WQ0009064_Final Permit_20190509

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Director
MARK EMAmiAN AND MARILYN T. CARTER
100 SAN SOPHIA DRIVE
CHAPEL HILL, NORTH CAROLINA 27514
Dear Mr. Emamian and Ms. Carter:
NORTH CAROLINA
Environmental Quality
May 9, 2019
Subject: Permit No. WQ0009064
300 Mimosa Dr. SFR
Single -Family Residence
Wastewater Irrigation System
Orange County
In accordance with your permit renewal request received March 5, 2019, we are forwarding
herewith Permit No. WQ0009064 dated May 9, 2019, to Mark Emamian and Marilyn T. Carter for the
continued operation of the subject single-family residence wastewater treatment and irrigation facilities.
Please note that this renewed permit shall become effective on August 1, 2019 (i.e., the day after the
expiration date of the existing permit).
This permit shall be effective from August 1, 2019 through March 31, 2025, shall void Permit No.
WQ0009064 issued April 7, 2014, and shall be subject to the conditions and limitations therein. The
Permittee shall submit a renewal application no later than October 2, 2024.
Please pay attention to the operation and maintenance requirements listed 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.
The Division has removed the following permit conditions since the last permit issuance dated
April 7, 2014:
➢ Old Condition III.12. —This condition has been removed because the subject facility is not
located in the 100-year floodplain.
➢ Condition VI.2. — This condition has been removed because the permit is non -voidable.
The following permit conditions are new since the last permit issuance dated April 7, 2014:
➢ Condition II.9. — All setbacks applicable at the time of original permit issuance have been
included.
➢ Condition III.12. — Metering equipment shall be tested and calibrated annually.
➢ Condition VI.10. —This condition states that the permit shall not be renewed if the required
annual fee has not been paid.
North Carolina Department of Environmental Quality I Division of Water Resources
_ 512 North Salisbury Street 1 1617 Mail Service Center I Raleigh, North Carolina 27699-1617
NORTH CAROUNA
mna� r 919.707.9000

Mr. Mark Emamian and Ms. Marilyn T. Carter
May 9, 2019
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. Otherwise, this permit shall be final and binding.
If you need additional information concerning this permit, please contact Poonam Giri at (919)
707-3656 or oU onam. iriQncdenr.gov.
Sincerely,
I -Linda Culpepper, Director
Division of Water Resources
cc: Orange County Health Department (Electronic Copy)
Raleigh Regional Office, Water Quality Regional Operations Section (Electronic Copy)
Laserfiche File (Electronic Copy)
Digital Permit Archive (Electronic Copy)
Central Files

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
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
Mark Emamian and Marilyn T. Carter
Orange County
FOR THE
continued operation of a 480 gallon per day (GPD) single-family residence wastewater treatment and
irrigation facility consisting of:
a 1,200 gallon baffled septic tank; a 1,200 gallon sand filter pump tank with a 20 gallon per minute (GPM)
pump; a 420 square foot (ft2) dual subsurface sand filter; a tablet chlorinator; two 1,500 gallon
interconnected storage/pump tanks, with a 20 GPM pump, and audible/visual alarms; a 0.31 acre spray
irrigation area with eleven 2.2 GPM spray heads; and all associated piping, valves, controls, and
appurtenances
to serve the single-family residence at 300 Mimosa Dr., Chapel Hill, NC 27514, with no discharge of wastes
to surface waters, pursuant to the application received March 5, 2019, and in conformity with the Division -
approved plans and specifications considered a part of this permit.
This permit shall be effective from August 1, 2019 through March 31, 2025, shall void Permit No.
WQ0009064 issued April 7, 2014, and shall be subject to the following conditions and limitations:
I. SCHEDULES
1. The Permittee shall request renewal of this permit on Division -approved forms no later than October
2, 2024. [15A NCAC 02T .0105(b), 02T .0109]
2. If a public or community sewage system is or becomes available, the Permittee shall connect to this
system, and shall request rescission of the single-family residence wastewater treatment and irrigation
facilities permitted herein. [15A NCAC 02T .0607]
WQ0009064 Version 4.0 Shell Version 181105 Page 1 of 7

