WQ0024795_Regional Office Historical File Pre 2018

Michael P. Easley, Governor
William (1. Ross Jr,. Secretary
North Carolin.a. Depanment al -Environment and Natural Resources
Alan IA', Klimek., P.E. Director
Dion of Water Quality
January 21, 2005
Mr. Barry Webb, City Manager
City of Belmont
Post Office Box 431
Belmont, North Carolina 28012
Subject: Permit No. WQ0024795
City of Belmont
Wal-Mart Store # 5085-00
Wastewater Collection System Extension
Gaston County, North Carolina
Dear Mr. Webb:
In accordance with your application received on January 12, 2005, we are forwarding herewith
Permit No. WQ0024795, dated January 21, 2005, to the City of Belmont for the construction and
operation of the subject wastewater collection system extension. This permit shall be effective from the
date of issuance until rescinded, and shall be subject to the conditions and limitations as specified
therein. This cover letter shall be considered a part of this permit and is therefore incorporated therein
by reference.
Please pay particular attention to Permit Condition 3 which requires that the wastewater
collection facilities be properly operated and maintained in accordance with 15A NCAC 2H .0227 or any
individual system -wide collection system permit issued to the Permittee.
Permitting of this project does not constitute an acceptance of any part of the project that does
not meet 1) 15A NCAC 2H .0200; 2) the Division of Water Quality's (Division) Gravity Sewer Minimum
Design Criteria adopted February 12, 1996, as applicable; 3) and the Division's Minimum Design
Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000, as
applicable, unless specifically mentioned herein. Division approval is based on acceptance of the
certification provided by a North Carolina -licensed Professional Engineer in the application, It shall be
the Perrnittee's responsibility to ensure that the as -constructed project meets the appropriate design
criteria and rules, Failure to comply may result in penalties in accordance with North Carolina General
Statute §143-215.6A through §143-215.6C, construction of additional or replacement wastewater
collection facilities, and/or referral of the North Carolina -licensed Professional Engineer to the licensing
board,
Mooresville Regional Office 610 East Center Ave., Suite 301 Mooresville, NC 28115 Phone: [phone] Fax [phone]
Internet: h2o,enr.state.nc.us Customer Service: 1-877-623-6748
An Equal Opportunity/Affirmative Action Employer-50% Recycled/10% Post Consumer Paper
NgerthCarolina
aturally

Mr, Barry Webb
Page 2
January 21, 2005
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North
Carolina as amended, and other applicable Laws, Rules, and Regulations, permission is hereby
granted to the City of Belmont for the construction and operation of approximately 1,820 linear feet of 8-
inch gravity sewer to serve 188,640 square feet of comrrmercial space as part of the Wal-Mart Store #
5085-00 project, and the discharge of 22,640 gallons per day of collected domestic wastewater into the
City of Belmont's existing sewerage system, pursuant to the application received January 12, 2005,
and in conformity with 15A NCAC 2H .0200; the Division's Gravity Sewer Minimum Design Criteria
adopted February 12, 1996, as applicable; the Division's Minimum Design Criteria for the Fast -Track
Permitting of Pump Stations and Force Mains adopted June 1, 2000, as applicable; and other
supporting data subsequently filed and approved by the Department of Environment and Natural
Resources and considered a part of this permit.
The sewage and wastewater collected by this system shall be treated in the City of Belmont
WWTP (NPDES No. NC0021181) prior to being discharged into the receiving stream.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the
right to request an adjudicatory hearing upon written request within 30 days following receipt of this
permit. This request must be in the form of a written petition, conforming to Chapter 150B of North.
Carolina General Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service
Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and
binding.
If you need additional information concerning this matter, please contact Sonja Basinger at
[phone].
cc: Gaston County Health Department
Mooresville Regional Office, Water Quality Section
James Freeland, Freeland and Kauffman, Inc.
Water Quality Central Files
Marie Doklovic, PERCS
Sincerely,
1)-C'
for Alan W. Klimek, P.E.
F Permit No. NC0021181)

