WQ0044990_Final Permit_20241017

October 17, 2024
ABIGAIL F. SIEGRIST
168 MURPHY DRIVE
HIGH POINT, NORTH CAROLINA 27265
Subject: Permit No. WQ0044990
312 Reese Rd. SFR
Single-Family Residence
Wastewater Irrigation System
Davidson County
Dear Mrs. Siegrist,
In response to your permit application request received on December 7, 2023, and subsequent
additional information received on April 8, 2024, and July 29, 2024, we are forwarding herewith Permit
No. WQ0044990 dated October 17, 2024, to Abigail F. Siegrist for the construction and operation of the
subject single-family residence wastewater treatment and irrigation facilities.
This permit is effective from the date of issuance through March 31, 2031, and is subject to the
conditions and limitations therein. The Permittee shall submit a renewal application no later than
October 2, 2030.
Please pay attention to the operation and maintenance requirements listed in Section III. Failure to
establish an adequate system for collecting and maintaining the required operational information may result
in future non-compliance.
This permit can be contested as provided in Chapter 150B of the North Carolina General Statutes
by filing a Petition for a Contested Case Hearing (Petition) with the North Carolina Office of Administrative
Hearings (OAH) within 30 calendar days. Requirements for filing a Petition are set forth in Chapter 150B
of the North Carolina General Statutes and Title 26 of the North Carolina Administrative Code. Those
interested in filing may access additional information regarding the requirements for filing a Petition and
Petition forms at the OAH website or by calling the OAH Clerk’s Office at [phone]. A party filing
a Petition shall serve a copy of the Petition on the Department of Environmental Quality’s Office of General
Counsel at 1601 Mail Service Center, Raleigh, NC 27699-1601. If the party filing the Petition is not the
Permittee, then the party shall also serve the Permittee pursuant to G.S. 150B-23(a).

Mrs. Abigail F. Siegrist
October 17, 2024
Page 2 of 2

Included with this permit are Division-approved plans and specifications. If you need additional
information concerning this permit, please contact Cord Anthony at [phone] or
[e-mail].
Sincerely,
Richard E. Rogers, Jr., Director
Division of Water Resources
cc: Davidson County Health Department (Electronic Copy)
Winston-Salem Regional Office, Water Quality Regional Operations Section (Electronic Copy)
David C. Barcal, PE – MacConnell & Associates, P.C. (Electronic Copy)
Laserfiche File (Electronic Copy)
Digital Permit Archive (Electronic Copy)

WQ0044990 Version 1.0 Shell Version 240918 Page 1 of 10
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
RALEIGH
SINGLE-FAMILY RESIDENCE WASTEWATER IRRIGATION SYSTEM PERMIT

Pursuant to the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as amended,
and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Abigail F. Siegrist
Davidson County
FOR THE
construction and operation of a 270 gallon per day (GPD) single-family residence wastewater treatment
and irrigation facility consisting of:
a 1,000 gallon baffled septic tank with effluent filter and sanitary tee; a 1,000 gallon E-Z Treat recirculation
tank with audible/visual high-water alarms and a 13.6 gallon per minute (GPM) recirculation pump; a 600
GPD capacity E-Z Treat treatment pod; a 10 GPM ultraviolet (UV) disinfection unit; a 3,500 gallon field
dosing tank with audible/visual high water alarms and a 17.7 GPM field dosing pump; a hydraulic unit with
flow meter and return lines; a control panel with rain sensor; a 0.11 acre drip irrigation area; and all
associated piping, valves, controls, and appurtenances
to serve the single-family residence at 312 Reese Rd., High Point, NC 27265, with no discharge of wastes
to surface waters, pursuant to the application received on December 7, 2023, subsequent additional
information received on April 8, 2024, and July 29, 2024, and in conformity with the Division-approved
plans and specifications considered a part of this permit.
This permit is effective from the date of issuance through March 31, 2031, and is subject to the following
conditions and limitations:
I. SCHEDULES
1. Upon completion of construction and prior to operation of this permitted facility, the Permittee shall
submit an engineering certification from a North Carolina licensed Professional Engineer certifying
that the permitted facility has been constructed pursuant to G.S. 143-215.1, Administrative Code Title
15A Subchapter 02T, this permit, and the Division-approved plans and specifications. For phased and
partially certified facilities, the Permittee shall retain the responsibility to track further construction
approved under this permit and shall provide a final engineering certification upon project completion.
The Permittee shall submit the Engineering Certification via the Non-Discharge online portal. [15A
NCAC 02T .0116(a)]
2. The Permittee shall notify the Winston-Salem Regional Office, telephone number [phone], at
least two business days in advance of the initial operation of the constructed facilities so that the
Division can conduct a startup inspection. [15A NCAC 02T .0108(b)(1)(A)]

