WQ0032878_Regional Office Historical File Pre 2018

Michael!tsIc JOvernor
William G. Ross jr., Seereia
North Carolina .Denartment of. 'Environment and .Naturztl Resources
Coleen H. Sullins, Director
Division of Water Quality
April 21, 2008
Mr Brad Cornwell. Utilities Director
City of Shelby
824 West Grover Street
Shelby, NC 28150
Subject: Permit No, WQ0032878
Life Enrichment Center of Cleveland County
Wastewater Collection System
Cleveland County, North Carolina
Dear Mr. Cornwell,
In accordance with your complete application received on April 17, 2008, we are forwarding
herewith Permit No. WQ0032878 dated April 21, 2008, 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rescinded, and shall be subject to the conditions and limitations as specified therein.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 2T .0403 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 2T; 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 Fast Center .Ave,, Suite 30 I Nlooresville, NC 28115
Internet www.ncrnwaterqualIty,org Customer ServiGe. 1-877-623-6748
An Equal Opponunity/Affirmative Action. Employer — 50% Recycledild% Post Consumer Paper
Phone [phone] Fax- [phone]
Unc
Noi-thCarolina
Aatterally

PrirCornwell
Page 2
Apri[ 21, 2008
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 for the
construction and operation of approximately 1,520 linear feet of 8-inch gravity sewer and the discharge
of 5,000 gallons per day of collected domestic in conformity with 15A NCAC 2T; 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's
WVVTP (NPDES No, NC0024538) prior to being discharged into the receiving stream,
Assessing subsequent impacts to the downstream collection system and treatment facility is the
complete responsibility of the City of Shelby. Shelby must utilize whatever tracking tools necessary for
planning additions of sewer flow in order to maintain compliance with the WVVTP permitted limits.
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 Dee Browder at (704)
663-1699.
Sincerely,
,;)Coleen H. Sullins
cc Mooresville Regional Office, Collection System Permit Files
D. W. Odom, Odom, Hollifield & Assoc, Engineering, Inc
Surface Water Protection Central Files
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:
This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2T; 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.
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 2T .0403. If an individual
permit is not required, the following performance criteria shall be met as provided in 15A NCAC 2T
.0403:
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 NCAG 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,

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 Permitteea 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.
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 2T ,0116, 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 2T; 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.
9. 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 ail 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 (0 - l d or
919) 7'33-3300. Persons reporting any of the above occurrences shall file a spill report by
completing Part I of Form - (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 - (or the most
current Division approved form) can also be completed to show that the SSO was beyond
control.
Permit issued this the 21st day of April 2008
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT CO I I I
gym,
hr Coieen H. Sullins, Director
Division of Water Quality
By Authority of the EnvironmentalManagementCo ision
Pertrit Nurxrh r- Q00 7

Engineering Certification Page
Permit No. WQ0032878
April 21, 2008
Owner/WQCSNVWTP PE
Brad Cornwell, Utilities Director D W Odom
City of Shelby Odom, Hollifield & Associates Engineering, Inc
824 W. Grover Street 152 E Main Street
Shelby, NC 28150 Forest City, NC 28043
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 Final
, as a duly registered Professional Engineer in the State of North Carolina, having been
authorized to observe ([11 periodically, [1] weekly, El full time) the construction of Life Enrichment Center of
Cleveland County, a 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 2T; 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
The Perrnittee 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 Perrnittee to appropriate
enforcement actions,