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
WASTEWATER CO LECTION SYSTEM EXTENSION PERMIT
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
following specified conditions and limitations:
1. This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2H .0200; the Division of Water Quality's
(Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996, as applicable; the
Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force
Mains adopted June 1, 2000, as applicable; and other supporting materials unless specifically
mentioned herein.
2. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data.
3. The wastewater collection facilities shall be properly maintained and operated at all times. The
Permittee shall maintain compliance with an individual system -wide collection system permit for the
operation and maintenance of these facilities as required by 15A NCAC 2H .0227. If an individual
permit is not required, the following performance criteria shall be met as provided in 15A NCAC 2H
.0227:
a. The sewer system shall be effectively maintained and operated at all times to prevent
discharge to land or surface waters, and any contravention of the groundwater standards in
15A NCAC 2L .0200 or the surface water standards in 15A NCAC 2B .0200.
b. A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan shall be developed and implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e.
365 days per year). Pump stations that are connected to a telemetry system shall be
inspected at least once per week.
e. High -priority sewer lines shall be inspected at least once per every six-month period of time.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Inspection and maintenance records shall be maintained for a period of at least three years.
h. Overflows and bypasses shall be reported to the appropriate Division regional office in
accordance with 15A NCAC 28 .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 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.
Per 15A NCAC 2H .0220, upon completion of construction and prior to operation of these
permitted facilities, the completed Engineering Certification form attached to this permit shall be
submitted with the required supporting documents to the address provided on the form. A complete
certification is one where the form is fully executed and the supporting documents are provided as
applicable.
7% A copy of the construction record drawings shall be maintained on file by the Permittee for the life
of the wastewater collection facilities.
Failure to abide by the conditions and limitations contained in this perrnit; 15A NCAC 2H .0200; the
Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's
Minimum Design Criteria for the Fast -Track Permitting of Pump Station and Force Mains adopted
June 1, 2000 as applicable; and other supporting materials may subject the Permittee to an
enforcement action by the Division, in accordance with North Carolina General Statutes §143-
215.6A through §143-215.6C.
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 messages or faxed information is permissible, but shall not be considered as the
initial verbal report. Overflows and spills occurring outside normal business hours may also be
reported to the Division of Emergency Management at telephone number [phone] or
[phone]. Persons reporting any of the above occurrences shall file a spill report by
completing Part I of Form CS-SSO (or the most current Division approved form), within five days
following first knowledge of the occurrence. This report shall outline the actions taken or
proposed to ensure that the problem does not recur. Part II of Form CS-SSO (or the most
current Division approved form) can also be completed to show that the SSO was beyond
control.
e 21st day of January, 2005.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for Alan W. Klimek E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0024795

Fast Track Engineering Certification
Permit No. WQ0024795
January 21, 2004
Complete and submit his 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 arefeouired fgr 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 Engineers 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 El 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 the Wal-Mart Store #
5085-00, Gaston County project for the Permittee hereby state that, to the best of my abilities, due care and
diligence was used in the observation of the construction such that the construction was observed to be built
within substantial compliance of this permit; 15A NCAC 2H .0200; the Division of Water Quality's (Division)
Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design
Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and
other supporting materials,
North Carolina Professional Engineer's
seal, signature, and date:
IT
SEND THIS FORM & SUPPORTING DOCUMENTATION
REQUIRED ATTACHMENTS,ToTHE FOLLOWING ADDRESS
MOORESVILLE REGIONAL OFFICE
610 EAST CENTER AVENUE, SUITE 301
MOORESVILLE NC 28115
ATTN: DEE BROWDER
The Permittee is responsible for tracking all partial certifications up until a final certification is received. Any
wastewater flow made tributary to the wastewater collection system extension prior to completion of this
Engineer's Certification shall be considered a violation of the permit and shall subject the Permittee to appropriate
enforcement actions:

°TRACK: �APICATION for GRAVITY SE'y°4'ERS, PC
STATIONS, AND FORCE MAINS
PAGE 3
0
0
EL
• 1 f. North Carotin
State
0
USE THE TAB KEY TO MOVE FROM FIELD TO FIELD
(City of Belmont)
Full Legal Name (company, municipality„ HOA, utility, etc.)
1 b. Mr. Barry Webb j ity Manager)
Application Number:
(to be completed by OWQ)
Signing Official Name and Title (Please review 15A NCAC 2H .0206(b) for authorized signing officials!)
lc. The legal entity who will own this system is:
❑ Individual ❑ Federal Municipality ❑ State/County ❑ Private Partnership ❑ Corporation ❑ Other (specify).
a.
id. f3.0. Box4
Street Address
lh. 17041825-5 86 1i. [phone]
Telephone Facsimile
2. Project (Facility) information:
2a. Wal-Mart Store fI5085-00
Brief Project Name (permit will refer to this name
3. Contact Person:
• 3a. Rogan Martin — Freeland and Kauffman, Inc.
0
2
0
LL
Z
le. Belmont
City
lg. 28012
Zip Code
1j. [e-mail]
E-mail
2b. Gaston Count
County V Ihere Project
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b. (8641672-3439
Phone Number
1, Project is
New i j Modification
3c. [e-mail]
E-mail
of an existing permit) If Modification, Permit No.:
ted
For modifications, attach a separate sheet clearly explaining the reason for the modification (i.e. adding another
phase, changing line sizeflength, etc.). Only include the modified information in this permit application • do not
duplicate project information in B(7) and B(10-11) that has already been included In the original permit.
2, Owner is ® Public (skip to Item 8(3)) ❑ Private (go to Item 2(a))
2a. If private, applicant will be: 2b. If sold, facilities owned by a (must choose tine
El Retaining Ownership (i,e. store, church, single office,
❑ Leasing units (lots, townhomes, etc, - skip to Item (�
❑ Selling units (lots, townhomes, etc.. - go to Item B(2b,
City of Belmont
Owner of Wastewater Tre
4a City
of Belmont Wastewater Treatment Plant
Name of WWTF
5a. City of Belmont
Owner of Downstream Sewer
The origin of this wastewater
❑ Residential Subdivision
Apartments/Condominiums
O Mobile Home Park
❑ School
Restaurant
❑ Office
c.) or ❑ Public Utility (Instruction III)
❑ Homeowner Assoc./Developer (Instruction IV)
t Facility (WWTF) Tre
9
astewater From This Project
4b. NC 0021181
WWTF Permit No.
5b. 12-inch / 8-inch 5c. N/A
Receiving Sewer Size Permit Number of Downstrea
check all that apply):
El Car Wash
❑ Institution
0 Hospital
Church
❑ Nursing Home
Other (specify), Commercial
7. Volume of wastewater to be permitted in this project. 22,640 gallons per day
Sewer (if known
100 % Domestic/Commercial
% Industrial
Other (specify):
If the permitted flow is zero, indicate why.
O Interceptor Line - Flow will be permitted is subsequent permits that connect to this line
El Flow has already been allocated in Permit No.
El Rehabilitation or replacement of existing sewer with no new flow expected
16,r,R fe ^Y fF`Y a4 rh rYA iYXA

i -TRACK APPLICATION for GRAVITY SEWERS, PUMP .STATIONS, AND FORCE MAINS
PAGE 4
Ui
z
z
0
z
z
03
9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2H
,0219(I) for Item B(7) or the design flow for line or pump station sizing if zero flow in the space below, Values other than
that in 15A NCAC 2H ,0219(I)(1-2) must be approved prior to submittal of this application. Submit a separate request to
the Division of Water Quality, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617 in
accordance with 15A NCAC 2H ,0219(1)(3).
120 Gallons per day per 1,000 square feet = 188,64 x 120 = 22,640 GPD (Store Area — 188,640 sf)
10. Summary of Sewer Lines to be Perrnitted (attach additional sheets if necessary)
Size (inches)
8
Length (feet)
1820
ENTER TOTAL LINE LENGTH IN MILES 0.345
11. Summary of Pump Stations to be Permitted (attach additional sheets as necessary)
Gravity or Force Main
(use the pull down menu)
Gravity
Location ID Power Reliability Option
(self chosen - as shown on Design Flow Operational Point (1- dual line feed; 2- permanent generator w/ATS; 3-
plans for cross-reference) (MGD) GPM @ TDH portable generator ye/telemetry; 4-wet well storage)
12. 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 2H .0200 as applicable?
Yes 0 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
13. Have the following permits/certifications been submitted for approval?
Wetland/Stream Crossings - General Permit or 401 Certification? rj Yes 0 No N/A
Sedimentation and Erosion Control Plan? Z Yes fl No Ej N/A
Stormwater7 Z Yes 0 No 0 N/A
r'r rA, 4,n" rc.4

