WQ0021050_Final Permit_20020707

`O�OF V A rf 9Q Michael F. Easley, Governor
William G. Ross Jr., secretary
North Carolina Department of Environment and Natural Resources
0 C Alan W. Klimek, P.E., Director
Division of Water Quality
June 7, 2002
SYLVIA C. BURGESS
785 BURGESS ROAD
APEX, NC 27502
Dear Ms. Burgess
Subject: PERMIT NO. WQ0021050
Burgess Single Family Residence
Spray Irrigation Facility
Chatham County
In accordance with your request received February 1, 2002 and additional information received May 6,
2002, we are forwarding herewith Perinit No. WQ0021050 dated June 7, 2002, to Sylvia C. Burgess for the
construction and operation of the subject single family wastewater treatment and spray irrigation facilities.
This permit shall be effective to the date of issuance until May 31, 2007, 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.
Please pay attention to the following comments for they are unique to your permit.
➢ Condition I.11 — This condition has been modified to include a 130 foot easement to the 400 foot
residence under separate ownership buffer [Condition I.11(a)] and a 10 foot easement to the 150 foot
property line buffer [Condition I.I I(b)], both granted by the Hodges Residence to the Permittee.
➢ The Division is aware of Sylvia Burgess' intent to change the ownership of the subject permit to
Donna Burgess Long once the property has been properly divided and deeded. Please note that when
the tract of property is deeded to Ms. Long, the following deed modifications must be completed:
1. The deeds of the Hodges Residence and Donna Burgess Long Residence must be modified to
include the 130 foot and 10 foot easements [listed under Condition I.1l(a) & I. 1.1(b)].
2. The deeds of the Donna Burgess Long Residence and Howard Wayne Burgess Residence must be
modified to include a 125 foot easement for the 150 foot property buffer distance between the
spray irrigation area and property lines.
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, 671.4 Mail Service Center, Raleigh, NC 27699-
6714. Unless such demands are made this permit shall be final and binding.
Non -Discharge Permitting Unit Internet httpJlh2o.enr.state.nc.usindpu ffa
1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone [phone] Fax [phone]
DENR Customer Service Center Telephone [phone]
An Equal opportunity Action Employer 50% recycled/10% post -consumer paper

One set of approved plans and specifications is being forwarded to you. If you need additional
information concerning this matter, please contact Nathaniel Thornburg at [phone] extension 533.
cc: Chatham County Health Department
Raleigh Regional Office, Water Quality Section
Technical Assistance and Certification Unit
Non -Discharge Compliance/Enforcernent Unit
Gerald M. White, P.E.
Water Quality Central Files
NDPU Files
2
Sine y,
Alan W. Klimek, P.E.

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 IS HEREBY GRANTED TO
Sylvia C. Burgess
Chatham County
FOR THE
construction and operation of a 360 gallon per day (GPD) spray irrigation wastewater treatment and disposal
system consisting of a 1,200 gallon baffled septic tank with effluent filter, a 330 square foot (ft) gravity dosed
subsurface sand filter with a 1.10 gpd/ft2 design loading rate, a tablet chlorinator, two (2) 1,400 gallon
interconnected tanks serving as a 2,800 gallon storage/pump tank with a 7.6 gallon per minute (gpm) pump, high
water alarms and rain sensor, and a 9,556 ft2 fenced spray irrigation area with two (2) spray irrigation heads to
serve the Burgess residence, and all associated piping and appurtenances with no discharge of wastes to the
surface waters, pursuant to the application received February 1, 2002 and additional information received May 6,
2002, 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, 2007, and shall be subject to the
following specified conditions and limitations:
L 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 cotmpleted in phases and partially certified, you shall retain the responsibility to
_ p and shall provide a final certificate of
track further construction approved under the same permit,
completion once the entire proiect has been co_m 1p eted. Mail the Certification to the Non -Discharge
Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617.
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 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 ground waters resulting from the operation of this facility.
The sand media of the gravity dosed 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 Ieakage test shall be performed on the septic tank and interconnect storage/pump tanks to ensure
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 and filter 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,
i
b) 150 feet between wetted area and property lines, 2
c) 100 feet between wetted area and wells,
d) 100 feet between wetted area and drainage ways or surface water bodies,
e) 50 feet between wetted area and public right of ways,
f) 100 feet between treatment/storage units and any wells, and
g) 50 feet between treatment units and property lines.
1 A 130 -foot easement has been granted to the Permittee by Karen. B. Hodges and Edward
Hodges. This easement has been noted in the Register of Deeds in Chatham County for the
deeds of both the Hodges and Burgess Residences.
Z A 10 -foot easement has been granted to the Permittee by Karen B. Hodges and Edward
Hodges. This easement has been noted in the Register of Deeds in Chatham County for the
deeds of both the Hodges and Burgess Residences.
12. The pump tanks shall have functional high water audible and visual alarms. The name and
number of an emergency contact shall be posted in a conspicuous location.
13. The disposal system shall be connected to a rain or moisture sensor that shall indicate when
wastewater application is not appropriate in accordance with Condition H(4) of this permit.
2

