WQ0044990_More Information Received_20241010

Initial 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) * W00044990
Applicant/Permittee Abigail F. Siegrist
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* David C. Barcal
Email Address*
[e-mail]
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*
9194671239
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:*
WQ0044990
Has Current Existing permit number
Applicant/Permittee Address*
168 Murphy Drive, High Point, NC 27265
Facility Name*
312 Reese Rd. SFR
Please provide comments/notes on your current submittal below.
Additional information request received 9-4-2024, and sealed 10-10-2024.
At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg
at [e-mail].
Please attach all information required or requested for this submittal to be reviewed here.
(Application Form, Engineering Plans, Specifications, Calculations, Etc.)
SFRWWIS 06-16 & Calculations Signed.pdf 16.13MB
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
elJRi!'!d'� K�2tAt'
Submission Date 10/10/2024

J
0 051201 16
Madison Siegrist
312 Reese Road
Davidson County, North Carolina
Form: SFRWWIS 06-16
MacConnell & Associates, P.C.
501 Cascade Pointe Lane, Suite 103
Cary, North Carolina 27513
P.O. Box 129
Morrisville, North Carolina 27560
Phone: [phone]
Fax: [phone]

DWR State of North Carolina
Department of Environmental Quality
Division of Water Resources
Division of Water Resources
15A NCAC 02T .0600 — SINGLE-FAMILY RESIDENCE WASTEWATER IRRIGATION SYSTEMS
INSTRUCTIONS FOR FORM: SFRWWIS 06-16 & SUPPORTING DOCUMENTATION
The Division of Water Resources will not accept an application package unless all instructions are followed. Plans, specifications
and supporting documents shall be prepared in accordance with 15A NCAC 02L .0100, 15A NCAC 02T .0100, 15A NCAC 02T
.0600, 15A NCAC 18A .1900, Division Policies and eood ensineerins practices. Failure to submit all required items may result
in the application being returned, and will necessitate additional processing and review time.
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit website
General — When submitting a non -discharge application to the Water Quality Permitting Section's Non -Discharge Permitting Unit,
please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these instructions
and checking the provided boxes will help produce a quicker review time by assisting the reviewer in locating the required materials
and potentially reducing the amount of requested additional information. Unless otherwise noted, the Applicant shall submit one original
and at least two conies of the application and supporting documentation.
A. Cover Letter (All Application Packages):
® List all items and attached supporting documentation included in the application package, as well as a brief description of the
requested permitting action.
B. Application Fee (All New and Major Modification Application Packages):
® Submit a check, money order or electronic funds transfer made payable to: North Carolina Department of Environmental
Quality (NCDEQ).
® The appropriate fee amount for new and major modification application packages may be found at: Standard Review Proiect
Fees.
C. Single -Family Residence Wastewater Irrigation Systems (FORM: SFRWWIS 06-16) Application (All Application Packages):
® Submit the completed and appropriately executed Single -Family Residence Wastewater Irrigation Systems (FORM:
SFRWWIS 06-16) application. Any unauthorized content changes to FORM: SFRWWIS 06-16 shall result in the application
package being returned. If necessary for clarity or due to space restrictions, attachments to the application may be made, as
long as the attachments are numbered to correspond to the section and item to which they refer.
❑ If the Applicant Type in Item I.2. is a corporation or company, provide documentation it is registered for business with the
North Carolina Secretary of State.
❑ If the Applicant Type in Item I.2. is a partnership, sole proprietorship, trade name, or d/b/a, enclose a copy of the certificate
filed with the Register of Deeds in the county of business.
® The facility name in Item II.2. shall be consistent with the facility name on the plans, specifications, agreements, etc.
® The Professional Engineer's Certification on Page 6 of the Single -Family Residence Wastewater Irrigation Systems (FORM:
SFRWWIS 06-16) application shall be signed, sealed and dated by a North Carolina licensed Professional Engineer.
® The Applicant's Certification on Page 6 of the Single -Family Residence Wastewater Irrigation Systems (FORM: SFRWWIS
06-16) application 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(b).
❑ If this project is for a renewal without modification, use the Non -Discharge Svstem Renewal (FORM: NDSR) application.
D. Existing Permit (All Modification Packages):
❑ Submit the most recently issued existing permit.
❑ Provide a list of any items within the permit the Applicant would like the Division to address during the permit modification
(i.e., compliance schedules, permit description, monitoring, permit conditions, etc.).
E. Property Ownership Documentation (All Application Packages):
® Per 15A NCAC 02T .0604(e), the Applicant shall demonstrate they are the owner of all property containing the wastewater
treatment, storage and irrigation facilities:
® Legal documentation of ownership (i.e., contract, deed or article of incorporation), or
❑ Written notarized intent to purchase agreement signed by both parties with a plat or survey map, or
❑ Written notarized lease agreement that specifically indicates the intended use of the property and has been signed by both
parties, as well as a plat or survey map. Lease agreements shall adhere to the requirements of 15A NCAC 02L .0107.
❑ Provide all agreements, easements, setback waivers, etc. that have a direct impact on the wastewater treatment, conveyance,
storage and irrigation facilities.
INSTRUCTIONS FOR FORM: SFRWWIS 06-16 & SUPPORTING DOCUMENTATION Pagel of 4

F. Soil Evaluation (All Application Packages that include new irrigation sites):
®Per 15A NCAC 02T .0604(b) and current Division Policy, submit a detailed soil evaluation that has been signed, sealed and dated
by a North Carolina Licensed Soil Scientist and includes at a minimum:
® The report shall identify all the sites/fields with project name, location, and include a statement that the sites/fields were
recommended for the proposed land application activity.
❑ Note, if the soil evaluation was performed more than one year prior to the submittal of this application package, a statement
shall be included indicating that the site has not changed since the original investigation.
® Field delineated detailed soils map meeting all of the requirements of the Soil Scientist Evaluation Policy.
® Soil profile descriptions meeting all of the requirements of the Soil Scientist Evaluation Policy.
® Provide all soil boring logs performed at the site.
® Standard soil fertility analysis conducted no more than one year prior to permit application for each map unit in the soil
map legend for the following parameters:
❑ Acidity ❑ Exchangeable sodium percentage (by calculation) ❑ Phosphorus
❑ Base saturation (by calculation) ❑ Magnesium ❑ Potassium
❑ Calcium ❑ Manganese ❑ Sodium
❑ Cation exchange capacity ❑ Percent humic matter ❑ Zinc
❑ Copper ❑ pH
Note: The number of samples will vary depending upon the project size and past land use history. Multiple samples for
each map unit are required if the irrigation zones are separated, and cropland, pasture, hay land and wooded areas shall be
sampled separately for the same map unit due to past differences in soil fertility management.
® Saturated hydraulic conductivity (KSAT) data that shall include at a minimum:
® A minimum of three KSAT tests shall be conducted in the most restrictive horizon for each soil series in the soil map.
® All KSAT tests shall be conducted in areas representative of the site.
® All KSAT tests shall be run until steady-state equilibrium has been achieved.
® All collected KSAT data shall be submitted, including copies of field worksheets showing all collected readings.
® Submit a soil profile description for each KSAT data point that shall extend at least one foot below the tested horizon.
® Soil evaluation recommendations shall include at a minimum:
® A brief summary of each map unit and its composition and identification of minor contrasting soils.
® Maximum irrigation precipitation rate (in/hr) for each soil/map unit within the proposed irrigation areas.
® Identification of areas not suitable for wastewater irrigation.
® Recommended geometric mean KSAT rate to be used in determining the SFR Loading Rate Group for each soil/map
unit based upon in -situ measurement of the saturated hydraulic conductivity from the most restrictive horizon.
® Recommended annual hydraulic loading rate (in/yr) for each soil/map unit within the proposed irrigation areas based
upon in -situ KSAT measurements form the most restrictive soil horizon. The recommended loading rate must be in
accordance with the Single -Family Residence Wastewater Irrigation System Loading Rate Calculation Policy.
® A completed copy of the Single -Family Residence Loading Rate Workbook (i.e., Project Information, Potential
Evapotranspiration, Precipitation, and Irrigation Area Calculations).
G. Engineering Plans (All Application Packages):
® Per 15A NCAC 02T .0604(c)(1), submit standard size and 11 x 17-inch plan sets that have been signed, sealed and dated by a
North Carolina licensed Professional Engineer.
® At a minimum, the engineering plans shall include the following items:
® Table of contents with each sheet numbered, as well as cross-referenced with the appropriate application items.
® A general location map with at least two geographic references, vicinity map, topographic map and site map.
® A process and instrumentation diagram showing all flow, recycle/return, electrical paths, etc.
® Plan and profile views of all treatment and storage units, including their piping, valves, and equipment (i.e., pumps, etc.),
as well as their dimensions and elevations.
® Details of all piping, valves, pumps, precipitation/soil moisture sensors, etc.
® A hydraulic profile from the treatment plant headworks to the highest irrigation point.
® The irrigation area with an overlay of the suitable irrigation areas depicted in the Soil Evaluation.
® Each nozzle/emitter and their wetted area influence, and each irrigation zone labeled as it will be operated.
® Locations within the irrigation system of air releases, drains, control valves, highest irrigation nozzle/emitter, etc.
® Plans shall represent a completed design and not be labeled with preliminary phrases (e.g., FOR REVIEW ONLY, NOT FOR
CONSTRUCTION, etc.) that indicate they are anything other than final specifications. However, the plans may be labeled
with the phrase: FINAL DESIGN - NOT RELEASED FOR CONSTRUCTION.
INSTRUCTIONS FOR FORM: SFRWWIS 06-16 & SUPPORTING DOCUMENTATION Page 2 of 4

H. Specifications (All Application Packages):
® Per 15A NCAC 02T .0604(c)(2), submit specifications that have been signed, sealed and dated by a North Carolina licensed
Professional Engineer.
® At a minimum, the specifications shall include the following items:
® Table of contents with each section/page numbered, as well as cross-referenced with the appropriate application items.
® Detailed specifications for each treatment/storage/irrigation unit, as well as all piping, valves, equipment (i.e., pumps, etc.),
nozzles/emitters, precipitation/soil moisture sensor, audible/visual high water alarms, liner material, etc.
® Site Work (i.e., earthwork, clearing, grubbing, excavation, trenching, backfilling, compacting, fencing, seeding, etc.)
® Materials (i.e., concrete, masonry, steel, painting, method of construction, etc.)
® Electrical (i.e., control panels, etc.)
® Means for ensuring quality and integrity of the finished product, including leakage, pressure and liner testing.
® Specifications shall represent a completed design and not be labeled with preliminary phrases (e.g., FOR REVIEW ONLY,
NOT FOR CONSTRUCTION, etc.) that indicate they are anything other than final specifications. However, the specifications
may be labeled with the phrase: FINAL DESIGN - NOT RELEASED FOR CONSTRUCTION.
I. Engineering Calculations (All Application Packages):
® Per 15A NCAC 02T .0604(c)(3), submit engineering calculations that have been signed, sealed and dated by a North Carolina
licensed Professional Engineer.
® At a minimum, the engineering calculations shall include the following items:
® Hydraulic and pollutant loading calculations for each treatment unit demonstrating how the designed effluent
concentrations in Application Item V.I. were determined (Note: "black box" calculations are unacceptable).
® Sizing criteria for each treatment unit and associated equipment (i.e., pumps, etc.).
® Total and effective storage calculations for each storage unit.
® Friction/total dynamic head calculations and system curve analysis for each pump used.
® Manufacturer's information for all treatment units, pumps, irrigation system, etc.
® Flotation calculations for all treatment and storage units constructed partially or entirely below grade.
® Demonstrate the designed maximum precipitation and annual loading rates do not exceed the recommended rates.
® Demonstrate the specified auxiliary power source is capable of powering all essential treatment units.
® A properly completed and executed Sinale-Family Residence Loading Rate Workbook.
Site Map (All Application Packages):
® Per 15A NCAC 02T .0604(d), submit standard size and 11 x 17-inch site maps that have been signed, sealed and dated by a
North Carolina licensed Professional Engineer and/or Professional Land Surveyor.
® For clarity, multiple site maps of the facility with cut sheet annotations may be submitted.
® At a minimum, the site map shall include the following:
® A scaled map of the site with topographic contour intervals not exceeding two feet and showing all facility -related
structures and fences within the wastewater treatment, storage and irrigation areas.
® Soil mapping units shown on all irrigation sites.
® The location of all wells (including usage and construction details if available), streams (ephemeral, intermittent, and
perennial), springs, lakes, ponds, and other surface drainage features within 500 feet of all wastewater treatment, storage
and irrigation sites.
® Delineation of the compliance and review boundaries per 15A NCAC 02L .01076) and .0108.
® Setbacks as required by 15A NCAC 02T .0606.
® Site property boundaries within 500 feet of all wastewater treatment, storage and irrigation sites.
® All habitable residences or places of public assembly within 500 feet of all treatment, storage and irrigation sites.
K. Operation and Maintenance Plan (All Application Packages):
® Per 15A NCAC 02T .0604(f), submit an operation and maintenance (O&M) plan encompassing all wastewater treatment,
storage and irrigation systems that at a minimum shall address:
® How to perform routine inspections.
® A maintenance schedule.
® A troubleshooting guide.
® A layman's explanation of the wastewater treatment, storage and irrigation systems.
® A crop maintenance and management plan.
® Note a final O&M Plan may be submitted with the partial and/or final Engineering Certification required under 15A NCAC
02T .0116, however, a preliminary O&M Plan shall be submitted with each application package.
L. Operation and Maintenance Agreement (All Application Packages):
® Per 15A NCAC 02T .0604(h), submit a notarized Operation and Maintenance Agreement that has been signed and dated by all
deeded property owners.
INSTRUCTIONS FOR FORM: SFRWWIS 06-16 & SUPPORTING DOCUMENTATION Page 3 of

M. County Health Department Denial Letter (All New Application Packages):
® Per 15A NCAC 02T .0604(a), provide a written letter from the local County Health Department denying the site for all
subsurface systems.
N. Floodway Regulation Compliance (All Application Packages where any portion of the wastewater treatment, storage and
irrigation system is located within the 100-year floodplain):
® Per 15A NCAC 02T .0105(c)(8), provide written documentation from all local governing entities that the facility is in
compliance with Article 21 Part 6 of Chapter 143 of the General Statutes (i.e., § 143-215.51. through § 143-215.61.).
O. Threatened or Endangered Aquatic Species Documentation (All Application Packages):
® Per 15A NCAC 02T .0105(c)(10), submit documentation from the Department's Natural Heritage Program demonstrating the
presence or absence of threatened or endangered aquatic species within the boundary of the wastewater treatment, storage and
irrigation facilities.
❑ If the facility directly impacts such species, this documentation shall provide information on the need for permit conditions
pursuant to 15A NCAC 02B .0110.
P. Other Environmental Permits (All Application Packages that include stream or wetland crossings):
❑ Per 15A NCAC 02T .0105(c)(6), submit a copy of either the approved permit/certification or a letter from the appropriate
review agency acknowledging receipt of the application for the following applicable permits/certifications:
❑ Division of Water Resources' Water Oualitv Permitting Section — Wetlands 401 Certification
❑ US Armv Corps of Engineers South Atlantic Division —Nationwide 12 or Section 404 permit
❑ Per 15A NCAC 02T .0105(c)(6), this application shall be considered incomplete or the resulting permit may be issued
conditionally, if a pending issuance of any of the aforementioned permits/certifications directly impact the facility herein.
THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION SHALL BE SUBMITTED TO:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NON -DISCHARGE PERMITTING UNIT
By U.S. Postal Service:
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
TELEPHONE NUMBER: [phone]
By Courier/Special Deliverv:
512 N. SALISBURY ST.
RALEIGH, NORTH CAROLINA 27604
FAX NUMBER: [phone]
INSTRUCTIONS FOR FORM: SFRWWIS 06-16 & SUPPORTING DOCUMENTATION Page 4 of

