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WQ0035859_Regional Office Historical File Pre 2018
NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Waki d„ P.E. Dee Freeman Governor Director Secretary April 5, 2012 Mr, Sill Schoettelkotte - Director of Construction Liberty Healthcare Properties of Mecklenburg County, LLC 2334 South 41 st Street Charlotte, NC 28403 Subject: Permit No, WQ0035859 Brightmore of Charlotte Senior Living Wastewater Collection System Extension Mecklenburg County, North Carolina Dear Mr. Schoettelkotte: In accordance with your complete application received on March 30, 2012, we are forwarding herewith Permit No, WQ0035859, dated April 5, 2012, to Liberty Healthcare Properties of Mecklenburg County, LLC 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 This permit shall be effective from the date of issuance until rescinded, and shall be subject to the conditions and limitations as specified therein.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 additiional or replacement wastewater collection facilities, and/or referral of the North Carolina -licensed Professional Engineer to the licensing board, Mooresville Regional Office Location: 610 East Center Avenue, Suite 301, Mooresville, NC 28115 Phone: (704) 663-1699 \ Fax: (704) 663-6040 Internet: http://portalmcdenr.orgfwebtwq An Equal Opportunity 1 Affirmative Action Employer — 50% Recycledr1t1 Ja Post Consumer paper One NotthCaroiina attire"! Mr. Bill Schoettelkcite Page Two April 5, 2012 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 for the construction and operation of 497 linear feet of 8-inch gravity sewer to serve Brightmore of Charlotte Senior Living with 14,400 additional gallons per day of collected domestic wastewater into the Charlotte - Mecklenburg Utilities existing sewerage system in conformity with 15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996, as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000, as applicable; and other supporting data subsequently filed and approved by the Department of Environment and Natural Resources and considered a part of this permit, The sewage and wastewater collected by this pump station shall be treated in the McAlpine Creek. WWTP (NPDES No, NC0024976) prior to being discharged into the receiving stream. Assessing subsequent impacts to the downstream collection system 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 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 Mr. Michael Parker at (704) 663-1699. Electronic copies: Cc: Sincerely, or Charles Wakild, PE Meredith Moore, Mecklenburg County Developm Barbara Gross, CMU Willis Horton, Mecklenburg County Mark N. Breen, PE nt o Mooresville Regional Office, Collection System Permit File Surface Water Protection Central Files PERCS tty 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. b. c d, e. 9 h. 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 02010 or the surface water standards in 15A NCAC 2B .0200. A map of the sewer system shall be developed and shall be actively maintained, An operation and maintenance plan shall be developed and implemented. Pump stations that are not connected to a telemetry system shall be inspected every day (Le. 365 days per year). Pump stations that are connected to a telemetry system shall be inspected at least once per week, High -priority sewer lines shall be inspected at least once per every six-month period of time, A general observation of the entire sewer system shall be conducted at least once per year. Inspection and maintenance records shall be maintained for a period of at least three years. 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. Per 15A NCAC 2T .0186, 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 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. 18. Noncompliance Notification: The Permittee shall verbally report to a Division of Water Quality employee at 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 2 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. 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 (800) 858-0368 or (919) 733-3360. 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 11 of Form CS-SSO (or the most current Division approved form) can also be completed to show that the SSO was beyond control. Per it issued this the 5th day of April, 2012 NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION for Charles Wakild, PE, D Division of Water Quality By Authority of the Environmental Management Commission Permit No. WQ0035859 Permit No. WQ0035859 April 5, 2012 OwnerJWQCS Bil[ Schoettelkotte 2334 South 41 st Street Charlotte, NC 28403 PE Mark N. Breen, P.E. Site Solutions, PA. 2320 West Morehead Street Charlotte, NC 28208 WQCSIWWTP Barbara Gross CMU 5100 Brookshire Blvd. 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 any changes resulting in non-compliance with this permit, regulations or minimum desiqn 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. ENGINEERS 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 Brightmore of Charlotte Senior Living, 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. 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 28185 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. 4 USE THE TAB KEY TO MOVE FROM FIELD TO FIELD! Owner/Permittee: la. Liberty Healthcare Properties of 4ecklenburg County, LLC Full Legal Name (company, municipatity, HOA, utility, etc.) 0 lb, Bill Schoettelkotte - Director of Construction 0 L{. z Z 0 H U Application Number: (to be completed by DWQ) Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized signing officials lc. The legal entity who will own this system is; 0 Individual 0 Federal 0 Municipality 0 State/County 0 Private Partnership ld. 2334 South 41' Street Wilmington Mailing Address City 1f North Carolina State lh 910-815-3122 1 i. 910-815-311 Telephone Facsimile 2, Project (Facility) Information: 2a. Brightmore of Charlotte Senior Living Brief Project Name (permit will refer to this na 3. contact Person: 3a. Mark N. Breen Name and Affiliation of Someone e lg 28403 Zip Code Corporation 0 Other (speci bschoettelkotte libertyhcare.i E-mail 2b. Mecklenburg County Where Project is Lo o Can Answer Questions About this Application ed 3b. 704-496-6297 3c, rnbreen@sitesolutionspa.corn E-mail Project is New 0 Modification (of an existing permit) If odification, Permit No u Phone Number 2. Owner is 0 Public (skip to /tern B(3)) Private (go to Item 2(a)) If private, applicant will be: ® Retaining Ownership (i.e. store church, single office, etc.) or 0 Leasing units (lots, townhomes, etc. - skip to Item B(3)) 0 Selling units (lots, townhomes, etc. - go to Item B(2b)) 3, Charlotte Mecklenburg Utilities Z Owner of Wastewater Treatment Facility (VWVfF) Treating Waste 4a. McAlpine Creek Wasterwater Treatment Plant Name ofW/ TF 5a. Charlotte Mecklenburg Utilities5b. 8" Gravity Owner of Downstream Sewer ,Receiving Sewer Size [ Force Main 6 The origin of this wastewater is (check all that apply): 2b. If sold, facilities owned by a (must choose one) 0 Public Utility (Instruction C) 0 Homeowner Assoc /Developer (Instruction D) j Residential Subdivision Apartments/Condominiums 0 Mobile Home Park 0 School 0 Restaurant 0 Office er From This Project 4b. NC0024970 VWVTF Permit No. Permit # of Downst 0 Retail (Stores„ shopping centers) Institution Hospital 0 Church El Nursing Home Other (specify): 7, Volume of wastewater to be allocated or permitted for this particular proje *Do not include future flows or previously permitted allocations Sw If the permitted flow is zero, indicate why: 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) ewer (Instruction E) 100 % Domestic/Co rcial % Industrial (attach description.) (RO: contact your Regional Office Pretreatment staff) % Other (specify); 4,400 gallons per day FI'A 12,07 B. PERMIT INFORMATION (CONTINUED) 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 8 487 Gravity 11. Summary of Pump Stations w1 associated Force Mains to be Permitted (attach additional sheets as necessary) Pump Station Location ID (self chosen - as shown on planslmap for reference) Design Flow (MGD) Operational Point GPM @TDH Power Reliability Option 1 - permanent generatorwlATS; 2 - portable generator wIMTS Force Main Size Force Main Length Pump Station Location ID (self chosen - as shown on plans/map for reference) Design Flow (MGD) Operational Point GPM @TDH Power Reliability Option 1 - permanent generator w/ATS; 2 - portable generator w1MTS Force Main Size Force Main Length Pump Station Location ID (self chosen - as shown on planslmap for reference) Design Flow (MGD) Operational Point GPM @TDH Power Reliability Option 1 - permanent generator w/ATS; 2 - portable generator w!MTS 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 2"d treatment facility (RO — if "yes" to 8,12 please contact the Central Office PERCS Unit) 13. 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? ® 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 PERTINENT TO THE VARIANCE WITH YOUR APPLICATION FTA12107 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 ® N/A Sedimentation and Erosion Control Plan? ® Yes ❑ No ❑ N/A Stormwater? ® Yes ❑ 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: ❑ and provide details y Z 0 Q2. e LIL Et W () (� I 1. Owner/Permittee's Certification: (Signature of Signing Official and Project Name) /, Bill Schoettelkotte - Director of Construction, attest that this application for Brightmore of Charlotte Senior Living has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not completed and that if all required supporting documentation and attachments are not included, this application package is subject to being returned as incomplete. Note: In accordance with North Carolina General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine not to exceed $10, 000 as well as civ' pe tie $25, 000 per violation. 1 a. 3/27 /2 Signing Official Signature D te ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY TO OTHER UTILITIES, DESIGN CALCULATIONS. ETC. REFER TO 15A NCAC 02T .0305 Professional Engineer's Certification: (Signature of Design Engineer and Project Name) 1, Mark N. Breen , attest that this application for Brightmore of Charlotte Senior Living has been reviewed by me and is accurate, complete and consistent with the information in the engineering plans, calculations, and all other supporting documentation to the best of my knowledge. I further attest that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations, Gravity Sewer Minimum Design Criteria for Gravity Sewers adopted February 12, 1996, and the Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 and the watershed classification in accordance with Division guidance. Although other professionals may have developed certain portions of this submittal package, 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 $25 000 per violation. 2a. Mark N. Breen %tiIrulirrr ```>'‘-c-1CAR 0(�,ill. ....... ,. , 0 •• _•.° o! - _ SEAL } 026925 .14 ..z. 1".• " ,�1gdpk' N .s�' ..`�' 'riii„milio2�2-02. NC PE Seal, Signature & Date Professional Engineer Name , > 2b. Site Solutions Engineering Firm 2c. 2320 West Morehead Street Mailing Address I 2d. Charlotte ( 2e. NC f. 28208 City -2h. State Zip 2g. 1 704-496-6297 704-821-8955 2i. mbreen@sitesolutionspa.com Telephone I Facsimile t E-mail FTA12/07 Liberty Healthcare Management, Inc. 2334 S. 41st Street Wilmington, NC 28403 (910) 815-3122 • fax, (910) 815-3111 March 27, 2012 NCDENR Division of Water Quality 610 E. Center Avenue Mooresville, NC 28115 Re: Liberty Healthcare Properties of Mecklenburg County, LLC To whom it may concern, William Schoettelkotte is authorized to sign for Liberty Healthcare Properties of Mecklenburg County, LLC for the purposes of permitting water and sewer for its Brightmore of Charlotte Senior Living project in Charlotte, NC. Rega Ronald B. McNeill Member/Manager Liberty Real Properties, LLC as Manager of Liberty Healthcare Properties of Mecklenburg County, LLC TOPO! map printed on 01/18/12 from 'Worth Carollna.tpo" and "Untitledotpg" 80°51.000' W 80°50.000' W WGS8480°49.000' W 80°51.000' W 80°50,000' W s.. 1 MILE 1030 FEET Q SX! T#19G E IETEH$ OPOI 0M Ndsra l Osomphic H°1�aaEpf (www.topo corn) WGSB4 80'49.000' W Letter of Transmit tal TO NCDENR - DWQ, Mooresville Regional Office 610 E, Center Avenue Mooresville, NC 28115 ()ATE 3240B Brightmore of Charlotte Fast Track Sanitary Sewer Application (Revised) WE ARE SENDING YOU: l� 5hnp drawings E Copy of letter COPIES DATE N 1 3/21/12 1 1/17/12..... 