WQ0030336_Regional Office Historical File Pre 2018

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
August 1, 2008
Mr. Jack F. Chamblee Jr., AIA —Vice President
The Charlotte Mecklenburg Hospital Authority
PO Box 32861
Charlotte, NC 28232
Subject: Permit No. WQ0030336 Modification
CMC-Pineville Central Energy Plant
CMC Pineville Campus Improvements
Tax Parcel #207-102-01,02,04
C-MU Tracking # 600-08-600
C-MU Tracking #600-06-524
Wastewater Collection System Extension
Mecklenburg County, North Carolina
Dear Mr. Chamblee,
In accordance with your application received on July 31, 2008, we are forwarding herewith
Permit No. WQ0030336, dated August 1, 2008, to the Charlotte Mecklenburg Hospital Authority 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effective from the date of issuance until rescinded, and shall be subject to the conditions and limitations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 2T .0403 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 2T; 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: www.ncmwaterqualily.org Customer Service: 1-877-623-6748
An Equal Opportunity/Affirmative Action Employer-50% Recycled/10% Post Consumer Paper
Nor` hCarol ina
:aturally

TNr. Chamblee
Page 2
August 1, 2008
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 Hospital Authority for the construction and operation of approximately
1,992 linear feet of 8-inch gravity sewer and 1,796 linear feet of 10-inch gravity sewer as part of the
CMC Pineville Campus Improvements project, and the discharge of 20,420 gallons per day of collected
domestic wastewater into the Charlotte Mecklenburg Utilities Department existing sewerage system 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
The sewage and wastewater collected by this system shall be treated in the Charlotte
Mecklenburg Utilities WWTP (McAlpine Creek NPDES No. NC0024970) prior to being discharged into
the receiving stream.
Assessing subsequent impacts to the downstream collection system and treatment facility is
the complete responsibility of Charlotte Mecklenburg Utilities. Charlotte Mecklenburg Utilities must
utilize whatever tracking tools necessary for planning additions of sewer flow in order to maintain
compliance with the WWTP permitted limits and the WQCS00001 permit requirements.
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 Dee Browder at (704)
663-1699.
Sincerely,
for Coleen H. Sullins
cc: Mecklenburg County Land Use and Environmental Services Agency (LUESA)
Steve Miller, CMU
Philip Edward, Mecklenburg County
Mooresville Regional Office, Collection System Permit File
Dudley Stone, ColeJenest & Stone, PA
Surface Water Protection Central Files.
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 2T; 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 2T .0403. If an individual
permit is not required, the following performance criteria shall be met as provided in 15A NCAC 2T
.0403:
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 2T .0116, 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 2T; 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 1st day of August, 2008.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
‘ciac_szfTh7,._
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0030336 Modification
3

Fast Track Enq neerinq Certification
Permit No. WQ0030336 Modification
August 1, 2008
OwnerNVQCS PE WQCSNVWTP
Jack Chamblee, VP Dudley Stone Steven Miller
The Charlotte Mecklenburg Hospital Authority ColeJenest & Stone CMU
PO Box 32861 200 S. Tryon St, Suite 1400 5100 Brookshire Blvd.
Charlotte, NC 28232 Charlotte, NC 28202 Charlotte, NC 28216
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 anv 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
, as a duly registered Professional Engineer in the State of North Carolina, having been
authorized to observe (❑ periodically, ['weekly, ❑ full time) the construction of CMC-Pineville Central Energy
Plant, a 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 2T; 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.
Lb
North Carolina Professional Engineer's
seal, signature, and date:
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
MOORESVILLE REGIONAL OFFICE
SURFACE WATER PROTECTION
610 EAST CENTER AVENUE, SUITE 301
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.

