WQ0023435_Final Permit_20041005

October 5, 2004
PATRICK O'NEAL
CHATHAM DEVELOPMENT CORPORATION
6208 F'AYETTEVILLE ROAD — SUITE 104
DURHAM, NC 27713
Dear Mr. O'Neal:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
Subject: Permit No. WQ0023435
Hills of Rosemont Lot #57
Single Family Residence
Surface Irrigation Facility
Chatham County
In accordance with your permit application request received December 10, 2003 and additional
information received July 8, 2004 and August 31, 2004, we are forwarding herewith Permit No.
WQ0023435, dated October 5, 2004, to Chatham Development Corporation for the construction and
operation of the subject single family wastewater treatment and surface irrigation facilities.
This permit shall be effective from the date of issuance until September 30, 2009, and shall be
subject to the conditions and limitations as specified therein. Please pay particular attention to the
monitoring requirements in this permit. If the effluent quality complies with the expectations of the
Advantex system performance over a reasonable period of time, the Permittee may submit a permit
modification request to suspend 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 filed with the Office of Administrative Hearings, 6714 Mail Service
Center, Raleigh, NC 27699-6714. 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 Michelle McKay at [phone].
Sincerely,
-v-
f`�f
0f Alan W. Klimek, P. E.
cc: Chatham County Health Department
Raleigh Regional Office Aquifer Protection Section
Technical Assistance and Certification Unit
Dalton Engineering and Associates, P.A.
APS Central Files (WQ0023435) No"`hCaraEina
APS Files _ _ �1latundy
Aquifer Protection Section 1636 Mail Service Center Raleigh, NC 27699-1636 Phone [phone] Customer Service
Internet: http://Uo.enr.state.nc.us 2728 Capital Boulevard Raleigh, NC 27604 Fax [phone]
Fax [phone]
An Equal Opportunity/Affirmative Action Employer- 50% Recycled/10 b Post Consumer Paper

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
SINGLE FAMILY RESIDENCE SURFACE 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
Chatham Development Corporation
Chatham County
FOR THE
construction and operation of a 600 gallon per day (GPD) surface irrigation wastewater treatment and
disposal system consisting of a 1,500 gallon septic tank, 2 AX20 AdvanTex Treatment Units, a 2,500
gallon storage and pump tank, a 2,500 storage and dosing tank, UV disinfection, 14,217 square feet of
wetted irrigation area and all associated piping and appurtenances with no discharge of wastes to the
surface waters, to serve the Hills of Rosemont Lot #57 residence, pursuant to the application received
December 10, 2003, 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 September 30, 2009, 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 responsibility to track further construction approved under the same permit, and
shall provide a final certificate of completion once the entire project has been com feted. 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 Ieast 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.

3. The surface irrigation facilities shall be effectively maintained and operated at all times so that
there is no discharge to 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.
5. A leakage test shall be performed on the septic tank and storage/pump tank(s) 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.
6. The media of the Advantex AX20 Filter must comply with Orenco Systems, Inc. specifications. The
Engineer's Certification will serve as evidence that these specifications have been met.
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. 100 feet between wetted area and any residence or places of public assembly under separate
ownership,
b. 50 feet between wetted area and property lines,
c. 100 feet between wetted area and wells,
d. 50 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.
12. The pump tank(s) shall have functional audible and visual high water alarms that are external to
any structure.
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).
2

II. OPERATION AND MAINTENANCE RE UMEMENTS
1. The facilities shall be properly maintained and operated at all times.
2. Upon classification of the wastewater treatment and surface irrigation facilities by the Water
Pollution Control System Operators Certification Commission (WPCSOCC), the Permittee
shall designate and employ a certified operator to be in responsible charge (ORC) and one or
more certified operator(s) to be back-up ORC(s) of the facilities in accordance with 15A NCAC
8G .0201. The ORC shall visit the facilities in accordance with 15A NCAC 8G .0204 or as
specified in this permit and shall comply with all other conditions specified in these rules.
3. A suitable year round vegetative cover 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 irrigation field.
b. The application rate shall not exceed a cumulative loading of 26.23 inches over any twelve (12)
month period at an instantaneous application rate not to exceed 0.38 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 Hills of Rosemont Lot #57 residence shall be
sprayed / emitted 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 irrigation field shall be fenced with at least a two -strand wire fence.
11. Wastewater treatment units open to the atmosphere shall have restricted access and pump
control panels shall be locked.
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 annually and pumped out as needed. The septic tank
effluent filter shall be checked and cleaned at the same frequency of the septic tank.
b. The ultraviolet disinfection unit shall be checked every week. The lamp shall be cleaned
and/or replaced as necessary to ensure proper disinfection.
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
line, 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.
3

