WQ0007569_Final Permit_19971029

State of North Carolina
Department of Environment,
Health and Natural Resources Ar4 •
Division of Water Quality
Jaynes B. Hunt, Jr., Governor
Wayne McDevitt, Secretary E: > G H N
A. Preston Howard, Jr., P.E., Director
October 29, 1997
Carl Daniel, Vice President
Carolina Water Service, Inc. of NC
Post Office Box 240705
Charlotte, North Carolina 2.8224
Subject: Permit No. WQ0007569
Carolina Water Service, Inc. of NC
Brandywine Bay
Wastewater Spray Irrigation
Carteret County
Dear Mr. Daniel:
In accordance with the clarification request received August 28, 1997 from Stroud Engineering on
your behalf, we are forwarding herewith Permit No. WQ0007569, dated October 29, 1997, to Carolina
Water Service, Inc. of NC for the construction and operation of the subject wastewater treatment and spray
irrigation facilities. This permit is being amended as requested to delete Groundwater Condition IV 1
which required the 5-day upset pond to be lined. Additional information was previously provided which
justified the upset pond not being lined.
This permit was originally approved to allow effluent from the wastewater treatment facility to go
directly to the 5-day upset pond and then on to the effluent storage pond. The Division now recommends
that the 5-day upset pond be a separate "side -stream" pond and that all effluent go directly to the effluent
storage pond. The turbidimeter should direct all effluent which does not meet the reuse criteria to the 5-
day upset pond until the treatment facility has been corrected. Once corrected, the effluent in the 5-day
pond should then be rerouted to the wastewater treatment facility for retreatment. The Division strongly
recommends that piping changes be undertaken at this facility to allow the effluent to bypass the 5-day
upset pond and go directly to the effluent storage pond.
Please be advised, this facility shall operate under the old buffers listed in the previous permit and
not the revised buffers in Permit Condition No. 17 until the proposed turbidimeter is installed and placed
into operation.
This permit shall be effective from the date of issuance until February 28, 1999, shall void Permit
No. WQ0007569 issued April 11, 1997, 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.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the
right to request 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 the
North Carolina General Statutes, and filed with the Office of Administrative Hearings, P.O. Drawet
27447, Raleigh, NC 27611-7447. Unless such demands are made this permit shall be final and binding.
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

If you need additional information concerning this matter, please contact Mr. Michael D. Allen at
[phone] extension 547.
Sincere ,
.-A. Preston Howard, Jr., P.E.
cc: Carteret County Health Department
Stroud Engineering, P.A.
Wilmington Regional Office, Water Quality Section
Wilmington Regional Office, Groundwater Section
Bob Cheek, Groundwater Section, Central Office
Technical Assistance and Certification Unit
Non -Discharge Compliance/Enforcement Unit

