WQ0022617_Regional Office Historical File Pre 2018

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
Mr. Steven Carpenter, Vice President
Presbyterian Healthcare Systems
200 Hawthorne Lane
Charlotte, North Carolina 28217
May 22, 2003
Subject: Permit No. WQ0022617
Presbyterian Healthcare Systems
Presbyterian Hospital Huntersville
Wastewater Collection System Extension
Mecklenburg County
Dear Mr. Carpenter:
In accordance with your application received on May 12, 2003, we are forwarding herewith
Permit No. WQ0022617, dated May 22, 2003, to Presbyterian Healthcare Systems 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from the date of issuance until rescinded, and shall be subject to the conditions and limitations as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 Internet http:/Ih2o.enr.state.nc.usl
919 N. Main Street, Mooresville, NC 28115 Telephone [phone] Fax [phone]
4mA
NCDENR
DENR Customer Service Center Telephone [phone]

Mr. Steven Carpenter
Page 2
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 Presbyterian Healthcare Systems for the construction and operation of approximately 923
linear feet of 8-inch gravity sewer to serve a hospital as part of the Presbyterian Hospital Huntersville
project, and the discharge of 15,000 gallons per day of collected domestic wastewater into the
Charlotte Mecklenburg Utilities' McDowell Creek WWTP (NPDES No. NC0036277) existing sewerage
system, pursuant to the application received May 12, 2003 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.
This permit shall become avoidable unless the agreement between Presbyterian Healthcare
Systems and Charlotte Mecklenburg Utilities for the collection and final treatment of wastewater is in full
force and effect.
If any parts, requirements, or limitations contained in this permit sire 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 conoeming this matter, please contact Dee Browder at (7c)
663-1699.
Sincerely,
for Alan W. Klimek, P.E.
Mecklenburg County Health. Department
Mecklenburg County Department of Environmental Protection
Mooresville Regional Office, Water Quality Section (WWT'F Permit No. NC0036277)
Wesley Sherrill, Site Solutions
Water Quality Central Files
NDPU Files

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
Pemiittee 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 prior to January 1, 2004 and shall be actively
maintained.
c. An operation and maintenance plan shall be developed and implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e.
365 days per year). Pump stations that are connected to a telemetry system shall be
inspected at least once per week.
e. High -priority sewer lines shall be inspected at least once per every six-month period of time.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Inspection and maintenance records shall be maintained for a period of at least three years.
h. Overflows and bypasses shall be reported to the appropriate Division regional office in
accordance with 15A NCAC 2B .0506(a), and public notice shall be provided as required by
North Carolina General Statute §143-215.1C.

4. This permit shall not be transferable. In the event there is a desire for the wastewater collection
facilities to change ownership, or there is a name change of the Permittee, a 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. Upon completion of construction and prior to operation of these permitted facilities, a certification, a
copy of the construction record drawings, as well as supporting design calculations for any pump
stations permitted as part of this project shall be received from a North Carolina -licensed
Professional Engineer certifying that the facilities have been installed in accordance with 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 Main adopted June 1, 2000 as applicable; and other supporting materials. If this
project is to be completed in phases and partially certified, you shall retain the responsibility to
track further construction approved under the same permit, and shall provide a final certificate of
completion once the entire project has been completed. A copy of the construction record
drawings, indicating the facilities constructed in the phase being certified, shall be submitted with
each partial certification. Mail the Engineer's Certification, one copy of the Construction Record
Drawings," and one copy of the supporting design calculations to the Non -Discharge Permitting
Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617.
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 govemment 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 report by telephone to 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.
Persons reporting such occurrences by telephone shall also file a written report in letter form within
five days following first knowledge of the occurrence. This report must outline the actions taken or
proposed to be taken to ensure that the problem does not recur.
Permit issued this the 22nd day of May, 2003.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for Alan W. KlimeK P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0022617

05/15/03
Permit Number WQ0022617 Permit Tracking Slip
Program Category Status Project Type
Non -discharge In review New Project
Permit Type Fast Track Version Permit Classification
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Individual
Extensions
Primary Reviewer Permit Contact Affiliation
dee.browder
Permitted Flow
15000
Facility
�t✓ MlT }SSuE C,ZZ 7-003
Facility Name
Presbyterian Hospital Huntersville
Location Address
Owner
MaJor!Mlnor Region
Minor Mooresville
County
Mecklenburg
Facility Contact Affiliation
Owner Name Owner Type
Presbyterian Healthcare Systems Non-Govemment
Owner Affiliation
Steven Carpenter
200 Hawthorne Lane
Charlotte
Dates/Events
NC 28217
Scheduled
Orig Issue App Received Draft Initiated Issuance
05/12/02
Public Notice Issue
Effective Expiration
Regulated Activities Requested/Received Events
Hospital Additional information requested'
Additional information received
Outfall NULL
Waterbody Name Stream Index Number
Current Class Subbasin

K APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
PAGE 3
USE THE TAB KEY TO MOVE FROM FIELD TO FIELD!
Application Number: w�6
(to be completed by DWQ)
1. Owner:
11a. Presbyterian Healthcare Systems
Full Legal Name (company, municipality, HOA, utility, etc.)
i
z 11 b. Steven K. Carpenter, Vice President
O f Signing Official Name and Title (Please
Q1 c. The legal entity who will own this system
review 15A NCAC 2H .0206(b)
is:
❑ State/County ❑ Private
_
for authorized signing officials!)
❑ Individual ■ Federal ❑ Municipality
Partnership ►Zs Corporation • Other (specify):
E
ld. 200 Hawthorne Lane
le. Charlotte
0 Street Address - City
Z ;If. NC I1g. 28217
Z I State _ I Zip Code
''1 h. 704-384-9988 ill. 704-316-0316 11 j.
QTelephone I Facsimile I E-mail
(.) 2. Project (Facility) Information:
d2a. Presbyterian Hospital Huntersville t2b. Mecklenburg
p-, Brief Project Name (permit will refer to this name) I County Where Project is Located
< '3. Contact Person:
a 3a. Kevin Gorman, RLA
Name and Affiliation of Someone Who Can Answer Questions About this Application
:3b. 704-521-9880 '3c. [e-mail]
Phone Number
E-mail
(of an existing permit) If Modification, Permit No.:
'1. Project is ►a New ■ Modification
2. Owner is ❑ Public (skip to Item B(3)) 0 Private (go to Item 2(a))
2a. If private, applicant will be:
church, single office, etc.) or
etc. - skip to Item B(3))
- go to Item B(2b))
1 2b. If sold, facilities owned by a (must choose one)
►I Retaining Ownership (i.e. store,
■ Public Utility (Instruction III)
❑ Leasing units (lots, townhomes,
❑ Selling units (lots, townhomes, etc.
■ Homeowner Assoc./Developer (Instruction IV)
Z 3. Charlotte Mecklenburg Utilities
1-- Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
' 4a. McDowell Creek WWTF
4b. NC00636277
Name of WWTF
WWTF Permit No.
IL
0 5a. Charlotte Mecklenburg Utilities
5b.
8"
5c. Unknown
Z , Owner of Downstream Sewer
Receiving Sewer Size
Permit Number of Downstream Sewer (if known)
H 6. The origin of this wastewater is (check all that apply):
i
1
1
fY)�
100 %Domestic/Commercial
E • Residential Subdivision
■ Car Wash
WElApartments/Condominiums
CI. IDMobile Home Park
II Institution
CI Hospital
% Industrial
■ School
Co ' ❑ Restaurant
■ Church
❑ Nursing Home
i
% Other (specify):
■ Office
■ eci
p
(specify):
1
7. Volume of wastewater to be permitted in this project: 15,000 gallons
per day
8. If the permitted flow is zero, indicate
in
existing
why:
is subsequent
Permit No.
permits that connect to this line
new flow expected
• Interceptor Line - Flow will be permitted
■ Flow has already been allocated
■ Rehabilitation or replacement of
sewer with no
FTA 02/03

CK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
PAGE 2
9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2H
.0219(1) 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 .02190)(3).
-- - - -
NIA
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches)
Length (feet)
Gravity or Force Main
(pull down menu)
6
923
Gravity
Gravity
❑
Gravity
Gravity
Z 1
Gravity
1
Z I1— I-
Gravity
0
_
0 1 j Gravity
Z • ENTER TOTAL LINE LENGTH IN MILES 0.175
Q 11. Summary of Pump Stations to be Permitted (attach additional sheets as necessary)
E `
Ce Location ID
0 L (as shown on flans)
Design Flow
(MGD)
Operational Point
GPM @ TDH
Power Reliability Option
(dual line feed, permanent generator,
portable generator, wet well storage)
U.
E
W
0' ,12.
m
I
SUBMIT
Does the sewer system
Mains (latest version),
• Yes ■ No If
variance
TWO COPIES OF
comply with the Minimum Design Criteria for the
the Gravity Sewer Minimum Design Criteria (latest
no, please reference the pertinent minimum design
Is requested:
PLANS, SPECIFICATIONS OR CALCULATIONS PERTINENT
Fast Track Permitting of Pump Stations and Force
version) and 15A NCAC 2H .0200 as applicable?
criteria or regulation and indicate why a
TO THE VARIANCE WITH YOUR APPLICATION
113. Have the following permits/certifications been submitted for approval?
' Wetland/Stream Crossings - General Permit or401 Certification?
Sedimentation and Erosion Control Plan?
Stormwater?
❑ Yes
• Yes
r < Yes
■
•
■
No
No
No
►Z4
0
•
NIA
NIA
NIA
FTA 02/03

z
0
7.. APPLICATION for GRAVITY SE, ERPUMP STATIONSm ANII FORCE AIMS I''AGL 3
the Division's guidance document entitled, "DETERMINING STREAM CLASSIFICATIONS FOR FORM FTA 02103
(FAST -TRACK SEWER SYSTEMS)" to collect and record the stream classification data below (attach additional sheets as
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:
E, A Watershed Classification is not needed because all parts of the project are at least 100 feet away from any down
slope waterbody; AND,
A Watershed 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 Name of 4Pltaterbody Stream Watorbody
on Map Waterbody County River Basin
Index Classification
Submit the 8,5" x 11" topographic map as required in Instruction VI regardless of whether a classification is provided!
1. Applicant's Certification:
1 attest that this application for Presbyterian Hospital Huntersville 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 S10,000
1 a_
civil pe ie-ip to $2 ,000 per violation.
Signing Official Signa
Date
2. Professional Engineer's Certifications
I attest that this application for Presbyterian Hospital Huntersville has been reviewed by me
and is accurate, complete and consistent with the information in the engineering plans, calculations, and all other
supporting documentation to the best of my knowledge, 1 further attest that to the best of my knowledge the proposed
design has been prepared in accordance with the applicable regulations, Gravity Sewer Minimum Design Criteria for
Gravity Sewers adopted February 12, 1996, and the Minimum Design Criteria far the Fast -Track Permitting of Pump
Stations and Force Mains adopted June 1, 2000 and the watershed classification in accordance with Divvision guidance.
Although certain portions of this submittal package may have been developed by other professionals, inclusion of these
materials under my signature and seal signifies that 1 have reviewed this material and have judged it to be consistent with
the proposed design. Note:: In accordance with NC General Statutes 143-215.6A and 143-215.6B, any person who
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..
2a. WesleyE. Sherrill
Professional Engineer Name
2b. Site Solutions
Engineering Firm
2c, 5311 77-Center Drive, Suite 82
Address
2d, Charlotte
City
2e. NC 2f. 28217
State Zip
2g, 704-521-9880 55 2i. [e-mail]
Telephone Faimile E-mail
Sea
Date
FTA 02103

600 000
FEET
22'30`-' -
80°2'30" 512
© Produced by the United States Geological Survey
Compiled by photogrammetric methods from imagery dated 1965
Field checked 1970
North American Datum of 1927 (NAD 27). Projection and
10 000-foot ticks: North Carolina coordinate system
(Lambert conformal conic)
Blue 1000-meter Universal Transverse Mercator ticks, zone 17
I 000

•
CHARLOTTE.
CHARLOTTE-MECKLENBURG
UTILITIES •
February 21, 2003
Kevin Gorman, ASLA
Site Solutions
5311 Seventy -Seven Center Drive
Suite 82
Charlotte, NC 28217
SUBJECT: WATER AND SANITARY SEWER FLOW ACCEPTANCE
HUNTERSVILLE PRESBYTERIAN HOSPITAL @ 3100 GILEAD ROAD
Dear Mr. Gorman: •
In response to your request, a flow acceptance study of the subject site has been completed and the
following has been determined:
Upon completion and acceptance of all necessary sewer lines, Charlotte -Mecklenburg Utilities agrees to
accept the sewage flow of 15,000 gallons per day (50 beds x 300 gallons per bed) from this project for
transmission to the McDowell Creek Wastewater Treatment Plant; NPDES permit number NC00036277,
for treatment. This acceptance of flow is based on the existing capacity of the designated publicly owned
treatments works; which is contingent upon final acceptance and issuance of a discharge permit from the
appropriate local, State, or Federal Agency, whichever might have control.
Upon completion and acceptance of all necessary water mains, Charlotte -Mecklenburg Utilities agrees to
furnish water to the subject project. The water quality to the subject project is regulated by the State
Drinking Water Act Amendments of 1986 and The Water Supply Management Plan (WMSP # 00-00251 &
PWS ID # 0160010) on file with the Public Water Supply Section of NCDENR. However, C-MU cannot
guarantee a constant pressure or quality of flow. This agreement is also contingent upon approval by the
Division of Environment, Health, and Natural Resources.
Charlotte -Mecklenburg Utilities does not expect any of the above conditions to preclude water or sewer
service to the subject site. However, the applicant should understand that due to the involvement of other
agencies and continuing growth of the water and sewer system, the ability to provide service for future
projects cannot be guaranteed nor reserved. Connection to the C-MU system is accepted on a first come,
first served basis.
If you have any questions, please contact me at [phone].
NV
Sincerely,
CHARLOTTE- CKLENBURG UTILITIES
Philip S. Johnson
Engineering Division, New Services Section
CHARLOTTE-MECKLENBURG UTILITIES
Engineering Division • New Services Section
www.cmutilities.com
5100 Brookshire Boulevard
Charlotte, NC 28216
Ph: 704/399-2221
Fax: [phone]

CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Steven K. Carpenter
Presbyterian Healthcare Systems
200 Hawthorne Lane
Charlotte, NC 28217
Dear Mr. Carpenter:
The Division of Water Quality's Mooresvgile Raw C
application package for review for the following
1 Item I, no. 2 of the application has not been t
application form, Signing official mu inciude tie:.
v. The application form submitted for the
complete and return the most current version of
02/03), This form is available for download from as
site located at http://h2o.enr.state.nciusinctu PriFieSa
sewer, pump station and/or force main pry s:iis
form replaces FORM: FTA 06/00.
Please note that the items listed above must be a�[cr
resubmitting the permit application package for 4.4.1uvaL 'far a=
incomplete in accordance with 15A NCAC 2H _QQE,. The ,aka
process depends upon the receipt of complete and a iii clns. ease
appropriate corrections and resubmit the Tre7exiewr amass * t n
receipt of the completed and/or corrected
k;cn i_ al `ale
(FOR1 A
Ur t w
ad T r
Please be advised that construction
extension without a valid permit is a
may subject the Applicant to appropriate
Carolina General Statute 143-215.6. Civil
be assessed for failure to secure a permit rec fired
215.1.
Mooresville Regional Office
919 N. Main Street, Mooresvile, NC 29115
OENR Customer Service Ca.
An Equal Opportunity Avaori

April 14, 2003
If you should have any questions regarding the
hesitate to contact me at [phone]. Thank you for your aeration_
Sincerely,
Enclosures
Katie Fredericks — Site Sck c ns
Application return file