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HomeMy WebLinkAboutWQ0022993_Regional Office Historical File Pre 2018- - Michael F. Easley, Governor William G. Ross Jr., Secretary r North Carolina Department of Environment and Natural Resources Alan W. Klimek, P.E., Director Division of Water Quality Coleen. H. Sullins, Deputy Director Division of Water Quality August 26, 2003 Mr. Barry Shearin, PE Charlotte -Mecklenburg Utilities 5100 Brookshire Blvd. Charlotte, North Carolina 28216 Subject: Permit No. W00022993 Charlotte -Mecklenburg Utilities Clear Creek Pumping Station, Force Main, and Gravity Sewer Wastewater Collection System Extension Mecklenburg County Dear Mr. Shearin: In accordance with your application received on August 18, 2003, we are forwarding herewith Permit No. WQ0022993, dated August 26, 2003, to Charlotte -Mecklenburg Utilities 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 This permit shall be effective from the date of issuance until rescinded, and shall be subject to the conditions and limitations as specified therein.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. Sicorki NCDENR Mooresville Regional Office Internet http:Ah2o.enr.state.nc.us/ 919 N. Main Street, Mooresville, NC 28115 Telephone (704) 663-1699 Fax (704) 663-6040 DENR Customer Service Center Telephone 1 877 623-6748 Mr. Barry Shearin 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 Charlotte -Mecklenburg Utilities for the construction and operation of approximately 246 linear feet of 12-inch gravity sewer; a 1,000-gallon per minute pump station with duplex pumps, on -site audible and visual high water alarms, and an on -site generator with automatic transfer switch; as well as approximately 11,225 linear feet of 12-inch force main to serve as an interceptor line for a residential subdivision, apartment) condominium units, and a school as part of the Clear Creek Pumping Station, Force Main, and Gravity Sewer project, with no additional discharge of collected domestic wastewater into the Charlotte Mecklenburg Utilities' McAlpine Creek WWTP (NPDES No. NC0024970) existing sewerage system, pursuant to the application received August 18, 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_ 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 Williams at (704) 663-1699. Sincerely, etc for Alan W. KIimek, P.E. cc: Mecklenburg County Health Department Mecklenburg County Department of Environmental Protection Mooresville Regional Office, Water Quality Section (WWTF Permit No. NC0024970) Dale Stewart, Land Design, Inc Scott Hall, Brown and Caldwell 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 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 21- .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 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 report by telephone to the Mooresville Regional Office, telephone number (704) 663-1699, 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 26th day of August, 2003. NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION for Alan W. Klima, P.E., Director Division of Water Quality By Authority of the Environmental Management Commission Permit Number WQ0022993 Fast Track Engineering Certification • Permit No. WQ0022993 August 26, 2003 Complete and submit this form to the permit issuing regional office with the following: • One copy of the project record drawings (plan & profile views of sewer lines) of the wastewater collection system extension • supporting design calculations (selected pumps, system curve, operating point, available storage if portable generator(s) or storage greater than longest past three year outage reliability option selected) for any pump stations permitted as part of this project • Changes to the project should be clearly identified on the record drawings or in written summary form. Permit modifications are required for any changes resulting in non-compliance with this permit, regulations or minimum 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 - El Final I, , as a duly registered Professional Engineer in the State of North Carolina, having been authorized to observe (❑ periodically, El weekly, El full time) the construction of the Clear Creek Pumping Station, Force Main, and Gravity Sewer, Mecklenburg 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 919 N. MAIN STREET MOORESVILLE NC 28115 The Permittee is responsible for tracking all partial certifications up until a final certification is received. Any wastewater flow made tributary to the wastewater collection system extension prior to completion of this Engineer's Certification shall be considered a violation of the permit and shall subject the Permittee to appropriate enforcement actions. K APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 3 USE THE TAB KEY TO MOVE FROM FIELD TO FIELD! Application Number: (to be completed by DWQ) vJ 2cx,ZZZc13 e1. Owner: '1a. Charlotte -Mecklenburg Utilities Full Legal Name (company, municipality, HOA, utility, etc.) Z lb. Mr. Barry Shearin, P.E., Chief Engineer 0 H ▪ 11d. 5100 Brookshire Boulevard O Street Address LL iIf. NC z 0 11h. (704) 399-2221 Telephone Facsimile E-mail 0 2. Project (Facility) Information: CL - 2a. Clear Creek Pumping Station, Force Main, and Gravity Sewer 2b. Mecklenburg 12 p„ Brief Project Name (permit will refer to this name) 1 County Where Project is Located _ Q3. Contact Person: _._ Q 3a. Scott A. Hall, P.E., Project Manager, Brown and Caldwell Signing Official Name and Title (Please review 15A NCAC 2H .0206(b) for authorized signing officials!) lic. The legal entity who will own this system is: 0 individual [] Federal ® Municipality ❑ State/County ❑ Private Partnership ❑ Corporation ❑ Other (specify): le. Charlotte City lg. 28216 State Zip Code 1i. (704) 393-2219 1j. bshearin@ci.charlotte.nc.us Name and Affiliation of Someone Who Can Answer Questions About this Application 3b. (704) 358-7204 3c. shall@brwncald.com Phone Number ! E-mail 1. Project is ® New ❑ Modification (of an existing permit) If Modification, Permit No.: For modifications, attach a separate sheet clearly explaining the reason for the modification (I.e. adding another 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 ® Public (skip to Item B(3)) ❑ Private (go to Item 2(a)) 2a. if private, applicant will be: 12b. If sold, facilities owned by a (must choose one) ❑ Retaining Ownership (Le. store, church, single office, etc.) ❑ Leasing units (lots, townhomes, etc. - skip to Item B(3)) 0 Selling units (lots, townhomes, etc. - go to Item 8(2b)) ❑ Public Utility (instruction 111) ❑ Homeowner Assoc./Developer (Instruction IV) 3. Charlotte -Mecklenburg Utilities Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project 4a. McAlpine Creek WWTP Name of WWTF 5a. Charlotte -Mecklenburg Utilities Owner of Downstream Sewer 4b. NC0024970 WWTF Permit No. 5b. 12 (Increased from 8") 5c. WQ0010167 Receiving Sewer Size I Permit Number of Downstream Sewer (if known The origin of this wastewater is (check all that apply): ® Residential Subdivision ® Apartments/Condominiums 0 Mobile Home Park School O Restaurant ❑ Office ❑ Car Wash ❑ Institution ❑ Hospital ❑ Church ❑ Nursing Home ❑ Other (specify): 100 % Domestic/Commercial 0 %industrial 0 % Other (specify): 7. Volume of wastewater to be permitted in this project: 0 gallons per day 8. If the permitted flow is zero, indicate why: ® Interceptor Line - Flow will be permitted is subsequent permits that connect to this line O Flow has already been allocated in Permit No. ❑ Rehabilitation or replacement of existing sewer with no new flow expected FTA 02/03 - Rev. 1 06/03 B. PERMIT APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 4 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 .0219(I)(3). N/A 10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary) ---- - - - - Size (inches) 12 Length (feet) 246 11,225 ENTER TOTAL LINE LENGTH IN MILES 2.17 11. Summary of Pump Stations to be Permitted (attach additional sheets as necessary) 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 w/telemetry; 4-wet well storage) Gravity or Force Main (use the pull down menu) Gravity Force Main Clear Creek 0.6 1,000 @ 216FT 2 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 ❑ No if no, please reference the pertinent minimum design criteria or regulation and indicate why a variance is requested: NOTE: 726 feet of B-inch diameter sanitary sewer will be replaced on the existing Irvins Creek sanitary sewer with 12-inch diameter sanitary sewer. The Irvins Creek sewer is permitted under under WQ0010167 issued on 11/30/1994. .13. Have the following permits/certifications been submitted for approval? Wetland/Stream Crossings - General Permit or 401 Certification? ® Yes ❑ No ❑ N/A Sedimentation and Erosion Control Plan? ® Yes ❑ No ❑ N/A Stormwater? ❑ Yes ❑ No ® N/A PTA 02/03 - Rev. 106/03 K APPLICAT• ION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 5 1. Use the Division's guidance document entitled, "DETERMINING STREAM CLASSIFICATIONS FOR FORM FTA 02/03 (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: ❑ A Stream Classification is not needed because all parts of the project are at least 100 feet away from any down slope waterbody; AND, ❑ 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)_ Clear Creek Name of Waterbody Clear Creek 1. County Mecklenburg River Basin Yadkin Waterbody Stream i Waterbody Index I Classification 13-17-17 C Submit the 8.5" x 11" COLOR topographic map as required in Instruction VI regardless of whether a classification is provided! 1. Applicant's Certification: 1, Barry Shearin, attest that this application for Clear Creek Pumping Station. Force Main and Gravity Sewer has been reviewed by me and is accurate and complete to the best of my knowledge. l 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 penalties up to $25,000 per violation. 1 a. Signing O' cial Signature I2. Professional Engineer's Certification: a3 Date l attest that this application for Creek Pumping Station. Force Main and Gravity Sewer has been reviewed by us 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. We further attest that to the best of our 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 our signature and seal signifies that we 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 knowin. y makes any false statement, representation, or certification in any application shall be guilty of a Class 2 misdemeano hich may include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation. 2a. Dale C. Stewart, P.E. Professional Engineer Name 2b. Land Design, Inc. Engineering Firm 2c. 223 North Graham Street Address 2d. City 2g. (704) 376-7777 2h. Telephone Charlotte 2e NC '2f 28202 1 A a �•n -11�- ,,,ma03 c. s`g,1 For Force am and Gravity (704) 376-8235 21. dstewart@landdesign.com Facsimile I E-mail i State j Zip "`"° Sewer Design Only Seal, Signature & Date FTA 02/03 - Rev. 1 06/03 K APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 6 1. Applicant's Certification: SEE PREVIOUS PAGE 2. Professional Engineer's Certification: 1 attest that this application for Creek Pumping Station, Force Main and Gravity Sewer has been reviewed by us 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. We further attest that to the best of our 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 our signature and seal signifies that we have reviewed this material and have judged it to be consistent with the proposed design. Note: In accordance with NC General Statutes 143-215 6A and 143-215.68, any person who knowingly makes any false statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed $10, 000 as well as civil penalties up to $25, 000 per violation. 2a. Scott A. Hall 2b. --...Prossional Engineer Name ._...---......___.._.._..._._...._____.._..__.....----_ Brown and Caldwell .1 Engineering Firm 2c. 309 East Morehead Street, Suite 160 Address 2d. Charlotte !2e. NC 2f. 28202 City I State L Zip .2g. (704) 258-7204 .2h. (704) 358-7205 21. shall@brwncald.com i Telephone Facsimile L E-mail 01/4 4f�✓ "vl Sme For Purr 4tii" 1ation Design Only Seal, Signature & Date FTA 02/03 - Rev. 106/03 08/26/03 Permit Number WQ0022993 Permit Tracking •Slip Program Category Non -discharge Permit Type Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions Primary Reviewer sonja.wiliiams Permitted Flow 0 Facility Fast Track Facility Name Clear Creek Pumping Station, Force Main, and Gravity Sewer Location Address Owner Status Project Type In review New Project Version Permit Classification Individual Permit Contact Affiliation Ma]orlMlnor Minor Region Mooresville County Mecklenburg Facility Contact Affiliation Owner Name Charlotte -Mecklenburg Utilities Dates/Events Owner Type Govemment - Municipal Owner Affiliation Barry Shearin 5100 Brookshire Boulevard Charlotte NC 28216 Scheduled Orig Issue App Received Draft Initiated Issuance 08l18/03 Regulated Activities Public Notice Issue Effective Requested/Received Events Apartment complex School Subdivision Outfall NULL Additional information requested Additional information received Expiration waterbody Name Stream Index Number Current Class Subbasin 109 EasE mor,h0ad Stait0 160 ha.499.9 Nolth (:.,arohna 2S202 B 0 W N A :N D CALDW. E L: E • ki fax:. (704 ) 358- T,705 www, blovina Nicaidwdm AUG 1 8 2003 August 15, 2003 Ms, Sonya Willia.ms North Carolina Department of Environment and Natural Resources Mooresville Regional Office 919 North Main Street Mooresville., North Carolina 28115 23435-01105 Subject: Clear Creek Pumping Station, .Force Main, and Gravity Sewer Non -Discharge Permit Application Dear As, Williams: Enclosed please find our fast -track, non -discharge permit application for the above referenced project. Included are two copies of the completed application, color maps, a $400 check, and a copy of the watershed. classification form. received from .your office. If you have any questions regarding the application or require further information, please do not hesitate to contact me at (704) 358-7204, Very truly yours, BROWN AND CA ..,DWELL --"SZTOtt A. Hall, P.E. Project Manager SA11,jh Enclosures P '23435 - LarKirksigii - Gical Cr I'S'WrIenecsl...(104 -N DENR Mooresvilk WC). - Non -Discharge ,App,doc. t", Tt. ttt tt t et' t°1 t a JUL.. 9.2003 5:34PM BROWN RND CALDWELL NO.925 P.3/5 State of North Carolina Department of Environment and Natural Resources Division of Water Quality WATERSHED CLASSIFICATION ATTACHMENT Any changes made to this form will result in the application being returned. (THIS FORM MAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL) INSTRUCTXONS: To determine the classification of the watershed(s) in which the subject project will be located, you are required to submit this form, with Items 1 through 8 completed, to the appropriate Division of Water Quality Regional Office Water Quality Supervisor (see Page 2 of 2) prior to submittal of tlic application for review. At a minimum, you must include an 8.5" by I I" copy of the portion of a 7.5-minute USGS Topographic Map that shows the surface waters immediately downelope of the project. You must identify the location of the project and the closest downslope surface waters (waters for which you are requesting the classification) on the submitted map copy. If the facility is located in the Nouse River Basin, also include a copy of the soil survey map for the project location. The corresponding non -discharge application may not be submitted until this form is completed by the appropriate regional office and included with the submittal, 1. Applicant's name (name of the municipality, corporation, individual, etc.): Charlotte Mecklenburg Utilities 2. Naine and complete address of applicant: Charlotte Mecklenburg Utilities. M100_l3rookshire Boulevard City: Charlotte State: NC Zip: 28216 Telephone number: 704 399-2221 Facsimile number. (704) 393-2219 3. Project name (name of the subdivision, facility or establishment, etc.): Clear Creek Pumping Station and Force Main. 4. County where project is located: 5. Name(s) of closest surface waters: 6. River basin(s) in which the project is located: Mccklenb urg_County Clear Creek Rocky River fa_ain 7. Topographic map name and date: Mimi lii11/Midland, 1999 8. North Carolina Professional Engineer's seal, signature, and date: t11tnIN1r, f` N CAR%41'0 '0 o �SSIp� 1 q SIM lin5 TO: REGIONAL OFFICE WATER QUALITY SUPERVISOR Please provide me with the classification(s) of the surface waters, watershed(s), and appropriate river basin(s) where these activities will occur, as identified on the attached ap segnient• Naine(s) of surface waters and river basin(~): Classification(a) (as established by the EMC): Proposed classification(s), if applicable: River basin buffer riles, if applicable: Signature of regional office personnel: FORM: WSCA 10/99 Page 1 of 2 P:\23435 - LandDcaigri • Cknr Cr PSIWP\cnniU\WSCA 1a99.doc Date: