WQ0040518_Owner (Name Change)_20191011

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ROY COOPER ,;��� , � n
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Governor \ P 2
MICHAEL S.REGAN `` • t'Secretary \,'`B`a,,w,o, ::
LINDA CULPEPPER NORTH CAROLINA
Director Environmental Quality
October 11,2019
Tommy F. Frush, Public Works Director
Town of White Lake
1879 White Lake Dr., PMB 7250
White Lake, NC 28337
Subject: Change of Ownership Approval
Permit No. WQ0040518,WQ0000225
Clearwater Enterprises, Inc.
Bladen County
Dear Major:
Division personnel have reviewed and approved your permit modification request for Permit No.
WQ0040518, WQ0000225. This modification is to change ownership from Clearwater Enterprises, Inc.
to Town of White Lake, and Town of White Lake is now responsible for the continued operation and
maintenance of the subject wastewater collection extension. Our database has been revised to reflect
the ownership change.
The Permittee shall maintain compliance with its individual system-wide collection system permit for the
operation and maintenance of these facilities as required by 15A NCAC 2T.0400 and G.S 143-215.9B. If
an individual permit is not required,the performance criteria as required by 15A NCAC 02T.0403 shall be
met. If you have any other questions regarding this matter please contact Melissa Abbott, at
[phone] or [e-mail].
Sincerely,
14",4;..3 ------
for Linda Culpepper, Director
Division of Water Resources, NCDEQ
enclosures:WQ0040518,WQ0000225
cc: David Clark,Secretary/Treasurer
Water Resources Central Files-WQ0040518, WQ0000225
PERCS Files(electronic copy)
Norm Q� North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 11617 Mail Service Center I Raleigh,North Carolina 27699-1617
Nor CAROUNA
Department al +l � /4'*4 919.707.9000

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State of North Carolina
Department of Environment,Health and Natural Resources
Division of Environmental Management
512 North Salisbury Street•Raleigh,North Carolina 27611
James G. Martin,Governor R.PauI Wilms
William W.Cobey,Jr.,Secretary Director
January 11, 1990
Mr.David K. Clark,President
CIearwater Enterprises,Inc.
P. O. Box 337
Elizabeth City,North Carolina 28337
Subject: Permit No.WQ0000225
Clearwater Enterprises,Inc.
Clearwater Village
Amendment to Permit No.WQ0000225
Sewer Extension
Bladen County
Dear Mr.Clark:
In accordance with your amendment request received December 8, 1989,we are forwarding
herewith Permit No.WQ0000225 as amended,dated January 11, 1990,to Clearwater Enterprises,
Inc.,for the construction and operation of the subject wastewater collection 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. Issuance of this permit hereby voids Permit
No. 13994 issued November 24, 1986 and Permit No.WQ0000225 issued August 31, 1988.
If any parts,requirements, or limitations contained in this permit are unacceptable to you,
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 1508 of North Carolina General Statutes, and filed with the Office of Administrative
Hearings,P.O. Box 11666,Raleigh,NC 27604. Unless such demands are made this permit shall
be final and binding.
One set of approved plans and specifications is being forwarded to you. If you need
additional information concerning this matter, please contact Ms. Carolyn McCaskill at
9191733-5083.
i cerely,
axles R.�Val�d \-1(1-
Acting Director
cc: Bladen County Health Department t-
Fayetteville Regional Office
Mr. Larry Anderson,P.E.
J
Pollution Prevention Pays
P.O.Box 27687,Raleigh,North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

1
f 4
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT,HEALTH AND NATURAL RESOURCES
RALEIGH
WASTEWATER COLLECTION 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
Clearwater Enterprises,Inc.
Bladen County
•
FOR THE
continued operation of approximately 675 linear feet of 8 inch gravity sewers,continued operation
of approximately 2310 linear feet of 8 inch gravity sewers and 82 GPM wetwell type duplex
pump station with submersible pumps and highwater alarms, and construction and operation of
approximately 4730 linear feet of 6 inch, 125 linear feet of 8 inch,and 3385 linear feet of 12 inch
gravity sewers to serve Clearwater Village and the discharge of 64,800 GPD of collected domestic
wastewater into the Town of White Lakes'existing sewerage system,pursuant to the application
received October 6, 1986 and July 25, 1988, and the amendment request received December 8,
1989, and in conformity with the project plan, specifications, and other supporting data
subsequently filed and approved by the Department of Environment, Health and Natural
Resources and considered a part of this permit.
This permit shall be effective from the date of issuance until rescinded, shall void Permit
No. 13994 issued November 24, 1986,Permit No. WQ0000225 issued August 31, 1988, and
shall be subject to the following specified conditions and limitations:
1. This permit shall become voidable unless the facilities are constructed in accordance with
the conditions of this permit, the approved plans and specifications and other supporting
data.
2. This permit is effective only with respect to the nature and volume of wastes described in
the application and other supporting data.
3. The facilities must be properly maintained and operated at all times.
4. The sewage and wastewater collected by this system shall be treated in the Town of White
I Aires'Wastewater Treatment Facility prior to being discharged into the receiving stream.
/

5. This permit is not transferable. In the event there is a desire for the facilities to change
ownership,or there is a name change of the Permittee, a formal permit request must be
submitted to the Division of Environmental Management accompanied by an application
fee, documentation from the parties involved, and other supporting materials as may be
appropriate. The approval of this request will be considered on its merits and may or may
not be approved.
6. Construction of the sewers,pump station(s)and force main 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.
7. Upon completion of construction and prior to operation of this permitted facility, a
certification must be received from a professional engineer certifying that the permitted
facility has been installed in accordance with this permit, the approved plans and
specifications. Mail the certification to the Permits and Engineering Unit,P.O. Box 27687,
Raleigh,NC 27611-7687. .
8. A copy of the approved plans and specifications shall be maintained on file by the
Permittee for a minimum of five years from the date of the completion of construction.
9. Failure to abide by the conditions and limitations contained in this permit may subject the
Permittee to an enforcement action by the Division of Environmental Management in
accordance with North Carolina General Statute 143-215.6.
10. The issuance of this permit does not preclude the Permittee from complying with any and
all statutes,rules,regulations,or ordinances which may be imposed by other government
agencies(local,state,and federal)which have jurisdiction.
11. The Permittee shall provide for the pump station and force main the following items:
a. Pump on/off elevations located so that 2-8 pumping cycles may be achieved per
hour in the pump station.
b. An air relief valve located at all high points along the force main.
c. A screened vent for the wet well.
d. Fillets Iocated in the wet well at the intersection of the flooring and sidewalls.
e. Three feet of cover (minimum) over the force main or the use of ferrous material
where three feet cannot be maintained.
f. Sufficient devices which will protect the pump station from vandals.
g. Flood protection if the pump station is located below the 100-year flood
elevation.
12. In the event that the 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 wastewater collection facilities.
13. Noncompliance Notification:
The Permittee shall report by telephone to the Fayetteville Regional Office,
telephone no. 919/486-1541 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:
2

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a. Any process unit failure,due to known or unknown reasons,that render the facility
incapable of adequate wastewater transport such as mechanical or electrical failures
of pumps,line blockage or breakage,etc.
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.
Persons reporting such occurrences by telephone shall also file a written report in letter
form within 15 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.
14. This permit shall become voidable unless the agreement between Clearwater Enterprises,
Inc.and Town of White Lake for the collection and final treatment of wastewater is in full
force and effect.
Permit issued this the 11th day of January, 1990
..TH CAROLINA N IRONMENTAL MANAGEMENT COMMISSION
')-‘. 0 t
arles R.Wakilcd,Ac' g'Dire for
Division of Environieri Management
By Authority of the Envvimental Management Commission
/
3

Permit No.WQ0000225
Amendment
January 11, 1990
Engineer's Certification
I, I ARRY W. AN11FRS.QN 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
project, f-1 FARIIATER Vil f DOE SEWER TEN,SI_p.N B A.AE.�V_C.O.ONTY for the
PHASE I Project Name Location
Perrruttee 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 and' tent of the approved plans and specifications.
Signatur otitANd4 . �_.- Registration No. 13325
Date AUGUST 13. 1c90
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4

