WQ0010093_Final Permit_20121205

AS.,
NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Wayne G. & Lori S. Henry, Jr.
4688 Riverwood Trail
Burlington, NC 27217
Dear Wayne G. & Lori S. Henry, Jr.:
Division of Water Quality
Charles Wakild, P.E.
Director
December 5, 2012
Dee Freeman
Secretary
Subject: Permit No. WQ0010093
Wayne G. Henry, Jr. SFR
Single -Family Residence
Wastewater Irrigation System
Alamance County
In accordance with your permit renewal request received October 12, 2012, we are forwarding herewith
Permit No. WQ0010093, dated December 5, 2012, to Wayne G. & Lori S. Henry, Jr. for the continued
operation of the subject single-family residence wastewater treatment and irrigation facilities,
This permit shall be effective from the expiration of your existing permit until April 30, 2018, and
shall be subject to the conditions and limitations as specified therein. An extension shall be requested
at least six months prior to the expiration of this permit. Upon receipt of the request, the Division will
review the adequacy of the facility 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.
Please pay particular attention to the operation and maintenance requirements listed in Section III
for they may differ from the previous permit issuance. Failure to establish an adequate system for
collecting and maintaining the required operational information shall result in future compliance
problems.
If any parts, requirements or limitations contained in this permit are unacceptable, the Permittee
has the right to request an adjudicatory hearing upon written request within 30 days following receipt of
this permit, This request shall 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 at 6714 Mail
Service Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and
binding.
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh, Norh Carolina 27699-1636
Location: 512 N. Salisbury St.. Raleigh, North Carolina 27604
Phone:[phone]FAX: 91M07-6496
Internet: wwwmwateroualitV.orci
An Equal Opportunity, Affirmative Action Employer
One
NorthCarolina
Naturally,

Mr. Wayne G. Henry, Jr.
December 5, 2012
Page 2 of 2
Sincerely,
Charles Wakild, P.E.
cc: Alamance County Health Department
Winston Salem Regional Office, Aquifer Protection Section
APS Central Files
LAU Notebook Files

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
SINGLE-FAMILY RESIDENCE WASTEWATER 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
Wayne G. & Lori S. Henry, Jr.
Alamance County
FOR THE
continued operation of a 360 gallon per day (GPD) single-family residence wastewater treatment and
irrigation facility consisting of a 1,200 gallon baffled septic tank, a 330 ft2 primary sand filter, a tablet
chlorinator, a 2,000 gallon storage/pump tank, and a 12,000 ft' spray irrigation area and all associated
piping and appurtenances to serve Wayne G. Henry, Jr. SFR, with no discharge of wastes to surface
waters, pursuant to the application received October 12, 2012, received by the Division of Water Quality,
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 expiration date of the current permit, until April 30, 2018, and
shall be subject to the following specified conditions and limitations:
I. SCHEDULES
No later than six months prior to the expiration of this permit, the Permittee shall request renewal of
this permit on official Division forms. Upon receipt of the request, the Division will review the
adequacy of the facilities described therein, and if warranted, will renew the permit for such period of
time and under such conditions and Iimitations as it may deem appropriate. Please note Rule 15A
NCAC 02T .0105(d) requires an updated site map to be submitted with the permit renewal
application.
2. In accordance with 15A NCAC 02T .0607, if a public or community sewage system is or becomes
available, the subject single-family residence wastewater treatment and irrigation facilities shall be
closed and all wastewater shall be discharged into the public or community sewage system within 180
days of its availability. Prior to the initiation of these connection activities, appropriate Division
approval shall be received.
WQ0010093 Pagel of 6

IL PERFORMANCE STANDARDS
The subject non -discharge facilities shall be effectively maintained and operated at all times so there
is no discharge to surface waters, nor any contravention of groundwater or surface water standards.
In the event the facilities fail to perform satisfactorily, including the creation of nuisance conditions
due to improper operation and maintenance, or failure of the irrigation areas to adequately 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.
2. This permit shall not relieve the Permittee of their responsibility for damages to groundwater or
surface water resulting from the operation of this facility.
3. Application rates, whether hydraulic, nutrient or other pollutant, shall not exceed those specified in
the following table:
TABLE 1— APPLICATION LIMITATIONS
Field
Parameter
Hourly Rate
Yearly Max
Units
1
Non -Discharge Application Rate
0.09
18.2
Inches
4. The subject facility has been approved to land apply wastewater effluent on the following fields:
TABLE 2 — IRRIGATION AREA INFORMATION
Field
Owner
County
Latitude
Longitude
Net
Dominant
Acreage
Soil Series
I
Wayne G. & Lori S. Henry
Alamance
36.220833
-79.448611
0.28
5. The Operation and Maintenance Agreement (attached) between the Permittee and the Division of
Water Quality is incorporated herein by reference and shall be a condition of this permit.
Noncompliance with the terms of the Operation and Maintenance Agreement shall subject the
Permittee to all sanctions provided by North Carolina General Statutes § 143-215.6A to § 143-215.6C
for violation of or failure to act in accordance with the terms and conditions of this permit.
6. In accordance with 15A NCAC 02L .0107(i), the compliance boundary is established at the property
boundary. Any exceedance of standards at the compliance boundary shall require action in
accordance with 15A NCAC 02L .0106.
7. In accordance with 15A NCAC 02L .0108, the review boundary is established midway between the
compliance boundary and the effluent disposal area. Any exceedance of groundwater standards at the
review boundary shall require action in accordance with 15A NCAC 02L.0106.
8. The Permittee shall apply for a permit modification to establish a new compliance boundary prior to
any sale or transfer of property affecting a compliance boundary.
9. The facilities permitted herein shall be constructed according to the following setbacks:
a. The setbacks for irrigation sites permitted prior to September 1, 2006 shall be as follows (all
distances in feet):
i. Any habitable residence or place of public assembly under separate ownership: 400
ii. Surface waters:
100
iii. Any well with exception of monitoring wells:
100
iv. Any property line:
150
v. Public right of way:
50
WQ0010093 Page 2 of 6