USE THE TAB KEY TO MOVE FROM FIELD TO FIELD! Application Number:
(to be completed by DWQ)
1. Owner/Permittee:
la. The Chartotte-Mocklen rHostal Authon
Full Legal Name (company, municipality, HOA, utility, etc.
lb, Jack F. Chamblee Jr., AIA - Vice President
Signing Official Name and Title (Please review 15A NCAC 2T .0 06 (b)
authorized signing o
lc, The legal entity who will own this system is:
0 Individual 0 Federal 0 Municipality E3 State/County 0 Private Partnership
0 ld, P.O, Sox 32861
LL. Mailing Address
if. NC
State
Q 1h, 704-512-7373 1i, 704-512-7300
- Telephone Facsimile
<
0 2. Project (Facility) infor tion:
...1 2a. MC-Pinevill Central En Plant _
CI. Brief Project Name (permit will refer to this name)
fil
3. Contact Person:
▪ 3a, Mark R, McAuley, El, LEED AP
le Charlotte
City
lg, 28232
Corporation 0 Other (speci
Zip Code
1j. lack.chamblee arolinashea hcare,or
E-mail
2b, Mecklenburg
County Where Project is Located
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b 704-376-1555
Phone Number
1, Project is 0 New
3c. mmcauley@colejeneststonexorn,
E-mail
Modification (of an existing permit) If Modification, Permit No,: W00030336
2. Owner is 0 Public (skip to item B(3))
2a. If private, applicant will be:
Retaining Ownership (i e store, church, single office, etc.) or
0 Leasing units (lots, townhomes, etc, - skip to item 8(3))
0 Selling units (lots, townhomes, etc, - go to Item B(24))
Private (go to Item 2(a))
2b, If sold, facilities owned by a (must choose one
0 Public Utility (instruction C)
0 Homeowner Assoc./Developer (Instruction D)
3, Charlotte-MecklenbiAlUtilities
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
4a, McAlpine Creek Wastewater Treatment Plant 4b. NC0024970
Name of WWTF WWTF Permit No
5a. Charlotte -Mecklenburg
Utilities 5b, 8 Gravity
Receiving SewerSze ! ize Force Main 5c. Unknown
i
Owner of Downstream Sewer 1
6 The origin of this wastewater is (check all that apply):
i
I
o Residential Subdivision
0 Apartments/Condominiums
0 Mobile Horne Park
0 School
0 Restaurant
O Office
Permit # of Downstream Sewer (Instruction E)
0 Retail (Stores, shopping centers)
o
Institution
0 Hospital
0 Church
0 Nursing Home
Other (specify):Central Energy Plant
7. Volume of wastewater to be allocated or permitted for this particular project:
"Do not include future flows or previously permitted allocations
8. If the permitted flow is zero, indicate why: N/A
0 Pump Station, Outfall or Interceptor Line where flow will be permitted in subsequent permits that connect to this line
0 Flow has already been allocated in Permit No,
0 Rehabilitation or replacement of existing sewer with no new flow expected (see 15A NCAC 02T .0303 to determine if a
permit is required)
100 % Domestic/Commercial
% Industrial (attach
description.)
(RO: contact your Regional Office
Pretreatment staff)
% Other (specify):
280 gallons per day
FTA.I.2107

9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2T .0114 for'
the value in Item B(7) AND/OR the design flow for line or pump station sizing if a reduced or zero flow is being requested in
Item B(7). Values other than that in 15A NCAC 2T .0114 (b) and (c) must be supported with actual water or wastewater use
' data in accordance with 15A NCAC 2T .0114 (f).
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches)
Length (feet)
New Gravity or Additional
Force Main
8
---- 1092 —t Gravity
CI 11. Summary of Pump Stations wl associated Force Mains to be Permitted (attach additional sheets as necessary)
W
M Pump Station Location ID (self chosen - as shown on planslmap for reference)
Design Flow
Z (MGD)
0 ,
I Operational Point
f GPM @TDH
Power Reliability Option
1 - permanent generator w/ATS;
2 - portable generator w1MTS
Force Main Size
Force Main Length
U
Z '
O
QPump Station Location ID
(self chosen -
as shown on planslmap
for reference)
2 Design Flow
ce (MGD)
0
--
I
1 Operational Point GPM @TDH
Power Reliability Option
1 - permanent generator w/ATS;
2 - portable generator w/MTS
i Force Main Size
I Force Main Length
--- - —R-- --
2
-
1--
M
(L/ Pump Station Location ID (self chosen - as shown on planslmap for reference)
W
O. Design Flow
(MGD)
03
Operational Point
GPM @TDH
Power Reliability Option
1 - permanent generator w/ATS;
2 - portable generator w1MTS
Force Main Size
Force Main Length
12. Will the wastewater flow in the proposed sewer lines or pump stations be able to be directed to another treatment facility?
• Yes No If Yes, permit number of 2nd treatment facility
(RO — if "yes" to B,12 please contact the Central Office PERCS Unit)
b
I13. 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 Chapter 2T as
applicable?
e Yes • No If No, please reference the pertinent minimum design criteria or regulation and indicate why a
variance is requested. SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS
Ij PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
FTA12/07

