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HomeMy WebLinkAboutNCG551791_Permit (Issuance)_20221125DocuSign Envelope ID: D34F7710-D85E-46B0-AEA5-5C7CC7B7964A ROY COOPER Governor ELIZABETH S. BISER Secretary RICHARD E. ROGERS, JR. Director NORTH CAROLINA Environmental Quality 11/25/2022 Dr. Koneru R. Rao c/o Sarat Koneru & Rick Sholes Property Management, Inc. 1423 Broad Street Durham, NC 27704 Subject: Issuance to Certificate of Coverage (COC) / Authorization to Construct (ATC) NPDES General Permit NCG551791 under General Permit NCG550000 Single Family Residence (SFR) 2219 Clements Drive, Durham Durham County Dear Mr. Koneru: In accordance with your application for discharge under the subject NPDES General Permit, the Division of Water Resources (DWR) herewith forwards a Certificate of Coverage (COC) and Authorization to Construct (ATC) permit for new facilities. We issue this permit pursuant to the requirements of North Carolina General Statue 143-215 .1, the Memorandum of Agreement between North Carolina and the US Environmental Protection Agency (EPA) dated October 15, 2007 (or as subsequently amended). Your permit package includes: • Certificate of Coverage (COC) /Authorization to Construct (ATC) • A copy of the approved plans and specifications (signed 8/12/2022). • Engineer's Certification form (to be returned to DWR upon project completion). • A copy of Wastewater Discharge General Permit NCG550000 To maintain your Certificate of Coverage (COC), you must remit an annual fee of $60, due each year on the date of this letter, to the Division of Water Resources. Please include the COC number NCG551791 on your check. Mail your Annual Fee to: NCDEQ / DWR / NPDES / SFR Permitting Attn. Wren Thedford 1617 Mail Service Center Raleigh, NC 27699-1617 DWR understands that the subject property has been judged "unsuitable" for a ground -absorption sewer system by the Durham County Health Department. Therefore, your authorized consultant, Agri -Waste Technologies, Inc. (AWT, Inc.) intends to upgrade/install a wastewater treatment system designed to discharge to Surface Waters of the State in accordance with plans and specifications signed by the engineer on 8/12/2022. Compliance under General Permit NCG550000 restricts discharge flow, not to exceed 1,000 gallons per day. This ATC covers treatment facilities for a three (3)-bedroom single-family residence estimated to discharge 360 gpd (120 gallons per bedroom). DEQ� 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 zl�, NOP.T1 CAFOLM � o.P.w�nm��.nantilu�ar� /'� 919.707.9000 DocuSign Envelope ID: D34F7710-D85E-46B0-AEA5-5C7CC7B7964A I— __ _ NPDES General Permit NC551791 Please note that you must provide regular treatment -system operation, maintenance and inspections in accord with manufacturer's recommendations and this ATC; all records, water analyses, and logs to be kept onsite available for DWR inspection [NCG550000, Section A. (2.)]