WQ0034379_Regional Office Historical File 2002 to 2009

TALE COPY
,
FAA
NCDN
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Connie T. South, Town Manager
Town of Cajah's Mountain
1800 Connelly Springs Road
Lenoir, N.C. 28645
Dear Ms. Smith:
Division of Water Quality
Coleen H. Sullins Dee Freeman
Director Secretary
October 7,2009
Subject: Permit No. WQ0034379
Town of Cajah's Mountain
Floral Drive Area Sanitary Sewer
Wastewater Collection System Extension
Caldwell County
In accordance with your application received September 30, 2009, and additional information
received on October 5, 2009, we are forwarding herewith Permit No. WQ0034379, dated October 7,
2009, to the Town of Cajah's Mountain for the construction and operation 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 This permit shall be effective from the date of issuance until rescinded,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 incorporated therein by reference. Please send Don Price a copy
of the "notice to proceed" issued to your contractor for this collection system extension.
Please pay particular attention to Permit Condition 3 which requires that the wastewater
collection facilities be properly operated and maintained in accordance with 15A NCAC 2T .0403 or any
individual system -wide collection system permit issued to the Permittee.
Permitting of this project does not constitute an acceptance of any part of the project that does
not meet 15A NCAC 2T; the Division of Water Quality's (Division) 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
the North Carolina -licensed Professional Engineer named in the application. It shall be the Permittee's
responsibility 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.
Asheville Regional Office
2090 US Highway 70, Swannanoa, NC 28778
Internet www.ncwaterquality.org
Telephone [phone] Fax [phone]
DENR Customer Service Center
An Equal Opportunity Action Employer
Telephone [phone]
50% recycled/10% post -consumer paper

Town of Cajah's Mountain October 7, 2009
In accordance with the provisions of Article 21 of Chapter 143, General Statut
Carolina as amended, and other applicable Laws, Rules, and Regulations, permissioi
granted to the Town of Cajah's Mountain for the construction and operation of approximately 14,500
linear feet of 8-inch gravity sewer; to serve 122 Residential Homes @ 360 gpd/home as part of the
Floral Drive Area Sanitary Sewer project, and the discharge of 43,920 gallons per day of collected
domestic wastewater into the City of Lenoir's Gunpowder Creek WWTP's existing sewerage system,
pursuant to the application received September 30, 2009 and in conformity with 15A NCAC 2T; 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 Environment and Natural Resources and considered a part of this permit;
The sewage and wastewater collected by this system shall be treated in the City of Lenoir's
Gunpowder Creek Wastewater Treatment Facility (Permit No. NC0023736) prior to being discharged
into the receiving stream. This permit shall become voidable unless the agreement between the Town
of Cajah's Mountain and City of Lenoir for the collection and final treatment of wastewater is in full force
and effect.
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 150B 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.
4500.
If you need additional information concerning this matter, please contact Don Price at (828) 296-
Sincerely,
for Coleen H. Sullins, Director
Division of Water Quality
cc: Caldwell County Building Inspector
IpmARQuda:, - . ater,Fr • ecti.on= VVV\&T,,N. P6 6- its l o.. NC002373'��"�
The Wooten Company, Hickory, N.C.
City of Lenoir's Gunpowder Creek WWTP
Surface Water Protection Section Central Files
PERCS Files

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
following specified conditions and limitations:
This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC .0200; 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 unless specifically
mentioned herein.
2. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data.
3. 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
operation and maintenance of these facilities as required by 15A NCAC 2T .0403. If an individual
permit is not required, the following performance criteria shallbe met as provided in 15A NCAC 2T
.0403:
a. The sewer system shall be effectively maintained and operated at all times to prevent
discharge to land or surface waters, and any contravention of the groundwater standards in
15A NCAC 2L .0200 or the surface water standards in 15A NCAC 2B .0200.
b. A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan shall be 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-month period of time.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Inspection and maintenance records shall be maintained for a period of at least three years.
h. 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 §143-215.1 C.

