WQ0003299_Final Permit_19990209

NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
February 9, 1998
NCDENR
Honorable Melvin F. Broadnax, Mayor
.FAMES 8- HUNTJR. GOVERNOR Town of Seaboard
PO Box 327
Seaboard, North Carolina 27876
WAYNE MCDEVETT
SECRETARY
SUBJECT: Town of Seaboard
Permit No. WQ0003299
A. PRESTON HOWARD, Wastewater Spray Irrigation
JR., P.E. Facilities
DIRECTOR Project No. 370447-04
Northampton County
Dear Mayor Broadnax:
In accordance with your application received May 1, 1997, we are
forwarding herewith Permit No. WQ0003299 dated February 9, 1998, to the
Town of Seaboard for the expansion and continued operation of the subject
wastewater treatment and spray irrigation disposal system.
This permit shall be effective from the date of issuance until January
31, 2003, shall void Permit WQ0003299 issued April 13, 1995, and. shall be
subject to the conditions and limitations as specified therein. Please pay
particular attention to the monitoring requirements in this permit. Failure to
establish an adequate system for collecting and maintaining the required
operational information will result in future compliance problems.
Since a new spray field is to be constructed and placed in operation
prior to completion of all constriction activities, a certification of partial
completion must be provided by your consulting engineer in compliance
with Condition I.1, certifying that the new spray field has been installed in
accordance with this permit, the approved plans and specifications, and
other supporting materials. It shall be the permittee's responsibility to track
further construction under this permit and provide a final certificate of
completion, signed by your engineer, once the entire project has been
completed. Mail the certifications to the Water Quality Permits and
Engineering Unit, P. O. Box 29535, Raleigh, N.C. 27626-0535.
CONSTRUGTrON GRANTS & LOANS SECTION
P.O. BOX 29579, RALEIG H, NORTH CAROLINA 27626-0579
PHONE [phone] FAX [phone]
AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER- 50% RECYCLED/1 Oq POST -CONSUMER PAPER

(Engineer's Certification Form is attached.)
If any parts, requirements, or limitations contained in this permit are
unacceptable to you, you have the right to an adjudicatory hearing upon
written request within thirty (30) days following receipt of this permit.
This request must be in the form of a written petition, conforming to
Chapter 150B of North Carolina General Statutes, and filed with the Office
of Administrative Hearings, P. O. Box 27447, Raleigh, N. C. 27611-7447.
Unless such demands are made, this permit shall be final and binding.
One (1) set of final approved plans and specifications is to be
forwarded to you, and one (1) set retained for our files.
A copy of the approved plans and specifications shall be maintained
on file by the Owner for the life of the project.
If there are any questions concerning this matter, please contact Mr.
Cecil G. Madden, Jr., P. E. at [phone].
7Sincerel
-A. Preston Howard, Jr., P.E.
Attachment
RT:pc
cc: Stroud Engineering, P. A.
Northampton County Health Department
Raleigh Regional Office
Ken Pohlig, Groundwater Section, Central Office
Non -Discharge Compliance/Enforcement Unit
Robert Teulings
Technical Assistance and Certification Unit
CIU/DMU/SRF

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAi. RESOURCES
RALEIGH
SPRAY IRRIGATION SYSTEM PERMIT
In accordance with 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
Town of Seaboard
Northampton County
FOR THE
modification and expansion of the Town of Seaboard's existing wastewater treatment and spray
irrigation disposal facilities to increase capacity to 134,000 GPD, based on a design application
rate of I.17 inches/week, to consist of construction and operation of a new 35.1 acre spray
field, planted with hardwood tree seedlings, and divided into three (3) irrigation zones with 91
spray nozzles in each zone; abandonment and removal of the existing irrigation piping and
fixtures; construction and operation of a new 7.425 MG capacity earthen irrigation storage
basin, lined with 40-mil HDPE synthetic liner, on the original 12 acre spray site; a new
irrigation pumping system with three (3) 235 GPM centrifugal pumps and associated piping;
two (2) new 200 GPM vertical turbine pumps and associated piping for transfer of wastewater
from the existing treatment/storage basins to the new irrigation storage basin; new chlorination
system; and continued operation of all appurtenant facilities including approximately 2,825
lineal feet of 10-inch sewer lines, bar screen, flow meter, monitoring wells, and laboratory
facilities with no discharge of waste to surface waters, pursuant to the application received May
1, 1997 and in conformity with the project plans, specifications, and other supporting data