WQ0044990 Version 1.0 Shell Version 240918 Page 2 of 10
3. The Permittee shall line any excavation into bedrock with a 10 millimeter (mm) synthetic liner. [15A
NCAC 02T .0605(d)]
4. If the permitted facilities change ownership or the Permittee changes its name, the Permittee shall
submit a permit modification request on Division-approved forms within 90 days of the change of
ownership. The Permittee shall comply with all terms and conditions of this permit until the Division
transfers the permit to the successor-owner. [G.S. 143-215.1(d3)]
5. If a public or community sewage system is or becomes available, the Permittee shall connect to this
system and shall request the rescission of Permit No. WQ0044990. [15A NCAC 02T .0607]
6. Pursuant to the flow reduction request received on September 9, 2023, and approved on December 11,
2023, the Division accepts the data-based design flow rate of 90 gallons per day per bedroom (GPD/BR)
for the users served by this facility. At no time shall wastewater flows exceed the limits defined in this
permit.
The Permittee shall report the measured monthly average amount of wastewater flow contributed per
unit (GPD/BR) for the 12 months prior to permit renewal. If any of these monthly averages are within
20% of the approved value, the Permittee shall reevaluate the approved value using the methodology
applied to determine the approved flow rate of 90 GPD/BR and submit this information with the
renewal application for reevaluation of the approved flow rate. [15A NCAC 02T .0114(f)]
7. The Permittee shall retain the Division’s written approval of the authorized adjusted daily design flow
rate for the life of this facility and shall transfer this approval to any future Permittee. [15A NCAC 02T
.0114(f)(4)]
8. The Permittee shall request renewal of this permit on Division-approved forms no later than October
2, 2030. [15A NCAC 02T .0105(b), 02T .0109]
II. PERFORMANCE STANDARDS
1. The Permittee shall operate and maintain the subject wastewater treatment and irrigation facilities so
there is no discharge to surface waters, nor any contravention of groundwater or surface water
standards. In the event the facilities do not perform as designed, including the creation of nuisance
conditions due to improper operation and maintenance, or failure of the irrigation areas to assimilate
the effluent, the Permittee shall take immediate corrective actions, including Division-required actions,
such as the construction of additional or replacement wastewater treatment or disposal facilities. [15A
NCAC 02T .0108(b)(1)(A)]
2. This permit shall not relieve the Permittee of its responsibility for contravention of groundwater or
surface water standards resulting from the operation of this facility. [15A NCAC 02T .0108(b)(1)(A)]
3. The Permittee shall apply treated wastewater effluent at or below the following rates:
TABLE 1 – APPLICATION LIMITATIONS
Field Parameter Hourly Rate Yearly Max Units
1 01284 – Non-Discharge Application Rate 0.3 31.57 inches
[15A NCAC 02T .0605(j)]

