WQ0037501_Final Permit_20150630

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
June 30, 2015
BRADLEY ZADELL — MANAGER
KC2 ENTERPRISES, LLC
POST OFFICE BOX 143 8
APEX, NORTH CAROLINA 27502
FRANK FLOYD — MANAGER
1-3, LLC
341 KILMAYNE DRIVE — SUITE 201
CARY, NORTH CAROLINA 27511
Dear Messrs. Zadell and Floyd:
Donald van der Vaart
Secretary
Subject: Permit No. WQ0037501
Carolina Crossings Subdivision
Lot #16 SFR
Single -Family Residence
Wastewater Irrigation System
Chatham County
In accordance with your permit application received December 4, 2014, and subsequent
additional information received May 15, 2015, we are forwarding herewith Permit No. WQ0037501 dated
June 30, 2015, to KC2 Enterprises, LLC and 1-3, LLC for the construction and operation of the subject
single-family residence wastewater treatment and irrigation facilities.
This permit shall be effective from the date of issuance until May 31, 2020, and shall be subject
to the conditions and limitations as specified therein. An extension shall he requested at least six
months prior to the expiration of this permit. Upon receipt of the request, the Commission 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 listed in Section III.
Failure to establish an adequate system for collecting and maintaining the required operational
information shall result in future compliance problems. Also note that Condition VI.6. requires the
Permittee to retain a set of Division approved plans and specifications for the life of the facilities
permitted herein.
Please note the following permit condition is specific to your permit and requires your
attention:
➢ Condition 1.1. — This condition requires that prior to operation of the subject facility, the
Permittee submit documentation demonstrating that Parcel No. 0060710 has been properly
subdivided and recorded in the Chatham County Register of Deeds. Documentation shall
include a deed accompanied by a plat or survey map for Carolina Crossings Subdivision Lot
#16.
1617 Mail Service Center, Raleigh, !North Carolina 27699-1617
Phone: [phone] Internet: http:llportal.ncdenr.or4lwebtwo
An Equal Opportunity l Affirmatve Action Employer— Made in part with recycled paper

Mr. Bradley Zadell and Mr. Frank Floyd
June 30, 2015
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 form 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.
One set of approved plans and specifications is being forwarded to you. If you need additional
information concerning this matter, please contact Alice M. Wessner at [phone] or
alice.wessner[a),ncdenr.gov.
Sincerely,
S. Jay Zimmerman, P.G., Director
Division of Water Resources
cc: Chatham County Health Department Anne Lowry, Environmental Health Director,
anne.lowry@a,chathamnc.org (Electronic Copy)
Raleigh Regional Office, Water Quality Regional Operations Section (Electronic Copy)
John R. Harman, P.E., 2112 White Oak Road, Raleigh, NC 27608 'ackharman53 mail.com
(Electronic Copy)
Beth Buffington, Public Water Supply Section — Protection and Enforcement Branch (Electronic
Copy)
Central Files
Digital Permit Archive (Electronic Copy)

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
KC2 Enterprises, LLC and 1-3, LLC
Chatham County
FOR THE
construction and operation of a 600 gallon per day (GPD) single-family residence wastewater treatment
and irrigation facility consisting of:
a 1,500 gallon septic tank with an Orenco Residential Biotube& effluent filter; a 1,000 gallon recirculation
tank with two AdvanTex® AX -20 filter treatment units and a 50 gallon per minute (GPM) AdvanTex
recirculation pump; an Orenco ultraviolet (UV) disinfection unit; a 5,400 gallon field dosing tank with a
17 GPM pump, visual and audible alarms, drip irrigation controls, and a rain sensor; a 0.44 acre drip
irrigation area with four zones and return lines; and all associated piping, valves, controls and
appurtenances
to serve the single-family residence at Carolina Crossings Subdivision Lot #16, with no discharge of
wastes to surface waters, pursuant to the application received December 4, 2014, and subsequent
additional information received by the Division of Water Resources, 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 date of issuance until May 31, 2020, and shall be subject to the
following specified conditions and limitations:
I. SCHEDULES
1. Prior to construction and operation of the proposed facilities, the Permittee submit documentation
demonstrating that Parcel No. 0060710 has been properly subdivided and recorded in the Chatham
County Register of Deeds. Documentation shall include a deed accompanied by a plat or survey map
for Carolina Crossings Subdivision Lot #19. [15A NCAC 02T .0108 (b)(2), 02T .0604(e)]
WQ0037501 Version 1.0 Shell Version 150213 Page 1 of 8

