NC0021849_Application (ATC)_20240201 (11)

DWR
Division of Water Resources
8. BLOWERS
State of North Carolina
Department of Environmental Quality
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT
FORM ATC 10-23
Location
No. of
Blowers
Purpose
Type
Capacity of
each Blower
Plan Sheet
Reference
Specification
Reference
9. ODOR CONTROL
Location
No. of
Units
Purpose
Type
Plan Sheet
Reference
Specification
Reference
D. SETBACKS — COMPLETE FOR NEW WASTEWATER TREATMENT STRUCTURES
1. The minimum distance for each setback parameter to the wastewater treatment/storage units per 15A NCAC 02T .0506(b) are
as follows:
Minimum Distance
Is Minimum Distance
Required from Nearest
Requirement met by the
Setback Parameter
Treatment/Storage
Design. If "No", identify
Unit
Setback Waivers in Item D.2
Below
Any habitable residence or place of assembly under separate
100 ft
® Yes
❑ No
ownership or not to be maintained as part of the project site
Any private or public water supply source
100 ft
® Yes
❑ No
Surface waters (streams — intermittent and perennial, perennial
50 ft
® Yes
❑ No
waterbodies, and wetlands
Any well with exception of monitoring wells
100 ft
® Yes
❑ No
Any property line
50 ft
® Yes
❑ No
2. Have any setback waivers been obtained per 15A NCAC 02T .0506(d)? ❑ Yes or ® No. If yes, have these waivers been
written, notarized and signed by all parties involved and recorded with the County Register of Deeds? ❑ Yes or ❑ No. If
no, provide an explanation:
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC 10-23) Page 10