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Home My WebLink AboutWQ0000543_More Information Received_20240626Initial Review Reviewer nathaniel.thorn burg Is this submittal an application? (Excluding additional information.) * Yes No If not an application what is the submittal type?* Annual Report Residual Annual Report Additional Information Other Permit Number (IR) * W00000543 Applicant/Permittee City of Sanford Email Notifications Does this need review by the hydrogeologist? * Yes No Regional Office CO Reviewer Admin Reviewer Submittal Form Project Contact Information Please provide information on the person to be contacted by NDB Staff regarding electronic submittal, confirmation of receipt, and other correspondence. ..................................................................................................................................................................................................................................................................................... ... ... ... ... ... .. ... ... ... ... .. Name* Adam Brigman Email Address* abrigman@synagro.com Project Information ......................... Application/Document Type* New (Fee Required) Modification - Major (Fee Required) Renewal with Major Modification (Fee Required) Annual Report Additional Information Other Phone Number* 7046504341 Modification - Minor Renewal GW-59, NDMR, NDMLR, NDAR-1, N DAR-2 Residual Annual Report Change of Ownership We no longer accept these monitoring reports through this portal. Please click on the link below and it will take you to the correct form. https://edoes.deq.nc.gov/Forms/NonDischarge_Monitoring_Report Permit Type:* Wastewater Irrigation High -Rate Infiltration Other Wastewater Reclaimed Water Closed -Loop Recycle Residuals Single -Family Residence Wastewater Other Irrigation Permit Number:* WQ0000543 Has Current Existing permit number Applicant/Permittee Address* 5297 Iron Furnace Rd Sanford, North Carolina Facility Name* City of Sanford Class B Residuals Program Please provide comments/notes on your current submittal below. Attached is the additional information requested. At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg at nathaniel.thornburg@ncdenr.gov. Please attach all information required or requested for this submittal to be reviewed here. (Application Form, Engineering Plans, Specifications, Calculations, Etc.) Sanford WQ0000543 Add INFO.pdf 333.88KB Upload only 1 PDF document (less than 250 MB). Multiple documents must be combined into one PDF file unless file is larger than upload limit. * By checking this box, I acknowledge that I understand the application will not be accepted for pre -review until the fee (if required) has been received by the Non -Discharge Branch. Application fees must be submitted by check or money order and made payable to the North Carolina Department of Environmental Quality (NCDEQ). I also confirm that the uploaded document is a single PDF with all parts of the application in correct order (as specified by the application). Mail payment to: NCDEQ — Division of Water Resources Attn: Non -Discharge Branch 1617 Mail Service Center Raleigh, NC 27699-1617 Signature Submission Date 6/26/2024 9 = yki '.c Y' i a5 June 26, 2024 NCDENR-DEQ Division of Water Resources Land Application Permitting and Compliance Unit Aquifer Protection Section 1636 Mail Service Center Raleigh, NC 27699-1636 ATTENTION: Mr. Cord Anthony REFERENCE: Application No. WQ0000543 Additional Information Request City of Sanford Renewal Dear Mr. Anthony: Synagro is providing the following information on behalf of the City of Sanford as a response to the additional information request received May 14"' 2024, please see the following information attached to this letter in PDF format: Attached are the updated setback waivers that affects fields NC-CH-77-4 and NC-CH- 77-18. The NDRMPW-LAS 11-18 form was used, and each form was recorded at the Chatham County Register of deeds. If you require additional information or have further questions, please contact me at (704) 650-4341 or email ABrigman@synagro.coni. Thank you in advance for the timely and efficient review of this additional information. Sincerely, Adam Brigman 284 Boger Road, Mocksville, NC 27028 9 Phone: (704) 650-4341 CHATHAM CO NTY NC LUNDAY A, RIGGSBEE REGISTER OF DEEDS „ PILED Jun 25, 2624 AT 03:30:19 Pm BOOK 02420 START PAGE o084 END PAGE 