PERMIT N
Mou
4. This permit shall not be transferable. In the event there is a desire for the wastewater collectiM
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.
5. 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.
6. Upon completion of construction and prior to operation of these permitted facilities, a certification, a
copy of the construction record drawings, as well as supporting design calculations for any pump
stations permitted as part of this project shall be received from a North Carolina -licensed
Professional Engineer certifying that the facilities have been installed in accordance with this
permit; 15A NCAC 2T; 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 Main adopted June 1, 2000 as applicable; and other supporting materials. If this project
is to be completed in phases and partially certified, you shall retain the responsibility to track
further construction approved under the same permit, and shall provide a final certificate of
completion once the entire project has been completed. A copy of the construction record
drawings, indicating the facilities constructed in the phase being certified, shall be submitted with
each partial certification. Mail the Engineer's Certification, one copy of the "Construction Record
Drawings," and one copy of the supporting design calculations to the Non -Discharge Permitting
Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617.
7. A copy of the construction record drawings shall be maintained on file by the Permittee for the life
of the wastewater collection facilities.
8. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2T.; 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.
9. 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.
10. 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 other government agencies
(local, state and federal) which have jurisdiction, including but not limited to applicable river buffer
rules in 15A NCAC 2B .0200, erosion and sedimentation control requirements in 15A NCAC Ch. 4
and under the Division's General Permit NCG010000, and any requirements pertaining to wetlands
under 15A NCAC 213.0200 and 15A NCAC 2H .0500.
11. Noncompliance Notification:
The Permittee shall report by telephone to a water qualitv staff member at the Asheville Regional
Office, telephone number [phone], 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:
Pa

79. Town of Caiah's M
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 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.
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 (919)
733-3300. Persons reporting any of the above occurrences shall file a spill report by completing
Part I of Form CS-SSO (or the most current Division approved form), within five days following first
knowledge of the occurrence. This report shall outline the actions taken or proposed to ensure that
the problem does not recur. Per Condition 1(2), 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.
Permit issued this the 7th day of October, 2009
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
, - t� , " t e Z-"
for Cop en H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0034379

NO. W00034379. Town of Caiah's Mountain. Floral Drive Area San
ENGINEERING CERTIFICATION — POST CONSTRUCTION
System Description:
The Town of Cajah's Mountain proposes to construct and operate approximately 14,500 linear feet of 8-
inch gravity sewer; to serve 122 Residential Homes @ 360 gpd/home as part of the Floral Drive Area
Sanitary Sewer project, and the discharge of 43,920 gallons per day of collected domestic wastewater
into the City of Lenoir's Gunpowder Creek WWTP's existing sewerage system, pursuant to the
application received September 30, 2009.
Complete and submit this form to the Asheville regional office with the following:
One copy of the project record drawings (plan & profile views of sewer lines) of the wastewater collection
system extension
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.
This project shall not be considered complete nor allowed to operate until this Engineer's Certification and all
requiredsupporting 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.
ENGINEERS CERTIFICATION
❑ Partial ❑ Final
, 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 above referenced
project 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, signature, and date:
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
ROGER C. EDWARDS
SURFACE WATER PROTECTION SUPERV#SOR
ASHEVILLE REGIONAL OFFICE
2090 US HIGHWAY 70
SWANNANOA, NC 28778

O. WQ0034379 Town of Caiah's Mountain Floral Drive Area SanitarySewer Caldwell Count October 7 2009
V
tee is responsible for tracking all partial certifications up until a final certification is received. Any wastewater flow
ary 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.

�SEP 3 0 2009
WATER QUALITY SECTI
ASHEVILLE R,-GiO,,JAI_ nF
WQUU34379
epar me 11 ♦ jlionment and Natural Resources
IF IA' ,I�i�'sion of Water Quality
SEP 2 i Z009_D r
S;TyT12ACK APPLICATION
'ER QUALITY SECTION j (FTA 12/07 )
xy. S FURS STATIONS, AND FORCE MAINS
0� wuy .s.sxstems are not to Ne included as part of this application package)
INSTRr��7 15 "Ih`dieate'that you have,ThF,1 ed� tidies l fi`�`f P PEi�'gi 't'WIr`equired application package items by
checkind-§pace prouidecLn-ekt to.gach applimbf item. Failure to submit all required items will lead to your application
being returned as incomplete. Forms areyavaira"bre from the web site or by calling the Regional Office serving your county.
http://h2o. enr. state. nc. us/peres/Collection%20SystemsICollectionSystemApplica tions. html
® A. Application Form - Submit 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 Bf 13).
Separate applications should be made for non-contiguous sewer systems.
® B. Application Fee - Submit a check in the amount of '1 ` : 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.
FFA 12/07