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL 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
Carolina Water Service, Inc. of NC
Carteret County
FOR THE
construction and continued operation of a 200,000 GPD wastewater treatment (with a 50,000 GPD
expansion to the existing 150,000 GPD treatment facilities) and spray irrigation system.
This permit will allow for the construction and operation of a 50,000 GPD wastewater treatment plant
expansion consisting of one (1) 17,750 gallon surge tank, one (1) 50,000 gallon fine bubble aeration
basin, one (1) 7,540 gallon clarifier, one (1) 3,770 gallon sludge digestor, one (1) 400 CFM blower, and
a continuous monitoring turbidimeter; and
the continued operation of an existing 150,000 GPD wastewater treatment facility consisting of an
automatically activated stand-by generator, an influent pump station with dual submersible pumps, one (1)
35,500 gallon aerated flow equalization tank with bar screen and flow splitter unit, a 100,000 GPD
extended aeration plant consisting of dual 50,000 gallon coarse bubble aeration basins, dual 400 CFM
blowers, and dual 7,540 gallon clarifiers, a 50,000 GPD extended aeration plant consisting of dual 25,000
gallon coarse bubble aeration basins and dual clarifiers, a 7,400 gallon aerated sludge holding tank, a 125
square foot traveling bridge high rate tertiary filter, a 9,000 gallon chlorine contact tank with tablet
chlorinator, a continuous recording flow meter, and a 1.25 million gallon 5-day upset pond, and;
the continued operation of an existing 350,000 GPD spray irrigation facility consisting of a 3.35 acre
effluent infiltration/storage pond and approximately 85 acres of spray irrigation area; to serve
the Brandywine Bay development, with no discharge of wastes to the surface waters, pursuant to the
clarification request received August 28, 1997 from Stroud Engineering on your behalf, and in conformity
with the project plan, specifications, and other supporting data subsequently filed and approved by the
Department of Environment, Health and Natural Resources and considered a part of this permit.
This permit shall be effective from the date of issuance until February 28, 1999, shall void Permit
No. WQ0007569 issued April 11, 1997, 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. Mail the Certification to the Non -Discharge
Permitting Unit, P.O. Box 29535, Raleigh, NC 27626-0535.
2. The Wilmington Regional Office, telephone number [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 the 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
corrective actions including those actions that may be required by the Division of Water
Quality (Division), 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 surface or groundwaters resulting from the operation of this facility.
5. The residuals generated from these treatment facilities must be disposed in accordance with
General Statute 143-215.1 and in a manner approved by the Division.
6. Diversion or bypassing of the untreated wastewater from the treatment facilities is
prohibited.
7. The following buffers shall be maintained:
a) 100 feet between wetted area and water supply wells,
b) 100 feet between wetted area and waters classified as SA,
c) 25 feet between wetted area and surface waters not classified as SA,
d) 100 feet between wastewater treatment units and wells, and
e) 50 feet between wastewater treatment units and property lines.
8. Public access to the irrigation sites shall be controlled during active site use. Such controls
may include the posting of signs showing the activities being conducted at each site. A
sign shall be posted in plain sight in the club house showing these activities.
II. OPERATION AND MAINTENANCE REQUIREMENTS
1. The facilities shall be properly maintained and operated at all times.
2. A suitable vegetative cover shall be maintained on the spray irrigation areas.
3. Irrigation shall not be performed during inclement weather or when the ground is in a
condition that will cause runoff.
4. Adequate measures shall be taken to prevent wastewater runoff from the spray field.
5. 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.

6. Upon classification of the facility by the Water Pollution Control System Operators
Certification Commission (WPCSOCC), the Permittee shall employ a certified wastewater
treatment plant operator to be in responsible charge (ORC) of the wastewater treatment
facilities. The operator must hold a certificate of the type and grade at least equivalent to or
greater than the classification assigned to the wastewater treatment facilities by the
WPCSOCC. The Permittee must also employ a certified back-up operator of the
appropriate type and grade to comply with the conditions of 15A NCAC 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 15A NCAC 8A .0202. Once the facility is classified, the Permittee must
submit a letter to the WPCSOCC which designates the operator in responsible charge
within thirty days after the wastewater treatment facilities are 50% complete.
7. The application rate shall not exceed the following:
a. 0.1 inches per hour on Fairways 1, 2, 3, 4, 5, 6, 7, 8, 10, 11, 12, and 15, and a
maximum daily application time of 1.42 hours.
b. 0.2 inches per hour on Fairways 9, 13, 14, 16, 17, 18, and a maximum daily
application time of 1.07 hours.
8. No type of wastewater other than that from Brandywine Bay shall be sprayed onto the
irrigation area.
9. Freeboard in the effluent storage lagoon shall not be less than one (1) foot at any time.
10. A complete inventory of spare parts, as listed by the manufacturer, shall be maintained on
site for immediate use when needed to put the traveling bridge filter back into operation
after a failure.
11. The sprinkler system shall be a separate system, with no cross connections to a potable
water supply. There shall no spigots on the irrigation system.
12. All wastewater shall be routed to the five-day holding pond should the limit for fecal
coliform (daily maximum concentration of 25 per 100 ml) or turbidity (instantaneous
maximum of 10 NTU) be exceeded, until such time that the problems associated with the
treatment capability of the wastewater treatment plant have been corrected. The wastewater
in the five-day holding pond shall be pumped back to the treatment plant for retreatment or
treated in the five-day pond prior to discharge to the storage pond.
MONITORING AND REPORTING REQUIREMENTS
1. Any monitoring (including groundwater, surface water, soil or plant tissue analyses)
deemed necessary by the Division to insure surface and ground water protection will be
established and an acceptable sampling reporting schedule shall be followed.
2. As an indicator of proper operation and maintenance, the facility shall produce an effluent
in compliance with the following Iimitations:
Parameter Monthly Avera ea Daily (Instantaneous) Maximume
Flow
BOD5 (5-day, 20°C)
NH3 as N
TSS
Fecal Coliform
Turbidity
200,000 GPD
10 mg/l
4 mg/l
5 mg/l
14 per 100 mlb
15 mg/1
6 mg/l
10 mg/l
25 per 100 ml
10 NTU

