NCG551645_Historical File 2023_20231231

AM
CCDENR
North Carolina Department of Environment and Natura
Division of Water Resources
Pat McCrory
Governor
December 11, 2014
Resources
John E. Skvarla, III
Secretary
Spencer D. Matney, Owner
629 Donlee Drive
Durham, North Carolina 27712 n
Subject: Certificate of Coverage (COC) NC 1645
Under General Permit NCG550000 fo
Single -Family Residence WWTP
629 Donlee Drive, Durham 27712
m
n
Durham County
c
Dear Mr. Matney:
General Permit Coverage. In accordance with your application for discharge, the Division
Water Resources (DWR) herewith forwards the subject Certificate of Coverage (COC) to di ar& un
the subject NPDES General Permit. This COC is issued pursuant to the requirements of Nort 'aina
General Statue 143-215 .1, the Memorandum of Agreement between North Carolina and the US
Environmental Protection agency dated October 15, 2007 (or as subsequently amended).
Your permit package includes:
Certificate of Coverage (COC) / Operation & Maintenance Instructions
A copy of Wastewater Discharge General Permit NCG550000
Compliance under General Permit NCG550000 restricts discharge flow, not to exceed 1,000 gallons per
day. This COC covers wastewater treatment sand -filter and chlorination/de-chlorination facilities currently
designed for a 4-bedroom single-family residence estimated to discharge 480 gpd (120 gallons per
bedroom). To maintain this COC, you must remit to the Division an annual fee of $60 beginning one year
from the effective date.
Mail Annual Fee [including on your check COC number NCG551645] to:
DENR / DWR/ NPDES Program
1617 Mail Service Center
Raleigh, NC 27699-1617
Please note that you must provide regular treatment -system operation, maintenance and inspections in
accord with manufacturer's recommendations and this COC; all records, 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 in 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
N. C. Division of Water Resources 1 NPDES Unit Phone: [phone]
1617 Mail Service Center, Raleigh, NC 27699-1617 fax: [phone]
Internet: h2o.enr.state.nc.us DENR Customer Service Center: 1 800 623-7748

maintenance for the duration of the permit. Please note that the receiving stream is formally classified
Water Supply (WS-II), with further designations as High Quality Waters (HQW), Nutrient Sensitive
Waters (NSW), habitat Critical Area (CA), and is governed accordingly.
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,
This COC is issued in accordance with Part III, Paragraph 2 of NPDES General Permit NCG550000, and is
-. subjedt to revocation unless wastewater treatment facilities are constructed in accordance with the
r _.
, 1conditions and liinitations 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 required by this Division, such as the construction of additional or replacement wastewater
rt i treatment(s) or �isposal facilities. Failure to abide by the requirements of this COC may subject the
rz_;Permittee to ar�gnforcement action by the Division of Water Resources in accordance with North Carolina
General Statute,-143-215.6A to 143-215.6C.
��' The P6#mittee shall, for the life of this treatment facility, maintain on site, a copy
of the approved plans and specifications available for DWR inspection.
� 'Ifmany 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 Land Resources, the
Coastal Area Management Act, or other federal or local governments.
NPDES Contact. If you have any questions concerning the requirements of this Certificate of Coverage,
please email Joe R. Corporon, L.G. Doe.corporon(c ncdenr.gov) or call his direct line I919-807-63941.
ince ely, f
G
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Thomas A. Reeder, Dire or
Division of Water Resources
Attachments: COC
hc: Raleigh Regional Office, Danny Smith, Supervisor
NPDES General Permit Files
ec: Raleigh Regional Office, Mack Wiggins
Page 2 of 4

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER RESOURCES
CERTIFICATE OF COVERAGE - NCG551645
Under GENERAL PERMIT NCG550000
TO DISCHARGE 100%-DOMESTIC AND SIMILAR WASTEWATERS
UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
(hIEDES)
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,
Spencer D. Matney
are hereby authorized to operate a single-family residence (SFR) wastewater treatment plant (WWTP)
consisting of a septic tank, a sand filter, chlorination, mixing chamber, de -chlorination, effluent discharge
pipe with sample point; outfall with erosion protection/aeration (rip. -rap); discharging from facilities located
at the
Single -Family Residence WWTP
629 Donlee Drive, Durham 27712
Durham County
to receiving waters designated as an unnamed tributary (UT) to Little River [stream segment 27-2-21-(3.5)],
a waterbody currently Classified WS-II; HQW; NSW;CA located within Subbasin 03-04-01 of the Neuse
River Basin, in accordance with the effluent limitations, monitoring requirements, and other conditions set
forth in Parts I,1I,111 and IV of General Permit NCG550000 as attached.
This certificate of coverage shall become effective December 111 2014.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day December 11, 2014.,/— Ik7
ThOas A. Reeder, Director —
vision of Water Resources
By Authority of the Environmental Management Commission
Page 4 of 4

[This page intentionally left blank]
Page 3 of 4

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Donlee Drive , . .:. ` •• (flows NE)
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Spencer David Matney
Single -Family Residences (SFRs) WWTP
629 Donlee Drive, Durham 27712
Receivine Stream: UT to Little River Drainaec Basin: Neuse River
Stream Class: WS-II; HQW; NSW; CA Sub -Basin: 03-06-05
Stream Segment: 27-2-21-(3.5) HUC: 03020201
Latitude: 36' 06' 43" N Lonaitudc: 780 55' 16"
State Grids/USGS: {,'23NW / Rougemont, NC
i
Facility
Locati
not to scale
North General Permit COC NCG551645
Chatham County

0 0

Manuel, Vanessa
From: Manuel, Vanessa
Sent: Friday, November 15, 2019 8:37 AM
To: David Matney
Subject: FW: [External] Spencer Matney - 629 Donlee Drive (NCG551645)
Attachments: ENCO results.pdf
Categories: Inspections
Mr. Matney,
The Division is in receipt of your analytical lab results for samples collected on September 25, 2019. 1 have reviewed the
results and noted the following:
1. CBOD was analyzed instead of the required BOD. CBOD is a different effluent parameter than BOD. Please
ensure future samples are analyzed for the permitted BOD parameter. BOD has monthly average and daily
maximum limits of 30 mg/I and 45 mg/I, respectively (see screen shot below).
2. The analytical result for Total Suspended Solids (TSS), 42 mg/I, was below the daily maximum permit limit (45
mg/I). However, the result exceeds the monthly average limit of 30 mg/I. You may want to re -sample your
effluent discharge and if the high level persists, then you may want to have your system evaluated.
3. The analytical result for Fecal Coliform was below detection, so it appears your disinfection treatment is
working properly.
If you have any questions or concerns, please feel free to contact me. This office thanks you for your efforts to comply
with the NPDES General Permit.
Permit Limits Screen Shot:

0 0
NPIDES General Pet nIit \C't;seixll'�a
C'. EFFLUENT ITMIT.ITIONS _ ND Ntom-rQRING RE0I-IItI' MINTS
[ I SA NC'_aC 02B.0400 el , q_ 02B .t) 00 tat seq. ]
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authorized to t{i-chir_e do;tnes'IJ %%:I' iWr ver ltoltl uuSiali Cull Sitch di<luwLe± Shall Lv lunlced alai nionitoied b
[lie Pernlinee a, specified IvIox ..
NION1 I'ORI.NG
EFFLUENT C HAP—>,C TERISTICS
LIMITS
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Vanessa E. Manuel
Environmental Program Consultant
Division of Water Resources - Raleigh Regional Office
Department of Environmental Quality
919 791-4255 office
[e-mail]
Physical: 3800 Barrett Drive, Raleigh, NC 27609
Mailing: 1628 Mail Service Center, Raleigh, NC 27699-1628
I
'''Notltit�g Compares -
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Elizabeth Mullens[mailto:[e-mail]]
Sent: Thursday, November 14, 2019 3:08 PM
To: Manuel, Vanessa <[e-mail]>
Subject: [External] Spencer Matney - 629 Donlee Drive
• -External email. Do n( click links or open attachments unless you verify. Senn all scfspicious email as an *t.achMentfl
ov