ROY COOPER
t : Governor
MICHAEL S.REGAN
Secretary
Wate
VIRON ENTALQrces LINDA CULPEPPER
ENVIRONMENTAL QUALITY
Interim Director
July 12,2019
David Clark
Clearwater Enterprises,Inc.
PO Box 339
Elizabethtown,NC 28337
Subject: Permit No.WQ0040518 Modification
Clearwater Enterprises,Inc.
Camp Clearwater Lift Station—Hugh Hwy
Wastewater Collection System Extension Permit
Bladen County
Dear Mr. Clark:
In accordance with your application received June 28, 2019 we are forwarding herewith Permit No.
WQ0040518M dated July 12, 2019, to the Clearwater Enterprises, 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 02T.0403 or any individual system-wide collection system
permit issued to the Permittee.
Condition II 7: Upon completion of construction and prior to operation of these permitted facilities,the
completed Engineering Certification form with checklist attached to this permit shall be
submitted with the required supporting documents to the address provided on the form.
Permit modifications are required for any changes resulting in non-compliance with
this permit,regulations,or the Minimum Design Criteria.[15A NCAC 02T.0116]
It shall be 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.
Compares r�
State of North Carolina I Environmental Quality J Water Resources
1617 Mail Service Center I Raleigh,North Carolina 27699-1 6 1 7
919-807-6300
�ti¢t Ll

Clearwater Enterprises,Inc.
Permit No.WQ0040518
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 1506 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 Trent Allen at(910)433-3300
or via e-mail at [e-mail].
Sincerely,
DomSigned by:
5189C2D30D5C42B
for Linda Culpepper
Director,Division of Water Resources
by Trent Allen,Regional Supervisor
Water Quality Regional Operations Section
Fayetteville Regional Office
Division of Water Resources, NCDEQ
cc: LarryW:,Anderson,Anderson Engineering&Associates,P.A„PG box 1736,Lumberton,N.0
28359
Town of White Lake Wastewater Treatment Plant
Regional Office Files
Water Resources Central Files
PERCS(electronic copy)
Page 2 of 8

�..a
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 the
Clearwater Enterprises, Inc.
Bladen County
for the construction and operation of approximately 285 linear feet of 1.25-inch force main, a 34 GPM @
63 TDH pump station with a portable pumping unit to serve as part of the Camp Clearwater Lift Station—
Hugh Hwy project, and the discharge of 7,240 gallons per day of collected wastewater into the Town of
White Lake Wastewater Treatment Plant existing sewerage system, pursuant to the application received
June 28, 2019, and in conformity with 15A NCAC 02T; 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.
5189C203DD5C42B
for Linda Culpepper
Director, Division of Water Resources
By Authority of The Environmental Management Commission
Permit Number: WQ0040518Modification
Permit Issued: July 12,2019
Page 3 of 8

I r s
SUPPLEMENT TO PERMIT COVER SHEET
Clearwater Enterprises, 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 Town of White Lake Wastewater
Treatment Plant Wastewater Treatment Facility in accordance with Permit Number NC0023353 or
WQ0040518M.
Permitting of this project does not constitute an acceptance of any part of the project that does not meet
15A NCAC 02T; 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. This permit shall become voidable unless the agreement hPtween Clearwater Enterprises,Inc.and/or
Town of White Lake Wastewater Plant for the collection and final treatment of wastewater is in full
force and effect. [15A NCAC 0ZT.0304(g)]
II.STANDARD CONDITIONS
1. 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. [15A NCAC 02T.0116;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 02T;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 02T.0110]
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 i
Page 4 of 8

,
operation and maintenance of these facilities as required by 15A NCAC 02T.0403. If an individual
permit is not required,the following performance criteria shall be met:
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(i.e.365
days per year). Pump stations that are connected to a telemetry system shall be inspected at
least once per week.
e. High-priority sewer lines shall be inspected at least once per every six-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.
j. Documentation shall be kept for Subparagraphs(a)through(i)of this Rule fora 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 Fayetteville
Regional Office,telephone number(910)433-3300, 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
Page 5 of 8

