NC0025984_Application (ATC)_20190411

McGill
A S S D C I A T E S
April 8, 2019
Dr. Bing Bai
North Carolina Department of Environmental Quality
NPDES Complex Permitting
512 North Salisbury Street (91h Floor Archdale Building)
Raleigh, North Carolina 27604
Re: Request for Authorization to Construct
Wastewater Treatment Plant
Everest Textiles Water & Sewer Project
Town of Forest City
Rutherford County, North Carolina
Dear Dr. Bai:
The Town of Forest City hereby requests Authorization to Construct the referenced
proposed improvements at the Forest City Wastewater Treatment Plant (NPDES NC0025984) as
shown and specified in the enclosed plans, specifications and other supporting documents
prepared. This submittal includes one hard copy and one digital copy of the following:
Application for Authorization to Construct Permit (Form ATC-12-14)
Engineering plans for the proposed improvements
Engineering specifications for the proposed improvements
Engineering calculations for the proposed improvements
If you have any questions or we can provide any additional information, please contact me
at [e-mail] or by telephone at 828-252-0575.
Sincerely,
McGILL ASSOCIATES, P.A.
W
Michael Whittenburg, E.I.
Engineering Associate
[e-mail]
Enclosure
cc: John Condrey, Town of Forest City
MJ Chen, McGill Associates
L:\Broadstreet\Proj ects\2018\18.00311 \letters\bb08aprl9_atc.doex
55 Broad Street P.O. Box 2259 ph: 828.252.0575
Asheville. North Carolina 28801 Asheville, North Carolina 28802 f: 828.252.2518 www.mcgillassociates.com
State of North Carolina
syY Department of Environmental Quality
Division of Water Resources
Water Resources
ENVIRONMENTAL auAL1TY APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14)
SECTION 1: INSTRUCTIONS AND INFORMATION
A. The Division of Water Resources will accept this application package for review only if all of the items are provided and the
application is complete. Failure to submit all of the required items will result in the application package being returned as incomplete
per 15A NCAC 02T .0105(b).
B. Plans and specifications must be prepared in accordance with 15 NCAC 02H. 0100, 15A NCAC 02T, North Carolina General Statute
133-3, North Carolina General Statute 143-215.1, and Division of Water Resources Minimum Design Criteria for NPDES
Wastewater Treatment Facilities.
C. The plans and specifications submitted must represent a completed final design that is ready to advertise for bid.
D. Any content changes made to this Form ATC-12-14 shall result in the application package being returned.
E. The Applicant shall submit ONE ORIGINAL and ONE DIGITAL COPY (CD) of the application, all supporting documentation and
attachments. All information must be submitted bound or in a 3-ring binder, with a Section tab for each Section, except the
Engineering Plans.
F. Check the boxes below to indicate that the information is provided and the requirements are met.
G. If attachments are necessary for clarity or due to space limitations, such attachments are considered part of the application
package and must be numbered to correspond to the item referenced.
H. For any project that requires review under the State Environmental Policy Act (SEPA), an Authorization to Construct cannot be
issued prior to the completion of a State Clearinghouse advertisement period for a FONSI, EIS, etc. unless the project qualifies for
a Determination of Minor Construction Activity.
I. For more information, visit the Division of Water Resources web site at: https://deg.nc.gov/about/divisions/water-resources/water-
resources-permits/wastewater-branch/npdes-wastewater/authorization-to-construct.
J. In addition to this Authorization to Construct, the Applicant should be aware that other permits maybe required from other Sections
of the Division of Water Resources (for example: reclaimed water facilities permits; Class A or B biosolids residuals permit).
SECTION 2: APPLICANT INFORMATION AND PROJECT DESCRIPTION
A. APPLICANT
Applicant's name Town of Forest City
Signature authority's name per 15A NCAC 02T .0106(b) John Condrey
Signature authority's title Town Manager
Complete mailing address 128 North Powell Street, Forest City, NC 28043
Telephone number 828-245-4747
Email address [e-mail]
B. PROFESSIONAL ENGINEER
Professional Engineer's name Manjiang Chen, Ph.D.
Professional Engineer's title Project Manager
North Carolina Professional Engineer's License No. 039025
Firm name McGill Associates, P.A.
Firm License number C-0459
Complete mailing address 55 Broad Street, Asheville, NC 28801
Application for Authorization to Construct Permit (FORM ATC-12-14) Page 1
s Y
State of North Carolina
Department of Environmental Quality
Water Resources
ENVIRONMENTAL QUALITY
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14)
Telephone number 828-252-0575
Email address [e-mail]
C. NPDES PERMIT
NPDES Permit number NCO025984
Current Permitted flow (MGD) — include permit
flow phases if applicable
4.95 MGD
D. PROJECT DESCRIPTION
Provide a brief description of the project: The project consists of the installation of a new rotary drum thickener and polymer
feed system to replace the existing gravity belt thickener and polymer feed system, a submersible aeration mixer (SAM) unit and
submersible pump in digester no. 1, and two new positive displacement blowers to supply air to the new and existing SAM
units.
SECTION 3: APPLICATION ITEMS REQUIRED FOR SUBMITTAL FOR ALL PROJECTS
A. Cover Letter
The letter must include a request for the Authorization to Construct; the facility NPDES Number; a brief project description
that indicates whether the project is a new facility, facility modification, treatment process modification, or facility expansion;
the construction timeline; and a list of all items and attachments included in the application package.
If any of the requirements of 15 NCAC 02H. 0100, 15A NCAC 02L North Carolina General Statute 133-3, North Carolina
General Statute 143-215.1, and Division of Water Resources Minimum Design Criteria for NPDES Wastewater Treatment
Facilities are not met by the proposed design, the letter must include an itemized list of the requirements that are not met.
B. NPDES Permit
Submit Part I of the Final NPDES permit for this facility that includes Part A (Effluent Limitations and Monitoring Requirements)
for the monthly average flow limit that corresponds to the work that is requested for this project.
C. Special Order by Consent
If the facility is subject to any Special Orders by Consent (SOC), submit the applicable SOC.
Not Applicable.
D. Finding of No Significant Impact or Record of Decision
Submit a copy of the Finding of No Significant Impact or Record of Decision for this project.
Provide a brief description of any of the mitigating factors or activities included in the approved Environmental Document
that impact any aspect of design of this project, if not specified in the Finding of No Significant Impact or Record of Decision.
Not Applicable.
Application for Authorization to Construct Permit (FORM ATC-12-14) Page 2
State of North Carolina
syY Department of Environmental Quality
Division of Water Resources
Water Resources
ENVIRONMENTAL auAL1TY APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14)
E. Engineering Plans
Per 15A NCAC 02T .0504(c)(1), submit one set of detailed plans that have been signed, sealed and dated by a North Carolina
Licensed Professional Engineer.
Per 21 NCAC 56 .1103(a)(6), the name, address and License number of the Licensee's firm shall be included on each sheet of
the engineering drawings.
Plans must be labeled as follows: FINAL DRAWING — FOR REVIEW PURPOSES ONLY— NOT RELEASED FOR CONSTRUCTION.
15A NCAC 02H .0124 requires multiple (dual at a minimum) components such as pumps, chemical feed systems, aeration
equipment and disinfection equipment. Is this requirement met by the design? Yes or ® No. If no, provide an
explanation: Sludge thickening is an optional process that is not necessary for the plant to meet its discharge limits. There is
no risk in foregoing redundancy for this project.
Plans shall include:
Plans for all applicable disciplines needed for bidding and construction of the proposed project (check as appropriate):
Civil Not Applicable
Process Mechanical Not Applicable
Structural Not Applicable
Electrical Not Applicable
Instrumentation/Controls Not Applicable
Architectural ® Not Applicable
Building Mechanical ® Not Applicable
Building Plumbing ® Not Applicable
Plan and profile views and associated details of all modified treatment units including piping, valves, and equipment (pumps,
blowers, mixers, diffusers, etc.)