Hey Vanessa,
Spencer asked me to send the sample results over to you that we pulled a few weeks
ago. Please let us know if there is anything else you need. Thanks and have a great
night!
—Elizabeth
McFarland Septic, LLC
6801-A Mt. Hermon Church Road
Durham NC 27705
Office: 919-383-1015
Fax. [phone]
mcfarlandsey dcO amail.com
www.mcfarlandse c.com
3

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4 ENCO Laboratories
Accurate. Timely. Responsive. Innovative.
102-A woodwinds Industrial Court
Cary NC, 27511
Phone: [phone] FAX: [phone]
Tuesday, October 8, 2019
McFarland Septic (WA021)
Attn: Waylon McFarland
6801 Mt. Hermon Church Road
Durham, NC 27705
RE: Laboratory Results for
Project Number: 629 Danlee Dr, Project Name/Desc: Wastewater
ENCO Workorder(s): CC16422
Dear Waylon McFarland,
Enclosed is a copy of your laboratory report for test samples received by our laboratory on
Wednesday, September 25, 2019.
Unless otherwise noted in an attached project narrative, all samples were received in
acceptable condition and processed in accordance with the referenced methods/procedures.
Results for these procedures apply only to the samples as submitted.
The analytical results contained in this report are in compliance with NELAC standards, except
as noted in the project narrative if applicable. This report shall not be reproduced except in
full, without the written approval of the Laboratory.
This report contains only those analyses performed by Environmental Conservation
Laboratories. Unless otherwise noted, all analyses were performed at ENCO Cary. Data from
outside organizations will be reported under separate cover.
If you have any questions or require further information, please do not hesitate to contact me.
Sincerely,
Chuck Smith
Project Manager
Enclosure(s)
i i va_ This report relates onty to the sample as received by the laboratory, and may only be reproduced in full. tl 104 e

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SAMPLE SUMMARY/LABORATORY CHRONICLE
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www.encolabs.com
Client ID: EFFLUENT - 629 Danlee Dr
Lab ID: CC16422-01
Sampled: 09/25/19 12:00
Received: 09/25/19 16:08
Parameter EMRM IM
Cohlertis NO PREP
Hold Date/Time(s)
09125?19 19:55 09/26/19
Prep Date/Time(s3
14:47 09/25/19 16:43
Analysis DatelTime(s)
09/26/19 11:14
SM 254OD-2011 NO PREP
10102119
10/01/19 08:43
10/01/19 08:43
SM 5210 0-2011 NO PREP
C9127119 12:00
09/26/19 16:44
09/26/19 16:44
"I V L This report relates only to the sample as received by the laboratory, and may only be reproduced in full. w9r 7 0 4

SAMPLE DETECTION SUMMARY
Client ID: EFFLUENT - 629 Danlee Dr Lab ID: CC16422-01
Anal ]d8 Results Flag du EM Units
CBOD 2.0 2.0 mg/L
Total Suspended Solids 16 16 mg/L
U
www.entolabs.com
SM 5210 B-2011
SM 254OD-2011
HNAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. na je I or 0

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www.encolabs.com
ANALYTICAL RESULTS
Description: EFFLUENT - 629 Danlee Dr
Lab Sample 1D:CC16422-01
Received: 09;'25119
16:08
Matrix: Waste Water
Sampled:09/25119 12:00
Work Order: CC16422
Project: Wastewater
Sampled By: Brendan Towner
Classical Chemistry Parameters
- EACO Cal' --'Aed enaryre [AC 5911
Besul
F1as Units
IZE Hu P" Batch
Method Analyzed
4Y No
CBODA 57
mg/L
1 2.0 2k 9I26015
SM 5210 i�-2911 09/26/19 16:44
30C
Total Suspended SolidsA 42
mg/L
6.25 16 16 9MOIC
SM 2540D-?1%11 10/01/19 08:43
]AH
Microbiological Parameters
^ - EACO Cary wed -We (MC 5911
Analrte LCAS Numberl R se uZts
Has! mam
12,E M l h
Method Analyzed
$yt No
Coliform, FecalA < 1.0
MPNA00
1 l.D 9125047
Colilert 18 09126,+19 11'14
AKF
mL
Ft*16L This report relates only to the sample as recewed by the tatgratory, and may only be reproduced in full. Page 40 8

www.encolabs.com
QUALITY CONTROL DATA
Classical Chemistry Parameters - Quality Control
Batch 9126O35 - NO PREP
Blank (9I26035-BLKS) Prepared & Analyzed: 09/26/2019 16:44
Spike Source %REC RPD
.Anal ]de ResulF Eag P91 Units Level Result %REC Limits RPD Limit Notes
CBOD 2.0 U 2.0 mg/L
LCS (9I26035-BSI) Prepared & Analyzed 09/26/2019 16:44
Spike Source %REC
RPD
Anal lde Result Flag Pal.
Units
Level Result %REC Limits RPD
Limit Notes
C801) 200 2.0
mg/L
198 101 85-115
Duplicate (9I26035-DUPl)
Prepared & Analyzed: 09/26/2019 16:44
Source: CC16422-01
Spike Source %REC
RPD
Anal YtO Result flits EQL
Units
Level Re ulf %REC Limits RPD
Limit Notes
CBOD 51 2.0
mg/L
57 11
X
Batch 91O1010 - NO PREP
Blank (9301030-BLKI) Prepared & Analyzed: 10/01/2019 08:43
Spike Source %REC RPD
Anal; Result flag EOL Units Level Result %REC Limits RPD Limit Notes
Total Suspended Solids 2.5 U 2.5 mglL
LCS (9301010-051) Prepared & Analyzed: 10/01/2019 08:43
Spike Source %REC
RPD
Ana11fSe Result am
PSl1
units
Level Result %REC Limits
RPD
Limit Notes
Total Suspended Solids 100
2.5
mg/L
100 100 80-120
Duplicate (9301010-DUPI)
Prepared & Analyzed: 10/01/2019 08:43
Source: CC12041-01
Spike Source %REC
RPD
Anal1[IO Result flag
CQL
chits
Level Result %REC Limits
RPD
Um t Notes
Total Suspended Solids 170
57
mg/L
1w
8
20
Duplicate (9301010-DUP2)
Prepared & Analyzed: 10/01/2019 08:43
Source: CC16073-01
Spike Source %REC
RPD
AnalResult flag
P91
Units
Level Bzwls %REC Limits
RPD
Limit Notes
Total Suspended Solids 92
25
mg/L
94
2
20
Microbiological Parameters - Quality Control
Batch 9I25O47 - NO PREP
Blank (9I25047-BLK1) Prepared: 09; 251201r! 16:43 Analyzed: 09/26/2019 11:14
Spike Source %REC
RPD
Anal ld9
Result flag P44
Units
Level geSul %REC L(mit4 RPD
Limit Notes
Caliform, Fecal
1.0 U 1.0
MPN/100 mL
Duplicate (9I2SO47-DUPS)
Prepared: 0?r 2 S. 2011 14:05 Analyzed: 09/26/2019 09:47
Source:CCL3328-01
Spike Source %REC
RPD
Anal
ResulT flag P.4L
Units
Level Resul %REC Limits RPD
Limit Notes
Conform, Fecal
1.0 1.0
MPN/100 mL
1.0 0
25
FINAL
Timis report relates only to the sample
as received by the
laboratory. and may { ply oe i eproduced in full.
Page S of 8

0
www.encolabs.com
QUALITY CONTROL DATA
Microbiological Parameters - Quality Control
Batch 9125047 - NO PREP - Continued
Duplicate (9125047-DUP2) Prepared: 09/25/2019 14:05 Analyzed: 09/26/2019 09:47
Source:CC15334-02
Spike Source %REC RPD
Anal 1f Result fl;f.4 M llnits Level Resul %REC IWIM RPD Limit Notes
Coliform, Fecal 1.0 U Lo MPN/100 A 1.0 U 25
1 INAL This report relates only to the sample as received by the laboratory, and may ody be reproduced in full. 'ape 6 o` L

