WQ0018009_Final Permit_20000707

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
July 7, 2000
MRS. PEGGY BLEDSOE
324 TANNERS DR.
BOYDTON, VA 23917
Dear Mrs. Bledsoe:
1 0X;W'j
•
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOiJRCES
Subject: Permit No. WQ0018009
Peggy Bledsoe
Single Family Wastewater
Spray Irrigation Facility
Orange County
In accordance with your application. received February 7, 2000, we are forwarding herewith Permit
No. WQ0018009, dated July 7, 2000, to Mrs. Peggy Bledsoe for the construction and operation of the subject
single family wastewater treatment and spray irrigation facilities.
This permit shall be effective from the date of issuance until June 30, 2005, 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. As indicated in Condition 1.12 the waiver provided by
Harold and Mollie Bledsoe shall be made part of the deed of the property owned by them. The well located on
the property next to the irrigation field should be abandoned prior to the start up of the spray irrigation system.
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, 6714 Mail Service Center, Raleigh, NC
27699-5714. Unless such demands are made this permit shall be final and binding.
One set of approved plans and specifications is being forwarded to you. If you need additional
information concerning this matter, please contact Teresa Rodriguez at (91 733-5083 extension 358.
Since y,
Kerr T. Stevens
cc: Orange County Health Department
Raleigh Regional Office, Water Quality Section
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] Fax[phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post -consumer paper

Technical Assistance and Certification Unit
Non-Discharge Compliance/Enforcement Unit
Callemyn-Parker, Inc.

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
SINGLE FAMILY SPRAY IRRIGATION 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 I5 HEREBY GRANTED TO
Peggy Bledsoe
Orange County
FOR THE
construction and operation of a 360 GPD spray irrigation wastewater treatment and disposal system consisting
of a 1,500 gallon baffled septic tank, a 420 square foot subsurface sand filter, a tablet chlorinator, three 1,500
gallon storagelpump tanks, a 12 GPM pump, high water audible and visual alarm, three (3) sprinkler heads 80
foot in diameter at 25 psi, 4.2 GPM, and a 15,081 square foot spray irrigation area to serve the Bledsoe
Residence, with no discharge of wastes to the surface waters, pursuant to the application received February 7,
2000, 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 lune 30, 2005, and shall be subject to the
following specified conditions and limitations.
I. PERFORMANCE STANDARDS
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 resRonsibility to track further construction approved under the same permit, and shall
provide a final certificate of completion once the entire project has been complete . Mail the
Certification to the Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC
27699-1617.
2. The Raleigh 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.
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 perforin 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 sand media of the subsurface sand filter must comply with the Division's sand specifications.
The engineer's certification will serve as evidence that these specifications have been met.
6. A leakage test shall be performed on the septic tank and dosing tank to insure that any exfiltration
occurs at a rate which does not exceed twenty (20) gallons per twenty-four (24) hours per 1,000
gallons of tank capacity. The engineer's certification will serve as proof of compliance with this
condition.
7. If excavation into bedrock is required for the installation of the septic tank or sand filter, the pit
shall be lined with a 10 mil synthetic liner.
8. A sanitary tee shall be installed on the effluent pipe of the septic tank. The engineer's certification
will serve as evidence that these specifications have been met.
9. 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.
10. Diversion or bypassing of the untreated wastewater from the treatment facilities is prohibited.
11. The following buffers shall be maintained:
a) 400 feet between wetted area and any residence or places of public assembly under separate
ownership (except as provided for in Condition I. 12. Herein)
b) 150 feet between wetted area and property lines,
c) 100 feet between wetted area and wells,
d) I00 feet between wetted area and drainageways or surface water bodies,
e) 50 feet between wetted area and public right of ways,
f) 100 feet between treatment/storage units and any wells, and
g) 50 feet between treatment units and property limes.
12. The facilities do not meet the State required minimum buffer separation between the spray
irrigation wetted area and the residence under separate ownership located in 3609 Brown Road (lot
-# 2 Peggy Bledsoe P54/9). The buffer waiver provided by Harold Rodney Bledsoe and Mollie R.
Bledsoe shall be made part of the deed for said property in the Orange County Register of Deeds.
The buffer easement shall be in effect for the life of these facilities even if the property owned by
Harold and Mollie Bledsoe is conveyed to new owners.
II. OPERATION AND MAINTENANCE REQUIREMENTS
1. The facilities shall be properly maintained and operated at all times
2. 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 I5A 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.
3. A suitable year round vegetative cover of grass over the spray field shall be maintained.
4. Irrigation shall not be performed during inclement weather or when the ground is in a condition
that will cause :runoff.
S. Adequate measures shall be taken to prevent wastewater runoff from the spray field.
6. The application gate shall not exceed a cumulative loading of 34.32 inches over any twelve (12)
month period at an instantaneous application rate not to exceed 0.2 inches per hour.
7. 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.
8. No type of wastewater other than that from the Bledsoe Residence shall be sprayed onto the
irrigation area.
9. In the event that the sprinkler heads fail to achieve the design diameter of 80 feet due to
obstructions, the obstructions shall be removed or the sprinkler heads shall be raised and supported
to such height that the design diameter is achieved.
10. No traffic or equipment shall be allowed on the disposal area except while installation occurs or
while normal maintenance is being performed.
11. The spray irrigation field shall be fenced with at least a two strand wire fence.
12. 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 every six (6) months and ,pumped out as needed.
b. The tablet chlorinator shall be checked every week. Tablets shall be added so as to provide
proper chlorination.
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 spray system shall be inspected monthly to make certain of the sprayers proper operation,
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.
III. 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.
2. The Permittee shall maintain records of all maintenance performed on the system and irrigation
area, as required in Condition II.12 for a minimum of five years. This information shall be
provided to the Division upon request.

