HomeMy WebLinkAboutWQ0029883_Application_20080929USE THE TAB KEY TO MOVE FROM FIELD TO FIELD! Application Number:
(to be completed by DWQ)
1.
Owner/Permittee:
la.
Town of Aberdeen
Full Legal Name (company, municipality, HOA, utility, etc.)
Z
1b.
William R. Monroe, Public Works Director
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Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized signing officials!)
F-
1c.
The legal entity who will own this system is:
❑ Individual ❑ Federal ® Municipality ❑ State/County ❑ Private Partnership ❑ Corporation ❑ Other (specify):
O
1 d.
115 North Poplar Street 1 e. Aberdeen
LL
Mailing Address City
Z
1f.
North Carolina 1g. 28315
Z
State Zip Code
0
1 h.
910-944-7012 1 i. 910-944-7459 1j. rickiemonroe@alltel.net
QTelephone
Facsimile E-mail
V
2.
Project (Facility) Information:
J
2a.
Legacy Offsite Trunk Sewer 2b. Moore
a
Brief Project Name (permit will refer to this name) County Where Project is Located
a'
Q
3.
Contact Person:
Kris Rowe, Engineer
Q3a.
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b.
704-376-7777 3c. krowe landdesi n.com
Phone Number . E-mail
1
Project is ❑ New ® Modification (of an existing permit) If Modification, Permit No.: W00029883
2.
Owner is ® Public (skip to Item B(3)) ❑ Private (go to Item 2(a))
2a.
If private, applicant will be: 2b. If sold, facilities owned by a (must choose one)
❑ Retaining Ownership (i.e. store, church, single office, etc.) or ❑ Public Utility (Instruction C)
❑ Leasing units (lots, townhomes, etc. - skip to Item B(3)) ❑ Homeowner Assoc./Developer (Instruction D)
❑ Selling units (lots, townhomes, etc. - go to Item B(2b))
3
Moore Count
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Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
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4a.
Moore County Water Pollution Control Facility 4b. NC 0037508
QName
of WWTF WWTF Permit No.
5a.
_
Moore County 15b. 48" ® Gravity 5c.
of Downstream Sewer Receiving Sewer Size in Force Main Permit # of Downstream Sewer (Instruction E)
OOwner
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6.
The origin of this wastewater is (check all that apply):
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® Residential Subdivision ❑ Retail (Stores, shopping centers) 100 % Domestic/Commercial
❑ Apartments/Condominiums ❑ Institution % Industrial (attach
11152
LAND DESIGN, INC.
OPERATING ACCOUNT
P.O. BOX 36959
CHARLOTTE, NC 28236 (� 66-85/531
DATE
PAYTO THE
ORDER OF
DOLLARSIQ L�J�
Centuaa
RRBC
BC Centura Bank
harlotte N 28207
FOR lV� 'ac _
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CIF W A TFR �, '� State of North Carolina
Oa pG� Department of Environment and Natural Resources
c/5 d 7 CL Z; j Division of Water Quality
o ��@ FAST -TRACK APPLICATION
oa (FTA 12/07 ,
for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
(Pressure & Vacuum sewer systems are not to be included as part of this application package)
INSTRUCTIONS: Indicate that you have included/addressed the following list of required application package items by
checking the space provided next to each applicable item. Failure to submit all required items will lead to your application
being returned as incomplete. Forms are available from the web site or by calling the Regional Office serving your county:
http://h2o. enr. state. nc. us/peres/Collection % 20Systems/CollectionSystemApplications. html
® A. Application Form - Submit one original and one copy of the completed and appropriately executed application
form. The application should include a project narrative describing the final build -out design (i.e. system and/or
pump station to ultimately serve 500 homes, but flow for only 100 homes being requested now). For modifications,
clearly explain the reason for the modification (i.e. adding another phase, changing line size/length, etc.). Only
include the modified information in this permit application - do not duplicate project information that has already
been included in the original permit.
Any changes to this form will result in the application being returned. The Division of Water Quality (Division) will
only accept application packages that have been fully completed with all applicable items addressed. You do not
need to submit detailed plans and specifications unless you respond NO to Item B03).
Separate aoDlications should be made for non-contiguous sewer systems.
® B. Application Fee - Submit a check in the amount of $480 made payable to: North Carolina Department of
Environment and Natural Resources (NCDENR). Checks shall be dated within 90 days of application submittal.
❑ C. Certificates of Public Convenience and Necessity — If the application is being submitted in the name of a
privately -owned public utility, submit two copies of the Certificate of Public Convenience and Necessity (CPCN)
which demonstrates that the public utility is authorized to hold the utility franchise for the area to be served by the
sewer extension. If a CPCN has not been issued, provide two copies of a letter from the North Carolina Utilities
Commission's Public Staff that states that an application for a franchise has been received, that the service area
is contiguous to an existing franchised area, and/or that franchise approval is expected. The project name in the
CPCN or letter must match that provided in Item A(2)a of this application.
❑ D. Operational Agreements — Submit one original and two copies of a properly executed operational agreement, as
per 15A NCAC 02T .0115, if the application is submitted by a private applicant and will be serving residential or
commercial lots (e.g., houses, condominiums, townhomes, outparcels, etc.) that will be sold to another entity. If
the applicant is a home or property owner's association, use Form HOA 02/03. If the applicant is a developer,
use Form DEV 02/03. EVEN IF THE PROJECT MAY BE TURNED OVER TO A MUNICIPALITY UPON
COMPLETION, FORM DEV 02/03 IS REQUIRED.
❑ E. Downstream Sewer, WWTF Capacity and Flow Tracking/Acceptance — FORM FTSE 10/07 (Flow
Tracking/Acceptance for Sewer Extension Permit Applications) is required with every application. The applicant
(and owners of downstream sewers, pump stations and/or treatment facilities submitting FORM FTSE-10/07)
certifies that the addition of the volume of wastewater to be permitted in this project has been evaluated along the
route to the receiving treatment plant, and that the flow from this project will not cause capacity related sanitary
sewer overflows or overburden any downstream pump station en route to the receiving wastewater treatment
plant. Where the applicant is not the owner of the downstream sewer, submit two copies of FORM FTSE 10/07
from the owner of the downstream sewer and owner of the WWTF, if different. The flow acceptance indicated in
FORM FTSE-10/07 must not expire prior to permit issuance and must be dated less than one year prior to the
application date. Submittal of this application and FORM FTSE-10/07 indicates that owner has adequate
capacity and will not violate G.S. 143-215.67(a). Intergovernmental agreements or other contracts will not be
accepted in lieu of project -specific FTSE 10/07.
® F Map — Submit an 8.5-inch by 11-inch COLOR copy of a USGS Topographic Map of sufficient scale to identify the
entire project area and the closest surface waters. Each map or maps must show the location of the sewer line
and pump stations and be of reproducible quality. Include a street level map showing the downstream connection
point, and the permit number for the downstream sewer, if known.
FTA 12/07
= U G . Stream Classsifications — Watershed Classification Attachment (Form WSCAS-12/07) If any portion of the
sewer system project is within 100 feet of any surface water or wetlands, the Watershed Classification Attachment
may need to be completed. A variance must be requested for encroachment within required setbacks or buffers
pursuant to 2T .0305 (f) and be indicated in Item B-13 with supporting documentation/justification provided.
❑ H Environmental Assessments — If this project is subject to an Environmental Assessment (EA) [15A NCAC
01C], this application cannot be used. Send the project application on the most current version of Form
PSFMGSA to the Design Management Unit, 1633 Mail Service Center, Raleigh, NC 27699-1633. Applications
cannot be accepted until a Finding of No Significant Impact (FONSI) or Environmental Impact Statement (EIS)
has been issued. A copy is to be submitted with that permit application.
❑ I. Flow Direction — Many wastewater treatment systems are entering into agreements for regionalization efforts
and emergency treatment capacity. Parts of the system are installed so that the wastewater flow can be directed
to more than one treatment facility. If this is the case with this project, please indicate in 13(12) and give the permit
number of the second treatment facility.
® J. Certifications — Section C
The application must be certified by both the applicant and the design engineer who is a North Carolina
Registered Professional Engineer (PE). The applicant signature must match the signing official listed in Item
A(1 b). The PE should NOT certify the application if he/she is unfamiliar with 15A NCAC Chapter 2T, the Gravity
Sewer Minimum Design Criteria (most recent version) and the Minimum Design Criteria for the Fast -Track
Permitting of Pump Stations and Force Mains (most recent version), as applicable to the project.
THE COMPLETED FTA 12/07 APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
DOCUMENTS AND $480 FEE, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
Swannanoa, North Carolina 28778
Clay, Graham, Haywood, Henderson, Jackson,
(828) 296-4500
Macon, Madison, McDowell, Mitchell, Polk,
(828) 299-7043 Fax
Rutherford, Swain, Transylvania, Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Harnett, Hoke,
Fayetteville, North Carolina 28301-5094
Montgomery, Moore, Robeson, Richmond,
(910) 433-3300
Sampson, Scotland
(910) 486-0707 Fax
Mooresville Regional Office
610 E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
(704) 663-1699
Stanly, Union
(704) 663-6040 Fax
Raleigh Regional Office
1628 Mail Service Center
Chatham, Durham, Edgecombe, Franklin,
Raleigh, North Carolina 27699-1628
Granville, Halifax, Johnston, Lee, Nash,
(919) 791-4200
Northampton, Orange, Person, Vance, Wake,
(919) 788-7159 Fax
Warren, Wilson
Washington Regional Office
943 Washington Square Mall
Beaufort, Bertie, Camden, Chowan, Craven,
Washington, North Carolina 27889
Currituck, Dare, Gates, Greene, Hertford, Hyde,
(252) 946-6481
Jones, Lenoir, Martin, Pamlico, Pasquotank,
(252) 975-3716 Fax
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
Wilmington, North Carolina 28405
Hanover, Onslow, Pender
(910)796-7215
(910) 350-2004 Fax
Winston-Salem Regional Office
585 Waughtown Street
Alamance, Alleghany, Ashe, Caswell, Davidson,
Winston-Salem, North Carolina 27107
Davie, Forsyth, Guilford, Rockingham, Randolph,
(336) 771-5000
Stokes, Surry, Watauga, Wilkes, Yadkin
(336) 771-4630 Fax
For more information, please visit our web site at. http://www.nccp1.netlEnpineering/Sewer•020Permits.html
or contact the Regional Office serving your county.
FTA12/07
USE THE TAB KEY TO MOVE FROM FIELD TO FIELD! (to Application Number:
be completed by DWQ) WQ0029883M
1.
Owner/Permittee:
la.
Town of Aberdeen
Full Legal Name (company, municipality, HOA, utility, etc.)
Z
1b.
William R. Monroe, Public Works Director
0
Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized signing officials!)
1 c.
The legal entity who will own this system is:
❑ Individual ❑ Federal ® Municipality ❑ State/County ❑ Private Partnership ❑ Corporation ❑ Other (specify):
IX
O
1d.
115 North Poplar Street 1e. Aberdeen
LL
Mailing Address City
Z
1f.
North Carolina 1g. 28315
Z
State Zip Code
0
1 h.
910-944-7012 1 i. 910-944-7459 1 j. dckiemonroe@alltel.net
QTelephone
Facsimile E-mail
V
2.
Project (Facility) Information:
J
2a.
Legacy Offsite Trunk Sewer 2b. Moore
Brief Project Name (permit will refer to this name) County Where Project is Located
a
Q
3.
Contact Person:
Q
3a.
Kris Rowe, Engineer
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b.
704-376-7777 3c. krowe@landdesign.com
Phone Number E-mail
1.
Project is ❑ New ® Modification (of an existing permit) If Modification, Permit No.: W00029883
2.
Owner is ® Public (skip to Item B(3)) ❑ Private (go to Item 2(a))
2a.
If private, applicant will be: 2b. If sold, facilities owned by a (must choose one)
❑ Retaining Ownership (i.e. store, church, single office, etc.) or ❑ Public Utility (Instruction C)
❑ Leasing units (lots, townhomes, etc. - skip to Item B(3)) ❑ Homeowner Assoc./Developer (Instruction D)
❑ Selling units (lots, townhomes, etc. - go to Item B(2b))
3.
Moore Count
Z
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
4a.
Moore County Water Pollution Control Facility 4b. NC 0037508
QName
of WWTF WWTF Permit No.
5a.
Moore County 5b. 48" ® Gravity 5c.
Owner of Downstream Sewer Receiving Sewer Size f ❑ Force Main Permit # of Downstream Sewer (Instruction E)
0
6.
The origin of this wastewater is (check all that apply):
Z
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® Residential Subdivision ❑ Retail (Stores, shopping centers) 100 % Domestic/Commercial
❑ Apartments/Condominiums ❑ Institution % Industrial (attach
❑ Mobile Home Park ❑ Hospital description.)
Lll
El School El Church (RO: contact your Regional Office
® Restaurant ❑ Nursing Home
a
❑ Office El Other (specify): Pretreatment staff)
% Other (specify):
7.
Volume of wastewater to be allocated or aermitted for this particular project: Zero 0 gallons per day
*Do not include future flows or previously permitted allocations
8.
If the permitted flow is zero, indicate why:
® Pump Station, Outfall or Interceptor Line where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit No.