U. PERFORMANCE STANDARDS
The Permittee shall maintain and operate the subject non -discharge facilities 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 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. [15A NCAC 02T
.0108(b)(1)(A)]
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 02T .0108(b)(1)(A)]
3. The Permittee shall apply treated wastewater effluent at or below the following rates:
TABLE 1— APPLICATION LIMITATIONS
Field
Parameter
Hourly Rate
Yearly Max
Units
1
01284 — Non -Discharge Application Rate
0.20
20.8
inches
[15A NCAC 02T .06050)]
4. The Permittee shall only apply treated wastewater effluent to the following:
TABLE 2 — IRRIGATION AREA INFORMATION
Field
Owner
County
Latitude
Longitude
Net
Dominant
Acreage
Soil Series
1
Mark Emamian and Marilyn
Orange
35.9814180
-79.0248180
0.31
EnB- Enon loam, 2-6%
T. Carter
slopes
[15A NCAC 02T .0108(b)(1)(A)]
5. The attached Operation and Maintenance Agreement shall be a condition of this permit.
Noncompliance with the terms of the Operation and Maintenance Agreement shall subject the Permittee
to all sanctions under G. S. 143-215.6A, G.S. 143-215.6B, and G.S. 143-215.6C for violation of or
failure to act in accordance with the terms and conditions of this permit. [ 15A NCAC 02T .0604(h)]
6. The compliance boundary is the property boundary. Any exceedance of groundwater standards at or
beyond the compliance boundary shall require corrective action. Division -approved relocation of the
compliance boundary shall be noted in Condition II.4. Multiple contiguous properties under common
ownership and permitted for use as a disposal system shall be treated as a single property with regard
to determination of a compliance boundary. [ 15A NCAC 02L .0106(d)(2), 02L .0107(i), 02T .0105(h),
G.S. 143-215.1(i), G.S. 143-215.1(k)]
7. The review boundary is midway between the compliance boundary and the effluent disposal area. Any
exceedance of groundwater standards at or beyond the review boundary shall require preventative
action. [15A NCAC 02L.0106(d)(1), 02L .0108]
8. 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 (i.e., parcel subdivision). [ 15A NCAC
02L .0107(c)]
WQ0009064 Version 4.0 Shell Version 181105 Page 2 of 7

9. The facilities herein were permitted per the following setbacks:
a. The irrigation sites were originally permitted June 27, 1994. The setbacks for spray irrigation sites
originally permitted or modified from February 1, 1993 to August 31, 2006 are as follows (all
distances in feet):
i. Each habitable residence or place of assembly under separate ownership:
400 1,3
ii. Each private or public water supply source:
100
iii. Surface waters:
100
iv. Groundwater lowering ditches:
100
v. Surface water diversions (upslope):
100
vi. Surface water diversions (downslope):
100
vii. Each well with exception of monitoring wells:
100
viii. Each property line:
150 1,4
ix. Top of slope of embankments or cuts of two feet or more in vertical height:
15
x. Each water line:
10
xi. Each swimming pool:
100
xii. Public right of way:
50
xiii. Nitrification field:
20
xiv. Each building foundation or basement:
15
' Habitable residences or places of assembly under separate ownership constructed after the
facilities herein were originally permitted or subsequently modified are exempt from this
setback.
2 Setbacks to property lines are not applicable when the Permittee, or the entity from which the
Permittee is leasing, owns both parcels separated by the property line.
3 Per variances granted by the Division in the original permit issuance, dated June 27, 1994,
reduced setbacks from the wetted area to any habitable residence or place of assembly under
separate ownership are as follows:
Parcel No. Deed Book / Page
Setback
Easement
9891-22-2013
See Attachment
275 feet
125 feet
9891-21-2834
See Attachment
265 feet
135 feet
9891-21-5548
See Attachment
240 feet
160 feet
a Per variances granted by the Division in the original permit issuance, dated June 27, 1994,
reduced setbacks from the wetted area to any property line are as follows:
Parcel No.
Deed Book / Page
Setback
Easement
9891-43-1974
See Attachment
10 feet
140 feet
9891-61-9856
See Attachment
10 feet
140 feet
[15A NCAC 02H .02190)(5)]
WQ0009064 Version 4.0 Shell Version 181105 Page 3 of 7

b. The storage and treatment units were originally permitted June 27, 1994. The setbacks for storage
and treatment units originally permitted or modified from February 1, 1993 to August 31, 2006 are
as follows (all distances in feet):
i. Each habitable residence or place of assembly under separate ownership (only 1001
applicable to surface sand filters):
ii. Each private or public water supply source: 100
iii. Surface waters: 50
iv. Each well with exception of monitoring wells: 100
v. Each property line: 502
vi. Nitrification field: 20
1 Habitable residences or places of assembly under separate ownership constructed after the
facilities herein were originally permitted or subsequently modified are exempt from this
setback.
2 Setbacks to property lines are not applicable when the Permittee, or the entity from which the
Permittee is leasing, owns both parcels separated by the property line.
[15A NCAC 02H .02190)(5)]
III. OPERATION AND MAINTENANCE REQUIREMENTS
1. The Permittee shall operate and maintain the subject facilities as a non -discharge system. [15A NCAC
02T .0600]
2. Upon the Water Pollution Control System Operators Certification Commission's (WPCSOCC)
classification of the subject non -discharge facilities, the Permittee shall designate and employ a certified
operator in responsible charge (ORC), and one or more certified operators as back-up ORCs. The ORC
or their back-up shall operate and visit the facilities as required by the WPCSOCC. [15A NCAC 02T
.0117]
The Permittee shall maintain vegetative cover on the irrigation sites, such that crop health is optimal,
allows even effluent distribution, and allows inspection of the irrigation system. [15A NCAC 02T
.0608(a)]
4. The Permittee shall take measures to prevent effluent ponding in or runoff from the irrigation sites
listed in Condition II.4. [15A NCAC 02T .0608(b)]
5. The Permittee shall not irrigate treated effluent during inclement weather, or when the soil is in a
condition that will cause ponding or runoff. [15A NCAC 02T .0605(o)]
6. The Permittee shall only irrigate treated effluent from the single-family residence at 300 Mimosa Dr.,
Chapel Hill, NC 27514 on the sites listed in Condition II.4. [15A NCAC 02T .0601]
7. The Permittee shall not allow vehicles or heavy machinery on the irrigation area, except during
equipment installation or maintenance activities. [ 15A NCAC 02T .0608(d)]
8. The Permittee shall prohibit public access to the wastewater treatment and irrigation facilities through
lockable treatment units, and fencing around the irrigation sites. [15A NCAC 02T .0605(i)]
9. The Permittee shall dispose or utilize generated residuals in a Division -approved manner. [15A NCAC
02T .1100].
10. The Permittee shall not divert or bypass untreated or partially treated wastewater from the subject
facilities. [15A NCAC 02T .0605(f)]
WQ0009064 Version 4.0 Shell Version 181105 Page 4 of 7

11. Pump tanks shall have audible and visual alarms external to any structure. [ 15A NCAC 02T .0605(n)]
12. Metering equipment shall be tested and calibrated annually. [15A NCAC 02T .0608(c)]
13. The Permittee is responsible for the operation and maintenance of the wastewater treatment and
irrigation system including the following:
a. Inspect the septic tank annually, and pump out solids as needed. Inspect and clean the septic tank
effluent filter annually.
b. Inspect the tablet chlorinator weekly. Add wastewater grade chlorine tablets (e.g., calcium
hypochlorite) as needed. Swimming pool grade chlorine tablets are not acceptable.
c. Inspect all storage tanks, pumps, and alarms monthly. Remove the floating scum layer in all
pump/storage tanks when pumping the septic tank solids out.
d. Inspect the spray irrigation system monthly to verify: proper operation of the spray heads; that there
are no leaks; that vegetative growth does not obstruct the spray heads; that the irrigated wastewater
is not ponding in or running off the designated irrigation area; and that there are no objectionable
odors.
[I 5A NCAC 02T .0608]
IV. MONITORING AND REPORTING REQUIREMENTS
1. The Permittee shall conduct and report any Division required monitoring necessary to evaluate this
facility's impact on groundwater and surface water. [ 15A NCAC 02T .0108(c)]
2. Noncompliance Notification:
The Permittee shall report to the Raleigh Regional Office, telephone number [phone], within
24 hours of first knowledge of the following:
a. Any process unit failure (e.g., mechanical, electrical, etc.) rendering the facility incapable of
adequate wastewater treatment.
b. Any facility failure resulting in a discharge to 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.
Emergencies requiring reporting outside normal business hours shall call the Division's Emergency
Response personnel at telephone number [phone], [phone], or [phone]. All
noncompliance notifications shall file a written report to the Raleigh Regional Office within five days
of first knowledge of the occurrence, and this report shall outline the actions proposed or taken to ensure
the problem does not recur. [15A NCAC 02T .0108(b)(1)(A)]
WQ0009064 Version 4.0 Shell Version 181105 Page 5 of 7

V. INSPECTIONS
1. The Permittee shall perform inspections and maintenance to ensure proper operation of the wastewater
treatment and irrigation facilities. [ 15A NCAC 02T .0608(f)]
2. The Permittee shall inspect the wastewater treatment and irrigation facilities to prevent malfunctions,
facility deterioration, and operator errors that may result in discharges of wastes to the environment,
threats to human health, or public nuisances. The Permittee shall maintain an inspection log that
includes the date and time of inspection, observations made, and 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
.0608(e), 02T .0608(f)]
3. Division authorized representatives may, upon presentation of credentials, enter and inspect any
property, premises, or place related to the wastewater treatment and irrigation facilities permitted herein
at any reasonable time for determining compliance with this permit. Division authorized
representatives may inspect or copy records 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)]
VI. GENERAL CONDITIONS
1. Failure to comply with the conditions and limitations contained herein may subject the Permittee to a
Division enforcement action. [G.S. 143-215.6A, 143-215.613, 143-215.6C]
2. This permit is effective only with respect to the nature and volume of wastes described in the permit
application, and Division -approved plans and specifications. [G.S. 143-215.1(d)]
3. Unless specifically requested and approved in this permit, there are no variances to administrative codes
or general statutes governing the construction or operation of the facilities permitted herein. [15A
NCAC 02T .0105(n)]
4. The issuance of this permit does not exempt the Permittee from complying with all statutes, rules,
regulations, or ordinances that other jurisdictional government agencies (e.g., local, state, and federal)
may require. [15A NCAC 02T .0105(c)(6)]
If the permitted facilities change ownership, or the Permittee changes their name, the Permittee shall
submit a permit modification request on Division -approved forms. The Permittee shall comply with
all terms and conditions of this permit until the permit is transferred to the successor -owner. [G.S. 143-
215.1(d3)]
6. The Permittee shall retain a set of Division -approved plans and specifications for the life of the facilities
permitted herein. [15A NCAC 02T .0105(o)]
7. The Permittee shall maintain this permit until the proper closure of all facilities permitted herein, or
until the facilities permitted herein are permitted by another authority. [15A NCAC 02T .01050)]
WQ0009064 Version 4.0 Shell Version 181105 Page 6 of 7