Are any modifications proposed that impact the hydraulic profile of the treatment facility? Yes or ® No. If yes, provide
a hydraulic profile drawing on one sheet that includes all impacted upstream and downstream units. The profile shall include
the top of wall elevations of each impacted treatment unit and the water surface elevations within each impacted treatment
unit for two flow conditions: (1) the NPDES permitted flow with all trains in service and (2) the peak hourly flow with one
treatment train removed from service.
Are any modifications proposed that impact the process flow diagram or process flow schematic of the treatment facility?
Yes or No. If yes, provide the process flow diagram or process flow schematic showing all modified flow paths including
aeration, recycle/return, wasting, and chemical feed, with the location of all monitoring and control instruments noted.
F. ® Engineering Specifications
Per 15A NCAC 02T .0504(c)(2), submit one set of specifications that have been signed, sealed and dated by a North Carolina
Licensed Professional Engineer.
Specifications must be labeled as follows: FINAL SPECIFICATIONS — FOR REVIEW PURPOSES ONLY — NOT RELEASED FOR
CONSTRUCTION.
Specifications shall include:
Specifications for all applicable disciplines needed for bidding and construction of the proposed project (check as
appropriate):
Civil Not Applicable
Process Mechanical Not Applicable
Application for Authorization to Construct Permit (FORM ATC-12-14) Page 3
State of North Carolina
syY Department of Environmental Quality
Division of Water Resources
Water Resources
ENVIRONMENTAL auAL1TY APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14)
Structural Not Applicable
Electrical Not Applicable
Instrumentation/Controls Not Applicable
Architectural Not Applicable
Building Mechanical Not Applicable
Building Plumbing Not Applicable
Detailed specifications for all treatment units and processes including piping, valves, equipment (pumps, blowers, mixers,
diffusers, etc.), and instrumentation.
Means of ensuring quality and integrity of the finished product including leakage testing requirements for structures and
pipelines, and performance testing requirements for equipment.
Bid Form for publicly bid projects.
G. Construction Sequence Plan
Construction Sequence Plan such that construction activities will not result in overflows or bypasses to waters of the State.
The Plan must not imply that the Contractor is responsible for operation of treatment facilities. List the location of the
Construction Sequence Plan as in the Engineering Plans or in the Engineering Specifications or in both: see Plan Sheet C-105
H. Engineering Calculations
Per 15A NCAC 02T .0504(c)(3), submit one set of engineering calculations that have been signed, sealed and dated by a North
Carolina Licensed Professional Engineer; the seal, signature and date shall be placed on the cover sheet of the calculations.
For new or expanding facilities and for treatment process modifications that are included in Section 4.C, the calculations shall
include at a minimum:
Demonstration of how peak hour design flow was determined with a justification of the selected peaking factor.
Influent pollutant loading demonstrating how the design influent characteristics in Section 4.13.2 of this form were
determined.
Pollutant loading for each treatment unit demonstrating how the design effluent concentrations in Section 4.13.2 of this form
were determined.
Hydraulic loading for each treatment unit.
Sizing criteria for each treatment unit and associated equipment (blowers, mixers, pumps, etc.)
Total dynamic head (TDH) calculations and system curve analysis for each pump specified that is included in Section 4.C.6.
Buoyancy calculations for all below grade structures. N/A
Supporting documentation that the specified auxiliary power source is capable of powering all essential treatment units. N/A;
treatment units are not essential
Application for Authorization to Construct Permit (FORM ATC-12-14) Page 4
s Y
State of North Carolina
Department of Environmental Quality
Water Resources
ENVIRONMENTAL QUALITY
Permits
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14)
Provide the following information for each permit and/or certification required for this project:
Permit/Certification
Not
Applicable
Date
Submitted
Date
Approved
Permit/
Certification
Number
If Not Issued Provide
Status and Expected
Issuance Date
Dam Safety X
Soil Erosion and Sediment Control X
USCOE / Section 404 Permit X
Water Quality Certification (401) X
USCOE / Section 10 X
Stormwater Management Plan X
CAMA X
NCDOT Encroachment Agreement X
Railroad Encroachment Agreement X
Other: X
J. Residuals Management Plan
For all new facilities, expanding facilities, or modifications that result in a change to sludge production and/or sludge
processes, provide a Residuals Management Plan meeting the requirements of 15A NCAC 02T .0504(I) and 15A NCAC 02T
0508; the Plan must include:
A detailed explanation as to how the generated residuals (including trash, sediment and grit) will be collected, handled,
processed, stored, treated, and disposed.
An evaluation of the treatment facility's residuals storage requirements based upon the maximum anticipated residuals
production rate and ability to remove residuals.
A permit for residuals utilization or a written commitment to the Applicant from a Permittee of a Department approved
residuals disposal/utilization program that has adequate permitted capacity to accept the residuals or has submitted a
residuals/utilization program application.
If oil, grease, grit or screenings removal and collection is a designated unit process, a detailed explanation as to how the
oil/grease will be collected, handled, processed, stored and disposed. N/A
Not Applicable.
Application for Authorization to Construct Permit (FORM ATC-12-14) Page 5
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Water Resources
ENVIRONMENTAL auAL1TY APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14)
SECTION 4: PROJECT INFORMATION
A. WASTEWATER TREATMENT PLANT FLOW INFORMATION —COMPLETE FOR NEW OR EXPANDING FACILITIES
n/a
1. Provide the following flow information:
Plant Flows
Existing Plant Design MGD
Current NPDES Permit Limit MGD
Current Annual Average
past 12 months)
MGD
For Past 12 Months:
Start Date: month/yr
End Date: month/yr
For Past 24 Months:
Start Date: month/yr
End Date: month/yr
Maximum Month MGD MGD
Maximum Day MGD MGD
Peak Hour MGD MGD
Application for Authorization to Construct Permit (FORM ATC-12-14) Page 6
State of North Carolina
syY Department of Environmental Quality
Division of Water Resources
Water Resources
ENVIRONMENTAL auAL1TY APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14)
B. WASTEWATER TREATMENT FACILITY DESIGN INFORMATION —COMPLETE FOR NEW OR EXPANDING FACILITIES AND
FOR TREATMENT PROCESS MODIFICATIONS
1. Have all of the requirements of 15 NCAC 02H. 0100, 15A NCAC 02T, North Carolina General Statute 133-31 North Carolina
General Statute 143-215.1, and Division of Water Resources Minimum Design Criteria for NPDES Wastewater Treatment
Facilities been met by the proposed design and specifications? ® Yes or No. If no, provide justification as to why the
requirements are not met, consistent with 15A NCAC 02T .0105(n):
2. Provide the design influent and effluent characteristics that are used as the basis for the project design, and the NPDES
permit limits for the following parameters: (N/A; the parameters listed below are not relevant to this project, and this
project will not affect any processes relevant to the NPDES permit)
Project Basis of Design
Design Influent Design Influent
Influent Concentration Load
Concentration - Must be Must be
Current Annual supported by supported by Design Effluent
Average (past Engineering Engineering
Concentration and/or NPDES Permit Limits
12 months) if Calculations Calculations
Load monthly average) Parameter Available Section 3.H]) Section 3.H])
Ammonia Nitrogen mg/L Summer mg/L Summer
NH3-N)
mg/L mg/L lb/day
mg/L Winter mg/L Winter
Biochemical mg/L Summer mg/L Summer
Oxygen Demand mg/L mg/L lb/day
BOD5) mg/L Winter mg/L Winter
Fecal Coliform per 100 mL per 100 mL
Nitrate + Nitrite
Nitrogen (NO3-N + mg/L mg/L
N 02-N )
Total Kjeldahl
mg/LNitrogen
mg/L mg/L
Total Nitrogen
lb/year lb/year
mg/L mg/L
Total Phosphorus mg/L mg/L lb/day
lb/year lb/year
Total Suspended
mg/L mg/L lb/day mg/L mg/L
Solids (TSS)
3. Based on the "Project Basis of Design" parameters listed above, will the proposed design allow the treatment facility to
meet the NPDES Permit Limits listed above? ® Yes or No. If no, describe how and why the Permit Limits will not be
met:
Application for Authorization to Construct Permit (FORM ATC-12-14) Page 7
State of North Carolina
syY Department of Environmental Quality
Division of Water Resources
Water Resources
ENVIRONMENTAL auAL1TY APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14)
4. Per 15A NCAC 02T .0505(I), by-pass and overflow lines are prohibited. Is this condition met by the design? ® Yes or No
If no, describe the treatment units bypassed, why this is necessary, and where the bypass discharges:
Per 15A NCAC 02T .0505(k), multiple pumps shall be provided wherever pumps are used. Is this condition met by the
design? Yes or ® No. If no, provide an explanation: This requirement is not applicable to sludge treatment.
