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HomeMy WebLinkAboutWQ0040239_Sewer System Permit_20230717July 13, 2023 Michael Montebello, Engineering Supervisor I North Carolina Department of Environmental Quality Division of Water Resources 127 Cardinal Drive Extension Wilmington, North Carolina 28405 Re: All Saints Catholic Church Private Sewer Permit Ownership/Name Change (WQ0040239) Pender County CSD Project No. 22-0620 Dear Mr. Montebello: CSD ENGINEERING RECEIVED JUL i 7 2023 NCDEQ/DWR/NMES We recently submitted a permit modification package to the Wilmington Regional Office as part of an expansion of the existing church property. During the review it was discovered that the current permit is in the name of the Raleigh Diocese. The property was transferred to the All Saints church from the Raleigh Diocese in 2022. Since we listed the All Saints church as the permittee on the modification application, it is necessary to have the permittee name updated on the permit. Enclosed for your review and approval please find: - Original and one (1) copy of the completed and executed Ownership/Name Change Form (PNOCF 01-16) - Two (2) copies of the current permit (WQ0040239) - Two (2) copies copy of the current deed If you have any questions or comments, please feel free to contact us. Thank you for your assistance. Sincerely, Mike Broyhill Engineering Technician Encl.: As noted above Cc: All Saints Catholic Church; Diocese of Raleigh and Catholic Schools 3805 Cherry Avenue - Wilmington, NC 28403 - 910 7914441 - www.csd-engineering.com — License # C-2710 CSD ENGINEERING State of North Carolina r �,Department of Environmental Quality it IRk Division of Water Resources 1W — ' SEWER SYSTEM PERMIT OWNERSHIP/NAME CHANGE Division of Water Resources INSTRUCTIONS FOR FORM: PNOCF 01-16 This form is for ownership changes or name changes of a sewer system permit. Please note that "Permittee" references the existing permit holder, and that "Applicant" references the entity applying for the ownership/name change. Sewer permits start with a WQ or WQCS and contain the terms sewer extension or collection system in the subject field. This form should not be used for permits with NC, NCG, SW or other types of non -sewer permits beginning with WQ. For more information, visit the Division's Water Quality Permitting's u•ebsite: A. Sewer System Permit Ownership/Name Change (FORM: PNOCF 01-16) Application (All Applications): ® Submit an original completed and appropriately executed application (PNOCF 01-16). ® The Existing Permittee's Certification shall be signed in accordance with 15A NCAC 02T .0106(b). Per 15A NCAC 02T .0106(c), an alternate person may be designated as the signing official if a delegation letter is provided from a person who meets the criteria in 15A NCAC 02T .0106(h). ® The Applicant's Certification shall be signed in accordance with 15A NCAC 02T .0106(h). Per 15A NCAC 02T .0106(c), an alternate person may be designated as the signing official if a delegation letter is provided from a person who meets the criteria in 15A NCAC 02T .0106(h). B. Existing Permit (All Applications): ® Submit a copy of the most recently issued permit and certification. C. Property Ownership Documentation (All Applications): ➢ The Applicant shall demonstrate they are the owner of all property containing the sewer system facilities: ® Legal documentation of ownership (i.e., GIS, deed, article of incorporation, or contract), or ❑ Written notarized intent to purchase agreement signed by both parties with a plat or survey map, or ❑ Approved board minutes D. Certificate of Public Convenience and Necessity (All Applications where the Applicant is a Privately -Owned Public Utility): ❑ Per 15A NCAC 02T .01 15(, I , provide one copy of the Certificate of Public Convenience and Necessity from the North Carolina UtiIitics Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served by the non -discharge system. E. Operational Agreements (Applications where the Applicant is a Home/Property Owners' Association or Developer of lots to be sold): ➢ Home/Property Owners' Associations ❑ Per 15A NCAC 02T .01 15(c), submit an original properly executed Operational Agreement (FORM: HOA). ❑ Per 15A NCAC 02T .01 15(c), submit an original proposed or approved Articles of Incorporation, Declarations and By- laws that contain the language required by the Operational Agreement. ➢ Developers of lots to be sold ❑ Per 15A NCAC 02T .01 15(h), submit an original of the properly executed Operational Agreement (FORM: DEV). F. Package Submitted in Duplicate ® Submit a copy of all required documents in Instructions A-E as required THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION SHALL BE SUBMITTED IN DUPLICATE TO: NCDEQ - DWR Water Quality Permitting Section PERCS Unit By U.S. Postal Service: By Courier/Special Delivery: 1617 MAIL SERVICE CENTER 512 N. SALISBURY ST. RALEIGH, NORTH CAROLINA 27699-1636 SUITE 925 RALEIGH, NORTH CAROLINA 27604 TELEPHONE NUMBER: (919) 807-6300 INSTRUCTIONS FOR APPLICATION PNOCF 01-16 Page 1 of 1 DWR Division of Water Resources I. EXISTING PERMITTEE INFORMATION: State of North Carolina Department of Environmental Quality Division of Water Resources SEWER SYSTEM PERMIT OWNERSHIP/NAME CHANGE INSTRUCTIONS FOR FORM: PNOCF 01-16 1. Permittee's name: Diocese of Raleigh and Catholic Schools RECEIVED 2. Signature authority's name: Luis Rafael Zarama per 15A NCAC 02T .0106(b) 3. Signature authority's title: Bishop J U L f c u C 3 4. Permittee's mailing address: 7200 Stonehenge Drive City: Raleigh State: NC Zip: 27613- NCDEQ/DWR/NPDES 5. Permittee's contact information: Phone number: (919) 728-7125 Fax Number (_) _- Email Address: michael.wengenroth@raldioc.org II. APPLICANT INFORMATION: 1. Applicant's name: All Saints Catholic Parish of Hampstead 2. Signature authority's name: Monsignor Joseph K. Ntuwa per 15A NCAC 02T .0106(b) 3. Signature authority's title: Pastor 4. Applicant's mailing address: 18737 US Hwy. 17 North City: Hampstead State: NC Zip: 28443- 5. Applicant's contact information: Phone number: (910) 270-1477 Fax Number (_) Email Address: pastor@asccnc.org 6. Representative's name: 7. Representative's title: 8. Representative's contact information M. PERMIT INFORMATION: Phone number: (_) Email Address: Fax Number (_) 1. Existing permit number: W00040239 and most recent issuance date: March 12, 2019 2. Reason for the permit application: Change of Ownership If other, attach detailed explanation 3. Has the facility been constructed? ❑ Yes or ❑ No 4. Has the facility been certified per 15A NCAC 02T .01 16? ❑ Yes or ❑ No FORM: PNOCF 0 1- 16 Page 1 of 2 e` IV. CERTIFICATIONS: Existing Permittee's Certification per 15A NCAC 02T.0106(b): I, Luis Rafael Zarama, Bishop attest that this application (Signature Authority's name & title from Application Item I.2 & 3) has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that prior to reissuance of the permit into the Applicant's name, I will continue to be responsible for compliance with the current permit and any discharge of wastewater from this system to surface waters or the land may result in an enforcement action that may include civil penalties, injunctive relief, and/or criminal prosecution. I will also make no claim against the Division of Water Resources should a condition of the existing permit be violated. I also understand that if all required parts of this application are note completed and that if all required supporting information and attachments are not included, this application will be returned to me as incomplete. NOTE — In accordance with General Statutes 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 penaU es up to $25.000 per violation. Signature: Applicant's Certification per 15A NCAC 02T .0106(b): Date: f%- fl • ,�d�B� I, Monsignor Joseph K. Ntuwa attest that this application (Signature Authority's name & title from Application Item II.2&3.) has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that after issuance of the permit into the Applicant's name, I will be responsible for compliance with the issued permit and any discharge of wastewater from this non - discharge system to surface waters or the land may result in an enforcement action that may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Resources should a condition of this permit be violated. I also 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 to me as incomplete. NOTE — In accordance with General Statutes 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 pena ies up to $25,000 per violation. Signature: Date: 7 //2 12 02.3 FORM: PNOCF 01-16 Page 2 of 2 DW RECEIVED Ru JUL i 7 2023 Division of Water Resources State of North Carolina Department of Environmental Quality Division of Water Resources SEWER SYSTEM PERMIT OWNERSHIP/NAME CHANGE INSTRUCTIONS FOR FORM: PNOCF 01-16 This form is for ownWa ARD a,.s`kwer system permit. Please note that "Permittee" references the existing permit holder, and that "Applicant" references the entity applying for the ownership/name change. Sewer permits start with a WQ or WQCS and contain the terms sewer extension or collection system in the subject field. This form should not be used for permits with NC, NCG, SW or other types of non -sewer permits beginning with WQ. For more information, visit the Division's Water Quality Permitting's websire: A. Sewer System Permit Ownership/Name Change (FORM: PNOCF 01-16) Application (All Applications): ® Submit an original completed and appropriately executed application (PNOCF 01-16). ® The Existing Permittee's Certification shall be signed in accordance with 15A NCAC 02T .0106(b). Per 15A NCAC 02T .0106(c), an alternate person may be designated as the signing official if a delegation letter is provided from a person who meets