WQ0024361_Regional Office Historical File Pre 2018

Michael F. Easley. Governor
William G. Ross Jr.. Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek. P.E. Director
Division of Water Quality
September 21, 2004
The Honorable James Brown, Mayor
Town of Cleveland
Post Office Box 429
Cleveland, North Carolina 27013
Subject: Permit No. WQ0024361
Town of Cleveland
Main Street to Hildebrand Road Sewer
Relocation (NC DOT R-2911C)
Wastewater Collection System Extension
Rowan County, North Carolina
Dear Mayor Brown:
In accordance with your application received on September 17, 2004, we are forwarding
herewith Permit No. WQ0024361, dated September 21, 2004, to the Town of Cleveland for the
construction and operation of the subject wastewater collection system extension. This permit shall be
effective from the date of issuance until rescinded, and shall be subject to the conditions and limitations
as specified therein. This cover letter shall be considered a part of this permit and is therefore
incorporated therein by reference.
Please pay particular attention to Permit Condition 3 which requires that the wastewater
collection facilities be properly operated and maintained in accordance with 15A NCAC 2H .0227 or any
individual system -wide collection system permit issued to the Permittee.
Permitting of this project does not constitute an acceptance of any part of the project that does
not meet 1) 15A NCAC 2H .0200; 2) the Division of Water Quality's (Division) Gravity Sewer Minimum
Design Criteria adopted February 12, 1996, as applicable; 3) and the Division's Minimum Design
Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000, as
applicable, unless specifically mentioned herein. Division approval is based on acceptance of the
certification provided by a North Carolina -licensed Professional Engineer in the application. It shall be
the Permittee's responsibility to ensure that the as -constructed project meets the appropriate design
criteria and rules. Failure to comply may result in penalties in accordance with North Carolina General
Statute §143-215.6A through §143-215.6C, construction of additional or replacement wastewater
collection facilities, and/or referral of the North Carolina -licensed Professional Engineer to the licensing
board.
Mooresville Regional Office 919 North Main Street Mooresville, NC 28115 Phone: [phone] Fax: [phone]
Internet h2o.enr.state.nc.us Customei Service: 1-877-623-674S
An Equal Opportunity/Affirmative Action Employer-50°% Recycled/10°% Post Consumer Paper
N orthCarolina
,Naturally

Mayor James Brown
Page 2
September 21, 2004
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 the Town of Cleveland for the construction and operation of approximately 232 linear feet of
8-inch gravity sewer to serve as a relocation of existing sewer as part of the Main Street to Hildebrand
Road Sewer Relocation (NC DOT R-2911C) project, with no additional flow of domestic wastewater into
the Town of Cleveland's existing sewerage system, pursuant to the application received September 17,
2004, and in conformity with 15A NCAC 2H .0200; the Division's Gravity Sewer Minimum Design
Criteria adopted February 12, 1996, as applicable; the Division's Minimum Design Criteria for the Fast -
Track Permitting of Pump Stations and Force Mains adopted June 1, 2000, as applicable; and other
supporting data subsequently filed and approved by the Department of Environment and Natural
Resources and considered a part of this permit.
The sewage and wastewater collected by this system shall be treated in the Town of Cleveland
WWTP prior to being discharged into the receiving stream.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the
right to request an adjudicatory hearing upon written request within 30 days following receipt of this
permit. This request must be in the form of a written petition, conforming to Chapter 150B of North
Carolina General Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service
Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and
binding.
If you need additional information concerning this matter, please contact Sonja Williams at (704)
663-1699.
Sincerely,
for Alan W. Klimek, RE.
cc: Rowan County Health Department
Mooresville Regional Office, Water Quality Section (WWTF Permit No. NC0049867)
Corey Bousquet, PE, NCDOT
Water Quality Central Files
PERCS Files

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
following specified conditions and limitations:
1. This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2H .0200; the Division of Water Quality's
(Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996, as applicable; the
Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force
Mains adopted June 1, 2000, as applicable; and other supporting materials unless specifically
mentioned herein.
2. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data.
3. The wastewater collection facilities shall be properly maintained and operated at all times. The
Permittee shall maintain compliance with an individual system -wide collection system permit for the
operation and maintenance of these facilities as required by 15A NCAC 2H .0227. If an individual
permit is not required, the following performance criteria shall be met as provided in 15A NCAC 2H
.0227:
a. The sewer system shall be effectively maintained and operated at all times to prevent
discharge to land or surface waters, and any contravention of the groundwater standards in
15A NCAC 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 (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-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. Upon completion of.construction and prior to operation of these permitted facilities, a certification, a
copy of the construction record drawings, as well as supporting design calculations for any pump
stations permitted as part of this project shall be received from a North Carolina -licensed
Professional Engineer certifying that the facilities have been installed in accordance with this
permit; 15A NCAC 2H .0200; the Division's Gravity Sewer Design Criteria adopted February 12,
1996 as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump
Station and Force Main adopted June 1, 2000 as applicable; and other supporting materials. If this
project is to be completed in phases and partially certified, you shall retain the responsibility to
track further construction approved under the same permit, and shall provide a final certificate of
completion once the entire project has been completed. A copy of the construction record
drawings, indicating the facilities constructed in the phase being certified, shall be submitted with
each partial certification. Mail the Engineer's Certification, one copy of the "Construction Record
Drawings," and one copy of the supporting design calculations to the North Carolina Department of
Environment and Natural Resources, Water Quality, 610 East Center Avenue, Suite 301,
Mooresville, N.C. 28115.
7. A copy of the construction record drawings shall be maintained on file by the Permittee for the life
of the wastewater collection facilities.
8. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2H .0200; the
Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's
Minimum Design Criteria for the Fast -Track Permitting of Pump Station and Force Mains adopted
June 1, 2000 as applicable; and other supporting materials may subject the Permittee to an
enforcement action by the Division, in accordance with North Carolina General Statutes §143-
215.6A through §143-215.6C.
9. In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall take immediate corrective action, including
those as may be required by this Division, such as the construction of additional or replacement
facilities.
10. The issuance of this permit shall not exempt the Permittee from complying with any and all
statutes, rules, regulations, or ordinances that may be imposed by other government agencies
(local, state and federal) which have jurisdiction, including but not limited to applicable river buffer
rules in 15A NCAC 2B .0200, erosion and sedimentation control requirements in 15A NCAC Ch. 4
and under the Division's General Permit NCG010000, and any requirements pertaining to wetlands
under 15A NCAC 2B .0200 and 15A NCAC 2H .0500.
0-
2

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.
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 (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.
Permit issued this the 21 st day of September, 2004.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for Alan W. Klimek, VE., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0024361
3

Fast Track Engineering Certification
Permit No. WQ0024361
September 21, 2004
Complete and submit this form to the permit issuing regional office with the following:
• One copy of the project record drawings (plan & profile views of sewer lines) of the wastewater collection
system extension
• Supporting design calculations (selected pumps, system curve, operating point, available storage if portable
generator(s) or storage greater than longest past three year outage reliability option selected) for any pump
stations permitted as part of this project
• Changes to the project should be clearly identified on the record drawings or in written summary form. Permit
modifications are required for any changes resulting in non-compliance with this permit, regulations or
minimum design criteria.
This project shall not be considered complete nor allowed to operate until this Engineer's Certification and all
required supporting documentation have been received by the Division, Therefore, it is highly recommended
that this certification be sent in a manner that provides proof of receipt by the Division.
ENGINEER'S CERTIFICATION
❑ Partial ❑ 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 the Main Street to
Hildebrand Road Sewer Relocation (NC DOT R-2911 C), Rowan County project for the Permittee hereby state
that, to the best of my abilities, due care and diligence was used in the observation of the construction such that
the construction was observed to be built within substantial compliance of this permit; 15A NCAC 2H .0200; the
Division of Water Quality's (Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as
applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force
Mains adopted June 1, 2000 as applicable; and other supporting materials.
North Carolina Professional Engineer's
seal, signature, and date:
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
MOORESVILLE REGIONAL OFFICE
610 EAST CENTER AVENUE, SUITE 301
MOORESVILLE NC 28115
ATTN: DEE BROWDER
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.

RACK APPI ICAT1O i for CRAVIT1i` SEWERS, PUMP STATIONS, AND FORCE MAINS
USE THE TAB KEY TO MOVE FROM FIELD TO FIE DI
Owner
CL.
Full Legal Name (company, municipality, HOA, u
z 1 b. �tels
a Signing Official Name and Title (PYease revidw 1SA NCAC 2H ,0206(b) far authorized signing officials!)
The legal entity who will own this system is:
Individual ❑ Federal 51 Municipality ❑ State/County I1 Private Partnership ❑ Corporation ❑ Other (specify):
Application Number:
(to be completed by DWQ) Vr+f 900
z
PAGE 3
1d. /%C1. I\C/i ` 1-
Street Address
1h. 7ij.o c.1i.(
� FkS
'rF
City
lg
Zip Code
4,1
Telephone Facsimile
2. Project (Facility) Information:
2a" R-2911 C NC DOT (qua. klJ v 5
Brief Project Name (permit will refer to this name)
3. Contact Person:
E-
b, ROWAN
County Where Project is Located
3a, Corey Bousquet
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b, 5919)250 4128
Phone Number
3c,
E-
1. Project is (❑ New 0 Modification (of an existing permit) If Modification, Permit No..
For modifications, attach a separate sheet clearly explaining the reason for the modification (i.e. adding another
phase, changing line size/length, etc.). Only include the modified information in this permit application - do not
duplicate project information in B(7) and B(10-11) that has already been included in the original permit.
2. Owner is 51 Public (skip to Item B(3)) 0 Private (go to Item 2(a))
2a. If private, applicant will be: 2b, If sold, facilities owned by a (must chops
0 Retaining Ownership (i"e. store, church, single office, etc) or
0 Leasing units (lots, townhomes, etc. - skip to Item B(3))
❑ Selling units (lots, townhomes, etc. - go to Item B(2b))
c„
Owner of Wastewater Treatment Facility (VWVTF) Treating
e one)
0 Public Utility (Instruction IN)
El Homeowner Assoc./Developer (Instruction IV)
tewater From This Project
© 4a" CiVV (1 4w-,d u, tt,fP 4b.
I.L
Name of WWTW F WTF Permit No,
z. log (ttrti
Owner of Downstream Sewer
6
Receiving Sewer Size
The origin of this wastewater is (check all that apply):
['Residential Subdivision
El Apartments/Condominiums
❑ Mobile Home Park
['School
[2"Restaurant
'Office
Car Wash
0 Institution
0 Hospital
''Church
0 Nursing Home
Other (specify):
5c
Permit Number of Downstream Sewer
a/® Domestic/Commercial
% Industrial
% Other (specify):
7. Volume of wastewater to be permitted in this project: 0 gallons per day No Additional
8, if the permitted flow is zero, indicate why:
terceptor Line - Flow will be permitted is subsequent per
:hat connect to this line
Rehabilitation,.or replaceFnent of existing sewer with no new flo'
°cam evi
expected
tl di F`,11.`"R

RACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 4
Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2H
..0219(t) for Item B(7) or the design flow for line or pump station sizing if zero flow in the space below. Values other than
that in 15A NCAC 2H .0219(I)(1-2) must be approved prior to submittal of this application. Submit a separate request to
the Division of Water Quality, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617 in
accordance with 15A NCAC 2H .0219(I)(3).
10. Summary of Sewer Lines to be Permitted (atta additional sheets if necessary)
Length (feet)
232
Siz
8"
(inches)
ENTER TOTAL LINE LENGTH IN MILES o , o4-
Summary of Pump Stations to be Permitted (attach additional sheets as necessary)
Gravity or Force Main
(use the pull down menu)
Gravity
Location ID Power Reliability Option
(self chosen - as shown on Design Flow Operational Point (1- dual line feed; 2- permanent generator w!ATS; 3-
plans for cross-reference) (MGD) GPM © TRH portable generator wltelemetry; 4-wet well storage)
12. Does the sewer system comply with the Minimum Design Criteria for the Fast Track Permitting of Pump Stations and Force'i.
Mains (latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC 2H ,0200 as applicable?
,f 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
13. Have the following permits/certifications been submitted for approval?
Wetland/Stream Crossings - General Permit or 401 Certification?
Sedimentation and Erosion Control Plan?
Stormwater?
El Yes No ©N/A
Yes 0 No © N/A
Yes ©No ©N/A
r"lr . PV dPe"*

RACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 5
"P
' 1. Use the Division's guidance document entitled, "DETERMINING STREAM CLASSIFICATIONS FOR FORM FTA 02103
(FAST -TRACK SEWER SYSTEMS)" to collect and record the stream classification data below (attach additional sheets as
necessary). This document is available from our web site or by contacting the appropriate Division of Water Quality
regional office (see instructions for addresses) OR indicate the following:
A Stream Classification is not needed because all parts of the project are at least 100 feet away from any down slope
waterbody; AND,
vi A Stream Classification is not needed because the design does not depend on wet well storage as a power reliability
option for any pump station near a Class C down slope waterbody.
Location ID on Map
(self chosen - as shown on
map for cross-reference)
Name of
Waterbody_ County
River Basin
Waterbody Stream ; Waterbody
Index Classification
Submit the 8.5" x 11" COLOR topographic map as required in Instruction VI
regardless of whether a classification is provided!
co
Z
0
1-
a
U_
LL
1—
cc
w
U
1. Applicant's Certification:
1
1, SIGNING OFFICIAL NAME, attest that this application for PROJECT NAME
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 am not
included, this application package is subject to being retumed 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
I'as civil penalties up to $25,Q00 per violation.
SigOfficial Signature
Pr ssional Engineer's Certification:
Date
1 attest that this application for 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 certain portions of this submittal
package may have been developed by other professionals, inclusion of these materials under my signature and seal
signifies that 1 have reviewed this material and have judged it to be consistent with the proposed design. Note: In
accordance with NC General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement,
representation, or certification in any application shall be guilty of a Class 2 misdemeanor which may include a fine not to
exceed $10,000 as well as civil penalties up to $25,000 per violation.
2a. Corey Bousquet
Professional Engineer Name
2b. NC DOT
Engineering Firm
2c. 1591 Mail Services Center
Address
2d. Raleigh 2e. NC 2f. 27699
City State Zip -
2g. [phone] 2h. [phone] 2i. [e-mail]
Telephone Facsimile E-mail
Seal, Signature & Date
rT 4 A'I/A', T. 1 nC UV,

09/20/04
Permit Number WQ0024361
Permit Tracking Slip
Program Category
Non -discharge
Status Project Type
In review New Project
Permit Type Fast Track Version Permit Classification
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Individual
Extensions
Primary Reviewer Permit Contact Affiliation
sonja.williams
Permitted Flow
0
Facility
Facility Name Major/Minor Region
Main Street to Hildebrand Road Sewer Relocation Minor Mooresville
(NC DOT R-2911 C)
Location Address County
Rowan
Facility Contact Affiliation
Owner
Owner Name Owner Type
Town of Cleveland Government - Municipal
Owner Affiliation
James
PO Box 429
Cleveland
Dates/Events
Brown, Mayor
NC 27013
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective
09/17/04
9/ /b4-
Regulated Activities Requested(Received Events
Commercial or industrial, other
Restaurant
School
Subdivision
Wastewater collection
Outfal! NULL
Additional information requested
Additional information received
Expiration
Waterbody Name Stream Index Number Current Class Subbasin

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOVERNOR
September 13, 2004
Mrs. Dee Browder
Division of Environmental
Mooresville Regional Office
919 N Main Street
Mooresville, NC 28115
Dear Mrs. Browder:
1.4
•
LYNDO TIPPETT
ti .MDINOF ENVIRONMENT t
AND NATURAL RESOURCES
[ OORESVi' f �`IAL OFFICE
r
SEP 1 7 2004
Re: Project 8.1631801 (R-2911C) ROWAN COUNTY
US 70 FROM WEST OF SR 1001 (MAIN ST.)
TO SR 1739 (HILDEBRAND RD).
Attached are one (1) copy and one (1) original permit application for installation of the
proposed waste water facilities on the above highway project. These facilities are owned
by Town of Cleveland and are to be constructed as part of the highway contract.
We respectfully request your review and approval.
Enclosed is a check in the amount of $ 400.00 for the permit application fee.
If we can be of any assistance, please advise.
CDBIjh
Attachment
cc: File
MAILING ADDRESS:
NC DEPAR MEN r OF TRANSPCRTA PION
PROJECT SERVICES UtiT
159t.MAIL SERVICE CENTER
RALEIGH NC 27699-t591
Sincerely,
Corey D. Bousquet, P. E.
Utilities Squad Leader
TELEPHONE: [phone]
FAX [phone]
WEBS,- WVVW.DON. DOT.STATE.NC.US
LOCATION:
CENTURY CENTER COMPLEX
ENTRANCE 0-2
1020 BIRCH RIDGE DRIVE
RALEIGH NC
SECTION