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FLAGS/NOTES AND DEFINITIONS
Ica
www.encolabs.com
B The analyte was detected in the associated method blank.
D The sample was analyzed at dilution,
] The reported value is between the laboratory method detection limit (MDL) and the laboratory method
reporting limit (MRL), adjusted for actual sample preparation data and moisture content, where applicable.
U The analyte was analyzed for but not detected to the level shown, adjusted for actual sample preparation
data and moisture content, where applicable.
E The concentration indicated for this analyte is an estimated value above the calibration range of the
instrument. This value is considered an estimate.
MRL Method Reporting Limit, The MRL is roughly equivalent to the practical quantitation limit (PQL) and is
based on the low point of the calibration curve, when applicable, sample preparation factor, dilution
factor, and, in the case of soil samples, moisture content.
PQL PQL: Practical Quantitation Limit. The PQL presented is the laboratory MRL.
N The analysis indicates the presence of an analyte for which there is presumptive evidence (85% or greater
confidence) to make a "tentative identification".
Greater than 25% concentration difference was observed between the primary and secondary GC column.
The lower concentration is reported.
[CALC] Calculated analyte - MDL/MRL reported to the highest reporting limit of the component analyses.
F3?4L This report relates only to the sample as received by the laboratory, and may only be reproduced in full. Fade 7or 0

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ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Director
Spencer D. Matney
629 Donlee Drive
Durham, NC 27712
NORTH CAROLINA
Environmental Quallty
September 13, 2019
Subject: Compliance Evaluation Inspection
Single Family Wastewater Treatment System
General NPDES Permit NCG550000
Certificate of Coverage NCG551645
Durham County
Dear Mr. Matney:
On September 10, 2019, Vanessa Manuel from the Raleigh Regional Office visited your single-family
residence (SFR) wastewater treatment system to evaluate compliance with the subject General NPDES
Permit. The assistance provided by you and your wife during the inspection was greatly appreciated.
Our records indicate the treatment system consists of a septic tank, sub -surface sand filter, disinfection
consisting of tablet chlorinator with chlorine contact chamber and tablet dechlorinator, effluent piping and
outfalI discharge with aeration/erosion-controlled rip -rap.
General NPDES Permit NCG550000 and Certificate of Coverage (COC) NCG551645 authorize the
discharge of domestic wastewater from your treatment system to receiving waters designated as an
unnamed tributary to the Little River (classified WS-II; HQW; NSW; CA) in the Neuse River Basin. The
authorized discharge is in accordance with the effluent limits and monitoring requirements established
within the General Permit. The checked boxes below show what conditions were noted at your facility:
® Treatment system operation: The wastewater treatment system shall be maintained at all
times to prevent seepage of sewage to the surface of the ground.
® Pumping the septic tank: You are required to inspect the septic tank at least yearly to
determine if solids must be removed or if other maintenance is necessary. Septic tanks should be
pumped out every five years or when the solids level is found to be more than 1l3 of the liquid
depth in the septic tank compartment, whichever is greater. A pumping company can check the
status periodically and determine when pumping is required. During the inspection, you stated the
septic tank was serviced by Scotty's Septic System within the last 2 years. Please continue to
monitor your septic tank as required by the permit.
® Chlorine tablets in the chlorinator: You are reminded that it is required that chlorine tablets
be maintained in the chlorinator to ensure proper disinfection of the discharged wastewater.
Chlorine tablets provide effective disinfection and preventllimit harmful bacteria from discharging
to the environment. The product label for these tablets must indicate the tablets are annroved
Lor wastewater use and not for swimming pools. Part 1, Section D (1) of General NPDES Permit
NCG550000 requires the permittee to inspect the tablet chlorinator weekly to ensure there is an
D IQI _�OJJ North Carolina Department of Environmental Quality E Division of Water Resources
Raleigh Regional Office : 3800 Barrett Drive I Raleigh. North Carolina 27609
Haan cuaai w�
��^�^^ 0, 919.791.4200

Spencer D.1Vlafiey,7C551645
Page 2 of 2
adequate supply of tablets for continuous and proper operation. Section D (4) requires the
permittee to maintain all system components, including... disinfection units ... at all times and in
good operating order. The inspector did observe chlorine tablets in the chlorinator. Please
continue to ensure the correct type of tablets are used and maintained in the chlorinator as
required by the General NPDES Permit.
® Dechlorination tablets: You are responsible for always having dechlorination tablets (if a
required part of your system) in place. They must be the kind for wastewater treatment and not for
swimming pools. The inspector did observe dechlorination tablets in the treatment unit. Please
continue to ensure the correct type of tablets are used and maintained in the dechlorinator as
required by the General NPDES Permit.
® Analyzing the effluent: fart 1. C., Effluent Limitations and Monitoring Requirements, within
General Permit NCG550000 requires a permittee to sample and analyze the effluent leaving
his/her treatment system prior to discharge annually. Parameters to be sampled and analyzed
include Flow, BOD (Biochemical Oxygen Demand), Total Suspended Solids, Fecal Coliform and
Total Residual Chlorine. Within 30-days of receiving this letter, please collect a representative
sample of the effluent if it is discharging, have it analyzed by a certified commercial laboratory
and submit the results to this office no later than December 20, 2019. If, during this time, you are
unable to collect a representative sample of the effluent discharge due to insufficient flow from the
discharge pipe, then update this office with that information and continue to monitor the discharge
and if conditions for sampling become favorable, then arrange to collect a sample.
® Discharge outlet location. The permittee is required to conduct a visual review of the outfall
location at least twice each year (one at the time of sampling) to ensure that no visible solids or
other obvious evidence of system malfunctioning is observed. Any visible signs of a
malfunctioning system shall be documented and steps taken to correct the problem. The discharge
pipe was visible and accessible the day of the inspection. Please continue to ensure the outlet is
always maintained and cleared of vegetation, soil and leaves.
Please continue to periodically inspect the wastewater treatment system to ensure the treatment
components are always maintained and in good operating order. You are also reminded to maintain all
monitoring data onsite for a minimum of three years from date of sampling and available for inspection.
If you have questions or comments about this inspection or the requirements to take corrective action (if
applicable), then please contact Vanessa Manuel at 919-791-4255.
Sincere y,
Ric Bolich, L.G., Assistant Supervisor
Water Quality Regional Office Section
Raleigh Regional Office
Attachment(s): EPA Water Compliance Inspection Report
Cc: RRO;`SWP Files
Laserfiche 4i(\-'h

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C,
United States Environmental Protection Agency
Form Approved,
EPA Washington, O.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires 8-31-98
Section A: National Data System Coding (i.e. PCS)
NPDES yrlmolday Inspection Type Inspector Fac Type
Tran�sa�ction Cod�e�
�
1 IN 1 2 15 1 3 NCG551645 111 121 191og110 117 18 L 1 191 s 1 20t
L_1 I_I �l LJ LJ
21 6
Inspection Work Days Facility Self-Monilodrig Evaluation Rating 51 QA Reserved
67 70 IJ 71 u 72 L ( 731 I 1!
74 75I I I I I ` �80
I ! I I I
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES Permit Number)
10-35AM 19/09110
14/12111
629 Donlee Drive
Exit Time/Date
Permit Expiration Date
629 Donlee Dr
Eno Valley NC 27712
10 55AM 19/09110
18107, 31
Name(s) of Onsite Representative(syTittes(s)IPhone and Fax Number(s)
Other Facility Data
111
Name, Address of Responsible Of icisIrritlelPhone and Fax Number
Spencer D Mainey,629 Donlee Dr Durham NC 2771211919-477-01221 Contacted
Yes
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit 0 Operations & Maintenance N Facility Site Review 0 ENluentfReceiving Waters
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Vanessa E Manuel RRO W011919-791-4200e
Signature of anage ent Q A Reviewer Agency/Office)Phone and Fax Numbers Date
lip//
fI
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete,
Page*

NPDES yr!=Oday 1- q*pecton Type 1
31 NCG551645 I11 121 19/09,17 117 18l"I
Section D, Summary of Finding/Comments {Attach additional sheets of nar•ative and Checklists as necettsary}
See attached inspection report.
Pageg