State of North Carolina
D. WR Department of Environmental Quality
Division of Water Resources
Division of Water Resources
15A NCAC 02T .0600 - SINGLE-FAMILY RESIDENCE WASTEWATER IRRIGATION SYSTEMS
FORM: SFRWWIS 06-16
I. APPLICANT INFORMATION:
1. Applicant's name as appears on deed, contract or lease agreement: Madison Sieerist
2. Applicant type: ® Individual ❑ Corporation ❑ General Partnership
3. Signature authority's name: per 15A NCAC 02T .0106(b) Title:
4. Applicant's mailing address: 168 Murphv Drive
City: Hieh Point State: NC Zip: 27265-
5. Applicant's contact information:
Telephone number: [phone] Fax number: (� _- Email Address: mis1212na,email.com
II. FACILITY INFORMATION:
1. Facility name: 312 Reese Road
2. Facility status: ❑ Existing or ® Proposed
3. Facility's physical address: 312 Reese Road
City: Hieh Point State: NC Zip: 27265- County: Davidson
4. Wastewater Treatment Facility Coordinates: Latitude: 40' 26' 56" Longitude: -66. 34' 55"
Provide the following latitude and longitude coordinate determination information:
Datum: NAD83 Level of accuracy: Nearest second Method of measurement: Mai) interpretation by extraction
5. USGS Map Name: Midwav Ouadranele (2000)
III. CONSULTANT INFORMATION:
1. Engineer's name: David C. Barcal License Number: 51201 Firm: MacConnell & Associates. P.C.
Engineer's mailing address: 501 Cascade Pointe Ln. Suite 103
City: Cary State: North Carolina Zip: 27513-_
Telephone number: [phone] Fax number: (919) 319- 651
2. Soil Scientist's name: Christopher Murrav License Number: 1284
Soil Scientist's mailing address: 216 S. Swine Rd, Suite 1
City: Greensboro State: North Carolina Zip: 27409-_
Telephone number: [phone] Fax number: (_) _-_
Email Address: david.barcalamacconnellandassoc.com
Firm: Piedmont Environmental Associate. P.A.
Email Address:
IV. GENERAL REQUIREMENTS -15A NCAC 02T .0100:
1. Application type: ® New ❑ Major Modification ❑ Minor Modification
If a modification, provide the existing permit number: WQ00 and most recent issuance date:
2. Application fee: $60
3. Describe the origin of the wastewater and provide a brief project description: Three -bedroom residence at 90
GPD/bedroom
4. Wastewater flow: 270 GPD
FORM: SFRWWIS 06-16 Pagel of6

IV. GENERAL REQUIREMENTS -15A NCAC 02T .0100 (CONTINUED):
5. Using 15A NCAC 02T .0114. explain how the total wastewater flow was determined:
Establishment Type Flow Basis Flow
Number
Flow
1 Per Unit
of Units
—
Single Family Residence gal/bedroom 90
3
270 GPD
gal/ I
GPD
Total 1
270 GPD
6. Per 15A NCAC 02T .0105(c)(6), if the project includes any stream or wetland crossings, what is the status of the following
applicable permits/certifications?
Permit/Certification Date Date Submitted Approved Permit/Certification No. Agency Reviewer
Nationwide 12 or 404 N/A —�
Wetlands 401 N/A
7. What is the nearest 100-year flood plain elevation to the facility? N/A feet mean sea level. Source: FEMA Map: 3710686100J
Are any treatment, storage or irrigation systems located within the 100-year flood plain? ❑ Yes or ® No
If yes, has documentation of compliance with Article 21 Part 6 of Chapter 143 of the G.S. been provided? ❑ Yes or ❑ No
V. DESIGN CRITERIA AND SETBACKS -15A NCAC 02T .0605 & .0606:
1. Provide the estimated influent and designed effluent concentrations from the engineering calculations to verify conformance
with 15A NCAC 02T .0605(b) for the following parameters:
Estimated Influent Designed Effluent Minimum Required
Parameter Concentration Concentration Degree of Treatment
(monthly average) _ Prior to Storage
Biochemical Oxygen Demand 300 mg/1 6 mg/1 < 30 mg/l
(BODO
Total Suspended Solids (TSS) 300 mg/1 4.5 mg/1 < 30 mg/1
Ammonia Nitrogen (NH3-N) 25 mg/l 2.87 mg/1 < 15 mg/1
Fecal Coliforms 187.5 per 100 ml < 200 colonies/100 ml
2. Per 15A NCAC 02T .0605(c). is the effluent placed directly in contact with GA classified groundwater? ❑ Yes or ® No
If yes, have predictive calculations demonstrating such placement will not contravene GA groundwater standards been
provided? ❑ Yes or ❑ No
3. Per 15A NCAC 02T .0605(d), are any of the treatment or storage units excavated into bedrock? ® Yes or ❑ No
If yes, has a 10 millimeter synthetic liner been provided? ® Yes (Plan Sheet: D-105 & Specification Page: 2) or ❑ No
4. In accordance with 15A NCAC 02T .0605(e), are any earthen treatment and storage facilities provided? ❑ Yes or ® No
5. In accordance with 15A NCAC 02T .0605(f), have any by-pass or overflow lines been provided? ❑ Yes or ® No
6. If any treatment, storage or irrigation systems are located within the 100-year flood plain, in accordance with 15A NCAC 02T
.0605 , which systems are affected and what measures being taken to protect them against flooding? N/A
7. In accordance with 15A NCAC 02T .0605(h), has an operation and maintenance plan been submitted? ® Yes or ❑ No
8. In accordance with 15A NCAC 02T .0605(i), how will restricted access to the irrigation system be provided? 2-Strand Wire
Fence (see design)
Are all treatment units and control panels locked to prevent entry? ® Yes or ❑ No
9. In accordance with 15A NCAC 02T .0605(i). do the designed irrigation loading rates (see Application Item VIIA.) exceed the
soil scientist recommended loading rates (see Application Item VII.3.)? ❑ Yes or ® No
10. In accordance with 15A NCAC 02T .0605(k), does the septic tank design adhere to 15A NCAC 18A .1900? ® Yes or ❑ No
FORM: SFRWWIS 06-16 Page 2 of 6