8. This permit is subject to revocation or modification upon 60-day notice from the Division Director, in
whole or part for:
violation of any terms or conditions of this permit or Administrative Code Title 15A Subchapter
02T;
b. obtaining a permit by misrepresentation or failure to disclose all relevant facts;
c. the Permittee's refusal to allow authorized Department employees upon presentation of credentials:
i. to enter the Permittee's premises where a system is located or where any records are required
to be kept;
ii. to have access to any permit required documents and records;
iii. to inspect any monitoring equipment or method as required in this permit; or
iv. to sample any pollutants;
d. the Permittee's failure to pay the annual fee for administering and compliance monitoring; or
e. a Division determination that the conditions of this permit are in conflict with North Carolina
Administrative Code or General Statutes.
[15A NCAC 02T .0110]
9. Unless the Division Director grants a variance, expansion of the facilities permitted herein shall not
occur if any of the following apply:
a. The Permittee or any parent, subsidiary, or other affiliate of the Permittee has been convicted of
environmental crimes under G.S. 143-215.6B, or under Federal law that would otherwise be
prosecuted under G.S. 143-215.6B, and all appeals of this conviction have been abandoned or
exhausted.
b. The Permittee or any parent, subsidiary, or other affiliate of the Permittee has previously abandoned
a wastewater treatment facility without properly closing the facility.
c. The Permittee or any parent, subsidiary, or other affiliate of the Permittee has not paid a civil
penalty, and all appeals of this penalty have been abandoned or exhausted.
d. The Permittee or any parent, subsidiary, or other affiliate of the Permittee is currently not compliant
with any compliance schedule in a permit, settlement agreement, or order.
e. The Permittee or any parent, subsidiary, or other affiliate of the Permittee has not paid an annual
fee.
[15A NCAC 02T .0120(b), 02T .0120(d)]
10. This permit shall not be renewed if the Permittee or any affiliation has not paid the required annual fee.
[ 15A NCAC 02T .0120(c)]
Permit issued this the 9t' day of May 2019
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Amda Culpepper, Director ^
Division of Water Resources
By Authority of the Environmental Manage t Commission
Permit Number WQ0009064
WQ0009064 Version 4.0 Shell Version 181105 Page 7 of 7

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State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
SINGLE-FAMILY RESIDENCE WASTEWATER IRRIGATION SYSTEM
Division of Water Resources OPERATION AND MAINTENANCE AGREEMENT
FORM: SFRWWIS-O&M 09-18
Permit No. WQ0009064 County: Orange
Permittee: Mark Emamian and Marilyn T. Carter (i.e., all deeded property owners)
The Permittee agrees to operate and maintain the single-family residence wastewater treatment and irrigation system as
follows:
1. Inspect the septic tank annually, and pump out solids as needed.
2. Inspect and clean the septic tank effluent filter annually. (if applicable)
3. Inspect the tablet chlorinator weekly. Add wastewater grade chlorine tablets (e.g., calcium hypochlorite) as needed.
Swimming pool grade chlorine tablets are not acceptable. (if applicable)
4. Inspect the ultraviolet disinfection unit weekly. Clean or replace the lamps and quartz sleeves as needed. (if
applicable)
5. Inspect all storage tanks, pumps, and alarms monthly. Remove the floating scum layer in all pump/storage tanks
when pumping the septic tank solids out.
6. Inspect the spray irrigation system monthly to verify: proper operation of the spray heads; that there are no leaks;
that vegetative growth does not obstruct the spray heads; that the irrigated wastewater is not ponding in or running
off the designated irrigation area; and that there are no objectionable odors. (if applicable)
7. Inspect the drip irrigation system monthly to verify: proper operation of the drip lines; that there are no leaks; that
vegetative growth does not obstruct the drip emitters; that the irrigated wastewater is not ponding in or running off
the designated irrigation area; and that there are no objectionable odors. (if applicable)
8. Maintain a set of Division -approved engineering plans and specifications.
9. Pay the required annual fee.
10. Request renewal of this permit on Division -approved forms no later than 180 days prior to expiration.
11. Sign and provide a Change of Ownership application to any future owner of the single-family residence wastewater
treatment and irrigation system for their completion and submission to the Division of Water Resources.
We understand the above r irements and agree to these terms as part of the issued permit.
Signature: Date:
Signature: .� ,% �— (` _ Date: to IL
Signature:
Signature:
Date:
Date:
All deeded property owners shall sign this Operation and Maintenance Agreement
FORM: SFRWWIS-O&M 09-18 Page 1 of 1

