WQ0028771_Regional Office Historical File Pre 2018

Michael F. Ea lei`. tacrvcntos
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek. RE, Director
Division of Water Quality
May 2, 2005
Mr, Jay Stowe, Utilities Director
City of Shelby
Post Office Box 207
Shelby, North Carolina 28151
Subject: Permit No. WQ0028771
Hendrick and Holman Sewer Extension
Wastewater Collection System Extension
Cleveland County, North Carolina
Dear Mr. Stowe:
In accordance with your application received on April 29, 2005, we are forwarding herewith.
Permit No. WQ0028771, dated May 2, 2005, to the City of Shelby for the construction and operation of
the subject wastewater collection system extension. This permit shall be effective from the date of
issuance until rescinded, and shall be subject to the conditions and limitations as specified therein. This
cover letter shall be considered a part of this permit and is therefore incorporated therein by reference.
Please pay particular attention to Permit Condition 3 which requires that the wastewater
collection facilities be properly operated and maintained in accordance with 15A NCAC 2H .0227 or any
individual system -wide collection system permit issued to the Permittee.
Permitting of this project does not constitute an acceptance of any part of the project that does
not meet 1) 15A NCAC 2H .0200; 2) the Division of Water Quality's (Division) Gravity Sewer Minimum
Design Criteria adopted February 12, 1996, as applicable; 3) and the Division's Minimum Design
Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000, as
applicable, unless specifically mentioned herein. Division approval is based on acceptance of the
certification provided by a North Carolina -licensed Professional Engineer in the application. It shall be
the Permittee's responsibility to ensure that the as -constructed project meets the appropriate design
criteria and rules. Failure to comply may result in penalties in accordance with North Carolina General
Statute §143-215.6A through §143-215.6C, construction of additional or replacement wastewater
collection facilities, and/or referral of the North Carolina -licensed Professional Engineer to the licensing
board.
Mooresville Regional Office 610 East Center Ave., Suite 301
Internet h2o.enr.state.nc.us Customer Service: 1-877-623-6748
An Equal 0pportunitylAtfirmative Action Employer - 50% Recycledll0% Post Consumer Paper
it
NC 2,8115 Phone: (7(1d1} 1r63-1699 Fa' : 7£14) 663-6040
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Mr Jay Stowe
Page 2
May 2, 2005
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 the City of Shelby for the construction and operation of approximately 266 linear feet of 8-
inch gravity sewer to serve 3 single family residences as part of the Hendrick and Holman Sewer
Extension project, and the discharge of 1,080 gallons per day of collected domestic wastewater into the
City of Shelby's existing sewerage system, pursuant to the application received April 29, 2005, and in
conformity with 15A NCAC 2H .0200; the Division's 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; and other supporting data
subsequently filed and approved by the Department of Environment and Natural Resources and
considered a part of this permit.
The sewage and wastewater collected by this system shall be treated in the City of Shelby
vvw-no (NPDES No. NC0024538) prior to being discharged into the receiving stream.
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 30 days following receipt of this
permit. This request must be in the form of a written petition, conforming to Chapter 150B of 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.
If you need additional information concerning this matter, please contact Sonja Basinger at
[phone].
Sincerely,
,for Alan W. Klimek, P.E.
cc: Cleveland County Health Department
Mooresville Regional Office, Surface Water Protection (WVVTF Permit No. NC0024538)
David Odom, Odom Hollifield Engineering Associates, Inc.
Surface Water Protection Central Files
Marie Doklovic, PERCS

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
following specified conditions and limitations:
1. This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2H .0200; the Division of Water Quality's
(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; and other supporting materials unless specifically
mentioned herein.
2. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data.
3. The wastewater collection facilities shall be properly maintained and operated at all times. The
Permittee shall maintain compliance with an individual system -wide collection system permit for the
operation and maintenance of these facilities as required by 15A NCAC 2H .0227, If an individual
permit is not required, the following performance criteria shall be met as provided in 15A NCAC 2H
.0227:
a. The sewer system shall be effectively maintained and operated at all times to prevent
discharge to land or surface waters, and any contravention of the groundwater standards in
15A NCAC 2L .0200 or the surface water standards in 15A NCAC 2B .0200.
b. A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan shall be developed and implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e.
365 days per year). Pump stations that are connected to a telemetry system shall be
inspected at least once per week.
e. High -priority sewer lines shall be inspected at least once per every six-month period of time.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Inspection and maintenance records shall be maintained for a period of at least three years.
h. Overflows and bypasses shall be reported to the appropriate Division regional office in
accordance with 15A NCAC 2B .0506(a), and public notice shall be provided as required by
North Carolina General Statute §143-215,1C.

,itor V5445;147ar'
. ' . .
4. This permit shall not be transferable. In the event there is a desire for the wastewater collection
facilities to change ownership, or there is a name change of the Permittee, a formal permit request
shall 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 shall be
considered on its merits and may or may not be approved.
5. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to
interrupt service by the existing utilities nor result in an overflow or bypass discharge of wastewater
to the surface waters of the State.
6. Per 15A NCAC 2H .0220, upon completion of construction and prior to operation of these
permitted facilities, the completed Engineering Certification form attached to this permit shall be
submitted with the required supporting documents to the address provided on the form. A complete
certification is one where the form is fully executed and the supporting documents are provided as
applicable.
7. A copy of the construction record drawings shall be maintained on file by the Permittee for the life
of the wastewater collection facilities.
8. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2H .0200; the
Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's
Minimum Design Criteria for the Fast -Track Permitting of Pump Station and Force Mains adopted
June 1, 2000 as applicable, and other supporting materials may subject the Permittee to an
enforcement action by the Division, in accordance with North Carolina General Statutes §143-
215.6A through §143-215.6C.
In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall take immediate corrective action, including
those as may be required by this Division, such as the construction of additional or replacement
facilities.
10. The issuance of this permit shall not exempt the Permittee from complying with any and all
statutes, rules, regulations, or ordinances that may be imposed by other government agencies
(local, state and federal) which have jurisdiction, including but not limited to applicable river buffer
rules in 15A NCAC 2B .0200, erosion and sedimentation control requirements in 15A NCAC Ch. 4
and under the Division's General Permit NCG010000, and any requirements pertaining to wetlands
under 15A NCAC 2B .0200 and 15A NCAC 2H .0500,
11. Noncompliance Notification:
The Permittee shall verbally report to a Division of Water Quality employee at the Mooresville
Regional Office, telephone number [phone], 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 either of the following:
a. Any process unit failure, due to known or unknown reasons, that renders the facility incapable
of adequate wastewater transport, such as mechanical or electrical failures of pumps, line
blockage or breakage, etc.; or
b. Any failure of a pumping station or sewer line resulting in a by-pass directly to receiving waters
without treatment of all or any portion of the influent to such station or facility.

Voice mail messages or faxed information is permissible, but shall not be considered as the
initial verbal report. Overflows and spills occurring outside normal business hours may also be
reported to the Division of Emergency Management at telephone number [phone] or
[phone]. Persons reporting any of the above occurrences shall file a spill report by
completing Part I of Form CS-SSO (or the most current Division approved form), within five days
following first knowledge of the occurrence. This report shall outline the actions taken or
proposed to ensure that the problem does not recur. Part II of Form CS-SSO (or the most
current Division approved form) can also be completed to show that the SSO was beyond
control.
Permit issued this the 2"`' day of May, 2005.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for Alan W. Klimek, Imo. Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0028771

Fast Track Engineering Certification
Permit No. WQ002.8771
May 2, 2005
Complete and submit this form to the permit issuing regional office with the following:
• One copy of the project record drawings (plan & profile views of sewer lines) of the wastewater collection
system extension
• Supporting design calculations (selected pumps, system curve, operating point, available storage if portable
generator(s) or storage greater than longest past three year outage reliability option selected) for any pump
stations permitted as part of this project
• Changes to the project should be clearly identified on the record drawings or in written summary form. Permit
modifications are required for any changes resulting in non-compliance with this permit, regulations or
minimum design criteria.
This project shall not be considered complete nor allowed to operate until this Engineer's Certification and all
required supporting documentation have been received by the Division. Therefore, it is highly recommended
that this certification be sent in a manner that provides proof of receipt by the Division.
ENGINEER'S CERTIFICATION
Partial E Final
, as a duly registered Professional Engineer in the State of North Carolina, having
been authorized to observe (0 periodically, 0 weekly, © full time) the construction of the Hendrick and Holman
Sewer Extension, Cleveland County project 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 of this permit; 15A NCAC 2H .0200; the Division of Water Quality's (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; and
other supporting materials.
North Carolina Professional Engineer's
seal, signature, and date:
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
MOORESVILLE REGIONAL OFFICE
SURFACE WATER PROTECTION
610 EAST CENTER AVENUE, SUITE 301
MOORESVILLE NC 28115
ATTN: DEE BROWDER
The Permittee is responsible for tracking all partial certifications up until a final certification is received, Any
wastewater flow made tributary to the wastewater collection system extension prior to completion of this
Engineer's Certification shall be considered a violation of the permit and shall subject the Permittee to appropriate
enforcement actions.

