WQ0022916_Final Permit_20121228

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NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Francisco & Debbie Dominguez
7631 Old US 1
New Hill, NC 27526
Dear Francisco & Debbie Dominguez:
Division of Water Quality
Charles Wakild, P.E.
Director
December 28, 2012
Dee Freeman
Secretary
Subject: Permit No. WQ0022916
Francisco & Debbie Dominguez
SFR (Lot 2)
Single -Family Residence
Wastewater Irrigation Systems
Chatham County
In accordance with your permit renewal request received October 29, 2012, we are forwarding
herewith Permit No. WQ0022916, dated December 28, 2012, to Francisco & Debbie Dominguez for the
construction and operation of the subject single-family residence wastewater treatment and irrigation
facilities.
This permit shall be effective from the expiration date of your current 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 Iisted 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.
Please note the following permit conditions are new since the last permit issuance:
➢ Condition I. 13. from your current permit dated May 13, 2004 and amended in the letter dated
August 9, 2004 has been revised — This language has been rewritten to more accurately
describe the intent and is now condition II. I0.
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina 27699.1636
Location: 512 N. Salisbury St, Raleigh, North Carolina 27604 One
Phone: [phone] FAK 91M07-6496 Nal thCarolina
Internet www.nmata uali .a
An Equal Opportunity lAffirmative AdiorEmployer + ' M AY

Francisco & Debbie Dominguez
December 28, 2012
Page 2 of 2
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 Farm 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.
Sincerely,
� t
J
4 harles Wakild, P.E.
cc: Chatham County Health Department
Raleigh 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
Francisco & Debbie Dominguez
Chatham County
FOR THE
construction and operation of a 360 gallon per day (GPD) single-family residence wastewater treatment
and irrigation facility consisting of: a 1,250 gallon baffled septic tank with effluent filter; a gravity dosed
peat biofilter with. submersible collecting bottom; a tablet chlorination (minimum contact time of 30
minutes in the chlorination and in the pump/storage tank); a 2,000 gallon baffled pump/storage tank (with
appropriate floats to provide a minimum storage of approximately 1,900 gallons), a 14 gallon per minute
(gpm) pump, with audible and visual high water alarms and an automatic rain shutoff device; a 8,200
square foot drip irrigation area divided into four zones with 1,012 linear feet of tubing per zone with 0.53
gallon per hour (GPH) pressure compensated emitters, with a two foot spacing of emitters along the
tubing and a two foot spacing between rows of tubing; a controller- with a programmable logic (PLC)
module that controls the pump, the rain shutoff, the pump alarms, the flush valve for the filter for the drip
irrigation, the field flush valve for zone flushing and the zone valves so that each of the four drip zones
receive two applications per day and all associated piping and appurtenances to serve Francisco & Debbie
Dominguez SFR (Lot 2), with no discharge of wastes to surface waters, pursuant to the application
received October 29, 2012 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 your current permit until April 30, 2015, and
shall be subject to the following specified conditions and limitations:
I. SCHEDULES
In accordance with 15A NCAC 02T .0 116, upon completion of construction and prior to operation of
this permitted facility, a certification (attached) shall be submitted from a licensed North Carolina
Professional Engineer certifying that the permitted facility has been installed in accordance with this
permit, Division approved plans and specifications, and other supporting documentation, including
the location of all- monitoring wells as applicable. If this project is to be completed in phases and
partially certified the Permittee shall retain the responsibility—to track further construction approve
under the same permit, and shall provide a final certificate of completion once the entire project has
been completed. Mail the Certification to the Division of Water Quality, Aquifer Protection Section,
1636 Mail Service Center, Raleigh, NC 27699-1636,
WQ0022916 Pagel of 6

2. The Raleigh Regional Office, telephone number [phone], shall be notified at least 48 hours in
advance (excluding weekends and holidays) of operation of the installed facilities such that an in-
place inspection can be made. Notification to the Aquifer Protection Section's regional supervisor
shall be made from 8:00 a.m. until 5:00 p.m. on Monday through Friday, excluding State Holidays.
3. 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 limitations as it may deem appropriate. Please note Rule 15A
NCAC 02T .0105(4) requires an updated site map to be submitted with the permit renewal
application.
4. 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.
II. PERFORMANCE STANDARDS
1. 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
0.50
26
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
1
Francisco & Debbie
Domin uez
Chatham
25.659167
-78981944
0.19
Crecdmoor
5. The Operation and Maintenance Agreement (attached) between the Permittee and the Division of
iter Qua ity is incorporated kierein by reference aiid shalt be a condition of this perriiit.
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. The irrigation system shall be connected to a rain or moisture sensor, which shall indicate when
effluent application is not appropriate in accordance with Conditions lH.4. and U1.5. of this permit.
WQ0022916 Page 2 of 6

7. 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.
8. 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.
9. 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.
10. The wastewater facilities permitted under this permit, and the wastewater facilities permitted under
permit WQ0022914 are located on one tract of Iand. Chatham County Zoning regulates the type of
structures, and land area requirements needed for constructing an additional dwelling on one parcel of
land; however, if the property is subdivided, the two facilities may no longer meet the NCAC 15A
02T.0606 buffer requirements. For these reasons, the Division requires a site plan to be submitted for
approval prior to any subdivision of this parcel, or prior to the construction of this facility.
Subdivision of the parcel will most likely require setback waivers to be signed by the effected
property owners and will need to be recorded in the Chatham County Register of Deeds.
11. 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: 100
ii. Surface waters: 50
iii. Any well with exception of monitoring wells: 100
iv. Any property line: 50
v. Public right of way: 50
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 REQUIREMENTS
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 Comm_ ission's(WPCSOCC)
classification of the subject non -discharge facilities, in accordance with 15A NCAC OSG .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 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.
WQ0022916 Page 3 of 6

4. Adequate measures shall be taken to prevent effluent ponding in or runoff from the irrigation sites
listed in Table 2 of Condition 1L4.
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 Francisco & Debbie Dominguez SFR (Lot 2) 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 .l 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 Iiner.
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.
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 drip lines,
that the system is free of leaks, that the vegetative growth allows a proper drip pattern, that the
soil is assimilating the disposed treated wastewater with no surface runoff, and that no
objectionable odors are being generated.
MONITORING AND REPORTING RE UIREMENTS
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 Raleigh Regional Office, telephone number (919) 791-
4200, 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:
WQ0022916 Page 4 of 6

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.
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 143-215.60.
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
PPILc_ation DiYjsion. 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).
WQ0022916 Page 5 of 6

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 NCGO10000; 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 life 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 .0110.
9. Unless the Division Director grants a variance, expansion of the permitted facilities contained herein
shaII 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 revolve this permit pursuant to 15A
NCAC 02T .0105(e)(3).
Permit issued this the 28a' day of December, 2012
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Charles Wakild, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0022916
WQ0022916 Page 6 of 6

A � RECEIVEMENHWO
State of North Carolina
d� �G OCT 2 9 2012 Department of Environment and Natural Resources
�- Division of Water Quality
15A AV&t6 Dfl,61 .FAMILY RESIDENCE WASTEWATER IRRIGATION SYSTEMS
OPERATION AND MAINTENANCE AGREEMENT
FORM: Sl♦RWWIS O&M 06-11
01
Permit No. Q �{`_� r 71 ` `I� County: '
t
Property owner(s) as appearing on the recorded deed: 16 AlebblOL f rl LrZ�
Mailing address: PC) BQ& I u 6 1 A�i IJ7,L_L- " IQ c � -I 2 --
Facility address:
Irrigation Method: ❑ SPRAY ['DRIP
C J-1 Q J 2-
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:
a. The septic tank shall be checked annually and pumped out as needed.
b. The septic tank effluent filter shall be checked and cleaned annually.
c. Accessible sand filter surfaces shall be raked and leveled every six months and any vegetative growth shall be
removed manually.
d. ❑ The tablet chlorinator shall be checked weekly. Wastewater grade tablets (calcium hypochlorite) shall be
added as needed to provide proper chlorination (pool chlorine tablets shall not be used), OR
❑ The ultraviolet disinfection unit shall be checked weekly. The lamp(s) and quartz sleeve(s) shall be
cleaned or replaced as needed to ensure proper disinfection.
e. All pump and alarm systems shalt be inspected monthly.
f. The irrigation system shall be inspected monthly to ensure that the system is free of leaks, that all irrigation
equipment is operating as designed, that vegetative growth does not interfere with the system inspection or
operation, that the soil is assimilating the disposed treated wastewater with no visible runoff or ponding, and
that no objectionable odors are being generated.
2. Failure to pay the annual fee shall be cause for the Division to revoke the permit pursuant to I5A NCAC 02T
.0105(e)(3).
3. The Permittee's failure to properly operate this system is subject to a penalty up to $25,000 per day.
- 4_FaiJure + PPt-the pen -nit .conditions .or violation of the State's surface water. or..groundwater regulations may vim__ ._
the permit.
All owners appearing on the Iegally recorded proper!y deed shall sign this Operation, & Maintenance Agreement
I / We understand the o uirements and a ee these terns as part of the issued permit.
Owner Signature: Date:
Owner Signature: ' >�����U �cSJ���� _ Date: "I/
FORM: SFRWWIS O&M 06-11 Page I of I

Single Fancily ResidentaI
Francisco & Debbie Dominguez December 28, 2012
Francisco & Debbie Dominguez SFR (Lot 2) Chatham County
ENGINEERING CERTIRCATtON
❑ Partial ❑ Final
In accordance with 15A NCAC 02T 0116, I,_
as a duly registered Professional Engineer in the State of North Carolina, having the Permittee's
authorization to ❑ periodically ❑ weekly ❑ fully observe the construction of the permitted facility,
hereby state to the best of my abilities that due care and diligence was used in the observation of the
construction, such that the facility was built within substantial compliance and intent of this permit, the
Division approved plans and specifications, and other supporting documentation.
❑ Any variation to this permit, the Division approved plans and specifications, and other supporting
documentation has been documented in the attached as -built drawings, and shall serve as the
Permittee's minor modification request to amend the permit accordingly.
Provide a brief narrative description of any variations:
Professional Engineer's Name
Engineering Firm
Mailing Address
City
State Zip
Telephone E-mail NC PE Seal, Signature & Date
THE COMPLETED ENGINEERING CERTIFICATION, INCLUDING ALL SUPPORTING
INFORMATION AND MATERIALS, SHALL BE SENT TO THE FOLLOWING ADDRESS:
-- NORTH CARDLINA DEPARTMENT OF ENV1<RONIIENT_A ND NATURAL_RESOURCES
DIVISION OF WATER QUALITY
AQUIFER PROTECTION SECTION
LAND APPLICATION UNIT
By U.S. Postal Service:
1636 MAIL SERVICE CENTER
By Courier/Special Delivery:
512 N. SALISBURY ST.
RALEIGH, NORTH CAROLINA 27699-1636 RALEIGH, NORTH CAROLINA 27604