WQ0037076_Sewer Extension Permit Status Update_20191016

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October 16, 2019
Mr. Nyle L Hothem
Environmental Engineer I —PERCS Unit
North Carolina Department of Environmental Quality
Division of Water Resources RECEIVED
1617 Mail Service Center, Room 925T
Raleigh, NC 27699 OCT $ B
Subject: City of Mebane Sewer Permit Certification Request
Project Plastic—NCIC (Cambro—Public Gravity Sewer) NCDEQIDWRJNPDES
Mebane, NC
Mr. Hothem,
Please find the attached sewer certification update in response to your recent request. The project in question
includes:
Permit No. Issue Date Facility County
WQ0037076 10/22/14 Cambro—Public Gravity Sewer Alamance
• Permit Status—Attached are approved plans from the design engineer, an as-built exhibit provided by the
City of Mebane, and engineers certification. The as-built exhibit provides field collected data that
includes sewer length, pipe type, invert elevations, and manhole top elevation of the section of sanitary
sewer and manhole owned by the City of Mebane.
Please let me know if there is anything else needed to finalize this certification.
Sincerely,
4/1/------
Franz K. Holt, PE
Mebane City Engineer
CITY OF MEBANE 106 East Washington Street I Mebane,NC 27302 0 [phone] [e-mail]
CITY MEBANE . COM

ENGINEERING CERTIFICATION
Permittee: City of Mebane
Permit No: WQ0037076
Project Name: Project Plastic - NCIC (Cambro - Public Gravity Sewer)
This project shall not be considered complete nor allowed to operate in accordance with Condition 7 of this permit
until the Division has received this Certification and all required supporting documentation,which includes:
• One copy of the project construction record drawings(plan&profile views of sewer lines&force mains)of
the wastewater collection system extension. Final record drawings should be clear on the plans or on digital
media (CD, DVD, or flash drive) and are defined as the design drawings that are marked up or annotated
with after construction information and show required buffers,separation distances,material changes,etc.
Permit modifications are required for any changes resulting in non-compliance with this permit. A detailed
description for partial certifications should be attached to this form along with any certification comments.
Certification should be submitted in a manner that documents the Division's receipt. The Permittee is responsible
for tracking all partial certifications up until a final certification is received.
PERMITTEE'S CERTIFICATION
I, the undersigned agent for the Permittee, hereby state that to the best of my knowledge, this project has been
constructed pursuant to the applicable standards&requirements,and the Professional Engineer below has provided
applicable design/construction information to the Permittee,and the Permittee is prepared to operate&maintain
the wastewater collection system permitted herein or portions thereof.
Thvi.S.Cheek• C: r ( t 15
Printed Name,Title Si nature Date
ENGINEER'S CERTIFICATION
Josh Johnson , as a duly registered Professional Engineer in the State of North Carolina, having
been authorized to observe ([1] periodically, ❑ weekly, ❑ full time) the construction of the project name and
location as referenced above for the above Permittee hereby state that,to the best of my knowledge,due care and
diligence was used in the observation of the construction of the subject permit, such that the construction was
observed to be built within substantial compliance of this permit; 15A NCAC 02T;the Division of Water Resources'
(Division)Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as applicable;the Division's Minimum
Design Criteria for the Fast-Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable;
as well as the project plans,specifications,and other supporting materials as subsequently filed and approved.
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North Carolina Professional Engineer's Seal w/signature&date: � ��: • ,• ti.(
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Final ❑ Partial(include description) -,- a rof �
3370 `OM
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Notes/Qualifiers: /// sitk
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Send the Completed Form&Supporting Documentation to the Following Address:
NCDEQ/DWR
WATER QUALITY SECTION
PERCS UNIT
By U.S.Postal Service: By Courier/Special Delivery: By Email:
1617 Mail Service Center 512 N.Salisbury St.Suite 925 [e-mail]
Raleigh,NC 27699-1617 Raleigh, NC 27604

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_ ,.< ', THIS EXHIBIT MAP IS TO SERVE AS RECORD DRAWINGS FOR THE IDENTIFEID
!t t __ r , ,., .;: « 'SANITARY SEWER AS-BUILT'ONLY INFORMATION INSIDE OF THESE LABELS ARE i
_ , ,,j THE ONLY RECORDED ELEVATIONS.LENGTH,AND SLOPES
'� ° yt jj# ' ' ALL AERIAL PHOTOGRAPHY,UTILITIES.PARCELS,AND OTHER BOUNDARYS
t ',,,^ WERE REPRODUCED FROM ALAMANCE/GUILFORD COUNTY GIS FILES.
-' WHILE ALL EFFORTS ARE MADE TO ENSURE ACCURACIES.ALL LOCATIONS
Legend
ARE APPROXIMATE ALLEY WILLIAMS CARMEN 8 KING.INC
o- ASSUMES NO RESPONSIBILITY FOR INACCURACIES WITH THIS DATA,
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a o f "e& WQ0037076 DRAWN BY: SBM
sy CHECKED BY FKH
Mebane Manholes .
rm ,.-a•"'s � CITY OF MEBANE cAMVIT DA7E:,0�UU3/ZUi9
■ • Mebane Limits .•• T" PUBLIC GRAVITY SEWER DRAWING FILE:
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///"� i inch=200 feet
• - T.17010/Sewer/Certikaoons