WQ0036057_Regional Office Historical File Pre 2018

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles WaldId, P.E. Dee Freeman
Governor Director Secretary
July 17, 2012
Mr, Mike Gilbert, Public Works Director
Town of Boiling Springs
Post Office Box 1014
Boiling Springs, NC 28017
Subject: Permit No, VV00036057
Family Dollar of Boiling Springs
Wastewater Collection System Extension
Cleveland County, North Carolina
Dear Mr, Gilbert:
In accordance with your complete application received on July 13, 2012, we are forwarding
herewith Permit No. WQ0036057, dated July 17, 2012, to Town of Boiling Springs 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the date of issuance until rescinded, and shall be subject to the conditions and limitations as specified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 August 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
Location: 610 East Center Avenue, Suite 301, Mooresville, NC 2
Phone: [phone] \ Fax: [phone]
Internet! http:iiportal.ncdenr org/web/wg
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled/10% Post Consumer paper
One
NorthCarolina
Natural/If

Mr. Mike Gilbert
Juy'1i,2012
Page Two
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 45 linear feet of 8-inch gravity sewer, and
the discharge of 800 gallons per day of collected domestic wastewater into the Town of Boiling
Springs's existing sewerage system 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 August 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 Town of Boiling
Springs's WWTP (NPDES No. NC0071943) 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 150E 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 Mr. Michael Parker at.
[phone].
Sincerely„
for Chuck Wakild, P,E.
Electronic copies: Todd Simmons, P.E., Freeland & Kauffman, Inc.
Cc:
Mooresville Regional Office, Collection System Permit File
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:
1. 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 August 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 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 (le.
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 28 .0506(a), and public notice shall be provided as required by
North Carolina General Statute §143-215,1C.

4. This permit is not transferable. In the event there is a desire for the wastewater collection
facilities to change ownership, or there is a name change of the Perrnittee, 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 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 drawings shall be maintained on file by the Perniittee 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
August 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 resu rld 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 (0) 858-0368 or
(919) 73 -3 00. 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 17th day of July, 2012.
NORTH TH AR M A ENVIRONMENTALMANAGEMENTCOMMISSION
br Chuck Wakild, P.E., Director
Division of Water Quality
By Authority of the EnvironmentalManagement Com
Number WQ0036057
ission

Permit No. WQ0036057
July 17, 2012
OwnerIWQCS
Mike Gilbert
Town of Boiling Springs
Post Office Box 1014
Boiling Springs, NC 28017
PE
Todd Simmons, P,E.
Freeland & Kauffman, Inc,
209 West Stone Avenue
Greenville, SC 29609
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 desi•n criteria,
This project shall not be considered complete nor allowed to operate until this Engineer's Certification and all
required supporting documentation flave 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
0 Partial 0 Final
, as a duly registered Professional Engineer in the State of North Carolina,
having been authorized to observe (0 periodically, 0 weekly, 0 full time) the construction of Family Dollar
of Boiling Springs, 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
August 1, 2000 as applicable; and other supporting materials,
North Carolina Professional Engineers 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,
4

