WQ0024625_Regional Office Historical File Pre 2018

\-\ W A
Mr. Chris Holcombe, Owner
Orbison & Holcombe, Inc.
16219 Weatherly Way
Huntersville, North Carolina 28078
Dear Mr. Holcombe:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
November 24, 2004
Subject: Permit No. WQ0024625
Orbison & Holcombe, Inc.
Colony Court
Wastewater Collection System Extension
Iredell County, North Carolina
In accordance with your application received on November 15, 2004, we are forwarding
herewith Permit No. WQ0024625, dated November 24, 2004, to Orbison & Holcombe, Inc. 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effective from the date of issuance until rescinded, and shall be subject to the conditions and limitations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 Permittee's responsibility to ensure that the as -constructed project meets the appropriate design
criteria and rules. Failure to comply may result in penalties in accordance with North Carolina General
Statute §143-215.6A through §143-215.6C, construction of additional or replacement wastewater
collection facilities, and/or referral of the North Carolina -licensed Professional Engineer to the licensing
board.
Mooresville Regional Office 610 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
Norte Carolina
Naturai4q

Mr. Chris Holcombe
Page 2
November 24, 2004
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 Orbison & Holcombe, Inc. for the construction and operation of approximately 305.08 linear
feet of 8-inch gravity sewer to serve 6 single family residences as part of the Colony Court project, and
the discharge of 2,880 gallons per day of collected domestic wastewater into the Town of Mooresville's
existing sewerage system, pursuant to the application received November 15, 2004, 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 Town of
Mooresville Rocky River WWTP (NPDES No. NC0046728) prior to being discharged into the receiving
stream.
This permit shall become voidable unless the agreement between Orbison & Holcombe, Inc.
and the Town of Mooresville for the collection and final treatment of wastewater is in full force and
effect.
The Operational Agreement between the Permittee and the Environmental Management
Commission is incorporated herein by reference and shall be a condition of this permit. Noncompliance
with the terms of the Operational Agreement shall subject the Permittee to all sanctions provided by
North Carolina General Statutes 143-215.6A to 143-215.6C for violation of or failure to act in
accordance with the terms and conditions of this permit.
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].
Sincerely,
\/1����^
for Alan W. Klimek, P.E.
cc: Iredell County Health Department
Mooresville Regional Office, Water Quality Section (WWTF Permit No. NC0046728)
Donald Munday, Piedmont Design Associates, PA
Water Quality Central Files
Marie Doklovic, 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 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 2B .0506(a), and public notice shall be provided as required by
North Carolina General Statute §143-215.1C.
1

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.
6. 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.
8. Failure to abide by the conditions and limitations contained in this permit; 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.
2

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.
Permit issued this the 24th day of November, 2004.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
1 C��L�• e . ( Nd clRf-vNe,-,
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0024625
3

Fast Track Engineering Certification
Permit No. WQ0024625
November 24, 2004
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
O Changes to the project should be clearly identified on the record drawings or in written summary form. Permit
modifications are required for any changes resulting in non-compliance with this permit, regulations or
minimum design criteria.
This project shall not be considered complete nor allowed to operate until this Engineer's Certification and all
required supporting documentation have been received by the Division. Therefore, it is highly recommended
that this certification be sent in a manner that provides proof of receipt by the Division.
ENGINEER'S CERTIFICATION
❑ Partial ❑ Final
1, , as a duly registered Professional Engineer in the State of North Carolina, having
been authorized to observe (❑ periodically, ❑ weekly, ❑ full time) the construction of the Colony Court, Iredell
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:
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE 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.

