NCG551749_Renewal Application_20180706

ROY COOPER
A�; Governor
1
MICHAEL S.REGAN
Secretary
Water Resources L TNDA CLILPEPPER
ENVIRONMENTAL GUAUTY .hiteri7n Director
July 09, 2018
Kathryn Hicks
6402 Whitt Rd
Durham, NC 27712
Subject: Permit Renewal
Application No. NCG551749
6402 Whitt Road
Durham County
Dear Applicant:
The Water Quality Permitting Section acknowledges receipt of your application for a new NPDES WW permit, including
supporting documentation and your check number 2167 in the amount of$60.00 as payment of the application fee.
These items were received in our offices on July 6, 2018. Your application will be assigned to a permit writer within
the Section's NPDES WW permitting branch.The permit writer will contact you if additional information is required to
complete evaluation of your application. Your timely and direct response to any such request will help to expedite the
review process. Please note that acceptance of the application does not guarantee a NPDES permit will be issued for
the proposed activity. A permit will only be issued following a complete review of the application, concluding the
proposed discharge is allowable per applicable statutes and rules.
Information regarding the status of your renewal application can be found online using the Department of
Environmental Quality's Environmental Application Tracker at:
httos://deo.nc.gov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sincerely,
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application(RRO)
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh,North Carolina 27699-1617
919-807-6300

Letter Requesting Certificate of Coverage
The purpose of this letter is to apply for a Certificate of Coverage under NCG550000. The property
owners,Randolph and Kathryn Hicks,purchased this property over 25 years ago,with an existing septic
system. They recently learned that the septic system is a sand filter system requiring approval from the
State. The permit for the system was originally obtained from Durham County and,as they understand
it,was supposed to be turned over to the State,but that never happened. The County has informed the
Hicks that the property will not support a conventional septic system.
The Hicks home recently burned and is a total loss. Their builder contacted the City of Durham to start
the permitting process and the issue with'the septic system came to light. Representatives from both
the County and the State have been very helpful in trying to resolve this issue, but the Hicks are under
time pressure. Their insurance does provide displacement funds while their home is being rebuilt,but
these funds are limited. At the current time,these displacement funds will run out in November. As we
understand it,the builder cannot obtain permits to rebuild the house until the septic issue has been
resolved. He has told them that the house can be rebuilt in four months,which means we have about
eight weeks to resolve the septic permitting issue.
The Hicks are an older couple,whose daughter lives with them. Mr.Hicks has a number of medical
issues. He is legally blind,he is diabetic,he has very poor hearing,and he has heart issues requiring use
of a pacemaker. At the time of the fire,Mr.Hicks had been in and out of the hospital and physical
rehabilitation dealing with his medical issues. The stress of dealing with the fire and the rebuilding
process,with Mr.Hicks medical issues,and now the septic system issues is not good for either of them,
but him in particularly. Anything you can do to expedite the septic approval process would be greatly
appreciated.
Jeffrey A. Henderson,brother-in-law of Randolph and Kathryn Hicks
RECE!VEDIDENRIDWR
JUL 06 2018
Water Resources
Permitting Section

FOR AGENCY USE ONLY
Aaf Division of Water Resources Date Received
National Pollutant Discharge Elimination System(NPDES)
+w��....� Year Month Day
NCDENRApplication for Coverage Under General Permit X01(7- rf ®L
Certificate of Coverage
NCG550000 NCG s siriqg
Single Family Residences and/or facilities discharging Check# Amount
< 1000 gallons per day of domestic wastewater
'1 s(nrn PD
Assigned To:
NOTICE OF INTENT
[Required by 15A NCAC 02H.0127(d)]; [term definition see 15A NCAC 02H.0103(19)]
(Please print or type)
1. Regional Office contact(Please note: This application will be returned if you have not met with a
representative from the appropriate regional office.):
Please list th1CDENR Re ' nal Office repre entative(s)with whom you have met:
Name(s): Jan c= 11-e Date: b 1,3)6 � 16.
2. Mailing address of owner/operator: (address to which all correspondence should be mailed)
Owner Name 11Ci-k'41Syo'\ \1Ckrj'
Street Address [n y p) C�l t 41- ( nr -1
City I)U Ii`�� State R2('_ ZIP 7
Telephone#(H) 1 i q L(r)1 /'13 0 Telephone#(W)
Cell/Mobile# 919 6 y 16910 /Y Email 1710 A e inclP{`S()(1 q 1 I 0 slew(' ,coo)
3. Location of facility producing discharge: (Iffacility is not yet constructed, give street address or lot#)
Street Address 10Q 0 ( 27/ , ft I cit C1
City hCtt'r State i\:l ZIP o19 E)
County Do e 1\Ct oe\
Telephone# I i Q _4 ? ) `)113 7 Cell/Mobile# C I `f -62q ( _o `)6 Ci
4. Physical location information:
Please provide a narrative description of how to get to the facility(use street names,state road numbers,and distance
and direction from a roadway intersection).
5. This NPDES permit application applies to which of the following :
❑ New[term definition see 15A NCAC 02H.0103(16)]or Proposed(system not constructed)
Slk
Existing[term definition see 15A NCAC 02H.0103(11)];If previously permitted by local or county health
department,please provide the permit number D 10\C x\ -rte ��K, 19 3
and issue date 10 /31
15 (F
❑ Modification; please describe the nature of the modification:
•
Page 1 of 3 Revised 9/1/13