Permit: M' 3551645
Owner • Facility: 629 Donlee Drive
Inspection date: 09/10-2019
Inspection Type: Compliance Evaluation
Permit
Yes No NA NE
(If the present permit expires in 6 months or less; Has the permMee submitted a new
❑
❑
❑
application?
Is the facility as described in the permit?
0❑
❑
❑
# Are there any special conditions for the permit?
❑
0
❑
❑
Is access to the plant site restricted to the general public?
❑
❑
M
❑
Is the inspector granted access to all areas for inspection?
0
❑
❑
❑
Comment:
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping'? ❑ ❑ M ❑
Does the facility analyze process control parameters, for ex: MLSS W RT. Settleable ❑ ❑ ❑
SoL-ds, pH, DO. Sludge Judge, and other that are applicable?
Comment -
Septic Tank
Yes No NA NE
(If pumps are used) Is an audible and visual alarm operatonal?
❑
❑
0
❑
Is septic tank pumped on a schedule?
0
❑
❑
❑
Are pumps or syphons operating properly?
❑
❑
0
❑
Are high and low water alarms operating properly?
❑
❑
0
❑
Comment
Sand Filters flow rate)
Yes No NA NE
(If pumps are used) Is an audible and visible alarm Present and operational?
❑
❑
0
❑
Is the d stribution box level and watertight?
❑
❑
❑
Is sand filter free of ponding?
❑
❑
❑
Is the sand Biter effluent re-.'rculated at a valid ratr'o?
❑
❑,
❑
# Is the sand filter surface free of algae or excessive vegetation?
❑
❑
0
❑
# Is the sand filter effluent re -circulated at a valid ratio? (Approximately 3 to l)
❑
❑
❑
Comment --
Disinfection -Tablet Yes No NA NE
Are tablet chlorinators operational? ❑ ❑ ❑
Are the tablets the proper size and type? ❑ ❑ ❑
Number of tubes in use? 2
Page# 3

0
Permit: NCG551645
Owner - Facility: 629 Donlee Drive
Inspection date: 0911012019
Inspection Type: Compliance Evaluation
Disinfection -Tablet
Yes No NA NE
Is the level of chlorine residual acceptable?
❑
❑
❑
Is the contact chamber free of growth, or sludge buildup?
❑
❑
❑
0
Is there chlorine residual prior to de -chlorination?
❑
❑
❑
■
Comment:
De -chlorination
Yes No NA NE
Type of system ?
Tablet
Is the feed ratio proportional to chlorine amount (1 to 1)?
M ❑
❑
❑
Is storage appropriate for cylinders?
❑ ❑
M
❑
# Is de -chlorination substance stored away from chlorine containers?
❑ ❑
❑
Comment:
Are the tablets the proper size and type? 0 ❑ ❑ ❑
Are tablet de -chlorinators operational? 0 ❑ ❑ ❑
Number of tubes in use? 2
Comment:
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? ❑ ❑ ❑
Are the receiving water free of foam other than trace amounts and other debris? ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ ■ ❑
Comment:

Inspection Date: io ?+n/ Start Time: Iv: 35�-,4,.r End Time: /d. ! TA,-4
SINGLE FAMILY WASTEWATER SYSTEM CHECKLIST
5/15/2015
Permittee: ,'b C ')'► 7,k4Ar
Permit:
Address: 42qI� 4
'At ,
Phone:{ q 9 } -of 2 Z Cell Phone:) -
County: r
The Permittee is responsible for the operation and maintenance of the entire wastewater treatment and disposal
system.
61r7 �,�
Yes
No
Doesn't
Apply
Did Not
Investigate
1. Is the current resident in the home the Permittee?
2. If not does the resident rent from the permittee?
❑
❑
C91
❑
3. Change of Ownership form needed? (mail the form with the inspection letter)
❑
❑
❑
4. Is there a inspection and maintenance agreement with a contractor?
❑
❑
5. If yes to #4 who is the contractor?
SEPTIC TANK The septic tank and filters should be checked annually and pumped/cleaned as needed.
6. Is all wastewater from the home connected to the septic tank?
❑
❑
❑
7. Does the permittee/resident know where the septic tank is located?
El
❑
❑
❑
8. Has the septic tank been pumped in the last 5 years?
X
❑
❑
❑
9. If yes to #8 date, if known a I vt - 24 a A ko If proof, describe
S '
10. Does the septic tank have an EFFLUE T FILTER or SANITARY T? (circle one)
S 'c
SJs
11. If Yes to filter when was the filter cleaned? By whom?
SAND FILTER 1 TREATMENT PODS YES LX NO n
If no proceed to the next section.
Accessible sand filter surfaces shall be raked and leveled every six o lhs and any vegetative growth shall be removed manually.
12. Is system something other than a sandfilter?
❑
NJ
❑
❑
13. If yes, what kind? (examples - Peat, Textile, Other or brand name - Advantex, etc.)
14. Does the permittee know where the sandfilter is located?
❑
❑
15. Does the sandfilter require maintenance?
❑
❑
❑
It maintenance Is required explain in the comment section.
DISINFECTION 1 UV YES NO
If no proceed to the next section.
The ultraviolet unit shall be checked weekly. The lamps and sleeves should be cleaned or replaced as needed to ensure pro er
disin ecti n.
16. Is UV working?
El
❑
17. Has the UV Unit been serviced and bulbs cleaned?
1:1
El
18. Who completes the weekly check for the UV?( Non -Discharge)
DISINFECTION 1 TABLETS YES W NO
If no proceed to the next section.
The tablet chlorinator unit shall be checked weekly to ensure continuous and proper operation.
19. Does the permittee have the correct chlorine tablets?(If none, mark No)
1;9
❑
❑
❑
20. Does the Permittee know the location of the chlorinator?
R
❑
❑
❑
21. Were chlorine tablets observed in the chlorinator?
❑
El
El
Are tablets contacting,water? If possible poke them to determine.
❑
❑
El
El
DECHLOR (Discharge only) YES NO Lj
If no proceed to the next section.
The dechlorinator unit shall be checked weekly to ensure continuous and proper operation.
23. Does the permittee know where the dechlor is?
�
❑
❑
❑
24. Does the permittee have the correct dechlor tablets?
❑
❑
❑
25. Were dechlor tablets observed in the dechlorination chamber?
❑
❑
❑
26. Are tablets contacting water? If possible poke them to determine.
❑
❑
❑

NC C s'6
PUMP TANK YES LJ
All pump and alarm sytems shall be inspected monthly. (non-d.scharge}
27, is the pump working?
28. Are the audible and visual high water alarms operational?
Doesn't Did Not
Yes
No
Apply Investigate
NO If no proceed to the next section.
❑
❑
❑
❑
❑
❑
29. Does the permittee know how to check the pump & high water alarm?
30. Last functional test: PUMP AUDIBLE & VISUAL_
DISCHARGE ONLY YES
NO
If no proceed
to the next section.
on.
A visual review of the outfall location shall be executed twice each year One at the time of sampl;ng to ensure,Rtofvisible solids or evidence of a malfunction.
u ❑ ❑ ❑
Does the permittee know where the outfall is located?
❑
❑
32. Were you able to locate the outfall?
❑
❑
33. Is the end of the discharge pipe visible and accessib'e?
E3
❑
❑
34. Is outlet discharging?
�N
❑
❑
❑
35. Is right of way maintained around the discharge point?
36. Any Lab Results available? lgavE e-M4" "jy eFPev- +-, 1 X4 "3r
❑
®
❑
❑
37. Is there evidence of solids around the discharge point? 0
El
DRIP or SPRAY YES Lj NO
If no proceed to the
next section.
The irrigation system shall be inspected monthly to ensure the system is free of leaks and equipment is
operating as
designed.
38. Is the system DRIP or IRRIGATION (circle one)? If irrigation number of sprinkler
heads.
❑
❑
❑
39. Are the buffers adequate?
❑
❑
❑
40. Is the site free of ponding and runoff?
❑
❑
❑
41. Does the application equipment appear to be working properly?
42 Is there a minimum two wire fence surrounding entire irrigation area?
❑
❑
❑
GENERAL
43. Are the treatment units locked and or secured?
Has resident had any sewage problems? If yes explain in the comment section.
Does the system match the permit description? if no explain in the comment section.
46. Is the system compliant?
7. Is the system failing? If yes, take pictures if possible.
ld
❑
❑
❑
❑
[X
❑
❑
V
❑
❑
❑
❑
❑
15a
❑
40. IT system 15 TdIIMy, df ly bly I U1 G[nitil CI I lH a, III 1 1lGVui lb OGrrayv
NOD Sent #• - - NOV Sent #: -
Comments:
Photos Taken? YES Ej NO
A/ I[ �ai.-1R
..,�✓ •�iitqC • L"�i�av l..v
h/.s r
•� -
��- r l ',e
s - sc� • ,�
INSPECTOR: OrM ��/�'/RvrrraP�
SIGNATURE: X-F­-�- 1

NCG551645 - Spenr'I D. Matney
Friday, October 12, 201$ 8:l7 AMFacility address/location-
Owner / Facility Names: Spencer D, Matney j 629 Donlee Drive Permit Number. NCG551645 County: Durham
Last inspection conducted: 6/24/2016 Inspector: [heng Zhang
Note/Comment:
Inspection Assigned (FY/QTR): FY191 04 Planned Inspection Date:
Basic Facility Information Facility Treatment Classification: N/A
Permitted Flow: N/A
ORC: ,N/A Backup Operator(s): N/A
Certification active Name 1 Certification active Certification inactive
Certification inactive
No designated ORC Name 2 r ] Certification active Certification inactive
Ivote/comment:
Current Permit:_ Expires October 31, 2020
�! Annual fee(s) paid Receiving Waters ❑Active, >180 days until permit expire
Annual fee(s) overdue Stream: UT to Little River ❑ Active, will expire within 180 days
Note%omment., Classified: WS II; HQW; NSW; CA ❑ Expired, renewal application received timely
River Basin: Neuse ❑ Expired, renewal application overdue
Inspection Prep
To Dos-,
-7 Schedule inspection site visit
Note%omment: Spoke with owner & sent email
�9/3/2079
�teview last inspection report
L Review permit file
.* Generate NPDES WW Permit Contacts Report
ZPrepare door -hanger package (SFR COCs)
Enter inspection into RIMS
1J Prepare inspection letter/report
Update Fdeihl�,igtakg in SIMS (change to
Facility Contacts:
Name Affiliation
Spencer Matney, perm:ttee Owner
9 COC effective/expire dates need updating in BIMS
Phone Number Email
919-477-0122 [e-mail]
NPDES W W SFRs Page I

0 0

r�.
North Carolina Department of Environmental Quality
Division of Water Resources
Permit Number: NCG551645
Permit Type: Single Eamily Domestic Wastewater Discharge COC
Facility Name: 629 Donlee Drive
Facility Addressi: 629 Qo lee Dr
Facility Address2:
City, State & Zip: Eno Valley, NC 27712
MUST submit a [Prange ofNsme/Owee►shlp form to DWR to make any changes to this Owner information.
(Clkk Here for wUM Of
n
Owner Name: Spencer D Mainev
Owner Type: )4dly1dual Owner T Group: P: Individual
*** Legally Responsible for Permit * * *
WsPQ slble corpwate officer/principle executive officer or ranking elected official/general partner or proprietor,
or any other person with delegated signatory authority from the legally responsible person.)
Owner Affiliation: Spencer D Matnev Title:
Addressi: 629 Donlee Dr
Address2:
City, State & Zip: Durham,
Work Phone: [phone] Fax:
Email Address:
t)wner Contact Person(s)
Contact Name MILe Address Phone EM &[11b11
Paciilty Contact Person(s)
Contact Name ltlg Address one Email
Permit Contact Person(s)
Contact Name lim Address Phone EAK Email
ermit Billing Contact Person(s)
Contact Name IWA Address Phone EM Email
Spencer D 629 Donlee Matney, Durham, NC 27712 919-477-0122 p
Matne 45;4144 rC
arsons with Signatory Authority
TM Contact Name rft guess Phone Ea Email
Designated Operators
ZFV-olms rwtedqwpfonr ~befow&m lawavaor1w jonW&Ssocisied wM Me =14w6m syjm% dw MOMOMW awbeupdrtedbysu&WMnVacn+np7edad
�'OtorDpsiDnatfon Fwm" Pk�Ae prvrlate Aaeahlri' detrlb; as Ao fhe eahsnyies nepere�sten(• 1►rdnd/ny the sa1vYL4ori/rerrwval or
�aperaAora� ruralmaleroX,erseargr�esLla„sorrpfes�e®11y19.aa7-d2S�.
Allis Cert Type Cert Status
Cert # Effective Date
9:}/2019
Pay.- S

0 0

t
Water Resources
ENVIRONMENTAL. QUALITY
July 7, 2016
Mr. Spencer Matney
629 Donlee Drive
Durham, NC 27712
PAT MCCRORY
DONALD R. VAN DER VAART
S. JAY ZIMMERMAN
Subject: Compliance Evaluation Inspection
629 Donlee Drive
Single Family Wastewater Treatment System
Permit No. NCG551645
Durham County
Dear Mr. Matney:
On June 24, 2016 from the Raleigh Regional Office visited your single-family residence (SFR)
wastewater treatment system to evaluate compliance with the above permit to discharge
wastewater. Your assistance during the inspection was greatly appreciated. The checked boxes
below show what conditions were noted at your facility:
❑ in compliance: You are reminded to regularly maintain the chlorine disinfection and
dechlorination systems, have the effluent sampled once a year, and have the septic tank
pumped out every 3 to 5 years. Your good record of operation and meeting the permit
requirements is highly commended.
❑ Your home is improperly plumbed: Some of the wastewater discharges are going
directly to the environment without first passing through the treatment system. This must
be corrected immediately. Please submit a schedule to this office within 20 days of
receipt of this letter that states your plan for correcting this deficiency. The work is to be
completed within the next _3_months.
❑ Disinfection: Your system is lacking disinfection, either chlorine tablets or a UV light
system. New rules put into place on August 1, 2007 require all SFR systems to have a
means of disinfection (and dechlorination when chlorine tablets are used to disinfect, if
the system was installed since that. date). Since your system had no disinfection, the
installation is to include a chlorine tablet dispenser, a contact chamber capable of
providing a minimum 30 minute contact time, and another tablet dispenser that will hold
dechlorination tablets. Please submit a schedule to this office within 20 calendar days of
receipt of this letter that states your plan for correctingthis his deficiency.
❑ Treatment tablets missing or are wrong kind: You are responsible for always
having chlorine tablets and dechlorination tablets (if a required part of your system) in
place. They must be the kind for wastewater treatment and not for swimming pools.
State of North Carolina ' Environmental Quality Water Resources
1628 Mad Service Center ; Raleigh, North Carolina 27609.16:1 U
919 7914200