1 1/9/12 2 3/27/12 Attaciired 0 Under separate cover via Hand Delivery D Prints © Change order 0 Sa nples 0 Specifications Ll Plans DESCRIPTION Check$48© Water and Sewer FEow Acceptance Flaw Tracking Form (FTSE-10/07) Fast Track Application for Gravity Sewer, etc, USGS Topo Map (Color)(Attached to application form) DWQ Comments Authorization letter for si THESE ARE TRANSf9ITTEU as checked below: For approval For yci.or use [� As requested Di For review and comment REMARKS COPY TO © Approved as submitted 0 0 Approved as noted 0 Submit 0 Returned for corrections (] Return SIGNED: TE SOLUTIONS 2 3 2 0 W. Morehead Street Charlotte, NC 28208 Landscape Architeecure Site Planning Civil Engineering www,s tesolutionspa-com P 704,521,9880 F 704,521.8955 wtyuv_5it.e%9lli ionsPa coani Mark N. Breen, PE CHARLOTTE CHARLOTTE-MECKLENBURG UTILITIES January 17, 2012 Mr. Phillip Hobbs Site Solutions 2320 W Morehead Street Charlotte, NC 28208 SUBJECT: WATER AND SEWER FLOW ACCEPTANCE BRIGHTMORE OF CHARLOTTE SENIOR LIVING TAX PARCEL# 229-011-03 — 05, 228-01110, 15, 16 C-MU TRACKING# 600-11-501 A flow acceptance review of the subject site has been completed and the following has been determined: Charlotte -Mecklenburg Utilities agrees to accept the gravity sewage flow of 37,080 gallons per day (168 apartment units x 135 gpd/unit; 120 bed skilled nursing facility x 120 gpd/bed) 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 owned treatments works, Please see attached NCDENR 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 Drinking Water Act Amendments of 1986, and The Water Supply Management Plan, dated October 2005, (WSMP # 05-01702 & PWS ID # 0160010), 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 provide service 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 applicant should understand that this letter is not authorization to construct private water or sewer systems, as the appropriate local or State permits are required prior to construction, If the appropriate authorization to construct permits are not obtained and construction has not started within one (1) year of issuance of this flow acceptance letter, and payment for any service connect/an(s) has not been received within (1) year of the issuance of this flow acceptance letter, this flow acceptance approval shall be rescinded and a new flow acceptance study must be made, If you have any questions, you may contact me at (704) 432-5801. Sincerely, Barbara Gross Engineering Assistant New Services Section CHARLOTTE-MECKLENBURG UTILITIES Engineering Division • New Services Sec lion www.cmuwuies.c m 700 tlnrth Tryon street Charlotte, NC 28202 Ph: 704/432-5801 Fax: 704/432-5804 c. WWTP facility's permitted flow d. Estimated obligated flow not yet tributary to the WWTP e. WWTP facility's actual avg. flow f. Total flow for this specific request g. Total actual and obligated flows to the facility h. Percent of permitted flow used c W�A TFR• State of North Carolina OG Department of Environment and Natural Resources 7 Division of Water Quality Y Flow Tracking/Acceptance for Sewer Extension Permit Applications (FTSE —10/07) Project Applicant Name: si to solutions Project Name for which flow is being requested: Brightmore of Charlotte Senior Living Community More than one FTSE-10/07 may be required for a single project if the owner of the WWTP is not responsible for all pump stations along the route of the proposed wastewater flow. I. Complete this section only if you are the owner of the wastewater treatment plant. a. WWTP FaCiIityName: McAlpine Creek, Irwin Creek, Sugar Creek WWTP b. WWTP Facility Permit #: NC0024970, NC0024945 , NC0024937 All flows are in MGD 99.0 10.116 66.8 0.037 77.672 78.5% II. Complete this section for each pump station you are responsible for along the route of this proposed wastewater flow. List pump stations located between the project connection point and the WWTP Pump Station Name Approx. Capacity, MGD Approx. Current Avg. (Firm/Design) Daily Flow, MGD Six Mile Creek 6.96E 2.570 III. Sertification Statement: I, 0-f s Y S k e ar = In. , certify that, to the best of my knowledge, the addition of the volume of wastewater to be -permitted in this project'has been evaluated along the route to the `receiving' wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity related sanitary sewer overflows or overburden any downstream pump station en route to the receiving treatment plant under normal circumstances. This analysis