2. 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 approved under the same permit, and shall
provide a final certificate of completion once the entire project has been comp_Ieted. Mail the
Certification to the Division of Water Resources, Water Quality Permitting Section, 1636 Mail
Service Center, Raleigh, NC 27699-1636. [15A NCAC 02T,01 16]
3. 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 regional supervisor shall be made from 8:00 a.m.
until 5:00 p.m. on Monday through Friday, excluding State Holidays. [ 15A NCAC 02T .0108 (b)(2)]
4. 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(d) requires an updated site map to be submitted with the permit renewal
application. [15A NCAC 02T .0105, 02T .0109, 02T .0115(c)]
5. 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. [15A NCAC 02T
.0607]
IL PERFORMANCE STANDARDS
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.
[I 5A NCAC 02T .0108(b)(1)]
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. [ 15A NCAC 02B .02 00, 02L .0100]
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
01284 — Non -Discharge Application Rate
0.12
20.36
inches
[15A NCAC 02T.06050)]
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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
I
1-3, LLC and KC2 Enterprises,
Chatham
350 47'37"
-78' 57'26"
0.44
Creedmoor/
White Store
[G.S. 143-215.11
5. The Operation and Maintenance Agreement (attached) between the Permittee and the Division of
Water Resources is incorporated herein by reference and shall be a condition of this permit.
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. [15A
NCAC 02T .0115 (2)]
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 111.4. and 111.5. of this permit.
[ 15A NCAC 02T .0605(o)]
7. 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. [15A
NCAC 02L.0107(i)]
8. 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. [ 15A NCAC 02L .0108]
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. [15A NCAC 02L .0107(c)]
10. The facilities permitted herein shall be constructed according to the following setbacks:
a. The setbacks for irrigation sites permitted under 15A NCAC 02T .0600 shall be as follows (all
distances in feet):
i. Any habitable residence or place of public assembly under separate ownership:
ii. Any habitable residence or place of public assembly owned by the Permittee:
iii. Any private or public water supply source:
iv. Surface waters:
v. Groundwater lowering ditches:
vi. Surface water diversions:
vii. Any well with exception of monitoring wells:
viii. Any property line:
ix. Top of slope of embankments or cuts of two feet or more in vertical height:
x. Any water line from a disposal system:
xi. Subsurface groundwater lowering drainage systems:
xii. Any swimming pool:
xiii. Public right of way:
xiv. Nitrification field:
xv. Any building foundation or basement:
[15A NCAC 02T .0606(a)]
WQ0037501 Version 1.0 Shell Version 150213
100
15
100
100
100
25
100
50
15
10
100
100
50
20
15
Page 3 of 8

b. The setbacks for storage and treatment units permitted under 15A NCAC 02T .0600 shall be as
follows (alI distances in feet):
i. Any habitable residence or place of public assembly under separate ownership: 100
ii. Any private or public water supply source: 100
iii. Surface waters: 50
iv. Any well with exception of monitoring wells: 100
v. Any property line: 50
[15A NCAC 02T .0606(b)]
111. 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). [15A NCAC 02T .0604(f)]
2. Upon the Water Pollution Control System Operators Certification Commission's (WPCSOCC)
classification of the subject non -discharge facilities, in accordance with 15A NCAC 08G .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. [ 15A NCAC 02T .0117]
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.
[15A NCAC 02T .0108(b)(1)]
4. Adequate measures shall be taken to prevent effluent ponding in or runoff from the irrigation sites
listed in Condition 11.4. [15A NCAC 02T .0605(o)]
5. Irrigation shall not be performed during inclement weather or when the ground is in a condition that
will cause ponding or runoff. [ 15A NCAC 02T .0605(o)]
6. Only effluent from the Carolina Crossings Subdivision Lot 416 SFR shall be irrigated on the sites
listed in Condition I1.4. [G.S. 143-215.1]
7. No automobiles or machinery shall be allowed on the irrigation sites except during equipment
installation or while maintenance is being performed. [15A NCAC 02T .0108(b)(1)]
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. [15A NCAC 02T .0605(1)]
9. The residuals generated from the wastewater treatment facilities shall be disposed or utilized in
accordance with 15A NCAC 02T .1100. [15A NCAC 02T .1100]
10. Diversion or bypassing of untreated or partially treated wastewater from the treatment facilities is
prohibited. [15A NCAC 02T .0605(f)]
11. Pump/dosing tanks shall have audible and visual alarms external to any structure. [15A NCAC 02T
.0605(n)]
12. Any excavation into bedrock shall be lined with a 10 millimeter (mm) synthetic liner. [15A NCAC
02T .0605(d)]
WQ0037501 Version 1.0 Shell Version 150213 Page 4 of 8

13. 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. [15A NCAC 18A
.1900, 02T.0605]
b. 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. [15A NCAC 02T .0605(1)]
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. [15A NCAC 02T .0108(b)(1)]
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. [15A NCAC 02T .0108(b)(1)]
IV. MONITORING AND REPORTING REQUIREMENTS
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. [15A NCAC 02T .0108(c)]
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:
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 betaken to ensure the problem does not recur. [ 15A NCAC 02T .0105(1)]
V. INSPECTIONS
1. The Permittee shall provide adequate inspection and maintenance to ensure proper operation of the
wastewater treatment and irrigation facilities. [15A NCAC 02T .0108(b)]
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. [15A NCAC 02T .0108(b)]
WQ0037501 Version 1.0 Shell Version 150213 Page 5 of 8

