WQ0015053_Final Permit_19981026

,State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A_ Preston Howard, Jr., P.E., Director
C. Brantley Tillman, President
Commercial Properties, Inc_
1648-F North Market Drive
Raleigh, North Carolina 27609
Dear Mr. Tillman:
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NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RE50URCF-S
October 26, 1998
Subject: Permit No. WQ0015053
Commercial Properties, Inc.
Moyock Commons Shopping Center and
Currituck Commercial Center
Wastewater Treatment and
Low -Rate Wastewater Disposal Facilities
Currituck County
In accordance with the amendment request made by Mr. Mark Bissell on September 15, 1998, we are forwarding
herewith Permit No. WQ0015053, dated October 26, 1998, to Commercial Properties, Inc. for the construction and operation
of the subject wastewater treatment system and low -rate infiltration wastewater disposal facilities. Three of the effluent limits
in Condition III. 2. have been amended. Also, Condition III. 4. has been amended to clarify that monitoring data shall be
submitted within 30 days following the end of each month in which monitoring data is required.
This permit shall be effective from the date of issuance until May 31, 2003, 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 fled with the Office of
Administrative Hearings, P.O. Drawer 27447, Raleigh, NC 27611-7447. Unless such demands are made this permit shall be
final and binding.
One set of approved plans and specifications is being forwarded to y u. If you need additional information
concerning this matter, please contact Ms. Joni Cardin at [phone] extensio 09.
Sincere
A. Preston Howard, Jr., P.E.
cc: Currituck County Health Department
Bissell Professional Group
Washington Regional Office, Water Quality Section
Washington Regional Office, Groundwater Section
Bob Cheek, Groundwater Section, Central Office
Technical Assistance and Certification Unit
Non -Discharge Compliance/Enforcement Unit
PO Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/I0% post -consumer paper

ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
LOW RATE WASTEWATER INFILTRATION 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
Commercial Properties, Inc.
Currituck County
FOR THE
construction and operation of a 40,000-GPD wastewater collection, treatment and disposal system_
The wastewater collection system shall consist of approximately 2,625 linear feet of 8-inch gravity sewer and an
80-GPM pump station with dual pumps, high water alarms, and approximately 815 linear feet of 4-inch force main.
The 40,000-GPD extended aeration wastewater treatment plant shall consist of a continuous monitoring flow
recorder, a 10,000-gallon equalization basin with two 28-GPM pumps, a manually cleaned bar screen, flow splitter
box, two 20,029-gallon coarse bubble aeration basins, two 8,390-gallon clarifiers, a 3,938-gallon aerated sludge
holding tank, two 206-CFM blowers, dual bed tertiary filters (each filter measuring fourteen square feet), a tablet
chlorinator with an 1,1I 1-gallon chlorine contact chamber, a 2,500-gallon effluent dosing tank with two 90-GPM
pumps and high water alarms, and a stand-by generator with automatic transfer switch to serve the WWTP and
collection system pump station.
The low -rate wastewater disposal system shall consist of two 27,500-square-foot infiltration basins which are fed
by constructed wetlands for nitrogen removal.
The collection, treatment and disposal system will serve approximately 233,000 square feet of retail space and one
200-seat restaurant in the Moyock Commons Shopping Center and Currituck Commercial Center, with no
discharge of wastes to the surface waters, pursuant to the amendment request discussed on September 15, 1998, and
in conformity with the project plan, 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 May 31, 2003, and shall be subject to the
following specified conditions and limitations:
I. PERFORMANCE STANDARDS
I . 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 pE9ject 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 Non -Discharge
Permitting Unit, P.O. Box 29535, Raleigh, NC 27626-0535.