0085 INSTRUMENT # 05413 EXCISE TAX (None) State of North Carolina Department of Environmental Quality Division of Water Resources NON -DISCHARGE RESIDUALS MANAGEMENT PROGRAM WAIVER FOR THE APPLICATION OF CLASS B RESIDUALS REEMENT TO WAWE SMACKS PURSUANT TO 15A NCAC 02TJ108(c) 1, GG certify that [ am a deeded owner of the property located at: Address: (�17 r �'P,%)i-e,• �J O��D�i� rhParcelNo.: City: State'� Tap Code, 7zC2—County: Furthermore, I certify that I am authorized to make decisi ugarding this property, and that I do hereby agree that the setback distances cited below be granted to & ApplicantlPennittee listed on the following page. VFor the parcel identified above, I consent to a reduced setback from feet to D feet, tf ereby allowing the application of Class B residuals is near as feet from my property Ifne. ror the parcel Identified above, 1 consent to a redurtd setback from qf)0 feet to fI)o feet, s thereby allowing the application of Class 13 res[daalsisntsr as J& feet from my residence. "THIS WAIVEIRI SHALL BE TERM1N D UPON CHANGE OF OWNERSHIP OF ANY PARTIES INVOLVED** Signature: _ "�'—_ Date:l FORNI: NDRMPW-LAS I I-18 kobk")e�,()` +O: —JoSk Page I ofz a739 I ApplicantfPcrnnitice: ic 41L__0_L_< n parcel No.: Address: o �ti `~ City: (� M-C- r,) Slnlc; _R- L 7,ip Code' �r County: NORTH CAROLINA, C , � N:A & 0, COUNTY t ti/ J'o x , a Notary Public for f Jt County, North Carolina, do hereby certify that /{1 01�cle (personally appeared before Inc this day and acknowledged the due execution of the foregoing Instrument. 1 Witness my hand and official seal, this tite N �I_'day of � try+? 11 . k `X �wlFo''% � ry S CID rMfili,�� 4v, Signahare of Notary Public Afy commission expires—L( ZI:210'z, Once notarized, this form shall be recorded at the Register of Deeds in the county or counties in which the described properties are located. A copy of the recorded waiver shall be sent to the following address: Division of Water Resources Non -Discharge Branch 1617 Mail Service Center Raleigh, North Carolina27699-1617 FORM: NDRMPW-LAS 11-18 Page 2 of CamScanner FILED NATHAM COUNTY NC LUNDAY& RIGGSBEE REGISTR'R OF DEEDS FILED _ Jun 25, 2024 AT 03,31,42 pm BOOT{ 02420 START PAGE 0086 END PAGE 0087 INSTRUMENT # 05414 EXCISE TAX (Notre) State of North Carolina Department of Environmental Quality Division of Water Resources NON -DISCHARGE RESIDUALS MANAGEMENT PROGRAM WAIVER FOR THE APPLICATION OF CLASS B RESIDUALS AGREEMENT TO WAIVE SETBACKS PURSUANT TO I SA NCAC 02T .1108(c) 1, :5p reA7 i ak certify that 1 am a deeded owner of the property located at: Address: 3 0c,< 4-u rl'x^ r' �` � 1 i aril Parcel Na.: 75 LL City. —&.� J'4A State;IV(� ZipCode• V51 County: C6� Furthermore, I certify that I am authorized to make decisions regarding this property, and that I do hereby agree that the setback distances cited below be granted to the Applicant/Pennittee listed on the following page. 3For the parcel Identified above, I consent to a redactd setback from f;" feet to _� feet, thereby allowing the application of Class B residuabas near as_t L feet from my property line, aI+or the parcel Identified above, I consent to a redatrd setback from _YOCfeet tohf feet, thereby allowing the application of Class B residuals is near as 0 V feet from my residence. **THIS WAIVER SHALL BE TERMINATED UPON CHANGE OF01MERSHIP OF ANY PARTIES INVOLVED** t► � FORM: NDRh1PW-LAS 11-18 P-'-L urn 4 o: --�-05 V�. W a 6 A411-eJ, C1. Q rpoe'l)(— CV 3�1 �d�pt�nSD(� Date: --Z4 '-) o — '� Y Page 1 of 2 CamScanner Ap4licanlll'crntiittcc: Tt t C ?C� 1 i _�r QQ Address: ��S`�' f�r..v _ l�Ux� parcel No,: f]-County: 4t� State: It! slip Code City: _-- / 1f NORTH CAROLINA, C/jrjhr,nq COUNTY / � County, North Caroline, r I, le, %.J /fo .�-- , e Notary VUbIIc fr3r � h { do hereby certify that 5 ( � ,fir �. �r, prrjonagy appeared before me this day and acknowledged the due execution of the foregoing inslOmeo" I'Vitness my hand and official sea), ibis the 2a�INday of SEAL '�0 ��hrrr�iittt�� A, W v� ,yfra,ve of Notary Public r �/ hfyrWsloe expires Once notarized, this form shall be recorded at kRegister of Deeds in the county or counties in which the described properties are located. A copy of the recorded waiver shall be sent to the following address: Division of Waterkources Non -Discharge &arch 1617 Mail ServiceCenter Raleigh, North CaroliN27699-1617 FORM: NDRMPW-I.AS 11-18 Page 2 of 2 SCamScanner