all reclolred items w111 lead to addIIional processing and review time.
For mare information or fur an eiectranlc version of this form, vtvit our web site at:
���urtal, nrdcnr.ursc/wcb/n�alaorll�rulr��lMullu►rs.
INS'rRuCTIONS TO TIfE APPLICANT:
Do not submit this form for review wiihoul a corresponding Non -Discharge Permitting Unit application form.
Any change.% to this form will result in tic application package being returned.
Any other setbacks required by 15A NCAC Subchapter 02T other than those referenced below, cannot be waived
through execution of this form.
1 A copy of the completed and appropriately executed form must be provided to the property owner.
AGREEMENT TO WAIVE SETBACKS AS REQUIRED BY
15A NCAC 027' .0506(a), .0506(b), .0606(a), .0706(a) and .1006(m)
The undersigned property owner(s) hereby Hermits:
Applicant's name: Joseph Patrick Murpliy Jr.
Complete mailing address of applicant: 405 Adelaide Circle
City: Morrisville State: NC - Zip.. 27560
Telephone number: (5j_6j 476 6398_
Facsimile number: (___�
Hereinafter referred to as the Permittee, to (check all that apply):
® Non -Discharge disposal of wastewater effluent within 10 feet of the property line,
❑ Non -Discharge disposal of wastewater effluent within
❑ Construct trealntenl and storage units within
❑ corsstruct treatment and storage units within
f-ORM ,NDWSW 10-16
feet of the identified residence,
feet of the property line,
feet of the identified residence.
Page 1 of 2

State of North Carolina
Department of Environmental Quality
Division of Water Resources
NON -DISCHARGE WASTEWATER SYSTEM WAIVER
(THIS FORM MAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL)
The Division of Water Resources will not consider this form complete unless all instructions are followed. Failure
to follow instructions or to submit all required items will lead to additional processing and review time.
For rnor'e infbr-inatiorr or for m electronic version of thisform, visit our iveb site at:
htty: //porta 1. rzcdenr . orghs,ebAi'e1gps/lac/appl ications.
INSTRUCTIONS TO THE APPLICANT:
✓ Do not submit this form for review without a corresponding Non -Discharge Pennitting Unit application form.
✓ Any changes to this forth will result in the application package being returned.
✓ Any other setbacks required by 15A NCAC Subchapter 02T other than those referenced below, cannot be waived
through execution of this form.
✓ A copy of the completed and appropriately executed form must be provided to the property owner,
AGREEMENT TO WAIVE SETBACKS AS REQUIRED BY
15A NC -AC 02T .0506(a), .0506(b), .0606(a), .o706(a) and .1006(a)
The undersigned property owner(s) hereby permits:
Applicant's name: Joseph Patrick Murphy Jr,
Complete mailing address of applicant. 405 Adelaide Circle
city; Morrisville State: NC
Zip: 27560
Telephone cumber: (516 ) 476-6398 Facsimile number: ( )
Hereinafter referred to as the Permittee, to (check all that apply):
© Non -Discharge disposal of wastewater effluent within 14 feet of the property line,
❑ Non -Discharge disposal of wastewater effluent within feet of the identified residence,
❑ Construct treatment and storage units within feet of the property line,
❑ Construct treatment and storage units within feet of the identified residence.
FORM; NDWSW 10-16 Page 1 of 2

The waived setbacks apply as shown on the attached map and located at the following;
Location address of property: 8022 Kennebec Dr
city; Chapel Hill State: NC Zip: 27517
I certify that I am a deeded property owner of above -referenced property and am authorized to make decisions
regarding this property on behalf of other deeded property owners. Furthermore, I certify that I have read and
understand this Agreement and do hereby grant permission to the Permittee to dispose of wastewater effluent or
construct wastewater treatment units as specified herein. I further agree that I will record this waiver form with the
appropriate Register of Deeds and provide the Pennittee and Division of Water Resources with documentation of
such.
Property owner(s) name(s): IkN uP LL G
Signature; Date:
Signature; Date:
COUNTY
T1lU ni
I, Meo�m�lrt , a Notary Public for County, -4ent �-U-j rrer—
do hereby certify that personally appeared before me this day and
acknowledged the due execution of the foregoing nstniment.
Witness my hand and official seal this the _ day of M,p--, it
SEAL
Srgrratrrre of'Notrrry Public
fair:ission expires
.++` �P''�.
Ug
Ml LINDA MORRIS
°. 41
¢
Notary Public - State of Florida
k
4-. •:
Commission # FF 217096
My Comm. Expires Apr 5, 2019
Banded through lVaticnalNotary Assn.
FORM; NDWSW 10-16 Page 2 of 2

Figure 1-- Map of Fermittee Lot — 21 Trotting Trl, Chapel Hill, 27517
The below map represents the lot that is the deeded property of the "permittee" — the term used in the attached NDWSW 10-16
form to designate the party allowed by the "owner" a waived setback to install a non -discharge wastewater system within 10
feet of the property line marked "COMMON PROPERTY LINE".
Please note this map is not a certified survey. It serves as supplemental material to the NDWSW 10-16 form and is therefore for
illustration purposes only. The appropriate disclaimer has been overlaid to meet criteria for recording by Durham County,
I
11 }} 0
\ } ` KSAT/BORING #1
KSAT/BORING f3 O
KSAT/BORING #
Soils usable for surface drip 0
irrigation systems 1
i
THIS MAP IS NOT A CERTIFIED SURVEY AND HAS NOT BEEN \
REVIEWED BY A LOCAL GOVERNMENT AGENCY FOR
COMPLIANCE WITH ANY APPLICABLE LAND DEVELOPMENT."' , 1
i GRAPHIC SCALE: 1 '\= 60'
_ ' Q 30 60 1201 1180
/ 1903 NORTH HARRISON AVE., SUITE 102 Fry: PROJECT: IREFERENCE
MaCCONNELL CARY, NORTH CAROLINA 27513 CRC MURPHY, JOSEPH
pp`_ T� P, O. BOX 129 JOB :
& Associates, 1 . C. MORRISVILLE, NORTH CAROLINA 27560 A56201.00 5UFFACE DRIP SYSTEM C — 1 03
TEL; [phone] FAX: [phone] WE' 10 BACK OFFSET

Figure 2 — Map of Owner Lot — 8022 Kennebec Dr, Chapel Hill, NC 27517
The below map represents the lot that is the deeded property of the "owner" —the terns used in the attached NDWSW 10-16
form to designate the party allowing the "permittee" a waived setback to install an on -discharge wastewater system within 10
reet of the property line marked "COMMON PROPERTY LINE".
Please note this map is not a certified survey, It serves as supplemental material to the NDWSW 10-16 form and is therefore for
illustration purposes only. The appropriate disclaimer has been overlaid to meet criteria for recording by Durham County.
Ken eb c
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urf ce rip
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A pr X. egi ning Point
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THIS MAP IS NOT A CERTIFIED SURVEY AND HAS NOT BEEN
REVIEWED BY A LOCAL GOVERNMENT AGENCY FOR
COMPLIANCE WITH ANY APPLICABLE LAND DEVELOPMENT. isa
Preliminary Soil Map
SOIL HORIZONS, Inc. 8022 Kennebec Drive
Date: October, 2014 PO Box 1063 Pin: 0707-03-20-4345
Youngsville, NC 27596 Durham County, NC
Scale Not To Scale FIGURE 1