❑ Rehabilitation or replacement of existing sewer with no new flow expected (see 15A NCAC 02T .0303 to determine if a
permit is required)
FTA 12/07
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9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2T .0114 for
the value in Item 13(7) AND/OR the design flow for line or pump station sizing if a reduced or zero flow is being requested in
Item 13(7). Values other than that in 15A NCAC 2T .0114 (b) and (c) must be supported with actual water or wastewater use
data in accordance with 15A NCAC 2T .0114 (f).
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches)
Ci
Length (feet) New Gravity or Additional
Force Main
6,433 Force Main
11. Summary of Pump Stations w/ associated Force Mains to be Permitted (attach additional sheets as necessary)
Pump Station Location ID
Design Flow
(MGD)
(self chosen - as shown on plans/map for reference)
Operational Point Power Reliability Option
GPM @TDH 1 -permanent generator w/ATS; Force Main Size Force Main Length
2 - portable generator w/MTS
Pump Station Location ID (self chosen - as shown on plans/map for reference)
Design Flow Operational Point Power Reliability Option
(MGD) GPM @TDH 1 - permanent generator w/ATS; Force Main Size Force Main Length
2 - portable generator w/MTS
Pump Station Location ID (self chosen - as shown on plans/map for reference)
Design Flow Operational Point Power Reliability Option
(MGD) GPM @TDH 1 - permanent generator w/ATS; Force Main Size Force Main Length
2 - portable generator w/MTS
12. Will the wastewater flow in the proposed sewer lines or pump stations be able to be directed to another treatment facility?
❑ Yes ® No If Yes, permit number of 2"d treatment facility
(RO — if "yes" to 13,12 please contact the Central Office PERCS Unit)
13. Does the sewer system comply with the Minimum Design Criteria for the Fast Track Permitting of Pump Stations and Force
Mains (latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC Chapter 2T as
applicable?
® Yes ❑ No If No, please reference the pertinent minimum design criteria or regulation and indicate why a
variance is requested. SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS
PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
FTA 12/07
• 14. Have the following permits/certifications been submitted for approval for the system or project to be served?
Wetland/Stream Crossings - General Permit or 401 Certification? ® Yes ❑ No ❑ N/A
W
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Sedimentation and Erosion Control Plan?
Stormwater?
® Yes ❑ No ❑ N/A
® Yes ❑ No ❑ N/A
15. Does this project include any high priority lines, [see 15A NCAC 02T .0402 (2)] involve aerial lines, siphons, or interference
manholes)? These lines will be considered high priority and must be checked once every six months
Check if Yes: ® and provide details: Aerial force main crossing of Aberdeen Creek to tie into ex. Moore County line.
1. Owner/Permittee's Certification: (Signature of Signing Official and Project Name)
1, Milliam R. Monroe, attest that this application for Legacy Offsite Trunk Sewer has been reviewed by me and is
accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting documentation and attachments are not included, this application package
is subject to being returned as incomplete. Note: In accordance with North Carolina General Statutes 143-215.6A and
143-215.6B, any person who knowingly makes any false statement, representation, or certification in any application
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
1a. � mlw
Signing Official Signature
/ Date
ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXI
TO OTHER UTILITIES, DESIGN CALCULATIONS. ETC. REFER TO 15A NCAC 02T .0305
2. Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
1, Kristopher W. Rowe, attest that this application for Legacy Offsite Trunk Sewer has been reviewed by me and is
accurate, complete and consistent with the information in the engineering plans, calculations, and all other supporting
documentation to the best of my knowledge. I further attest that to the best of my knowledge the proposed design has
been prepared in accordance with the applicable regulations, Gravity Sewer Minimum Design Criteria for Gravity Sewers
adopted February 12, 1996, and the Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force
Mains adopted June 1, 2000 and the watershed classification in accordance with Division guidance. Although other
professionals may have developed certain portions of this submittal package, inclusion of these materials under my
signature and seal signifies that I have reviewed this material and have judged it to be consistent with the proposed design.
Note: In accordance with NC General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application 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.
2a. Kristopher W. Rowe, P.E. \\0\ 1111/7
Professional Engineer Name ��� .R /
2b. LandDesign, Inc 0 * 9
Engineering Firm = '�••
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2c. 223 North Graham Street = 32666 '
Mailing Address �c • F.
