WQ0039952_Regional Office Historical File Pre 2018 (2)

Water Resources
Em°oromenwl Quaky
May 3, 2018
Mr, Fletcher Gregory, Director of Finance
Charlotte Latin Schools, Inc.
9502 Providence Road
Charlotte, NC 28277
ROY COOPER
M'ICHAEL S. REGA.N
SecrEtan.`
LINDA CULPEPPER.
I,nterurt Director
Subject: Permit No. WQ0039952
Charlotte Latin Schools, Inc,
Charlotte Latin School - New Upper School
Wastewater Collection System Extension Permi
Mecklenburg County
Dear Mr. Gregory:
In accordance with your application received May 1, 2018, we are forwarding herewith Permit No.
WQ0039952 dated May 3, 2018, to Charlotte Latin Schools, Inc. (Permittee) for the construction and
operation upon certification 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effective from the date of issuance until rescinded, and shall be subject to the conditions and limitations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 the following conditions contained within this permit:
Condition 11,1: This permit shall not be automatically transferable; a request must be made and
approved.
Condition 11.4: 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,
It shall be the responsibility of the Permittee 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.
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,
- "N©tfifng Compares.
ate t" Say fh Carolina Envuonmentai.. Quality Wafer Resources Water Qualir,, Rewiooal Operarions
Mauresvilde Ite corral Office F 610 East Center Avenue, Suite 301 ` Mooresville, Nortlr Carolina 38T 15
704-663-I699

If you need additional information concerning this matter, please contact Barry Love at [phone]
or via e-mail at [e-mail].
Sincerely,
DocuSigned by:
A14CC681AF27425...
by W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office
Division of Water Resources, NCDEQ
cc: Frank G. Miller, P.E. (e-copy)
Barbara Grosse -copy)
Tommy Rowland (e-copy)
Regional Office Files
Water Resources Central Files
PERCS (e-copy)
2

Environmental
Quality
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
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 Latin Schools, Inc.
Mecklenburg County
for the construction and operation of approximately 317 linear feet of 8-inch gravity sewer as part of the
Charlotte Latin School - New Upper School project, and the discharge of no new flow (line relocation) of
collected domestic wastewater into the Charlotte Water existing sewerage system, pursuant to the
application received May 1, 2018, and 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
Environmental Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the specified
conditions and limitations contained therein.
DocuSigned by:
A14CCG81A1-27425...
by W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office
Division of Water Resources, NCDEQ
Permit Number: WQ0039952
Permit Issued: May 3, 2018
3

SUPPLEMENT TO PERMIT COVER SHEET
Charlotte Latin Schools, Inc. is hereby authorized to:
Construct, and then operate upon certification the aforementioned wastewater collection extension. The
sewage and wastewater collected by this system shall be treated in the Charlotte Water McAlpine Creek
Wastewater Treatment Plant in accordance with Permit Number NC0024970.
Permitting of this project does not constitute an acceptance of any part of the project that does not meet
15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996, as
applicable; 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.
Construction and operation is contingent upon compliance with the Standard Conditions and any Special
Conditions identified below.
I. SPECIAL CONDITIONS
1. No new flow shall be made tributary to the subject sewer system until an application for permit
modification for an increase in flow has been submitted to and approved by the Division. [15A NCAC
02T.0304(b)]
2. This permit shall become voidable unless the agreement between Charlotte Latin Schools, Inc. and
Charlotte Water for the collection and final treatment of wastewater is in full force and effect. 115A
NCAC 02T.0304(h)]
II. STANDARD CONDITIONS
1. This permit is not 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. [15A NCAC 02T.0104; G.S 143-215.1(d3)]
2. 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'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 materials unless specifically mentioned herein. [15A NCAC 027.0110]
4

3. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data. [15A NCAC 02T .0110]
4. 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: [15A NCAC 02T .0108(b)]:
a. The sewer system shall be effectively maintained and operated at all times to prevent discharge
to land or surface waters, and to prevent any contravention of groundwater standards or surface
water standards.
b. A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan including pump station inspection frequency, preventative
maintenance schedule, spare parts inventory and overflow response has been developed and
implemented.
d. 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.
e. High -priority sewer lines shall be inspected at least once per every six -months and inspections are
documented.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. 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.
h. A Grease Control Program is in place as follows:
1. For public owned collection systems, the Grease Control Program shall include at least
biannual distribution of educational materials for both commercial and residential users and
the legal means to require grease interceptors at existing establishments. The plan shall also
include legal means for inspections of the grease interceptors, enforcement for violators and
the legal means to control grease entering the system from other public and private satellite
sewer systems.
2. For privately owned collection systems, the Grease Control Program shall include at least bi-
annual distribution of grease education materials to users of the collection system by the
permittee or its representative.
3. Grease education materials shall be distributed more often than required in Parts (1) and (2)
of this Subparagraph if necessary to prevent grease -related sanitary sewer overflows.
i. Right-of-ways and easements shall be maintained in the full easement width for personnel and
equipment accessibility.
5

j. Documentation shall be kept for Subparagraphs (a) through (i) of this Rule for a minimum of three
years with exception of the map, which shall be maintained for the life of the system.
5. The Permittee shall report by telephone to a water resources staff member at the Mooresville
Regional Office, telephone number [phone], as soon as possible, but in no case more than 24
hours, 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 SSO and/or spill over 1,000 gallons; or
c. Any SSO and/or spill, regardless of volume, that reaches surface water
Voice mail messages or faxed information is permissible, but this 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 and submitting
Part I of Form CS-SSO (or the most current Division approved 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. 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. [G.S. 143-215.1C(a1)]
6. 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. [15A NCAC 02T.0108(b)1
7. 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. 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.
If the permit is issued to a private entity with an Operational Agreement, then a copy of the Articles
of Incorporation, Declarations/Covenants/Restrictions, and Bylaws that have been appropriately
filed with the applicable County's Register of Deeds office shall be submitted with the certification.
A complete certification is one where the form is fully executed and the supporting documents are
provided as applicable. Supporting documentation shall include the following:
a. One copy of the project construction record drawings (plan & profile views of sewer lines & force
mains) of the wastewater collection system extension. Final record drawings should be clear on
the plans or on digital media (CD or DVD disk) and are defined as the design drawings that are
marked up or annotated with after construction information and show required buffers,
separation distances, material changes, etc.
6

b. One copy of the supporting applicable design calculations including pipe and pump sizing,
velocity, pump cycle times, and level control settings, pump station buoyancy, wet well storage,
surge protection, detention time in the wet well, and force main, ability to flush low points in
force mains with a pump cycle, and downstream sewer capacity analysis. If a portable power
source or pump is dedicated to multiple stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, include travel
timeframes, shall be provided.
c. Changes to the project that do not result in non-compliance with this permit, regulations, or the
Minimum Design Criteria should be clearly identified on the record drawings, on the certification
in the space provided, or in written summary form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting in
non-compliance with this permit (including pipe length increases of 10% or greater, increased flow,
pump station design capacity design increases of 5% or greater, and increases in the number/type of
connections), regulations, or the Minimum Design Criteria. Requested modifications or variances to
the Minimum Design Criteria will be reviewed on a case -by -case basis and each on its own merit.
Please note that variances to the Minimum Design Criteria should be requested and approved during
the permitting process prior to construction. After -construction requests are discouraged by the
Division and may not be approved, thus requiring replacement or repair prior to certification &
activation. 115A NCAC 02T .0116]
8. Gravity sewers installed greater than ten percent below the minimum required slope pert re Division's
Gravity Sewer Minimum Design Criteria shallnot be acceptable and shall not be certified until
corrected. If there is an unforeseen obstacle in the field where all viable solutions have been
examined, a slope variance can be requested from the Division with firm supporting documentation.
This shall be done through a permit modification with fee. Such variance requests will be evaluated
on a case -by -case basis. Resolution of such request shall be evident prior to completing and submitting
the construction certification. [ 15A NCAC 02T.0105(n)]
9. A copy of the construction record drawings shall be maintained on file by the Permittee for the life of
the wastewater collection facilities. [15A NCAC 02T .01161
101 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,
construction of additional or replacement wastewater collection facilities, and/or referral of the North
Carolina -licensed Professional Engineer to the licensing board. [15A NCAC 02T .0104; 15A NCAC 02T
.0108(b-c)]
11. 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.
[15A NCAC 02T .0110; 15A NCAC 02T .0108(6)]
7