6. Per 15A NCAC 02T .0505(I), power reliability shall be provided consisting of automatically activated standby power supply
onsite capable of powering all essential treatment units under design conditions, or dual power supply shall be provided
per 15A NCAC 02H. 0124(2)(a). Is this condition met by the design? ® Yes or No. If no, provide (as an attachment
to this Application) written approval from the Director that the facility:
Has a private water supply that automatically shuts off during power failures and does not contain elevated water
storage tanks, and
Has sufficient storage capacity that no potential for overflow exists, and
Can tolerate septic wastewater due to prolonged detention.
Per 15A NCAC 02T .0505(o), a minimum of 30 days of residual storage shall be provided. Is this condition met by the
design? ® Yes or No. If no, explain the alternative design criteria proposed for this project in accordance 15A NCAC
02T .105(n): Installation of a higher -performance thickener will increase effective storage beyond the 30 days requirement.
8. Per 15A NCAC 02T .0505(g), the public shall be prohibited from access to the wastewater treatment facilities. Explain how
the design complies with this requirement: n/a; this project takes place entirely within the existing fence
9. Is the treatment facility located within the 100-year flood plain? ® Yes or No. If yes, describe how the facility is
protected from the 100-year flood: The specific facilities being modified are on the upper end of the treatment facility, over
30 feet above the base flood elevation.
C. WASTEWATER TREATMENT UNIT AND MECHANICAL EQUIPMENT INFORMATION —COMPLETE FOR NEW OR
EXPANDING FACILITIES AND FOR MODIFIED TREATMENT UNITS
1. PRELIMINARY AND PRIMARY TREATMENT (i.e., physical removal operations and flow equalization): (N/A)
No. of Plan Sheet SReferencepecification Calculations
Treatment
Unit Units
Type
Size per Unit f
ReerenceProvided? Yes or
No)
Manual Bar Screen
MGD at peak hourly flow Mechanical Bar MGD
at peak
hourly flow Screen Grit RemovalMGD
at peak hourly flow Flow Equalization gallons
ft diameter; ft
side Primary Clarifier Circular
water depth square
feet; ft
side Primary Clarifier Rectangular
water depth Other
Application for
Authorization
to Construct Permit (FORM ATC-12-14) Page 8
s Y
State of North Carolina
Department of Environmental Quality
Water Resources
ENVIRONMENTAL QUALITY
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14)
2. SECONDARY TREATMENT (BIOLOGICAL REACTORS AND CLARIFIERS) (i.e., biological and chemical processes to remove
organics and nutrients) (N/A)
No. of Plan Sheet Specification
Calculations
Treatment Unit
Units
Type Size per Unit
Reference Reference
Provided?
Yes or No)
Aerobic Zones/
Tanks gallons
Anoxic Zones/
Tanks gallons
Anaerobic
gallonsZones/Tanks
Sequencing Batch
gallonsReactor (SBR)
Membrane
gallons
Bioreactor (MBR)
Secondary Clarifier Circular
ft diameter; ft
side water depth
Secondary Clarifier Rectangular
square feet; ft
side water depth
Other
3. TERTIARY TREATMENT (N/A)
No. of Plan Sheet Specification
Calculations
Treatment Unit
Units
Type Size per Unit Reference Reference
Provided?