- STATE OF NORTH CAROLINA
- COUNTY OF IREDELL
Permit No. WQ 7O 25
DEVELOPER'S OPERATIONAL AGREEMENT
This AGREEMENT made pursuant to G.S. 143-215.1 (di) and entered into this I lth day of
November , by and between the North Carolina Environmental Management
Commission, an agency of the State of North Carolina, hereinafter known as the COMMISSION; and
Orbison & Holcombe, Inc. , a corporation/general partnership
registered/licensed to do business in the State of North Carolina, hereinafter known as the DEVELOPER.
WITNESSETH:
1. The DEVELOPER is the owner of the certain lands lying in Iredell County, upon
which it is erecting and will erect dwelling units and other improvements, said development to be known
as Colony Court
(hereinafter the Development).
2. The DEVELOPER desires, to construct a wastewater collection system with pumps, wastewater treatment
works, and/or disposal facilities (hereinafter Disposal System) to provide sanitary sewage disposal to serve
the Development on said lands.
3. The DEVELOPER has applied to the COMMISSION for the issuance of a permit pursuant to G.S. 143-
215.1 to construct, maintain, and operate the Disposal System.
4. The DEVELOPER has created or shall create unit ownership in said dwellings units, other improvements
and lands through filing of a Declaration of Unit Ownership (hereinafter Declaration), pursuant to Chapter
47C or 47F of the North Carolina General Statutes.
5. The DEVELOPER has caused to be formed or will cause to be formed at the time of filing of the
Declaration, the Colony Court Homeowner's Association (hereinafter
Association), a non-profit corporation organized and existing under and by the virtue of the laws of the
State of North Carolina, for the purpose, among others, of handling the property, affairs and business of
the Development; of operating, maintaining, re -constructing and repairing the common elements of the
lands and improvements subject to unit ownership, including the Disposal System; and of collecting dues
and assessments to provide funds for such operation, maintenance, re -construction and repair.
6. The COMMISSION desires to assure that the Disposal System of the Development is properly
constructed, maintained and operated in accordance with Iaw and permit provisions in order to protect the
quality of the waters of the State and the public interest therein.
NOW, THEREFORE, in consideration of the promises and the benefits to be derived by each of the parties
hereto, the COMMISSION and DEVELOPER do hereby mutually agree as follows:
1. The DEVELOPER shall construct the Disposal System in accordance with the permit and plans and
specifications hereafter issued and approved by the COMMISSION, and shall thereafter properly operate
and maintain such systems and facilities in accordance with applicable permit provisions and Iaw.
♦ ' 4
2. The DEVELOPER shall not.traftsfer,ownership and/or control of the Disposal System to the Association
until construction has been completed in accordance with the permit and approved plans, and the staff of
the Division of Water Quality has inspected and approved of the facilities. In order to change the name of
the permit holder, the DEVELOPER must request that the permit be reissued to the Association. The
request must include a copy of the Association Bylaws and Declaration.
3. The DEVELOPER shall not transfer, convey, assign or otherwise relinquish or release its responsibility
for the operation and maintenance of its Disposal System until a permit has been reissued.to the
DEVELOPER's successor.
Lnn r 4. r- rn r 1v. hill 1 ..P'

4. The DEVELOPER shall provide in the Decl.aration. and Association Bylaws that the Disposal System and
appurtenances thereto are part of the common elements and shall thereafter be properly maintained and
operated in conformity with law and the provisions of the permit for construction, operation, repair, and
maintenance of the system and facilities. 'The Declaration and Bylaws shall identify the entire wastewater
treatment, collection and disposal system as a common element which will receive the highest priority for
expenditures by the Association except for Federal, State, and local taxes and insurance..
5.. The DEVELOPER shall provide in the Declaration and Association Bylaws that the Disposal System will
be maintained out of the common expenses. In order to assure that there shall be funds readily available to
repair, maintain or construct the Disposal System, beyond the routine operation and maintenance
expenses, the Declaration and Association Bylaws shall provide that a fund be created out of the common
expenses. Such fund shall he separate from the routine maintenance funds allocated for the facility and
shall be part ofthe yearly budget.
6. In the event the common expense allocation. and separate fund are not adequate for the construction,
repair, and maintenance of the Disposal System, the Declaration and Association Bylaws shall provide for
special assessments to cover such necessary costs. There shall be no limit on the amount of such
assessments, and the .Declaration and Bylaws shall provide that such special assessments can be made as
necessary at any time.
7. If a wastewater collection system and wastewater treatment and/or disposal -facility provided by any city,
town, village, county, water and sewer authorities, or other unit of government shall hereinafter become
available to serve the Development, the DEVELOPER shall take such action as is necessary to cause the
existing and future wastewater of the Development to be accepted and discharged into said governmental
system., and shall convey or transfer as much of the Disposal System and such necessary easements as the
governmental unit may require as condition of accepting the Development's wastewater.
Recognizing that it would be contrary to the public interest and to the public health, safety and welfare for
the Association to enter into voluntary dissolution without having made adequate provision for the
continued proper maintenance, repair and operation of its Disposal System, the DEVELOPER shall
provide in the Association Bylaws that the Association shall not enter into voluntary dissolution without
first having transferred its said system and facilities to some person, corporation or other entity acceptable
to and approved by the COMMISSION by the issuance of a permit.
9. The agreements set forth in numbered paragraphs 1, 2, 3, 4, 5, 6, 7, and 8 above shall be conditions of any
permit issued by the COMMISSION to the DEVELOPER for the construction, maintenance, repair and
operation of the Disposal System.
10. A copy of this agreement shall be filed at the Register of Deeds in the County(ies) where the Declaration is
filed and in the offices of the Secretary of State of North Carolina with the Articles of Incorporation of the
Association..
IN WITNESS WHEREOF, this agreement was executed in duplicate originals by the duly authorized
representative of the parties hereto on the day and year written as indicated by each of th.e parties named. below:
FOR THE ENVIRONMENTAL
MANAGEMENT COMMISSION
Alan W. Klimek, P.E.,Diiictor
Division of Water Quality
Orbsion Holcombe Inc
Name of DEVELOPER
Chris .Holcombe Owne
Print Name and Title
11/11/2004
Date)
1:(1,T)R A . 1-tt;'N /
-4-