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4. The Permittee shall only apply treated wastewater effluent to the following:
TABLE 2 – IRRIGATION AREA INFORMATION
Field Owner Parcel No. County Latitude Longitude Net
Acreage
Dominant
Soil Series
1 Abigail F. Siegrist 0102400000044C Davidson 35.970959° -80.133380° 0.11 PnD – Poindexter-Wynott
Complex, 8 to 15% Slopes
[15A NCAC 02T .0108(b)(1)(A)]
5. The attached Operation and Maintenance Agreement is a condition of this permit. Noncompliance with
the terms of the Operation and Maintenance Agreement shall subject the Permittee to all measures
pursuant to G.S. 143-215.6A, G.S. 143-215.6B, and G.S. 143-215.6C for violation of or failure to act
pursuant to the terms and conditions of this permit. [15A NCAC 02T .0604(h)]
6. The Permittee shall connect the irrigation system to a rain or moisture sensor designed to prevent
irrigation during precipitation events or wet conditions. [15A NCAC 02T .0605(o)]
7. The Division has established the compliance boundary at the property boundary. Any exceedance of
groundwater standards at or beyond the compliance boundary shall require the Permittee to take
corrective action. The Division shall consider multiple contiguous properties under common ownership
and permitted for use as a disposal system as a single property regarding the determination of a
compliance boundary. [15A NCAC 02L .0106, 02L .0107(f), 02L .0107(n)]
8. The Division has established the review boundary midway between the compliance boundary and the
irrigation area boundary. Any exceedance of groundwater standards at or beyond the review boundary
shall require the Permittee to take preventative action. [15A NCAC 02L .0106(d), 02L .0108]
9. The Permittee shall notify the Division of any sale or transfer of property affecting a compliance
boundary (i.e., parcel subdivision). [15A NCAC 02L .0107(l)]

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10. The Permittee shall operate and maintain the permitted facilities pursuant to the following setbacks:
a. The Division originally permitted the irrigation sites on October 17, 2024, with an application
received on December 7, 2023. The setbacks for drip irrigation sites originally permitted or
modified with an application received on or after September 1, 2018, are as follows (all distances
in feet):
i. Each habitable residence or place of assembly under separate ownership: 100 1, 3
ii. Each habitable residence or place of assembly owned by the Permittee: 15
iii. Each private or public water supply source: 100
iv. Surface waters: 100
v. Groundwater lowering ditches: 100
vi. Surface water diversions: 25
vii. Each well with exception of monitoring wells: 100
viii. Each property line: 50 2, 4
ix. Top of slope of embankments or cuts of two feet or more in vertical height: 15
x. Each water line: 10
xi. Subsurface groundwater lowering drainage systems: 100
xii. Public right of way: 50
xiii. Nitrification field: 20
xiv. Each building foundation or basement: 15
1 Habitable residences or places of assembly under separate ownership constructed after the
Division originally permitted or subsequently modified the facilities are exempt from this
setback.
2 Setbacks to property lines are not applicable when the Permittee, or the entity from which the
Permittee is leasing, owns both parcels separated by the property line.
3 Pursuant to a setback waiver recorded in the Davidson County Register of Deeds, reduced
setbacks from the irrigation area boundary to any habitable residence or place of assembly
under separate ownership are as follows:
Parcel No. Deed Book / Page Setback Easement
01024D0000001 2659 / 1069-1070 85 feet 15 feet
4 Pursuant to a setback waiver recorded in the Davidson County Register of Deeds, reduced
setbacks from the irrigation area boundary to any property line are as follows:
Parcel No. Deed Book / Page Setback Easement
0102400000044B 2659 / 1071-1072 5 feet 45 feet
[15A NCAC 02T .0606(a), 02T .0606(c), 02T .0606(d), 02T .0606(e)]

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b. The Division originally permitted the treatment and storage units on October 17, 2024, with an
application received on December 7, 2023. The setbacks for treatment and storage units originally
permitted or modified with an application received on or after September 1, 2018, are as follows
(all distances in feet):
i. Each habitable residence or place of assembly under separate ownership: 100 1
ii. Each private or public water supply source: 100
iii. Surface waters: 50
iv. Each well with exception of monitoring wells: 100
v. Each property line: 50 2, 3
1 Habitable residences or places of assembly under separate ownership constructed after the
Division originally permitted or subsequently modified the facilities are exempt from this
setback.
2 Setbacks to property lines are not applicable when the Permittee, or the entity from which the
Permittee is leasing, owns both parcels separated by the property line.
3 Pursuant to a setback waiver recorded in the Davidson County Register of Deeds, reduced
setbacks from the treatment and storage units to any property line are as follows:
Parcel No. Deed Book / Page Setback Easement
0102400000044B 2659 / 1071-1072 25 feet 25 feet
[15A NCAC 02T .0606(b), 02T .0606(c), 02T .0606(d), 02T .0606(e)]
III. OPERATION AND MAINTENANCE
1. The Permittee shall operate and maintain the subject facilities as a non-discharge system. [15A NCAC
02T .0101]
2. Upon the Water Pollution Control System Operators Certification Commission’s (WPCSOCC)
classification of the subject non-discharge facilities, the Permittee shall designate and employ a certified
Operator in Responsible Charge (ORC), and one or more certified operators as Back-up ORCs. The
ORC or its Back-up shall operate and visit the facilities as required pursuant to 15A NCAC 08G .0204
and 08G .0205.
At the time of this permit issuance, the WPCSOCC does not require an ORC and Back-up ORC for
Single-Family Residence Wastewater Irrigation Systems. [15A NCAC 02T .0117]
3. The Permittee shall maintain a year-round vegetative cover on the irrigation area such that crop health
is optimal and allows for even effluent distribution and inspection of the irrigation system. [15A NCAC
02T .0608(a)]
4. The Permittee shall take measures to prevent effluent ponding in or runoff from the irrigation area.
[15A NCAC 02T .0608(b)]
5. The Permittee shall not irrigate treated effluent during inclement weather or when the soil is in a
condition that will cause ponding or runoff. [15A NCAC 02T .0605(o)]
6. The Permittee shall only irrigate treated effluent from the single-family residence at 312 Reese Rd.,
High Point, NC 27265. [15A NCAC 02T .0601]
7. The Permittee shall not allow vehicles or heavy machinery on the irrigation area, except during
equipment installation or maintenance activities. [15A NCAC 02T .0608(d)]
8. The Permittee shall prohibit public access to the wastewater treatment and irrigation facilities through
lockable treatment units and fencing around the irrigation sites. [15A NCAC 02T .0605(i)]

WQ0044990 Version 1.0 Shell Version 240918 Page 6 of 10
9. The Permittee shall dispose of or utilize generated residuals in a Division-approved manner. [15A
NCAC 02T .1101].
10. The Permittee shall not divert or bypass untreated or partially treated wastewater from the subject
facilities. [15A NCAC 02T .0605(f)]
11. Pump and dosing tanks shall have audible and visual alarms external to any structure. [15A NCAC
02T .0605(n)]
12. The Permittee shall test and calibrate metering equipment annually. [15A NCAC 02T .0608(c)]
13. The Permittee is responsible for the operation and maintenance of the wastewater treatment and
irrigation system including the following:
a. Inspecting the septic tank annually and pumping out solids as needed. Inspecting and cleaning the
septic tank effluent filter annually.
b. Inspecting the ultraviolet disinfection unit weekly. Cleaning or replacing the lamps and quartz
sleeves as needed.
c. Inspecting all storage tanks, pumps, and alarms monthly. Removing the floating scum layer in all
pump/storage tanks when pumping the septic tank solids out.
d. Inspecting the drip irrigation system monthly to verify the proper operation of the drip lines; that
there are no leaks; that vegetative growth does not obstruct the drip emitters; that the irrigated
wastewater is not ponding in or running off the designated irrigation area; and that there are no
objectionable odors.
[15A NCAC 02T .0608]
IV. MONITORING AND REPORTING
1. The Permittee shall conduct and report any Division-required monitoring, including the monitoring of
groundwater, surface water or wetlands, waste, wastewater, residuals, soil, treatment processes, lagoon
or storage ponds, and plant tissue, if necessary to evaluate this facility’s impact on groundwater and
surface water. [15A NCAC 02T .0108(c)]
2. Noncompliance Notification:
The Permittee shall report to the Winston-Salem Regional Office, telephone number [phone],
within 24 hours of first knowledge of the following:
a. Any process unit failure (e.g., mechanical, electrical, structural, etc.) that makes the facility
incapable of adequate wastewater treatment.
b. Any facility failure resulting in a discharge to surface waters.
c. Any time self-monitoring indicates the facility has gone out of compliance with its permit
limitations.
d. Ponding in or runoff from the irrigation sites.
Emergencies requiring reporting outside normal business hours shall call the Division’s Emergency
Response personnel at the telephone number [phone]. All noncompliance notifications shall
file a written report to the Winston-Salem Regional Office within five days of first knowledge of the
occurrence, and this report shall outline the actions proposed or taken to ensure the problem does not
recur. [15A NCAC 02T .0108(b)(1)(A)]