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. [G.S. 143-215.3(a)(2)]
VL 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 143-215.6C. [G.S. 143-215.6A to 143-215.6C]
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. [ 15A NCAC 02T .0110]
3. This permit is effective only with respect to the nature and volume of wastes described in the permit
application, Division 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). [G.S. 14.-215.1]
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 General Permit NCG010000; 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. [15A NCAC 02T .0105(c)(6)]
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. [15A NCAC
02T .0104]
6. The Permittee shall retain a set of Division approved plans and specifications for the life of the
facilities permitted herein. [15A NCAC 02T .0108(b)(1)]
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. [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. [15A NCAC 02T
.0110]
9. Unless the Division Director grants a variance, expansion of the permitted facilities contained herein
shall not be granted if the Permittee exemplifies any of the criteria in 15A NCAC 02T .0120(b). [15A
NCAC 02T.0120]
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 revoke this permit. [ 15A NCAC 02T
.0105(e)(3)]
WQ0037501 Version 1.0 Shell Version 150213 Page 6 of 8

Permit issued this the 30t" day of June 2015
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
,,�"—S. Jay Zimmerman, P.G., Direct
Division of Water Resources
By Authority of the Environmental Management Commission
Permit Number WQ0037501
WQ0037501 Version 1.0 Shell Version 150213 Page 7 of 8

Permit No. WQ0037501
KC2 Enterprises, LLC and 1-3, LLC
Carolina Crossings Subdivision Lot # 16 SFR
❑ Partial ❑ Final
Single -Family Residence Wastewater Irrigation System
June 30, 2015
Chatham County
ENGINEERING CERTIFICATION
In accordance with 15A NCAC 02T .0 116, 1,_
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 i 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 CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NON -DISCHARGE PERMITTING UNIT
By U.S. Postal Service:
1617 MAIL SERVICE CENTER
By Courier/Special Delivery:
512 N. SALISBURY ST.
RALEIGH, NORTH CAROLINA 27699-1617 RALEIGH, NORTH CAROLINA 27604
WQ0037501 Version 1.0 Shell Version 150213
Page 8 of 8

State of North Carolina
Department of Environment and Natural Resources
- - - - - - Division of Water Resources -
15A NCAC 02T.0600 — SINGLE -FAM ILY
esources-15ANCACO2T.0600—SINGLE-FAMILY RESIDENCE WASTEWATER IRRIGATION SYSTEMS
OPERATION AND MAINTENANCE AGREEMENT
Dlvlston of Water Resources FORM: 5FRWWIS O&M 08-13
Permit No.County: Chatham
Property owner(s) as appearing on the recorded deed: KC2 Ente rises LLC and 1-3 LLC
Mailing address: P. O. Box 1438 A ex North Carolina 27502
Facility address: Lot 16; Carolina Crossings Subdivision; Near Apex -Martha's Chapel Vicinity; Chatham County
Irrigation Method: ❑ SPRAY 2 LRIP
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 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 shall 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 15A NCAC 02T
A105(e)(3).
3. The Permittee's failure to properly operate this system is subject to a penalty up to $25,000 per day.
4. Failure to meet the permit conditions or violation of the State's surface water or groundwater regulations may void
the permit.
All owuers g. on the IWjIl): Mord Q[gsgrty deed shall sign this Ugeration & Maintenance AyLgemen#
I 1 We understand the above requir m is and agree tQ these terms as part of the issued permit.
Owner Signature: Date: December 3, 2014
Owner Signature: Date: December 3 2014
FORM: SFRW*8 DBc 108-13 Page i of I

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NOTES:
1) SITE DATA WHICH INCLUDES PROPERTY BOUNDARIES, TOPO, UTILITIES, ROADS, AND OTHER
SITE FEATURES WERE PROVIDED BY PLANS PREPARED BY CE GROUP, PLLC -RALEIGH, NC (PLANNERS
& ENGINEERS) AND ARE SHOWN TO DISPLAY GENERAL SITE CONDITIONS AND ARE PRESUMED TO
BE ACCURATE. LOCATIONS OF PROPOSED STRUCTURES (HOUSES, DRIVEWAYS, AND WELLS) ARE
SUBJECT TO MODIFICATION IF WITHIN THE CONTEXT OF APPLICABLE RULES FOR SETBACKS.
2) ALL SEPTIC SYSTEM COMPONENTS TO INCLUDE TANKS, PUMPS, MANIFOLDS, AND SYS
e:ONFIGURTION ARE APPROXIMATE AND AS SUCH NO SPECIFIC ACCURACY EITHER VER
ORIZONTAL IS IMPLIED. SUITABLE SOIUDISPOSAL APPLICATION AREAS HAVE BEEN G7
BY PROTOCOL SAMPLING, PLLC.-RALEIGH, NC (SOIL SCIENTISTS).
3) PROPERTY AND EASEMENT BOUNDARIES SHOWN ON THIS SITE SKETCH ARE APPROXIMATE
AND ARE NOT INTENDED FOR LOCATING PROPERTY OR IDENTIFYING PROPERTY OR EASEMENT
CORNERS. THIS IS NOT A SURVEY.
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