lir
NCG550000 New Applicant
6. Description of Discharge: [Required by 15A NCAC 02H.0105(c)(1)1
a) Amount of wastewater to be discharged:
Number of bedrooms 3 x 120 gallons per bedroom= 3G
5 6 , 0 gallons per day to be permitted
b)Type of facility producing waste(please dheck"one):` • —`_ _ ---
` Primary residence ❑ Vacation/second home
0 Other:
7. Please check the components that comprise the wastewater treatment system:
[Required by 15A NCAC 02H.0105(0(3)]
I'Septic tank 0 Dosing tank
^ Primary sand filter 0 Secondary sand filter 0 Recirculating sand filter(s)
❑ Chlorination 0 Dechlorination ❑ Other form of disinfection:
❑Post Aeration(speck type)
8. For new or proposed systems only-Please address the feasibility of alternatives to discharging for the
following options in the cover letter for this application:
[Evaluation required by G.S. $ 143-215.1(b)(5)(a) and 15A NCAC 02H.0105(c)(2)]
a) Connection to a Regional or Municipal Sewer Collection System.
b) Letter from local or county health department describing the suitability or non-suitability of the site for all types of
wastewater ground adsorption and innovative non-discharge systems.Document the repair potential of the failed
system.
c) Land Application such as spray irrigation or drip irrigation.
9. Receiving waters: [Required by 15A NCAC 02H .0105(c)(1)]
a) What is the name of the body or bodies of water(creek,stream,river,lake,etc.)that the facility wastewater
discharges end up in? L, 4 i�:.-14,; u c:cr (L:1+1 e. (Z 1 w e r Re .l C. r u o s r,
b) Stream Classification(if known): 27 — 2. 1-1 – (;S , S)
10. The application must include the following or it will be returned,as allowed by 15A NCAC 02H .0107(b):
a) For Certificates of Coverage:
• An original letter and fall)copy requesting coverage under NCG550000.
1:5– A signed and completed original and one copy of this Notice of Intent Application.
IS. A check or money order for the permit fee of$60.00 [per as. ,$ 143-215.3(a)(1b)1 made payable to NCDENR:
�$ Invoice showing that the septic tank has been pumped and serviced within the last 12 months(only when
existing service tank will be used). -
-I •
Page 2 of 3 • Revised 9/1/13

fL
NCG550000 New Applicant
New or proposed facilities must also include:
Letter from the county health department evaluating the proposed site for all types of ground absorption and
innovative non-discharge systems.Document the repair potential of the failed system.
❑ Evaluation of connection to a regional sewer system(approximate distance&cost to connect).
❑ Provide a 7Q10 flow estimate at the proposed wastewater discharge point from the US Geological Survey(919-
571-4000)
b) For an Authorization to Construct(ATC)only: (Note: There is no fee for an ATC)
❑ A letter requesting an ATC
❑ Three sets of plans and specifications (required by 15A NCAC 02H .0138) of proposed treatment system (see
Permit Application Checklist and Design Criteria for Single Family Discharge)
❑ Invoice showing that the septic tank has been pumped and serviced within the last 12 months (only when
existing septic tank will be used).
Additional Application Requirements:
a) If this application is being submitted by a consulting engineer(or engineering firm),include
documentation from the applicant showing that the engineer(or firm)submitting the application has
been designated an authorized Representative of the applicant, per 15A NCAC 02H .0138(b)(1).
b) If this application is being submitted by a consulting engineer(or engineering firm), final plans for the
treatment system must be signed and sealed by a North Carolina registered Professional Engineer and
stamped- "Final Design-Not released for construction;" per 15A NCAC 02H .0139.
c) If this application is being submitted by a consulting engineer(or engineering firm), final specifications
for all major treatment components must be signed and sealed by a North Carolina registered
Professional Engineer and shall include a narrative description of the treatment system to be
constructed; per 15A NCAC 02H .0139.
Page 3 of 3 Revised 9/1/13

NCG550000 New Applicant
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: (m,ey,v a , hi,r -S RQ,I)d 0 ipi E,
Title: Owha+r3
(Please-review-1-5-A-NCAC-02H-0106(el1or-authorized-signing-officials) —� -----
cl.i\I 1 t ecji/te,12,4H
(Signature o .plicant) (Date Signed)
,,
North Carolina General Statute$143-215.6B 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 this Article or a rule implementing this Article; or who knowingly makes a
false statement of a material fact in a rulemaking proceeding or contested case under this Article; or who falsifies,tampers with,or
knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article
or rules of the Commission implementing this Article, shall be guilty of a Class 2 misdemeanor which may include a fine not to
exceed ten thousand dollars ($10,000). 18 U S.C Section 1001 provides a punishment by a fine or imprisonment not more than 5
years,or both,for a similar offense
Application must be accompanied by a check or money order for$60.00 [per G.S. $ l43-215.3(a)(lb)1
made payable to:
NCDENR
e ♦ ♦ ♦ ♦
Mail this application and one copy of the entire package(with check) to:
NC DENR/DWR/Water Quality Permitting Section
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
Attn: Charles Weaver
Note: The submission of this document does not guarantee the issuance of an NPDES permit
Page 4 of 3 Revised 9/1/13