,Butte 3.11nifaersita
DURHAM
NORTH CAR00NA
27706=0332
SCHOOL OF THE ENVIRONMENT
OFFICE OF THE DUKE FOREST
BOX 90332
November 17, 1993
Mr. Craig B. Morgan & Assoc., P.A.
Consulting Engineers
P.O. Box 51568
Durham, NC 27717-1569
Dear Craig:
TELEPHONE [phone]
FACSIMILE (9191 664-6741
Enclosed are two signed and notarized originals of the Landowners Statement requested by
Dr. Thomas Naylor for installation of a non -conventional wastewater system for his lot in
Birchwood Lake Estates. Mr. Jeff Potter of our Office of Real Estate Administration has initiated
the paperwork to effect the swap of land between Dr. Naylor and the University. I understand
from you that final execution of the swap should not take place until the State actually approves
the wastewater system requested by Dr. Naylor. We will wait to hear from you on that.
It seems that this project is nearly complete, and I appreciate your working with us to
determine a workable solution to a thorny problem.
Sincerely,
�� Milo- ,
Judson Edeburn
Duke Forest Resource Manager
attachment
cc: Dean Norman Christensen w/o attachment
Mr. Jeff Potter
Mr. David Singleton
COMBINING THE FORMER SCHOOL OF FORESTRY AND ENVIRONMENTAL STUDIES AND THE MARINE LABORATORY

DUKE UNIVERS17V DUKE FOREST
OFFICE OF THE DUKE FOREST WHITFIEW RD..
ORANGE COUNTY
Thomas H. Naylor
300 Mimosa Dr.
Chapel B11, NC
PETITIONER
and
Duke University
RESPONDENT
ADJACENT RIPARIAN
LANDOWNER'S STATEMENT
Relating to Private Oa -Site
Wastewater Irrigation
Treatment System
The existing re Wc= at 300 Mimosa Drive, currently owned by Dr. Thomas Naylor (Petitionerl is in
need of wastewater system improvemcnts in order to attain compliance with State and County regulations.
An opportunity has now developed which would allow the Petitioner to accmnplish the upgrade of his
atisting septic system and finally achieve regulatory compliance.
The proposed system rehabilitation involves abandonment of the existing septic system drain6aid and
replacement with a subsurface sand Sher, disinfection system and surbm spray irrigatica system. The
system would be located as shown on Exhibit A. The proposed wastewater system modification would be
pmnitW by the NC Division of Environmental Management and operated under the general supervision of
a state certified wastewater systems operator. There will be no sewage odor or other nuisance associated
with system operation.
State regulations stipulate that a 1 SO foot buffer be provided between the wetted perimeter and any
property line. Since it is necessary to loans the proposed wastewater system along the property tine
common to the Duke Forest, the Petitioner requests support of a waiver request far the ISO ft. buffer
setback,
Dula University (Respondent) owns and manages the section of Duke Forest land abutting Lots 014 and
A 15 of Birchwood Lake Estates. We have rand the Petitioner's statement of need and understand that the
proposed wastewater system is abutting the property lire common to Lot 14 and Dula Forest. In
consideration of the Category One Forest managememt policy for the section of Duke Forest abutting Lot
f114, the Raspandem HAS NO OBJECTION to the redhead buffer setback, as long as the wastewater
system remains m Permit compliance and is operated and nudowbW in accordance with State andlor local
County regulations, and in accordance with this statement.
The Petitioner aelomowledges that no easement, prescriptive or otherwise, to the Respondent's property nor
any license of any kind whatsoever shall derive from Respondent's support of Petitioner's request herein.
PETITIONER: RESPONDENT:
Thomas H. Naylor Duke University
30O Manasa Drive Durham, NC
Chapel 160. NC
Dc f. Zq,�y�
D
/ya to r
P Signature
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1,9,ga_
Date
P
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U�. RUer. Fu Ire
Printed Signature
Vloe I'rasldont, Plam►ing and T,-,., •-
Title