V. DESIGN CRITERIA AND SETBACKS - 15A NCAC 02T .0605 & .0606 (CONTINUED):
11. In accordance with 15A NCAC 02T .06050), what is the specified method of disinfection? Ultraviolet
If chlorine, specify contact detention time provided: minutes and where contact time occurs:
If UV, specify the number of banks: 1, total lamps: 2 and maximum flow capacity: 10 GPM.
12. In accordance with 15A NCAC 02T .0605(m). has a minimum of five days of storage based on average daily flow between the
pump off float and inlet invert pipe been provided? ® Yes or ❑ No
13. In accordance with 15A NCAC 02T .0605(n), have all tanks containing pumps been provided with audible and visual alarms
that are external to any structure? ® Yes (Plan Sheet: D-102/D-103 & Specification Page: 5 8 or ❑ No
14. In accordance with 15A NCAC 02T .0605(o), has a precipitation or soil moisture sensor been provided?
® Yes (Plan Sheet: D-105 & Specification Page: 0 or ❑ No
15. In accordance with 15A NCAC 02T .0605(v), has a minimum of 18 inches of vertical separation between the apparent seasonal
high water table (SHWT) and the ground surface been provided? ® Yes or ❑ No
16. In accordance with 15A NCAC 02T .0605(0), has a minimum of 12 inches of vertical separation between any perched seasonal
high water table (SHWT) and the ground surface been provided? ® Yes or ❑ No
17. In accordance with 15A NCAC 02T .0605(r), does the designed annual loading rate exceed 50 inches? ❑ Yes or ® No
18. Does the project comply with all setbacks found in the river basin rules 05A NCAC 02B .0200)? ® Yes or ❑ No
If no, list non -compliant setbacks:
19. Per 15A NCAC 02T .0606, verify setback compliance by providing the minimum field observed distance (ft) from the facility's
irrigation system and treatment/storage units to each listed setback parameter (Note: Distances greater than 500 feet shall be
marked N/A):
Setback Parameter
Any habitable residence or place of assembly under separate ownership or not to be
maintained as part of the project site
Any habitable residence or place of assembly owned by the Permittee to be maintained as
part of the project site
Any private or public water supply source
Surface waters (streams - intermittent and perennial, perennial waterbodies, and wetlands)
Groundwater lowering ditches (where the bottom of the ditch intersects the SHWT)
Subsurface groundwater lowering drainage systems
Surface water diversions (ephemeral streams, waterways, ditches)
Any well with exception of monitoring wells
Any property line
Top of slope of embankments or cuts of two feet or more in vertical height
Any water line from a disposal system
Any swimming pool
Public right of way
Nitrification field
Any building foundation or basement
20. Are any setback waivers proposed for this facility? ® Yes or ❑ No
Irrigation Treatment /�
System Storage Unit
85' 165' 1
20
160'
108'
N/A
N/A
N/A
160'
8
N/A
10'
N/A
255'
66'
23'
KA111
15 8'
140'
25'
If yes, in accordance with 15A NCAC 02T .0606(c), submit the appropriate setback waivers (FORM: NDWSW) that have
been notarized, signed by all parties involved and recorded with the County Register of Deeds. Waivers involving the
compliance boundary shall be in accordance with 15A NCAC 02L .0107.
FORM: SFRWWIS 06-16 Page 3 of 6

VI. WASTEWATER TREATMENT & STORAGE FACILITY DESIGN:
1. Type of treatment system: Septic Tank / EZ Treat
2. Provide the requested information for each treatment/storage unit and its associated mechanical equipment:
a. PRELIMINARY / PRIMARY TREATMENT (i.e., physical removal operations):
Treatment Unit
No. of
Manufacturer or
I Dimensions (ft) /
Volume
Plan Sheet
Specification
Units
_ Material
Spacings (in)
(gal)
Reference
Reference
Septic Tank
1
David Brantley &
9x4.5x5.8
1,000
D-101
Sons
Select
Select
b. SECONDARY TREATMENT
(i.e., physical, biological and recirculation processes):
No. of
Manufacturer or
Volume
Plan Sheet
Specification
Treatment Unit
Units
Material
Dimensions (ft)
(gal)
Reference
Reference
Recirculation Tank
1
David Brantley &
7.92x5.08x4.83
1,000
D-102
Sons
EZ Treat
1
EZ Treat
7. 29x4. 08x3. 83
600 GPD
D-105
Select
c. DISINFECTION:
Treatment Unit No. of Manufacturer or
Units Material
Ultraviolet 1 EZ Treat
Select
d. PUMP/STORAGE TANK:
Dimensions (ft) Volume Plan Sheet Specification
(gal) Reference Reference
2.5Dx4H 10 GPM D-103 (2) r�
Manufacturer or No. of
Total
Effective
Effective
Plan Sheet Specification
Material Units Dimensions (ft)
Volume
Volume
Storage Reference Reference
(gal)
(gal)
(days) _
David Brantley &
1 13.2x6.5x7.0
3,500
2,226.5
6.2 ll-103 (1)
Sons
e. PUMPS:
No. of
Manufacturer /
Cap .city
I Plan Sheet Specification
Location Pumps Purpose
Type
GPM TDHI
Reference Reference
Recirculation Tank I Does to EZ Treat Pod
Sta-Rite STEP 30
13.6 100
D-102 (A)
(1/2 hp)
Field Dosing Tank 1 Dose to drip field
Sta-Rite STEP 20
17.7 93
D-103 (A)
(1/2 hp)
f. BLOWERS:
No. of Manufacturer / Capacity Plan Sheet Specification
Location Blowers Units Served Type (CFM) Reference Reference
N/A
g. MIXERS:
FORM: SFRWWIS 06-16 Page 4 of 6

No. of Manufacturer / Power Plan Sheet Specification
Location Mixers Units Served Type (hp) Reference Reference
� � 1
FORM: SFRWWIS 06-16 Page 5 of

VIl. IRRIGATION SYSTEM DESIGN:
1. Are there any artificial drainage or water movement structures within 200 feet of the irrigation area? ❑ Yes or ® No
If yes, please explain if the Soil Evaluation addresses artificial structures and indicate if these structures are to be maintained
or modified:
2. What is the proposed cover crop? fescue, rye or bermuda
3. Soil Evaluation recommendations:
Minimum Observed Recommended Recommended
Soil Series Fields within Soil Area Depth to SHWT Loading Rate Loading Rate
(ft) (in/hr) (in/yr)
PnD PnD 1 0.3 32.23
4. Irrigation System Information (Note — this table may be expanded for additional fields):
Designed Designed
Area Dominant Latitude
Longitude '
Waterbody
Field (acres) Soil Series Rate Rate (DMS)
(DMS)
Stream Index Classification
(in/hr) (in/yr)
No. z
1 0.11 PnD 0.1 31.57 40°26' 56"
o r n
o n
-66°34' 55"
c r rr
o "
12-119-4 WS-III
o r rr o 1 11
o " o r rr
Total
Provide the following latitude and longitude coordinate determination information:
Datum: UnknownLevel of accuracy: Nearest second Method of measurement:
Map intemretation by extraction
'- For assistance determining the waterbody stream index number and its associated classification, instructions may be
downloaded at: httos://ncdem.s3.amazonaws.com/s3fs-
public/Water'/o20Ouality/Aquifer%20Protection/LAU/Aereements/WSCA%2008-13.pdf.
Spray Irrigation Design Elements
Nozzle wetted diameter: N/A ft
Nozzle wetted area: N/A ft2
Nozzle capacity: N/A GPM
Nozzle manufacturer/model: N/A / N/A
Elevation of highest nozzle: N/A ft
Specification Reference: N/A
Drip Irrigation Design Elements
Emitter wetted area:
5,007 ft2
Distance between laterals:
3 ft
Distance between emitters:
2 ft
Emitter capacity:
0.6 GPH
Emitter manufacturer/model:
Geoflow / G-WFPC-16-2-24-
PRO
Elevation of highest emitter:
830.6 ft
Specification Reference:
6
FORM: SFRWWIS 06-16 Page 6 of 6

Professional Engineer's Certification:
David C. Barcal
attest that this application for
(Professional Engineer's name from Application Item I11.1.)
312 Reese Rd, High Point, NC 27265
(Facility name from Application Item 11.1.)
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans, specifications, engineering
calculations, and all other supporting documentation to the best of my knowledge. I further attest that to the best of my knowledge the
proposed design has been prepared in accordance with this application package and its instructions, as well as all applicable regulations
and statutes. Although other professionals may have developed certain portions of this submittal package, inclusion of these materials
under my signature and seal signifies that I have reviewed this material and have judged it to be consistent with the proposed design.
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 civil penalties up to $25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date:
W 201 v
cyR�sTOP�'``���v!!v 12"�
Applicant's Certification per 15A NCAC 02T .0106(bl:
I, Madison Siearist attest that this application for
(Signature Authority's name & title from Application Item 13.)
312 Reese Rd. Hiah point. NC 27265
(Facility name from Application Item ILI.)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that any discharge of wastewater
from this non -discharge system to surface waters or the land will result in an immediate enforcement action that may include civil
penalties, injunctive relief, and/or criminal prosecution. 1 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. i further certify
that the applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater facility without
proper closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are compliant with any
active compliance schedule, and do not have any overdue annual fees per 15A NCAC 02T ,0105(e).
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 tine not to
exceed $10,000 as well ascivilI;=
p to $25,000 per violation.
Signature: �Date: 10/6/2023
FORM: SFRWWIS 06-16 Page 7 of