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 effluent from the subject facilities shall be monitored by the Permittee at a point prior to irrigation
every March, July, and November for the following parameters:
B OD5 TSS
Fecal Coliform pH
NH3 as N
3. Three (3) copies of all monitoring data (as specified in condition III 2) on Form NDMR shall be
submitted on or before the last day of the following month. All information shall be submitted to the
following address:
NC Division of Water Quality
Infortnation Processing Unit
161.7 Mail Service Center
Raleigh, NC 27699-1617
4. 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.
5. 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, emitters, 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.
Occurrences outside normal business hours may also be reported to the Division's Emergency
Response personnel at telephone number [phone] or [phone]. Persons reporting
such occurrences by telephone shall also file a written report in letterform 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.
Fdl

V. GENERAL CONDITIONS
1. 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.
2. This peanut 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 naive 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 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.
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.
8. A set of approved plans, specifications and operation and maintenance manual 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 211.0205 (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 the 5th day of October, 2004
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0023435

Permit No. WQ0023435
October 5, 2004
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
Registration No.

VWq
�� ���A� RQG Michael F. Easley, Governor
v3 T' William G. Ross Jr,, Secretary
- + North Carolina Department of Environment and Natural Resources
Q ^C
W. Klimek, P. E., Dare
Sullins, Deputy Director
Divisto
September 27, 2004
Patrick O'Neal
Chatham Development Corporation
6208 Fayetteville Road — Suite 104
Durham, NC 27713
Subject: Permit No. W 002,3435
Hills of Ros ont Lot #57
Single F y Residence
Surface I igation Facility
/atflhCounty
Dear Mr. O'Neal:
In accordance with your permit application request receiveder 10, 2003 andadditional
information received July 8, 2004 and Auguust 31, 2004, we are fro-vvaL gwith Permit No. WQ0023435,
dated September 27, 2004, to Chatham Development Corporation for the construction and operation of the subject
single family wastewater treatment and surface irrigation facilities. _
This permit shall be effective from the date of issu
conditions and limitations as specified therein. Please pay
this permit. If the effluent quality complies with the expe
reasonable period of time, the Permittee may submit a pc
requirements in this permit. failure to establish an adequa
operational information will result in future compliance pro
iny August 31, 2009, all be subject to the
lal ntln o e monitoring requirements in
ns of the Advantex system performance over a
modification request to suspend the monitoring
;tern for collecting and maintaining the required
If any parts, requirements, or limitations contai d in this permit are unacceptable, you have the right to
request an adjudicatory hearing upon written request w' in thirty (30) days following receipt of this permit. This
request must be in the form of a written petition, c forming to Chapter 150B of the North Carolina General
Statutes, and filed with the Office of Administrativ Hearings, 6714 Mail Service Center, Raleigh, NC 27699-
6714. Unless such demands are made this permit s all be final and binding.
One set of approved plans and spec lcations is being forwarded to you. If you need additional
information concerning this matter, please co act Michelle McKay at [phone].
Sincerely,
Alan W. Klimek, P. E.
cc: Chatham County Health epartmcnt
Raleigh Regional Offic ,Water Quality Section
Technical Assistance nd Certification Unit
ton En ine ssociates, P.A.
Water Quality Cen 1 Files
Non -Discharge Permitting Unit Internet http://h2o.enr.state.ne.us/ndpu
1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone [phone] Fax [phone]
DENR Customer Service Center Telephone [phone]
An Paml Onnnrtunity Artinn Prnninver 5(]0/ rervrlecill 004 nno-rAmimirr nnner