12, 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 the Division any other Federal, State, or
Local government agencies which have jurisdiction or obtaining other permits which may be
required by the Division or any other Federal, State, of Local government agencies. LG,S. 143-
215.1(b)I

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE: Charlotte Latin Schools, Inc.
PERMIT #: WQ0039952
PROJECT: Charlotte Latin School - New Upper School
ISSUE DATE: May 3, 2018
This project shall not be considered complete nor allowed to operate in accordance with Condition 7 of
this permit until the Division has received this Certification and all required supporting documentation. It
should be submitted in a manner that documents the Division's receipt. Send the required documentation
the Regional Supervisor, Water Quality Regional Operations Section at the address at the bottom.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions. The Permittee is responsible for tracking all partial certifications up
until a final certification is received. A Final Certification shall be a complete set of record drawings and
design calculations regardless of whether_partials have been submitted.
PERMITTEE'S CERTIFICATION
1, the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant
to the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate & maintain
the wastewater collection system permitted herein or portions thereof.
Printed Name, Title
Signature Date
ENGINEERS CERTIFICATION
I, , as a duly registered Professional Engineer in the State of North Carolina,
having been authorized to observe (n periodically, n weekly, 1 full time) the construction of the
project name and location as referenced above for the above 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 02T; the
Division of Water Resources' (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 w/signature & date:
❑ Final ❑ Partial (include description)
Certification Comments/Qualifiers (attach if necessary):
State of North Carolina I Environmental Quality I Water Resources I Water Quality Regional Operations
Mooresville Regional Office' 610 East Center Avenue, Suite 301 I Mooresville, North Carolina 28115

LITTLE
PY15/�W.41PUF�0 APW,I rfnal.liq TO,
From:
Little
5815 Westpark Drive
Charlotte, NC 28217
To: NCDEQ
610 East Center Avenue
Mooresville, North Carolina 28115
WE ARE SENDING YOU:
❑ Shop Drawings
Copy of Letter
Copies
2
Date
04/20/18
Attached
❑ Prints
❑ Change Order
2
04/20/18
n/a
n/a
04/19/18
Num
WQROS
,:w tf = (DC ��: � Loafer of Transmittal
Date.
April 20, 2018
Under separate cover via UPS the
❑ Sam,pies ❑ Speci
❑ Other See Below
scnptron
Fast -Track Sanitary Sewer Extension Application
Cover Letter
Site Map (USES Map)
Site Map (Aerial)
Review Fees ($480 00
Job Number:
112.5779,00
Action Req'd
THESE ARE TRANSMITTED AS CHECKED BELOW:
For approval
For your use
As requested
For review and comment
For bids due
❑ Reviewed
El Rejected
❑ Furnish as Corrected
❑ Not marked
El Revise and Resubmit
❑ Submit copies for distribution
❑ Return corrected prints
❑ Prints returned after loan to us
REMARKS:
Attached is the Fast-rf rack Application for the private sanitary sewer line rehabilitation at Charlotte Latin School.
Please let us know if you need anything else for review and approval. Thank you.
COPY TO
if enclosures are not as noted, please notify us.
Signed: _
Frank G. Miller PE.
Email: [e-mail]

LITTLE
.
April 30, 2018
DWQ
Division of Water Resources
Mooresville Regional Office
Water Quality Section
610 Center Avenue
Mooresville, NC 28115
Re: Charlotte Latin School - New Upper School
Fast Track Sewer System Application
To Whom It May Concern;
Attached you will find the following for the referenced project
1. One original and one copy of the application with attachment
2. The application fee of $480
3. 8.5"x11" color copy of a USGS topo map with project location
4. 8,5"xi 1" color aerial map with project location
The Charlotte Latin School - New Upper School project Is to construct a new high school
classroom building that will also house new administration offices. One existing classroom
building and the existing administration building will be demolished as part of this project, Part of
the existing sewer system will need to be relocated to build the new building. The total K-12
student body at Charlotte Latin School is about 1,400 students and is not expected to increase..
The existing sewer system at Charlotte Latin was installed around the year 1970. The personnel
involved with the school at that time are no longer associated with the school. No existing permit
information has been found in the files.
Sincerely,
0r line. corn
704-581-7451
vac 704,525 53,C
raK 704 5e I e721

State of North Carolina
Department of ;nvironmentaDl Quality
Division of Water Resources
'AC 02T .0300 — FAST TRAC:K SEWER SYSTEM EXTENSION APPLICATION
ETA 04-16 & SUPPORTING DOCUMENTATION
Application Number
be eompleted
'dbyt°WR)
APPLICANT INFORMATION:
1. Applicant's name: Charlotte Latin Schools, Inc. (company, municipality, HOA, utility', etc.)
2. Applicant type: 0 Indivxidual Z Corporation General Partnership © Privately -Owned Public Utility
L Federal 0 State/County 0 Municipal
3, Signature authority's name: Fletcher Grregory per L 5 A N`;`A(" 02T .0I06(b)
Title: Director of Finance
Applicant's mailing address: 9502Providence Road
City: Charlotte State: NC Zip: 28277-W
5. Applicant's contact information:
Phone number: [phone] Email Address: fgregory@charlotte:la in.org
d
R CI" iVED'NCDENS'IDWR
0 Other
II. PROTECT INFORMATION:
1. Project name: Charlotte Latin SchtllmmNew leper School
2. ApplicationfProject status: Proposed (New Permit) LJ Existing Perrnit/Protect
If a modification, provide the existing permit .nuniber: WQ00 and issued date: See Attachment
If new construction but part of a master plan, provide the existing permit number: WQ00_
3. County where project is located.: Mecklenburg
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.0788' Longitude:-80.7747'
Parcel ID (if applicable): 2.25.13564
(or Parcel ID to closest downstream sewer)
7I. CONSULTANT INFORMATION:
1, Professional Engineer: Frank G. Miller License Number: 038668
Firm: Little Diversified Architectural C:"onsultingz,[nc.
Mailing address: 5815 Westpark Drive
City. Charlotte State: NC
Phone number: [phone]
Lip: 28217- ...._
Email Address:
WASTEWATER TREATMENT FATY (WWTF) LNFORMA''TION:
1r Facility Name: McAlpine WWTP Permit Numbers NC0924970
Owner Name: Charlotte Water
\AOROS
Vll.l,E Ft".rc tt7NA.. OFF)
RECEIVING DOWNSTREAM SEWER INFORMATION (i€ different than WWTF):
1. Permit Number(s): WQNCEMC 12197 Downstream (Receiving) Sewer Size: 12 inch
System Wide Collection. System Permit'` untber(s) {ii;applicable": `a?v'QCS
OwnerName(s)_ Charlotte Water
FORM: F"fA 04-I6 Page 1 of 5

VL GENERAL REQUIREMENTS
lithe Applicant •is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
D Yes LJNO N/A
Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement FORM: DEV) been attached?
Yes LINo N/A
3.If the Applicant is a Itome/Property Owners' Association, has an Operational AgyementAFORM: HOA.) been attached?
D Yes No N/A
4. Origin of wastewater: (check all that apply):
El Residential Owned
El Residential Leased
School / preschool 1. day care
D. Food and drink facilities
LI Businesses offices / factories
E Retail (stores, centers, malls)
Ej Retail with food preparation!service
LI Medical / dental / veterinary facilities
0 Church
Nursing Horne
5. Nature of wastewater : 1 00% Domestic/Commercial % Commercial
% Industrial (See 1.5A NCAC 02T .0103120))
here a Pretreatment Program in effect?
f. Has a flow reduction been approved under 15A NCAC 021' .01,14(0?
Ilfyes,provide a copy of flow reduction approval letter
7. Surnrnarize wastewater generated by project:
Atablishment Type (see 02T.0114(1))
111 Yes •
Daily Design Flow 2'h
galgal
gal/
gal
gall
gal/
No
D Car Wash
D. Hotel and/or Motels
El Swimming Pool /Clubhouse
Ej Swimming Pool/Filter Backwash
fl Other (Explain in Attachment)
0 GPD
a See 15A 'NCAC 021' .0114(bl (4,(e)(1) and (42) for caveats to wastewater design flow rates .e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use areas;
and residential property:located south or east of the Atlantic Intracoastal Waterway to be •used as vacation rentals as defined
in (i..S. 42A-4),
b Per I 5A NCAC 021° ,0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.0 1 141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 0 GPI) (per 152A NC:A( j.12T,1)1 14)
Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why;
D Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
El Flow has already been allocated in Permit Number;
Rehabilitation or replacement of existing sewer with no new flow expected
El Other (Explain):
FORM: FIA 04-16
Page 2 of' 5

Vil. GRAVITY SEWER DESIGN CRITERIA (If Applicable) 02T NIDC",(Grusity Seers):
1. Summarize gravity sewer to be permitted:
Size (inches)
8
Length (feet)
317
Material
D.I.P.
1
• Section Il & Ill of the MDC for Permitting of Gravity Sewers contains. information related to design criteria
Section III contains information related to minimum slopes for gravity sewer(s)
Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & NIDC (Pump Stations/Force Mai
COMPLETE FOR EACH PUMP STATIONINCLUDED IN THIS PROJECT
Pump station number or name:
.7.. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: -
3. Design flow of the pump station: millions gallons per day (firm capacity-)
4. Operational point(s) of the pump(s): gallons per minute at
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
feet total dynamic head crDH)
Length (feet) Material
6. Power reliability in accordance with 1 NCAC 02T .„0305(h)(1):
IJ Standby power source or pump with automatic activation and telemetry I 5A NCAC 02T .0.305(h)(1)(B);
Required for all pump stations with an average daily flowgreater than or equal to 1.5,000 gallons per day
r Must be permanent to 'facility
Or if the pump station has an average daily flow less than I 5„000 gallons per day
1 Portable power source with manual activation, quick -connection receptacle and telemetry - I5A NCAC 02.T
.0305(h)(I)(C)
or
El Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h,)(1)(C):
• it shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (drafl agreement)
and is compatible with the station.
▪ If the portable power source or pump is dedicated .to multiple pump stations, an evaluation °fall the pump stationsstorage
capacities and the rotation schedule of the portable power source or pump, including travel timefra.mes, shallbe provided
in the case of a multiple station power outage,
FORM: FTA 04-16 Page 3 of 5

IX: SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f));
1 Does the project comply with all separations found in 15A NCAC 02T .0305(1)ft„ gj Yes No
- 15A 'NCAC 02T„0305(f) contains minimum separations that shall be provided for sewer syste:ms:
•. . . . . ,. . . .. . , „. ,
. , .
' 1
Setback Parameter* ' Separation12.equired
Storm sewers and other utilities not listed below (vertical) 24 inches
'Water mains (vertical -water over sewer including_iin benched trenches)
i--
Water mains (horizontal)
Reclaimed water lines (vertical - reclaimed over sewer)
Reclaimed water lines (horizontal - reclaimed over sewer)
**Any private or public water supply source, including any wells. WS-I waters ofClass 1 or
(lass 11 int2unded reservoirs used as a source of drinking. water
**Waters classified WS (except WS-1 or WS-V), B, SA. ORW. DOW, or SB from normal
hi ah water (pr tide elevation) and wetlands (see item IX.2)
**Any other stream, lake, im.poundment, or ground water lowering and surface drainage
ditches
An buildiNIfoundation
Any basement
Top slope of emban.kment or cuts of 2 feet or more vertical height
Drainage ,systems and interceptor drains
Any swimming pools
.Final earth eade (vertical)
-4-
18 inches
10 feet
18 inches
2 feet
100 feet
50 feet
10 feet
5 feet
10 feet
10 feet
5 feet
10 feet.
36 inches
• 15A 'NCAC 0.2'T.0305(g) contains alternatives where separations in 021.. 3050:, cannot he achieved,
• **Stream classifications can be identified using :the. Division's NC Surface Water Classifications webpage
• If noncomplia:nce with 0211,9395aor (,0,. see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) El Yes No N/A
>: See the Division's draft separation requirements for situations where separation cannot be meet
No variance is required if the alternative design criteria specified is utilized in design and construction
• As built documents should reference the location of areas effected
3. Does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200?
This would include Trout Buffered Streams per I 5A NC.AC 2B (1202
4. Does the project require coverage/authorization under a 404 Nationwide or:
individual permits or 401 Water Quality Certifications?
• Information can be obtained from the 401 & Buffer PermittingBranch
[JesLJNo N/A
El Yes No
5, Does project comply 1.vith I 5A NC A C 02 T,0 05(0(0) (additional permits/certifications)? Yes No
Per 15A NCAC Q21,Q105,c '(!), directly related. environmental permits or certification applications are being prepared, have
been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion and
sedimentation control plans, storniwater management plans, etc),
6. Does this project include any sewer collection lines that are deemed 'high -priority"'
Per 15A NCAC 02 I.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject: to erosion that undermines or deteriorates the sewer,
El Yes No N/A
• If yes., include an attachment :with details for each line, including type (aerial line, size, material, and location),
High priority lines shall be inspected by the permittee or its representative at least once every six -months and inspections
documented per 15A NCA.0 021.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM, FTA 04-16 .Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with I 5A NCAC 02 F, the Minimum Design Criteria for the Pei nittnoll,Ptmp,Stationsd
and ForceMains ("latest y,ersioil and the Gravity Sewer Minimum Desin Criteria thitest version), as applicable?
E Yes El No
If No, complete and submit the Variance/Alternative Design Request application ( V ADC 10-14) and supporting documents for
review. Approval of the request is required prior to submittal of the Fast Track Application and supporting documents,
Professional Engineer's Certification:
Fraik EL fl Itr
(Professional Engineer's name from Application Item-11El.)
attest that this application for
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans, specifications,
engineering 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 Seer
Minimum Design Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria for the Fast -Track Permitting
of Pump Stations and Force Mains (latest version). Although other professionals may have developed certain portions of this
submittalpackage, 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 General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package 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.
North Carolina Professional Engineer's sea.1, signature„ and date:.
3, Applicant'Cprti Frtin per
5A NCAC 02T .0106:
rsir V:ViCid4/1-Ce attest that this application for
(Signature Authos n c 8e. title from Application Item 1.3.)
has been reviewed by me and is accurate and complete to the best of my knowledge,. 1 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. I understand that any discharge of wastewater from this non -
discharge system to surface waters or the land will result in an immediate enforcement action that may include civil penalties,
injunctive relief, and/or criminal prosecution. 1 will make no claim against the Division of Water Resources should a condition:
of this permit be violated 1 also understand that if all required parts of this. application package are not completed and that if
all required supporting information and attachments ate not included, this application package will be returned to me as
incomplete,
NOTE - In accordance with General Stat te 14.13-215.6,A and 143-215.6B,, any person who 'knowingly makes any false
statement, representat or certification in application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to e 4,Sl0000 as well a. c il penalties up to $25,000 per violation..
Signature:
Date:
FORM: ETA 04-16
Page 5 of 5

. .E
LITTLE
DIVERSIFIED ARGNIIEOTIffAL OONSULTINO
April 20, 2018
NCDEQ
Mooresville Regional Office
Water Quality Section
620 East Center Avenue
Mooresville, North Carolina 28115
Reference: Charlotte Latin School — New Upper School
Fast -Track Sanitary Sewer Application
NCDEQ,
The enclosed submittal is for a proposed rehabilitation of the existing private sanitary sewer system on
the campus of Charlotte Latin School. This rehabilitation includes 317 LF of 8-inch ductile iron pipe
gravity line. This submittal includes the following:
• Cover Letter
• Fast -Track Sanitary Sewer Application
• Application Fee
• Site Maps
Please contact us if there are additional items needed for review and approval. Thank you.
Sincerely,
Little
M
Frank G. Miller,
5815 Westpark Drive
Charlotte NC 28217
Voice 704.525.6350
Fax [phone]
www.littleonline.com

This map or report is p
Users of this map or repor
responsibility for the inform
Polaris 3G Map — Mecklenburg County, North Carolina
Charlotte Latin School
bate Printed:4/10/20
2:52: 2 PM
ed for the inventory of real property within Mecklenburg County and is compiled from recorded deeds, plats, tax maps, surveys, pianimetnc maps, and other public records and data,
are hereby notified that the aforementioned public primary information sources should be consulted for venftcation. Mecklenburg County anapping contractors assume no legal
anon contained herein,

IF
FAST TRACK SEWER ENGINEERING CERTIFICATION
PERoNDFTEE: Charlotte Latin Schools, Inc.
PERNN|T#: VVQ0039952
PROJECT: Charlotte Latin School - New Upper School
ISSUE DATE: May 3,IOl8
This project shall not be considered complete nor allowed to operate in accordance with Condition 7 of
this permit until the Division has received this Certification and all required supporting documentation, It
should be submitted in a manner that documents the Division's receipt. Send the required documentation
the Regional Supervisor, Water Quality Regional Operations Section at the address atthe bottom.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation ofthe permit and shall subject the Penmitteeto
appropriate enforcement actions. The Permh1ee is responsible for tracking all partial certifications up
until afinal certification breceived. AFinal Certification shall beacomplete set oyrecord drawings and
design calculations regardless ofwhether partials have been submitted.
PERIVITTEE'S CERTIFICATION
ithe undersigned agent for the Pennittee hereby state that this project has been constructed pursuant
tothe applicable standards & requirements, the Professional Engineer be|uxv has provided applicable
design/construction information tothe Permittee' and the Pennbtee is prepared to operate & maintain
the wastewater collection system permitted bene.in or portions thereof,
V C M^A irte
Printed Name, Title
5i8natw�e
Da
ENGINEER'S CERTIFICATION
/� &�
|' 1r'�� ��_ =* rw«��(,v_ ' as duly registered Professional E i rin the State ofNo�h Cmno|ina,
having been authorized to observe (��=" periodically, . F— weekly, [�
�� fu|| time) the construction of the
project name and location as referenced above for the above Permittee hereby state that, tnthe 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 N[A[ 02T; the
Division of Water Resources' (Division) Gravity Sewer Minimum Design Criteria adopted February lZ,
1996,asapplicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations
and Force Mains adopted June l'Z[K}0'osapplicable, and other supporting materials.
North Carolina Professional Engineer's Seal w/s|8nature& date:
Final Q$ Partial (include description)
Certification Comment
ualifier
ich if necessary):
m"C°/w,oh( "lo^na/em"*"=mmQuahn/ud°ut��Otjrm, 'A uoQ.a*ncg"vtal*�)omuou"
m��a�n���mm�/w�n����w*�.���s"��/ m=�u./�x.x�c�a"z*u5

L� TT
From
Little
5815 Westpark Drive
Charlotte, NC 28217
To:
NCDEQ
610 East Center Avenue
Mooresville., North Carolina 28115
WE ARE SENDING YOU:
❑ Shop Drawings
❑ Copy of Letter
Copies
2
2
Date
El Attached
❑ Prints
• Change Order
Number
Date:
August 2, 2018.
Letter of Trans
Job Number:
112.5779.00
a
Attention NCDEQ Water Quality Section
Re: Charlotte Latin School - New Upper School
❑ Under separate cover via UPS the following items:
0 Samples ❑ Specifications
Other See Below
Description
Action Req'd
08/02/18
08/02/18
05/03/18
07/18/18
Fast Track Sewer Engineering Certification (Partial)
Cover Letter
Approval Letter (Permit #: WQ0039952)
Sanitary Sewer As-builts (Plan & Profile)
THESE ARE TRANSMITTED AS CHECKED BELOW:
For approval
❑ For your use
❑ As requested
❑ For review and comment
❑ For bids due ___m�
Reviewed
0 Rejected
❑ Furnish as Corrected
❑ Not marked
REMARKS:
Attached is the partial certification for Permit #: WQ00
❑ Revise and Resubmit
❑ Submit copies for distribution
❑ Retum corrected prints
El Prints returned after loan to us
9952 at Charlotte Latin School.
Please let us know if you need
nything else for revie
nd approval. Thank you,
COPY TO
If enclosures are not as noted, please notr
Signed:
Frank G. Miller, PE
Email: [e-mail]

August 2 2018
DWQ
Division of Water Resources
Mooresville Regional Office
Water Quality Section
10 Center Avenue
Mooresville, NC 115
Re: Charlotte Latin School New Upper School
Partial Certification for Permit 09952
To Whom It May Concern
L
Attached you will find the Partial Certification for the sanitary sewer relocation approved under
Permit # I I I gg5 . This partial certification is for:
298 LF of -inch DIP
Four (4) precast concrete-ranhoges
Concurrent with this partial certification, Per WQ0039952 is being modified to include
additional -inch DIP line and a -inch force main. The remainder of these lines will be certified
when they are installed,
Sincerely,
Frank G. Miller, P.E.
nci Development Services
fmillercxlittleonlin m
Phone:, 04- 1-7451