Entity Names
Page 1 of 1
North Carolina
Elaine F. Marshall DEPARTMENT OF THE
Secretary SECRETARY OF STATE
PO Box 29622 Raleigh, NC 27626-0622 [phone]
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Date: 11/23/2004
Click here to:
View Document Filings i
Print a pre -populated Annual Report Form I File an Annual Report 1
Corporation Names
Name
NC ORBISON & Legal
HOLCOMBE, INC.
Business Corporation Information
Name Type
SOSID:
Status:
Date Formed:
Citizenship:
State of Inc.:
Duration:
Registered Agent
0444269
Current -Active
12/5/1997
Domestic
NC
Perpetual
Agent Name:
Registered Office Address:
Registered Mailing
Address:
Principal Office Address:
Principal Mailing Address:
Orbison, Donna R.
887 Mazeppa Road
Mooresville NC 28115
887 Mazeppa Road
Mooresville NC 28115
887 Mazeppa Rd
Mooresville NC 28115
887 Mazeppa Rd
Mooresville NC 28115
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Click here for help downloading forms.
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11/23/2004

ST-TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE A!NS PAGE 3
USE THE TAB KEY TO MOVE FROM FIELD TO FIELD!
Owner:
, Inc. & Holcombe ae Orbison
Full Legal Name (company, municipa
1 b. Chris Holcombe, Owner
Signing Official Name and Title (Please review 15A NCAC 2H .02ir16(b) for authorized signing officialsl)
lc. The legal entity who will own this system is:
0 Individual 0 Federal 0 Municipality © State/County Private Partnership 0 Corporation 0 Othe
, HOA, utility, etc)
Application Number:
(to be completed by DWQ) W G.l'V 2-4 &i
1 d. 16219Weathe W_
Street Address
North Carolina
State
1 h. 704-63 -095D 1 i. N/A
Telephone Facsimile
2. Project (Facility) Information.
Colony Court
Brief Project Name (permit will
rrtat arson:
David M DeC
Phone Number
Project i
refer to this na
le. Huntersville
City ._m..._�_
28078
Zip Code
N/A
E-mail
b. Iredell
County
Can Answer Questions About this Application
'3c. ddecaronapdapa.com
E-mail
New 0 Modification (of an existing permit) If Modification,, Permit No.:
For modifications, attach a separate sheet clearly explaining the reason for the modification (Le. adding ano
phase, changing line size/length, 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 44? Public (skip to Item B(3))
private, applicant will be:
Private (go to item 2(a))
2b...__„If soil,
© Retaining Ownership (Le, store, church, single office, etc,) or
0 Leasing units (lots, townhomes, etc. - skip to item B(3))
Selling units (lots, townhomes, etc. - go to Item 8(21b))
Town of Me
4a, Rock Rive
Name
den Town of Mooresville
Owner of Downstream Sewer
The origin of this wastewater
is
esville
ed by a (must choose one)
0 Public Utility (Instruction III)
Eg Homeowner Assoc./Developer (Instruction IV)
ter Treatment Facility (V'VIiVTF) Treating Wastewater From This Project
wwTF' alb, 46728__.__ ..__._..
VWVTF Permit No.
Residential Subdivision
0 Apartments/Condominiums
0 Mobile Home Park
0 School
0 Restaurant
0 Office
b. 8"
Receiving Sewer Size
hat apply):
0 Car Wash
0 Institution
0 Hospital
0 Church
0 Nursing Home
0 Other (specify):
Permit Number of Downstream
Volume of wastewater to be permitted in this project: 2,880 gallons per day
If the permitted flow is zero,indicate why:
0 Interceptor Line - Flow will be permitted is subsequent perm
0 Flow has already been allocated in Permit No,
0 Rehabilitation or replacement of existing sewer with no new flow expected
1(oti °/a Domestic/ Commercial
°/© Industnal
% Other (specify):
nnect to this line
FTA 02/03 - Rev. 2 04/04

FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
PAGE4
B. PERMIT INFORMATION (CONTINUED) .
9. Provide the wastewater flow calculations used in determining the
.0219(I) for Item B(7) or the design flow for line or pump station
that in 15A NCAC 2H .0219(1)(1-2) must be approved prior to submittal
the Division of Water Quality, Non -Discharge Permitting Unit, 1617
accordance with 15A NCAC 2H .0219(I)(3).
6 lots x 120 gpolbedroom x 4 bedrooms/residence = 2,880 GPD
10. Summary of Sewer Lines to be Permitted (attach additional sheets
permitted flow in accordance with 15A NCAC 2H
sizing if zero flow in the space below. Values other than
of this application. Submit a separate request to
Mail Service Center, Raleigh, NC 27699-1617 in
if necessary)
Size (inches)
Length (feet)
Gravity or Force Main
(use the pull down menu)
8" diameter VCP
305.08
LF
Gravity
ENTER TOTAL LINE LENGTH IN MILES; 0.06 miles
11. Summary of Pump Stations to be Permitted
I-
Operational
(attach additional sheets as necessary)
Location IDr
(self chosen - as shown on
___plans for cross-reference)
Design Flow
(MGD)
Point
GPM @ TDH
Power
(1- dual line feed;
Reliability Option
2- permanent generatorw/ATS; 3-
wltelemetry; 4-wet well storage)
12. Does the sewer system comply
Mains (latest version), the
with the Minimum Design Criteria for the Fast Track Permitting of Pump Stations and Force
Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC 2H .0200 as applicable?
reference the pertinent minimum design criteria or regulation and indicate why a
is requested:
SPECIFICATIONS OR CALCULATIONS PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
► Yes • No If no, please
variance
SUBMIT TWO COPIES OF PLANS,
13. Have the following permits/certifications been submitted for approval?
Wetland/Stream Crossings - General Permit or401 Certification?
Sedimentation and Erosion Control Plan?
Stormwater?
■ Yes • No e NIA
® N/A
• N/A
IN Yes ■ No
® Yes ❑ No
FTA 02/03 - Rev. 2 04/04

