WQ0040611_Regional Office Historical File Pre 2018

State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Kesources ETA 04-16 & SUPPORTING .DOCUMENTATION
Application Number:
ir=1Ito he corrapieled DWI()
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
Applicant's name: City of Bessemer City (company, municipality. FIOA, utility, etc„)
2. Applicant type: LI Individuat 11 Corporation
Ej Federal
LJ State/County
Lil General Partnership
El Municipal
3, Signature authority's name: .James Inryian per 15A NCAC 02T .01060),
Title: City Manaer
4. Applicant's 'nailing address:1.32 W. Virginia Ave.
City: Bessemer City State: NC Zip: 28016-
5. Applicant's. contact information:
Phone number: [phone] Email Address; linman&essemercity,com
=
[111 Privately -Owned Public Utility
El Other
11. PROJECT INFORMATION:
I. Project name: ADS Iard Expansion
2. Application/Project status: El Proposed (\ew Permit) El Existing Permit/Project
fa modification, 'provide the existing permit number: WQ00 and issued date:
If new construction but part of a master plan, provide the existing permit number: WQ00_
3. Cou.nty where project is located: Gaston
4. Approximate Coordinates. (Decimal Degrees): Latitude: 3.5,28Longitude: -81,26'
5, Parcel ID (if applicable): 2 8637 & 2.18640
(or Parcel ID to closest downstream sewer)
11.1, CONSULTANT INFORMATION:
I. Professional Engineer: Jeffery C Orsborn License Number; 028786
Firm: Orsborn Engineering Group, PA,
Mailing address. 610 East Morehead Street, Suite 106
City: Charlotte State: Zip: 28202-2614
Phone number: [phone]
Email Address: krsborMit,orsborn-eng.com
R. WASTEWATER TREATMENT FACILav (WWTF) INFORMATION:
1. Facility Name: Crowder s Creek Permit Number: NC0074268
Owner Name: City of Ciastonia
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than wwr
t, Permit Number(s): WQCSOC1107 Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS_ _
Owner Name's): City of Bessemer City
FORM: EVA 04-16
Page 1 of 5

VI. GENERAL R.EQUIREMENTS
1 If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
0 Yes EJNo N/A
2. fthe Applicant is a. Developer °riots to be sold, has a Develmer—. Operational Agreem.ent LIfORM: DEVI been attached?'
0 Yes E] Nf
3, if the Applicant is a Ilome/Pro e . Ovners° ssociation, has an Qperational Atreement IF OR.M: FlOAA. been attached?
0 Yes 0No NSA
4. Origin of wastewater: (check all that apply):
0 Residential Owned
0 Residential Leased
0 School / preschool / day care
El Foodand drink facilities
0 Businesses offices / 'factories
Retail (stores, centers, malls)
0 Retail with food preparation/service
0 Medical dental./ veterinary facilities
0 Church
Nursing Horne
5. Nature vast 'ater 0 % Domestic/Commercial 0 % Commercial
0 % Industrial (See I 5A NCA( 021 0t03L.,2p1)
Is there a Pretreatment Program in effect?
6. flas a 'flow reduction been approved under I.5A NCAC 02T .01 14(11?
If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
tablishmeni'type (set 14fl
Yes LEI No
Daily Design Flow "
gal/
gali
gal/
gal
galgal
0 Car Wash
0 Hotel andlor Motels
0 Swimming Pool /Clubhouse
0 Swimming Poollf ilter Backwash
Other ( it)
L..104. 1";
Flow
GPD
CiPD
(PE)
GP[)
GP[)
GPI)
Iota/
0 GPI)
a See ISA NCAC 02T ,01 and )(2) for caveats to wastewater design flow rates (i,e„ minimum flow per
dwelling; proposed unk.nown non-residential development uses; public access facilities located near high public use areas;
and residential property located south or east of the Atlantic Intracoastal Waterway to. be used as vacation rentals as defined
in G.S, 42A-4),
Per 15A NCAC 021 ..0 I Lite), design flow rates for establishments not identified [in table I5A NCiNcl02T,0114] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data,
8, Wastewater generated byproject: 0 GPD (per ,ISA NCAC o21 ,p t zn
Do not includefuture flows or previously permitted allocations
If permitted flow is zero, indicate why:
0 Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
Flow has already been allocated in Permit Number:
0 Rehabilitation or replacement of existing sewer with no new flow expected
E Other (Explain):
FORM: FTA 04-16
Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable)- 02T .0305 & MDC (Gravity Sewrs):
1. Summarize gravity sewer to be permitted:
Size inches) Length (feet) Material
291 PVC
• Section 11 & 1E1 of the MDC for Permitting of Gravity Sewers contains information related to design criteria
• Section Ell contains information related to minimum slopes for gravity sewer(s)
Oversizin.g lines to meet minimum slope requirement is not allowed and a violation of the Ni DC
PUMP STATION DESIGN CREFERIA. (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
COMPLETE FOR LA D PUMP STATION INCLUDED IN TEDS PROJECT
1. Pump station number or name:
2, .Approximate Coordinates (Decimal Degrees): Latitude: . Longitu.de: -
3. Design flow of the pump station: millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): gallons per minute at feet total dynamic head (TDH)
5. Summarize the force main. to be permitted (for this Pump Station):
Size(inches)
Length (feet)
Material
6. Power reliability in accordance with 15A NCAC 02T ..0305(h)t 1):
[1]. Standby power source or pump with automatic activation rind telemetry - 15A, NCAC 02T .0305(h)( 1 )(B):
Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per clay
Must be permanent to facility
Or if the pump station has an average daily flow less than 15,000 gallons per day:
Ej Portable power source with manual activation, quick -connection receptacle and telemetry - 15A. NCAC 021
.0305(h)( 1)(C)
or
LJ Portable pumping unit with plugged emergency pump connection and telemetry 15A NCAC Orr .0305(h)(1)(C):
• It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
and is compatible with the station.
• I fthe portable power source or pump is dedicated to multiple pump 'stations, an evaluation of all the pump stationsstorage
capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shallbe provided.
in the case of a. multiple station power outage.
FORM: ETA 04-16 Page 3 of 5