Madison Siegrist
312 Reese Road
Davidson County, North Carolina
a 051201
7/�O FHGINE�� 4b
�R/STOP �
Engineering Calculations
MacConnell & Associates, P.C.
501 Cascade Pointe Lane, Suite 103
Cary, North Carolina 27513
P.O. Box 129
Morrisville, North Carolina 27560
Phone: [phone]
Fax: [phone]

MacConnell & Associates, P.C.
Project:
TS 11 Surface Drip E-Z Treat System
Project Number: C14301.00
Location:
Davidson County, North Carolina
Subject:
312 Reese Road
Date:
March 20, 2024
Assumptions And Calculations:
1. Treatment flow is based on unadiusted flow.
2. Irrigation flow is based on reduced flow
Number of Bedrooms:
Average Daily Flow per Bedroom:
Unadjusted Design Flow:
Flow Reduction:
Adjusted Flow:
Sizing Calculations Per Innovative Approval
Table 1 - Model 600 and Tank Volumes
Note:
Input
Calculated
3.0 Rooms Given
120 GPD 15A NCAC 18E .0801
360.0 GPD
25 % 15A NCAC 18E .0801
270.0 GPD
Minimum Septic
Design Daily
Tank Volum
Minimum RecircuIation/Pump
Flow(gpd)
(gallons)
Tank Volume (gallons)**
Number of Media Pods
11480
1,000
1,250
1 Model 600 pod
14 Bedrooms
1,000
1,800
1 Model 600 pod
15 Bedrooms
1,250
2,000
1 Model 600 pod
16 Bedrooms
1,500
2,200
2 Model 600 pod
I601 - 1,500
V=1.17Q+500
V=1.17Q+500
1 Model 600 pod per 600 gallons
11,501 - 3,000
V=0.75Q+1,125
V=0.75Q+1,125
1 Model 600 pod per 600 gallons
—Recirculation/pump tank minimum size based on total internal tank volume.
Recirculation/Pump Tank Volume = Recirculation Tank(Chamber) Volume + Pump Tank( Chamber) Volume
SEPTIC TANK DESIGN:
Minimum Septic Tank Volume Required:
Septic Tank Volume Provided:
Septic Tank storage and effective volume calculations:
Septic Tank Total Void Volume = L * W * D:
Tank length:
Tank Width:
Tank Depth:
Total Void Volume:
Septic Tank Effective Volume = L * W * Lowest Invert To Tank Bottom:
Tank length:
Tank Width:
Lowest Invert:
Effective Volume:
Septic Tank Storage per Bedroom:
Septic Tank Storage/Detention:
1000.0 Gallons
1000.0 Gallons
8.0 foot
3.8 foot
5.2 foot
1172.3 Gallons
8.0 foot
3.8 foot
4.5 foot
1021.0 Gallons
140.1 Gallons
2.8 Days Effective Volume / ADF

E-Z TREAT DESIGN:
Pod Dimension - Length
7.3 Feet
Given
Pod Dimension - Width
4.0 Feet
Given
Pod Dimension - Height
3.3 Feet
Given
Pod Surface Area
28.9 112
L x W
Rated Loading Rate per Pod
700.0 GPD
Given
E-Z Treat Pods Required:
0.4
ADF/Pod Loading Rate
E-Z Treat Pods Used:
I Pod
E-Z Treat Dose per Pod:
34.0 Gallons
Given
E-Z Treat Volume per Dose
34.0
Dose per Pod x Number of Pods
Re -Circulation Timer On:
2.5 Minutes
Given
Re -Circulation Timer Off:
12.0 Minutes
Given
E-Z Treat Re -Circulation Cycles per Day:
99.3 Cycles
Time per Day / Time per Cycle
Total E-Z Treat Flow per Day:
3376.6 Gallons
E-Z Treat Volume/Dose x Cycles/Day
E-Z Treat Re -Circulation Ratio:
9.4
E-Z Treat Flow per Day / ADF
Denitrification Gallons Returned:
993.1 GPD
Denitrification Return Setting:
4.0 GPM
E-Z Treat Surface Area:
28.9 ft2
E-Z Treat Loading Rate:
12.5 GPD/ft'
ADF/Surface Area
E-Z Treat Recirculation Pump Selection Shall Be As Shown On Drawings.
Minimum Pump/Re-Circulation Tank Volume Required:
1250.0 Gallons
Minimum Recirculation Tank Volume Available:
1000.0 Gallons
Recirculation Tank Volume Provided:
1000.0 Gallons
Minimum Field Dosing Tank Volume Required:
1000.0 Gallons
Field Dosing Tank Provided:
3500.0 Gallons
Pump/Re-Circulation Tank Volume Provided:
4500.0 Gallons
Recirculation Tank storage and effective volume calculations:
Recirculation Tank Total Void Volume = L * W * D:
Tank length:
7.3 foot
Tank Width:
4.5 foot
Tank Depth:
4.2 foot
Total Void Volume:
1013.2 Gallons
Recirculation Tank Effective Volume = L * W * Lowest Invert To Tank Bottom:
Tank length:
7.3 foot
Tank Width:
4.5 foot
Lowest Invert To Tank Bottom:
3.4 foot
Effective Volume:
830.8 Gallons
Recirculation tank is an all -time -filled storage/pump tank.

Field Dosine Tank storaee and effective volume calculations:
Field Dosing Tank Total Void Volume= L * W * D:
Tank length: 12.7 foot
Tank Width: 6.0 foot
Tank Depth: 6.3 foot
Total Void Volume: 3600.4 Gallons
Field Dosing Tank Effective Volume To Tank Bottom = L * W * Lowest Invert To Tank Bottom:
Tank length:
12.7 foot
Tank Width:
6.0 foot
Lowest Invert To Tank Bottom:
5.4 foot
Effective Volume:
3079.3 Gallons
Field Dosing Tank Effective Volume To Pump Off = L * W * Lowest Invert To Pump Off
Tank length:
12.7 foot
Tank Width:
6.0 foot
Lowest Invert To Pump Off:
3.9 foot
Effective Volume:
2226.5 Gallons
Days of Field Dosing Storage (Void Volume/ADF):
6.2 Days
Total System Effective Storage =
Annual Loading from Soil Scientist:
Maximum Instantaneous Loading Rate from Soil Scientist:
Total Field Area Required:
Total Field Area Provided: (Wetted Area)
Annual Loading Rate Provided:
(ADF x 365 Days per Year x 43,560 / 27,154 / Area Provided)
Total Irrigation Flow: (Set by Design)
Instantaneous Loading Rate Provided:
(Total Irrigation Flow x 96.3) / Total Field Area Provided
Emergency Storage
Emergencv Storage in Field Dosine Tank
Available Depth in Field Dosing Tank:
Gallons per Inch of Field Dosing Tank:
Emergency Storage in Field Dosing Tank:
Total Emergency Storage Available:
Total Emergency Storage Required:
3081.3 Gallons
32.2 Inches/Year
0.3 Inches/Event (Hour)
4,905 Square Feet
5,007 Square Feet
31.57 Inches/Year
7.37 GPM Dose Flow per Geoflow Calculations
0.1 Inches/Hour
43.0 Inches
46.4 GaVlnch
1996.8 Gallons
1996.8 Gallons
1800.0 Gallons