. Operation and Maintenance. The Permittee is responsible to maintain all components of the approved treatment system, designed to meet Surface Water -Quality Standards. Compliance includes following the manufacturer's guidelines, conducting and documenting inspections, establishing sources for OEM spare parts and supplies, taking samples for analyses, making necessary repairs, and documenting said maintenance for the duration of the permit. Please note that the receiving stream is currently classified and governed as WS-IV; NSW (Water Supply IV; Nutrient Sensitive Waters). If DWR determines that your discharge contributes to future degradation or impairment of this waterbody, an individual NPDES permit may be mandatory. Upon DWR's request, the Permittee must provide records and demonstrate regular efforts to maintain the approved treatment system. The Division recommends that the Permittee solicit manufacture -certified training, or a qualified contractor or service to regularly inspect and maintain this treatment system. Authorization to Construct (ATC) Permit. This ATC details the conditions of installation and operation. Before startup, activation requires notice to the Raleigh Regional Office (919-791-4200), attention Scott Vinson, a minimum of three (3) days in advance of discharge. Such notification shall be made during normal office hours from 8:00 a.m. until 5:00 p.m. Monday through Friday, excluding State holidays. The attached Engineer's Certification form, must be returned to DWR by the Engineer, documenting compliance "as built" in accord with this ATC and approved plans and specifications submitted to DWR and signed on August 12, 2022. No changes may be made without prior approval. Therefore, in accord with the application and the attached approved plans and specifications, DWR hereby authorizes the installation of upgrades to the existing surface -water discharge treatment system described as: • 1,250 Gallon Septic Tank with Effluent Filter • AdvanTex AX-20 RT Pod system with re -circulating chamber • UV Disinfection • Control Panel with Alarm • Discharge Point with Riprap • All Piping and Appurtenances Compliance with the above shall include a leakage test performed on reused tanks and proposed new tanks, or leak -certified new by the manufacture not to exceed an exfiltration rate of twenty (20) gallons per twenty-four (24) hours per 1,000 gallons of tank capacity. The Engineer's Certification shall serve as proof of compliance with this condition. Mail the completed Engineer's Certification to: DEQ / DWR/ NPDES Program 1617 Mail Service Center Raleigh, NC 27699-1617 ❖ The Permittee shall, for the life of the treatment facility, maintain on site a copy of the approved plans and specifications available for DWR inspection. All elbow piping must conform to the long -sweeping type. All cleanouts must be housed in meter boxes below grade. This treatment system shall be located at least 15 feet away from a dwelling, at least 100 DocuSign Envelope ID: D34F7710-D85E-46B0-AEA5-5C7CC7B7964A »I- - .._ - NPDES General Permit NC551791 feet from any water -supply well either on- or off -site. The system shall also be located and constructed above any applicable 100-year flood line; 50-ft setback from property lines. Upon completing construction and prior to operating this permitted facility, a North Carolina - registered engineer shall sign and submit to DWR the attached Engineer's Certification form, thereby certifying that the permitted facility has been installed in accordance with the NPDES Permit, this Certificate of Coverage, this Authorization to Construct, and the approved plans and specifications. This ATC permit is issued in accordance with Part III, Paragraph 