2. The Washington 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.
In the event that the facilities fail to perform satisfactorily, including the creation of nuisance
conditions, 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 or disposal facilities.
4. This permit shall become voidable if the soils fail to adequately assimilate the wastes and may be
rescinded unless the facilities are installed, maintained, and operated in a manner which will protect the
assigned water quality standards of the surface waters and ground waters. The ponding of wastewater
on the surface of the distribution field when the dosing cycle commences shall be considered as
evidence of failure of the soils to adequately assimilate the wastewater. Additionally, such failure shall
be interpreted as a violation of this permit condition.
The soils in the areas of the infiltration basin will be required to be removed to a depth of four feet and
properly filled with an acceptable type I sand as outlined in the application package. The engineer's
certification will serve as evidence that these specifications have been met.
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. Adequate measures shall be taken to divert stormwater from the infiltration areas and to prevent
wastewater runoff.
7. Diversion or bypassing of the untreated wastewater from the treatment facilities is prohibited.
8. 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.
9. . The following buffers shall be maintained:
a) 200 feet between the infiltration basin and any habitable residence or place of public assembly
under separate ownership or which is to be sold,
b) 100 feet between infiltration basin and any private or public water supply source and any streams
classified as WS or B,
c) 100 feet from mean high water between infiltration basin and any "SA" or "SB" classified surface
waters,
d) 100 feet from normal high water between infiltration basin and any other stream, canal, marsh, or
coastal waters,
e) 100 feet from normal high water between infiltration basin and any Class I or Class II impounded
reservoir used as a source of drinking water,
f) 100 feet between infiltration basin and any other lake or impoundment,
g) 50 feet between infiltration basin and any drainage systems (ditches, drains, surface water
diversions, etc.) and from any groundwater lowering and surface drainage ditches,
h) 50 feet between infiltration basin and property lines,
i) 50 feet between treatment units and property lines, and
j) 50 feet between high rate infiltration unit and other treatment units and public right of ways.
10. A usable green area shall be maintained for wastewater disposal. The green area shall have the
capability of accommodating the average daily flow of the facility being served without exceeding the
loading rates of the green area. A "green area", as defined in 15A NCAC 2H .0404 (g) (7), is an area
suitable for waste disposal, either in its natural state or which has been modified by planting a
vegetative cover of grasses or low growing shrubbery.
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II. OPERATION AND MAINTENANCE REQUIREMENTS
The facilities shall be properly maintained and operated at all times
2. Upon classification of the facility by the Water Pollution Control System Operator 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 CIass II,11I, 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.
3. The application rates for the infiltration system shall not exceed 1.25 GPD per square foot.
4. The facilities shall be effectively maintained and operated as a non -discharge system to prevent the
discharge of any wastewater outside of the high rate infiltration disposal area, which result from the
operation of this facility.
5. No traffic or equipment shall be allowed on the disposal area except while installation occurs or while
normal maintenance is being performed.
6. The screenings removed from the wastewater treatment plant shall be properly disposed in a sanitary
landfill or by other means which have been approved by this Division.
7. a. A vegetative cover crop must be maintained in the wetland cells at all times. At any point during
operation, if these cells lack a vegetative crop, one shall be immediately re-established.
b. Vegetative growth must be kept out of the infiltration basin areas at all times. All vegetation must
be removed manually so that minimal disturbance will occur to the disposal area.
8. The application of chemicals to the infiltration basins is expressly prohibited.
9. An automatically activated standby power source shall be on site and operational at all times. If a
generator is employed as an alternate power supply, it shall be tested weekly by interrupting the
primary power source.
10. The flow measurement device shall be calibrated annually by a representative of a firm which is
routinely engaged in the calibration of flow measurement devices. Records of this calibration,
including all information pertinent to the calibration, shall be available during any inspection by
Division staff.
11. Diffusers shall be cleaned as needed to ensure that adequate aeration is provided. Records of this
maintenance shall be maintained by the permittee.
12. The chlorine tablets used in the disinfection facility shall be of the kind and type specified in the plans
and specifications approved by the Division.
13. If nutrient levels in the drainage ditches contribute to water quality stream standard contraventions,
additional nutrient removal units may be required.
3

14, No type of wastewater other than that from the Moyock Commons Shopping Center and Currituck
Commercial Center shall be disposed in the infiltration basins.
H1. MONITORING AND REPORTING REQUIREMENTS
1. Any monitoring deemed necessary by the Division to insure surface and ground water protection will
be established and an acceptable sampling reporting schedule shall be followed.
i
2. As an indicator of proper operation and maintenance, the facility shall produce an effluent in
compliance with the following limitations:
Parameter
Monthly Average a
Flow
40,000 GPD
BOD5 (5-day, 20°C)
15 mg/l
NH3-N
4 mg/l
TS5
30 mg/l
Fecal Coliform
200 per 100 ml b
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.
The effluent from the subject facilities shall be monitored, by the Permittee, at the point prior to
discharge to the infiltration basins for the following parameters:
Parameter
-Sampling Point
Sampling Frequency
Type of Sample
Flow
Influent or Effluent a
Continuous
Recording
BOD5 (5-day, 20°C)
Effluent
2/Month b
Composite
NH3-N
Effluent
2/Month b
Composite
TSS
Effluent a
2/Month b
Composite
Fecal Coliform
Effluent a
2/Month b
Grab
Residual Chlorine
Effluent a
Daily
Grab
NO3-N
Effluent
Triannually c
Grab
TDS
Effluent
Triannually c
Grab
TOC
Effluent
Triannually c
Grab
Chloride
Effluent
Triannually c
Grab
The effluent pH shall not be less than 6.0 standard units nor greater than 9.0 standard units
a Sample location may be prior to the wetland cell.
b 2/Month sampling frequency only during the months of April through October. During the
remainder of the year, these parameters shall be monitored monthly.
c Triannual sampling shall be conducted during April, August and November.
If Groundwater sampling indicates or predicts problems with compliance of the Groundwater
Standards, this permit will be modified to include additional and/or more restrictive limitations.
4