the criteria in 15A NCAC 02T 0106(h). ® The Applicant's Certification shall be signed in accordance with 15A NCAC 02T .0106(h). Per 15A NCAC 02T .0106(c), an alternate person may be designated as the signing official if a delegation letter is provided from a person who meets the criteria in 15A NCAC 02T .0106(b). B. Existing Permit (All Applications): ® Submit a copy of the most recently issued permit and certification. C. Property Ownership Documentation (All Applications): ➢ The Applicant shall demonstrate they are the owner of all property containing the sewer system facilities: ® Legal documentation of ownership (i.e., GIS, deed, article of incorporation, or contract), or ❑ Written notarized intent to purchase agreement signed by both parties with a plat or survey map, or ❑ Approved board minutes D. Certificate of Public Convenience and Necessity (All Applications where the Applicant is a Privately -Owned Public Utility): ❑ Per 15A NCAC 02T .01 15(a)( I ), provide one copy of the Certificate of Public Convenience and Necessity from the North Carolina Utilities Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served by the non -discharge system. E. Operational Agreements (Applications where the Applicant is a Home/Property Owners' Association or Developer of lots to be sold): ➢ Home/Property Owners' Associations ❑ Per 15A NCAC 02T .01 15(c), submit an original properly executed Oneration;il ❑ Per 15A NCAC 021-.01 15(c), submit an original proposed or approved Articles of Incorporation, Declarations and By- laws that contain the language required by the Operational Agreement. ➢ Developers of lots to be sold ❑ Per 15A NCAC 02T .0I 15(h), submit an original of the properly executed Operational Agreement (FORM: DEV ). F. Package Submitted in Duplicate ® Submit a copy of all required documents in Instructions A-E as required THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION SHALL BE SUBMITTED IN DUPLICATE TO: NCDEQ - DWR Water Quality Permitting Section PERCS Unit By U.S. Postal Service: By Courier/Special Delivery: 1617 MAIL SERVICE CENTER 12 N. SA LISBURY ST. RALEIGH, NORTH CAROLINA 27699-1636 SUI'm 925 RALEIGH, NORTH CAROLINA 27604 TELEPHONE NUMBER: (919) 807-6300 INSTRUCTIONS FOR APPLICATION PNOCF 0 1- 16 Page I of 1 DW ,,R Division of Water Resources I. EXISTING PERMITTEE INFORMATION: State of North Carolina Department of Environmental Quality Division of Water Resources SEWER SYSTEM PERMIT OWNERSHIP/NAME CHANGE INSTRUCTIONS FOR FORM: PNOCF 01-16 1. Permittee's name: Diocese of Raleigh and Catholic Schools 2. Signature authority's name: Luis Rafael Zarama per 15A NCAC 02T .0106(b) 3. Signature authority's title: Bishop 4. Permittee's mailing address: 7200 Stonehenge Drive City: Raleigh State: NC Zip: 27613- 5. Permittee's contact information: Phone number: (919)128-7125 Fax Number (_) _- Email Address: michael.wengenroth@raldioc.org II. APPLICANT INFORMATION: 1. Applicant's name: All Saints Catholic Parish of Hampstead 2. Signature authority's name: Monsignor Joseph K. Ntuwa per 15A NCAC 02T .0106(b) 3. Signature authority's title: Pastor 4. Applicant's mailing address: 18737 US Hwy. 17 North City: Hampstead State: NC Zip: 28443- 5. Applicant's contact information: Phone number: (9j0) 270-1477 Email Address: pastor@asccnc.org 6. Representative's name: 7. Representative's title: 8. Representative's contact information Phone number: (_) Email Address: III. PERMIT INFORMATION: Fax Number (__) _- Fax Number O _ 1. Existing permit number: W00040239 and most recent issuance date: March 12, 2019 2. Reason for the permit application: Change of Ownership If other, attach detailed explanation 3. Has the facility been constructed? ❑ Yes or ❑ No 4. Has the facility been certified per 15A NCAC 02T .01 16? ❑ Yes or ❑ No FORM: PNOCF 01-16 Page 1 of 2 IV. CERTIFICATIONS: Existing Permittee's Certification per 15A NCAC 02T .0106(b): I, Luis Rafael Zarama. Bishop attest that this application (Signature Authority's name & title from Application Item I.2 & 3) has'been reviewed by me and is accurate and complete to the best of my knowledge. I understand that prior to reissuance of the permit into the Applicant's name, I will continue to be responsible for compliance with the current permit and any discharge of wastewater from this system to surface waters or the land may result in an enforcement action that may include civil penalties, injunctive relief, and/or criminal prosecution. I will also make no claim against the Division of Water Resources should a condition of the existing permit be violated. I also understand that if all required parts of this application are note completed and that if all required supporting information and attachments are not included, this application will be returned to me as incomplete. NOTE — In accordance with General Statutes 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 pgAes up tqJ2JQ.00 per violation. Signature:LOA Applicant's Certification per 15A NCAC 02T .0106(b): Date: I, Monsienor Joseph K. Ntuwa attest that this application (Signature Authority's name & title from Application Item II.2&3.) has been reviewed by me and is accurate and complete to the best of my knowledge. 1 understand that after issuance of the permit into the Applicant's name, I will be responsible for compliance with the issued permit and any discharge of wastewater from this non - discharge system to surface waters or the land may result in an enforcement action that may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Resources should a condition of this permit be violated. I also 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 to me as incomplete. NOTE — In accordance with General Statutes 143-215.6A and 143-215.613, 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 civ't pens ies up to $25,000 per violation. Signature: Date: a % //r2 /? 023 FORM: PNOCF 0 1- 16 Page 2 of DocuSign Envelope ID: AEDB350E-88BO-4685-8490-ACD9C7DE7D44 ROY COOPER zs 41�'1 C MICHAEL S. REGAN LINDA CULPEPPER NORTH CAROLINAEnWronmentalQua&y fnWronmental Quay D : r,: ; ': March 12, 2019 RECEIVED Father Louis Rafael Zarama, Bishop JUL 7 2023 Diocese of Raleigh and Catholic Schools 7200 Stonehenge Drive Raleigh, NC 27613 NCDEQ/DWR/NPDES Subject: Permit No. WQ0040239 Diocese of Raleigh and Catholic Schools All Saints Catholic Church Private Sewer & Pump Station Wastewater Collection System Extension Pender County Dear Father Zarama: In accordance with your original application received August 17, 2018, additional information received October 8th and January 11, 2019, flow reduction variance granted February 121h, and revised application received on March 11th, we are forwarding herewith Permit No. WQ0040239 dated March 12, 2019 to the Diocese of Raleigh and Catholic Schools (Permittee) for the construction and operation upon certification of the subject wastewater collection system extension. This permit shall be effective from the date of issuance until rescinded and shall be subject to the conditions and limitations as specified therein. This cover letter shall be considered a part of this permit and is therefore incorporated therein by reference. Please pay particular attention to the following conditions contained within this permit: Special Conditions: Condition 1.1: Pursuant to your request received August 27, 2018 and additional information received October 8th and January 11, 2019, a flow reduction of 2 gpd/seat is approved for the existing facility. [15A NCAC 02T .0105(n)] Condition 1.2: No flow in excess of the quantity or number & type of connections permitted herein shall be made tributary to the subject sewer system until an application for permit modification has been submitted to and approved by the Division. [15A NCAC 02T.0304(b)] Condition 1.3: This permit shall become voidable unless the agreement between the Diocese of Raleigh and Catholic Schools and the Pluris Hampstead LLC for the collection and final treatment of wastewater is in full force and effect. [1SA NCAC 02T.0304(h)] D E Division of Water Resources — Wilmington Regional Office 127 Cardinal Drive Extension, Wilmington, North Carolina 28405 Phone: 910-796-7215\ Internet: y , r) , DocuSign Envelope ID: AEDB350E-88B0-4685-8490-ACD9C7DE7D44 Condition 1.4: Each pump station shall be clearly and conspicuously posted using a weatherproof sign with the address, a pump station identifying name/number, 24-Hour Emergency telephone number, and name of the owner/operator of the sewer system/pump station and instructions to call the number in the event of alarm activation or other emergency. Simplex pump stations or vacuum sewer pits serving a single-family residence may have a placard or sticker without the address placed on the control panel in lieu of a sign. [15A NCAC 02T .0305(h)(2)] Condition 1.5: The abandonment of any existing wastewater facilities including septic systems being replaced by new sewer infrastructure shall be done in accordance with the applicable agency having compliance oversight on such facilities. [15A NCAC 02T.0105(c)(6)] Standard Conditions: Condition 11.1: This permit shall not be automatically transferable; a request must be made and approved. Condition 11.4: Requires that the wastewater collection facilities be properly operated and maintained in accordance with 15A NCAC 2T .0403 or any individual system -wide collection system permit issued to the Permittee. Condition 11.7: Upon completion of construction and prior to operation of these permitted facilities, the completed Engineering Certification form with checklist attached to this permit shall be submitted with the required supporting documents to the address provided on the form. Permit modifications are required for any changes resulting in non-compliance with this permit, regulations, or the Minimum Design Criteria. [15A NCAC 02T.01161 Condition 11.13: If the Permittee/Applicant holds a system -side collection system operation, maintenance and management permit (WQCS-prefix) from the Division, then the following applies: For all newly constructed, modified and rehabilitated pump stations, all equipment and components shall be sealed within a corrosion -resistant coating or encasement to the extent practicable and equivalent to the minimum design criteria unless the permittee can demonstrate it is not practicable or another form of corrosion resistance is employed. [15A NCAC 02T .0108 (b)] It shall be responsibility of the Permittee to ensure that the as -constructed project meets the appropriate design criteria and rules. Failure to comply may result in penalties in accordance with North Carolina General Statute §143-215.6A through §143-215.6C, construction of additional or replacement wastewater collection facilities, and/or referral of the North Carolina -licensed Professional Engineer to the licensing board. If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to request an adjudicatory hearing upon written request within 30 days following receipt of this permit. This request must be in the form of a written petition, conforming to Chapter 150E of North Carolina General Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and binding. Permit No. W00040239 March 12, 2019 Page 2 of 11 DocuSign Envelope ID: AEDB350E-88BO-4685-8490-ACD9C7DE7D44 If you need additional information concerning this matter, please contact Dean Hunkele at (910) 796-7215 or via e-mail at Dean.Hunkele@ncdenr.gov. Sincerely, DocuSigned by: E J 6 0I/�.�� E3ABA14AC7DC434... Morella Sanchez -King, Regional Supervisor Water Quality Regional Operations Section Wilmington Regional Office Division of Water Resources, NCDEQ Cc: Mark Hargrove, Port City Consulting Pluris Hampstead LLC Pender County Environmental Health Upload to Laserfiche (Laserfiche info via email) (Laserfiche info via email) (Laserfiche info via email) Permit No. WQ0040239 March 12, 2019 Page 3 of 11 DocuSign Envelope ID: AEDB350E-88BO-4685-8490-ACD9C7DE7D44 s .%TA4�,. '�4auw'`•`•. En �r�rr:rn iQa�!�"rr In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as amended, and other applicable Laws, Rules, and Regulations, permission is hereby granted to the DIOCESE OF RALEIGH AND CATHOLIC SCHOOLS PENDER COUNTY for the construction and operation upon certification of approximately 292 linear feet of 6-inch gravity sewer; a 31—gallon per minute pump station with duplex pumps, on -site audible and visual high water alarms, telemetry, and a portable generator receptacle with manual transfer switch as well as approximately 1,188 linear feet of 2-inch force main to serve an existing 418-seat church as part of the All Saints Catholic Church Private Sewer & Pump Station project, and the discharge of 836 gallons per day of collected domestic wastewater into the Pluris Hampstead LLC's existing sewerage system, pursuant to the original application received August 17, 2018, additional information received October 81h and January 11, 2019, flow reduction variance granted February 12`h, and revised application received on March 11`hand in conformity with 15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting data subsequently filed and approved by the Department of Environmental Quality and considered a part of this permit. This permit shall be effective from the date of issuance until rescinded and shall be subject to the specified conditions and limitations contained therein. Permit Number: WQ0040239 Issued Today: March 12, 2019 EDocuSigned by Ste, 64 E3ABA14AC7DC434_. Morella Sanchez -King, Regional Supervisor Wilmington Regional Office Water Quality Regional Operations Section Division of Water Resources, NCDEQ By Authority of the Director and The Environmental Management Commission Permit No. WQ0040239 March 12, 2019 Page 4 of 11 DocuSign Envelope ID: AEDB350E-88BO-4685-8490-ACD9C7DE7D44 SUPPLEMENT TO PERMIT COVER SHEET DIOCESE OF RALEIGH AND CATHOLIC SCHOOLS is hereby authorized to: Construct, and then operate upon certification the aforementioned wastewater collection extension. The sewage and wastewater collected by this system shall be treated in the Pluris Hampstead Wastewater Treatment Facility in accordance with Permit Number WQ0037287. Permitting of this project does not constitute an acceptance of any part of the project that does not meet 15A NCAC 2T; the Division of Water Resources' (Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as applicable; and the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable, unless specifically mentioned herein. Division approval is based on acceptance of the certification provided by a North Carolina -licensed Professional Engineer in the application. It shall be the Permittee's responsibility to ensure that the as - constructed project meets the appropriate design criteria and rules. Construction and operation is contingent upon compliance with the Standard Conditions and any Special Conditions identified below. I. SPECIAL CONDITIONS 1. Pursuant to your request received August 27, 2018 and additional information received October 8t' and January 11, 2019, a flow reduction of 2 gpd/seat is approved for the existing facility. [15A NCAC 02T .0105(n)] 2. No flow in excess of the quantity or number & type of connections permitted herein shall be made tributary to the subject sewer system until an application for permit modification has been submitted to and approved by the Division. [15A NCAC 02T.0304(b)] 3. This permit shall become voidable unless the agreement between the Diocese of Raleigh and Catholic Schools and the Pluris Hampstead LLC for the collection and final treatment of wastewater is in full force and effect. [15A NCAC 02T.0304(h)] 4. Each pump station shall be clearly and conspicuously posted using a weatherproof sign with the address, a pump station identifying name/number, 24-Hour Emergency telephone number, and name of the owner/operator of the sewer system/pump station and instructions to call the number in the event of alarm activation or other emergency. Simplex pump stations or vacuum sewer pits serving a single-family residence may have a placard or sticker without the address placed on the control panel in lieu of a sign. [15A NCAC 02T .0305(h)(2)] The abandonment of any existing wastewater facilities including septic systems being replaced by new sewer infrastructure shall be done in accordance with the applicable agency having compliance oversight on such facilities. [15A NCAC 02T.0105(c)(6)] Permit No. WQ0040239 March 12, 2019 Page 5 of 11 DocuSign Envelope ID: AEDB350E-88BO-4685-8490-ACD9C7DE7D44 II. STANDARD CONDITIONS 1. This permit shall not be transferable. In the event there is a desire for the wastewater collection facilities to change ownership, or there is a name change of the Permittee, a formal permit request shall be submitted to the Division accompanied by documentation from the parties involved, and other supporting materials as may be appropriate. The approval of this request shall be considered on its merits and may or may not be approved. [15A NCAC 02T.0104; G.S 143-215.1(d3)] 2. This permit shall become voidable unless the wastewater collection facilities are constructed in accordance with the conditions of this permit; 15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting materials unless specifically mentioned herein. [15A NCAC 02T.0110] 3. This permit shall be effective only with respect to the nature and volume of wastes described in the application and other supporting data. [15A NCAC 02T .0110] 4. The wastewater collection facilities shall be properly maintained and operated at all times. The Permittee shall maintain compliance with an individual system -wide collection system permit for the operation and maintenance of these facilities as required by 15A NCAC 2T .0403. If an individual permit is not required, the following performance criteria shall be met: [15A NCAC 02T .0108(b)] The sewer system shall be effectively maintained and operated at all times to prevent discharge to land or surface waters, and to prevent any contravention of groundwater standards or surface water standards. b. A map of the sewer system shall be developed and shall be actively maintained. c. An operation and maintenance plan including pump station inspection frequency, preventative maintenance schedule, spare parts inventory and overflow response has been developed and implemented. d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e. 365 days per year). Pump stations that are connected to a telemetry system shall be inspected at least once per week. e. High -priority sewer lines shall be inspected at least once per every six -months and inspections are documented. f. A general observation of the entire sewer system shall be conducted at least once per year. g. Overflows and bypasses shall be reported to the appropriate Division regional office in accordance with 15A NCAC 2B .0506(a), and public notice shall be provided as required by North Carolina General Statute §143-215.1C. h. A Grease Control Program is in place as follows: For public owned collection systems, the Grease Control Program shall include at least biannual distribution of educational materials for both commercial and residential users and the legal means to require grease interceptors at existing establishments. The plan shall also include legal means for inspections of the grease interceptors, enforcement for violators and the legal means to control grease entering the system from other public and private satellite sewer systems. Permit No. WQ0040239 March 12, 2019 Page 6 of 11 DocuSign Envelope ID: AEDB350E-88BO-4685-8490-ACD9C7DE7D44 2. For privately owned collection systems, the Grease Control Program shall include at least bi- annual distribution of grease education materials to users of the collection system by the permittee or its representative. 