a Monthly averages for all but fecal coliform shall be the arithmetic mean of all samples
collected during the reporting period.
b Monthly average for fecal coliform shall be the geometric mean of all samples collected
during the reporting period.
e Daily maximum shall be the maximum value of all samples collected during the reporting
period.
The effluent from the subject facilities shall be monitored, by the Permittee, at the point
prior to discharge to the long term holding pond for the following parameters:
Parameter_ . Sampling: Point _Sampling Frequency Type of Sample
Flow
Turbidity
BOD5 (5-day, 20°C)
NH3 asN
TSS
Fecal Coliform
Settleable Matter
NO3
TDS
TOC
Chloride
Influent or Effluent
Continuous
Recording
Effluent
Continuous
Recording
Effluent
*2/Month
Composite
Effluent
*2/Month
Composite
Effluent
*2/Month
Composite
Effluent of first pond
*2/Month
Grab
Effluent
Daily
Grab
Effluent
"Triannually
Grab
Effluent
*Triannually
Grab
Effluent
Triannually
Grab
Effluent
Triannually
Grab
The effluent pH shall not be less than 6.0 standard units nor greater than 9.0 standard
units.
* 2/Month sampling frequency only during the months of April through October. During
the remainder of the year, these parameters shall be monitored monthly.
** Triannually sampling shall be conducted during March, July, and November.
If Groundwater sampling indicates or predicts problems with the compliance with
Groundwater Standards, this permit will be modified to include additional and/or more
restrictive limitations.
3. 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 and time of irrigation,
b. volume of wastewater irrigated,
c. zone irrigated,
d. length of time zone is irrigated,
e. continuous weekly, monthly, and year-to-date hydraulic (inches/acre) loadings for each
zone,
f. weather conditions, and
g. maintenance of cover crops.

4. Three (3) copies of all operation and disposal records (as specified in condition 1111 3) 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 1112) 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 Comphance/Enforcement Unit
Post Office Box 29535
Raleigh, North Carolina 27626-0535
5. A record shall be maintained of all residuals removed from this facility. This record shall
include the name of the hauler, permit authorizing the disposal or a letter from a
municipality agreeing to accept the residuals, date the residuals were hauled, and volume of
residuals removed.
6. A maintenance log shall be maintained at this facility including but not limited to the
following items:
a. Daily sampling results including residual chlorine, settleable matter, and dissolved
oxygen in the aeration basin and at the clarifier weir.
b. Visual observations of the plant and plant site.
c. Record of preventative maintenance (changing of filters, adjusting belt tensions, alarm
testing, diffuser inspections and cleanings, etc.)_
d_ Date of calibration of flow measurement device.
e. Date and results of power interruption testing on alternate power supply.
7. Noncompliance Notification:
The Permittee shall report by telephone to the Wilmington Regional Office, telephone
number [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.
c. 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 or 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 five (5) 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 90 days of permit issuance, the six (6) existing groundwater monitor wells (MW-2,
MW-4, MW-5, MW-8, MW-9, and MW-10) currently being used in the sampling program
shall be properly abandoned in accordance with 15A NCAC 2C .0113 and replaced by
wells designed in such a way that the water level in each well is never above or below the
screened (open) portion of the well at any time during the year.
2. The field designations of the following monitor wells shall be changed to the following:
Monitor Well MW-1 will be designated as Monitor Well MW-7
Monitor Well MW-2 will be designated as Monitor Well MW-6
Monitor Well MW-3 will be designated as Monitor Well MW-5
Monitor Well MW-5 will be designated as Monitor Well MW-3
Monitor Well MW-6 will be designated as Monitor Well MW-2
Monitor Well MW-7 will be designated as Monitor Well MW-1
3. All wells that are 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 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.
5. The Wilmington 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.
6. 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.
The 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 +I- 10 feet. All other features listed in a.
through e. above shall be surveyed relative to this horizontal control monument. The
positional accuracy of features listed in a. through e. above shall have a ratio of precision
not to exceed an error of closure of 1 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 monument 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 property. The map shall also be surveyed using the North American Datum of 1983
6