3. Noncompliance Notification:
The Permittee shall report by telephone to the Raleigh Regional Office, telephone number (919)
571-4700, 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, due to known or unknown reasons, that renders the facility incapable
of adequate wastewater treatment, such as mechanical or electrical failures of pumps, spray
heads, etc.; or
b. Any failure of a pumping station 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.
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. INSPECTIONS
1. Adequate inspection, maintenance, and cleaning shall be provided by the Permittee to insure
proper operation of the subject facilities.
2. 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.
V. 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. Upon the availability of a municipal or regional sewerage collection system, the subject
wastewater treatment facilities shall be abandoned and all wastewater discharged into the
municipal or regional sewerage system.
5. 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.
6. 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.
4

This permit may be revoked if the Permittee fails to abide by the conditions of the "Operation and
Maintenance Agreement" previously signed by the Permittee.
A set of approved plans and specifications for the subject project must be retained by the Permittee
for the life of the project.
9. The annual administering and compliance fee must be paid by the Permittee within 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).
10. 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.
Permit issued this t� seventh day of July, 2000
NORT ROLINA MENTAL MANAGEMENT COMMISSION
/—Kerr T. Stevens, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0018009

Permit No. WQ0018009
July 7, 2000
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 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
0
Registration No.

OPERATION AND MAINTENANCE AGREEMENT FOR THE
DIVISION OF ENVIRONMENTAL MANAGEMENT
Name: Peggy Bledsoe
Address: 3 6 01 Brown Road
City: Hillsborough State: NC Lam: 27278
Single Family Residence Wastewater Treatment System
Final Disposal by Spray Irrigation
Permit No. W (TO BE FILLED IN BY DEM)
Orange County
I agree to operate and maintain the wastewater treatment system as follows:
1. 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 every six (6) months and pumped out as required.
b. The tablet chlorinator shall be checked every week until the actual usage rate is
established and thence on a monthly basis. Tablets shall be added so as to provide
proper chlorination.
C. The storage system, pump system, and alarm system shall be inspected monthly.
The scum layer shall be removed at the same interval as the septic tank is cleaned
out.
d. The spray system shall be inspected monthly to make certain of the sprayers proper
operation, that the vegetative growth allows proper spray patterns, that the soil is
absorbing the disposed treated wastewater with no surface runoff, and that no
objectionable odors are being generated.
2. Failure of the Permittee to properly operate this system is subject to a penalty up to $10,000
per day.
3. Failure to meet permit conditions or violation of the State's surface or groundwater
regulations will requim cessation of occupancy of the residence.
I understand that failure to comply with these conditions along with the permit conditions may result in
voiding the permit.
Signature: Date: 1--;7, o - v o
Date: z0 I h CD