3. The adjacent drainage ditches shall be sampled at points DD-I and DD-2 (if the infiltration pond in the
southeast end of the site is built) initially after construction and thereafter every April, August and
November for the following parameters:
Total Ammonia (NH3 as N) Dissolved Oxygen
Total Nitrogen Total Phosphorous
4. Three (3) copies of all effluent monitoring data (as specified in Condition 111. 2.) on Form NDMR-I
and all water quality monitoring data (as specified in Condition 111. 3.) shall be submitted within 30
days following the end of the month in which monitoring data is required. All information shall be
- submitted to the following address:
NC Division of Water Quality
Water Quality Section
Non -Discharge Compliance/Enforcement Unit
Post Office Box 29535
Raleigh, North Carolina 27626-0535
5. A record shall be maintained of all residuals removed from this facility. The record shall include the
name of the hauler, the permit authorizing the disposal or a letter from a municipality agreeing to
accept the residuals, the date the residuals were hauled, and the 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; and
e. Date and results of power interruption testing on alternate power supply.
7. Noncompliance Notification:
The Permittee shall report by telephone to the Washington Regional Office, telephone number (252)
946-6481, 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 basin or tank, 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 renders 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 of all or
any portion of the influent to such station or facility; or
d. Any time that self -monitoring information indicates that the facility is not in 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.
5

W. GROUNDWATER REQUIIMEMENTS
Prior to beginning waste disposal operations at the infiltration pond adjacent to the WWTP, two
monitoring wells shall be installed to monitor groundwater quality, one upgradient (MW-1) and one
downgradient (MW-2).
Prior to beginning waste disposal operations at the infiltration pond in the southeast end of the site,
monitoring well (MW-3) stiall be installed to monitor groundwater quality.
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 any time during the year. The general location and name for
each well is marked on Attachment A. Each monitoring well shall be located at the review boundary,
constructed in accordance with this permit, and approved by the Washington Regional Office.
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.
The Washington 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.
4. 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 I ":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
£ 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 +/- 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 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 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 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 Iatitude and Iongitude 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.
M

Within thirty days of completion of all well construction activities, a certification must be received
from a professional engineer or a licensed geologist 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.
6. For the initial sampling of the well as specified elsewhere in the permit, the permittee shall submit a
copy of the GW-1 Fortin (Well Completion Form) with the Compliance Monitoring Form (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,
7. Monitor wells MW-1, MW-2, and MW-3 (if the infiltration pond in the southeast end of the site is
built) shall be sampled initially after construction and thereafter every April, August, and November for
the following parameters:
Water Level PH
Chloride Total Dissolved Solids (TDS)
Fecal Coliforms Total Organic Compounds (TOC)
Nitrate (NO3-N) Total Ammonia (as N)
Total Phosphorous Sulfate
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/l, 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.
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 on or before the Iast working day of the month following
the sampling month.
Any additional groundwater quality monitoring, as deemed necessary by the Division, shall be
provided.
9. The COMPLIANCE BOUNDARY for the disposal system is specified by regulations in 15A NCAC
2L, Groundwater Classifications and Standards. The Compliance Boundary is for the disposal system
constructed after December 31, 1983 is established at either (1) 250 feet from the waste disposal area,
or (2) 50 feet within 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.

V. INSPECTIONS
Adequate inspection, maintenance, and cleaning shall be provided by the Permittee to insure proper
operation of the subject facilities.
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 maintain 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 to the Division or other permitting authority, upon request.
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
1. 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_
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. The subject wastewater treatment and disposal facilities shall be connected to an operational publicly
owned wastewater collection system within 180 days of its availability to the subject facilities, if the
subject wastewater treatment or disposal facilities are in noncompliance with the terms and conditions
of this non -discharge permit or the governing statutes or regulations. Prior to the initiation of these
connection activities, appropriate approval must be received from this Division.
5. 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 15A NCAC 2H .0205 (c)(4).
6. 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.
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.
A set of approved plans and specifications for the subject project must be retained by the Permittee for
the life of this project.

9. 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.
10. The Operational Agreement between the Permittee and the Environmental Management Commission is
incorporated herein by reference and is a condition of this Permit. Noncompliance with the terms of
the Operational Agreement shall subject the Permittee to all sanctions provided by North Carolina
General Statute 143-215.6A to 143-215.6C for violation of or failure to act in accordance with the
terms and conditions of this Permit.
Permit issued this thp.)Nventy-sixth day of October, 1998
NORTH OLINA E NTAL MANAGEMENT COMMISSION
/.A. Preston Howard, Jr., P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0015053
9

Permit No. WQ0015053
October 26, 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 tune) the construction of the project,
Project Name
Location and County
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.
10