subsequently filed and approved by the Department of Environment and Natural Resources and
considered a part of this permit.
This permit shall be effective from the date of issuance until January 31, 2003, shall void
Permit No. WQ0003299 issued April 1.3, 1995, and shall be subject to the following specified
conditions and limitations:
I. PERFORMANCE STANDARDS
1. Upon completion of construction and prior to operation of this permitted facility, a
certification must be received from a professional engineer certifying that the
permitted facility has been installed in accordance with this permit, the approved
plans and specifications, and other supporting materials. If this project is to be
completed in phases and partially certified you shall retain the responsibility to
track further construction approved under the same permit —and -shall provide a
final certificate of completion once the entire project has been -completed. Mail the
Certification to the Water Quality Permits and Engineering Unit, P. O. Box 29535,
Raleigh, NC 27626-0535.
2. The Raleigh Regional Office, phone no. [phone], shall be notified at least
forty-eight (48) hours in advance of operation of the installed facilities so that an
in -place inspection can be made. Such notification to the regional supervisor shall
be made during normal office hours from 8:00 a.m. until 5:00 p.m. on Monday
through Friday, excluding State Holidays.
3. The spray irrigation facilities shall be effectively maintained and operated at all
times so that there is no discharge to the surface waters, nor any contamination of
ground waters which will render them unsatisfactory for normal use. In the event
that the facilities fail to perform satisfactorily, including the creation of nuisance
conditions or failure of the irrigation area to adequately assimilate the wastewater,
the Permittee shall take immediate action to correct the problem, including such
actions as may be required by the Division of Water Quality, such as the
construction of additional or replacement wastewater treatment and disposal
facilities.
4. The issuance of this permit shall not relieve the Permittee of the responsibility for
damages to ground water or surface water resulting from the operation of this
facility.
5. The residuals generated from these treatment facilities must be disposed of in
accordance with General Statute 143-215.1 and -in a manner approved by the
Division of Water Quality.
2

6. Diversion or bypassing of the untreated wastewater from the treatment facilities is
prohibited.
7. The following buffers shall be maintained:
a) 400 feet between wetted area and any residence or places of public assembly
under separate ownership,
b) 150 feet between wetted area and property lines,
c) 100 feet between wetted area and wells,
d) 100 feet between wetted area and drainage ways or surface water bodies,
e) 50 feet between wetted area and public rights of way,
f) 100 feet between wastewater treatment units and wells,
g) 50 feet between wastewater treatment units and property lines.
II. OPERATION AND MAINTENANCE REQUIREMENTS
The facilities shall be properly maintained and operated at all times.
2. The Permittee shall employ a certified wastewater treatment plant operator to be in
responsible charge of the wastewater treatment facilities. The operator must hold a
certificate of the grade at least equivalent to the classification assigned to the
wastewater treatment facilities by the Water Pollution Control System Operators
Certification Commission, The Permittee must also employ a certified back-up
operator of the appropriate type and grade to comply with the conditions of Title
15A, Chapter 8A, .0202. The ORC of the facility must visit each Class I facility at
least weekly and each Class II, III, and IV facility at least daily, excluding
weekends and holidays, and must properly manage and document daily operation
and maintenance of the facility and must comply with all other conditions of Title
15A, Chapter 8A,.0202.
A suitable vegetative cover over the spray fields shall be maintained. The annual
nutrient assimilation capacity of the cover crop shall not be exceeded.
4. Irrigation shall not be performed during inclement weather or when the ground is
in a condition that will cause runoff.
5. Adequate measures shall be taken to prevent wastewater runoff from the spray
field.
6. The facilities shall be effectively maintained and operated as a non -discharge
system to prevent the discharge of any wastewater resulting from the operation of
this facility.