14. Have the following permits/certifications been submitted for approval for the system or project to be served?
Wetland/Stream Crossings - General Permit or 401Certification? © Yes © No NIA
Sedimentation and Erosion Control Plan? ® Yes © No 0 NIA
Stormwater? Yes 0 No © NIA
15. Does this project include any high priority lines, [see 15A NCAC 02T ,0402 (2)] involve aerial lines, siphons, or interference
manholes)? These lines will be considered high priority and must be checked once every six months
Check if Yes: 0 and provide details
Owner/Permfttee's Certification: (Signature of Signing Official and Project Name)
1, Jack F. Chamblee, Jr., attest that this application for CMC-Pineville Central Energy Plant 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 wifh North Carolina 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,
la,
ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY;
+in TO OTHER UTILITIES, DESIGN CALCULATIONS. ETC. REFER TO 15A NCAC 02T .0305
0
Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
1, Dudley D. Stone, attest that this application for CMG -Pineville Central Energy Pliant 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 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 other
professionals may have developed certain portions of this submittal package, 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 143-215,68, 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. Dudley D. Stone, PE
Professional Engineer Narrne
2b. "ColeJenest Stone, PA
Engineering Firm
2c, 200 South Tryon Street _ Suite 1400
Mailing Address
2d. Charlotte 2e. NC 2f, 28202
City State Zip
2g, 704-376-1555 2h, 704-376-7851 2i. cjs@colejeneststone,c
Telephone Facsimile E-mail
D.
1
NC PE Seal, Signatur
Date
FT, 12.07

c
enest
one
ENGINEER'S REPORT NARRATIVE
Original Permit No.: W00030336
Carolinas Medical Center - Pineville
Central Energy Plant project
Pineville, North Carolina
Applicant Contact Information
Address: The Charlotte -Mecklenburg Hospital Authority
P,O, Box 32861
Charlotte, North Carolina 28232
Mr, Jack F. Chamblee Jr., AIA - Vice President
[phone]
Civil Ersg,fneer Contact Information
Address: ColeJenest and Stone, PA
200 South Tryon Street — Suite 1400
Charlotte, North Carolina 28202
Mr, Dudley D. Stone, PE
[phone]
Project Description
Carolinas Medical Center — Pineville will construct a Central Energy Plant on the campus
located in Pineville, North Carolina. The proposed sanitary sewer will serve the Central
Energy Plant as well as stub -out for future development on the campus,
The proposed 8" sanitary sewer extension will connect to an existing 10" private sanitary
sewer located on the campus. This existing 10" sanitary sewer eventually ties to the
existing 8" public sanitary sewer line in North Carolina Highway 51 (Pineville -Matthews
Road). The public sanitary sewer is operated and maintained by the Charlotte Mecklenburg
Utilities Department (CMU). CMU has issued a water and sanitary sewer flow acceptance
letter for this project.
The following infrastructure components will be utilized within the project limits only:
• 8" ductile iron pipe
• New sanitary sewer manhole
1092 linear
7 each

�1� "� `�,��".�2n��`��2�\`t2''�Zk�t;t �i tt<ztts3s :�>��>�� �c�'��\l�?f�iy\. � "`�,�� �ltaj ���32�a� '''� l `�� �\l��\�,'"k��x'�
5�� 'a � �a�����,y,.s54z1�f�>sYt,'}r;,".r,`t}}nV�J��{?�t����������������<`is ��ti�i:��1��1sa`�h`i�4