629 Donlee Drive, Durham
❑ Dechlorination: Your system was installed after August 1, 2007, so must have a
means of dechlorination located downstream of the chlorinator and its contact chamber.
See Disinfection paragraph above. Please submit a schedule to this office within 20
calendar da s of receipt of this letter stating our plan for correcting this deficiency.
❑ Pumping the septic tank: The septic tank should be pumped out every 3 to 5 years.
A pumping company can check the status periodically and determine when pumping is
required.
f D Failure to analyze the effluent: The effluent that is discharged from your system
must be analyzed once each year. See Part I (A) of your permit about his requirement. A
list of NC certified laboratories that provide this service was left at your residence during
the inspection. Make arrangements for sampling to be carried out within the next 3
months, and submit results to this office within 3 weeks after the sampling has been done.
❑ Locations of treatment units are unknown: Determine this and report to this office
within 30 days of receipt of this letter with a sketch or map.
❑ Other:
If you have questions or comments about this inspection or the requirements to take corrective
action, please contact Cheng Zhang or me at 919-791-4200. Licensed plumbers should be used
to make plumbing changes within your home. Contractors for installing disinfection or other
equipment may be found in the Yellow Pages under Environmental Consultants.
Sincerely,
S. Daniel Smith, Supervisor
Water Quality Regional Supervisor
Raleigh Regional Office
Attachments
cc: RRO/SWP Files
NPDES Permitting Unit Files — Charles Weaver

r,^, r
United Slates Environmental Protection AgeM
Form Approved.
EPA tiNeshington. D.C. 2000
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires 8.31-98
Section A: National Data System Coding'(i.e., PCS)
Transaction Code NPDES ydmolday Inspection Type Inspector Fac Type
1 E 2 15 I 3 I NCG551645 111 12 16/06124 17 18 Ld 19 1 c I 20LJ
211 1 1 1 1 1 1 1 I 1 1 1 I I_I I I I I I I I I I I I I I I I I I I I I II I I I I I I6
Inspection Work Days Facility Self -Monitoring Evaluation Ratlng B1 QA Reserved
67
70 I 71 u 72 I N I 731 I 174 751 1 1 1 1 I 1 �80
�j t—I I I I
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES Dermit Number)
12A SPM 1810e124
14112M 1
629 Donlee Drive
Exit Time/Date
Permit Expiration Date
829 Danlee Or
12:40PM 16108/24
18/07/31
Name(s) of Onske Repreaentative(syTitles(syPhone and Fax Number(s)
Other Facility Data
111
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Spencer D Matney,629 Donles Or Durham NC 277121/919-477-0122!
Yea
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Other
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) AgencylOflica/Phono and Fax Numbers Date
Chang Zhang RRO UV0/1919-791-02001
ers
nature i Management O Reviewer gencylOfflcelPhone and F Num Date
00.1
EPA Form 35600 (Rev 9-94) Previous editions are otsolete. tr
Page#

NPDES yrlmolday Inspection Type i
31 NCG551645 +11 12 16MO124 17 18 I c I
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
The septic tank was last pumped in November 2014. The permittee has correct chlorine and
dechlorination tablets. Tablets were observed in the chlorinator and dechlorinator. Effluent has not been
sampled and analyzed.
Page#

i.,�no-+inn n�fo Start TimR• 2, ' End Timel �O
SINGLE FAMILY WASTEWATER SYSTEM CHECKLIST
f�za�s
Permittee: S,� �-trl Gc-r'g ��''L`�
Permit:
Address: • 2 0 (ge- Dt e'y E-mail-
Phone: 11 zt77 - of Cell Phone:(
County:_„_
The Pennittee Is responsible for the operation and maintenance of the entire wastewater treatment and dispalZ
system.
Doesn't Did Not
Yes No
Apply Investigate
1. Is the current resident in the home the Permittee?
Rsk Li
Li Li
[X
2. If not does the resident rent from the permittee?
3. Change of Ownership form needed? (mail the form with the inspection letter)
P
4. Is there a inspection and maintenance agreement with a contractor?1:1
❑ ❑
5. If yes to #4 who is the contractor?
SEPTIC TANK The septic tank and filters should be checked annually and pumpedldeaned
weeded.
El
6. Is all wastewater from the home connected to the septic tank?
7. Does the permitteelresident know where the septic tank is located?ry
❑
8. Has the septic tank been pumped in the last 5 years?
El
El 1:1
9. If yes to #8 date, if known if proof, describe
10. Does the septic tank have an EFFLUENT FILTER or SANITARY T? (circle one)'
11. If Yes to filter when was the filter cleaned? By whom?
SAND FILTER 1 TREATMENT PODS YES NO Lj
M no proceed to the next section.
Accessible sand filter surfaces shall be raked and leveled every six iinonlihs and any vegetative growth shall be removed manually.
[;n
❑ ❑
12. Is system something other than a sandfilter?
13. If yes, what kind? (examples - Peat, Textile, Other or brand name - Advantex, etc.)
14. Does the permittee know where the sandfilter is located?
15. Does the sandfilter require maintenance?
i
It maintenance is required explain in the comment section.
DISINFECTION I UV YES NO
If no proceed to the next section.
The ultraviolet unit shall be checked weekly. The lamps and sleeves should be cleaned or replaced needed to ensure proper dlsinfbWon. ❑
El E3
16. Is UV working?
17. Has the UV Unit been serviced and bulbs cleaned?
18. Who completes the weekly check for the UV?( Non -Discharge)
DISINFECTION I TABLETS YE3 NO El
If no proceed to the next section.
The tablet chlorinator unit shall be checked weekly to ensure contln ous and proper operation.
19. Does the permittee have the correct chlorine tablets?(If none, mark No)
20. Does the Permittee know the location of the chlorinator?
❑
21. Were chlorine tablets observed in the chlorinator?
22. Are tablets contacting water? If possible poke them to determine.
El
❑
DECHLOR (Discharge only) YES NO Ll
If no proceed to the next section.
The dechlodnator unit shall be checked weekly to ensure continuous d proper operation.
❑
El
23. Does the permittee know where the dechlor is?
24. Does the permittee have the correct dechlor tablets?
25. Were dechlor tablets observed in the dechlorination chamber?
26. Are tablets contacting water? If possible poke them to determine.
❑
0

Yes No Apply Invests ate
PUMP TANK YES NO
if no proceed to the next section.
I pump and alarm sytems shall be inspected monthly. (non -discharge)
❑
27.1s the pump working?
28. Are the audible and visual high water alarms operational?
❑
El
El
❑
29. Does the permittee know how to check the pump & high water alarm?
El
El
❑
Cl
30. Last functional test: PUMP AUDIBLE & VISUAL
DISCHARGE ONLY YES NO
If no proceed to the next section.
A visual review of the outfall location shall be executed twice each year (one at the time of sampling to ensure no visible solids or evidence of a malfunction.
❑ ❑ ❑
31. Does the permittee know where the outfall is located?
❑
ED
❑
32. Were you able to locate the outfall?
33. Is the end of the discharge pipe visible and accessible?
❑
E]
❑
34. Is outlet discharging?
35. Is right of way maintained around the discharge point?
j❑
❑
El
El
❑
36. Any Lab Results available?
"~C
37. Is there evidence of solids around the discharge point?
El
El
El
DRIP or SPRAY YES NO
If no proceed to the next section.
The Irrigation system shall be Inspected monthly to ensure the system is free of leaks and equipinkmt Is operating as designed.
38. Is the system DRIP or IRRIGATION (circle one)? If irrigation number of
sprinkler heads.
39. Are the buffers adequate?
❑
❑
❑
❑
40. Is the site free of ponding and runoff?
❑
❑
❑
❑
41. Does the application equipment appear to be working properly?
11
El
❑
❑
42. Is there a minimum two wire fence surrounding entire irrigation area?
❑
❑
GENERAL
43. Are the treatment units locked and or secured?
❑
❑
❑
44. Has resident had any sewage problems? If yes explain In the comment section.
❑
45. Does the system match the permit description? If no explain in the comment section.
�
❑
❑
El
❑
co
❑
❑
46. Is the system compliant?
failing? if
El,�
El
47. Is the system if yes, take pictures possible.
❑
❑
❑
48. If system is failing, any sigh of children or animals contacting sewage?
NOD Sent #: NOV Sent #:
Comments: Photos Taken?
YES
NO
-v f7 r --IL 0—CA c` h; e, of to r,
et
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INGP1=r.TnR• C-IV C—�G6 G SIGNATURE:

RaleiL Regional Office - SWP Staff R rt Form
To: Joe Corporon _
erify permit Information against BIMs Information. Note any corrections required.
ermit Number NCG561645 _ _ cm M
ermittee Spencer David Matney
acility Name Spencer David Matney Residence'
acility County IDurharn Y _
Tonal Office
Contact person
Mack Wiggins
11 /24/2014
.�T Jew ��Y'.�.-�n••f�'/�,.G'- {']i �k b'}','�! y�� R3 ; �.vL4a+�ir�"� .
=acility Location jqM_tr 0629 Donlee Drive, Durham NC
' r; ii� $. ?' - ..;I: i. 1G•. � .: ... t'4v.?5 �L. �L - AM W
FPS ri
Status of existing treatment Existing sandfilter discharge system without disinfection
�. •F`�}y�} .� "... ..��II��..��{ A�.��.y`r Y.5 �� - �y,' .l iz roc �Sh ',.
Longitude
Receiving stream
Stream Classification
River Basin -
Sub -basin
Stream Index
Maximum flow
Last inspection
Review Special Conditions
36.1119
78.921
UT to Little River
WS-II-HQW-NSW CA
Neuse River Basin
030401
27-2-21-(3.5)
480GPD
11/24/2014
Alternatives: none
Spray irrigation _
Regional sewer connection
Subsurface _
Other disposal options
The applicant had an existing discharging sandfilter system without disinfection.
The applicant has installed disinfection with dechlorination. Once DEH approves
Recommendation: Hold the discharge, the Raleigh Regional Office recommend that the certificate of
coverage be issued.
Supervisor approva /J%�

ZIP
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NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Spencer D. Matney
629 Donlee Drive
Durham, NC 27712
Dear Mr. Matney:
John E. Skvarla, Ill
Secretary
November 13, 2014
Subject: Acknowledgement of New Permit Application
Permit#: NCG551645
629 Donlee Drive
The Division of Water Resources received your application for coverage under NPDES General
Permit NCG550000 (Check #6629 in the amount of $60.00) on November 6, 2014. The application
has been assigned number NCG551645, and has been given to Joe Corporon for review.
The reviewer will perform a detailed review and contact you with a request for additional
information if necessary. To ensure the maximum efficiency in processing permit applications, the
division requests your assistant in providing a timely and complete response to any additional
information requested.
Please refer to the above application number when making inquiries on this project. If you have
any questions, please contact Mr. Corporon at 919-807-6394, or via e-mail at
[e-mail].
cc Raleigh Regional Office -Mack Wiggins
Permit File NCG551645
Sincerely,
Wre*vTkzd Ebro(
Wren Thedford
Wastewater Branch
NOV 1 3 211, II
NC DEER Rdei(lh Ra aicnal Qulce
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Phone: [phone]Internet: www.mwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer — Made in part by recycled paper

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NCDENR
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Division of Water Quality / Water Quality Section
National Pollutant Discharge Elimination System
NOTICE OF INTENT - NCG550000
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG550000: Single Family Domestic Units and/or facilities discharging less than 1000 gallons per
day of domestic wastewater and similar point source discharges
(Please print or type)
1) Region contact (Please note: This application will be returned if you have not met with a
representative from the appropriate regional office):
Please list the NCDENR Regional Office representatives) with whom you have met:
Name: M"(/_ Date:
2) Mailing address of ownerlo erator:
Owner Name i PENCE A 019 V1 D
Street Address A)4 E.E va'
City 17ulffi,,t State NC ZIP Code
Telephone No. (Home) (q I ) 77 (1 Iork) ( )
y��jz� N1 �4 " Address to which all permit correspondence will be mailed _ tCENEd16ENRIDWR
3) Location of facility producing discharge:
Street Address S 1AME AS A>3oVE
City
County
Telephone No
Nov 0 6 2014
State ZIP Code vvaier wu;
Permitting S
4) Physical location information: n
Please provide a narrative description of how to get to the facility (use street names, state road rnn
numbers, and distance and direction from a roadway intersection). R DX 60P-D R .D 7'4Z
141 L TO V R p p O o AJ L FFT 51DF - UR r VE %J (3'VD v v& p A p 0Aj R 7' 7'H & A.)
4 Ef-Y ON QQ/ULEe V1QiaE 'rh 1400SE- /> rU 1
5) This NPDES permit application applies to which of the following:
❑ New or Proposed (system not yet constructed)77
❑ Existing (system fully constructed); If previously permitted by local or county health department,
please provide the permit number and issue date
i
Modification (existing system with proposed changes); please describe the nature of the
modification: INSTALL CC, -AA) OqT PORT rROH 7-tq•vK ro ABUv6
C-90")17- JA/67-AC& GNLOiZ)N!aTflJ.� AA-10 DECIFi'_GP_(W15~7'IDN:
Ae"FL+4G45 GAID9CIA-1 0i6TP-(6u-t1yi) ii5o
6) Description of Discharge:
a) Amount of wastewater to be discharged:
Number of bedrooms y x 120 gallons per bedroom = D _ gallons per day to be permitted.
Page 1 of 3 07107

x

NCG550000 N.O.i.
b)
Type of facility producing waste (please check one):
[UK Primary residence ❑ Vacation/second home
❑ Other:
7) Please check the components that comprise the wastewater treatment system:
Veptic tank ❑ Dosing tank ❑ Recirculating sand filter(s)
[;�Orimary sand filer ❑ Secondary sand filter ❑ Other form of disinfection
Q,61orination Q16echlorination ❑ Post Aeration (specify type)
8) Receiving waters:
a) What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility
wastewater discharges end up in? I—Ir 4C A f VEA R E5E VW 12 _
b) Stream Classification (if known):
9) Application Requirements:
Applications for new/proposed_ facilities_(unbuilt) should include the following:
❑ An original letter and two (2) copies requesting a general permit and Authorization to Construct (ATC).
❑ A signed and completed original and two copies of this Notice of Intent application.
❑ A check or money order for the permit fee of $60.00 made payable to NCDENR.
❑ Letter from the county health department evaluating the proposed site for all types of ground
absorption and innovative non -discharge systems. Document the repair potential of the failed system.
❑ An evaluation of the possibility of connecting to a regional sewer system (approximate distance & cost
to connect).
❑ A 7010 flow estimate at the proposed wastewater discharge point from the US Geological Survey
(919-571-4000)
❑ Three sets of plans and specifications of proposed treatment system. Please note that a Professional
Engineer (P.E.) will be required to certify all new systems.
❑ The following setbacks must be met for all new facilities (15A NCAC 02T .0506(b)).
o Any private or public water supply source -100 ft
o Surface Waters - 50 ft
o Any habitable residence under separate ownership or not to be maintained as part of
project site - 100 ft
o Any property line - 50 ft
o Any well with exception of monitoring wells -100 ft
Applications for existing (permitted or unpermitted) facilities requiring modifications should
include the following:
[O/An original letter and two (2) copies requesting a general permit (if the system is unpermitted)
50/or an Authorization to Construct (ATC).
signed and completed original and two copies of this Notice of Intent Application.
check or money order for the permit fee of $60.00 made payable to NCDENR (not required for
currently permitted systems).
❑ Three sets of plans and specifications of the proposed treatment system. Please note that a
Professional Engineer (P.E.) will be required to certify all modifications other than the addition of
chlorination/dechlorination.
[voice showing the septic tank has been pumped and serviced within the last 12 months (only
when existing septic tank will be used)
Page 2 of 3 7/07

O p

A
A
NCG650000 N.O.I.
Ap2lications for existin un ermitted facilities with no Rroposed modifications should include
the following:
❑ An original letter and two (2) copies requesting a general permit.
❑ A signed and completed original and two copies of this Notice of Intent Application.
❑ A check or money order for the permit fee of $60.00 made payable to NCDENR.
❑ Invoice showing the septic tank has been pumped and serviced within the last 12 months
10) Additional Application Requirements:
a) If a consulting engineer is submitting this application:
❑ Please include documentation from the applicant showing that the engineer (or firm) has been
designated an authorized representative of the applicant.
❑ Final plans for the treatment system must be signed and sealed by a North Carolina registered
Professional Engineer and stamped - "Final Design - Not released for construction'.
❑ Final specifications for all major treatment components must be signed and sealed by a North
Carolina registered Professional Engineer and shall include a narrative description of the
treatment system to be constructed.
11) Certification:
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate.
Printed Name of Person Signing: SPEiV C FR DHV 117 A414i/uL Y
Title: a td11V &-
(Signature of Applicant) (Date Signed)
North Carolina General Statute 143-216.6 b (1) provides that:
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 or maintained 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 $25,000, 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 $25,000 or imprisonment not more
than 5 years, or both, for a similar offense.)
Mail package to:
NPDES Permitting Program
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Phone: [phone]
The submission of this document does not guarantee the issuance of an NPDES permit
Page 3 of 3 T`07

o �

I�
NPDES Permitting Program
Mr. Mack Wiggins
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Dear Mr. Wiggins,
Spencer David Matney
629 Donlee Drive
Durham, INC 27712
I have been monitoring my septic system for the past three years since your visit 2/15/2011. 1 have
not had any problems such as surface seepage or backup in the house. Duke Power drilled a hole in the
back yard in order to install a new utility pole. They hit concrete, backfilled the hole and moved to
another spot. Last spring 1 dug up the distribution box and found the top broken and partially blocking
the flow to the sand filter.
I would like to apply for a Permit to modify my septic system to include a new distribution box, a tank
clean out port to ground level for servicing and the chlorination and dechlorination system as we
discussed.
I am working with Mr. Jeff Kirby owner of Kirby Septic Systems of Mebane to perform the needed
services to complete this project.
Respectfully yours,
S. David Matney