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V. INSPECTIONS
1. The Permittee shall perform inspections and maintenance to ensure proper operation of the wastewater
treatment and irrigation facilities. [15A NCAC 02T .0608(f)]
2. The Permittee shall inspect the wastewater treatment and irrigation facilities to prevent malfunctions,
facility deterioration, and operator errors that may result in discharges of wastes to the environment,
threats to human health, or public nuisances. The Permittee shall maintain an inspection log that
includes the date and time of inspection, observations made, and maintenance, repairs, or corrective
actions taken. The Permittee shall provide the inspection log to the Division upon request. [15A NCAC
02T .0608(e), 02T .0608(f)]
3. Division-authorized representatives may, upon presentation of credentials, enter and inspect any
property, premises, or place related to the permitted wastewater treatment and irrigation facilities at any
reasonable time for determining compliance with this permit. Division-authorized representatives may
inspect or copy records maintained under the terms and conditions of this permit and may collect
influent, treatment process water, effluent, residual, soil, plant tissue, groundwater, or surface water
samples. [G.S. 143-215.3(a)(2)]
VI. GENERAL
1. The Permittee’s failure to comply with this permit’s conditions and limitations may subject the
Permittee to a Division enforcement action. [G.S. 143-215.6A, 143-215.6B, 143-215.6C]
2. This permit is effective only for the nature and volume of wastes described in the permit application
and Division-approved plans and specifications. [G.S. 143-215.1(d)]
3. There are no variances to administrative codes or general statutes governing the construction or
operation of the permitted facilities unless the Permittee specifically requested a variance in the
application and the Division approved the variance as noted in this permit’s facility description. [15A
NCAC 02T .0105(b)]
4. This permit does not exempt the Permittee from complying with all statutes, rules, regulations, or
ordinances that other jurisdictional government agencies (e.g., local, state, and federal) may require.
[15A NCAC 02T .0108(b)(1)(A)]
5. The Permittee shall retain this permit and the Division-approved plans and specifications for the life of
the permitted facilities. [15A NCAC 02T .0105(o), 02T .0116(d)]
6. The Permittee shall comply with all permit conditions and requirements until the proper closure of the
permitted facilities, or until another appropriate authority permits the facilities. [15A NCAC 02T
.0105(j)]