Yes or No)
Tertiary Clarifier Circular
ft diameter; ft
side water depth
Tertiary Clarifier Rectangular
square feet; ft
side water depth
Tertiary Filter square feet
Tertiary Membrane square feet
Filtration
Post -Treatment
gallonsFlowEqualization
Post -Aeration gallons
Other
4. DISINFECTION (N/A)
No. of Plan Sheet Specification
Calculations
Treatment Unit
Units
Type Size per Unit
Reference Reference
Provided?
Yes or No)
gal/day per bank at
Ultraviolet Light Parallel; in peak hourly flow;
series)
number of banks;
number of lamps/bank
Chlorination
Gas; gallons of contact
tablet; liquid) tank/unit
Application for Authorization to Construct Permit (FORM ATC-12-14) Page 9
s Y
State of North Carolina
Department of Environmental Quality
Water Resources
ENVIRONMENTAL QUALITY
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14)
Dechlorination
Gas; gallons of contact
tablet; liquid) tank/unit
5. RESIDUALS TREATMENT
No. of Plan Sheet Specification
Calculations
Treatment Unit
Units
Type Size per Unit Reference Reference
Provided?
Yes or No)
Gravity Thickening square feet; ft side
Tank water depth
Mechanical
Thickening/ 1
drum
1,000 dry lb/hour C-108 468040 yes
thickener
Dewatering
Aerobic Digestion gallons
Anaerobic
gallons
Digestion
Composting dry lb/hour
Drying dry lb/hour
Other
6. PUMP SYSTEMS (include influent, intermediate, effluent, major recycles, waste sludge, thickened waste sludge and plant
drain pumps)
Location
No. of
Pumps
Purpose Type
Capacity of
each pump
plan Sheet
Reference
Specification
Reference
GPM I TDH
digester no. 1 1 sludge transfer
centrifugal solids
handling
250 29 C-105, 106 113120
7. MIXERS
Power of
No. of plan Sheet Specification
Location
Mixers
Purpose Type each MP ixer
Reference Reference
digester No. 1 1 mixing and aeration
submerged aeration-
40
C-105, 106,
113730
mixing system 501
digester No. 2 1 mixing and aeration
submerged aeration-
75
C-105, 106,
113730
mixing system 501
Application for Authorization to Construct Permit (FORM ATC-12-14) Page 10
s Y
State of North Carolina
Department of Environmental Quality
Water Resources
ENVIRONMENTAL QUALITY
8. BLOWERS
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14)
Capacity of
Location
No. of
purpose Type each Blower
plan Sheet Specification
Blowers Clo Reference Reference
between Digester
operation of SAM positive
No. 1 and Digester 2
units displacement
1025, 1180 C-105, 501 113760
No. 2
9. ODOR CONTROL
Location
No. of
Units
Purpose Type
Plan Sheet
Reference
Specification
Reference
D. SETBACKS —COMPLETE FOR NEW WASTEWATER TREATMENT STRUCTURES (N/A)
The minimum distance for each setback parameter to the wastewater treatment/storage units per 15A NCAC 02T .0506(b)
are as follows:
Minimum Distance
Is Minimum Distance
Required from Nearest Requirement met by the
Setback Parameter
Treatment/Storage Design? If "No", identify
Unit
Setback Waivers in Item D.2
Below
Any habitable residence or place of assembly under separate
100 ft Yes No
ownership or not to be maintained as part of the project site
Any private or public water supply source 100 ft Yes No
Surface waters (streams — intermittent and perennial, perennial
50 ft Yes No
waterbodies, and wetlands)
Any well with exception of monitoring wells 100 ft Yes No
Any property line 50 ft Yes No
Have any setback waivers been obtained per 15A NCAC 02T .0506(d)? Yes or No. If yes, have these waivers been
written, notarized and signed by all parties involved and recorded with the County Register of Deeds? Yes or No. If
no, provide an explanation:
Application for Authorization to Construct Permit (FORM ATC-12-14) Page 11
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Water Resources
ENVIRONMENTAL QUALITY APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14)
SECTION 5: APPLICATION CERTIFICATION BY PROFESSIONAL ENGINEER
Professional Engineer's Certification per 15A NCAC 02T .0105:
I, Manjiang Chen , attest that this application package for an Authorization to Construct
Typed Name of Professional Engineer)
for the Forest City Wastewater Treatment Plant— Everest Textiles Water & Sewer Project
Facility and Project Name)
was prepared under my direct supervisory control and to the best of my knowledge is accurate, complete and consistent
with the information supplied in the engineering plans, specifications, calculations, and all other supporting
documentation for this project. I further attest that to the best of my knowledge the proposed design has been
prepared in accordance with all applicable regulations and statutes, 15 NCAC 02H. 0100, 15A NCAC 02T, North Carolina
General Statute 133-3, North Carolina General Statute 143-215.1, and Division of Water Resources Minimum Design
Criteria for NPDES Wastewater Treatment Facilities, and this Authorization to Construct Permit Application, except as
provided for and explained in Section 4.8.1 of this Application. I understand that the Division of Water Resources'
issuance of the Authorization to Construct Permit may be based solely upon this Certification and that the Division may
waive the technical review of the plans, specifications, calculations and other supporting documentation provided in this
application package. I further understand that the application package may be subject to a future audit by the Division.
Although certain portions of this submittal package may have been prepared, signed and sealed by other professionals
licensed in North Carolina, inclusion of these materials under my signature and seal signifies that I have reviewed the
materials and have determined that the materials are consistent with the project design.
I understand that in accordance with General Statutes 143-215.6A and 143-215.613, any person who knowingly makes
any false statement, representation, or certification in any application package 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.
North Carolina Professional Engineer's seal with written signature placed over or adjacent to the seal and dated:
0
j0'.
SEALy• y
1111410
Application for Authorization to Construct Permit (FORM ATC-12-14) Page 12
State of North CarolinaN, - r1a Department of Environmental Quality
Division of Water Resources
Water Resources
FtIVI ONMENIAE QUA-,v APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14)
SECTION 6: APPLICATION CERTIFICATION BY APPLICANT
Applicant's Certification per SSA NCAC 02T .0106(b):
I, John Condrey, City Manager . attest that this application package for an Authorization to Construct
Typed Name of Signature Authority and Title)
for the Forest City Wastewater Treatment Plant — Everest Textiles Water & sewer Project
Facility and Project Name)
has been reviewed by me and is accurate and complete to the best of my knowledge. I also understand that if all
required parts of this application package are not completed and that if all required supporting information and
attachments are not included, this application package will be returned to me as incomplete. I further certify that in
accordance with 15A NCAC 02T 0120fbL the Applicant or any affiliate has not been convicted of environmental crimes,
has not abandoned a wastewater facility without proper closure, does not have an outstanding civil penalty where ail
appeals have been abandoned or exhausted, are compliant with any active compliance schedule, and does not have any
overdue annual fees.
I understand that the Division of Water Resources' issuance of the Authorization to Construct Permit may be based
solely upon acceptance of the Licensed Professional Engineer's Certification contained in Section 5, and that the Division
may waive the technical review of the plans, specifications, calculations and other supporting documentation provided
in this application package. I further understand that the application package may be subject to a future audit.
I understand that in accordance with General statutes 143-215.6A and 143-215.6E any person who knowingly makes
any false statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor,
which may include fine t to exceed $10,000, as well as civil penalties up to $25,000 per violation.
f
Signature: g Date:
THE COMPLETED APPLICATION AND SUPPORTING INFORMATION SHALL BE SUBMITTED TO:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER RESOURCES/NPDES
By U.S. Postal Service By Courier/Special Deliivery:
1617 MAIL SERVICE CENTER 512 N. SALISBURY STREET, 9TH FLOOR
RALEIGH, NORTH CAROLINA 27699-1617 RALEIGH, NORTH CAROLINA 27604
TELEPHONE NUMBER: [phone]
Application for Authorization to Construct Permit (FORM ATC-12-14) Page 13