2d. Charlotte 2e. NC 2f. 28202 i��/S+T 4GIt4
City State Zip OPHER'N' N id
2g. 704-376-7777 2h. 704-171-5150
Telephone Facsimile
2i. krowe@landdesign.com //111111010�IJ
E-mail NC PE Seal, Signature & Date
FTA 12/07
FAST -TRACT{ APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 6
Reason for Modification:
The reason for the modification is that due to soil conditions, the 8" force main can not be bored under
Aberdeen Creek. Consequently, to avoid impact to the creek and adjacent wetlands, the force main is
being proposed as an aerial crossing in the area adjacent to Aberdeen Creek. The aerial crossing is needed
because the force main is required to cross Aberdeen Creek in order to tie in to the Moore County trunk
sewer on the other side. The aerial crossing is the only viable option given the current situation. This force
main with aerial crossing will receive flow from a pump station permitted under permit #WQ0030128 and
a future pump station.
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TRANSMITTAL D,AYY O
223 North Graham Street, Charlotte, NC 28202 V(
V:704.333.0325 F:704.332.3246
DATE: 9/26/2008
PROJECT NAME: Legacy Lakes
TO: Trent Allen
NCDENR - Fayetteville
225 Green Street, Suite 714
Fayetteville NC 28301
CC:
WE ARE SENDING:
DRAWINGS
SPECIFICATIONS
X APPLICATIONS
FEES
REDLINES
DISK / CD
OTHER
'QUANTITY: ITEM:
1
i1
NOTES:
VIA:
MAIL
FAX
COURIER
FEDEX GROUND
X FEDEX OVERNIGHT
HAND DELIVERY
PICK UP
EMAIL
NUMBER OF PAGES:
1
PROJECT #:
1005191
BUS. PHONE:
(910) 486-1541
BUS. FAX:
(910) 486-0707
BUS. MOBILE:
PURPOSE:
APPROVAL
' YOUR USE
YOUR INFORMATION
XREVIEW / COMMENT
YOUR REQUEST
SIGNATURE
!DESCRIPTION: - -
Fast Track Permit Modification Package for permit #WQ0029883
'Check in the amount of $480.00 (#11152)
Trent,
Enclosed please find the necessary documentation for a modification to permit W00029883. Feel free to contact me if you have any
questions.
Sincerely,
Kris Rowe
FROM: Kris Rowe, PE
If this document was delivered via FAX, the accompanying transmission contains confidential information intended only for the use of the individual of the entity named above.
If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or the taking of any action in reliance on the contents of this facsimile
information is strictly prohibited. If you have received this FAX in error, please immediately notify us by telephone to arrange for disposition or return of the documents to us.
Charlotte NC
Washington DC Tampa FL Asheville NC Pinehurst NC Charlotte NC Nashville TN Beijing PRC
LandDesign urban design planni^g civil engireerng lardscaae architec-ure DENR—FRO
TRANSMITTAL OCT 13 2008
223 North Graham Street, Charlotte, NC 28202 V:704.333.0325 F:704.332.3246 Dr'n'Q
DATE: 10/10/2008
PROJECT NAME: Legacy Lakes
TO: Trent Allen
NCDENR - Fayetteville
225 Green Street, Suite 714
Fayetteville NC 28301
CC
WE ARE SENDING:
DRAWINGS
SPECIFICATIONS
X APPLICATIONS
FEES
REDLINES
DISK / CD
OTHER
QUANTITY: ;ITEM:
I
NOTES:
VIA:
MAIL
FAX
COURIER
! FEDEX GROUND
X FEDEX OVERNIGHT
HAND DELIVERY
PICKUP
EMAIL
NUMBER OF PAGES: 1
PROJECT #: 1005191
BUS. PHONE: (910) 486-1541
BUS. FAX: (910) 486-0707
BUS. MOBILE:
PURPOSE:
APPROVAL
I I YOUR USE
YOUR INFORMATION
REVIEW / COMMENT
X YOUR REQUEST
I_ SIGNATURE
DESCRIPTION: —
Fast Track Permit Modification Package for permit #WQ0029883
Trent,
Here are the sealed copies of the permit. Thank you for your help and have a great week.
Sincerely,
Kris Rowe
FROM: Kris Rowe, PE
If this document was delivered via FAX, the accompanying transmission contains confidential information intended only for the use of the individual of the entity named above.
If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or the taking of any action in reliance on the contents of this facsimile
information is strictly prohibited. If you have received this FAX in error, please immediately notify us by telephone to arrange for disposition or return of the documents to us.
Charlotte NC
Washington DC Tampa FL Asheville NC Pinehurst NC Charlotte NC Nashville TN Beijing PRC