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 maps and any supporting documentation shall be sent to the Groundwater Section,
N.C. Division of Water Quality P.O. Box 29578 Raleigh, N.C. 27626-0578.
7. 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-1 forms to the Permits
and Compliance Unit, Groundwater Section, P.O. Box 29578, Raleigh, NC, 27626-0578.
8. 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 Form (GW-59) for that well. Compliance Monitoring Forms that do not
include copies of the GW-1 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.
9. Monitor wells MW-2, MW-4, MW-5, MW-8, MW-9, and MW-10 shall be sampled
initially after their replacement and thereafter every March, July, and November for the
following parameters:
Chloride NO3
pH TDS
Total Phosphorus TOC
Water Level
Volatile Organic Compounds - In November only by Method 6230D below
Method 6230D (Capillary - Column), "Standard Methods For The Examination of
Water and Wastewater", 17th ed., 1989
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.
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 mgll, this concentration will be taken 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 Wilmington
Regional Office Groundwater Supervisor, telephone number [phone], must be
contacted immediately for further instructions regarding any additional follow-up analyses
required. The results of all initial and follow-ug analyses must be submitted
simultaneously.
(continued on next page)
W

The results of the sampling and analysis must be received on Form GW-59 (Groundwater
Quality Monitoring: Compliance Report Form) by the Groundwater Section, Permits and
Compliance Unit, P.O. Box 29578 Raleigh, N.C. 27626-0578 and one copy shall be sent
to the Wilmington Regional Office, 127 Cardinal Drive Extension, Wilmington, N.C.
28405-3845, on or before the last working day of the month following the sampling
month.
10. Any additional groundwater quality monitoring, as deemed necessary by the Division, shall
be provided.
11. The COMPLIANCE BOUNDARY and REVIEW BOUNDARY for the disposal system are
specified by regulations in 15A NCAC 2L, Groundwater Classifications and Standards.
For disposal systems using reclaimed water, regulation 15A NCAC 2H ,0219 (k) species
that both the Compliance Boundary and the Review Boundary are established at the
property boundary. 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).
12. No land application of waste activities shall be undertaken when the seasonal high water
table is less than three feet below land surface.
V . INSPECTIONS
1. 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 years from the date of the inspection and shall be made available upon request to
the Division or other permitting authority.
3. Any duly authorized officer, employee, or representative of the Division may, upon
presentation of credentials, enter and inspect any property, premises or place on or related
to the disposal site or facility at any reasonable time for the purpose of determining
compliance with this permit; may inspect or copy any records that must be maintained
under the terms and conditions of this permit, and 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 and 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.

3. 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 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 this permit may subject the
Permittee to an enforcement action by the Division in accordance with North Carolina
General Statute 143-215.6A to 143-215.6C.
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
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).
8. 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
and under such conditions and limitations as it may deem appropriate.
9. This permit shall become voidable unless the agreement between Carolina Water Service,
Inc. of NC and Brandywine Bay, Inc. for the collection, treatment and final disposal of the
wastewater is in full force and effect.
Permit issued this the twenty-ninth day of October, 1997
NORTH C OLINA ENVIRONMENTAL MANAGEMENT COMMISSION
A. Preston Howard, Jr., P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0007569

Permit No. WQ0007569
October 29, 1997
ENGINEER'S CERTIFICATION
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 this permit, the approved plans and specifications, and other supporting materials.
Signature
Date
Registration No.
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