WQ0021419_Sewer Extension Permit Status Update_20191029

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City of Belmont
O 115 N. MAIN STREET
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a .s,,, • 4h�► BELMONT, N.C. 28012
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Jerry Hatton
704-901-2081
jhatton©cityofbelmont.org
Christyn L. Fertenbaugh
Division of Water Resources
NC Department of Environmental Quality ,I* EcEicitiii
29, 2019
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1617 Mail Service Center
Raleigh, NC 27699-1617 NOV 04-2019
Subject: NCDEQIDWRINPDES
Engineering Certification Request
Dear Ms. Fertenbaugh:
In accordance with your correspondence to Belmont's City Manager, Adrian Miller, I
have assembled the following responses and materials for the seven Collection System
Extension Permits that have not been closed out. Please note that I am a Register
Professional Engineer and that I have been involved with plan reviews (in some cases
the design) and field inspections during the period covered by the seven permits. Also,
the City employs a City Inspector and during the same period, and his responsibilities
are to provide field inspection of the construction and to witness testing including air
testing, mandrel testing and TV inspection. At this time, the City has not experienced
any problems regarding the permitted sewers operation and we have accepted all
maintenance responsibilities for the extension systems.
WQ0021419 — Stowe Manor Subdivision
On July 15, 2011, I sent correspondence to Dee Browder at the Morresville Regional
Office regarding the completion of the sewer extension project. In addition to my letter to
Ms. Browder, I have included my inspection reports for the manholes and limited TV
inspection results. The City Inspector witnessed the construction and testing of the
system. Attached are the following:
• Signed Sewer Extension Permit Status Update Form
• Signed Fast Track Sewer Engineering Certification Form
• Copy of letter to Ms. Browder with inspection reports
WQ0022831 —West Outfall Sewer Replacement
The permit for this City project was issued as a separate project before the West Outfall
work was added to a much larger sewer construction project. I was the engineer for

Christyn L. Fertenbaugh
October 29, 2019
both projects, and witnessed the construction. I apparently overlooked that both projects
had separate permits and I only certified the larger project permit. As with all sewer
construction in the city, our City Inspector provided periodic inspection during
construction and witness all testing. Attached are the following:
• Signed Sewer Extension Permit Status Update Form
• Signed Fast Track Sewer Engineering Certification Form
• As-Built Plans
WQ0023254 — Gaston County Visitor's Center
This project has been completed, but we do not have as-built plans for it. Our City
Inspector provided periodic inspection during the construction and witnessed all testing.
The sewer system has been in operation for several years without any problems.
Attached are the following:
• Signed Sewer Extension Permit Status Update Form
• Signed Fast Track Sewer Engineering Certification Form
WQ0023379 — South Point Ridge Subdivision
This project has been completed, and we do have as-built plans for it certified by the
design engineer. Our City Inspector provided periodic inspection during the construction
and witnessed all testing. Attached are the following:
• Signed Sewer Extension Permit Status Update Form
• Signed Fast Track Sewer Engineering Certification Form
• As-Built Plans
WQ0024795 —Wal-Mart Store# 5085-00
This project has been completed, and we also have as-built plans for it. Our City
Inspector provided periodic inspection during the construction and witnessed all testing.
Attached are the following:
• Signed Sewer Extension Permit Status Update Form
• Signed Fast Track Sewer Engineering Certification Form
• As-Built Plans
WQ0029692 — Eastwood Outfall
This City project has been constructed. I was the design engineer and it went to
construction. As with all of the other projects, our City Inspector provided periodic
inspection during construction and witness all testing. Attached are the following:
Page 2

Christyn L. Fertenbaugh
October 29, 2019
• Signed Sewer Extension Permit Status Update Form
• Signed Fast Track Sewer Engineering Certification Form
• As-Built Plans
WQ0031028 —Village Park Townhomes
This project has been completed, and we have as-built plans for it certified by the
design engineer. Our City Inspector provided periodic inspection during the construction
and witnessed all testing. Attached are the following:
• Signed Sewer Extension Permit Status Update Form
• Signed Fast Track Sewer Engineering Certification Form
• As-Built Plans
We hope that with the enclosed documentation that you will be able to close out the
permits. In addition, I have included a CD that contains digital copies of the construction
as-builts for the West Outfall, South Point Ridge, Wal-Mart, Eastwood Outfall, and
Village park Townhomes projects.
Should you require additional information or certifications, please feel free to contact me
by email or phone.
Sincerely,
4jAwi C•1-/aA--' -
Gerald E. Hatton, PE
City Engineer
Page 3

Request for Engineering Certification Date of Letter: October 22,2019
Sewer Extension Permit Status Update
Please complete the applicable portion of this form for each permit and return this form and supporting documents to the attention
of Nyle Hothem at the Division's PERCS Unit 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 [e-mail]
Permit No.: WQ0021419 Permittee: City of Belmont
Project Name: Stowe Manor Subdivision
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.
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.
❑ Ownership/Name Change: The Permittee requests information to apply for ownership or name change. Please provide email
and phone number below for follow-up.
Name&Title(print): As ri d n T. Mill�er,,JCCiit Manager / C�
Signature:' ��'��rr" " ► Date: 0/Z 9 //
Comments: See attached documentation. RECEIVED
NOV 04 71119
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):
Signature: Date:
Comments:
Contact Information Updates for Current Owner
Updated Contact Person&Title(Print):
Updated Mailing Address:
Updated Email: Updated Phone: