WQ0031807_Sewer Extension Permit Status Update_72011222

B. R. KORNEGAY, Li° C.
LAND SURVEYING • ENGINEERING • PLANNING
300 E. Walnut Street
Goldsboro, North Carolina 27530
[phone] www.kornegaysep.com Fax. [phone]
Firm No. F-1054
December 19, 2019
NCDEQ/DWG RECEIVED
WQPS-PERCS UNIT DEC 2 7 2019
1617 Mail Service Center
Raleigh, NC 27699-1617 NCDEQ/DWR/NPDES
RE: Genoa Crossing
Wayne County, NC
W000318O7
Please find enclosed the completed Sewer Extension Permit Status Update, Engineer's
Certification and one set of record drawings for the completed sewer line extension at Genoa
Crossing.
Please contact me if you need anything further.
Sincerely,
Jeffrey L. Kornegay, PE, PLS
[e-mail]

R;quest for Engineering Certification Date of Letter. August 16,2019
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 [e-mail]
*************'*********************************************************************************************
`
Permit No.: W Q 003 6°1 Permittee: COO M OF 1N1 i>4.N
Project Name: N
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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 requestsextension to reply to this letter not to exceed 60 days of the date of this letter.
Name&Title(print): / n // Le /i I,CJ LI-ec3hv'
Signature: Date: /,2— /9—I?
Comments: RECEIVED
fFC 72019
MCDEf/DWRINPDS,
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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:
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Contact Information Updates
Updated Contact Person:
Updated Mailing Address:
Updated Email: K.15*4h»L • �--� w S'10►D1/, GOC'\

Permit No.WQ0031807
= - - - --June 6,2007 --- - -
ENGINEER'S CERTIFICATION
Complete and submit this form to the permit issuing office (address below)with the following:
• One copy of the project record drawings (plan/profile views and detail drawings of sewer lines) of
the wastewater collection system extension. Final record drawings should be clear on the plans.
Record drawings should indicate the design and the marked up changes during construction.
• 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. Modifications should be submitted prior to certification.
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 tx
.Final
�fp I,Jr(L. Koc.ME6i T/ as a duly registered Professional Engineer in the State of North Carolina,
having been authorized to observe (la periodically, 0 weekly, ❑ full time) the construction of the
Genoa Crossing, Wayne County project, consisting of approximately 951 linear feet of 8-inch gravity
sewer 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,sjg�,�fu�'"','6tliej°date:
$� Z t2/I1•
2el`l
16813
c��' *• •• • SEND THIS FORM&SUPPORTING DOCUMENTATION
Krtttt` WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
NORTH CAROLINA DIVISION OF WATER QUALITY
WASHINGTON REGIONAL OFFICE-SURFACE WATER PROTECTION SECTION
ATTN: REGIONAL SUPERVISOR
943 WASHINGTON SQUARE MALL
WASHINGTON, NC 27889
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.
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