NCG550276_Permit (Issuance)_20161102

PAT MCCRORY
10 6,1011.
DONALD R. VAN DER VAART
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
nu,(lur
November 2, 2016
Frank Jurius
367 Hogan Farm Rd
Apex, NC 27523
Subject: General Permit NCG550000
367 Hogan Farm Rd
Certificate of Coverage NCG550276
Wake County
Dear Permittee:
The Division received and approved your request to renew the subject Certificate of Coverage (CoC).
As a result, the Division hereby reissues NCG550276. This CoC is issued pursuant to the requirements of
North Carolina General Statue 143-215.1 and the Memorandum of Agreement between North Carolina and
the US Environmental Protection agency dated October 15, 2007 [or as subsequently amended].
If any parts, measurement frequencies or sampling requirements contained in this General Permit
are unacceptable to you,you have the right to request an individual permit by submitting an individual
permit application. Unless such demand is made, the certificate of coverage shall be final and binding.
Please take notice that this Certificate of Coverage is not transferable except after notice to the
Division. The Division may require modification or revocation and reissuance of the certificate of coverage.
Contact the Raleigh Regional Office prior to any sale or transfer of the permitted facility.
Regional Office staff will assist you in documenting the transfer of this CoC.
This permit does not affect the legal requirements to obtain any other State, Federal, or Local
governmental permit that may be required. If you have any questions concerning the requirements of the
General Permit,please contact Charles Weaver of the NPDES staff[919 807-6391 or
[e-mail]].
Sinc ely, 7:474
Lf
..,
for S.Jay Zimmerman, P)P -
Director, Division of ' ater Resources
cc: Raleigh Regional Office
NPDES file
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh,NC 27699-1617
919 807 6300 919-807-6389 FAX
https://deq.nc.goy/about/divisions/water-resources/water-resources-permits/wastewater-branch/npdes-wastewater-permits

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG550276
DISCHARGE OF DOMESTIC WASTEWATER FROM SINGLE FAMILY RESIDENCES AND
OTHER 100% DOMESTIC DISCHARGES WITH SIMILAR CHARACTERISTICS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and
the Federal Water Pollution Control Act, as amended,
Frank Jurius
is hereby authorized to discharge <1000 gallons per day of domestic wastewater from a
facility located at
367 Hogan Farm Rd
Apex
Wake County
to receiving waters designated as an unnamed tributary to Folkner Branch, a class WS-IV NSW
stream in subbasin 03-06-05 of the Cape Fear River Basin in accordance with the effluent
limitations, monitoring requirements, and other conditions set forth in Parts I, II, III and IV
hereof.
This certificate of coverage takes effect November 2, 2016.
This Certificate of Coverage shall remain valid for the duration of the General Permit.
Signed this day November 2, 2016
G
for ay Zimmerman, P.G.
irector, Division of Water Resources
By Authority of the Environmental Management Commission

A7.74,L,A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Pat McCrory Thomas A. Reeder John E. Skvarla, III
Governor Director Secretary
NOTICE OF RENEWAL INTENT
Application for renewal of existing coverage under General Permit NCG550000
Existing Certificate of Coverage (CoC): NCG550 z ic RECE VEO NCDE urVR
(Please print or type)
AUG 16 2016
;rater Quality
1) Mailing address of property owner: (address to which all correspondence should be maileperrmitt@ng Section
Owner Name FRi N K 3 u.iz 'vLS
Street Address 31,7- Pi ag P,-►-) P Q+ ' 1244
City A f o f State 1 ,C, ZIP Code ,2 7 5-1 3
Telephone# cl i 1 3 (0 1 6-7-7,4 Cell# I i SAS
Fax#
Email Address
2) Location of facility producing discharge: (If facility is not yet constructed, give street address or lot#)
Street Address
City C (k State ZIP Code
County
Telephone# Cell#
3) Description of Discharge:
a) Is the discharge from(check what applies):
r�Primary Residence
❑ Vacation/Second Home
❑ Undeveloped Property
❑ Other(describe):
4) Please check the components that comprise the wastewater treatment system:
ISeptic Tank o Dosing Tank a(Primary Sand Filter d Secondary Sand Filter
❑ Recirculating Sand Filters rVChlorination ❑ Dechlorination ❑ Other Form of Disinfection
o Post Aeration(describe):
Page 1 of 2

NCG500000 Renewal Application
5) Other Information:
a) When was the septic tank last pumped out? (a I a-O /4
NOTE: The septic tank must be pumped out at least once every 3 -5 years.
b) Is the facility(home) occupied year-round, or only seasonally? 'Year Round ❑ Seasonal
c) Approximately how many people use the facility when it is occupied?
i
d) When was the wastewater system installed? / 119 '3.9
CERTIFICATION
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate.
Printed Name of Person Signing: r RP k L`
$ I,9 6
(Signature of Applicant (Date Signed)
North Carolina General Statute 143-215.6 b(i)provides that:
Any person who knowingly makes any false statement,representation,or certification in any application,record,report,plan or other document filed or
required to be maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, or who falsifies,
tampers with or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under Article 21 or
regulations of the Environmental Management Commission implementing that Article, shall be guilty of a misdemeanor punishable by a fine not to
exceed$25,000,or by imprisonment not to exceed six months,or by both.(18 U.S.C.Section 1001 provides a punishment by a fine of not more than
$25,000 or imprisonment not more than 5 years,or both,for a similar offense.)
This Notice of Renewal Intent does NOT require a separate fee.
The permitted facility already pays an annual fee for coverage under NCG550000.
♦ ♦ ♦ ♦ ♦
Mail this application, one copy of the entire package and a copy of the receipt for your last septic
service to: coo,) ,;€ Fs Nd cod zeee in
NC DENR/DWR/Water Quality Permitting Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Attn: Charles Weaver
Page 2 of 2
I

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secvem,y.
Water Resources
ENVIRONMENTAL QUALITY S. JAY ZIMMERMAN
Director
June 23,2016
CERTIFIED MAIL 7013 2630 0001 8998 3202
RETURN RECEIPT REQUESTED
FRANCIS W&EVONNE H JURIUS,Owners
367 HOGAN FARM RD
APEX,NC 27502
Subject: Wastewater disposal at 367 HOGAN FARM RD,APEX,NC 27502
Certificate of Coverage(CoC)NCG550276
Chatham County
Dear Mr. &Mrs.Jurius:
*1-5,42t6 County tax records list FRANCIS W&EVONNE H JURIUS as the current owners of
the subject property as of June 23,2016. We are contacting you to determine the status of a wastewater
disposal system on your property that was covered by.General Permit NCG550000.An audit for expired
unresolved files noted that coverage for your property's wastewater disposal system expired. The last •
Certificate of Coverage(CoC)was issued to Frank W.Jurius on August 1,2012.The certificate of
coverage NCG550276 expired on July 31,2013 for the subject property 367 HOGAN FARM RD,
APEX,NC 27502.The Division needs information from you to renew coverage under NCG550000 [the
General Permit for domestic wastewater].Please respond by Aug 4,2016 with one of the following:
> If your property still has a wastewater system like the ones described in the enclosed
Technical Bulletin,you must renew the subject CoC.Please complete the enclosed form
and submit it to Charles Weaver at the address on the form.
> In addition,$240 in overdue annual fees are required to maintain this permit.Please send
payment for the enclosed invoices:2010PR008838,2011PR008132,2013PR008006
and 2015PR008772. (Payment instructions are provided on the invoices.)Please note the
Division received payment for the 2012 and 2014 annual fees.The fees for 2010,2011,
2013 and 2015 are overdue.
If you have questions concerning this matter,please do not hesitate to contact Derek Denard at
919-807-6307.
= ely,
/John E.Hennessey
Division of Water Resources,DEQ •
cc: RRO Files
NPDES General Permit Files NOD-2016-RV-0004
Teresa Revis,DWR Budget Office
State of North Carolina I Environmental Quality I Water Resources
1611 Mail service Center I Raleigh,North Carolina 27699-1611
919 707 9000