b. The setbacks for storage and treatment units permitted prior to September 1, 2006 shall be as
follows (all distances in feet):
i. Any well with exception of monitoring wells: 100
ii. Any property line: 50
M. OPERATION AND MAINTENANCE REOUIREMENTS
1. The facilities shall be properly maintained and operated at all times. 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. The Permittee shall maintain an Operation and
Maintenance Plan pursuant to 15A NCAC 02T .0604(f).
2. Upon the Water Pollution Control System Operators Certification Commission's (WPCSOCC)
classification of the subject non -discharge facilities, in accordance with 15A NCAC 08G .0200 the
Permittee shall designate and employ a certified operator in responsible charge (ORC) and one or
more certified operator(s) as back-up ORC(s). The ORC or their back-up shall visit the facilities in
accordance with 15A NCAC 08G .0200, and shall comply with all other conditions specified in the
previously cited rules.
3. A suitable year round vegetative cover of Kentucky 31 Tall Fescue shall be maintained at all times,
such that crop health is optimized, allows for even distribution of effluent and allows inspection of the
irrigation system.
4. Adequate measures shall be taken to prevent effluent ponding in or runoff from the irrigation sites
listed in Table 2 of Condition 11.4.
5. Irrigation shall not be performed during inclement weather or when the ground is in a condition that
will cause ponding or runoff.
6. Only effluent from Wayne G. Henry, Jr. SFR shall be irrigated on the sites listed in Table 2 of
Condition IIA.
7. No automobiles or machinery shall be allowed on the irrigation sites except during equipment
installation or while maintenance is being performed.
8. Public access to the irrigation sites and wastewater treatment facilities shall be prohibited. Fencing
shall be provided to prevent access to the irrigation site (minimum 2 -strand wire) and treatment units
shall be secured with locks on all tank accesses and control panels,
9. The residuals generated from the wastewater treatment facilities shall be disposed or utilized in
accordance with 15A NCAC 02T. I 100.
10. Diversion or bypassing of untreated or partially treated wastewater from the treatment facilities is
prohibited.
11. Pump/dosing tanks shall have audible and visual alarms external to any structure.
12. Any excavation into bedrock shall be lined with a 10 millimeter (mm) synthetic liner.
13. A water -tight seal on all treatment/storage units or minimum of two feet protection from the 100 -year
flood plain elevation shall be provided.
WQ0010093 Page 3 of 6

14. The Permittee is responsible for the operation and maintenance of the entire treatment and disposal
system including, but not limited to, the following items:
a. The septic tank shall be checked annually and pumped out as needed. The septic tank effluent
filter shall be checked and cleaned at the same frequency as the septic tank.
b. The tablet chlorinator shall be checked weekly. Wastewater grade chlorine tablets (calcium
hypochlorite) shall be added as needed to provide proper chlorination. Pool chlorine tablets shall
not be used.
c. The storage, pump, and alarm systems shall be inspected monthly. The scum layer shall be
removed at the same interval as the septic tank is cleaned out.
d. The system shall be inspected monthly to make certain of the proper operation of the spray heads,
that the system is free of leaks, that the vegetative growth allows a proper spray pattern, that the
soil is assimilating the disposed treated wastewater with no surface runoff, and that no
objectionable odors are being generated.
IV. MONITORING AND REPORTING REQUIREMENTS
1. Any Division required monitoring (including groundwater, plant tissue, soil and surface water
analyses) necessary to ensure groundwater and surface water protection shall be established, and an
acceptable sampling reporting schedule shall be followed.
2. Noncompliance Notification:
The Permittee shall report by telephone to the Winston Salem 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 process unit failure (e.g., mechanical, electrical, etc.), due to known or unknown reasons,
rendering the facility incapable of adequate wastewater treatment.
b. Any facility failure resulting in a by-pass directly to receiving 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.
Any emergency requiring immediate reporting (e.g., discharges to surface waters, imminent failure of
a storage structure, etc.) outside normal business hours shall be reported to the Division's Emergency
Response personnel at telephone number [phone], [phone], or [phone].
Persons reporting such occurrences by telephone shall also file a written report in letter form within
five days following first knowledge of the occurrence. This report shall outline the actions taken or
proposed to be taken to ensure the problem does not recur.
V. INSPECTIONS
1. The Permittee shall provide adequate inspection and maintenance to ensure proper operation of the
wastewater treatment and irrigation facilities.
2. The Permittee or their designee shall inspect the wastewater treatment and irrigation facilities to
prevent malfunctions, facility deterioration and operator errors resulting in discharges, which may
cause the release of wastes to the environment„ a threat to human health or a public nuisance. The
Permittee shall maintain an inspection log that includes, at a minimum, the date and time of
inspection, observations made, and any maintenance, repairs, or corrective actions taken. The
Permittee shall maintain this inspection log for a period of five years from the date of the inspection,
and this log shall be made available to the Division upon request.
WQ0010093 Page 4 of 6

3. Any duly authorized Division representative may, upon presentation of credentials, enter and inspect
any property, premises or place on or related to the wastewater treatment and irrigation facilities
permitted herein at any reasonable time for the purpose of determining compliance with this permit;
may inspect or copy any records required to be maintained under the terms and conditions of this
permit, and may collect groundwater, surface water or leachate samples.
VI. GENERAL CONDITIONS
1. Failure to comply with the conditions and limitations contained herein may subject the Permittee to
an enforcement action by the Division in accordance with North Carolina General Statutes 143-
215.6A to 143-215.6C.
2. This permit shall become voidable if the permitted facilities are not constructed in accordance with
the conditions of this permit, the Division approved plans and specifications, and other supporting
documentation.
3. This permit is effective only with respect to the nature and volume of wastes described in the permit
application, Division approved plans and specifications, and other supporting documentation. No
variances to applicable rules governing• the construction or operation of the permitted facilities are
granted, unless specifically requested and approved in this permit pursuant to 15A NCAC 02T
.0105(n).
4. The issuance of this permit does not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances, which may be imposed by other jurisdictional government agencies
(e.g., local, state, and federal). Of particular concern to the Division are applicable river buffer rules
in 15A NCAC 02B .0200; erosion and sedimentation control requirements in 15A NCAC Chapter 4
and under the Division's General Permit NCG010000; any requirements pertaining to wetlands under
15A NCAC 02B .0200 and 02H .0500; and documentation of compliance with Article 21 Part 6 of
Chapter 143 of the General Statutes.
5. In the event the permitted facilities change ownership or the Permittee changes their name, a formal
permit modification request shall be submitted to the Division. This request shall be made on official
Division forms, and shall include appropriate property ownership documentation and other supporting
documentation as necessary. The Permittee of record shall remain fully responsible for maintaining
and operating the facilities permitted herein until a permit is issued to the new owner.
6. The Permittee shall retain a set of Division approved plans and specifications for the Iife of the
facilities permitted herein.
7. The Permittee shall maintain this permit until all permitted facilities herein are properly closed or
permitted under another permit issued by the appropriate permitting authority pursuant to 15A NCAC
02T.01050).
8. This permit is subject to revocation or unilateral modification upon 60 days notice from the Division
Director, in whole or part for the requirements listed in 15A NCAC 02T.01 10.
9. Unless the Division Director grants a variance, expansion of the permitted facilities contained herein
shall not be granted if the Permittee exemplifies any of the criteria in 15A NCAC 02T .0120(b).
10. The Permittee shall pay the annual fee within 30 days after being billed by the Division. Failure to
pay the annual fee accordingly shall be cause for the Division to revoke this permit pursuant to 1 SA
NCAC 02T .0105(e)(3).
WQ0010093 Page 5 of 6

Permit issued this the 5t' day of December, 2012
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Charles Wakiid, Director
Division
y of Water Quality
Authority of the Environmental Management Commission
Permit Number WQDOIO093
WQ0010093 Page 6 of 6

A
C�OF V4� Q State of North Carolina
O G Department of Environment and Natural Resources
en Division of Water Quality
IaP� ~� 15A NCAC 02T.0600 -- SINGLE-FAMILY RESIDENCE WASTEWATER IRRIGATION SYSTEMS
OPERATION AND MAINTENANCE AGREEMENT
FORM: SFRWWIS O&M 06-11
Permit No. O 7a o o I v" 93 County: 69Lk'4
Property owner(s) as appearing on the recorded deed: 1�i/✓ �./`� �/t� L "'� r
Zk
Mailing address: b 0cv- �Zy �'`J� °� %744Vk— GiAL_k�Tov✓
Facility address:
Irrigation Method: P SPRAY ❑ DRIP
I / We agree to operate and maintain the single-family residence wastewater treatment and irrigation system as follows:
1. The Permittee is responsible for the operation and maintenance of the entire wastewater treatment and irrigation
system including, but not limited to, the following items:t- para b; �a i1c)
a. The septic tank shall be checked annually and pumped out as needed,
r'
b. The septic tank effluent filter shall be checked and cleaned annually -
r
u1 r'tactic)1;