7. Freeboard in the treatment lagoons and storage basin shall not be less than two feet
at any time.
The existing spray fields shall be taken out of service. The application rate on the
new 35.1 acre spray field shall not exceed 61 'inches a year and the dosing rate
shall not exceed 0.2 inch per application (4.5 hrs. per dose).
9. No type of wastewater other than that from the Town of Seaboard's sewer system
shall be sprayed onto the irrigation area.
10. No traffic or equipment shall be allowed on the disposal area except while
installation occurs or while normal maintenance is being performed.
11. Public access to the land application site shall be controlled during active site use
and for the 12-month period following the land application event. Such controls
must include the posting of signs showing the activities being conducted at each
site.
III. MONITORING AND REPORTING REQUIREMENTS
Any monitoring (including groundwater, surface water, soil or plant tissue
analyses) deemed necessary by the Division of Water Quality to insure surface and
ground water protection will be established and an acceptable sampling reporting
schedule shall be followed_
2. Adequate records shall be maintained by the Permittee tracking the amount of
wastewater disposed. These records shall include, but are not necessarily limited
to, the following information:
a) date of irrigation,
b) volume of wastewater irrigated,
c) . field irrigated,
d) length of time field is irrigated,
e) continuous weekly, monthly, and year-to-date hydraulic
(inches/acre) loadings for each field,
f) weather conditions, and
g) maintenance of cover crops.
El

3. The effluent from the subject facilities shall be monitored by the Permittee at the
point prior to irrigation every March, July and November for the following
parameters:
BOD5 TSS
Fecal Coliform NH3 as N
4. Three (3) copies of all operation and disposal records (as specified in condition III
2) on form NDAR-1 shall be submitted on or before the last day of the following
month. Three (3) copies of all effluent monitoring data (as specified in condition
III 3) on Form NDMR-1 shall be submitted on or before the last day of April,
August, and December. All information shall be submitted to the following
address:
NC Division of Water Quality
Water Quality Section
Non -Discharge Compliance/Enforcement Unit
P. O. Box 29535
Raleigh, NC 27626-0535
5. A representative annual soils analysis (Standard Soil Fertility Analysis) shall be
conducted on each spray field and the results maintained on file by the Permittee
for a minimum of five years. The Standard Soil Fertility Analysis shall include,
but is not necessarily limited to the following parameters:
Acidity Manganese Potassium
Calcium Percent Hum_ is Sodium
Matter
Copper pH Zinc
Magnesium Phosphorus
Cation Exchange Capacity Base Saturation
(by calculation)
5

6. NONCOMPLIANCE NOTIFICATION:
The Permittee shall report by telephone to the Raleigh Regional Office, telephone
No. [phone], as soon as possible, but in no case more than 24 hours or on
the next working day following the occurrence or first knowledge of the
occurrence of any of the following:
a. Any occurrence at the wastewater treatment facility which results in the
treatment of significant amounts of wastes which are abnormal in quantity or
characteristic, such as the dumping of the contents of a sludge digester, the
known passage of a slug of hazardous substance through the facility; or any
other unusual circumstances.
b. Any process unit failure, due to known or unknown reasons, that render the
facility incapable of adequate wastewater treatment such as mechanical or
electrical failures of pumps, aerators, compressors, etc.
Any failure of a pumping station, sewer line, or treatment facility resulting
in a by-pass directly to receiving waters without treatment of all or any
portion of the influent to such station of facility.
d. Any time that self -monitoring information indicates that the facility has gone
out of compliance with its permit limitations.
Persons reporting such occurrences by telephone shall also file a written report in
letter form within fifteen (IS) days following first knowledge of the occurrence.
This report must outline the actions taken or proposed to be taken to ensure that the
problem does not recur.
IV. GROUNDWATER REQUIREMENTS
Within. 60 days of permit reissuance, monitoring wells MW-IA, MW-3A,
unidentified well adjacent to MW-3A, MW-4 and MW-5 shall be abandoned
according to 15A NCAC 2C .0113 (Abandonment of Wells) in the 15A NCAC 2C
.0100 Well Construction Standards. Within 30 days of abandonment of wells, a
Well Abandonment Record (GW-30) shall be completed for each well abandoned
and sent to the Permits and Compliance Unit, Groundwater Section, PO Box
29578, Raleigh, NC 27626-0578.
2. Within 90 days of permit issuance, four (4) new monitoring wells shall be installed
to monitor groundwater quality. The monitoring wells shall be designated MW-6,
NM-7, MW-8, and MW-9. The wells shall be constructed such that the water
level in the well is never above or below the screened (open) portion of the well at
Col