r
ifications — 1 irshed Classification Attachment (Foi -VSCAS-12/07) If any portion of the
Re'm project is withii ) feet of any surface water or wetlands, t Vatershed Classification Attachment
i to be completed. A variance must be requested for encroachment within required setbacks or buffers
to 2T .0305 (f) and be indicated in Item B-13 with supporting documentation/justification provided.
nental Assessments — If this project is subject to an Environmental Assessment (EA) [15A NCAC
s application cannot be used. Send the project application on the most current version of Form
A to the Design Management Unit, 1633 Mail Service Center, Raleigh, NC 27699-1633. Applications
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.
❑ 1. 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 B(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(1b). 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
Avery, Buncombe, Burke, Cherokee,
Clay, Graham, Haywood, Henderson, Jackson,
maim=Macon,
Madison, McDowell, Mitchell, Polk,
F"NUM19wd Ism
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,
[phone]
Sampson, Scotland
[phone] Fax
Mooresville Regional Office
610 E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone]
Stanly, Union
[phone] Fax
Raleigh Regional Office
1628 Mail Service Center
Chatham, Durham, Edgecombe, Franklin,
Raleigh, North Carolina 27699-1628
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] 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,
[phone]
Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] 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
[phone]
[phone] Fax
Winston-Salem Regional Office
585 Waughtown Street
Alamance, Alleghany, Ashe, Caswell, Davidson,
Winston-Salem, North Carolina 27107
Davie, Forsyth, Guilford, Rockingham, Randolph,
[phone]
Stokes, Surry, Watauga, Wilkes, Yadkin
[phone] Fax
For more information, please visit our web site at: http://www.nccgl.net/En4ineerinp/Sewer%20Permits.html
or contact the Regional Office serving your county.
FFA12/07

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Dermitteee
5. Town of Cajah's Mountain
Full Legal Name (company, municipality, HOA".y.tility'\t
b. Connie T. South, Town Manager
Signing Official Name and Title (Please review 15A,,NC�
c. The legal entity who will own this system is: "
ElIndividual [IFederal Z Municipality ❑ State/Count
d. 1800 Connelly Springs Road
Mailing Address
State
h. 828-728-5053 1 i. 828-728-5491
Telephone I Facsimile
Brief Project Name (permit will refer to this
06 (b) fc
Other
28645
Zip Code
j. cajahmtn®charterinternet.com
E-mail
Caldwell
County Where Project is Located
Clarence M. Lockamy, PE, PLS The Wooten Company, 1430B Old Lenoir Rd., NW, Hickory, NC 28601
Name and Affiliation of Someone Who Can Answer Questions About this Application
828-322-5533 3c. [e-mail]
Phone Number I E-mail
Project is Z New ❑ Modification (of an existing permit) If Modification, Permit No.:
Owner is Z Public (skip to Item B(3)) ❑ Private (go to Item 2(a))
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 El Public Utility (Instruction C)
El 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))
City of Lenoir
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
Gunpowder Creek WWTF �4b. NC 0023736
Name of WWTF WWTF Permit No.
Town of Cajah's Mountain 5b. 12" Z Gravity
Owner of Downstream Sewer Receiving Sewer Size ❑Force Main
The origin of this wastewater is (check all that apply):
Z Residential Subdivision
❑ Apartments/Condominiums
❑ Mobile Home Park
❑ School
❑ Restaurant
❑ Office
❑ Retail (Stores, shopping centers)
❑ Institution
❑ Hospital
❑ Church
Volume of wastewater to be allocated or perrr
*Do not include future flows or previously
If the permitted flow is zero, indicate why:
❑ Pump Station, Outfall or Interceptor Line m
❑ Flow has already been allocated in Permit
❑ Rehabilitation or replacement of existing s
permit is required)
#� jallocations
---SEP 21 2009
low ill be permitted in sub
100 % Domestic/Commercial
% Industrial (attach
description.)
Ii "`'tact your Regional Office
Pi' tment staff)
OX Other (specify):
0 ! — gallons per day
ASHEVILLE REGIUNHL ��rriv�
.-mae.it 1. _-r_,_.+I►..-w.+.. .• � ''�^
s that connect to this line
t 02T .0303 to determine if a
FICA 12/07

the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2T .0114 for
e value in Item B(7) AND/OR the design flow for line or pump station sizing if a reduced or zero flow is being requested in
loide
Item B(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).
122 Residential homes @ 360 gpd/home = 43,920 gpd
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
—
Size (inches)
Length (feet)
New Gravity or Additional
Force Main
8
14,500
Q mary of Pump Stations w/ associated Force Mains to be Permitted (attach additional sheets as necessary)
2Z,—ta--tion
zLocation ID (self chosen - as shown on plans/map for reference)
F-: Design Flow Power Reliability Option
Operational Point
Z (MGD) GPM @TDH 1 - Permanent generator w/ATS; Force Main Size Force Main Length
O 2 - portable generator w/MTS
(i ---- —
Z
p--
- ------ - ---- --
aPump
Station Location ID (self chosen - as shown on plans/map for reference)
_
Design Flow
(MGD)
Operational Point
GPM @TDH
Power Reliability Option
1 - permanent generator w/ATS;
Force Main Size
Force Main Length
Q
2 - portable generator w/MTS
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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 2nd 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,
F'FA 12/07

permits/o ~ >ations been submitted for approval for the syi I or project to be served?
Crossings - General Permit or 401 Certification? ® Yes ❑ No ❑ N/A
mentation and Erosion Control Plan? ® Yes ❑ No ❑ N/A
Stormwater?
® Yes ❑ No ❑ N/A
5. 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 .
if Yes: ® and provide details
Aerial lines on Line 1 at STA 0+45 and on Line 6 at STA 22+75, STA 32+65, and STA 44+15.
11. Owner/Permittee's Certification: (Signature of Signing Official and Project Name)
1, Connie T. South , attest that this application for Floral Drive Area Sanitary 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 violation.
7--ill-
1r
Signing Official Signature ate
ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY
OTHER UTILITIES, DESIGN CALCULATIONS. ETC. REFER TO 15A NCAC 02T .0305
ITO
0 - — - - -
2. Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
_Clarence M. Lockamy, PE, PLS , attest that this application for _Floral Drive Area Sanitary Sewer_ has been
LL ! 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
W for Gravity Sewers adopted February 12, 1996, and the Minimum Design Criteria for the Fast -Track Permitting of Pump
Q 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. Clarence M. Lockam , PE, PLS
ooAoonaouoa�0000
,0000� C . obi
. �S•..c* f,?om�``
Professional Engineer Name
— _ -
,2b.
The Wooten Company
o Q� •� y a
Engineering Firm
o o L •, m
9 e
'
F • ••
2c. 1430B Old Lenoir Road, NW
Mailing Address
,2d.
Hickory 2e. NC 2f. 28601
City State Zip
-- ---
e
AB�6a'a000
2g. 828-322-5533 12h. 828-322-5242 i. [e-mail]
Telephone I Facsimile E-mail
I NC PE Seal, Signature & Date
FFA 12/07

E N G I N E E R I N G
PLANNING
ARCHITECTURE
1430B Old Lenoir Road, NW
Hickory, NC 28601
828.322.5533
l Q
�. •'' � � � � � I —nab i t <.
SEt' 3 S 2009 J-
September Yoo�,r 30, 2009 ? ns` r ,ILLS R=�alor'
Mr. Roy M. Davis
Asheville Regional Office
N.C. Department of Environment and Natural Resources
Division of Water Quality
2090 U.S. Highway 70
Swannanoa, NC 28778
Re: Fast Track Application
Floral Drive/Rambling Acres Area Sanitary Sewer
Town of Cajah's Mountain, Caldwell County
TWC Project No. 2808-T
Dear Mr Davis:
In response to your letter dated September 22, 2009, the following information for the
above project is enclosed for review by your office:
1. One (1) original and one (1) copy of the application for "Fast Track Application, for
Gravity Sewers, Pump Stations, and Force Mains."
2. A check in the amount of $480.00 for the permit processing fee.
3. Form FTSE 10/07.
4. USGS Topographic Map of the project area.
5. Form WSCAS-12/07.
6. Letter of acceptance of wastewater flow from City of Lenoir.
I apologize for the previous oversight. The Town was to sign the application and return
to our office for final submittal. Should you have any questions or need additional
information, please let me know.
Sincerely,
THE WOOTEN COMPANY
44,I,V44,4 &
l/
Hannah M. Vinson, EI
Enclosure
Pc: Mrs. Connie T. South, Town Manager
fax [phone]

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FORM WSCAS-12/07 \0 W ACO
T �9QG
WATERSHED CLASSIFICATION ATTACHMENT
FOR SEWED SYSTEMS
Applicant Name
Project Name
Town of Cajah's Mountain
Floral Drive Sanitary Sewer
Professional Engineer Name
Engineering Firm Name
Clarence M. Lockamy, PE, PLS
The Wooten Company
Location
ID
Name of Waterbody'
County
River
Basin
Waterbody Stream
Index No.
Waterbody
Classification
SITE
Unnamed tributary to
Caldwell
Catawba
11-55-(0.5)
C
Gunpowder Creek
' If unnamed, indicate "unnamed tributary to X", where X is the named waterbody to which the unnamed tributary joins.
°nounn000
I certify that as a Registered Professional Engineer in the State of Q000�� Cq,q��oio
North Carolina that I have diligently followed the Division's instructions �. ,°•,•••• O® o
for classifying waterbodies and that the above classifications are : °oFESS/n;••. `i000
inclusive of the stated project, complete and correct to the best of my ? o Q� ��•'•o 7
knowledge and belief. - °
° SE'
°
°
° 929lo
PE Seal, Signature and Date o r % F moo yF9 • NCI N EE
ooAe "P"C •• •°•°°° ° v400
F • O�Ja
n aenuspp4� 130 D
*** END OF FORM WSCAS-12/07 ***
FORM: WSCAS-12/07 Page 1 of 1