USE THE TAB KEY TO MOVE FROM FIELD TO FIELD!
f. OwnerlPermittee:
la. Town of Boiling Springs
Application Number:
(to be completed by DWQ)
Full Legal Name (company, municipality, HOA, utility, etc,)
1b. Mike Gibed — Public Works Director
Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized signing ofFicialsl)
lc. The legal entity who will own this system is:
Individual iE Federal Municipality EIS eC unty Li Private Partnership Q' Corporation i Other (specify):
ld. POBox1014
Mailing Address
1f. NC
State
1 h, 704-434-2357
Telephone
704-434-2358
Facsimile
le. Boilinc,_Springs
City
1 g..28407 2-1,c 1L,_
Zip Code
1 j. mike,g [e-mail]
E-mail
2. Project (Facility) Information:
2a, Family Dollar of Boiling Springs,, NC _
Brief Project Name (permit will refer to this name)
3. Contact Person:
3a, Freeland a Kauffman, Inc. — Attn: Todd Simmons, PE
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b. 864-672-3426
Phone Number
2b, Cleveland
County Where Pro
s Located
3c. [e-mail]
E-mail . �.m_�..
Project is $ New 0 Modification (of an existing permit) If Modification, Permit No.:
2. Owner is Public (skip to Item B(3))
2a. If private, applicant will be:
® Private (go to Item 2(a))
2b. If sold, facilities owned by a (must choose one
El Retaining Ownership (i.e. store, church, single office, etc,) or
0 Leasing units (lots, townhomes, etc. - skip to Item 8(3))
[1] Selling units (lots, townhomes, etc. - go to Item 8(2b))
Town of Boiling Springs
Public Utility (Instruction C)
El] Homeowner Assoc./Developer (Instruction D)
Owner of Wastewater Treatment Fatality (WWTF) Treating Wastewater From This Project
4a, Town of Boiling Springs Waste Water Treatment Plant 4b. NC 0071943
Name of WWTF WWTF Permit No.
5a. Town of Boiling Springs 5b. 8 Gravity 5c, WQCS 00222
Owner of Downstream Sewer Receiving Sewer Size Li Force Main Permit t# of Downstream Sewer (Instruction E)
6. The origin of this wastewater is (check all that apply):
7,
8,
Ej Residential Subdivision
0 Apartments/Condominiums
0 Mobile Home Park
0 School
LI Restaurant
Office
IN Retail (Stores, shopping centers)
D) Institution
E Hospital
© Church
0 Nursing Home
0 Other (specify)
Volume of wastewater to be allocated or permitted for this particular project: 800
"Do not include future flows or previously permitted allocations
If the permitted flow is zero, indicate why.
100 % Domestic/Commercial
% Industrial (attach
description,)
(RO. contact your Regional Office
Pretreatment staff)
Other (specify):
gallons per day
0 Pump Station, Outfall or Interceptor Line where flow will be permitted in subsequent permits that connect to this line
LI Flow has already been allocated in Permit No.
© Rehabilitation or replacement of existing sewer with no new flow expected (see 15A NCAC 02T .0303 to determine if a
perrnit is required)
FTA 12/07

z
Design Flow
Z (MGD)
0
U
z
0
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 ,0114 (b) and (c) must be supported with actual water or wastewater use
data in accordance with 15A NCAC 2T .0114 (f).
8,000 sf * (100 gpd / 1,000 sf) = 800 gpd
10. Summary of Sewer Lines to be Permitt
Size (inches)
8
ac
additional sheets if necessary)
Length (feet)
New Gravity or Additional
Force Main
45 Gravity
1. Summary of Pump Stations wl associated Force Mains to be Per
ed (attach additional sheets as necessary)
Pump Station Location 1D (self chosen • as shown on plans/map for reference)
Operational Point Power Reliability Option
GPM @TDH 1 - permanent generator wfATS;
2 - portable generator w/MTS
Force Main Size Force Main Length
Pump Station Location
2 Design Flow
(MGD)
0
6L
Z
(self chosen -
Operational Point Power Reliability Option
GPM d@TDH 1 - permanent generator wIATS;
2 - portable generator w1MTS
as shown on plans/map for reference
Force Main Size Force Main Length
Pump Station Location
Design Flow
(MGD)
(self chosen - as shown on plans/
Operational Point Power Reliability Option
GPM @TDH 1 - permanent generator wWATS; Force Main Size Force Main Length.
2 - portable generator w/MTS
ap for reference
12. Wil
h
steweter flow in the proposed sewer lines or pump stations be able to be directed to another treatment facility?
Ej Yes No If Yes, permit number of 2" ° treatment facility
(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 15A NCAC Chapter 2T as
applicable?
M Yes [] No If No, please reference the pertinent minimum design crfterfa 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

hiPrilri; 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? [7] Yes Ell No N/A
Sedimentation and Erosion Control Plan? Yes L No [j] N/A
Storrnwater? LI Yes No NIA
15. Does this project include any high priority lines, [see 15A NCAC 02T :0402 (2)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: [1. and provide details
Owner/Permittee's Certification: (Signature of Signing Official and Project Name)
/, attest that this application for D has been
reviewed by me and is accurate and complete to the best of my knowledge, 1 und#irstand that if all 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 143-215.613, 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 $25,000 per violation.
la: 1 7 -
Signing Official Signature
Date
ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY
ci) TO OTHER UTILITIES, DESIGN CALCULATIONS, ETC, REFER TO 15A NCAC 02T .0305
0
I— 2. Professional Engineer's Certification. (Signature of Design Engineer and Project Name)
1 car4 S rk.M.94.4.$ , attest that this application for FAI41,1. riou..4. as 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 143-215,68, 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 penafties up to $25,000 per violation,
2a. Todd Simmons
Professional Engineer Name
2b. Freeland & Kauffman, Inc.
Engineering Firm
2c. 209 West Stone Avenue
Mailing Address
2d. Greenville 2e. SC 2f. 29609
City State Zip
2g. 864-672-3426 2h. 864-233-8915 2i. [e-mail]
Telephone Facsimile
E-mail
‘1/40oHlifi//,
Sid
0
NNW\
NC PE Seal, Signature & Date
FTA 1 2/07

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE —10/07)
Project Applicant Name: Town of Boiling Springs
Project Name for which flow is being requested: jamily Dollar of Boiling Springs
More than one ETSE-10/07 may be requiredfir a single project tf the owner o the 14/WIP is not responsible for all
pump stations along the route of the proposed wastewater flow
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Town of Boiling Springs Waste Water Treatment Plant
b. WWTP Facility Permit #: NC 0071943
All 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 j,284
f. Total flow for this specific request 0.0008
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
0.600
0
0.2848
47.47
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
N/A
M. Certifiation Statement:
,, 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 for which 1 am the responsible party. Signature of this form indicates
acceptance of this wastewater flow.
Signing Official Signature
7
Date

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, WWT.P FacilifY,Pernlit Enter the NPDES or Non -Discharge number for the WWTP receiving the
wastewater flow.
c. WWTP facility's per flow, MGD: From WWTP owner's NPDES or Non -Discharge permit
d. Estimated obligated flow not yet tributary to the WWTP. MGD: This includes flows allocated to
other constriction 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% of permitted 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 he 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 aygilow,MGD: Previous 12 month average.
f. Totalflowforthis specific reAtiest,MGD: Enter the requested flow volume.
g. Total actual and obli ated flows to the facility, MGD Equals [d + e + I]
h. Percent of permitted flow used: Equals [(g c)*100]

8
For example:
On January 15 a POTW with a permitted flow of 6.0 MGD, reported to the Regional Office that there
is 0.5 571f1D of flow that is obligated but not yet tributary. The annual average flow for 200'7 is 2.7
MGD,
The first Form FTSE-10/0'7 submitted after January 15, 2008 may have numbers like this:
c. = 6.0 MGD
= 0:5 MOD
e. = 277 MGD
f = 0015 MOD
g, = 3,215 MOD
h, 77- 53:6 7%
The next Form FTSE-10/07 may be updated like this:
60 MOD
d. = 0515 MGD
e. = 2773 MOD
f.= 0.102 MOD
g. = 3:349 MOD
h. = 55,8 11/3
Each subsequent Fomi FTSE-10/07 will be updated in the same manner.
Section
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 fir this project and other flows that have
been approved for the pump station but are not yet tributary,
Finn (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
FormFTISIEII 0/0'7 must be signed by the appropriate official as per 15A NCAC 02T .0106:

MyTopo Map Print
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0
a
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30000 Ft
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http://map-pass.mytopo.cornlrnaps/print_mytopo.asp?print—?O caie 0 layer=DRG&la._. 5/18/2012

Central Files: APS SWP
07/17/12
Permit Number ''6 t!Q0036057 Permit Tracking Slip
Program Category Status Project Type
Non -discharge Active New Project
Permit Type Verson Permit. Classification
Gravity Sewer Extension, Pump Stations, & Pressure Sewer 100 Individual
Extensions
Primary Reviewer Permit Contact Affiliation
michael. parker
Coastal SW Rule
Permitted Flow
500
Facility
Facility Name Major/Minor Region
Family Dollar - Boiling Springs Minor Mooresville
Location Address
N Main St
Boiling Springs NC 28017
Owner
Owner Name
Town of Boiling Springs
Oates/Events
County
Cleveland
Facility Contact Affiliation
Mike Gilbert
P© Box 1014
Boiling Springs
NC 28017
Owner Type
Government Municipal
Owner Affiliation
Zach Trogdon
Manager Town
PO Box 1014
Boiling Springs
Scheduled
Orig Issue App Received ©raft Initiated Issuance
07/16/12 07/13/12
Regulated Activities
Retail
0utfall NULL
Waterbody Name
Public Notice Issue
07/17/12
Requested/'Received Event
Additional information received
Additional information requested
Stream Index Number
NC 28017
Effective Expiration
07/17/12
Current Class Subbasin

Permit No, WQ0036057
July 17, 2012.
Owner!WQCS
Mike Gilbert
Town of Boiling Springs
Post Office Box 1014
Boiling Springs, NC 28017
PE
Todd Simmons, P.E.
Freeland & Kauffnian, Inc.
209 West Stone Avenue
Greenville, SC 29609
Complete and submit this form to the permit issuing regional office with the following:
One copy of the project record drawin
system extension
(plan & profile views of sewer lines) of the wastewater collection
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 requireefor 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.
E ttee`s CI=RTtt tcAWN
© Partial
Final
I, l CA", � ►+ w�� 5 , 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 Family Dollar
of Boiling Springs„ 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
August 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
1t} 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.
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