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)]
7. Upon completion of construction and prior to operation of these permitted facilities,the completed
Engineering Certification form with checklist 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.
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 but not limited to pipe length changes of 10% or
greater, increased flow, pump station design capacity design increases of 5% or greater, and
Page 6 of 8

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. [15A NCAC 02T.0116]
8. Gravity sewers installed greater than ten percent below the minimum required slope per the Division's
Gravity Sewer Minimum Design Criteria shall not 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 individual permit and construction record drawings shall be maintained on file by the
Permittee for the life of the wastewater collection facilities. [15A NCAC 02T.0116]
10. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 02T; 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.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 0ZT.0108(b)]
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 maybe required by the
Division or any other Federal,State,of Local government agencies. [G.S. 143-215.1(b)]
. 9
Page 7 of 8

CERTIFICATION CHECKLIST
To be completed by the certifying engineer prior to operation of
the permitted
Certification Review Date: perrmitted sewers,per 15A NCAC 02T.0116.
Certifying Engineer:- �UN r 11 u, 611'O( J
Lily 3n�VIN 2OI
�
Project Name: Capp eleasnuratr Lift steam - ttaoh 111/00
WQ00 4051 M Project County: 31 )
1) Has permittee information changed since the permit was issued(or last modified):change of mailing address,
change of ownership,transfer from developer to HOA/POA,etc. ❑Yes [g No
• If yes,please provide either a change of ownership form or new contact information. Note that transfer of
permits from the developer to the HOA/POA must occur with the first certification.
2) Have the as-built drawings have been signed,sealed,and dated by an N.C.PE? Yes ❑ No
3) Final Engineering certification? riKI Yes ❑ No
• If Partial Engineering certification, provide detailed narrative including what is being certified in the current
phase,what was previously certified(if applicable),and what is left to be certified.
4) Adequate information related to sewer lines: Yes ❑ No ❑ N/A
• Three feet minimum cover has been provided for all sewers unless ferrous pipe was installed.
• Minimum diameters for gravity sewers are 8-inches for public lines and 6-inches for private lines.
• Manholes have been installed:At the end of each line,at all changes in grade,size,or alignment,at all
intersections,and at distances not greater than 425 feet;minimum diameter shall be 4 feet(48-inches).
5) Adequate information related to pump stations: ] Yes ❑ No ❑N/A
• Ensure power reliability option was selected per 15A NCAC 02T.0305(h).
6) Was project construction completed in accordance with all of the following:' Yes ❑ No ❑ N/A
• 15A NCAC 02T,Minimum Design Criteria(MDC)for the permitting of Gravity Sewers(latest version),and MDC
for the Permitting of Pump Stations and Force Mains(latest version)?
If not,a variance approval is required in accordance with 15A NCAC 02T.0105(b),prior to certification and operation.
• Contact the Central Office to discuss the variance to determine a course of action.
• Applicant must submit two copies of the variance request form, plans,specifications, calculations,and any other
pertinent information to the Central Office(one hard copy,one digital copy).
• The central office will review the variance request, and if approvable,specific language regarding the variance
will be incorporated into the permit,either via a special condition or a supplementary letter.A copy of the
reissued permit with variance language or the variance letter must be maintained with the original documents.
7) Does the project contains high priority lines(15A NCAC 02T.0402(2)1? ❑ Yes No
• If yes,ensure that the permit already contains the necessary condition related to high priority lines 15A NCAC
02T.0403(a)(5).If the permit does not include this language,the Fast Track reviewer will reissue the permit with
the appropriate language.
8) Are Permit modifications are required for any changes resulting in non-compliance with this permit(including but not
limited to pipe length changes of 10%or greater,change in flow,pump station design capacity design change of 5%or
greater,and/or change in the number/type of connections)? ❑ Yes No
• If yes,a permit modification request must be submitted to the appropriate Regional Office,and a modified
permit with revised certification must be issued prior to certification and operation.
NC DWR—Water Quality Regional Operations Section 225 Green St.,Suite 714,Fayetteville,NC 28301
Fayetteville Regional Office Phone: [phone] FAX:[phone]