0
— J
0-
USE THE TAB KEY TO MOVE FROM FIELD TO FIELD!
1. Owner/Permittee:
la. CITY OF SHELBY
Full Legal Name (company, municipality, HOA, utility, etc,)
lb. BRAD CORNWELL, UTILITIES DIRECTOR
Application Number.
(to be completed by OM
Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) forforauthorized signing officials!)
c. The legal entity who will own this system is:
0 Individual 0 Federal Municipality 0 State/County 0 Private Partnership 0 Corporation 0 Other (specify):
ld. 824 W GROVER ST
le.SHELBY
Mailing Address City
if. NC lg. D?'IS()
Zip Code
1j. scott .odomen ineerin .com
State
lh. 828-247-4495
Telephone
1 i. 828-247-4498
Facsimile
2. Proiect (Facility) Information:
2a. LIFE ENRICHMENT CENTER OF CLEVELAND CO.
Brief Project Name (permit will refer to this name)
3. Contact Person:
• 3a. SCOTT ROACH
E-mail
2b, CLVELAND
County Where Project ed
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b. 828-247-4495
3c.
Phone Number E-mail
1. Project is 4 New 0 Modification (of an existing permit) If Modification, Permit No.:
2. Owner is El Public (skip to item B(3)) Ej Private (go to Item 2(a))
2a. If private, applicant will be: 2b. If sold, facilities owned by a (must choose gine)
0 Retaining Ownership (i.e. store, church, single office, etc.) or
El Leasing units (lots, townhomes, etc, - skip to Item B(3))
EJ Selling units (lots, townhomes, etc. - go to Item B(2b))
3 CITY OF SHELBY
0 Public Utility (Instruction C)
Homeowner Assoc./Developer (Instruction D)
Z Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
4b C0 0
0 4a, CITY OF SHELBY WWTP
147c Name of VVVVTF WWTF Permit No.
5a. CITY OF SHELBY 15b. .8" . , [2] Gravity 5c. . I
Owner of Downstream Sewer !Receiving Sewer Size p Force Main Permit # of Downstream Sewer (Instruction E
6 The origin of this wastewater is (check all that apply):
MOM
Di
Residential Subdivision
0 Apartments/Condominiums
0 Mobile Home Park
El School
0 Restaurant
Office
0 Retail (Stores, shopping centers)
Institution
0 Hospital
0 Church
Nursing Home
0 Other (specify):
7. Volume of wastewater to be allocated or permitted for this particular project:
*Do not include future flows or previously permitted allocations
8. If the permitted flow is zero, indicate why:
O Pump Station, Outfall or interceptor Line where flow wilt be permitted in subsequent permits that connect to this line
0 Flow has already been allocated in Permit No,
O Rehabilitation or replacement of existing sewer with no new flow expected (see 15A NCAC 02T .0303 to determine if a
permit is required)
100 % Domestic/Commercial
% Industrial (attach
description.)
(RO: contact your Regional Office
Pretreatment staff)
% Other (specify):
5 00 gallons per day
FTA12/07_ver2

p!plppliv
9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2T .0114 for
the value in Item B(7) AND/OR the design flow for line or pump station sizing if a reduced or zero flow is being requested in
Item B(7). Values other than that in 15A NCAC 2T .)114 (b) and (c) must be supported with actual water or wastewater use;,
data in accordance with 15A NCAC 2T .0114 (f).
Q = 200 PEOPLE / DAY X 25 GAL/PERSON/ DAY = 5000 GPD
10, Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches) Length (feet)
8" 1520
Q 11. Summary of Pump Stations wl associated Force Mains to be Permitted
LU
M Pump Station Location ID
z
H
0
0
2
2
Design Flow
(MGD)
Operational Point
GPM @TDH
New Gravity or Additiona
Force Main
GRAVITY
attach additional sheets as necessary)
hosen -
Power Reliability Option
1 - permanent generator w/ATS;
2 - portable generator w/MTS
as shown on plans/map for reference)
Force Main Size Force Main Length
Pump Station Location ID
Design Flow
(MGD)
(self chosen - as shown on plans/map for re
Operational Poin
GPM @TDH
Power Reliability Option
- permanent generator w/ATS;
2 - portable generator w/MTS
Force Main Size
ence)
Force Main Length
Pump Station Location ID
Design Flow
(MGD)
12,
Operational Point;
GPM @TDH
he wastewater flow in the proposed se
(self chosen -
Power Reliability Option
- permanent generator w/ATS;
2 - portable generator w/MTS
as shown on plan
Force Main Size
ap for reference)
Force Main Length
lines or pump stations be able to be directed to another treat
nt
ility?
Yes ❑ No If Yes, permit number of 2"° treatment facility
(RO — if "yes" to B,12 please contact the Central Office PERCS Unit)
13. Does the sewer system comply with the Minimum Design Criteria for the Fast Track Permitting of Pump Stations and Force
Mains (latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC Chapter 2T as
applicable?
❑ Yes El No If No, please reference the pertinent minimum design criteria or regulation and indicate why a
variance is requested. SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS
PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
FTA 12/07 ver2

14. Have the following permits/certifications been submitted for approval for the system or project to be served?
Wetland/Stream Crossings - General Permit or 401Certification? Yes 0 No 0 N/A
Sedimentation and Erosion Control Plan? Yes El No 0 N/A
0 Yes 0 No 0 N/A
Stormwater?
15. Does this project include any high priority lines, [see 15A NCAC 02T .0402 (2)1 involve aerial lines, siphons, or interference
manholes)? These lines will be considered high priority and must be checked once every six months
Check if Yes: 0 and provide details
1. Owner/Permittee's Certification: (Signature of Signing Official and Project Name)
la.
Signing Official Signature
1, BRAD R CORNWELL, attest that this application for THE LIFE ENRICHMENT CENTER OF CLEVELAND COUNTY
has been reviewed by me and is accurate and complete to the best of my knowledge. I 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, orl
certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine not to exceed $10,0001
as we as civil pqpaltios up to $25, 00 per violation.
Date
ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY
TO OTHER UTILITIES, DESIGN CALCULATIONS. ETC. REFER TO 15A NCAC 02T .0305
0 2. Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
1, DAVID W. ODOM, P.E., attest that this application for THE LIFE ENRICHMENT CENTER OF CLEVELAND COUNTY
has been reviewed by me and is accurate, complete and consistent with the information in the engineering plans,
calculations, and all other supporting documentation to the best of my knowledge, 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 other professionals may have developed certain portions of this submittal package, inclusion
of these materials under my signature and seal signifies that I 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 W. ODOM, P.E.
Professional Engineer Name
2b. ODOM & ASSOCIATES ENGINEERING, INC.
Engineering Firm
2c. 152 E MAIN ST
Mailing Address
2d. FOREST CITY 2e. NC 2f. 28043
City State Zip
2i.
davidodom©odomengineering.
2g. 8282474495 2h. 8282474498 com
Telephone Facsimile E-mail
NC PE Seal, Signature & Date
FTA12/07_ver2

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE —I 0/07)
Project Applicant Name: _ CITY OF SHELBY
Project Name for which flow is being requested: LEC OF CLEVELAND COUNTY
More than one FTSE-10/07 may be required for a single project if the owner fthe Wil/TP is not responsible for all
pump stations along the route of the proposed wastewaterwastewaterjlow.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: CITY OF SHELBY
b. WWTP Facility Permit #: ,t4' a- 070 2...1436
Alt flows are in MGD
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
2 .51
0.005
2.613
1-6.1(p
II. Complete this section for each pump station you are responsible for along the route of this
proposed wastewater flow.
List pump stations located between the project connection point and the WWTP
Pump Station Name
Approx. Capacity, MGD Approx. Current Avg.
(Firm/Design) Daily Flow, MGD
o. 133
III. Certification Statement:
I, BRAD R. CORNWELL , certify that, to the best of my knowledge, the addition of the
volume of wastewater to be permitted in this project has been evaluated along the route to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity
related sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant under normal circumstances. This analysis has been performed in accordance with local
established policies and procedures using the best available data. This certification applies to those items
listed above in Sections I and II for which I am the responsible party. Signature of this form indicates
accept a ater flo
Signing Official Signature
5

Instructions for: Flow Tracking/Acceptance for Sewer Extension Permit
Applications (FTSE —10/07)
Section I
a. WWTP Facility Name: Enter the name of the WWTP that will receive the wastewater flow.
b. WWTP Facility Permit #: Enter the NPDES or Non -Discharge number for the WWTP receiving the
wastewater flow,
c. WWIT facif 's d fl w MGD: From WWTP owner's NPDES or Non -Discharge permit.
d. Estimated obligated flow not yet tributary o the WWTP, MGD: This includes flows allocated to
other construction projects not yet contributing flow to the collection system. Flows allocated through
interlocal agreements or other contracts not yet contributing flow to the collection system are also
included. For POTWs that implement a pretreatment program, include flows allocated to industrial
users who may not be using all of their flow allocation. Please contact your Pretreatment Coordinator
for information on industrial flow tributary to your WWTP.
As of January 15, 2008 the POTW should have reviewed flow allocations made over the last two
years and reconciled their flow records, to the best of their ability, so it is known how much flow has
been obligated and is not yet been made tributary to the WWTP, in accordance with local policies and
procedures employed by the reporting entity.
The obligated flow not yet tributary plus actual flow will be reconciled annually for systems at less
than 60% ofpermitted flow used. Annual updates shall be submitted to the appropriate Regional
Office by January 15 of each year and cover the previous calendar year.
Semi -Annual updates shall be required when the percent of permitted flow used reaches 60%. Semi-
annual time period are defined as January 1 through June 30 and July 1 through December 31. Semi-
annual updates shall be submitted to the appropriate Regional Office by July 15 and January 15 of
each year,
Quarterly updates shall be required when the percent of permitted flow used reaches 80%. Quarters
are defined as Qtrl (Jan -Feb -Mar); Qtr2 (Apr -May -Jun); Qtr3 (Jul -Aug -Sep); Qtr4 (Oct -Nov -Dec).
Quarterly updates shall be submitted to the appropriate Regional Office by April 15, July 15, October
15 and January 15 of each year.
e. WWTP facility's actual avg. flow, MGD: Previous 12 month average.
f. Total flow for this specific request, MGD: Enter the requested flow volume.
g•
Total actual and obligated flows to the facility, MGD Equals [d + e + fl
h. Percent of permitted flow used: Equals [(g / c)*100]