IX. SETBACKS & SEPARA'UIONS —(02B .0200 & i5 'CC 02T .03.05(0):
L Does the project comply with all separations -found •in 15A N( AC 021 .030511) & (q)
'V' 15A NCAC 021%0305() contains minimum sparaonsthatshafl bcprovided for sewer systems:
Setback Parameter* Separation Required
sesser. and other utilities not listed below (vertical) 24 inches
vertical -water over sewer including in 'benched trenches) 18 inches
r mains (horizontal)
[g es
lai ed water lines (vertical - reclaimed over sewer)
Reclaimed wate a - reclaimed over sewer)
10 feet
**Any private or public water supply source, including any wells, WS-I • :a. ...lass] or
:lass 11 i .d d eseroirs used as a source of drinking sater
inches
2 ket
100 feet
'Waters classified WS (except Y or V S- ), B, SA, ORW, HOW, or SB from normal
highwater (or tide elevation) and wetlands (see item 1X..2)
**Any other stream, lake, irnpoundmen.t, or ground water lowering and surface drainage
ditches
slope of embankment or cuts of 2 feet or more vertical 1___Leiht
'stems and interceptor drains
0 feet
5 feet
10 feet
0 feet
5 feet
10 fee
Final earth grade (vertical) 36 inches
• 15A ,N"CAC 0217.0305(g1 contains alternatives where separations in (21.0305ff) cannotbe achieved,
▪ **Strea.m classifications can be identified using the Division's NC Surface Water 11ficatioiebpae
))-- If noncompliance with 02-1.0305(0 or sce Section X of this application
Does the project comply with separation requirements for wetlands? (50 feetof separation)
• See the Division's draft separation requirements for situations where separation cannot be meet
• No variance is required if the alternative design criteria specified is utilized in designand construction
• As built documents should reference he location of areas effected
El Yes
3. Does the project comply with all setbacks found in the river basin rules per '15A NC A( 0213 0200? E Yes
• This would include Trout Buffered Streams per 15A NCAC 2E3,0202
4„ Does the project comply with an individual 404 Permitor any 401 Certifications? ["?11 Yes No
• Wetland -related permits shall be requested, obtained, and adhered to for projects that impact wetlands or surface waters
Information. can be obtained from the 401 .& Buffer Permitting Branch
5„ Does project comply, with 15A NCA.0 02T.0105 c' 6) (additional permits/certifications)? E Yes Li No
Per 15A NCAC 02-1.0105(c)(6), directly related environmental •permits or certification applications are being prepared, have
been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion and
sedimentation control plans, stormwater inanag.em.ent plans, etc:),
6, Does this project include any sewer collection lines that are deemed "high -priority?"
Per 15A NC,AC 02T,0402, "high -priority, sewer" means "any, aerial sewer, sewer contacting surface waters,. siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
Yes jNo
.11yes, include an attachment with details for each line, including type (aerial line, size, material, and location),
High priority lines shall be inspected by the permittee or its representative at least once every six -months and inspections
documented per 15A NCAC 02T.0403(a)(5) or the permitees individual System -Wide Collection permit.
1ORM: ETA 04-16 Page 4 of 5