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF EINVIRONMFNT AND NATURAL RESOLTIRCE'S
RALEIGH
SINGLE FAMILY RESIDENCE SURFACE 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
Chatham Development Corporation
Chatham County
FOR THE
construction and operation of a 600 gallon per day (GPD) surface irrigation wastewater treatment and disposal
system consisting of a 1,500 gallon septic tank, 2 AX20 AdvanTex Treatment Units, a 2,500 gallon storage and
pump tank, a 2,500 storage and dosing tank, UV disinfection, 14,217 square feet of wetted irrigation area and all
associated piping and appurtenances with no discharge of wastes to the surface waters, to serve the Hills of
Rosemont Lot 457 residence, pursuant to the application received December 10, 2003, 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 ugust A31, 2009, and Fall be subject to the
following specified conditions and limitations:
1. PERFORMANCE STANDARDS
1. 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 responsibilily to
track further construction a roved under the same permit, and shall pLovide a final certificate of
completion once the entire project has been completed. Mail the Certification to the Non -Discharge
Pennitting 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.
3. The surface irrigation facilities shall be effectively maintained and operated at all times so that there
is no discharge to 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.

L"
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.
5. A leakage test shall be performed on the septic tank and storage/pump tank(s) 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.
6. The media of the Advantex AX20 Filter must comply with Orenco Syste s, Inc. specifications. The
Engineer's Certification will serve as evidence that these specifications ha been met.
7. If excavation into bedrock is required for the installation of the septic nk, the pit shall be lined with
a 10-rniI synthetic liner.
8. A sanitary tee and filter shall be installed on the effluent pi of the septic tank. The Engineer's
Certification will serve as evidence that these specifications ve 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 D' .sion.
10. Diversion or bypassing of the untreated wastew er from the treatment facilities is prohibited.
11. The following buffers shall be maintained:
a. 100 feet between wetted area an any residence or places of public assembly under separate
ownership,
b. 50 feet between wetted area a property lines,
c. 100 feet between wetted are nd wells,
d. 50 feet between wetted are and drainage ways or surface water bodies,
e. 50 feet between wetted a a and public right of ways,
£ 100 feet between trea ent/storage units and any wells, and
g. 50 feet between trea ent units and property lines.
' 12. The pump tank(s) sha)( have functional audible and visual high water alarms that are external to any
structure. 0
13. The disposal sy tem shall be connected to a rain or moisture sensor that shall indicate when
wastewater ap ication is not appropriate in accordance with Condition H(4).
1. The foci 'ties shall be properly maintained and operated at all times.
2. Upo classification of the wastewater treatment and surface irrigation facilities by the Water Pollution
Co trol System Operators Certification Commission (WPCSOCC), the Permittee shall designate and
e �loy a certified operator to be in responsible charge (ORC) and one or more certified operator(s) to
b6 back-up ORC(s) of the facilities in accordance with 15A NCAC 8G .0201. The ORC shall visit
/the facilities in accordance with 15A NCAC 8G .0204 or as specified in this permit and shall comply
with all other conditions specified in these rules.
3/ A suitable year round vegetative cover 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 irrigation field.
9,

6. The application rate shall not exceed a cumulative loading of 26.23 inches over any twelve (12)
month period at an instantaneous application rate not to exceed 0.3 8 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 Hills of Rosemont Lot #57 residence shall be emitted
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 irrigation field shall be fenced with at least a two -strand wire fence.
11. Wastewater treatment units open to the atmosphere shall have restricted access and pump control
panels shall be locked.
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 annually and pumped out as needed. The septic tank effluent
filter shall be checked and cleaned at the same frequency of the septic tank.
b. The ultraviolet disinfection unit shall be checked every week. The lamp shall be cleaned and/or
replaced as necessary to ensure proper disinfection.
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 line,
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.
III. MONITORING AND REPORTING REQUIREMENTS
I . 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 effluent from the subject facilities shall be monitored by the Permittee at a point prior to
irrigation every March, July, and November for the following parameters:
BOD5 TSS
Fecal Coliform pH
NH3 as N
3. Three (3) copies of all monitorin d s ecified in condition III 2) on Form NDMR shall be
submitted monthly ono ore the last day o owing month. All information shall be
submitted to the fo ing addre�: _
NC Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
I