For example:
On January 15 a POTW with a permitted flow of .0 MGD, reported to the Regional Office that there
is 0.5 MOD of flow that is obligated but not yet tributary, The annual average flow for 2007 is
The first Form FTSE-1 /07'submitted after
c.- 6.0 MOD
d. = OE5 MOD
e. * 2.7 MOD
= 0.015 MOD
g. = 3.215
h. 5. %
2008may have numbers lake this:
The next Form FTSE-1 tl/l17 may be updated like this:
= 6.0 MOD
d. = 0.515 MCID
e. = 2.'73 MOD
f = 0.102 MOD
g.,— 3.349 MOD
.=55. %'a
Each subsequent Form FTSE 1 0/07 will be updated in the same manner.
Section II
List the name, approximate pump station firm (design) capacity and approximate current average flow
(previous 12 months) through the pump station for each pump station that will be impacted by the
proposed sewer extension project. Include the proposed flow for this project and other flows that have
been approved for the pump station but are not yet trout
Firm (design) capacity is the design average daily flow of the pump station as calculated by the design
engineer or the station capacity with the largest pump out of service as per the Minimum Design Criteria
if the design capacity is unknown.
Section III
Form FTSE-10/07 must be signed by the appropriate official as per 15A NCAC 02T .0106.

TopoZone - USGS Shelby (NC) Topo Map
Page I of 1
0 0.3 0.6 0.9 1.2 1.5 km
0.2 0.4 0.6 0.8 1 mi
35° 18' 49"N, 81° 31' 21"W (NAD83/WGS84)
USGS Shelby (NC) Quadrangle
Projection is UTM Zone 17 NAD83 Datum
M=-6.653
21=-0.302
http://wwwtopozone.cont/printasp?lat=35313 6 1 841on----81,5225&u-68zIayer—DRG&datu_ 3/26/2008

TopoZgne -USG? Shelby (1` C j Topo Map
Page 1 of 1
0 0.1 0.2 0. 0.4 0.km
0 0.09 0.16 0.27 0.36 0.46 mi
35° 18' 49"N, 81° 31' 21"W (NAD83/WGS84)
USGS Shelby (NC) Quadrangle
Projection is UTM Zone 17 NAD83 Datum
http://www.topozone.corn/print.asp?lat=35.31353&]on=-81.52244&s=25&size=l&u=6&la... 3/] 1/2008

Central Fdes APS SW
04/21/08
Permit Number W00032878
Permit Tracking Slip
Program Category Status Project Type
Non -discharge Active New Project
Permit Type Fast Track Version Permit Classification
Gravity Sewer Extension, Pump Stations, & Pressure Sewer 1.00 individual
Extensions
Primary Reviewer Permit Contact Affiliation
dee browder
Permitted Flow
5000
Facility
—Facility Name
Life Ehrichement Center of Cleveland Co,
Location Address
Owner
Owner Name
City of Shelby
Major/Minor Region
Minor Mooresville
County
Cleveland
Facility Contact Affiliation
Owner Type
Government - Municipal
Owner Affiliation
Brad Cornwell
PO Box 207
Shelby
Dates/Et/el/its
Scheduled
rig Issue App Received Draft initiated Issuance
04/21/08 03/28/08
Regulated Activities
institution, other
Office
Subdivision
telastewaier collection
°TRW 1'41;1
NC 28151
Public Notice Issue Effective Expiration
04/21/08 04/21/08
R u diRecelved Events
Additional information requested
Additional information received
Waterbody Name Stream Index Number
Current Class Subbasin