has been performed in accordance with local established policies and procedures using the best available data. This certification applies to those items listed above in Sections I and II for which I am the responsible party. Signature of this form indicates acce tance of this wa ewater flow. Signing Off bial Signature Date -aepa Michael r. Easley, Governor William G.. Ross Jr., Seiaetai virunment arid Natural Resources G:eakeett ri..Snllins, Director Division of Water Quality Dear Mr alit` appllea be incomplete. The care, y°otrr app€i your resubniittaI). For a listing of th http://h2o,ennstate„ne.us/percs/Collec Please complete/correct the fC: [� Application submitted on 2012 Subject: -ack t Nan - County, Return Yl 1 't Q Or 1,.k h Carolina oresville Regional (Office received your (Fast Track sewer view, ofy°teal. atlaplicatian, your a arlaialication w=as deterttuned 1 s beitag re'turnetl, (Please iraeletcle a copy of this letter rect forms and instructions please visit: Systen1s(CollcctionSiast n1ApJ31 cations.htm1. deficiencies: rung or outdated forms. Form( Application was submitted without a process iii }}, fie car v.`itli tiara incorrect proLessiti Application did not cc Application did notenn .Application did not cnntain liin a Flow 1'rac.l ing Form. (F t SE 10/07). e Developer's/Homeowners Operational rAgreenaent. e correct number ofctsoicse Application 'Failed to include p El Application ( NrC,AC 2 `T.01©b(h). t Blair he req A.7 b) w aa, not signcad by epresentati ecordance with nt ,t ttc.lal lls,, Following submission of a complete application, the N1ot 1 review of your application. if your application is team red or the package nias be returned again. Enclosure: Fast Track Sever EA ' cc: RC) File ion ,\ppllcaatic) rt f, l`.rebs Regional Cbegin a ticient additional information may rvlooresville R 0 ticc 610 East Cen Ave. Suite 300 Mocresvilie, NC 28115 704-663-16 (Telephone) Central Files: APS SWP 04/05/12 Permit Number WQ0035859 Permit Tracking Slip Program Category Status Project Type Non -discharge Active New Project Permit Type Fast Track Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions Primary Reviewer michael.parker Coastal SW Rule Permitted Flow 14400 Facility Version Permit Classification 1.00 Individual Permit Contact Affiliation Facility Name Brightmore of Charlotte Senior Living Location Address Owner Major/Minor Region Minor Mooresville County Mecklenburg Facility Contact Affiliation Owner Name Owner Type Liberty Healthcare Properties of Mecklenburg County LLC Non -Government Dates/Events Owner Affiliation Bill Schoettlekotte Construction Director of 2334 S 41 st St Wilmington NC 28403 Scheduled Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration 04/05/12 03/30/12 04/05/12 04/05/12 Regulated Activities Requested/Received Events Nursing Home Wastewater collection Outfall NULL Additional information requested Additional information received Waterbody Name Stream Index Number Current Class Subbasin Permit No. WQ0035859 April 5, 2012 OwnerIWQCS Bill Schoettelkotte 2334 South 41 st Street Charlotte, NC 28403 PE Mark N. Breen, P.E. Site Solutions, PA. 2320 West Morehead Stre Charlotte, NC 28208 WQCS/WWTP Barbara Gross CMU 5100 Brookshire Blvd. 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 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 afi 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 0 Partial Final I, Mark N. Breen , as a duly registered Professional Engineer in the State of North Carolina, having been authorized to observe (N periodically, 0 weekly, 0 full time) the construction of Brightmore of Charlotte Senior Living, 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. 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 28185 4- 6d 3 -Am 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. 4 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. 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 (800) 858-0368 or (919) 733-3300. 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. Perm iit issued this the 5th day of April, 2012. NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION for Charles Wakild, PE, Director Division of Water Quality By Authority of the Environmental Manager Permit No. WQ0035859 nt Commission