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 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 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 8G .0202.
The ORC of the facility must visit each Class I facility at least weekly and each Class II, 111, 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 8G.0202. Once the facility is classified, the Permittee must submit a letter to the WPCSOCC
that 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 leaf litter shall be maintained.
4. Irrigation shall not be performed during inclement weather or when the ground is in a condition that
will cause runoff.
5. Adequate measures shall be taken to prevent wastewater runoff from the spray field
6. The application rate shall not exceed a cumulative loading of 22.0 inches over any twelve (12) month
period at an instantaneous application rate not to exceed 0.10 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 Burgess residence shall be sprayed onto the irrigation
area.
9. No traffic or equipment shall be allowed on the disposal area except while installation occurs or while
normal maintenance is being performed.
10. The spray irrigation field shall be fenced with at least a two -strand wire fence.
11. 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.
b. The tablet chlorinator shall be checked every week. Tablets shall be added to provide proper
chlorination.
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.
3

III. MONITORING AND REPORTING REQUIREMENTS
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.
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
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.
4

V. GENERAL CONDITIONS
This permit shall become void unless the facilities are constructed in accordance with the conditions
of this permit, the approved plans and specifications, and other supporting data.
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 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 exempt 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, including but not limited to applicable river buffer rules in 15A
NCAC 2B.0200, erosion and sedimentation control requirements in 15A NCAC Chapter 4 and under
the Division's General Permit NCG010000, and any requirements pertaining to wetlands under 15A
NCAC 2B.0200 and 2H.0500.
7. 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.
S. 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 he 7th day of June, 2002
NOR
AL MANAGEMENT COMMISSION
Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0021050
5

Permit No. WQ0021050
June 7, 2002
ENGINEER'S CERTIFICATION
Partial Final
1, , 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
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Registration No.

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OPERATION AND MAINTENANCE AGREEMENT
SINGLE FAMILY RESIDENCE WASTEWATER TREATMENT SYSTEM
DIVISION OF WATER QUALITY
Owner: �Yy *a C, w,r' 9 ex r _ _ —
Address: f3f ,L3v rg ,e tJ /� a o'd ,L!Q�'-`,Iy C 7-7102
--
Disposal Method: SPRAY IRRIGATION DRIP IRRIGATION (Circle One)
County: a)"
Permit No. N( Q U D Z! o So
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 annually and pumped out as needed. The effluent filter shall be
checked and cleaned at the same frequency of the septic tank.
b) Check one:
e The tablet chlorinator shall be checked every week. Tablets shall be added so as to provide
proper chlorination.
❑ The ultraviolet disinfection unit shall be checked every week. The lamp shall be cleaned
and/or replaced to ensure proper disinfection.
c) The storage, pump, and alarm systems shall be inspected monthly. The scum layer shall be
removed at the same time interval as the septic tank is pumped out.
d) The irrigation system shall be inspected monthly to make certain of proper operation, that
vegetative growth does not interfere with the system inspection or operation, that the soil is
assimilating 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 $25,000 per day.
3) Failure to meet the permit conditions or violation of the State's surface or groundwater regulations
will require evacuating the dwelling and may void the permit.
I understand the above requirements and agree to these terms as part of the issued permit.
r
Owner Signature: Date: - -
Notary Signature: ANotary Seal:
Date: 4'19'200P Commission Expiration:
SFR O&M 04101

WATER POLLUTION CONTROL SYSTEM OPERATORS
CERTIFICATION COMMISSION
CLASSIFICATION
RATING SHEET FOR WATER POLLUTION CONTROL SYSTEMS
FACILITY INFORMATION:
NAME OF FACILITY: Sylvia C. Burgess
MAILING ADDRESS: 785_ Burgess _Rd. Apex, NC 27502
COUNTY: Chatham
CONTACT PERSON: Sylvia C. Burgess TELEPHONE: [phone]
PERMIT NO- W00021050 Check One: NC WQ ✓ HEALTH DP
ORC: TELEPHONE:
RATING INFORMATION: (Before completing this section, please refer to pages 2-4)
PERMITTED FLOW: 360 GPD BNR? YES NO
CHECK CLASSIFICATION: WASTEWATER: 1 2 3 4
COLLECTION: 1 2 3 4
SPRAY IRRIGATION ✓ SUBSURFACE LAND APPLICATION
PHYSICAL/CHEMICAL GRADE I GRADE 11
RATED BY: Rand om s REGION: RRO DATE: 5/14/02
REGIONAL OFFICE TELEPHONE NUMBER: 9191571-4700 EXT: 249
Page 1
Permit No.: WQ0021050

Classification of Spray lrrigation Water Pollution Control Systems:
✓ Systems which utilize spray irrigation for the reuse or disposal of wastewater.
These systems include: septic tanks, sand filter, oil/water 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 the 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 Il 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 physical/chemical process to enhance an
activated sludge or fixed growth process, shall not be subject to additional classification
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 subsufface system that has as part of its treatment process a water pollution control
system that may be classified under Rules .0302 through .0307 of this section shall be
subject to additional classification.
Page 3
Permit No.: WQ0021050