PAY TO THE
ORDER OF
MEMO
ODOM, HOLLIFIEL© & ASSGCIATES
ENGINEERING, INC.
[phone]
FAX [phone]
152 EAST MAIN STREET
FOREST CITY, NC 28043
NMENR- Moor ev°e11
NR- Moorseville
610 F. ".en er Ave, Suite 301
Mooresv Ile, NC 281.15
000982611' 1:053902L9
CAROuNA F➢RST RANK
FOREST CITY', NC 28043
67-219/539 1427
0062005lie

Phone [phone]
NORTH CARMAN/
Pq Box 207 Shelby, NC 28151-0207
Fax [phone]
TO: NOW,
610 East Center Avenue
Mooresville, NC 28115
A ON: Rob Krebs
We are sending via:
The following it
Correspondence
DATE: Wednesday, • ch 26, 2008
RE: Sewer e sion
EC Regular Mail ]Pick-up
E
Plans
COPIES
DATE
ORDER No.
C
nHand Delivered
Specifications Other as listed below:
DEscRwrio
FastTrack Applications for White and Sons with cheek
''ast Track At ;,lications for Life Enrichment Center of Cleveland Count wf cheek
THESE ARE TRANSMITTED as checked below:
For Approval nAs Requested App
ElFor Your Use EjFor Review and Comment Approved
REMARKS:
Returned for Corrections
FIForward to Subcontractor
• n
COPY TO:
S1G
ficit,)‘` n R.evi4ed. C0011

Beverly Eaves Perdue, Governor
Dee Freeman, Secretary
North Carolina Department of Environment and Natural Resources
Coleen Sullins, Director
Division or Water Quality
January 13, 2009
City of Shelby
824 W. Grover Street
Shelby, North Carolina 28150
Attn: Brad Cornwell, Utilities Director
SUBJECT:
Life Enrichment Center of Cleveland County
Permit No. WQ0032878
Wastewater Collection System Extension
Final Engineering Certification
Dear Perrnittee:
The Division received a final engineering certification for the subject project on January 2,..2009.'A:
full review of the certification materials may or may not be conducted, It s assumed that receipt of
this certification, indicates compliance with all regulations, design criteria and the permit. Please be
reminded that the Permittee is responsible for keeping a copy of the final record drawings for the
life of the projectprojecf If you have not received a copy, please contact your consultant immediately to
obtain a copy.
You are receiving this Vetter because the Division has you listed as the responsible party,. if this
permitted system is no longer owned by you, please complete Form PNOCF-S, as this permit is not
automatically transferable. Form .PNOCF-S can be downloaded from
Intfp:Ilh20,enr.state.nc,uslnapu/ndbu=os.htmlOSewer.
If you have any questions concerning this document or the completion of Form PNOCF-S (if
necessary), please contact Ms. Dee Browder at the letterhead address or via E-mail at
deebrowder@nomall,net,
Sincerely,
obert Krebs
Surface Water Protection Regional Supervisor
Enclosure
Cc: Surface. Water Protection Section Central Fes (certlfication page only)
D.W, Odorri, Odom, Hollifield & Associates
One . Carolina
Wilirallbt
Pretreatment, Emergency Response and Collection Systems Unit
16171111all Service Center, Raieigh, NC 27699-1617
Telephone [phone] Fax [phone]
Internet http://h2o.enr.nc state,usindpu
An Equal Opportunity Action Employer
50% recycled/10°A post -consumer paper

pIPPPP7
Engineering Certification Page
Permit No. WQ0032878
April 21, 2008
Owner[WQCSNVWTP
Brad Cornwell, Utilities Director
City of Shelby
824 W. Grover Street
Shelby, NC 28150
PE
Q.W. Odom
Odom, Hollifield & Associates Engineering, Inc.
152 E Main Street
Forest City„ NC 28043
Complete and submit this f©rr`rr to the permit issuing regional office with the foliowing`,
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 de 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 CERTIFICATI01
J Partial
Final
a C d C> cvN a duly re Bred Professional Engineer in the State of North Carolina, having been
authorized to observe (0 periodically, �vmreekty, Q full time) the construction of Life Enrichment Center of
Cleveland County, a 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 2T; 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
EAST CENTER AVENUE, SUITE 301
MOORESVILLE NC 28115
The Permittee is responsible for tracking all partial certifications up until a finale 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.