MacConnell & Associates, P.C.
Project: TS 11 Surface Drip E-Z Treat System
Project Number: C14301.00
Location: Davidson County, North Carolina
Subject: E-Z Treat Treatment Calculations
Date: March 20, 2024
Assumptions And Calculations:
Notes:
Input
Calculated
Influent Characteristics:
BOD (5-Day):
300 mg/I
From EPA Design Manual
TSS:
300 mg/l
From EPA Design Manual
NH3
25 mg/I
N-Organic:
34 mg/I
TKN:
59 mg/I
N-Organic + NH3
NO3 + NO2:
1 mg/1
TN:
64 mg/l
TKN + NO3 + NO2
Total Colifonns:
75,000,000 Number
From NSF 350 Approval
Effluent Limits:
Biochemical Oxygen Demand (BOD):
<30 mg/1
Proposed Effluent Limit per 15A NCAC 02T .0605
Total Suspended Solids (TSS):
<30 mg/I
Proposed Effluent Limit per 15A NCAC 02T .0605
Ammonia Nitrogen - NH4-N
<15 mg/I
Proposed Effluent Limit per 15A NCAC 02T .0605
Fecal Colifonn:
<200 /100 ml
Proposed Effluent Limit per 15A NCAC 02T .0605
Septic Tank:
Design:
BOD Removal:
60.0 Percent
Given
TSS Removal:
70.0 Percent
Given
NH3 Removal:
0.0 Percent
Given
N-Organic Removal:
35.0 Percent
N-Organic Converted to NH3:
50.0 Percent
NO, + NO2 Denitrified:
90.0 Percent
Total Colifonns Removal:
50.0 Percent
Sentic Tank Effluent Concentrations:
BOD (S-Day):
120.0 mg/I
Concentration - Percent Removed
TSS:
90.0 mg/1
Concentration - Percent Removed
NH3
42.0 mg/I
Concentration - Percent Removed + N-Organic Converted to NH.;
N-Organic:
17.0 mg/l
Concentration - Percent Removed - N-Organic Converted to NH3
TKN:
59.0 mg/I
N-Organic + NH3
NO3 + NO2:
1.0 mgA
NO3 + NO2 Effluent + Return from Recite Tank - Denitrified
TN:
60.0 mg/l
TKN + NO3 + NO2
E. Colifonns:
37.500.000.0 /100 ml
Concentration - Percent Removed
Media Filters (E-Z Treat Pod):
BOD Removal:
95.0 Percent
Given
TSS Removal:
95.0 Percent
Given
NH3 Removal (to Air):
2.0 Percent
Given
NH3 Nitrified to NO3 + NO2:
95.0 Percent
Given
N-Organic Converted to NH3:
95.0 Percent
NO3 + NO2 to Septic for Denitrification:
90.0 Percent
E. Colifonns Removal:
50.0 Percent

E-Z Treat/Re-Circ. Tank Effluent Concentrations:
BOD (5-Day):
6.00 mg/l
Concentration - Percent Removed
TSS:
4.50 mg/l
Concentration - Percent Removed
NH3
2.87 mg/l
Concentration - Percent Removed + (S.T. Cones + (N-Organic to NH3) Nitrified)
N-Organic:
0.85 mg/I
Concentration -N-Organic Converted to NH3
TKN:
3.72 mg/l
N-Organic + NH3
NO3 + NO2.
2.05 mg/l
NO3 + NO2 S.T. Effluent + Nitrified NH3 - Return to Septic Tank
TN:
5.76 mg/l
TKN + NO3 + NO2
Total Colifonns:
18,750,000.0 /100 ml
Concentration - Percent Removed
Ultraviolet Disinfection:
Design
UV Dosing Rate:
25.0 gpm
Flow Rate
Number of Units:
I Units
Pump Flow/Dosing Rate
BOD Removal:
0.00 Percent
Given
TSS Removal:
0.00 Percent
Given
NH3 Removal:
0.00 Percent
Given
N-Organic Removal:
0.00 Percent
Given
NO3 + NO2 Removal:
0.00 Percent
Total Colifonns Removal:
99.999000000 Percent
Ultraviolet Disinfection Effluent Concentrations:
BOD (5-Day):
6.00 mg/l
Concentration - Percent Removed
CBOD:
<6.00 mg/l
CBOD < BOD5 as CBOD only measures oxidation of carbons.
TSS:
4.50 mg/l
Concentration - Percent Removed
NH3
2.87 mg/l
Concentration - Percent Removed + (S.T. Conc. + (N-Organic to NH3) Nitrified)
N-Organic:
0.85 mg/l
Concentration -N-Organic Converted to NH3
TKN:
3.72 mg/l
N-Organic + NH3
NO3 + NO2:
2.05 mg/l
NO3 + NO2 S.T. Effluent + Nitrified NH3 - Return to Septic Tank
TN:
5.76 mg/l
TKN + NO3 + NO2
Total Colifonns:
187.50 /100 ml
Concentration - Percent Removed
Fecal Colifonns:
< 187.50 /100 ml
Fecal Colifonns < Total Colifonns < 200 colonies/100ml = Okay

FIELD FLOW
(Project Number:
C14301.00
(Contact:
Madison Siegrist
(Prepared by:
Chris Thomas (Checked by David C. Barcal)
Date:
20-Sep-23
lWorksheet 'I- Field Flow (Initial System)
Total field
Total Quantity of effluent to be disposed per day
Hydraulic loading rate
Minimum Dispersal Field Area
Total Dispersal Field Area
Flow per zone
Number of Zones
Dispersal area per zone
Choose line spacing between WASTEFLOW lines
Choose emitter spacing between WASTEFLOW emitters
_ Total linear ft.per zone (minimum required)
Total number of emitters per zone
Select Wasteflow dripline (16mm)
Pressure at the beginning of the dripfield
Feet of Head at the beginning of the dripfield
What is the flow rate per emitter in gph?
Dose flow per zone
270 gallons / day
0.055 gallons / sq.ft. / day
4,905 square ft.
5,007 square ft.
1 zone(s)
5,007 square ft.
3 ft.
2 ft.
1,669 ft. per zone
835 emitters per zone
Wasteflow PC - 1/2gph dripline
20 psi
46.2 ft.
0.53 gph
7.37 gpm
Note: A few States or Counties require additional flow for flushing. Please check your local regulations.
Flush velocity calculation below is for PC dripline. Classic dripline requires less flow to flush than PC.
Please refer to Geoflow's spreadsheet "Design Flow and Flush Curves" at www.geoflow.corn or call 800-828-3388.
If required, choose flush velocity 2 ft/sec
How many lines of WASTEFLOW per zone? 7 lines
Fill in the actual length of longest dripline lateral 283 ft.
Flush flow required at the end of each dripline 1.48 gpm
Total Flow required to achieve flushing velocity
Total Flow per zone- worst case scenario
Select Filters and zone valves
Select Filter Type
Recommended Filter (item no.)
Select Zone Valve Type
Recommended Zone Valve (item no.)
10.36 gpm
17.73 gpm
Vortex Screen Filter
AP4E-1.5F 1.5in Screen Filter 0-45gpml
Electric Solenoid -
0 0

Dosing
Number of doses per day / zone:
2 doses
Timer ON. Pump run time per dose/zone:
18.19 mins:secs
Timer OFF. Pump off time between doses
11:41 hrs:mins
Per Zone - Pump run time per day/zone:
0:36 hrs:mins
All Zones - Number of doses per day / all zones
2 doses / day
Allow time for field to pressurize
0:00:30 hrs:mins:secs
Filter flush timer
0:00:20 hrs:mins:secs
Drain timer
0:05:00 hrs:mins:secs
Field flush timer
0:01:OOIhrs:mins:secs
Field flush counter
14 Icycles
Time required to complete all functions per day
0:50 hrs:mins
Dose volume per zone
135'gallons per dose
Allow time in the day for controller to have pressurization and drainage time.