CF t :LOTTTL.,
CHARLOTTE-MECKLENBURG
UTILITIES
June 25, 2008
Mr. Mike McAuley
ColeJenest & Stone
200 South Tryon Street
Charlotte, NC 28202
SUBJECT: WATER AND SEWER FLOW ACCEPTANCE
CAROLINAS MEDICAL CENTER — PINEVILLE CENTRAL ENERGY PLANT
TAX PARCEL# 207-102-01, 02„ 04
C-MU TRACKING #600-08-600
In response to your request, a flow acceptance study of the subject site has been completed ar`td the
following has been determined:
Charlotte -Mecklenburg Utilities agrees to accept the gravity sewage flow of 277 gallons per day (37
drainage fixtures x 7.5 gpd/fiixture) from this project for transmission to the McAlpine Creek Wastewater.
Treatment Plant; NPDES permit number NC0024970, for treatment. This acceptance of flow is based on
the existing capacity of the designated publicly awned treatments works. Please see attached flow
calculations, basin map, and flow tracking form.
Charlotte -Mecklenburg Utilities agrees to furnish water to the subject project. The water quality to the
subject project is regulated by the State Driokin^,g Water Act Amendments of .1986, and The Water Supply
Manaagernent Phan, dated October 2005, (WSMP # 05-01702 & PWS Ifs # 3160010), on file with the,
Public Water Supply Section of NCDENR. However, Charlotte -Mecklenburg Utilities cannot guarantee a
constant pressure or quality of flow
Due to the involvement of other agencies and continuing growth of the water and sewer system, the
ability to provideservice for future projects cannot be guaranteed nor reserved. Connection to the
Charlotte -Mecklenburg Utilities system Is accepted on a first come, first: served 'basis.
The apptiicant shorrtd understand that thi
systems, as the appropriate local or State pen
autPrfrrdze lion to construct_permits
Issuance of this t7owacceptance_
acceptance nr e request must be m If you hav
Gross
Engineering Assistant
New Services Section
CHARLOTTE-MECKLENBURG
Customer Sere
e D ivs€on New Se
authorization to construct private water or sewer
re required prior to construction. If the; ro c'late
d rw d cortstractio tea not started within c 0.p
once approval shall be rescinded r arrd fiq 1
y questions, you may contact ire at {; 04)
ChaN
Ph
Fax 7O41393 7- 9

Ch 3s°Dtte- VIe R
WW'VP Serv,ce Aceas ,

gyPam
mcmaaa
tales ,CmowaQnv
t m
ammo«SwaIindee
2OcjIdlaydased on a7

PrOJCC
aName Armh\h
it
proposed \l Rv«
b arment of Environment
Division ofN8
Fox-, p ac
(G mCl
n Permit Applications
(FfSE ll 7)
NCO 02 4 9 3 7

Shaping.,=env;rnn ,r
Reahnng She Puawbllii
Land Planni
Pddntnan
Cava Engel annny
+ 70 South Tryon [ t it+ 14!]b+he
Urban Jts+gn o- PA 376 t651 « 704 din 7Bna an. wonadaaaleindentatonnnadm
NOTES:
SITE DISCHARGES INTO AN UNNAMED TRIBUTARY
OF LITTLE SUGAR CREEK OF SUGAR CREEK.
2. TOPOGRAPHICAL INFORMATION TAKEN FROM
UNITED STATES GEOLOGICAL SURVEY — FORT
MILL, SC —NC, 7,5 MINUTE SERIES QUADRANGLE,
35O8O—AB—TF•-024, DMA 4854 III SW — SERIES
V846, DATED 1993; AND WEDDINGTON, NC —SC,
7.5 MINUTE SERIES QUADRANGLE,
35080—A7—TF-024, DMA 4854 III SE — SERIES
VB42, DATED 1968, PHOTOREVISED 1988.
CMC PINEVILLE
CENTRAL ENERGY PLANT
CAROLINAS HEALTHCARE YTE
CHARLOTTE, NORTH CAROLINA
USGS LOCATION MAP
WEDDINGTON QUADRANGLE
Project No. 3699.00 C B Q
Issued: 05l27108
Scale: N.T.S. Sheet 1 of