3. Grease education materials shall be distributed more often than required in Parts (1) and (2) of this Subparagraph if necessary to prevent grease -related sanitary sewer overflows. Right-of-ways and easements shall be maintained in the full easement width for personnel and equipment accessibility. j. Documentation shall be kept for Subparagraphs (a) through (i) of this Rule for a minimum of three years with exception of the map, which shall be maintained for the life of the system. 5. Noncompliance Notification: The Permittee shall report by telephone to a water resources staff member at the Wilmington Regional Office, telephone number (910) 796-7215, as soon as possible, but in no case more than 24 hours or on the next working day, following the occurrence or first knowledge of the occurrence of either of the following: Any process unit failure, due to known or unknown reasons, that renders the facility incapable of adequate wastewater transport, such as mechanical or electrical failures of pumps, line blockage or breakage, etc.; or b. Any SSO and/or spill over 1,000 gallons; or c. Any SSO and/or spill, regardless of volume, that reaches surface water Voice mail messages or faxed information is permissible, but this shall not be considered as the initial verbal report. Overflows and spills occurring outside normal business hours may also be reported to the Division of Emergency Management at telephone number (800) 858-0368 or (919) 733-3300. Persons reporting any of the above occurrences shall file a spill report by completing and submitting Part I of Form CS-SSO (or the most current Division approved form) within five days following first knowledge of the occurrence. This report must outline the actions taken or proposed to be taken to ensure that the problem does not recur. Part II of Form CS-SSO (or the most current Division approved form) can also be completed to show that the SSO was beyond control. [G.S. 143-215.1C(al)] Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to interrupt service by the existing utilities nor result in an overflow or bypass discharge of wastewater to the surface waters of the State. [15A NCAC 02T.0108(b)] Upon completion of construction and prior to operation of these permitted facilities, the completed Engineering Certification form with checklist attached to this permit shall be submitted with the required supporting documents to the address provided on the form. A complete certification is one where the form is fully executed and the supporting documents are provided as applicable. Any wastewater flow made tributary to the wastewater collection system extension prior to completion of this Engineer's Certification shall be considered a violation of the permit and shall subject the Permittee to appropriate enforcement actions. If the permit is issued to a private entity with an Operational Agreement, then a copy of the Articles of Incorporation, Declarations/Covenants/Restrictions, and Bylaws that have been appropriately filed with the applicable County's Register of Deeds office shall be submitted with the certification. Permit No. WQ0040239 March 12, 2019 Page 7 of 11 DocuSign Envelope ID: AEDB350E-88B0-4685-8490-ACD9C7DE7D44 A complete certification is one where the form is fully executed and the supporting documents are provided as applicable. Supporting documentation shall include the following: a. One copy of the project construction record drawings (plan & profile views of sewer lines & force mains) of the wastewater collection system extension. Final record drawings should be clear on the plans or in accepted electronic format and are defined as the design drawings that are marked up or annotated with after construction information and show required buffers, separation distances, material changes, etc. b. One copy of the supporting applicable design calculations including pipe and pump sizing, velocity, pump cycle times, and level control settings, pump station buoyancy, wet well storage, surge protection, detention time in the wet well, and force main, ability to flush low points in force mains with a pump cycle, and downstream sewer capacity analysis. If a portable power source or pump is dedicated to multiple stations, an evaluation of all the pump stations' storage capacities and the rotation schedule of the portable power source or pump, include travel timeframes, shall be provided. c. Changes to the project that do not result in non-compliance with this permit, regulations, or the Minimum Design Criteria should be clearly identified on the record drawings, on the certification in the space provided, or in written summary form. Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting in non-compliance with this permit (including pipe length increases of 10% or greater, increased flow, pump station design capacity design increases of 5% or greater, and increases in the number/type of connections), regulations, or the Minimum Design Criteria. Requested modifications or variances to the Minimum Design Criteria will be reviewed on a case -by -case basis and each on its own merit. Please note that variances to the Minimum Design Criteria should be requested and approved during the permitting process prior to construction. After -construction requests are discouraged by the Division and may not be approved, thus requiring replacement or repair prior to certification & activation. [15A NCAC 02T .0116] 8. Gravity sewers installed greater than ten percent below the minimum required slope per the Division's Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be certified until corrected. If there is an unforeseen obstacle in the field where all viable solutions have been examined, a slope variance can be requested from the Division with firm supporting documentation. This shall be done through a permit modification with fee. Such variance requests will be evaluated on a case -by -case basis. Resolution of such request shall be evident prior to completing and submitting the construction certification. [ 15A NCAC 02T.0105(n)] 9. A copy of the construction record drawings shall be maintained on file by the Permittee for the life of the wastewater collection facilities. [15A NCAC 02T .0116] 10. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2T; the Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Station and Force Mains adopted June 1, 2000 as applicable; and other supporting materials may subject the Permittee to an enforcement action by the Division, in accordance with North Carolina General Statutes §143-215.6A through §143-215.6C, construction of additional or replacement wastewater collection facilities, and/or referral of the North Carolina -licensed Professional Engineer to the licensing board. [15A NCAC 02T .0104; 15A NCAC 02T .0108(b-c)] Permit No. WQ0040239 March 12, 2019 Page 8 of 11 DocuSign Envelope ID: AEDB350E-88BO-4685-8490-ACD9C7DE7D44 11. In the event that the wastewater collection facilities fail to perform satisfactorily, including the creation of nuisance conditions, the Permittee shall take immediate corrective action, including those as may be required by this Division, such as the construction of additional or replacement facilities. [15A NCAC 02T .0110; 15A NCAC 02T .0108(b)] 12. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes, rules, regulations, or ordinances that may be imposed by the Division any other Federal, State, or Local government agencies which have jurisdiction or obtaining other permits which may be required by the Division or any other Federal, State, of Local government agencies. [G.S. 143-215.1(b)] 13. If the Permittee/Applicant holds a system -side collection system operation, maintenance and management permit (WQCS-prefix) from the Division, then the following applies: For all newly constructed, modified and rehabilitated pump stations, all equipment and components shall be sealed within a corrosion -resistant coating or encasement to the extent practicable and equivalent to the minimum design criteria unless the permittee can demonstrate it is not practicable or another form of corrosion resistance is employed. [1SA NCAC 02T .0108 (b)] Permit No. WQ0040239 March 12, 2019 Page 9 of 11 DoruSign Envelope ID: AEDB350E-88B0-4685-8490-ACD9C7DE7D44 ROY COOPER r Govemur t. MICHAEL S. REGAN Secretary �a.w LINDA CULPEPPER NORTH Environmtntai (Natty Director March 12, 2019 Father Louis Rafael Zarama, Bishop Diocese of Raleigh and Catholic Schools 7200 Stonehenge Drive Raleigh, NC 27613 RECEIVED JUl, i 7 �Ll Subject: Permit No. WQ0040239 �ICDEQ/D11VR/NPDES Diocese of Raleigh and Catholic Schools All Saints Catholic Church Private Sewer & Pump Station Wastewater Collection System Extension Pender County Dear Father Zarama: In accordance with your original application received August 17, 2018, additional information received October 82h and January 11, 2019, flow reduction variance granted February 12th, and revised application received on March 11th, we are forwarding herewith Permit No. WQ0040239 dated March 12, 2019 to the Diocese of Raleigh and Catholic Schools (Permittee) for the construction and operation upon certification of the subject wastewater collection system extension. This permit shall be effective from the date of issuance until rescinded and shall be subject to the conditions and limitations as specified therein. This cover letter shall be considered a part of this permit and is therefore incorporated therein by reference. Please pay particular attention to the following conditions