AST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
PAGE 5
�C': STREAM CLASSIFICATION
1. Use the Division's guidance document entitled, "DETERMINING STREAM CLASSIFICATIONS FOR FORM
(FAST -TRACK SEWER SYSTEMS)" to collect and record the stream classification data below (attach additional
necessary). This document is available from our web site or by contacting the appropriate Division of Water
regional office (see instructions for addresses) OR indicate the following:
FTA 02103
sheets as
Quality
any down slope
>w A Stream Classification
is not needed because all parts of the project are at least 100 feet away from
waterbody; AND,
1 ►A 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
map for cross-reference)
Name of
Waterbody
County
River Basin
Waterbody Stream
Index
Waterbody
Classification
Submit the 8.5" x 11" COLOR topographic map as required in Instruction VI
regardless of whether a classification is provided!
,� #,
its
1,0
'
u, 54'
t.i m
411 "'"'L
1
r1;, w!y
1. Applicant's Certification:
I, Chris Holcombe, attest that this application for Colony Court has been reviewed
by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting documentation and attachments are not included, this
application package is subject to being returned as incomplete. Note: in accordance with North Carolina General
Statutes 143 215.6A and 143-215.6B, any person who knowingly makes any false statement, representation, 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 . enalties u to $25,000 per violation.
p
1
t Am_ "" olmica-
Signing Official Signature Date
'. Professional Engineer's Certification:
1 attest that this application for Colony Court 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 potions of this submittal
package may have been developed by other professionals, inclusion of these materials under my signature and seal
signifies that I have reviewed this material and have judged it to be consistent with the proposed design. Note: in
accordance with NC General Statutes 143-215.6A and 143-215.6B, 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 penalties up to $25,000 per violation.
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b.Piedmont Design Associates, PA
Engineering Firm
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c. 125 E. Plaza Drive Ste 104 Westfield Offices
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d. Mooresville
2e. NC
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FTA 02/03 - Rev. 2 04/04

I
TOWN OF
MOORESVILLE
PLANNING &
ENGINEERING
DEPARTMENT
November 10, 2004
Piedmont Design Associates, P.A.
Mr. David DeCaron
125 East Plaza Dr.
Suite 104
Mooresville, NC 28115
Re: Colony Court Subdivision Flow Acceptance Letter
Mr. DeCaron:
Derek Slocum, El
Civil Engineer
Town of Mooresville
P. O. Box 878
Mooresville, NC 28115
[phone]
Fax [phone]
The Mooresville Town Board had previously approved the above -referenced project and agreed to
provide potable water service to and accept the sewer flow from the proposed residential project.
The Town of Mooresville's Water System Management Plan submitted approximately July 30,
2000, was approved and assigned WSMP No. 00-01958. Mooresville's Water Filter Plant PWS
ID# is 01-49-015. Both water and sewer systems are owned and maintained by the Town of
Mooresville. Wastewater will be treated by the Town of Mooresville's Rocky River WWTP, NPDES
Permit No. NC0046728. This project's expected input into the WWTP is 2,880 gpd.
It is your responsibility, as the engineer of record, to certify to the State that construction has been
completed in accordance with the approved plans and specs. The Town will conduct periodic
inspections during construction and will hold a final inspection prior to accepting the waterlines and
sanitary sewer system into the Town's system. Two reproducible (mylar) copies of the aAs-Built
drawings, on CD (compact disc) format, along with your engineer's certification are required to be
submitted to this office prior to acceptance by the Town Of Mooresville.
We look forward to working with you on this project Call me at [phone] if you have
questions.
Derek Slocum, El
Civil Engineer
CC: Richard McMillan, PE Director of Engineering

11/23/04
Permit Number WQ0024625
Permit Tracking Slip
Program Category
Non -discharge
Permit Type Fast Track
Gravity Sewer Extension, Pump Stations, & Pressure Sewer
Extensions
Primary Reviewer
sonja.basinger
Permitted Flow
2880
Facility
Facility Name
Colony Court
Location Address
Owner
Status Project Type
In review New Project
Version Permit Classification
Individual
Permit Contact Affiliation
Major/Minor
Minor
Region
Mooresville
County
Iredell
Facility Contact Affiliation
Owner Name
Orbison & Holcombe, Inc.
Dates/Events
Owner Type
Non -Government
Owner Affiliation
Chris Holcombe, Owner
16219 Weatherly Way
Huntersville NC 28078
Scheduled
Orig Issue App Received Draft Initiated Issuance
11/15/04
Regulated Activities
Public Notice Issue Effective
I Z 4 /b 4
Subdivision
Wastewater collection
Outfall NULL
RequestedlReceived Events
Additional information requested
Additional information received
Expiration
Waterbody Name Stream Index Number
Current Class Subbasin

C H HOLCOMBE
ARCHITECT/BUILDER
16219 WEATHERLY WAY PH 704-875-0173
HUNTERSVILLE, NC 28078
ORDERO FE�cpt11`!
Mooresville Savings Bank, SSB
FOR
CORNEUUS. NORTH CAROUNA 28031
v.)Qa��z5
l omty
1205
66-7098/2531
DATE
$'
DOLLARS 8
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a.x.
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