2 of NPDES General Permit NCG550000, and is subject to revocation unless wastewater treatment facilities are constructed in accordance with the conditions and limitations specified in this General Permit. In the event that the facilities fail to perform satisfactorily, including creating nuisance conditions, the Permittee shall take immediate corrective action as may be required by this Division, such as the construction of additional or replacement wastewater treatment(s) or disposal facilities. Failure to abide by the requirements of this ATC permit may subject the Permittee to an enforcement action by the Division of Water Resources in accordance with North Carolina General Statute 143-215.6A to 143-215.6C. If any parts, measurement frequencies or sampling requirements contained in this general permit are unacceptable to you, you have the right to request an individual permit by submitting an individual permit application. Unless such demand is made, the certificate of coverage shall be final and binding. This COC is not transferable except after notice to the Division of Water Resources. The Division may modify or revoke and reissue this COC. This COC does not affect your legal obligation to obtain other permits that may be required by the Division of Water Resources, the Division of Energy, Mineral and Land Resources, the Coastal Area Management Act, or any other Federal or Local government. NPDES Contact. If you have any questions concerning the requirements of this Certificate of Coverage or Authorization to Construct (ATC) permit, please email Bradley Bennett at bradley.bennett@ncdenr.gov. Sincerely, ( DocuSigned by: 8328B44CE9EB4A1... Richard E. Rogers, Jr. Director, Division of Water Resources Attachments: COC; Engineer's Certification form (to be signed and returned to DWR) cc: Raleigh Regional Office — Laserfiche NPDES General Permit Files — Laserfiche Kevin Davidson — AWT, Inc. - electronic DocuSign Envelope ID: D34F7710-D85E-46B0-AEA5-5C7CC7B7964A "I- . __ - NPDES General Permit NC551791 STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF WATER RESOURCES CERTIFICATE OF COVERAGE - NCG551791 Under GENERAL PERMIT NCG550000 TO DISCHARGE 100%-DOMESTIC AND SIMILAR WASTEWATERS UNDER THE NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NEDES) In compliance with the provisions of North Carolina General Statute 143-215.1, other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution Control Act, as amended, Koneru R. Rao are hereby authorized to operate a wastewater treatment facility consisting of a septic tank with effluent filter, AdvanTex AX-20 RT Pod system with re -circulating chamber, UV disinfection, control panel with alarm, discharge point with riprap; discharging from facilities located at the Single -Family Residence (SFR) 2219 Clements Drive, Durham, NC Durham County to receiving waters designated as UT to Ellerbe Creek [Stream Index: 27-5-(0.7)] a waterbody currently classified WS-IV; NSW located within sub -basin 03-04-01 [HUC: 030202010403] of the Neuse River Basin, in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III and IV of General Permit NCG550000 as attached. This Authorization to Construct (ATC) shall become effective December 1, 2022 This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day November 25, 2022 DocuSigned by: Cd �< E8328B44CE9El34A1 .. Richard E. Rogers, Jr. Director, Division of Water Resources By Authority of the Environmental Management Commission DocuSign Envelope ID: D34F7710-D85E-46B0-AEA5-5C7CC7B7964A LA • c. Discharge Point Koneru R. Rao Facility 2219 Clements Drive. Durham. NC Location Receiving Stream: UT to Ellerbe Creek Stream Class: WS-IV; NSW (not to scale) River Basin: Neuse Sub -Basin: 03-04-01 4 Latitude: 36* 02'26" Longitude: 78' 51'59" Stream Segment 27-5-(0.7) HUCM 030202010403 Quad: Northeast Durham County: Durham NORTH F NPDES Permit NCG551791 DocuSign Envelope ID: D34F7710-D85E-46B0-AEA5-5C7CC7B7964A Engineers and Soil Scientists Agri -Waste Technology, Inc. 501 N. Salem Street, Suite 203 Apex, North Carolina 27502 919-859-0669 www.agriwaste.com FINAL DESIGN NOT RELEASED FOR CONSTRUCTION 2219 Clements Drive Durham, NC 27704 Durham County Plans and Specifications for Discharge System Date: July 5, 2022 Design Engineer: Kevin Davidson, P.E. Agri -Waste Technology, Inc. 501 N. Salem Street, Suite 203 Apex, NC 27502 Office: 919-859-0669 Direct: 919-367-6310 Email: kdavidson(-a),agriwaste.com DocuSign Envelope ID: D34F7710-D85E-46B0-AEA5-5C7CC7B7964A Koneru _Property North Surface Discharge Project Location 2219 Clements Drive Durham, NC 27704 Durham County PIN: 083393-45-4860 Project Owner Dr. Koneru R, Rao c/o Sarat Koneru & Rick Soles Property Management, Inc. 1423 Brood Street Durham, NC 27705 (919) 286-2040 sarct.koneru@gma'il.com ricksolespm@o yahoo.com Project Consultant Kevin Davidson, P.E. kdavidson@agriwaste.com Chris McGee, L.S.S. c mcg ee@ag riwaste. corn Agri —Waste Technology, Inc. 501 N. Salem Street, Suite 203 Apex, NC 27502 (919) 859-0669 (919) 233-1970 Fax System overview Single Family Residence Three (3) Bedroom, 360 gpd Design Standard — Discharge AdvonTex AX-20 RT Pod with Single Bulb UV Disinfection TMy.�n11tl � a SITE . w P.,K �hMpd� U] ��n [.eWe ►elel i a �a•.pv Kid M.V'• I•a•� VICINITY MAP Sheet Index A► Vr ro.„.: T-6,;. a,i xrem 91Npfkl, Koneru Property North Svfoce D7soorpe YYanewetar Trent—t � � m h. mn ,r xaw IYgry� IP 1r POEMIM Sheet 1 Cover Sheet Sheet 2 Property Layout WTFRfM FM C006MUM Sheet 3 Component Layout°° Sheet 4 System Detail # 1 Sheet 5 System Detail #2 nrth Tsa+a ar nu Cover Sheet WJ" or.. awm ne t. � T WMfff, Wffifflat ,MUM 9f, ]RDOW pk NOW NAM WW_1 DocuSign Envelope ID: D34F7710-D85E-46B0-AEA5-5C7CC7B7964A Parcel boundary & street data from Ilurham County GIS. J g PROPERTY LAYOUT r r� r r r � AVJT Erywra a W'b4 fgwwlm Koneru Property North Surfac* Di-horgs WOM"Mer Tr—tl nt s"t.. n a • .cam 5 Ir ----------- r r ' r MR DE" i _ MN RafASM F09 00ORKT04 ,��,r���VT�•` �D�RT.1{�:: Property Layout W W -2 DocuSign Envelope ID: D34F7710-D85E-46B0-AEA5-5C7CC7B7964A o s to Fee W Z f � U Q APPROXIMATE LL3 pz� LOCATION OF ! �— EXISTING !] �` SAND FILTER / !! � � To BE a_ ABANDONED ! i � s CD I I P Axi Uv I I I i � l I ST I � I I I I _ I I L_—J EXISTING K TO SEPTIC TANK ABANDQNED 5' MUNDATI❑N SETBACK Cornanent Layout Line Legend Line Name Size Type DL Droin Line 4.0" SCH 40 PVC EDL Effluent Discharge Line 4-p" SCH 40 PVC ERL Effluent Return Line I.0" SCH 40 PVC ST COMPONENT LEGEND Septic Tank CP CP oG Control Panel Co RT Recirculation Tank Disinfection AX AdvonTex Pod p pump SB Splice Box EF Effluent Filter IT Inlet Tee BY Ball Vale CO Cleanou! NOTES: Adjust tanks to meet site constraints - Effluent discharge line (EDL) to maintain minimum 1 % slope and 18" burial depth. - Ball valve on effluent return line may be inside RT Unit or ST inlet riser - Properly abandon existing septic tank with concrete - Adjust outlet location of all gutters/downspouts to shed runoff away from treatment system. 0 A 8 Fee[ Discharge Into N Stream schnrge Point ` rT Stabilization 44 (2'x6' Rlprop) o Install Grate on End of Line �\ 9 ❑ischarge Paint wl Stabilization rr�.res c.�. ram ne e�Ar Koneru Property North svnace 9:xharge West"atur T—t, enl System IVi�Ifr�.R �d fHa er9LM sm F0.F49M PICK CONRUCt•N 0.. near WWWM Component Layout WW-3 DocuSign Envelope ID: D34F7710-D85E-46B0-AEA5-5C7CC7B7964A Not to scale Discharge Riprap Detail AXSTREATE MOUNT PANEL DIRECTLY To POSTS OR TO ALUM IN V M PLATE CONTROL (grand off P O,Odirq avevs PANEL AOD O SINGLE CONDUIT Ing spilm) CONDUIT III SUPPORT 2 npn, 2)(a TREATED - SECURE RISER OR WITH 4, 3- DECK SCREWS CORRUGATED PIPE PER POST GRAVEL COVER CONDUIr MINIMUM MY TO AT UNIT TO POWER SOURCE ALL CONDUIT INSTALL TO BE 3M " I min) MULTIPLE CONDLF TS AS NEEDED T BUR L5L DEPT.-, MINIMUM Not to scale 4 h, Control Panel Support [orequlvatant] It SOtRCE Ap Wk`T-wwIt, y" A7LLi�K I UV Ad van I ex System - For ILLLIS f RAT IUN ONLY _ +�+ n t e -An o-m.31�. is to scale Safety Net (install in Septic Tank Risers) Y s 6dNCEApnN.�Sedwn.gy.irc to Scale O-RT Anti -Buoyancy Installation gV� .�W„bnf... HUHM 1. Beuntlery IMummien Ins-d on Field Sarver a GIs O.W. 2. 5-plic Turk m Wm eppreepd P'mw ENNent FAIe, mo4el r/G$22-14B. 3. Tr-9[mv..t ".1- to ea Iff 1- 0., eQ}site resident., 15' from ensile ,**d- o b.ming lwndptier4 end $0. (rpm oN p Wnyr Iin-f. V r:ptipn of th.-- Wosk. W a W-rmed by - Vacter, �. C-troulw shek l»[kfill Wound vll- s h tlgt v ,n xot-r is shed espy 0- Pp tlpl -n1ry Pant-. 5. k,eert eleeeup,u a d1eanWmeneneare- y.rR'M rhln by V-W to v Prtp,' aperalien 8. Al -you n p:ykq W be SCH40 PVC ereept fMer- Toted. 7. Al qre V NPa-i to bf loop rpdiu- yr long-rr--phq type MI-- 9. Ael pt ImWIQllpn end PIcent of try 1 -nl "t.- to b. ewr-.-n by Conv.e , 9, u-e Cypa 'a' .roe.. contsm .tune for dln,ttWdl pouf fvr pytlel-lobl:xot'en in- r� use 15 a #57 .ten. fu sedkrwn[ �n .. Di -I, •qe I:n. maul be cc d 1A e dm depth of le- Glfcrq%. µpe oa- tohuea q.W. 1. now from u ...,Vnq -I.- Beek in[e [rrc sytlem yell o. pr.v-nl.d. '1. Engineer IefWC6r-au durun "Wom ik-.uelion end 1 f empl.lien. 3. Controtlor la f►ed dnd/w mut fi disturbed oreo- to valnelde f h eeVtlnq Iond.wp-. A- 0.11 not b. hR "h - -.ed 14, upon ".m epmpMGen, CanVeotor tt ""Iy E,q�n--r with do-niadon of �mWidlim p p .Ign.d kdt.r "vdket6n9 .Tatum .40 ]n.to--d per-pp,pv.d d..ign o r m -I" ade,Ietdn from -revs da.4 15. Cowin. nr to ins[dt ph- Gn. to VOG14 canSrvi pon.I (if pre-enl). 16. AdmnT.--Rr unit l be placed - 2r 6 No ..a bockGII.4 with V.. 17. I4punt CwI,W Pq.-I q mI An no of 24' 9bwe qq,pdr. Ppwr 1. "-1 1. bk "hste Ey 11[.rlf,Id -lettriclpn PW peas. 19, L.dk 0-ei ,.alind -pod. 19. O-W% vo - orq Oak tM r.gyk d - V tonk.. Veewm tmt A b inches 0NgIor 2 Gaut.-. L.pk t..i fvr i4-hour tlurpGen wiN -pier ie,e1 el I In[hes of o,- H.W ynrwttipn. DOcurn.ntprpn lv be proYMed Ip FipineW. 20. C-[,outs to o9ondpn euMln9 rp1:t lank. Canirptte, slwu prpKd- dooum.nWen from Dur County. 