contained within this permit: Special Conditions: Condition 1.1: Pursuant to your request received August 27, 2018 and additional information received October 8th and January 11, 2019, a flow reduction of 2 gpd/seat is approved for the existing facility. [15A NCAC 02T .0105(n)] Condition 1.2: No flow in excess of the quantity or number & type of connections permitted herein shall be made tributary to the subject sewer system until an application for permit modification has been submitted to and approved by the Division. [1SA NCAC 02T.0304(b)] Condition 1.3: This permit shall become voidable unless the agreement between the Diocese of Raleigh and Catholic Schools and the Pluris Hampstead LLC for the collection and final treatment of wastewater is in full force and effect. [15A NCAC 02T.0304(h)] Division of Water Resources — Wilmington Regional Office 127 Cardinal Drive Extension, Wilmington, North Carolina 28405 Phone: 910-796-7215\ Internet: wvwrvde .nc. ov Do,uSign Envelope ID: AEDB350E-88BO-4685-8490-ACD9C7DE7D44 Condition 1.4: Each pump station shall be clearly and conspicuously posted using a weatherproof sign with the address, a pump station identifying name/number, 24-Hour Emergency telephone number, and name of the owner/operator of the sewer system/pump station and instructions to call the number in the event of alarm activation or other emergency. Simplex pump stations or vacuum sewer pits serving a single-family residence may have a placard or sticker without the address placed on the control panel in lieu of a sign. [15A NCAC 02T .0305(h)(2)] Condition 1.5: The abandonment of any existing wastewater facilities including septic systems being replaced by new sewer infrastructure shall be done in accordance with the applicable agency having compliance oversight on such facilities. [15A NCAC 02T.0105(c)(6)] Standard Conditions: Condition IIA: This permit shall not be automatically transferable; a request must be made and approved. Condition 11.4: Requires that the wastewater collection facilities be properly operated and maintained in accordance with 15A NCAC 2T .0403 or any individual system -wide collection system permit issued to the Permittee. Condition 11.7: Upon completion of construction and prior to operation of these permitted facilities, the completed Engineering Certification form with checklist attached to this permit shall be submitted with the required supporting documents to the address provided on the form. Permit modifications are required for any changes resulting in non-compliance with this permit, regulations, or the Minimum Design Criteria. [15A NCAC 02T.01161 Condition 11.13: If the Permittee/Applicant holds a system -side collection system operation, maintenance and management permit (WQCS-prefix) from the Division, then the following applies: For all newly constructed, modified and rehabilitated pump stations, all equipment and components shall be sealed within a corrosion -resistant coating or encasement to the extent practicable and equivalent to the minimum design criteria unless the permittee can demonstrate it is not practicable or another form of corrosion resistance is employed. [15A NCAC 02T .0108 (b)] It shall be responsibility of the Permittee to ensure that the as -constructed project meets the appropriate design criteria and rules. Failure to comply may result in penalties in accordance with North Carolina General Statute §143-215.6A through §143-215.6C, construction of additional or replacement wastewater collection facilities, and/or referral of the North Carolina -licensed Professional Engineer to the licensing board. If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to request an adjudicatory hearing upon written request within 30 days following receipt of this permit. This request must be in the form of a written petition, conforming to Chapter 150B of North Carolina General Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and binding. Permit No. WQ0040239 March 12, 2019 Page 2 of 11 DocuSign Envelope ID: AEDB350E-88BO-4685-8490-ACD9C7DE7D44 If you need additional information concerning this matter, please contact Dean Hunkele at (910) 796-7215 or via e-mail at Dean.Hunkele@ncdenr.gov. Sincerely, DocuSigoed by: Ste, 6" E3ABA�4AC7DC434... Morella Sanchez -King, Regional Supervisor Water Quality Regional Operations Section Wilmington Regional Office Division of Water Resources, NCDEQ Cc: Mark Hargrove, Port City Consulting Pluris Hampstead LLC Pender County Environmental Health Upload to Laserfiche (Laserfiche info via email) (Laserfiche info via email) (Laserfiche info via email) Permit No. WQ0040239 March 12, 2019 Page 3 of 11 DoruSign Envelope ID: AEDB350E-88BO-4685-8490-ACD9C7DE7D44 F NORTH CAROZINA EnVhVMWntal Quality In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as amended, and other applicable Laws, Rules, and Regulations, permission is hereby granted to the DIOCESE OF RALEIGH AND CATHOLIC SCHOOLS PENDER COUNTY for the construction and operation upon certification of approximately 292 linear feet of 6-inch gravity sewer; a 31—gallon per minute pump station with duplex pumps, on -site audible and visual high water alarms, telemetry, and a portable generator receptacle with manual transfer switch as well as approximately 1,188 linear feet of 2-inch force main to serve an existing 418-seat church as part of the All Saints Catholic Church Private Sewer & Pump Station project, and the discharge of 836 gallons per day of collected domestic wastewater into the Pluris Hampstead LLC's existing sewerage system, pursuant to the original application received August 17, 2018, additional information received October 81h and January 11, 2019, flow reduction variance granted February 12`h, and revised application received on March 11`h and in conformity with 15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting data subsequently filed and approved by the Department of Environmental Quality and considered a part of this permit. This permit shall be effective from the date of issuance until rescinded and shall be subject to the specified conditions and limitations contained therein. Permit Number: WQ0040239 Issued Today: March 12, 2019 EwDocuSigned by: ►� Ste, 6" E3ABA14AC7DC434.. Morella Sanchez -King, Regional Supervisor Wilmington Regional Office Water Quality Regional Operations Section Division of Water Resources, NCDEQ By Authority of the Director and The Environmental Management Commission Permit No. W00040239 March 12, 2019 Page 4 of 11 Do;uSign Envelope ID: AEDB350E-88BO-4685-8490-ACD9C7DE7D44 SUPPLEMENT TO PERMIT COVER SHEET DIOCESE OF RALEIGH AND CATHOLIC SCHOOLS is hereby authorized to: Construct, and then operate upon certification the aforementioned wastewater collection extension. The sewage and wastewater collected by this system shall be treated in the Pluris Hampstead Wastewater Treatment Facility in accordance with Permit Number WQ0037287. Permitting of this project does not constitute an acceptance of any part of the project that does not meet 15A NCAC 2T; the Division of Water Resources' (Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as applicable; and the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable, unless specifically mentioned herein. Division approval is based on acceptance of the certification provided by a North Carolina -licensed Professional Engineer in the application. It shall be the Permittee's responsibility to ensure that the as - constructed project meets the appropriate design criteria and rules. Construction and operation is contingent upon compliance with the Standard Conditions and any Special Conditions identified below. I. SPECIAL CONDITIONS 1. Pursuant to your request received August 27, 2018 and additional information received October 8`h and January 11, 2019, a flow reduction of 2 gpd/seat is approved for the existing facility. [15A NCAC 02T .0105(n)] 2. No flow in excess of the quantity or number & type of connections permitted herein shall be made tributary to the subject sewer system until an application for permit modification has been submitted to and approved by the Division. [15A NCAC 02T.0304(b)] 3. This permit shall become voidable unless the agreement between the Diocese of Raleigh and Catholic Schools and the Pluris Hampstead LLC for the collection and final treatment of wastewater is in full force and effect. [15A NCAC 02T.0304(h)] 4. Each pump station shall be clearly and conspicuously posted using a weatherproof sign with the address, a pump station identifying name/number, 24-Hour Emergency telephone number, and name of the owner/operator of the sewer system/pump station and instructions to call the number in the event of alarm activation or other emergency. Simplex pump stations or vacuum sewer pits serving a single-family residence may have a placard or sticker without the address placed on the control panel in lieu of a sign. [15A NCAC 02T .0305(h)(2)] 5. The abandonment of any existing wastewater facilities including septic systems being replaced by new sewer infrastructure shall be done in accordance with the applicable agency having compliance oversight on such facilities. [15A NCAC 02T.0105(c)(6)] Permit No. WQ0040239 March 12, 2019 Page 5 of 11 DoGuSign Envelope ID: AEDB350E-88BO-4685-8490-ACD9C7DE7D44 II. STANDARD CONDITIONS 1. This permit shall not be transferable. In the event there is a desire for the wastewater collection facilities to change ownership, or there is a name change of the Permittee, a formal permit request shall be submitted to the Division accompanied by documentation from the parties involved, and other supporting materials as may be appropriate. The approval of this request shall be considered on its merits and may or may not be approved. [15A NCAC 02T.0104; G.S 143-215.1(d3)] 2. This permit shall become voidable unless the wastewater collection facilities are constructed in accordance with the conditions of this permit; 15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting materials unless specifically mentioned herein. [15A NCAC 02T.0110] 3. This permit shall be effective only with respect to the nature and volume of wastes described in the application and other supporting data. [15A NCAC 02T .0110] 4. The wastewater collection facilities shall be properly maintained and operated at all times. The Permittee shall maintain compliance with an individual system -wide collection system permit for the operation and maintenance of these facilities as required by 15A NCAC 2T .0403. If an individual permit is not required, the following performance criteria shall be met: [15A NCAC 02T .0108(b)] a. The sewer system shall be effectively maintained and operated at all times to prevent discharge to land or surface waters, and to prevent any contravention of groundwater standards or surface water standards. b. A map of the sewer system shall be developed and shall be actively maintained. c. An operation and maintenance plan including pump station inspection frequency, preventative maintenance schedule, spare parts inventory and overflow response has been developed and implemented. d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e. 365 days per year). Pump stations that are connected to a telemetry system shall be inspected at least once per week. e. High -priority sewer lines shall be inspected at least once per every six -months and inspections are documented. f. A general observation of the entire sewer system shall be conducted at least once per year. g. Overflows and bypasses shall be reported to the appropriate Division regional office in accordance with 15A NCAC 2B .0506(a), and public notice shall be provided as required by North Carolina General Statute §143-215.1C. h. A Grease Control Program is in place as follows: 1. For public owned collection systems, the Grease Control Program shall include at least biannual distribution of educational materials for both commercial and residential users and the legal means to require grease interceptors at existing establishments. The plan shall also include legal means for inspections of the grease interceptors, enforcement for violators and the legal means to control grease entering the system from other public and private satellite sewer systems. Permit No. W00040239 March 12, 2019 Page 6 of 11 Dor,uSign Envelope ID: AEDB350E-88BO-4685-8490-ACD9C7DE7D44 2. For privately owned collection systems, the Grease Control Program shall include at least bi- annual distribution of grease education materials to users of the collection system by the permittee or its representative. 3. Grease education materials shall be distributed more often than required in Parts (1) and (2) of this Subparagraph if necessary to prevent grease -related sanitary sewer overflows. Right-of-ways and easements shall be maintained in the full easement width for personnel and equipment accessibility. j. Documentation shall be kept for Subparagraphs (a) through (i) of this Rule for a minimum of three years with exception of the map, which shall be maintained for the life of the system. 5. Noncompliance Notification: The Permittee shall report by telephone to a water resources staff member at the Wilmington Regional Office, telephone number (910) 796-7215, as soon as possible, but in no case more than 24 hours or on the next working day, following the occurrence or first knowledge of the occurrence of either of the following: Any process unit failure, due to known or unknown reasons, that renders the facility incapable of adequate wastewater transport, such as mechanical or electrical failures of pumps, line blockage or breakage, etc.; or b. Any SSO and/or spillover 1,000 gallons; or c. Any SSO and/or spill, regardless of volume, that reaches surface water Voice mail messages or faxed information is permissible, but this shall not be considered as the initial verbal report. Overflows and spills occurring outside normal business hours may also be reported to the Division of Emergency Management at telephone number (800) 858-0368 or (919) 733-3300. Persons reporting any of the above occurrences shall file a spill report by completing and submitting Part I of Form CS-SSO (or the most current Division approved form) within five days following first knowledge of the occurrence. This report must outline the actions taken or proposed to be taken to ensure that the problem does not recur. Part II of Form CS-SSO (or the most current Division approved form) can also be completed to show that the SSO was beyond control. [G.S. 143-215.1C(al)] 6. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to interrupt service by the existing utilities nor result in an overflow or bypass discharge of wastewater to the surface waters of the State. [15A NCAC 02T.0108(b)] Upon completion of construction and prior to operation of these permitted facilities, the completed Engineering Certification form with checklist attached to this permit shall be submitted with the required supporting documents to the address provided on the form. A complete certification is one where the form is fully executed and the supporting documents are provided as applicable. Any wastewater flow made tributary to the wastewater collection system extension prior to completion of this Engineer's Certification shall be considered a violation of the permit and shall subject the Permittee to appropriate enforcement actions. If the permit is issued to a private entity with an Operational Agreement, then a copy of the Articles of Incorporation, Declarations/Covenants/Restrictions, and Bylaws that have been appropriately filed with the applicable County's Register of Deeds office shall be submitted with the certification. Permit No. WQ0040239 March 12, 2019 Page 7 of 11 DgcuSign Envelope ID: AEDB350E-88BO-4685-8490-ACD9C7DE7D44 A complete certification is one where the form is fully executed and the supporting documents are provided as applicable. Supporting documentation shall include the following: a. One copy of the project construction record drawings (plan & profile views of sewer lines & force mains) of the wastewater collection system extension. Final record drawings should be clear on the plans or in accepted electronic format and are defined as the design drawings that are marked up or annotated with after construction information and show required buffers, separation distances, material changes, etc. b. One copy of the supporting applicable design calculations including pipe and pump sizing, velocity, pump cycle times, and level control settings, pump station buoyancy, wet well storage, surge protection, detention time in the wet well, and force main, ability to flush low points in force mains with a pump cycle, and downstream sewer capacity analysis. If a portable power source or pump is dedicated to multiple stations, an evaluation of all the pump stations' storage capacities and the rotation schedule of the portable power source or pump, include travel timeframes, shall be provided. c. Changes to the project that do not result in non-compliance with this permit, regulations, or the Minimum Design Criteria should be clearly identified on the record drawings, on the certification in the space provided, or in written summary form. Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting in non-compliance with this permit (including pipe length increases of 10% or greater, increased flow, pump station design capacity design increases of 5% or greater, and increases in the number/type of connections), regulations, or the Minimum Design Criteria. Requested modifications or variances to the Minimum Design Criteria will be reviewed on a case -by -case basis and each on its own merit. Please note that variances to the Minimum Design Criteria should be requested and approved during the permitting process prior to construction. After -construction requests are discouraged by the Division and may not be approved, thus requiring replacement or repair prior to certification & activation. [15A NCAC 02T .0116] 8. Gravity sewers installed greater than ten percent below the minimum required slope per the Division's Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be certified until corrected. If there is an unforeseen obstacle in the field where all viable solutions have been examined, a slope variance can be requested from the Division with firm supporting documentation. This shall be done through a permit modification with fee. Such variance requests will be evaluated on a case -by -case basis. Resolution of such request shall be evident prior to completing and submitting the construction certification. [ 15A NCAC 02T.0105(n)] 9. A copy of the construction record drawings shall be maintained on file by the Permittee for the life of the wastewater collection facilities. [15A NCAC 02T .0116] 10. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2T; the Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Station and Force Mains adopted June 1, 2000 as applicable; and other supporting materials may subject the Permittee to an enforcement action by the Division, in accordance with North Carolina General Statutes §143-215.6A through §143-215.6C, construction of additional or replacement wastewater collection facilities, and/or referral of the North Carolina -licensed Professional Engineer to the licensing board. [15A NCAC 02T .0104; 15A NCAC 02T .0108(b-c)] Permit No. WQ0040239 March 12, 2019 Page 8 of 11 DecuSign Envelope ID: AEDB350E-88BO-4685-8490-ACD9C7DE7D44 11. In the event that the wastewater collection facilities fail to perform satisfactorily, including the creation of nuisance conditions, the Permittee shall take immediate corrective action, including those as may be required by this Division, such as the construction of additional or replacement facilities. [15A NCAC 02T .0110; 15A NCAC 02T .0108(b)] 12. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes, rules, regulations, or ordinances that may be imposed by the Division any other Federal, State, or Local government agencies which have jurisdiction or obtaining other permits which may be required by the Division or any other Federal, State, of Local government agencies. [G.S. 143-215.1(b)] 13. If the Permittee/Applicant holds a system -side collection system operation, maintenance and management permit (WQCS-prefix) from the Division, then the following applies: For all newly constructed, modified and rehabilitated pump stations, all equipment and components shall be sealed within a corrosion -resistant coating or encasement to the extent practicable and equivalent to the minimum design criteria unless the permittee can demonstrate it is not practicable or another form of corrosion resistance is employed. [15A NCAC 02T .0108 (b)] Permit No. WQ0040239 March 12, 2019 Page 9 of 11 *11 BK 4796 PG 2447 - 2450 (4) DOC4 20106932 This Document eRecorded: 08/30/2022 10:51:51 AM Fee: $26.00 DocType: DEED Tax: $0.00 Pender County, North Carolina Sharon Lear Willoughby, Register of Deeds Prepared by and Return to: Real Estate PIN Numbers: Charles F. Powers I11 4245-00-8883-0000,4204-42-0146-0000, Poyner Spruill LLP 4202-28-6532-0000,4245-32-0711-4210 Post Office Box 1801 Raleigh, North Carolina 27602 Revenue Stamps: None NORTH CAROLINA SPECIAL WARRANTY DEED Grantor states that the Property does not include the primary residence of Grantor. 4 NORTH CAROLINA PENDER COUNTY THIS SPECIAL WARRANTY DEED is made this @S day of � , 2022 by LUIS RAFAEL ZARAMA, BISHOP OF THE ROMAN CATHOLIC DIOCE9E OF RALEIGH, NORTH CAROLINA ("Grantor"), with a mailing address of 7200 Stonehenge Drive, Raleigh, North Carolina 27613 to ALL SAINTS CATHOLIC PARISH OF HAMPSTEAD, a North Carolina nonprofit corporation ("Grantee"), with a mailing address of 18737 Highway 17 North, Hampstead, North Carolina 28443. WITNESSETH To ensure that the separate juridic persons of Luis Rafael Zarama, Bishop of the Roman Catholic Diocese of Raleigh, North Carolina (the "Diocese"), and All Saints Catholic Parish of Hampstead and any other entities affiliated with All Saints Catholic Parish of Hampstead (collectively referred to herein as the "Parish"), under the Code of Canon Law of the Roman Catholic Church, are more clearly reflected in their civil law organizational structures, the Parish has separately incorporated as All Saints Catholic Parish of Hampstead, a North Carolina nonprofit corporation (the "Corporation"), under the laws of the State of North Carolina. Pursuant to said described separate incorporation, the Diocese is transferring the real property herein below to the Corporation as a part of the separation between the Diocese and the Parish, whereby the Diocese and Parish become two separate entities under the laws of the State of North Carolina. submitted electronically by "Poyner Spruill LLP" in compliance with North Carolina statutes governing recordable documents and the terms of the submitter agreement with the Pender County Register of Deeds. J BK 4796 PG 2448 DOC# 20106932 For and in consideration of $10.00 cash in hand paid by Grantee to Grantor, and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, Grantor has and by these presents does grant, bargain, sell and convey unto Grantee in fee simple, all those certain lots or parcels of land situated in Pender County, North Carolina, which lots or parcels of land are more particularly described as follows: See Exhibit A attached. The property described was acquired by Grantor's predecessors in office by deeds recorded in Book 302, Page 260, Book 771, Page 155, Book 1517, Page 251 and Book 1776, Page 126, Pender County Registry. (See Affidavit of Succession recorded in Book 4652, Page 1659, Pender County Registry). TO HAVE AND TO HOLD the aforesaid lots or parcels of land and all privileges and appurtenances thereto belonging to Grantee in fee simple. And the Grantor covenants with the Grantee, that Grantor has done nothing to impair such title as Grantor received, and Grantor will warrant and defend the title against the lawful claims of all persons claiming by, under or through Grantor, other than easements and restrictive covenants of record. The designation "Grantor", and "Grantee" as used herein shall include said named parties and their respective heirs, personal representatives, successors and assigns, and shall include the singular, plural, masculine, feminine or neuter as required by context. IN WITNESS WHEREOF, the Grantor has executed this instrument as of the day and year first above written. (SEAL) Luis RafaPI Zarama, is top Oman Catholic Diocese of Raleigh, North Carolina State of North Carolina County of Wake I certify that the following person personally appeared before me this day, and acknowledged to me that he voluntarily signed the foregoing document for the purpose stated therein and in the capacity indicated: Luis Rafael Zarama, Bishop of the Roman Catholic Diocese of Raleigh, North Carolina. Date: (b��_as, JV J, Official Signature of Notary: &W m PCVyln f lij I lal� Notary's Printed or Typed Name ;�,� [I✓i ��r i S rd $, Notary Public My Commission Expires: 8 - 6. oz W Y (Official Sea() $ARA M PARIS EDWARDS Notary Public. North Carolina Wake County My Commission ExPires 1 August05.2024 BK 4796 PG 2449 DOC# 20106932 EXHIBIT A LEGAL DESCRIPTION Being all of those certain tracts or parcels of land situated in Pender County, North Carolina and being more particularly described as follows: Tract One: Pender County PIN Number: 4245-W8883-0000 All of Lot Nos. 10, 11, 12, 13, 23, 24, 25 and 26, Block No. 34, according to the official plan of Subdivision No. 1, of Surf City on Topsail Island, North Carolina, a map of which Subdivision is recorded in Map Book 3, Page 45, in the Office of the Register of Deeds of Pender County, reference to which and the record thereof is hereby specifically made. Tract Two: Pender County PIN Number: 4204-42-0146-0000 BEING ALL of that certain tract or parcel of land shown and designated as "TRACT No. 3; P H LANCO, ` INC.; Portion of Book 633 Page 186; 15.00007 acres" on that certain map entitled "Map of Survey for P H Lanco, Inc." recorded in Map Book 26 at Page l23 in the Office of the Register of deeds of Pender County, North Carolina, to which plat reference is hereby made for a more particular description. SUBJECT TO a sight distance easement hereby reserved over the area shown and designated on said recorded plat as "10' x 70' sight distance easement reserved'; and SUBJECT TO a 10-foot AT&T Co. Cable Easement recorded in Book 719 at Page 225 of said Registry. TOGETHER WITH all right, title and interest of P H Lanco, Inc., a North Carolina corporation in that portion of the right of way of U.S. Highway 17 and N.C. Highway 210 that is lying adjacent to the above described Tract No. 3 and between the projection southeastwardly of the northeastern and southwestern line of the said Tract No. 3. Tract Three: Pender County PIN Number: 4202-28-6532-0000 BEING all of Lot 13, Section 5 of Olde Point Development as the same is shown on a map thereof recorded in Map Book 20 at Page 30 of the Pender County Registry, reference to which is hereby made for a more particular description. BK 4796 PG 2450 DOC# 20106932 IN Tract Four: Cry. Pender County PIN Number: 4245-32-0711-4210 Being all of Unit 421, Phase 3, Surf Condominiums as more particularly described below as follows: BEING A UNIT OWNERSHIP 1N REAL PROPERTY, UNDER AND PURSUANT TO CHAPTER 47 A OF THE NORTH CAROLINA GENERAL STATUTES, ENTITLED "UNIT OWNERSHIP ACT" and being more specifically described as all of Unit 421 of SURF, PHASE 3, a condominium project situated upon real property located within Topsail Township, Pender County, North Carolina, as said real property is described in the "SUPPLEMENTAL DECLARATION TO DECLARATION CREATING UNIT OWNERSHIP OF PROPERTY UNDER THE PROVISIONS OF CHAPTER 47A OF THE GENERAL STATUTES OF THE STATE OF NORTH CAROLINA, referred to hereinbelow; said Unit being more specifically described by reference to and shown upon that set of plans of SURF, PHASE 3, which are recorded as Exhibit "B" to said SUPPLEMENTAL DECLARATION, which is recorded in Book 648, beginning at PAGE 32, in the Office of the Register of Deeds of Pender County, North Carolina, reference to which is hereby made for a more complete description thereof; said plans also being recorded in Condominium Plat Book 1, beginning at Page 10, in said Office; said Unit also being more specifically defined in said SUPPLEMENTAL DECLARATION, together with all appurtenances thereto belonging, including, but not limited to, the undivided interest in the common areas and facili ies of SURF, ALL PHASES, appurtenant to said Unit as the same is established in said SUPPLEMENTAL DECLARATION, or the Supplements thereto; said SUPPLEMENTAL DECLARATION supplements and/or incorporates the provisions of that DECLARATION CREATING UNIT OWNERSHIP OF PROPERTY UNDER THE PROVISIONS OF CHAPTER 47A OF THE GENERAL STATUTES OF THE STATE OF NORTH CAROLINA, which is recorded in Book 639, beginning at Page 260, in said Registry. TOGETHER WITH and SUBJECT TO all rights, privileges, easements, obligations, restrictions, covenants and conditions applicable and appurtenant to said Unit, specifically, and to unit ownership in SURF, in general, as the same are stated in said DECLARATION, and SUPPLEMENTAL DECLARATION, referred to hereinabove; and, further Title to the above described unit is also subject to that certain DECLARATION OF RESTRICTIONS recorded in Book 639, at Page 258, of said Registry, which provides for, inter alia, Grantee's mandatory membership in SURF UTILITIES, INC., a nonprofitNorth Carolina corporation, which owns, operates and maintains that certain facility providing waste water and sewage treatment and disposal services to SURF, as well as other property, and title is hereby conveyed together with and subject to all rights, privileges, easements, obligations, restrictions, covenants and conditions as stated in said Declaration. 