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Estate I! Begin forwarded message:
FSU
Garden Club > From: Randy Hicks <[e-mail]>
tne" ETiza ( > Date: June 7, 2018 at 7:31:01 PM EDT
Nextdoor 1 To: [e-mail]
OPOA Meeting-Roads > Subject: Fwd: 6402 Whitt
Our State I
Rentals
Retirement
Smoketree > Sent from my Verizon 4G LTE Droid
Wmenes > Forwarded message
> From: "Yearout, Matthew" <[e-mail]>
> Date: Jun 7, 2018 3:57 PM
> Subject: 6402 Whitt
> To: Danny Smith <[e-mail]>
> Cc: [e-mail]
>• According to the Durham County Public Health, Environmental Health Division
records, 6402 Whit Rd is served by a discharging sandfilter sewage system that
has not been issued a NPDES Certificate of Coverage by the Division of Water
Resources. The site characteristics identified on the property do not meet the
requirements of 15A NCAC Section .1900, therefore, no permits may be issued to
convert the existing sandfilter system to ground absorption sewage disposal
system. Municipal sewer is not available to the property
>• MATTHEW YEAROUT, RENS 1 Onsite Water Protection Monitoring Program
Specialist
>• Durham County Department of Public Health
>• Human Services Building — (2nd Floor) WS-2219
>• 414 East Main Street
>• Durham, North Carolina 27701
> Office [phone] I Fax [phone]
>• [e-mail]
>• HIPAA Confidentiality Notice: This email and its attachments may contain
privileged and confidential information and/or protected health information
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.
- - - Durham County Health Department - g6 Z
--e/ 2 --Oa .
SEPTIC TANK PERMIT (t c� .
No...1Z§.32... Area Durham, N. C., Oc..obes..j., 19..68..
Owner k'1 etrber..Da nrax:d Address
Location of Property .LAt..J D..h)17i �
PERMISSION is hereby granted to install a Septic Tank and Secondary Treatment system, to receive
wastes from fixtures enumerated on Plumbing Permit No...12532, in accordance With Chapter I, Art.
VI, Sections 1 & 5, Durham County Sanitary Code, at the above location, consistent with existing con- o
ditions, as described below: Ps
Septic Tank wide, long, deep (or 9.QQ..ga].....tank ) Dist. Boat ,.2. outlets. 0
Nitrification Field lines Ftlong inches wide, laid to proper grade and depth, using '
only approved absorbent material. - a
Sand Filter Trench...5.!..x..511t Other - r.
NOTE: Installation to be made according to sketch on reverse side; DO NOT cover any part of installa-
tion until after final inspection by Health Department.
Plumbing by• J...1'...Garrard
Septic Tank by• DgliA 11,InfirmI .peft$ ....1a448 Director
tices and etcfY
"nitery engineering pray.
used: however, should By W....G...P.arx:i.sh
unforeseen developments make ft necas(n ry Deputy Director I
to alter or abandon the system, this ess €
Department assumes no tea.. si.I is,

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OF Ott C°141.
•
COUNTY OF DURHAM
HEALTH DEPARTMENT
• Environmental Health Division •
NUISANCE COMPLAINT FORM
Received by: eat:d Date:
EHS Referred to: J t1_4 eif W/W: v FI L:
Reported by: Call back? Y/N 517 j - 4117
Mail results:
• CompIaint Location: 6 yeoL
Complaint specifics: 6.414cc, Z,,
•
•
•
•
Complaint findings: 4c - , , -„ 6 s
C/tSC r
•
•
•
•
Results: Valid: Invalid: Inconclusive:
Investigated by: Date: / /
414 E.Main Street Durham,NC 27701 [phone] Fax[phone]

McFarland Septic, LLC Invoice
6801 Mt Hermon Church Road
Durham NC 27705
„lis*, ,
`i--n"£;
'Sa
Kathryn Hicks 7/5/2018 22916
6402 Whitt Road
Durham NC 27712
Due on receipt 7/5/2018
7/5/2018 Excavated and pumped the septic tank without an access riser
275 00
7/5/2018 - ,Seniice'call: a
fi --Flagged the outflow
Sales Tax Durham County 5.63
Accounts not paid within 30 days will be subject to a service charge of 1.5%per ®}4 �' $355.63
month. Tot
Please note that there is a 3%processing fee for invoices paid with a credit BatanCe Due $355.63
card for any amount over$1,000.
Email: [e-mail]
Phone: [phone]
Fax: [phone]
www.mcfarlandseptic.com