'CATION for GRAVITY SEWERS, PUMP STATIONS, .AND FORCE MAINS PACE]
z State
Application Number:
USE THE TAB KEY TO MOVE FROM FIELD TO FIELD?
(to be completed by DWQ) C.:0 2-071
1. Owner
la. City of Shelby
Full Legal Name (company, municipality, HOA, utility, etc,)
lb. JayStowePE.
Signing Official Name and Title (Please review 15A NCAC 2H .0206(b) for authorized signing officials!)
lc. The legal entity who will own this system is:
0 Individual D Federal Municipality 0 State/County 0 Private Partnership 0 Corporation 0 Other (specify):
ld, PO Box 207 le. Shelby
Street Address City
if, NC lg. 28151
Zip Code
lh. i7041484-6840 1 [phone] 1j. [e-mail]
Telephone Facsimile E-mail
2. Project (Facility) Information:
2a. Hendrick and Holman Sewer Extension 2b. Cleveland
Brief Project Name (permit will refer to this name)County Where Project is Located
3. Contact Person:
4i 3a, David W. Odom, Odom & Associates Engineering Inc.
z
0
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b. @__.213) 247-4495 3c. davidodom@odomengjneerinscom
Phone Number E-mail
1, Project is D New El Modification (of an existing permit) If Modification, Permit No.:
2 Owner is Di Public (skip to Item 8(3)) Ej Private (go to Item 2(a))
2a. If private, applicant will be: 2b. If sold, facilities owned by a (must choose one
D Retaining Ownership (i.e, store, church, single office, etc.)
0 Leasing units (lots, townhomes, etc. - skip to Item 8(3))
LI Selling units (lots, townhomes, etc, - go to Item B(2b))
3. City of Shelby
ri Public Utility (Instruction III)
rj Homeowner Assoc./Developer (Instruction IV)
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
4a. City of Shelby 4b. NC0024538
Name ofWWTF
WWTF Permit No.
o 5a, City of Shelby 5b. € 5c,
LL
Owner of Downstream Sewer Receiving Sewer Size Permit Number of Downstream Sewer
cci
6. The origin of this wastewater is (check all that apply):
D Residential Subdivision
El Apartments/Condominiums
O Mobile Home Park
O School
O Restaurant
Ell Office
E] Car Wash
[1] Institution
[1] Hospital
E] Church
El Nursing Home
El Other (specify):
7. Volume of wastewater to be permitted in this project. 1,080 gallons per day
100 % Domestic/Commercial
% Industrial
% Other (specify):
8. If the permitted flow is zero, indicate why:
El Interceptor Line - Flow will be permitted is subsequent permits that connect to this line
El Flow has already been allocated in Permit No.
Lil Rehabilitation or replacement of existing sewer with no new flow expected
FTA 021'03

�
/
' ICATION for GRAVITY SEWERS, PUNIP STATIONS, AND FORCE �IAINS PAGE 2
Pr
rovi e wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2H
.0219(l) for item B(7) or the design flow for line or pump station sizing if zero flow in the space below, Values other than
that in 1 5A NCAC 2H .0219(1)(1-2) must be approved phor to submittal of this application. Submit a separate request to
the Division of Water Quality, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617 in
� 10\ Summary ofSewer Lines mbePermitted (attach additional sheets ifnecessary)
{
�m��mFo��Nb�
Size (inches) Length (feet) ` `puVdown menu)
8-inch 268 Gravity
| �
Gravity
D Gravity
Gravity
_
Gravity
0
Gravity
, ENTER TOTAL LINE LENGTH |NMILES'
- ` `- - - -` - ----------`-----`-----^` - `
11, Summary ofPump Stations {oboPermitted (attach additional sheets as necessary)
Power Reliability Option
101�
Location ID Design Flow Operational Point | (dual line feed, permanent generator w/AJS.
0 , (as shown on plans), (MGD) GPM @ TDH portable generator w/autodialer, wet well storage
LL
Z
Cd
!
12. Does the sewer system comply with the Minimum Design Criteria for the Fast Track Pennhbn8ofPumpSAs^onoandFnrce
Mains (latest version), Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC2H .0200aa applicable-,
0 Yes El No If no, please reference the pertinent minimum design criteria or regulation and indicate why e
variance ismoquested�
,SUBMIT TWO COPIES OFPLANS, SPECIFICATIONS omCALCULATIONS PERTINENT ToTHE VARIANCE WITH YOUR APPLICATION
.11 Have the following been submitted for approval?
/
VVeUond8StneamCmuan0s General Permit or401Certification? El Yes El No El NIA
Sedimentation and Erosion Control Plan? [] Yen [] No El NIA
� Stonnwater? []Yeo 0No 21N/A