V:CERTIFICATIONS:
Does the submitted system comply with 15.A 'NCA.0 02T. the Minimum. Dest Perminin of Pit
and Force Mains (latest versionl and the Gravity Sewer rs.,,F D s" ,n(r.e as applicable?
El Yes LINo
Fr No, complete and submit the Variance/Alternative Design Request application (V ADC I 0-14) and supporting documents for
review., Approval of therequest is required prior to submittal of the Fast Track Application and supporting documents.
2. Professional Engineer's Certification:
Jeffery C. Orsborn
(Professional Engineer's name from Application Rem 111.1.
St. its
attest that this application for
has been reviewed by me and is accurate, co iplete and consistent with the information supplied in the plans, specifications,
engineering calculations, and all other supporting documentation to the best of m.y knowledge, 1 further attest that tothe best
of my .knowledge the proposed design has been prepared in accordance with the applicable regulations,. Gravity Sewer
Minimum Design Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria forthe Fast -Track Permitting
of Pump Stations and Force \lains (latest version.). Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that l have reviewed this material and.
have judged it to be consistent with the proposed design,
NOTE — I n accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall he guilty of a Gass 2 misdemeanor, which may
include a tine not to exceed $10,000, as well as civil penalties up to S25,000 per violation \
North Carolina Professional .Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02.T ,0106(b):
James Inman, City Manager
(Signature Authority's. name & title from Application Item I.3.)
attest that this application for
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. 1 understand that any discharge of wastewater from this non -
discharge system to surface. waters or the land will result in an immediate enforcement action that may include civil penalties,
injunctive relief, and or criminal prosecution, I will make no claim against the Division of Water Resources should a condition
ofthis permit be violated. I also understand that if all required parts of this application package are not completed and that if
all required supporting information and attachments are not included, this application package will be returned to me as
incomplete,
NOTE In accordance with Cieneral Statutes I43-215,6A. and 14,3-2156B, any person who knowingly makes any false
statement. 'representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a tine not to exceed SI.0,000 as well as civil penalties up to $25,000 per violation.
Date:
FORM: ETA 04-16
Page 5 of 5

N:.M.Jr;C)A,R
JOB # 18024
DATE: Y /'10/ 19
SCALE:
DRAWN BY:
APPROVED BY:
A
MLM
JCJ
EXISTING SEWER TO BE —
RE_ CATEC/AEEAN[)C)NED
OVER AVE
USGS QUAD MAP EXHIBIT
FOR
ADS YARD EXPANSION
CHARLO I I E, NORTH CAROLINA
i F OSED GRAVITY
SEWER
RELCCATIoN
SEWER
ORSBORN ENGINEERING GROUP
510E.As( MO 4.H EAO srREEf SL1I>h. 106
CHARLOTTE, NC 2R2( 2
1') 704-749-9432. F) 704-719-1433

ADS Yard Expansion
City North Carolina
Project Norrrrty°
January 1, 2019
This project proposes a 1 -acre storage yard expansion for the adjacent manufacturing facility.
s part ofthis development project, the existing public gravity sewer running across the parcel
will be rebated,,

610 EAST MOREHEAD STREET,, SUITE 106
CHARLOTTE, NORTH CAROLINA 28202
DIANNE 7t4.7 9.143
FAx 704.'749.1433
To1 Barry Lave
NCDEQ
610 E. Center Avenue
Suite 300
Mooresville, NC 2811
704-66 -1699
Date
Project: 18024
ADS Yard Expan
Date; 01/29/ 019
Sent Via. Courier
Description
2 179 2019 Fast track sewer system extension appliation (original
1 1._... 1 99'2019 1 Check 42227, $ 80, payable to NCDEQ
For Approval
For Your Use
As Requested
rel For Review and Comment
Approved as Submitted
Approved as Noted
carry,
Endosed is a fast track sewer system extension applici
if you need anything futher please let me know,
Thanks
JASON BANKS, El
ORSBORN EN( NEERrNG GROUP, P.A.
610 EAST MOREHEAD STREET, SUITE 106
CHARLOTTE, NC 28707
704-749-1432
1banks arsborn eng,com
Copied To:
copy)
Returned for Corrections
Returned After Review
Resubmit for Approval
n. There Is an orignai„ a copy and the reques to check.
Signed.:

(7ERTIFICATION CHECKLIST
To be competed by the certifying engineer prior to operation of the permitted sewers per 15A NCAC DTU
Certifying Engineer; _Jeffery C. Orsborn
Certification Review Date: 07/29/19
Project Name: ADS Yard Expansion
WQ00 40611 Project County: Gaston County
1) Has permittee information changed since the permit was issued (or last modified): change of mailing address,
change of ownership, transfer from developer to HOA/P0A, etc. Yes I X No
If yes, please provide either a change of ownership form or new contact information. Note that transfer of
permits from the developer to the HOA/POA must occur with the first certification.
2) Have the as -built drawings have been signed, sealed, and dated by an N.C. PE? X Yes No
3) Final Engineering certification? X Yes No
If Partial Engineering certification, provide detailed narrative including what is being certified in the current
phase, what was previously certified (if applicable), and what is left to be certified.
4) Adequate information related to sewer lines: X Yes No
N/A
• Three feet minimum cover has been provided for all sewers unless ferrous pipe was installed.
• Minimum diameters for gravity sewers are 8-inches for public lines and 6-inches for private lines.
• Manholes have been installed: At the end of each line, at all changes in grade, size, or alignment, at all
intersections, and at distances not greater than 425 feet, minimum diameter shall be 4 feet (48-inches).
5) Adequate information related to pump stations:
Yes No L5{] N/A
• Ensure power reliability option was selected per 15A NCAC 02T,0305(h).
6) Was project construction completed in accordance with all of the following: I XI Ves Lil No El N/A
• 15A NCAC 02T,.. Minimum Design Criteria (MDC) for the permitting of Gravity Sewers (latest version), and MDC
for the Permitting of Pump Stations and Force Mains (latest version)?
If not, a variance approval is required in accordance with 15A NCAC 02T.0105(b), prior to certification and operation.
• Contact the Central Office to discuss the variance to determine a course of action,
• Applicant must submit two copies of the variance request form, plans, specifications, calculations, and any other
pertinent information to the Central Office (one hard copy, one digital copy).
• The central office will review the variance request, and if approvable, specific language regarding the variance
will be incorporated into the permit, either via a special condition or a supplementary letter, A copy of the
reissued permit with variance language or the variance letter must be maintained with the original documents.
7) Does the project contains high priority lines (15A NCAC 02T .0402(2))? ri Yes XI No
• If yes, ensure that the permit already contains the necessary condition related to high priority lines 15A NCAC
02T.0403 (a)(5). If the permit does not include this language, the Fast Track reviewer will reissue the permit with
the appropriate language,
8) Are Permit modifications are required for any changes resulting in non-compliance with this permit (including but not
limited to pipe length changes of 10% or greater, change in flow, pump station design capacity design change of 5% or
greater, and/or change in the number/type of connections)? [1 Yes [1 No
• If yes, a permit modification request must be submitted to the appropriate Regional Office, and a modified
permit with revised certification must be issued prior to certification and operation.
SiSw. of North, trarclnr lava ,taator frrattattors ater C:{q,f41,1q. N.04i0Ela TeMI
ottroav Rtvronai "Ittro" 6 , Tratt. Crattat Saar, "4'01 afortaratt N'orth Carolina "2".ar'l 5

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMI 11EE: City of Bessemer City
PERMIT #: WQ0040611
PROJECT: ADS Yard Expansion
ISSUE DATE: February 19, 2019
et)frAiRii)W!.-:
"th7 IrtEchito,
This project shall not be considered complete nor allowed to operate in accordance with Condition 7 of
this permit until the Division has received this Certification and all required supporting documentation.
It should be submitted in a manner that documents the Division's receipt. Send the required
documentation the Regional Supervisor, Water Quality Regional Operations Section at the address at
the bottom,
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions. The Permittee is responsible for tracking all partial certifications up
until a final certification is received, A Final Certification shall be a complete set of record drawings and
design calculations regardless of whether partials have been submitted,
PERMITTEE'S CERTIFICATION
I, the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant
to the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee„ and the Perrnittee is prepared to operate & maintain
the wastewater collection system permitted hejein or portions thereof.
James Inman, City Manager
Printed Name, Title
Signature Date
ENGINEER'S CERTIFICATION
I, Jeffery C. Orsborn as a duly registered Professional Engineer in the State of North Carolina,
having been authorized to observe ( X periodically, 1 weekly, full time) the construction of the
project name and location as referenced above for the above Permittee hereby state that, to the best of
my abilities, due care and diligence was used in the observation of the 'following construction:
291 linear feet of 8-inch gravity sewer; such that the construction was observed to be built within
substantial compliance of this permit; 15A NCAC 02T; the Division of Water Resources' (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 w/signature & date:
OK Final Partial (include description)
Certification Comments/Qualifiers (attach if necessary):
North Chtrohnh Ent morrnehml Qttaihy Wrath; Rohottro.rt Wrath' chhthty .Revorrit Ottcrathtns
httortht lUc Rhtt rtrhi) Ititht ' hat), ("eruct ,\VC:Itut huthr '40 hthoresttit httth.h,'htroltrta