The URL can be used to link to this page

Home My WebLink AboutWQ0032134_Sewer Extension Permit Status Update_20190909 d-^0 • Request for Engineering Certification Date of Letter: August 9,2019 Sewer Extension Permit Status Update Please complete,the applicable portion of this form for each permit and return to the Division by the delivery method below and within 30 days of the date of this letter: - NCDEQ/DWR WQPS—PERCS UNIT By U.S. Postal Service: By Courier/Special Delivery: By Email: 1617 Mail Service Center 512 N.Salisbury St.Suite 925 Nyle Hothem Raleigh, NC 27699-1617 Raleigh, NC 27604 Nyle.Hothem@ncdenr.gov Permit No.: WO0O 32.L31t Permittee: =/O,�iJ4 e /ly J 1414 Project Name: ?2 J&/V ' 4a.16s PZ7 P, ttse, oZ,i4 Project Status (Check appropriate box to indicate Permittee's response and complete &sign below) ❑ Permit to Remain Open: The Permittee certifies that the permitted project has not been constructed but shall be constructed in the future in conformity with the approved Permit, project plans,specifications,and supporting documents.The Permittee understands that the appropriate certification documents will need to be forwarded to the Division prior to operation. Subject permit shall be maintained in Active status. Ael The Permitted project has been constructed and the required Engineer's Certification and supporting documents will be submitted to the Division with this form. Permittee understands that failure to submit required certification documents for an active,in-service system may result in enforcement action. ❑ Request Extension: Permittee requests extension to reply to this letter not to exceed 60 days of the date of this letter. Name&Title(print): ROCA ey ea tnnn lI OPive,/opyyt&liell ddmi41571 a4r' Signature: I77/fi/ Oeei2 7,11GC1 Date: '/,'8/L7 Comments: *********************************************************************************************************** Permit Rescission Request The Permittee requests that the subject permit be rescinded and certifies that the permitted sewer system has not been and shall not be constructed nor made operational.We understand that,in the future,should we wish to operate a non-discharge sewer system,we shall apply for and receive a new Wastewater Collection System Permit. Name&Title(Print): i2ECEIVED/NODFO/n?V . • . Signature: Date: ' SEP 1 2019 Comments: Watar Quality Permitting Section Contact Information Updates • Updated Contact Person: Updated Mailing Address: Updated Email: f nl lll)I�,1 ta�G�!1tl panel .dNr THE TOWN OF olly SprIn. s June 30, 2009 Mr. Barry Herzberg Environmental Engineer NCDENR-DWQ Raleigh Regional Office 1628 Main Service Center Raleigh,NC 27699-1628 Re: Engineers Certification for Gravity Sewers, Pump Stations and Force Mains—TOHS Project Dear Barry: Enclosed is the PE Certification and a paper copy of as-builts of Twelve Oaks PUD Phase 2A WQ0032134 for your records. A copy of the PE Certification and as-builts has been retained in the Town of Holly Springs' records. Thank you for your assistance with this matter. Feel free to contact me at 557- 3938 should you have any questions. cerely, Rodney Ca bell Development Inspector Administrator cc: Stephanie L. Sudan, P.E., Director of Engineering Project file paper/electronic/41565 P.O.Box 8 128 S.Main Street Holly Springs,N.0 27540 www.hollyspringsnc.us (919)552-6221 Fax:(919)552-5569 Mayor's Office Fax: (919)552.0654 I 2005 PE Cert Acceptance Letter 12.29 06 FAST TRACK ENGINEERING CERTIFICATION . Permit No. WQ0032134 Town of Holly Springs Twelve Oaks PUD Phase 2A August 30, 2007 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.regul$tions or minimum design criteria. This project shall not be considered complete nor allowed to operate until this Engineer's Certification and all required supporting documentation have been received by the Division. Therefore,it is highly recommended that this certification be sent in a manner that provides proof of receipt by the Division. ENGINEER'S CERTIFICATION ❑ Partial Final ' I, -}®6wVk$ Seaw6.,prrlo, 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 subject 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: I% G ESSIO°°6,''��Q`�'; SEND THIS FORM &SUPPORTING DOCUMENTATION �® �-9". ., WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS I it, E c�1 1 a :� g 0 I RALEIGH REGIONAL OFFICE -�-o o• n �m ._j `� �� 1628 MAIL SERVICE CENTER °�O _17. V 400 �o®A , .- �00 RALEIGH NC 27699-1fi28 P'' i o,� 5-9-v . 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.