(PUMP SIZING
Job Description.
Contact:
Prepared by:
Date:
'Worksheet - Pump Sizing (Initial System)
Section 1 - Summary from Worksheet 1
Flow required to dose field
Flow required to flush field
Flow required to dose & flush field
Filter
No. of Zones
Zone valve
Dripline
Dripline longest lateral
7
C 14301.00
Madison Siegrist
Chris Thomas (Checked by David C. Barcal)
9/20/2023
7.37 gpm
10.36 gpm
17.73 gpm
AP4E-1.5F
1 zones
Wasteflow PC - 1/2gph
283.00 ft.
(Section 2
Ft of head
Pressure
A. Flush line - Losses through return line
Select Pipe from dropdown menu
PVC schedule 40
Select Flush Line Diameter
1-1/4" inch
Length of return line
267 ft.
Equivalent length of fittings
66.75 ft.
Elevation change. (if downhill enter 0)
0 ft.
Pressure loss in 100 ft of pipe
1.77 ft.
0.77
psi
Total pressure loss from end of dripline to return tank
5.9 ft.
2.56
psi
IB. Dripline - Losses through Wasteflow dripline
Length of longest dripline lateral
283 ft.
Minimum dosing pressure required at end of dripline
23.10 ft.
10.00
psi
Loss through dripline during flushing
8.45 ft.
3.66
psi
Total minimum required dripline pressure
31.55 ft.
13.66
psi
IA+B. Minimum Pressure required at beginning of dripfield
CALCULATED pressure required at beginning of dripfield
37.46 ft.
16.22
psi
SPECIFIED pressure at beginning of dripfield (from worksht 1)
46.2 ft.
20.00
psi
Great! SPECIFIED Pressure is greater than CALCULATED Pressure requirement. Go to next step
IC. Drip components - Losses through headworks
Filter
19.1 ft.
8.25
psi
Zone valve pressure loss (not in diagram)
- ft.
2.00
psi
Flow meter pressure loss (not in diagram)
5.00 ft.
2.16
psi
Other pressure losses
5.00 ft.
2.16
psi
Total loss through drip components
29.06 ft.
14.58
psi
Geoflow, Inc. Pump Selection Worksheets V.2003H 9/20/2023

D. Supply line - Minimum Pressure head required to get from pump tank to top of dripfield
Select Pipe from dropdown menu
PVC schedule 40
Select Supply line diameter
1-1/2" inch
Length of supply line
114 ft.
Equivalent length of fittings
28.5 ft.
Height from pump to tank outlet
4.50 ft.
Elevation change. (if downhill enter 0)
10 ft.
Pressure loss/gain in 100 ft. of pipe
2.26 ft.
0.98 psi
Total gain or loss from pump to field
17.7 ft.
7.67 psi
Total dynamic head
I 93.0 ft.
40.25 psi
Pump capacity * - Field Flush Flow
I 17.7 gpm
40.25 psi
- Field Dose Flow
I 7.4 gpm
- Filter Flush Flow
I - gpm
- psi
Pump Model Number
Sta-Rite Step 20, 1/2hp
Voltz / Hp / phase
1115v AC, 0.5 HP, 1 Phase
Y Note: Pump capacity flow assumes flow in dripline does not change during a dose cycle. With Wasteflow Classic this can b,
For more accurate flows please see Geoflow's Flushing worksheet.
If you need assistance designing for this additional flow, please
a. See Geoflow flushing worksheet or
b. Contact Geoflow at 800-828-3388.
Geoflow, Inc. Pump Selection Worksheet, V.2003H 9/20/2023

Septic Tank (1,000 ST-502)
Basic Dimensions
Lid Thickness (L)
Q.33
(feet)
Lid Hole Diameter (1-11)
24.00
(inches)
Lid Hole Diameter (1-12) - If tank has only one hole, leave
24.00
(inches)
blank.
Lid Hole Diameter (1-13) - If tank has only one hole, leave
0.00
(inches)
blank.
Length of Tank (A)
$.88
(feet)
Width of Tank (B)
4.29
(feet)
Height of Tank Excluding Lid (C) - This value includes the
5.50
(feet)
base thickness but excludes the lid thickness.
Depth of Bury (Y) - This measurement extends from the
2.30
(feet)
ground level to the top of the lid.
Wall Thickness (T)
0.231
(feet)
Base Thickness (E)
0.3 1
(feet)
Distance to Groundwater (GW)
0.001
(feet)
Customizations To Add Ballast
Add Concrete Insiae the Tank:
Initial Inside Height of Tank - This measurement is the value 5.17 (feet)
ofC -E.
Add concrete inside the tank to make thicker base?
If yes, how much? (U) If no, enter a value of 0. Please note: 0.00 (feet)
The value entered must be less than the inside height of the
tank.
Increase Thickness of the Base:
Initial Base Thickness - This measurement is the value of E. 0.33 (feet)
Add concrete below the base of the tank to make thicker
base?
0.00 (feet)
If Xes, how much? (F) If no, enter a value of 0.
Create Lip:
Extend the base horizontally to create a lip? - The lip will be
the thickness of E plus F, below, and it will extend this
0.00 (feet)
horizontal distance, P, from all four tank walls.
If yes, how much? (P) If no, enter a value of 0.
Summary of Final Measurements after Ballast
Customizations
Final Base Thickness - This measurement is the sum of E
0.33
(feet)
and F.
Lip Thickness - This measurement is the sum of E and F.
0.33
(feet)

Total Height of the Tank from the Top of the Lid to the Bottom
of the Base - This measurement is the sum of L, C, and F. 5.83 (feet)
This is equivalent to the sum of L, C - E, E, and F.
Final Inside Height of Tank - This measurement is the value 5.17 (feet)
ofC -E -U.
Final Volume of Tank 164.17 (cf)
Final Volume of Tank 1228.11 (qallons)
Unit Weights
Unit Weight of Water
62.40
(lb/cf)
Unit Weight of Dry Soil
110.00
(lb/cf)
Unit Weight of Submerged Soil
47.60
(lb/cf)
Unit Weight of Saturated Soil
120.00
(lb/cf)
Unit Weiqht of Concrete
150.00
(Ib/cf)
Changes in Total Concrete Weight Due to
Customizations
Weight of extra concrete inside tank used to create thicker 0 (lb)
base (Weight of extra concrete due to U)
Weight of extra concrete on bottom of tank used to create 0 (lb)
thicker base (Weight of extra concrete due to F)
Weight of extra concrete due to lip (Weight of extra concrete 0 (lb)
due to P)
Weiqht of concrete removed due to lid hole 311 (lb)
Soil and Concrete Weights
Weight of Soil on Lid 3482 (lb)
Weight of Soil on Lip 0 (lb)
Weight of Lid Alone 1574 (lb)
Weight of Empty Tank - This value is the sum of weights of
the body of the tank, the tank lid, the lip (P, if applicable), the
thickened base (F, if applicable), and the extra concrete inside 8371 (lb)
tank (U, if applicable), minus the weight of the concrete
removed due to the hole in the lid.
Water in Tank
Water Level in Tank - Please note: The value entered must 0.00 (feet)
be less than the final inside height of the tank.
Weiqht of Water in Tank 1 0 (lb)
Weight of System Components
Total Weight of Soil on Tank 3482 (lb)
Total Weight of Concrete 8371 (lb)
Total Weiqht (Tank, Water in Tank, and Soil) 11853 (lb)

Sliding Resistance
Specific Gravity of Soil, SG 2.75
Friction Factor (Found in Table 1), f 0.30
Void Ratio (Found in Table 3), e 0.85
Ratio of Lateral to Vertical Earth Pressure (Found in Table 2), 0.33
Ka
Slidinq Resistance 20393 (Ib)
Uplift Force
Uplift Force 13856.31 (lb)
Safety Factor 1.50
Uplift Force with Safety Factor 20784.46 (lb)
Additional Ballast Required I NONE I (Ib) 1