21. Winer eprq-t Is P. Waled on -.t.r:or of r..kk - within 50' p} [poke. 22. P- -noel- cp,ler .,-md flange of Ir.ehnlnl urA or -tall-ti-w.y-y beam. per menulecturer i recamm[ndotlom Mti-wpyaner t-i- 1. be insdw - .Retie lank. 23. " .ast- 1- from in. WK nu Iludlrq greywpir, L W b- pomey-d to the s.ptk Ionk. Ya, RftkVu&Mkn Ti nar Seeurpf; TIME OI1/OFF: 0,94/14.G6 m:nule. 12 9pnn to Pod / 5 gem to S"uc Tonk- AVJT Aa�.h1w. n.anr-pr. xw nea.lad rw-1n- r7rra Koneru Property North Surf co Diechurge Wost...I- Trediment System P. kp�-r L IM m enr fe.w Pura xc S>' M!W (f+f1 Lr x1�n�rr. or.�s sc arnw OeNq. kC Tee ew-n�,1n PRUISSM DIGfIEF.R SEK Filk DE" WF RULM FOR 006T*)7TI0X itz mew ufgnok System Details #1 EAMr zJ WW-4 DocuSign Envelope ID: D34F7710-D85E-46B0-AEA5-5C7CC7B7964A w Moo EL: Ts S2sG STa NON TRAFFIC 1:tw Ofenn 8apik Tank rrrao+rM[411a y.l[ der eft ro+ fi/Y\fl nn n+.tm,Ax xurnr ..m.cc �+ r ucr»m�«.gym �r o-o � Not to scale Septic Tank (or equivalent 1.260 gal tank) 9 fCRRGE e+w>•..na £wme iT (P System Detail - For Illustration Only Dwaaon Detremr rfdrr Scree! Elevation Retemnce: Northeast Property Cpner= 92.54'taesumed) 5ft Elevallon Readings A ppraxmate E le�alions Elevation Drainlir* IMen at House 1DO.20 it AdvanTek RT Unit Discharge Point GS al New Septic Tar* 99.60 It Pipe Length from ST Outlet 12.00 it Pipe Slope to Discharge Paint 9.61% G5 at RT Unit 99.30 tt Slope of Line 1.31 % Pipe Length 70.00 tt Ekvallon at Discharge Invert 90 1s R Ground Surace at RT (lnit 99.30 R ElevatIon at Discharge imam 90.16 t Ekt®tion ai Inlet k1rcit 97.32 e Se plc Tank Drstame, to Inlet imeM1 torn top Top Of Unit 25.8 in 99.47 R Float Be Cl nee El".Otteight H"m Tank Gound Surface at Septic Tank 99 60 R Cover ow inlet Ini 1.98 II Recirculation Floor (In) Cover aver Septic Tank 12-DO In 23.79 in Law WaterMadundant OR 95." 2a 1.00 R Extension Height 0.00 in Pump Overrl de Timer 96." 41 Elevation at top o1 Septic Tank 96.60 k Height of Uryt 72.00 in High Water Akan 97.01 42.5 Distance to Inlet khort tom Top 0.96 R 6.000 E kvatiun at Inlet krrcrt of ST 97.64 R Bottom Elewnon 93.47 R Drainlrne Length From House 36.00 R Outlet Distance tom Bottom 32.50 in slope of Line 7.11 % Oullet Elevation 96.18 0 Distance to Outlet Invert from Top 1.13 R Height of Unit Exposed 2.00 in Elevation at Outlet Irhert of ST 97.48 R Elevation Determinations e T e S E Ape T-t..M. k. AV" 1tTe A N eJweewv, 2741tat HNC. NrW Cwv�r e1 f+falr-oeM wwwaeiry�y Koneru Property North Surface Nmharoe wvatewvter Tmtmvnt System w+.r e.Nr..rre gagr(.e1+Mu R eee rW�� Me lT�kd P+fr..un..N..ac..• tStlor.. n� sEs1p1 MIr RFlf19m For W16TNxCROM n etin eat rtaf++a System Details #2 r� Yard Hydrant (H no spigot within SO'of tanks) e sauxa a„„e«, T.xns,e rs - JI w' W- S DocuSign Envelope ID: D34F7710-D85E-46BO-AEA5-5C7CC7B7964A ■INNOTE-USE 24' 23Ir2 CAST-1?1-PLACE DRENCO RISER _ 6s AIIAPTER 74' prQnca 24' S-0' Oren[o 24• Rlser Base Riser Base 39 r2" w� Lid y/ Ed rx• TOP VIEW INL 'TO BOTTUI Or 4' INLET wmTOP VIEW MEASUREMENTS ARE TO WIDEST DIMENSIONS Cost In PE¢Ce CrenCo Riser Adapters Not to scale VENT FLOW THROUGH SI➢E VIEW 1\ 4' INLET & OUTLET BOOTS ON ENDS OLNY SHOAF PRECAST SEPTIC INC. MODEL: TS 1250 STB NON TRAFFIC 1250 Gallon Septic Tank also WEST us HWY 64 LExINGTON, NC 2727295 PHONE (336) 787-5926 FAX C336) 7B7-2826 W W W.SH OAF PREC AS T.CO M SH13AF-1,250 SEPTIC TANK STB-389 LIQUID CAPACITY-1.252 GALLONS/10' AIRSPACE TANK HEIGHT-61 BOTTOM OF TANK TO CENTER OF INLET-52' BOTTOM OF TANK TO CENTER OF OUTLET-50' LENGTH TO WIDTH RATIO-2 TO I SIZE OF INLET & OUTLET-4• PIPE TYPE OF INLET & OUTLET-POLYLDCK DR EQUAL (MEETS ASTM C-923) CONCRETE PSI-40001 TANK WEIGHT- 11,000 LBS. REINFORCEMENT PER STATE CODE SCALE - N.T.S. ■.NOTE I' BUTYL RUBBER MASTIC SEALANT CONTINUOUS 1N JO[Hr v: v: •-NOTE-TEE NOT SUPPLIED (w, SLOr II T4 OUTLET 61 [2* 54 [7, �1 � � T pQ GH STATE APPROVAL # SHOAF-1250 STD-389 DocuSign Envelope ID: D34F7710-D85E-46B0-AEA5-5C7CC7B7964A ROY COOPER Governor ELIZABETH S. BISER Secretary RICHARD E. ROGERS, JR. Director Permittee: NPDES COC/ATC Number: Coun : Engineer's Certification: NORTH CAROLINA Environmental Quality Koneru R. Rao - 2219 Clements Drive NCG551791 Durham I, , a duly registered Professional Engineer in the State of North Carolina, as authorized by the Permittee to observe [ daily, part time, full time ] the construction of the project, Location Project Name do hereby state that to the best of my abilities, I practiced due care and diligence to observe the construction of said project such that it was advanced and completed in accordance and in compliance with the NPDES Permit, approved plans and specifications, Authorization to Construct Permit, and General Permit Certificate of Coverage issued by the Division of Water Resources. Signature Registration No. Date [Stamp] [Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan or other document filed or required to be maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, or who falsifies, tampers with or knowingly renders inaccurate any recording or monitoring device or method required to be operated ormaintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be guilty of a misdemeanor punishable by a fine not to exceed $10,000, or by imprisonment not to exceed six months, or by both. [18 U.S.C. Section 1001 provides a punishment by a fine of not more than $10,000 or imprisonment not more than 5 years, or both, for a similar offense.] 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 919.707.9000 oN.rawner unrc+.ww o.ne DocuSign Envelope ID: D34F7710-D85E-46B0-AEA5-5C7CC7B7964A NPDES General Permit NCG550000 A Complete Copy of the 2020 NCG550000 General Permit was Provided in the Permittee Package STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF WATER RESOURCES GENERAL PERMIT NCG550000 DISCHARGE OF DOMESTIC WASTEWATER FROM SINGLE FAMILY RESIDENCES AND OTHER 100% DOMESTIC DISCHARGES WITH SIMILAR CHARACTERISTICS UNDER THE NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution Control Act, as amended, this permit is hereby issued to all owners or operators, hereafter permittees, which are covered by this permit as evidenced by receipt of a Certificate of Coverage by the Environmental Management Commission to allow the discharge of treated domestic wastewater in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II and III hereof. This permit shall become effective November 1, 2020. This permit shall expire at midnight on October 31, 2025. Signed this day 10/30/2020 DocuSigned by: �4 P Nof 8FB19BI349DD2478... for S. Daniel Smith, Director Division of Water Resources By Authority of the Environmental Management Commission Page 1 of 18