4. 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.
5. 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 faires of pumps, emitters, etc.;
or j
b. Any failure of a pumping station or treatment facility resulting i' a by-pass directly to receiving
waters without treatment of all or any portion of the influent toJsuch station or facility.
Occurrences outside normal business hours may also be re 6rted to the Division's Emergency
Response personnel at telephone number (800) 858-03b8 or ( 9} 733-3300. Persons reporting such
occurrences by telephone shall also file a written report in tterform within five (5) days following
first knowledge of the occurrence. This report must outlii the actions taken or proposed to be taken
to ensure that the problem does not recur.
IV. INSPECTIONS
1. Adequate inspection, maintenance, and clea/shall provided by the Permittee to insure proper
operation of the subject facilities.
2. Any duly authorized officer, employee, representative of the Division may, upon presentation of
credentials, enter and inspect any pro rty, premises or place on or related to the disposal site or
facility at any reasonable time for t e purpose of determining compliance with this permit, may
inspect or copy any records that m t be maintained under the terms and conditions of this permit,
and may obtain samples of ground ater, surface water, or leachate.
V. GENERAL CONDITIONS
This permit shall become vgfd unless the facilities are constructed in accordance with the conditions
of this permit, the approves} 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 others pporting data.
This permit is not Onsferable. In the event there is a desire for the facilities to change ownership, or
there is a name c ange 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. e approval of this request will be considered on its merits and may or may not be
approved.
4. Upon th availability of a municipal or regional sewerage collection system, the subject wastewater
treatme t facilities shall be abandoned and all wastewater discharged into the municipal or regional
sewerage system.
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.
4

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.
7. This permit may be revoked if the Permittee fails to abide by the conditions of the "Operation and
Maintenance Agreement" pre -ously signed by the Pennittee.
A set of approved plans, specifications and operation and maintenance manual for the subject project
must be retained by the Permittee for the life of the project.
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 Comn-dssion 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 the 27ch day of September, 2004
NORTH CAROL INA ENVIRONMENTAL MANAGEMENT COMMISSION
AIan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0023435

Permit No. WQ0023435
September 27, 2004
ENGINEER'S CERTIFICATION
Partial Final
as a duly registered Profess nal Engineer in the State of North
Carolina, having been authorized to observe {periodically, weekly, full time} e construction of the project,
Project Name
.Location and County
for the Permittee hereby state that, to the best of my abilities, due car and diligence was used in the observation of the
construction such that the construction was observed to be built wit in substantial compliance and intent of this permit,
the approved plans and specifications, and other supporting mater its'.
Signature
Date
Registration No.

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Notar- Signature: Notary Seal:
Date: Commission Expiration: %D
SFR MUM 04/01
OPERATION AND MAINTENANCE AGREEMENT
SINGLE FAMILY RESIDENCE WASTEWATER TREATMENT SYSTEM
DIVISION OF WATER QUALITY
Owner: aAtIt / Ai e
Address: [� �( Off'] // 87L �� Q f G_'. '
Disposal Method: I SPRAY IRRIGATION DRJP IRRIGATOR —)(Circle One)
County: � b RECEIVED
WATER Of IAI IIYSECTION
Perm it No. DEC 10 2003
i agree to operate and maintain the wastewater treatment system as follows:
Merl-Disdarge Parmftilg
I ) 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-,
J The tablet chlorinator shall be checked every week. Tablets shall be added so as to provide
proper chlorination.
'FThe 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 laver shall be
removed at the same time interval as the septic tank is pumped out. .
d 1 The irrigation system shall be inspected monthly to make certain of proper operation, that
veaetative 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.
?) Failure of the Perm ittee 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 agre kse terms as part of the issued permit.
Ovvner Signature, Date:
'NOTARY
PI161.iC
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