IN TESTIMt WHEREOF, the Petitioner has hereunto set his hani -seal, the day and year
Bra above written.
z X - (SEAL)
Ile t+. r—
County
Au--� a Notary Public for above named County and State, do
hereby certify that W . ,t1,s /ex-- . _ .. (Petitioner) this day personally
appeared before me and acknowledged the due execution of the forgoing insumment for the purpose
therein expressed.
Witness my hand and notarial seal, this the 29 day of 4 19 93.
otary Pub
My commission expires _ a 19
� y
IN TESTIMONY WHEREOF, the Respondent has hermato set his hand and seal, the day and
year first above written.
(' -:� , , _ _ (SEAL)
North Carolina
fJt/���4,tt•�- County
I, ,i i 1t T• `r t�yf-� • • a Notary Public for above named County and Stitt, do
hereby certify that (Respondent) this day ply
appeared before me and aclmowtedged the due execution of the foregoing instrument for the purposes
therein expressed.
Witness my hand and notarial seal this th 4 der of rrl- e �'
' — — N Public
G -•-. '. k.corurission expires
S•• p .

R"Z Rew..n tb r-,n y; e r
ADJACENT RIPARIAN LANDOWNERS STATEMENT
Relating to Private On -Site Wastewater Treatment
System Construction
STATEMENT OF NEED:.
The existing residence at 300 Mimosa Drive, currently owned by Mr. Thomas
Naylor, is in need of wastewater system improvements in order to attain
compliance with State and County regulations. An opportunity has now
developed which would allow Mr. Naylor to accomplish the upgrade of his
existing septic system and finally achieve regulatory compliance.
The proposed.system rehabilitation involves abandonment of the existing
septic system drainfield and replacement with a subsurface sand filter,
disinfection system and surface spray irrigation system. The system would
be located as shown on the back of this form. The spray system will
operate in much the same manner as a lawn irrigation system. There will
be no sewage odor associated with this system operation. Due to the
.I
proximity of area residences to the Naylor site, we must contact all
homeowners within 399 feet of the proposed site. State Regulations oil
require a buffer separation from all property lines of 150 feet and 400 Ud
feet from all residences. The 400 foot proximity distance may be reduced'
IF area residents have NO OBJECTION. At this time Mr. Naylor requests Y your waiver of the 400 foot proximity distance. ILI
This form enables the area riparian landowners to express their objection
or approval of the reduced wastewater treatment system separation
distance, as proposed by Mr. Naylor. A
LANDOWNER RESPONSE:
I, r 2, )7�lr reside in an existing residence
located on Lot V , 6, 13 within the Birch Lake Subdivision. I have read
the above statement and understand that the proximity setback distance
from my residence is only 265'; 275'; 240' and that the recommended
setback distance is 400 feet. Further, I understand that the N.C.
Division of Environmental Management is prepared to waive the maximum
setback requirements, provided the affected area residents have no
objections. My statement is as follows:
F I have no objection to the reduced proximity setback, as long
as the wooded buffer remains in its natural condit on. I
hereby waive my right to objection. u41Lss sy'%hat i41"
I object to the proposed action. Comments attached.
L /jL
Date:
Signature if Landowner
Address: 02-& a- '--

ADJACENT RIPARIAN. LANDOWNERS STATEMENT
Relating to Private On -Site Wastewater Treatment
System Construction
STATEMENT OF NEED:
The existing residence at 300 Mimosa Drive, currently owned by Mr. Thomas
Naylor, is in need of wastewater system improvements in order to attain
compliance with State and County regulations. An opportunity has now
developed which would allow Mr. Naylor to accomplish the upgrade of his
existing septic system and finally achieve regulatory compliance.
The proposed system rehabilitation involves abandonment of the existing
septic system drainfield and replacement with a subsurface sand filter,
disinfection system and surface spray irrigation system. The system would
be located as shown on the back of this form. The spray system will
operate in much the same manner as a lawn irrigation system. There will
be no sewage odor associated with this system operation. Due to the
proximity of area residences to the Naylor site, we must contact all
homeowners within 399 feet of the proposed site. State Regulations
require a buffer separation from all property lines of 150 feet and 400
feet from all residences. The 400 foot proximity distance may be reduced
IF area residents have NO OBJECTION. At this time Mr. Naylor requests
your waiver of the 400 foot proximity distance.
This form enables the area riparian landowners to express their objection
or approval of the reduced wastewater treatment system separation
distance, as proposed by Mr. Naylor.
LANDOWNER RESPONSE:
I, j Q reside in an existing residence
located on b6t Ell)6, 13 within the Birch Lake Subdivision. I have read
the above statement and un and that the proximity setback distance
from my residence is only 265' 275'; 240' and that the recommended
setback distance is 400 fee . Further, I understand that the N.C.
Division of Environmental Management is prepared to waive the maximum
setback requirements, provided the affected area residents have no
objections. My statement is as follows:
I have no objection to the reduced proximity setback, as long
as the wooded buffer remains in its natural condition. I
hereby waive my right to objection.
_ I object to the proposed action. Comments attached.
Date: (I
Signatu e ndow��
Address: o. f
• � 4(A,8

ADJACENT RIPARIAN LANDOWNERS STATEMENT
Relating to Private On -Site Wastewater Treatment
System Construction
STATEMENT OF NEED:
The existing residence at 300 Mimosa Drive, currently owned by Mr. Thomas
Naylor, is in need of wastewater system improvements in order to attain
compliance with State and County regulations. An opportunity has now
developed which would allow Mr. Naylor to accomplish the upgrade of his
existing septic system and finally achieve regulatory compliance.
The proposed system rehabilitation involves abandonment of the existing
septic system drainfield and replacement with a subsurface sand filter,
disinfection system and surface spray irrigation system. The system would
be located as shown on the back of this form. The spray system will
operate in much the same manner as a lawn irrigation system. There will
be no sewage odor associated with this system operation._ Due to the
proximity of area residences to the Naylor site, we must contact all
homeowners within 399 feet of the proposed site. State Regulations
require a buffer separation from all property lines of 150 feet and 400
feet from all residences. The 400 foot proximity distance may be reduced
IF area residents have NO OBJECTION. At this time Mr. Naylor requests
your waiver of the 400 foot proximity distance.
This form enables the area riparian landowners to express their objection
or approval of the reduced wastewater treatment system separation
distance, as proposed by Mr. Naylor.
LANDOWNER RESPONSE:
+e r reside in an existing residence
located on Lot V, 6, 13 within the Birch Lake Subdivision. I have read
the above statement and understa at the proximity setback distance
from my residence is only 265'; 75', 240' and that the recommended
setback distance is 400 feet. Further, I understand that the N.C.
Division of Environmental Management is prepared to waive the maximum
setback requirements, provided the affected area residents have no
objections. My statement is as follows:
I have no objection to the reduced proximity setback, as long
as the wooded buffer remains in its natural condition. I
hereby waive my right to objection.
I ob$4ct z6 the pAvosed action. Comments attached.

14
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