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7. This permit is subject to revocation or modification upon 60-day notice from the Division Director in
whole or part for:
a. Violation of any terms or conditions of this permit or 15A NCAC 02T.
b. Obtaining a permit by misrepresentation or failure to disclose all relevant facts.
c. The Permittee’s refusal to allow authorized Department employees upon presentation of
credentials:
i. To enter the Permittee’s premises where a system is located or where the Permittee keeps any
Division-required records under the terms and conditions of this permit.
ii. To have access to any permit-required documents and records.
iii. To inspect any monitoring equipment or method as required in this permit.
iv. To sample any pollutants.
d. The Permittee’s failure to pay the annual fee for administering and compliance monitoring.
e. A Division determination that the conditions of this permit conflict with the North Carolina
Administrative Code or General Statutes.
[15A NCAC 02T .0110]
8. Unless the Division determines that the Permittee needs a permit modification for the construction of
facilities to resolve non-compliance with any environmental statute or rule, or the Division Director
grants a variance, expansion of the permitted facilities shall not occur if any of the following apply:
a. The Permittee or any parent, subsidiary, or other affiliate of the Permittee has been convicted of
environmental crimes under G.S. 143-215.6B or under Federal law that would otherwise be
prosecuted under G.S. 143-215.6B, and the Permittee or any parent, subsidiary, or other affiliate of
the Permittee has abandoned or exhausted all appeals of this conviction.
b. The Permittee or any parent, subsidiary, or other affiliate of the Permittee has previously abandoned
a wastewater treatment facility without properly closing the facility in accordance with its permit
or 15A NCAC 02T.
c. The Permittee or any parent, subsidiary, or other affiliate of the Permittee has not paid a civil
penalty, and the Permittee or any parent, subsidiary, or other affiliate of the Permittee has
abandoned or exhausted all appeals of this penalty.
d. The Permittee or any parent, subsidiary, or other affiliate of the Permittee is currently not compliant
with any compliance schedule in a permit, settlement agreement, or order.
e. The Permittee or any parent, subsidiary, or other affiliate of the Permittee has not paid an annual
fee pursuant to 15A NCAC 02T .0105(e)(2).
[15A NCAC 02T .0120(b), 02T .0120(d)]

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9. Unless the Division Director grants a variance, the Division shall not renew this permit if the Permittee
or any affiliation has not paid an annual fee pursuant to 15A NCAC 02T .0105(e)(2). [15A NCAC 02T
.0120(c), 02T .0120(d)]
10. The Permittee shall pay an annual fee for each year of the term of this permit pursuant to the schedule
in G.S. 143-215.3D(a). The Permittee shall continue to pay annual fees for any facility operating on
an expired permit that the Division has not rescinded or revoked. [15A NCAC 02T .0105(e)(2)]
Permit issued this the 17th day of October 2024
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
____________________________________________
Richard E. Rogers, Jr., Director
Division of Water Resources
By Authority of the Environmental Management Commission
Permit Number WQ0044990

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Permit No. WQ0044990 Single-Family Residence Wastewater Irrigation System
Abigail F. Siegrist October 17, 2024
312 Reese Rd. SFR Davidson County
ENGINEERING CERTIFICATION
Partial Final
I, , as a duly licensed North Carolina Professional
Engineer, having periodically / fully observed the construction of the permitted facilities, do hereby
state to the best of my abilities that the facility was constructed in compliance with G.S. 143-215.1,
Administrative Code Title 15A Subchapter 02T, this permit, and the Division-approved plans and
specifications.
Documentation of any variation to this permit and the Division-approved plans and specifications is in the
attached as-built drawings.
Description of variations:

Professional Engineer’s Name

Firm Name Firm No.

Address

City State Zip Code

Telephone Email Seal, Signature, and Date
THE PERMITTEE SHALL SUBMIT THE COMPLETED ENGINEERING CERTIFICATION, INCLUDING
ALL SUPPORTING DOCUMENTATION, VIA THE NON-DISCHARGE ONLINE PORTAL.
State of North Carolina
Department of Lnvironmental QualityDWRi)ivi;ion of Water RcserurcLIS
SINGLE-FAMILY RESIDENCE WASTEWATER IRRIGATION SYSTEM
Dhrblon of Water l esourcAm OPERATION AND MAINTFRANC'E AGRFF.MENT
FOR-4i: SFRWWLS-0&M 09-I8
Permit No. WQOO__ County- 1}dviilskyn
Pcrmittcc: Mad son Siegr15t (i_c_. all deeded property ovmm.
11w Perrnittae agrxxni to operator and maintain the single-family rc-sidcncc wartcN°arcr treatment acid irrigation system as
follows:
1. InspW tkseptic twik arrttually- and pump out solids as needed- Ins-
pect and clean the ccpuc tank effluent filter annually. (if upplicaNv) 3.
Inspect the tablet chlorinawr week- ly. Add wastcv-atcr grade chlorine tablets (c. g- calcium hypochlurtiv) as needed_ Swimm1nr
pn.,l grade chlornc tahlcts arc not aceiptable, (if ulap1k%dP1c) 4.
1n5pect the ultraviolei disinfection unit wxvkly_ Clean or replaw the lambs and quartz Sleeves as needed (if a
plicuble) 5.
Inspect all storage: tanks, pumps. and alarms monthly- Remove the floating, scum layer in all pure 'stntagc tanks whett
pumping the srp6c tank solids taut_ 6.
Inspw the sprAv irrigauen syste rn monthh to verify: proper operation of the gray heads: that there arc no leaks; that
v'getative gruwth does not obstruct the spray heads, that the irrigated wwaLwater ii not grinding in or running off
the designated irrigatic)n area: and that there are- no objectionable odors.. (ifapplicahle) 7.
Inspoct the drip irrigation system tnundilr to verify: proper operation of the drip line-~: that there arr no leaks; that vcgutative
growth does not ubstruct the drip emitters; that the rrtigatcd wastcwziter cs nrA ponding in or running MT Live
designated l igation area: and that there are no nhjnc uonahlcndxw. (if appliruhle) S.
Maintain a wt of Diviskmi-approved -- -- , plan, and specifications_ 9.
Pay the required annual fee, 10.
Request renewal of this permit con Division -approved forms no later than 180 days Prior to expiration_ 11.
Sign and prov ide a kuu<<•e o+ ( tw ncrtih i is anplIca; 4 4,1 to any future owner of die singir-family re-sidencr wastewater u raiment
and irrigation system fear their completion and whm fission to the i)ivi<stnn of W3lcr Regrets. Kc understand
the above requirewnis and agrw to the w termsas part of the issued permit. 5 gnatlirc:
Date: Signature: , Date:
Signature: 5ignatwc:
Date:
le;
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0&M 09-18 page I Of 1
44990
LEGEND
500 TREATMENT AND
DISPOSALOSAL SETBACK / ill
REVIEW BOUNDARY AT MID POINT
OF COMPLIANCE BOUNDARY AND / SURFACE
WASTE BOUNDARY PER IRRIGATION 111
15A NCAC 02L .0108 DRIPFIELD
g—
TREATMENT j/ L
SYSTEM 1LJ
COMPLIANCE BOUNDARY SET \
O AT PROPERTY LINE PER
15A AC 02L .0107(n(
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1
1 BEDROOM
PROPOSED \ _ RIPARIAN \\
DWELLING
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10 —
BUFFER , 1 I \ \ • \ \\\
PROPOSED
DRIVEWAY
STREAM
ADJACENT BOUNDARY
BOUNDARY (PROPERTY)
RIGHT-OF-WAY
CONTOURS - INDEX
CONTOURS - INTERMEDIATE
x FENCE
DRIP LINES
RETURN LINES
SUPPLY LINES
1 1 1 DIVERSION BERM
SOIL BOUNDARY
SUITABLE SOILS BOUNDARY
RETURN MANIFOLD
SUPPLY MANIFOLD
CO CLEAN OUT
EZRT EZ TREAT RE -CIRCULATION TANK
HU HYDRAULIC UNIT
UV ULTRAVIOLET DISINFECTION
BV/M BALL VALVE/METER
SOIL DESCRIPTIONS
PnD
Poindexter-Wynott complex, 8to
15 percent slopes
PnE
Poindexter-Wynott complex, 15
to 25 percent slopes
CA
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GRAPHIC SCALE: 1 " _(/ 150'
0 75 150 300 450
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