WQ0033161_Regional Office Historical File Pre 2018

ithael 1 ju\ernor
William G. Ross , Secretary
North Carolina Dep,tflm t of Lii 'Torment and NattirTJ Resources
Coleen 11 Sullins, Director
Division ot Water Quality
June 19, 2008
Mr. Brad Cornwell, Utilities Director
City of Shelby
824 West Grover Street
Shelby, NC 28150
Subject: Permit No, WQ0033161
Mayflower Restaurant Sewer Ext
Wastewater Collection System
Cleveland County, North Carolina
Dear Mr, Cornwell
In accordance with your complete application received on June 17, 2008, we are forwarding
herewith Permit No. WQ0033161 dated June 19, 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rescinded, and shall be subject to the conditions and limitations as specified therein.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.
Mooresvi Regional Office 610 East Center ,Ave..„ Suite .301 Mooresville, NC 28115 Phone: ("704) 663-1699 Faxi (70-1) 663-6040
Internet www.ncnnwaterquatity.org CuShaner SaViCe: 1-87-623-6748
.Equal OpportunitylAttirmative Action Employer - 50% :Reeyededil0% Post Consumer Paper
P
N fl Laroti n
;Naturally

Mr, Cornw0
Page 2
June 19, 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 650 linear feet of 8-inch gravity sewer and
the discharge of 6720 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
VVWTP (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 WWTP permitted limits and
the WQCS00037 permit requirements.
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
David W. Odom, Odom & Associates 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.
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 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 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,

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 forma i 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 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,
6. 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 all or any portion of the influent to such station or facility.

Voice mail rtessaes or faxed information is perrt issible, 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 (800) or
(1 733-33 0 Persons reporting any of the above occurrences shall file a spill report by
completing Part 1 of Form CS -SS (or the must 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 11 of Form C - S (or the most
current Division approved form) can also be completed to show that the SSO was beyond
control.
Permit issued this the 1 th day of June 2008.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT CO ISSION
N
oleen Hi Sullins, Director
Division of Water Quality
By Authority of the Environmental Pvl na er ent ornrrnis for
Pernfit Number b .r W00331 1

Engineering Certification
Permit No. WQ0033161
June 19, 2008
OwnerNVQCS P
Brad Cornwell, Utilities Director
City of Shelby
824 W, Grover Street
Shelby, NC 28150
PE
David W Odom
Odom & Associates Enginee ng, Inc
152 E. Main St
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
modificat ons are e uired for n chan es e u , non -co liance h e ulations or
minimum des qn 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
L Partial Final
, as a duly registered Professional Engineer in the State of North Carolina, having been
authorized to observe (E] periodically, E weekly, El full time) the construction of Mayflower Restaurant Sewer Ext., 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 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.

USE THE TAB KEY TO MOVE FROM FIELD TO FIELDI
1, OwporiPerrnittee:
a CITY OF SHELBY
Full Legal Name (company, municipality, HOA, utility, etc.)
Ib. BRAD CORNWELL, UTILITIES DIRECTOR
Signing Offidal Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized signing officials!)
lc. The legal entitywho will own this system Is:
Individual LI Federal PXI Municipality EI State/County EJ Private Partnershipp Corporation C:1 Other Jspecify)i
,
O 1d, P.O. Box 207 le. SHELBY
LL, Mailing Address City
Z l-
-If NO 11g. 28151 ,
Z State Zip Code
O ih. 704-484-6840
1 :1j. bradsornwell citvg Il. 704-484-6808
I
Telephone 1 Facsimile E-mail
12. Protect (Facility) Information:
MAYFLOWER RESTAURANT SEWER EXT 24. CLEVELAND
Brief Project Name (permit will refer to this name) i County Where Project is Located
Application Number:
(to be completed by DWQ)
Contact Person:
. SCOTT ROACH
Name and Affiliation of Someone Who Can Answer Questions About this Application
b.
F.
a.
828-247-4495
Phone Number
3c. scottA0Comenqineer'no.com
E-mail
Project is New 0 Modific Ion (of an existing permit) If Modification, Permit No.:
Owner is Public (skip to Item B(3)) 10 Private (go to Item 2(a))
If private, applicant will be:
Retaining Ownership (i.e. store, church, single office, etc.) or
Leasing units (lots, townhomes, etc. - skip to Item B(3))
I=1 Selling units (lots, townhomes, etc. - go to item B(2b))
CITY OF SHELBY
Z Owner of Wastewater Treatment Facility (WWTF) Trea
O 14a. CITY OF SHELBY WWTP
Name of WWTF
5a CITY OF SHELBY j5b. Gravity
eceivIng Sewer Size Force Main
2 6. The origin of this wastewater is (check all that apply):
2b. If sold, facilities owned by a (must
Ej Public Utility (instruction C)
Ei Homeowner Assoc./Developer (Instruction D)
ter From This Proje
t4b. NC0024
WWTF Perm
Ej Residential Subdivision
O Apartments/Condominiums
0 Mobile Home Park
EI School
Restaurant
Cl Office
NC0024538
Permit # of Downstream Sewer (Instruction E
El Retail (Stores, shopping centers)
Cl Institution
E] Hospital
El Church
El Nursing Home
El Other (specify):
7. Volume of wastewater to be allocated or permitted for this particular project:
*Do not Include future flows or previously permitted allocations
If the permitted flow is zero, indicate why:
Cl Pump Station, Outfall or Interceptor Line where flow will be permitted In subsequent permits that connect to this line
0 Flow has already been allocated in Permit No.
0 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);
6720 gallons per day
FTA I 2/07_ver2

Provide the wastewater flow calculations used in determining the permilted 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 .0114 (b) and (c) must be supported with actual water or wastewater use
data in accordance with 15A NCAC 2T .0114 (f).
68 SEATS 40 gpd/SEAT = 6720 GPD
10. Summary of Sewer Lines to be Permitted (attach additional sh
Size (inches) Length (feet)
New Gravity or Additional
Force Main
GRAVITY
Summary of Pump Stations wl associated Force Mains to be Permitted (attach additional sheets as necessary)
;Pump Station Location ID
Design Flow
Z (MGD)
Pump Station Loca
Design Flow
(MGD)
(self chosen as shown on plans/map for reference)
Power Reliability Option
- permanent generator w/ATS; y Force Main Size Force Main Length
2 - portable generator w/MTS
Operational Poln
GPM @TDEI
D (sr If chosen as shown on plans/map for reference)
Pump Station Location ID
Design Flow
(MGD)
Operational Point
GPM ¢ITON
Operational Point
GPM @TDH
Power Reliability Option
1 - permanent generator MATS
2 - portable generator w!MTS
Force Main Size
Force Main Length
(self chosen • as shown on plans for reference)
Power Reliability Option
1 - permanent generator w/ATS; Force Main Size Force Main Length
2 - portable generator w/MTS
2, Wilt the wastewater flow in the proposed sewer lines or pu
p
be abi'e to be directed to another treat rr ant facility
Yes El No If Yes, permit number of 2nd treatment facility
i(RO — if 'yes*to 8,12 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 18A NCAC Chapter 2T as
applicable?
© Yes © 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
i l'AI2f7 ver22

i14, Have the following permit sdeerfiti tirans been submitted for approval for the system or project to be served?
Wetland/Stream Crossings - General Permit or 40lCertification? © Yes No 0 N/A
Sedimentation and Erosion Control Plan? CI Yes No 0 N/A
Stormwater? 0 Yes © No N/A.
Does this project include any high priority lines, (see 15A NCAC 02T .0402 (2)j involve aerial lines, siphons, or interference
manholes)? These Tines will be considered hj9h priority and must be cjiecited once every six months
Check if Yes: 0 and provide details
la,
Owner/Permlttee's Certification: (Signature of Signing Official and Project Name)
I, BRAD R CORNWELL, attest that this application for MAYFLOWER RESTAURANT SEWER EXT has been reviewed
by me and is accurate and complete to the best of my knowledge. 1 understand that if all required parts of this applicatic
are not completed and that If all required supporting documentation and attachments we 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 of a Class 2 misdemeanor, which may include a fine not to exceed $10,000 as well as civil
i 2,,000 er violation, penalties up to ,:.:.�.
Slg ng Off
ignatui
Date
NGINEERiNG DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
PPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY
0 OTHER UTILITIES, DESIGN CALCULATIONS. ETC. REFER TO 15A NCAC 02T .0305
2, Profession& Engineer's Certification. (Signature of Design Engineer and Project Name)
1, DAVID W. ODOM, P.E., attest that this application for MAYFLOWER RESTAURANT SEWER EXT 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. 1 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 1 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 143-215.6B, any person who knowing!
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
c. 152 E MAIN ST
Mailing Address
FOREST CITY
City
8282474495 2h, 8282474498
Telephone
Facsimile
NC
2f. 28043
I Zip
davidodom
corn
E-mail
dornengineerIng�
& Date
FTA t 2f07_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: _Mayflower Restaurant — Dixon Blvd
More than one FISE-10/07 may be requiredfor a single project if the owner of the WITTP is not responsible for all
pump stations along the route of the proposed wastewater ow.
1. Complete this section only if you are the owner of the wastewater ea n plant.
a. WWTP Facility Name: Cit of Shell) First Broad,
b. WWTP Facility Permit if: WQ0024538
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
All flows are in MGD
6,0 MGD
0.35
2,45
0.00672
2.80
46.67
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
N/A
Approx. Capacity, MGD Approx. Current Avg„
(Firm/Design) Daily Flow, MGD
III. Ct3ficati .tment:
I..c.,„.6.- , certify that to the best of my knowledge, the addition of the
, V
? ,P
vole ofvstcwa ito be perrnitted 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 H for which I the responsible party, Signature of this form indicates
acceptaqpQf this ' r flow.
Sigin g Officiai Sign e
Date

Permit Number
Central Ries AP r thv"P'
060`19/ 6
Q003 61 Permit Tracking lip
ProgramCategory
Nor -discharge
'errnit Type Fast Trek
Gravity Sewer Extension, Pump Stations, & Pressure Sewer
Extensions
Primary Reviewer"
dee.drowder
Permitted Flow
6720
rty
etFacility Name
Mayflower Rest ura Sewer Extension
Location Address
Owner Name
City of Shelby
Dates/vents
0ri€n Issue
06/19/08
App Rseiued
06,17/08
Regulated Activities
Restaurant
v askewater cullert+aa
utfall 1'?..11...ia
Waterbody Name
'atett
Scheduled
Issuance
Fah
Status Project Type
Active New Project
Version
00
Permit Classification
individual
Per rttit Contact Affiliation
Majorllylinor Region
Minor Mooresvl
County
Cleveland
Facility Contact Affiliation
Owner Type
Government - Municipal
Owner Affiliation
Brad Cornwell
NC 11
FAO Box 207
Shelby
Notice
Issue Effective
0 t1 10 06/19/08
, e u e / ecei eEy‘nts
,Additional information! requested
4ddiiit nal ived
Stream Index Number
Expirati+
Current Class Subha in

PAY TO THE
ORDER OE
4.1
CH & SONS CONSTRUCTION INC
2004 TORISHIR UWE
GASTONIA. NC 28056-2205
04- 61 6278
TkYll
; 4;;;.1.14a4FiriTTra
11100 0 2 30 1: 2 5 3 i, 70 5 2':
CF ZENS SOUTH
GAsToNfA, NC
66.7051/253
59 1,6 3 Oni
3023

Engineering Certif cati an
Permit No. WQ0033161
June 19, 2008
OwnerNUQCSty WTP PE
Brad Cornwell, Utilities Director David W. Odom
City of Shelby Odom & Associates Engineering, Inc.
824 W. Grover Street 152 E. Main St.
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(:) 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
modifjcAtl4ns are reeuired fqr any changes resulting in roan-c9mpliance with this permit, feawiat ens or
rninjmurf gesign 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.
ENC3INEER'§ 9ERTIFICATIO
© Partial Final
rDW , v '"J , as a duly registered Professional Engineer in the State of North Carolina, having been
authorized to observe (periodically, © weekly, 0 full time) the construction of Mayflower Restaurant Sewer Ext., 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 o 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, 1998 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
Beal„ signature, and date:
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUiRED ATTACHMENTS TO THE FOLLOWING ADDRESS
autt
Cis;*.
use&
corn.
CON
Pero 1
The Permittee is responsible for tracking all
wastewater flow made tributary to the wastewater oa
Engineer's Certification shah be considered a violation of
enforcement actions.
MOORESVILLE REGIONAL OFFICE
SURFACE WATER PROTECTION
610 EAST CENTER AVENUE, SUITE 301
MOORESViLLE NC 28115
tions up until a final certification is received. Any
ystem extension pricer to completion of this
permit and shall subject the Permittee to appropriate

No,
ip Partial
Engineering Certification
Permit No. WQ0033161
June 19, 2008
OwnerANQCS/WWTP
Brad Cornwell, Utilities Director
City of Shelby
824 W. Grover Street
Shelby, NC 28150
PE
David W. Odom
Odom & Associates Engineering,
152 E. Main St.
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. Fern*
modifications are required for any changes resulting in non-comPliance with this p rmit, regulatiens or
minimum design criteria,
This project shall not be considered complete nor allowed to operate until this Engineers Certification and ail
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
21/Final
, as a duly registered Professional Engineer in the State of North Carolina, having been
authorized to observe (P periodically, 0 weekly, 0 full time) the construction of Mayflower Restaurant Sewer Ext , 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 thls permit; 15A NCAC 2T; the Division ofWater 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:
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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 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.