Carolinas Medical Center— Pineville
Central Energy Plant project
Pineville, North Carolina
Total Flow Calculations:
Proposed Central Energy Pant
Assumed total flow received from Plumbing Engineer 280 galkday (Based on 37
drainage fixture units within building footprint)
Total Peak Flow ,l
25 Peak Factor
1280 gpd 124 hpd] x (2.5) = 29,'t7 qph

ENGINEER'S REPORT NARRATIVE
Original Permit No.: WQ0030336
Carolinas Medical Center - Pineville
Central Energy Plant project
Pineville, North Carolina
pdic.rtt Conormatloon
Address: The Charlotte -Mecklenburg Hospital Aut or4y
P.4. Box 32851
Charlotte, North Carolina 28232
Mr. Jack F. Chamblee Jr., A Vice President
(704) 512-737'3
Civil EngineerContact tnforrnaton
Address: ColeJenest and Stone. PA
200 South Tryon Street — Suite 1400
Charlotte, North Carolina 28202
Mr. Dudley D. Stone. PE
[phone]
Descri
Carolinas Medical Center Pineville will construct a Central Energy Plant on the campus
located in Pineville, North Carolina. The proposed sar ritary sewer will serve the Central
Energy Plant as well as stub -out for future development on the campus.
The proposed 8" sanitary sewer extension will connect to an existing 10" private sanitary
sewer located on the campus. This existing 10" sanitary sewer eventually ties to the
existing 8" public sanitary sewer line in North Carolina Highway 51 (Pineville-tVlatth_ews
Road). The public sanitary sewer is operated and +mam:tailed by the Charlotte Mecklenburg
Utilities Department (CMU). CMU has issued a water and sanitary sewer flow acceptance
letter for thus project.
The follow.g „nfrastrcture components will be utilized within the project limit,
• 8' ductile limit pipe
• New sanitary sewer ITtanhole
1 092 linear feet
7 each

North Carolina Secretary of State Page 1 of 1
North Carolina
Elaine E Marshall DEPARTMENT OF THE
Secretary SECRETARY OF STATE
PO Box 29622 Raleigh, NC 27626-0622 (9191807-2000
CORPORATIONS
Corporations Home
Search By Corporate Name
Search For New Corporation
Search By Registered Agent
Important Notice
Corporations FAQ
Homeowners' Association FAQ
Tobacco Manufacturers
Dissolution Reports
Non -Profit Reports
Verify Certification
Online Annual Reports
LINKS & LEGISLATION
KBBEB2B Annual Reports
SOSI❑ Number Correction
2001 Bill Summaries
1999 Senate Bills
Annual Reports 1997
Corporations 1997
Register for E-Procurement
Dept. of Revenue
ONLINE ORDERS
Start An Order
New Payment Procedures
CONTACT US
Corporations Division
TOOLS
Secretary of State Horne
Secretary of State Site Map
Printable Page
Date: 7/9/2008
Click here to:
View Document Filings 1 Sign Up for E-Notifications 1
Corporation Names
Name
NC The Charlotte -
Mecklenburg Hospital
Authority
NC Charlotte Memorial
Hospital Authority of
Charlotte, North Carolina
(hospital Authority)
Municipal Information
Name Type
Legal
Prev Legal
SOSID:
Status:
Date Formed:
Citizenship:
State of Inc.:
Duration:
Registered Agent
0223690
Current -Active
6/26/1943
Domestic
NC
Perpetual
Agent Name: Smith, Keith A.
Registered Office Address: 720 E Morehead Street
Ste 201
Charlotte NC 28202
Registered Mailing Address: P.Q. Box 32861
Charlotte NC 28232
Principal Office Address: No Address
Principal Mailing Address:
No Address
http ://www. s ecretary . state. nc. us/corporations/Corp . aspx?PitemId=497775 5
7/9/2008

vill Central l nrv` i'lan
Sanitary Sewer Permit
Subject: CMC Pineville Central Energy Plant - Sanitary Sewer Permit
From: "ColeJenest & Stone - Mark R. McAuley" < [e-mail]>
Date: Thu, 31, Jul 2008 12:49:21 -0400
brow'"
uCnle le e t , Ston = evin J.Brie.loran" I brieka an nl jen t tnne, e to ; Cni lenest Stone - W,> f Lnekhart
lh ststone.c
Dee ,
I left you a voicemail this morning, but wanted to follow-up with email as well. Per your message, it sounded as if you had some questions on
what exactly we were modifying at CMC Pineville. We are constructing a new stand-alone building (Central Energy Plant) on the western part
of the campus. Therefore, we are extending the private 10" line that was installed under the CMC Pineville Campus Improvements project
(Permit#WQ0030336) which is now currently in use. This is why we submitted as a modification to this Campus Improvements project permit.
The Flow Acceptance letter only references the Central Energy Plant project since this is the only point where additional flow will be coming
from. I hope this clears things up for you. Please feel free to give me a call or shoot me anemail if you have any questions or need any
additional information,
Thank you,
Mark R. McAuley, El, LEER AP
C©LEJENEST & STONE, P.A.
200 South Tryon Street, Suite 1400
Charlotte , North Carolina 28202
Tel [phone]
Dir 704-971-4533
Fax [phone]
www.colejeneststonc.ct r t
This information is
confidential and subject to copyright. Any unauthorized use, copying, review, reran
only for the use of the recipient, or entity t0 which it is addressed. it array contain infornation that is privileged,
ssion or disclosure is strictly prohibited.
1 of 2 7/31/2008 1.29 PM

Co enest
one
Shaping the Environment
Realizing the Possibilities
Lanai Planning
Landscape Architecture
Civil Engineering
Urban Design
JUL
200 SOuth Tryon Street, Suite thoo Charlotte, NC 28202
s irt 16 lobo r bet s h 7851 ,
TRANSMITTAL
Date: July 8, 2008
Reference: 3699 — CMC Pineville Central Energy Plant
Attention: MS, Dee Browder
Company: North Carolina Department of Environment and Tel [phone]
Natural Resources
Mooresville Regional Office
Division of Land Resources
610 East Center Avenue - Suite 301
Mooresville, NC 28115
We Are
Transmitting:
Transmitted
Via:
R MR0
%Vet PTO
Remarks:
CC:
El Herewith Li Under Separate Cover
Description
2 Fast -Track Application
J For Approval
Flow Calculations
En.ineers Re ort Narrative
Flow Acceptance Letter
USGS Location Map
Check No, 8006 made payable to NCDENR in the
mount of $480.00
Courier
LI Hand Delivery
LI For Your Use r:::) As Requested
0 Pick -Up
0 For Review
The attached information is submitted for a private sanitary sewer
permit.
Should you have any questions, please feel free to contact us
Mark R McAuey, El, LEED AP
Mr, David A. Wright, AIA — WMBA
Mr, Damian Huneycutt — WMBA
Mr, Kevin J. Brickman, RLA — CJS
Mr. W. Larry Lockhart Jr., PE — CJS

Carol nas Medical Center — Pineville
Central Energy Plant project
Pineville,North Carolina
Total Flow Calculations:
Proposed Central Energy Plant:
Assumed total flow received from Plumbing En g neer 280 al/day (Based on 37
drainage fixture units within building footprint)
Taal Peak Flow Increase Util zing 2.5 Peak Factor
[280 god / hod] x()= 29.17g n

Central Files: APS SWP
07/31 /08
V4umber WQ0030336 Permit Tracking Slip
Program Category Status Project Type
Non -discharge In review Major modification
Permit Type Fast Track Version Permit Classification
Gravity Sewer Extension, Pump Stations, & Pressure Sewer 8 Individual
Extensions
Primary Reviewer Permit Contact Affiliation
dee.browder
Permitted Flow
20140
Facility
Facility Name
CMC Pineville Campus Improvements
Location Address
Owner
MajorlMinor Region
Minor Mooresville
County
Mecklenburg
Facility Contact Affiliation
Owner Name Owner Type
Cmc-Northeast Inc Non -Government
Owner Affiliation
Ron Smidt
PO Box 32861
Charlotte
Dates/Events
NC 28232
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
06/01/06 07/28/08 08/01 /08 08/01/08
Regulated Activities
Hospital
Wastewater collection
Outfall NULL
Requested/Received Events
Additional information requested
Additional information received
Waterbody Name Stream Index Number Current Class Subbasin