IT TRACK APPLIL TTON for GRAVITY SE v6'ERS, PUMP STATIONS, AND FORCE MAINS
PAGE 5
z
0
z
0
1. Use the Division's guidance document entitled, "DETERMINING STREAM CLASSIFICATIONS FOR FORM FTA 02/0
(FAST -TRACK SEWER SYSTEMS)" to collect and record the stream classification data below (attach additional sheets a
necessary), This document is available from our web site or by contacting the appropriate Division of Water Quality
regional office (see instructions for addresses) OR indicate the following.
El A Stream Classification is not needed because all parts of the project are at least 100 feet away from any down siope
waterbody; AND,
D A Stream Classification is not needed because the design does not depend on wet well storage as a power reliability
option for any pump station near a Class C down slope waterbody.
Location ID on Map
(self chosen - as shown on Name of
map for cross-reference) Waterbody County
Mount Holly UT to Catawba River Gaston County
1 a.
River Basin
Catawba River
hacin
Waterbody Stream Waterbody
Index Classification
11 — (122) WS IV & B CAA
Submit the 8.5" x 11" COLOR topographic map as required in Instruction VI
regardless of whether a classification is provided!
Applicant's Certification:
1, Barry Webb, attest that this application for Wal-Mart Store #5085-0© 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 application are not completed and
that if all required supporting documentation and attachments are not included, this application package is subject to
being returned as incomplete. Note, In accordance with North Carolina General Statutes 143-215,6A and 143-215.6B,
any person who knowingly makes any false statement, representation, or certification in any application shall be guilty of
a Class 2.misdemeanor which may include a fine not to exceed $10, 00© as well as civil penalties up to $25,000 per
violation.
Signing Official Si ature
2. Professional Engineer's Certific
ton.
1 attest that this application for Wal-Mart Store#5085-00 in Belmont, North Carolina 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. I further attest that to the best of my knowledge the proposed design has
been prepared in accordance with the applicable regulations, Gravity Sewer Minimum Design Criteria for Gravity Sewers
adopted February 12, 1996, and the Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force
Mains adopted June 1, 2000 and the watershed classification in accordance with Division guidance. Although certain
portions of this submittal package may have been developed by other professionals, inclusion of these materials under my
signature and se& signifies that I have reviewed this material and have judged it to be consistent with the proposed design,
Nate: in accordance with NC 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,
fine not to exceed $10,000 as well as civil penalties up to S25,000 per violation.
2a. James R. Freeland
Professional Engineer Name
2h. Freeland and Kauffman, Inc
Engineering Firm
2c. 209 est Stone Avenue
Address
2d, Greenville
2e. SC 2f. 29609
City State Zip
2g. (864) 233-55497 2h. �864) 233-8915 2i,
Telephone Facsimile
E-mail
Seal„ Signature k: Date
10'1' .A, ev,5 d�,

Permit Number
Q0024795
Perm Tracking Slip
01( 1I5
Prow in ateg r Status Prolect Type
Non -discharge In review New Project
Permit Type Fast ra It Version Permit Classi abort
Gravity Sewer Extension, Pump Stations, Pressure Sewer Individual
xtensions
Primant Reviewer
sonjab singer
Permitted Flow
22640
Facility Name
aEMart Store # 508500
Location Address
Owner
Owner Name
City of Belmont
DasiEves
PennContact A iiiation
Major!
Minor
nor
Region
Mooresville
County
Gaston
Facility Contact Affiliation
Scheduled
Orig Isaac Apo Received Draft tnttiated issuance Public Notice Issue
01/1, 1 a
Owner Type
GovernmentMunicipal'
Owner Affiliation
Barry Webb
PO Pox 431
Belmont
Regulated Activities
r industrial, other
ater rtallection
off. NULL
terbodv Name
strew index' Number
NC i12
Effect Expiration
e uestad/Received Even
Additional infrarrraatidn requested
Additional irtforrraatirtn received
Cu
Subbasin

Sif As Shown
Checked by: DAH
Drawn by: qL
Date: 1,25.02
ENGINEERING TESTING
ENVIRONMENTAL SERVICES
USGS TOPOGRAPHIC MAP
22-Acre Wal-Mart Super Center Property
Belmont, Gaston County
North Carolina
Job No 1261-02-006
Figure No,
2

F EELAND an
J 1 MAN, INC.
ENG1NEEfi5 • LANDSCAPEARCH1rECT5
January 10, 2005
To: NCDENR -- Mooresville Regio
From: Rogan Martin
Re:
Wal-Mart Store #5085-00
Belmont, North Carolina
a
O fice
Affiliate
and -Kauffman
wican, Inc.
5entonvlUe, Arkaneaa
Enclosed are one original and one copy of the fast track application for gravity
sewer for the proposed Wal-Mart Store #5085-00 in Belmont, NC. Also enclosed
are two copies of the flow acceptance letter from the director of the public works,
department for the City of Belmont, a color USGS topographic map and a check in
the amount of $400.00, Please call me at [phone] if there are any problems
with this application or if you require additional information.
Thank you for your time and help with the processing of this application.
J A.
209 West Stone Avenue • Greenville, South Carolina 29Tetcpione 864-233-5 97• Fax [phone]