7.ATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 3
1. Use the Division's guidance document entitled, "DETERMINING STREAM CLASSIFICATIONS FOR FORM FTA 02/03
(FAST -TRACK SEWER SYSTEMS)" to collect and record the stream classification data below (attach additional sheets as
0 necessary). This document is available from our web site or by contacting the appropriate Division of Water Quality
regional office (see instructions for addresses) OR indicate the following:
< El A Watershed Classification is not needed because all parts of the project are at least 100 feet away from any down
0 slope waterbody; AND,
jj A Watershed Classification is not needed because the design does not depend on wet well storage as a power
reliability option for any pump station near a Class C down slope waterbody
Location ID Name of Waterbody Stream
on Map Waterbody County River Basin Index
Waterbody
Classification
Submit the 8,5" x 11" topographic map as required in Instruction VI regardless of whether a classification is provided!
d
1. Applicants Certification:
/ attest that this application for Hendrick & Holman Sewer Extension has been reviewed by rne and is accurate and
complete to the best of my knowledge, 1 understand that if all required parts of this application are not completed and
that if all required supporting documentation and attachments are not included, this application package is subject to
being returned as incomplete. Note: In accordance with North Carolina General Statutes 143-215„6A and 143-215.6B,
any person who knowingly makes any false statement, representation, or certification in any application shall be guilty ol!
a Class 2 misdemeanor which may include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per
violation,
la
SignficiaI Signature
Professional Engineer's Certification:
I attest that this application for Hendrick & Holman Sewer Extension has been reviewed by me and is accurate,
complete and consistent with the information in the engineering plans, calculations, and all other supporting documentatio
to the best of rny knowledge. I further attest that to the best of my knowledge the proposed design has been prepared in
accordance, with the applicable regulations, Gravity Sewer Minimum Design Criteria for Gravity Sewers adopted February
12, 1996, and the Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June
1, 2000 and the watershed classification in accordance with Division guidance. Although certain portions of this submittal
package may have been developed by other professionals, inclusion of these materials under my .signature and seal
signifies that have reviewed this material and have judged it to be consistent with the proposed design, Note. In
accordance with NC General Statutes 143-215.6A and 143-215„68, any person who knowingly makes any false statement,
representation, or certification in any application shall be guilty of a Class 2 misdemeanor which may include a fine not to
exceed $10,000 as well as civil penalties up to $25,000 per violation,
2a. David VV Odom
Professional Engineer Name
2b. Odorn, Hollifield EngineeringAssociates, Inc,
Engineering Firm
2c: 152 East Main Street
Address
2d. Forest City
City
2g. 828-247-4495 2h, 828-247-4498
Telephone Facsimile
2e, NC 2f. 28043
2i.
State Zip
davidodom@odomengineering.
Seal, Sign
rm
ture & Date
FrA 02/03

PROJECT ➢. )CATION
3-Nam USG : 6,400 Iktafl: 1S-0 Datum: i4+C;,51t4

Gent
W00028771
Program Category
lien -discharge
Permit Type
Gravity Sewer Extension, Pump Stations, Pressure Sewer
Extensions
Primary. Reviewer
sonja nasinger
Permitted Flow
1080
Facility
Facility Name
Hendrick and Holman Sewer Extension
Location Address
Owner
Owner Narne
City of Shelby
Dates/Event
Orin
Apo Received
04 9 a
Regulated Activities
Subdwvisson
wastewater "cone ctw on
Outtall Nt.Jni.
Permit Tracking Si
Status
In review
Version
Project Type
New Project
Permit Classi
Individual
Per mit Contact A filiation
Major/ inor Region
Minor Mooresville
County
Clevelarid
Fact li y Contact Affiliation'
Draft In
Owner Type
Government - Municipal
Owner Affiliation
Jay Stowe, PE
PO Box 207
Shelby
Scheduled
ated Issuance
APS - SWP
05/02i05
cation
NC 1a10 7
Public Notice Issue
Effective
Requested/Received Even
Additional information requested
Additional information received
E pir
Waterbody Nance Stream Index plumber Current Mass Subbasin

ODOM & ASSOCIATES
ENGINEERING, INC.
[phone]
FAX [phone]
152 FAST MAIN STREET
FOREST CITY,, NC 204
RAY TO THE N( DFN1
CAROLINA FIRST BANK
FOREST CITE, NC 2804
67-219/539 1427
6549
4/28123(
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