4 r 6K 4796 PG 2447 - 2450 (4) DOC# 20106932 This Document eRecorded: 08/30/2022 10:51:51 AM Fee: $26.00 DocType: DEED Tax: $0.00 Pender County, North Carolina Sharon Lear Willoughby, Register of Deeds Prepared by and Return to: Real Estate PIN Numbers: Charles F. Powers III 4245-00-8883-0000,4204-42-0146-0000, Poyner Spruill LLP 4202-28-6532-0000,4245-32-0711-4210 Post Office Box 1801 Raleigh, North Carolina 27602 Revenue Stamps: None NORTH CAROLINA SPECIAL WARRANTY DEED Grantor states that the Property does not include the primary residence of Grantor. NORTH CAROLINA PENDER COUNTY THIS SPECIAL WARRANTY DEED is made this aS day of Ooq � , 2022 by LUIS RAFAEL ZARAMA, BISHOP OF THE ROMAN CATHOLIC DIOCE9E OF RALEIGH, NORTH CAROLINA ("Grantor"), with a mailing address of 7200 Stonehenge Drive, Raleigh, North Carolina 27613 to ALL SAINTS CATHOLIC PARISH OF HAMPSTEAD, a North Carolina nonprofit corporation ("Grantee"), with a mailing address of 18737 Highway 17 North, Hampstead, North Carolina 28443. WITNESSETH To ensure that the separate juridic persons of Luis Rafael Zarama, Bishop of the Roman Catholic Diocese of Raleigh, North Carolina (the "Diocese"), and All Saints Catholic Parish of Hampstead and any other entities affiliated with All Saints Catholic Parish of Hampstead (collectively referred to herein as the "Parish"), under the Code of Canon Law of the Roman Catholic Church, are more clearly reflected in their civil law organizational structures, the Parish has separately incorporated as All Saints Catholic Parish of Hampstead, a North Carolina nonprofit corporation (the "Corporation"), under the laws of the State of North Carolina. Pursuant to said described separate incorporation, the Diocese is transferring the real property herein below to the Corporation as a part of the separation between the Diocese and the Parish, whereby the Diocese and Parish become two separate entities under the laws of the State of North Carolina. �r submitted electronically by "Poyner Spruill LLP" in compliance with North Carolina statutes governing recordable documents and the terms of the submitter agreement with the Pender County Register of deeds. BK 4796 PG 2448 DOC# 20106932 For and in consideration of $10.00 cash in hand paid by Grantee to Grantor, and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, Grantor has and by these presents does grant, bargain, sell and convey unto Grantee in fee simple, all those certain lots or parcels of land situated in Pender County, North Carolina, which lots or parcels of land are more particularly described as follows: See Exhibit A attached. The property described was acquired by Grantor's predecessors in office by deeds recorded in Book 302, Page 260, Book 771, Page 155, Book 1517, Page 251 and Book 1776, Page 126, Pender County Registry. (See Affidavit of Succession recorded in Book 4652, Page 1659, Pender County Registry). TO HAVE AND TO HOLD the aforesaid lots or parcels of land and all privileges and appurtenances thereto belonging to Grantee in fee simple. And the Grantor covenants with the Grantee, that Grantor has done nothing to impair such title as Grantor received, and Grantor will warrant and defend the title against the lawful claims of all persons claiming by, under or through Grantor, other than easements and restrictive covenants of record. The designation "Grantor", and "Grantee" as used herein shall include said named parties and their respective heirs, personal representatives, successors and assigns, and shall include the singular, plural, masculine, feminine or neuter as required by context. IN WITNESS WHEREOF, the Grantor has executed this instrument as of the day and year first above written. --- (SEAL) Luis RAW Zarama, is top Oman Catholic Diocese of Raleigh, North Carolina State of North Carolina County of Wake I certify that the following person personally appeared before me this day, and acknowledged to me that he voluntarily signed the foregoing document for the purpose stated therein and in the capacity indicated: Luis Rafael Zarama. Bishop of the Roman Catholic Diocese of Raleigh. North Carolina. Date: A�S_ Official Signature of Notary: Notary's Printed or Typed Name,` i prir i S rd s , Notary Public My Commission Expires: 8 ' S' Z) of (Official Seal) $ARA M PARIS EOWAROS Notary Public. North Carolina Wake County My Commission Expires Augusto5.2024 BK 4796 PG 2449 DOC# 20106932 EXHIBIT A LEGAL DESCRIPTION Being all of those certain tracts or parcels of land situated in Pender County, North Carolina and being more particularly described as follows: Tract One: Pender County PIN Number: 4245-00-8883-0000 All of Lot Nos. 10, 11, 12, 13, 23, 24, 25 and 26, Block No. 34, according to the official plan of Subdivision No. 1, of Surf City on Topsail Island, North Carolina, a map of which Subdivision is recorded in Map Book 3, Page 45, in the Office of the Register of Deeds of Pender County, reference to which and the record thereof is hereby specifically made. Tract Two: Pender County PIN Number: 4204-42-0146-0000 BEING ALL of that certain tract or parcel of land shown and designated as "TRACT No. 3; P H LANCO, INC.; Portion of Book 633 Page 186; 15.00007 acres" on that certain map entitled "Map of Survey for P H Lanco, Inc." recorded in Map Book 26 at Page 123 in the Office of the Register of deeds of Pender County, North Carolina, to which plat reference is hereby made for a more particular description. SUBJECT TO a sight distance easement hereby reserved over the area shown and designated on said recorded plat as "10' x 70' sight distance easement reserved"; and SUBJECT TO a 10-foot AT&T Co. Cable Easement recorded in Book 719 at Page 225 of said Registry. TOGETHER WITH all right, title and interest of P H Lanco, Inc., a North Carolina corporation in that portion of the right of way of U.S. Highway 17 and N.C. Highway 210 that is lying adjacent to the above described Tract No. 3 and between the projection southeastwardly of the northeastern and southwestern line of the said Tract No. 3. Tract Three: Pender County PIN Number: 4202-28-6532-0000 BEING all of Lot 13, Section 5 of Olde Point Development as the same is shown on a map thereof recorded in Map Book 20 at Page 30 of the Pender County Registry, reference to which is hereby made for a more particular description. 3 BK 4796 PG 2450 DOC# 20106932 Tract Four: Pender County PIN Number: 4245-32-0711-4210 Being all of Unit 421, Phase 3, Surf Condominiums as more particularly described below as follows: BEING A UNIT OWNERSHIP IN REAL PROPERTY, UNDER AND PURSUANT TO CHAPTER 47 A OF THE NORTH CAROLINA GENERAL STATUTES, ENTITLED "UNIT OWNERSHIP ACT" and being more specifically described as all of Unit 421 of SURF, PHASE 3, a condominium project situated upon real property located within Topsail Township, Pender County, North Carolina, as said real property is described in the "SUPPLEMENTAL DECLARATION TO DECLARATION CREATING UNIT OWNERSHIP OF PROPERTY UNDER THE PROVISIONS OF CHAPTER 47A OF THE GENERAL STATUTES OF THE STATE OF NORTH CAROLINA, referred to hereinbelow; said Unit being more specifically described by reference to and shown upon that set of plans of SURF, PHASE 3, which are recorded as Exhibit "B" to said SUPPLEMENTAL DECLARATION, which is recorded in Book 648, beginning at PAGE 32, in the Office of the Register of Deeds of Pender County, North Carolina, reference to which is hereby made for a more complete description thereof; said plans also being recorded in Condominium Plat Book I, beginning at Page 10, in said Office; said Unit also being more specifically defined in said SUPPLEMENTAL DECLARATION, together with all appurtenances thereto belonging, including, but not limited to, the undivided interest in the common areas and faciliies of SURF, ALL PHASES, appurtenant to said Unit as the same is established in said SUPPLEMENTAL DECLARATION, or the Supplements thereto; said SUPPLEMENTAL DECLARATION supplements and/or incorporates the provisions of that DECLARATION CREATING UNIT OWNERSHIP OF PROPERTY UNDER THE PROVISIONS OF CHAPTER 47A OF THE GENERAL STATUTES OF THE STATE OF NORTH CAROLINA, which is recorded in Book 639, beginning at Page 260, in said Registry. TOGETHER WITH and SUBJECT TO all rights, privileges, easements, obligations, restrictions, covenants and conditions applicable and appurtenant to said Unit, specifically, and to unit ownership in SURF, in general, as the same are stated in said DECLARATION, and SUPPLEMENTAL DECLARATION, referred to hereinabove; and, further Title to the above described unit is also subject to that certain DECLARATION OF RESTRICTIONS recorded in Book 639, at Page 259, of said Registry, which provides for, inter alia, Grantee's mandatory membership in SURF UTILITIES, INC., a nonprofit North Carolina corporation, which owns, operates and maintains that certain facility providing waste water and sewage treatment and disposal services to SURF, as well as other property, and title is hereby conveyed together with and subject to all rights, privileges, easements, obligations, restrictions, covenants and conditions as stated in said Declaration. 4