U O

l
ADivision of Water Quality /Water Quality Section
67A
NCDENRNational Pollutant Discharge Elimination System
MG -CJ1101 4v�wD
r.rRy.r,r Wn N.�1Arr l�70..rJ0
NOTICE OF INTENT - NCG550000
Check
or
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG550000: Single Family Domestic Units and/or facilities discharging less than 1000 gallons per
day of domestic wastewater and similar point source discharges
(Please print or type)
1) Region contact (Please note: This application will be returned if you have not met with a
representative from the appropriate regional office):
Please list the NCDENR Regional Qffice representatives) with whom you have met:
Name: Date:
2) Mailing address of ownedo erator:
Owner Name i PEWCE A 019 ✓t O .-,otliq-rw
Street Address iV 4 6 e V6-
City OCIRHAII-1 State NCB ZIP Code a -77i
Telephone No. (Home) { g j� )y (Work) ( ) N/a
' Address to which all permit correspondence will be mailed `�EI17ED1QEN WDWR
3) Location of facility producing discharge:
Street Address .519ME A5 19190V E
City
County
Telephone No.
4) Physical location information:
NOV 0 6 2014
State ZIP Code � Se
Permitting Se
Please provide a narrative description of how to get to the facility (use street names, state road
numbers, and distance and direction from a roadway intersection). R oX goeo R v •voP,,r 1 rD
A"LT'O)j r40pp VA-' "EfT SIDF' OAsv&' 10 t1VDvv gl_ Aj7aN /QlC-/I7' rHry
6" DoNlXe 17pioE • 5 rh DOUSE V Aj Z w cr cjn, -
5) This NPDES permit application applies to which of the following:
❑ New or Proposed (system not yet constructed)
❑ Existing (system fully constructed); If previously permitted by local or county health department
please provide the permit number
and issue date
Modification (existing system with proposed changes); please describe the nature of the
modification: /NSTtgti- (_tFAN OLIT PO&T rAOAI Trtul[ ro 480ve
GRoux,d . ) VS TR GL cN 4ofipvArr ,u AA-17 pEG1{L�r�l�147IC��:
AEPLiCIG4�5 GADgev 131,5TA(doL1tIVA) $dY .
6) Description of Discharge:
a) Amount of wastewater to be discharged:
Number of bedrooms ... x 120 gallons per bedroom = �60gallons per day to be permitted.
Page 1 of 3 07/07

0 0

NCG660000 N.O.I.
b) Type of facility producing waste (please check one):
VPrimary residence ❑ Vacation/second home
❑ Other:
7) Please check the components that comprise the wastewater treatment system:
LidSeptic tank
Ulfnmary sand filter
Q'1151hiorination
8) Receiving waters:
❑ Dosing tank ❑ Recirculating sand filter(s)
❑ Secondary sand filter ❑ Other form of disinfection
[6echionnation ❑ Post Aeration (specify type)
a) What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility
wastewater discharges end up in? i-M-aC R 1 VET &E.5 R vDy k-
b) Stream Classification (if known)-
9) Application Requirements:
Applications for new/proposed facilities (unbuilt) should include the following:
❑ An original letter and two (2) copies requesting a general permit and Authorization to Construct (ATC).
❑ A signed and completed original and two copies of this Notice of Intent application.
❑ A check or money order for the permit fee of $60.00 made payable to NCDENR.
❑ Letter from the county health department evaluating the proposed site for all types of ground
absorption and innovative non -discharge systems. Document the repair potential of the failed system.
❑ An evaluation of the possibility of connecting to a regional sewer system (approximate distance & cost
to connect).
❑ A 7Q10 flow estimate at the proposed wastewater discharge point from the US Geological Survey
(919- 571-4000)
❑ Three sets of plans and specifications of proposed treatment system. Please note that a Professional
Engineer (P.E.) will be required to certify all new systems.
❑ The following setbacks must be met for all new facilities (15A NCAC 02T .0506(b)).
o Any private or public water supply source - 100 ft
o Surface Waters - 50 ft
o Any habitable residence under separate ownership or not to be maintained as part of
project site - 100 ft
o Any property line - 50 ft
o Any well with exception of monitoring wells - 100 ft
Applications for existing (permitted or unpermitted) facilities requiring modifications should
include the following:
ER/An original letter and two (2) copies requesting a general permit (if the system is unpermitted)
a d/or an Authorization to Construct (ATC).
signed and completed original and two copies of this Notice of Intent Application.
EKCheck or money order for the permit fee of $60.00 made payable to NCDENR (not required for
currently permitted systems).
❑ Three sets of plans and specifications of the proposed treatment system. Please note that a
Professional Engineer (P.E.) will be required to certify all modifications other than the addition of
chlorination/dechlorination.
Q'Invoice showing the septic tank has been pumped and serviced within the last 12 months (only
when existing septic tank will be used)
Page 2 of 3 7/07

O O

rdl
NCG660000 N.O.i.
Applications for existing (unpermitted) facilities with no proposed modifications should include
the following:
❑ An original letter and two (2) copies requesting a general permit.
❑ A signed and completed original and two copies of this Notice of Intent Application.
❑ A check or money order for the permit fee of $60.00 made payable to NCDENR.
❑ invoice showing the septic tank has been pumped and serviced within the last 12 months
10) Additional Application Requirements:
a) !f a consulting engineer is submitting this application:
❑ Please include documentation from the applicant showing that the engineer (or firm) has been
designated an authorized representative of the applicant.
❑ Final plans for the treatment system must be signed and sealed by a North Carolina registered
Professional Engineer and stamped - "Final Design - Not released for construction".
❑ Final specifications for all major treatment components must be signed and sealed by a North
Carolina registered Professional Engineer and shall include a narrative description of the
treatment system to be constructed.
11) Certification:
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate.
Printed Name of Person Signing: SPgh2CF1e Aq irJ /ti 14-rAJ Y
Title: "
(Signature of Applicant) (Date Signed)
North Carolina General Statute 143-215.6 b (1) provides that:
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 or maintained 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 $25,000, 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 $25,000 or imprisonment not more
than 5 years, or both, for a similar offense.)
Mail package to:
NPDES Permitting Program
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Phone: [phone]
The submission of this document does not guarantee the issuance of an NPDES permit
Page 3 of 3 ; ; 07

0 0

kv
November 4, 2014
NPDES Permitting Program
Mr. Mack Wiggins
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Dear Mr. Wiggins,
Spencer David Matney
629 Donlee Drive
Durham, NC 27712
I have been monitoring my septic system for the past three years since your visit 2/15/2011.1 have
not had any problems such as surface seepage or backup in the house. Duke Power drilled a hole in the
back yard in order to install a new utility pole. They hit concrete, backfilled the hole and moved to
another spot. Last spring I dug up the distribution box and found the top broken and partially blocking
the flow to the sand filter.
I would like to apply for a Permit to modify my septic system to include a new distribution box, a tank
clean out port to ground level for servicing and the chlorination and dechlorination system as we
discussed.
I am working with Mr. Jeff Kirby owner of Kirby Septic Systems of Mebane to perform the needed
services to complete this project.
Respectfully yours,
,J, &-"
S. David Matney
WMEDIDENRUM
NOV 06

0 0