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•
Merritt, Katie
From: Andrea Eckardt <[e-mail]>
Sent: Thursday,June 23, 2016 9:33 AM
To: Merritt, Katie
Subject: FW:ACP Reroute
Katie-
The information below relates to the Old Savannah Mitigation Bank Parcel. At one time there was concern about the
pipeline coming through and affecting the project.
The pipe has been rerouted and is no longer an issue for the site (see email below from the Dominion Atlantic Coast
Pipeline representatives).
Please let me know if the email from Allison Daniel, below, is enough to satisfy your concerns or if you need some other
documentation.
Thanks
Andrea
Andrea S. Eckardt I Senior Environmental Planner
704.332.7754 x101
From:Allison Daniel [mailto:adanielogml(Wgmail.com]
Sent:Wednesday,June 08, 2016 11:37 AM
To: Robert Bugg<[e-mail]>
Subject: Re:ACP Reroute
Robert,
The mitigation bank is NOT affected directly by either pipeline ROW or temporary work space. It is only in the
300' survey corridor. There will be additional cultural surveys done this week to further determine the final
route and the mitigation bank will be included in that survey.
Thank you,
Allison Daniel
Right-of-Way Representative
Doyle Land Services
for Dominion Atlantic Coast Pipeline Project
c. [phone]
On Wed, Jun 1, 2016 at 8:14 AM, Robert Bugg<rbugg a,wildlandseng.com>wrote:
Allison—I have not heard from you or anyone on this issue since March when you let me know someone would be out
surveying.
1

Please keep me informed and let me know if there is anything we can do. The open ended issue is costing us money
and time in finalizing our bank so your message comes as great news to us. Can you please give me some idea of the
timing when we will know officially that our mitigation bank parcel is not affected?
Robert W. Bugg,ALC I Director: Land Acquisition
0: 704.332.7754 x105 M: 704.719.2100
Wildlands Engineering, Inc.
1430 S. Mint St, Suite 104
Charlotte, NC 28203
From:Allison Daniel [mailto:[e-mail]]
Sent:Tuesday, May 31, 2016 3:54 PM
To: Robert Bugg<[e-mail]>
Subject:ACP Reroute
Mr. Bugg,
I believe I emailed you several weeks ago regarding our route but did not see a reply from you. Please excuse
me if this is a duplicate email.
ACP is currently planning a reroute that would avoid Wildlands tract in Johnston County, NC. This is just to
keep you informed of the change and no action is required on your part,but a reply would be appreciated so I
know you are all aware of the change.
Thank you,
Allison Daniel
Right-of-Way Representative
Doyle Land Services
for Dominion Atlantic Coast Pipeline Project
c. [phone]
2

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CHATHAM COUNTY, NC
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Disclaimer
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44ki CF and data This data is for informational purposes only and should not be substituted
for a tine title search.property appraisal.survey.or for zoning venfication One Inch=200 Feet

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i I
UNITED S TAT Egi5IVICE First-Class Mail
.,. Postage&Fees Paid
t .. USPS
f Permit No.G-10
• Sender Please print your name, address, and ZIP+4®in this boje,
n
m
C L
3 NC DEQ DWR r l..J
Water Quality Permitting Section
1617 Mail Service Center rt; oo
rn
Raleigh.NC 27699-1617 o
Attn: Derek Denard-Archdale925J ° CI
!I �
II T'
fI CGs.502.16 /4" —2016U - 00044
I uiilliiill1lil►iil)ii)ill)j�i�1il�1li�ii1iHI)))I�i�il)�iiiiilI

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. X�t/'' 0 Agent
• Print your name and address on the reverse Q — 0 Addressee
so that we can return the card to you. B. Received by(Printed ame) C. Date of Delivery
• Attach this card to the back of the mailpiece, J 011 :Tat/it.Vt.
or on the front if space permits.
D. Is delivery Otprent from item 1? 0 Yes
Francis W. & Enonne H. Jurius, Owner If YES, e drys below: 0 No
367 Hogan Farm Road co ' 6,
Apex, NC 27502 0
}4:7
3. Service Type 0.
� ' Y
❑Certified lJ Priority Mail Express'
❑Registered 0 Return Receipt for Merchandise
❑Insured Mail ❑Collect on Delivery
4. Restricted Delivery?(Extra Fee) ❑Yes
7013 2630 0001 8998 3202
PS Form 3811,July 2013 Domestic Return Receipt