any time during the year. The general location for each well is marked on
Attachment A. Each monitoring well shall be located on the review boundary
(with review boundary surveyed and flagged prior -to construction), constructed in
accordance with this permit, and approved by the Raleigh Regional Office.
I All wells constructed for purposes of groundwater monitoring shall be constructed
in accordance with 15A NCAC 2C .0108 (Standards of Construction for
Wells Other Than Water Supply) and any other state and local laws and regulations
pertaining to well construction.
4. The Raleigh Regional Office (telephone number [phone]) shall be notified
at least forty-eight (48) hours prior to the construction of any monitoring well so
that an inspection can be made of the monitoring well location. Such notification
to the regional groundwater supervisor shall be made during the normal office
hours from 8:00 a.m. until 5:00 p.m. on Monday through Friday, excluding state
holidays.
5. Within sixty (60) days of completion of all monitoring wells, the permittee shall
submit two original copies of a scaled topographic map (scale no greater than
1 ":100') signed and sealed by a professional engineer or a state licensed land
surveyor that indicates all of the following information:
a. the location and identity of each monitoring well,
b, the location of the waste disposal system,
c. the location of all property boundaries,
d. the latitude and longitude of the established horizontal control monument,
e. the relative elevation of the top of the well casing (which shall be known as
the "measuring point"), and
f the depth of water below the measuring point at the time the measuring
point is established_
This survey shall be conducted using approved practices outlined in North Carolina
General Statutes Chapter 89C and the North Carolina Administrative Code Title
21, Chapter 56. The surveyor shall establish a horizontal control monument on the
property of the waste disposal system and determine the latitude and longitude of
this horizontal control monument to a horizontal positional accuracy of +/-10 feet.
All other features listed in a. through f above shall be surveyed relative to this
horizontal control monument. The positional accuracy of features listed in a.
through f. above shall have a ratio of precision not to exceed an error of closure of
I foot per 10,000 feet of perimeter of the survey_ Any features located by the radial
method will be located from a minimum of two points. Horizontal control
monuments shall be installed in such a manner and made of such materials that the
monument will not be destroyed due to activities that may take place on the
7

Property. The map shall also be surveyed using the North American Datum of 1983
coordinate system and shall indicate the datum on the map. All bearings or
azimuths shall be based on either the true or NAD 83 grid meridian. If a Global
Positioning System (GPS) is used to determine the latitude and longitude of the
horizontal control monument, a GPS receiver that has the capability to perform
differential GPS shall be used and all data collected by the GPS receiver will be
differentially corrected.
The traps and any supporting documentation shall be sent to the Permits and Compliance
Unit, Groundwater Section, N. C. Division of Water Quality, P.O. Box 29578, Raleigh,
NC, 27626-0578.
6. Within thirty (30) days of completion of all well construction activities, a
certification must be received from a professional engineer certifying that the
monitoring wells are located and constructed in accordance with the Well
Construction Standards (15A NCAC 2C) and this permit. This certification should
be submitted with copies of the Well Completion Form (GW-1) for each well.
Mail this certification and the associated GW-I forms to the Permits and
Compliance Unit, Groundwater Section, P.O. Box 29578, Raleigh, NC, 27626-
0578.
7. For the initial sampling of the well as specified elsewhere in the permit, the
permittee shall submit a copy of the GW-1 Form (Well Completion. Form) with the
Compliance Monitoring Forth (GW-59) for that well. Compliance Monitoring
Forms that do not include copies of the GW-I form will be returned to the
permittee without being processed, Failure to submit these forms as required by
this permit may result in the initiation of enforcement activities pursuant to NC
General Statutes 143-215.6.
Monitor wells MW-2 , MW-6, MW-7, MW-8 and MW-9 shall be sampled
initially after construction (and thereafter every March, July and November) for
the following parameters:
Water Level pH
Total Ammonia Nitrate (NO3-N)
Chloride Total Dissolved Solids (TDS)
Fecal Coliforms Total Organic Carbon (TOC)
Volatile Organic Compounds - In November only using one of the following:
(A) Standard Method 6230D, PQL at 0.5 ug/L or less
(B) Standard Method 6210D, PQL at 0.5 ug/L or less
(C) EPA Method 8021, Low Concentration, PQL at 0.5 ug/L or less-
0

(D) EPA Method 8260, Low Concentration, PQL at 0.5 ug/L or less
(E) Another method with prior approval by the Groundwater Section Chief
Any method used must meet the following qualifications:
(1) A laboratory must be DWQ certified to run any method used.
(2) The method used must, at a minimum, include all the constituents
listed in Table VIII of Standard Method 6230D,
(3) The method used must provide a PQL at 0.5 ug/L or less which must
be supported by laboratory proficiency studies as required by the
DWQ Laboratory Certification Unit. Any constituents detected above
the MDL but below the PQL at 0.5 ug/L must be qualified (estimated)
and reported.
The measurement of water levels must be made prior to sampling for the
remaining parameters. The depth to water in each well shall be measured from the
surveyed point on the top of the casing.
The measuring points (top of well casing) of all monitoring wells shall be surveyed
to provide the relative elevation of the measuring point for each monitoring well.
If TOC concentrations greater than 10 mg/l are detected in any downgradient
monitoring well, additional sampling and analysis must be conducted to identify
the individual constituents comprising this TOC concentration. If the TOC
concentration as measured in the background monitor well exceeds 10 mg/1, this
concentration will be to represent the naturally occurring TOC concentration.
Any exceedances of this naturally occurring TOC concentration in the
downgradient wells shall be subject to the additional sampling and analysis as
described above.
If any volatile organic compounds are detected by Method 6230D, then the Raleigh
Regional Office groundwater supervisor, telephone number: (919)-571-4700, must
be contacted immediately for further instructions regarding any additional follow-
up analyses required. The results of all initial and follow-up analyses must be
submitted simultaneously.
The results of the sampling and analysis shall be sent to the Groundwater Section,
Permits and Compliance Unit, PO Box 29578, Raleigh, NC 27626-0578 on Form
GW59 [Compliance Monitoring Report Form] every April, August, and December.
9. Any additional groundwater quality monitoring, as deemed necessary by the
6

Division, shall be provided.
10. The COMPLIANCE BOUNDARY for the disposal system is specified by
regulations in 15A NCAC 2L, Groundwater Classifications and Standards: The
Compliance Boundary for the disposal system individually permitted prior to
December 31, 1983 is established at either (1) 500 feet from the waste disposal
area, or (2) at the property boundary, whichever is closest to the waste disposal
area. An exceedance of Groundwater Quality Standards at or beyond the
Compliance Boundary is subject to immediate remediation action in addition to the
penalty provisions applicable under General Statute 143-215.6A (a)(1).
In accordance with 15A NCAC 2L, a REVIEW BOUNDARY is established
around the disposal systems midway between the Compliance Boundary and the
perimeter of the waste disposal area. Any exceedance of standards at the Review
Boundary shall require remediation action on the part of the permittee.
11. The monitor wells must have identification plates and locks securing the wells
against unauthorized access and use in accordance with 15A NCAC 2C.0108.
12. No land application of waste shall be undertaken when the seasonal high water
table is less than three (3) feet below land surface.
13. The interior surfaces of the new storage lagoon shall be completely lined with a
40-mil thick liner. Following installation and inspection of the lagoon liner, and
prior to waste disposal operation, certification of the liner's compliance with
approved construction specifications and the liner's integrity must be provided to
the Groundwater Section, Permits and Compliance Unit, P.O. Box 29578, Raleigh,
N. C. 27626-0578, by the project engineer.
V. INSPECTIONS
Adequate inspection, maintenance, and cleaning shall be provided by the Permittee
to insure proper operation of the subject facilities.
2. The Permittee or his designee shall inspect the wastewater treatment and disposal
facilities to prevent malfunctions and deterioration, operator errors and discharges
which may cause or lead to the release of wastes to the environment, a threat to
human health, or a nuisance. The Permittee shall keep an inspection log or
summary including at least the date and time of inspection, observations made, and
any maintenance, repairs, or corrective actions taken by the Permittee. This log of
inspections shall be maintained by the Permittee for a period of three (3) years
from the date of the inspection and shall be made available upon request to the
Division of Water Quality or other permitting -authority.
10