Recirculation Tank (1,000 PT 237)
Basic Dimensions
Lid Thickness (L)
0.33
(feet)
Lid Hole Diameter (1-11)
24.00
(inches)
Lid Hole Diameter (1-12) - If tank has only one hole, leave
30.00
(inches)
blank.
Lid Hole Diameter (1-13) - If tank has only one hole, leave
0.00
(inches)
blank.
Length of Tank (A)
7.79
(feet)
Width of Tank (B)
4.96
(feet)
Height of Tank Excluding Lid (C) - This value includes the
4.50
(feet)
base thickness but excludes the lid thickness.
Depth of Bury (Y) - This measurement extends from the
1.90
(feet)
ground level to the top of the lid.
Wall Thickness (T)
0.25
(feet)
Base Thickness (E)
0.33
(feet)
Distance to Groundwater (GW)
0.001
(feet)
Customizations To Add Ballast
Add Concrete Inside the Tank:
Initial Inside Height of Tank - This measurement is the value 4.17 (feet)
ofC -E.
Add concrete inside the tank to make thicker base?
If yes, how much? (U) If no, enter a value of 0. Please note: 0.00 (feet)
The value entered must be less than the inside height of the
tank.
Increase Thickness of the Base:
Initial Base Thickness - This measurement is the value of E. 0.33 (feet)
Add concrete below the base of the tank to make thicker
base? 0.00 (feet)
If yes, how much? (F) If no, enter a value of 0.
Create Lip:
Extend the base horizontally to create a lip? - The lip will be
the thickness of E plus F, below, and it will extend this 0.00 (feet)
horizontal distance, P, from all four tank walls.
If yes, how much? (P) If no, enter a value of 0.
Summary of Final Measurements after Ballast
Customizations
Final Base Thickness - This measurement is the sum of E 0.33 (feet)
and F.
Lip Thickness - This measurement is the sum of E and F. 0.33 (feet)
0

Total Height of the Tank from the Top of the Lid to the Bottom
of the Base - This measurement is the sum of L, C, and F. 4.83 (feet)
This is equivalent to the sum of L, C - E, E, and F.
Final Inside Height of Tank - This measurement is the value 4.17 (feet)
ofC -E -U.
Final Volume of Tank 135.45 (cf)
Final Volume of Tank 1013.26 (qallons)
Unit Weights
Unit Weight of Water
62.40
(lb/cf)
Unit Weight of Dry Soil
110.00
(lb/cf)
Unit Weight of Submerged Soil
47.60
(lb/cf)
Unit Weight of Saturated Soil
120.00
(lb/cf)
Unit Weiqht of Concrete
150.00
(Ib/cf)
Changes in Total Concrete Weight Due to
Customizations
Weight of extra concrete inside tank used to create thicker 0 (lb)
base (Weight of extra concrete due to U)
Weight of extra concrete on bottom of tank used to create 0 (lb)
thicker base (Weight of extra concrete due to F)
Weight of extra concrete due to lip (Weight of extra concrete 0 (lb)
due to P)
Weight of concrete removed due to lid hole 398 (lb)
Soil and Concrete Weights
Weight of Soil on Lid 2766 (lb)
Weight of Soil on Lip 0 (lb)
Weight of Lid Alone 1514 (lb)
Weight of Empty Tank - This value is the sum of weights of
the body of the tank, the tank lid, the lip (P, if applicable), the
thickened base (F, if applicable), and the extra concrete inside 7274 (lb)
tank (U, if applicable), minus the weight of the concrete
removed due to the hole in the lid.
Water in Tank
Water Level in Tank - Please note: The value entered must
be less than the final inside height of the tank.
Weiqht of Water in Tank
Weight of System Components
Total Weight of Soil on Tank
Total Weight of Concrete
Total Weiqht (Tank, Water in Tank, and Soil)
0.00 (feet)
0 (lb)
2766
(lb)
7274
(lb)
10040
(lb)

Sliding Resistance
Specific Gravity of Soil, SG
Friction Factor (Found in Table 1), f
Void Ratio (Found in Table 3), e
Ratio of Lateral to Vertical Earth Pressure (Found in Table 2),
Ka
Sliding Resistance
Uplift Force
Uplift Force
Safety Factor
Uplift Force with Safety Factor
Additional Ballast Required
2.75
0.30
0.85
0.33
13532
(lb)
11643.88
(lb)
1.50
17465.82
(lb)
NONE I
(lb)

Field Dosing/Storage Tank (3,500 PT 484)
Basic Dimensions
Lid Thickness (L)
0.33I
(feet)
Lid Hole Diameter (H1)
24.00
(inches)
Lid Hole Diameter (H2) If tank has only one hole, leave
30.00
(inches)
blank.
Lid Hole Diameter (H3) - If tank has only one hole, leave
0.00
(inches)
blank.
Length of Tank (A)
13.17
(feet)
Width of Tank (B)
6.50
(feet)
Height of Tank Excluding Lid (C) - This value includes the
6.67
(feet)
base thickness but excludes the lid thickness.
Depth of Bury (Y) - This measurement extends from the
1.50
(feet)
ground level to the top of the lid.
Wall Thickness (T)
0.25
(feet)
Base Thickness (E)
0.33
(feet)
Distance to Groundwater (GW)
0.001
(feet)
Customizations To Add Ballast
Add Concrete Inside the Tank:
Initial Inside Height of Tank - This measurement is the value 6.33 (feet)
ofC -E.
Add concrete inside the tank to make thicker base?
If yes, how much? (U) If no, enter a value of 0. Please note: 0.00 (feet)
The value entered must be less than the inside height of the
tank.
Increase Thickness of the Base:
Initial Base Thickness - This measurement is the value of E. 0.33 (feet)
Add concrete below the base of the tank to make thicker
base? 0.00 (feet)
If yes, how much? (F) If no, enter a value of 0.
Create Lip:
Extend the base horizontally to create a lip? - The lip will be
the thickness of E plus F, below, and it will extend this 0.00 (feet)
horizontal distance, P, from all four tank walls.
If yes, how much? (P) If no, enter a value of 0.
Summary of Final Measurements after Ballast
Customizations
Final Base Thickness - This measurement is the sum of E 0.33 (feet)
and F.
Lip Thickness - This measurement is the sum of E and F. 0.33 (feet)

Total Height of the Tank from the Top of the Lid to the Bottom
of the Base - This measurement is the sum of L, C, and F. 7.00 (feet)
This is equivalent to the sum of L, C - E, E, and F.
Final Inside Height of Tank - This measurement is the value 6.33 (feet)
ofC -E -U.
Final Volume of Tank 481.33 (cf)
Final Volume of Tank 3600.62 (gallons)
Unit Weiqhts
Unit Weight of Water
62.40
(lb/cf)
Unit Weight of Dry Soil
110.00
(lb/cf)
Unit Weight of Submerged Soil
47.60
(lb/cf)
Unit Weight of Saturated Soil
120.00
(Ib/cf)
Unit Weight of Concrete
150.00
(Ib/cf)
Changes in Total Concrete Weight Due to
Customizations
Weight of extra concrete inside tank used to create thicker 0 (lb)
base (Weight of extra concrete due to U)
Weight of extra concrete on bottom of tank used to create 0 (lb)
thicker base (Weight of extra concrete due to F)
Weight of extra concrete due to lip (Weight of extra concrete 0 (lb)
due to P)
Weight of concrete removed due to lid hole 403 (lb)
Soil and Concrete Weights
Weight of Soil on Lid 6111 (lb)
Weight of Soil on Lip 0 (lb)
Weight of Lid Alone 3877 (lb)
Weight of Empty Tank - This value is the sum of weights of
the body of the tank, the tank lid, the lip (P, if applicable), the
thickened base (F, if applicable), and the extra concrete inside 17260 (Ib)
tank (U, if applicable), minus the weight of the concrete
removed due to the hole in the lid.
Water in Tank
Water Level in Tank - Please note: The value entered must 0.00 (feet)
be less than the final inside height of the tank.
Weight of Water in Tank 1 0 (lb)
Weight of System Components
Total Weight of Soil on Tank 6111 (lb)
Total Weight of Concrete 17260 (lb)
Total Weight (Tank, Water in Tank, and Soil) 23371 (lb)

Sliding Resistance
Specific Gravity of Soil, SG
Friction Factor (Found in Table 1), f
Void Ratio (Found in Table 3), e
Ratio of Lateral to Vertical Earth Pressure (Found in Table 2),
Ka
Slidinq Resistance
Uplift Force
Uplift Force
Safety Factor
Uplift Force with Safety Factor
Additional Ballast Required
2.75
0.30
0.85
0.33
33295
(lb)
37382.80
(lb)
1.50
56074.20
(Ib)
NONE I
(lb)