WATER POLLUTION CONTROL SYSTEM OPERATORS
CERTIFICATION COMMISSION
CLASSIFICATION
RATING SHEET FOR WATER POLLUTION CONTROL SYSTEMS
FACILITY INFORMATION:
NAME OF FACILITY: --E,-C-66
MAILING ADDRESS:
COUNTY:
CONTACT PERSON: TELEPHONE: ( 519)3,93-36 y f
PERMIT NO: Check One: NC X WQ HEALTH DP
ORC: TELEPHONE: (� )
RATENG-INFORMATION: (Before completing this section, please refer to pages 2-4)
PERMITT--D FLOW: �6v G �WD
CHECK CLASSIFICATION: WASTEWATER: 1
COLLECTION: 1
BNR? YES NO
2 3 4
2 3 4
SPRAY IRRIGATION SUBSURFACE LAND APPLICATION
REGIONAL OFFICE TELEPHONE NUMBER: (�/ f) S71 "'(�06 F -XT: ZSY
PHYSICAL/CHEMICAL GRADE I
GRADE II
��RATED
B Y: / REGION:
2K
� DATE:
��� �� U
REGIONAL OFFICE TELEPHONE NUMBER: (�/ f) S71 "'(�06 F -XT: ZSY

Classification of Spray Irrigation Water Pollution Control Systems:
Systems which utilize spray irrigation for the reuse or disposal of wasterwater.
These systems include: septic tanks, sand filter, oillwater separators, lagoons,
storage basins, screening, sedimentation. Systems other than those listed above
shall be subject to additional classification.
Classification of Land Application of Residuals Systems:
Systems permitted and dedicated for land application of residuals that are produced by a
water pollution control system or contaminated soils.
Classification of Physical/Chemical Water Pollution Control Treatment Systems:
Grade I Physical/Chemical: Any water pollution control system that utilizes a primarily
physical process to treat wastewater. This classification includes groundwater
remediation systems. **
Grade I1 Physical/Chemical: Any water pollution control system that utilizes a primarily
chemical process to treat wastewater. This classification :includes reverse osmosis,
electrodialysis, and ultrafiltration systems. * *
** Any water pollution control system that utilizes a phyicaUchemical process to enhance an
activated sludge or fixed growth process, shall not be subject to additional classi, fication.
Classification of Subsurface Water Pollution Control Systems:
Systems which utilize the soil for subsurface treatment and disposal of wastewater
and/or are required to have a certified operator under 15A NCAC 18A.1961. ***
*** Any subsurface system that has as pan of its treatment process a water pollution control
systems that may be classified under Rules .0302 through .0307 of this section shall be
subject to addional classification.

Land Surveyor
a len n
Parker Inc.
CI vVi 11 ECivil Engineer
AUTHORIZATION FOR SPRAY SYSTEM
The Summit at Meadowlands
1000 Corporate Drive, Suite 101
Hillsborough, NC 27278
Telephone [phone]
,—Fax [phone]
I (we).&Z4& IV--, wner(s) of
property located a n_ �� rct;legal description
being Lot #2 containing 11.00 acres located on Brown Road; understand the
following conditions and agree to allow the placement of a Single Family Spray
Irrigation System within 200 feet of our dwelling.
The system is being engineered by Callemyn-Parker, Inc., Civil Engineers and Land
Surveyors, of Hillsborough, NC, on the property of Peggy Bledsoe; legal description
being Lot #1 containing 11.00 acres located on Brown Road which property is
adjacent to my (our) property line; and the spray area of the system will be no
closer than fifty (50) feet to the property line. I (we) understand that this system
will be properly maintained by the owners, present and future, to the standards
established by the North Carolina Division of Environmental Management; and
that my (our) approval of this system runs with the land and is binding on owners,
present and future.
IN WITNESS WHEREOF, Declarants have caused this instrument to be signed and
sealed on the day and year first written. below.
OWNER: {SEAL) DATE: i
OWNER: - (SEAL) DATE: la�
Page 1 of 2

NORTH CAROLINA
ORANGE COUNTY
f, _. Nancy T. Garrard __, a Notary Public for said
county and State do certify that Harold Rodney Bledsoe ,
personally appeared before me this day and acknowledged the due execution of the
forgoing document. Witness my hand and seal this the 9th day of December
otary Public
My commission expires:
1999
I, Nancy T. Garrard �, a Notary Public for said -
county and State do certify that Mollie R. Bledsoe ,
personally appeared before me this day and acknowledged the due execution of the
forgoing document. Witness my hand anA seal this the 9th day of December .1999
Notary Public
My commission expires: C�0(96
Page 2 of 2