Any duly authorized officer, employee, or representative of the Division of Water
Quality may, upon presentation of credentials, enter and inspect any property,
premises or place on or related to the disposal site and facility at any reasonable
time for the purpose of determining compliance with this permit; may inspect or
copy any records that must be Dept under the terms and conditions of this permit;
or may obtain samples of groundwater, surface water, or leachate.
VI. GENERAL CONDITIONS
This permit shall become voidable unless the facilities are constructed in
accordance with the conditions of this permit, the approved plans, specifications,
and other supporting data.
2. This permit is effective only with respect to the nature and volume of wastes
described in the application and other supporting data.
This permit is not transferable. In the event there is a desire for the facilities to
change ownership, or there is a name change of the Permittee, a formal permit
request must be submitted to the Division of Water Quality accompanied by an
application fee, documentation from the parties involved, and other supporting
materials as may be appropriate. The approval of this request will be considered
on its merits and may or may not be approved.
4. Failure to abide by the conditions and limitations contained in the permit may
subject the Permittee to an enforcement action by the Division of Water Quality in
accordance with North Carolina General Statute 143-215.6.
5. The issuance of this permit does not preclude the Permittee from complying with
any and all statutes, rules, regulations, or ordinances which may be imposed by
other government agencies (local, state, and federal) which have jurisdiction.
6. A set of approved plans and specifications for the subject project must be retained
by the Permittee for the life of the project.
7. The annual administering and compliance fee must be paid by the Permittee within
thirty (30) days after being billed by the Division. Failure to pay the fee
accordingly may cause the Division to initiate action to revoke this permit as
specified by 15 NCAC 2H .0205(c)(4).
S. The Permittee, at least six (6) months prior to the expiration of this permit, shall
request its extension. Upon receipt of the request, the Commission will review the
adequacy of the facilities described therein, and if warranted, will extend the
permit for such period of time under such conditions and limitations as it may
deem appropriate.
11

Permit issued this the 9th day of February, 1998.
f
NORTH C INA E O TAL MANAGEMENT COMMISSION
i
A. Preston Howard, Jr., P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit No. WQ0003299
12

m U-a
EXISTING
WELL \O
ws
kdnseh w Cls
/h w - 3 A + aJJace„�
M �
mw-5
_nSiz,_v of -vs..
mw-7
/n 0 - 8
m Li -I
JAMS O 8F- ACOI IRLD ERTY-
59. ACRES
cgs R =rr�a�ion
�o
orb
C3
vuo
M CLL l0 IIiN y
L if
pon4 f�aOM cn�IJ c;v
%
ELL 10 9 LOIN
� �Bi uotlHEO m A
I
%Ell ,0 BE l`
�. ♦ .. /� / / ,o,,,00HEo I IN
P ANTITE
i
i , X�uullaPnlc
I leek
EXIST.-
WELL 10
WELL BE Ilouos
f Er, r
C� ce
� r
R©P05EoJ NANCY A C� KE_R Pf CPERV
PRAY
1FiE'QlJI
�f�
�B 500E
w 0 000 3 a
own of ,S'eubadre�
Nor thamp iv,
I
I �Y:,
,r•
Tr,ij4-1 oh rta�,.,.. .
J� 1
1
1_11
^z �� F
l
1
�l >Nw—
11.
v�
�R 9
ILI
�'ro�er� lire
(C-B
\� rleuie...0 BoL,r,
5en�� �m1cQw betf-wec
f�
f� x
200 Ioo• 0' "a, 400' �� Ig21 t 9�w�x.dry p�
WR�tf $o.+M.leq/l

Permit No. WQ0003299
February 9, 1998
Engineer's Certification
Partial Final
I, , as a duly registered Professional Engineer in the State of
North Carolina, having been authorized to observe (periodically, weekly, full time) the
construction of the project,
Project Name Location
for the Permittee, hereby state that, to the best of my abilities, due care and diligence was used
in the observation of the construction such that the construction was observed to be built within
substantial compliance and intent of the approved plans and specifications_
Signature Registration No
Date
P. E. Seal
13