IrF WArRpG.r
Michael F. Easley, Governor
William G. Ross•Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen Sullins, Director
Division of Water Quality
January 22, 2008
Ron Schmidt, Vice President
CMC — Northeast Inc.
920 Church Street North
Concord, North Carolina 28025
SUBJECT: CMC Pineville Campus Improvements
Permit No. WQ0030336
Wastewater Collection System Extension
Final Engineering Certification
Dear Permittee:
The Division received a final engineering certification for the subject project on November 6, 2007.
A full review of the certification materials may or may not be conducted. It is assumed that receipt
of this certification indicates compliance with all regulations, design criteria and the permit. Please
be reminded that the Permittee is responsible for keeping a copy of the final record drawings for
the life of the project. If you have not received a copy, please contact your consultant
immediately to obtain a copy.
You are receiving this letter because the Division has you listed as the responsible party. If this
permitted system is no longer owned by you, please complete Form PNOCF-S as this permit is not
automatically transferable. Form PNOCF-S can be downloaded from
httb://h2o.enr.state.nc.us/ndou/ndbuapios.html#Sewer.
If you have any questions concerning this document or the completion of Form PNOCF-S (if
necessary), please contact Ms. Dee Browder at the letterhead address or via E-mail at
—[e-mail].
Sincerely,
6-1 (IL
bn Robert Krebs
U Surface Water Protection Regional Supervisor
Enclosure
Cc: Dudley Stone, Colejenest & Stone
Surface Water Protection Section Central Files (certification page only)
NorthCarolina
2atura!!y
Pretreatment, Emergency Response and Collection Systems Unit Internet http:/Ih2o.enr.nc.state.us/ndpu
1617 Mail Service Center, Raleigh, NC 27699-1617 An Equal Opportunity Action Employer
Telephone [phone] Fax [phone]% recycled/10% post -consumer paper

047
Fast Track Engineering Certification
Charlotte Mecklenburg Hospital Authority
Permit No. WQ0030336
June 1, 2006
Complete and submit this form to the permit issuing regional office with
C hAL-
2_o - 4 _
�i6 GorD-- i LC a -go z�
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 Ni Final
1, DKDLEY D. STONE , as a duly registered Professional Engineer in the State of North Carolina, having
been authorized to observe (jR1 periodically, ❑ weekly, ['full time) the construction of the CMC Pineville
Campus Improvements, a 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: I0'3o/o 7
•
•Z`Ye 4E88Jq •`j'
O `'• :
00 a SEA , .
•
4* 4 t, "
g
Pp. fift}Iff1' -
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
MOORESVILLE REGIONAL OFFICE
SURFACE WATER PROTECTION
610 EAST CENTER AVENUE, SUITE 301
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.

enest
ne
Date: November 5, 2007
Reference: 3327 — CMC Pineville Campus Improvements
Attention: Ms, Dee Browder
Company: North Carolina Department of Environment and
Natural Resources
Mooresville Regional Office
Surface Water Protection
610 East Center Avenue - Suite 301
Mooresville, North Carolina 28115
We Are
Transmitting:
Tel
TRANSMITTAL
[phone]
Copies
Dated
10/30/07
06/27/07
Herewith 0 Under Separate Cover
Description
Fast -Track Engineering Certification
Sanitary Sewer As -built Drawngs
Transmitted 0 Mail Overnight 0 Courier 0 Hand Delivery 0 Pick -Up
Via:
0 For Approval
For Your Use E As Requested For Review
Remarks: Please see the attached for final certification and approval. Should you
have any questions, please feel free to contact us.
By:
CC:
Auley, E
ajj
Mr. David A. Wright, AIA — WMBA
Mr Robert P. Cain, AIA WMBA
Mr. Kevin J. Brickman, RLA — CJS
Mr, W. Larry Lockhart, Jr., PE — CJS
Lfl
NC DE
face