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE: Clearwater Enterprises, Inc.
PERMIT#: WQ0040518M
PROJECT: Camp Clearwater Lift Station—Hugh Hwy
ISSUE DATE: July 12,2019
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
I,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. f
L'Q 5 At1 2�1 � ]�t1 n� %/gyp
Printed Name,Title ignature Date
ENGINEER'S CERTIFICATION
I, 1&1R7"t GJf kid ,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
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 following 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) Q44,, SSip49< 7 I1�
SEAL ?
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Certification Comments/Qualifiers(attach if necessary): %'� k •""'•••"Nr
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NC DWR—Water Quality Regional Operations Section 225 Green St,Suite 714,Fayetteville,NC 28301
Fayetteville Regional Office Phone. [phone] FAX:[phone]

CERTIFICATION CHECKLIST
To be completed by the certifying engineer priorto operation of the permitted sewers,per 15A NCAC 02T.0116.
Certifying Engineer: L..a !" VV, apaeesot
Certification Review Date: Wald 30 201c? _
Project Name: 'Culp ei ��akc L1f-& '� ' NI/ I I W g
WQ00 4051 g M Project County: U. P,r)
1) Has permittee information changed since the permit was issued(or last modified):change of mailing address,
change of ownership,transfer from developer to HOA/POA, etc. ❑Yes rg No
• If yes,please provide either a change of ownership form or new contact information.Note that transfer of
permits from the developer to the HOA/POA must occur with the first certification.
2) Have the as-built drawings have been signed,sealed,and dated by an N.0 PE? [4 Yes n No
3) Final Engineering certification? 04 Yes ❑ No
• If Partial Engineering certification, provide detailed narrative including what is being certified in the current
phase,what was previously certified(if applicable),and what is left to be certified.
4) Adequate information related to sewer lines: Yes ❑ No ❑N/A
• Three feet minimum cover has been provided for all sewers unless ferrous pipe was installed.
• Minimum diameters for gravity sewers are 8-inches for public lines and 6-inches for private lines.
• Manholes have been installed:At the end of each line,at all changes in grade,size,or alignment,at all
intersections,and at distances not greater than 425 feet;minimum diameter shall be 4 feet(48-inches).
5) Adequate information related to pump stations: Yes ❑ No ❑N/A
• Ensure power reliability option was selected per 15A NCAC 021-.0305(h)
6) Was project construction completed in accordance with all of the following: [X] Yes ❑ No ❑ N/A
• 15A NCAC 02T, Minimum Design Criteria(MDC)for the permitting of Gravity Sewers(latest version),and MDC
for the Permitting of Pump Stations and Force Mains(latest version)?
If not,a variance approval is required in accordance with 15A NCAC 02T.0105(b),,prior to certification and operation.
• Contact the Central Office to discuss the variance to determine a course of action.
• Applicant must submit two copies of the variance request form, plans,specifications, calculations,and any other
pertinent information to the Central Office(one hard copy,one digital copy).
• The central office will review the variance request,and if approvable,specific language regarding the variance
will be incorporated into the permit,either via a special condition or a supplementary letter.A copy of the
reissued permit with variance language or the variance letter must be maintained with the original documents.
7) Does the project contains high priority lines(15A NCAC 02T.0402(2))? ❑ Yes No
• If yes,ensure that the permit already contains the necessary condition related to high priority lines 15A NCAC
02T.0403(a)(5).If the permit does not include this language,the Fast Track reviewer will reissue the permit with
the appropriate language.
8) Are Permit modifications are required for any changes resulting in non-compliance with this permit(including but not
limited to pipe length changes of 10%or greater,change in flow,pump station design capacity design change of 5%or
greater,and/or change in the number/type of connections)? _ Yes No
• If yes,a permit modification request must be submitted to the appropriate Regional Office,and a modified
permit with revised certification must be issued prior to certification and operation.
NC DWR—Water Quality Regional Operations Section 225 Green St.,Suite 714,Fayetteville, NC 28301
Fayetteville Regional Office Phone: [phone] FAX.[phone]