ti
CF LEVY
et't.• O
c v�zm
CAgO
CRY MANAGER CITY OF LENOIR MAYOR
W. LANE BAILEY DAVID W. BARLOW
NORTH CAROLINA CITYCOUNCIL
J. L GIBBONS
T. H. PERDUE
M. F. PERRY
H. L. PRICE
T. J. ROHR
September 10, 2009 D. F. STEVENS
M. O. STRAWN
Mrs. Connie South, Town Manager
Town of Cajah's Mountain
1800 Connelly Springs Road
Lenoir, North Carolina 28645
Re: Wastewater Flow Acceptance
Sanitary Sewer Extension; Floral Drive
Town of Cajah's Mountain, North Carolina
Dear Mrs. South:
This letter is to acknowledge the City of Lenoir's willingness to accept an additional 43,920
gallons of wastewater per day from the Town of Cajah's Mountain. It is understood that this
flow will result from extending the Town's wastewater collection system to serve existing homes
in the Floral Drive area.
The additional flow will enter the City of Lenoir's collection system at the existing metering
point and will be treated at the City's Gunpowder WWTP (Permit #NC 0023736).
It is also understood that the anticipated flow is a portion of the "Guaranteed Capacity" of
200,000 gallons per day as outlined in the Wastewater Agreement between the City of Lenoir
and the Town of Cajah's Mountain and dated October 11, 1994.
Sincerely,
CITY OF LENOIR
;fad // ff
Mack W. Edmisten
Director — Public Utilities
City of Lenoir, North Carolina
Cc: W. Lane Bailey, Lenoir City Manager
POST OFFICE BOX 958 • LENOIR. NORTH CAROLINA 28645-0958 • [phone]

OF W A TFR State of North Carolina
`q� QG Department of Environment and Natural Resources
Division of Water Quality
>
p Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE—10/07)
Project Applicant Nam ;Town of C j.a `s Mountain
Project Name for which flow is being requested: Floral Drive SaniLM Sewer
More than one FTSE-10107 may be required for a single project if the owner of the WWTP is not responsible for all
pump stations along thg routs of thg proposgd wostgwatgrflow\
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: ,Gunpowder Creek WWTP
b. WWTP Facility Permit M NC 0023736
All flows are in MGD
c. WWTP facility's permitted flow 2.000
d. Estimated obligated flow not yet tributary to the WWTP .065
e. WWTP facility's actual avg. flow 1.100
f. Total flow for this specific request .044
g. Total actual and obligated flows to the facility 1.209
h. Percent of permitted flow used 60%
II. Complete this section for each pump station you are responsible for along the route of this
proposed wastewater flow.
List pump stations located between the project connection point and the WWTP
Pump Station Name
N/A
III. Certification Statement:
Approx. Capacity, MGD Approx.
(Firm/Design) Daffy
Avg.
a
I, Mack W. Edmisten , certify that, to the best of my knowledge,. addition of the
volume of wastewater to be permitted in this project has been evaluated along Xhe route to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity
related sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant under normal circumstances. This analysis has been performed in accordance with local
established policies and procedures using the best available data. This certification applies to those items
liste ve in Sections I and II for which I am the responsible party. Signature of this form indicates
ac cg,o$t)i y�6ast ter 911D/1,
q
Signing Official Signature

Swannanoa, NC 28778
MEMO
Fast Track Application ^�

TOWN OF CAJAH'S MOUNTAIN 2805
WATER AND SEWER FUND
NCDENR 9/10/2009
Fast Track Application 480.00

rVV•
NCDENR _
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Coleen H. Sullins
Beverly Eaves Perdue Director
Governor
September 22, 2009
Mr. Clarence M. Lockamy, PE
The Wooten Company
1430B Old Lenoir Road, NW
Hickory, North Carolina 28601
Dee Freeman
Secretary
Subject: Fast -Track Application Return
Floral Drive Sanitary Sewer
Town of Cajah's Mountain
Caldwell County
Dear Mr. Lockamy:
Attached is the Fast -Track Application, including check, which was submitted on
September 21, 2009 seeking permission to construct and operate sewers to serve the
Floral Drive area of Cajah's Mountain. The Application is being returned for the
reasons that no 8'/z x 11 color map was included nor was the Application signed,
sealed and dated by an Engineer licensed to practice in the State of North Carolina.
We look forward to receipt of a completed Application.
Sincerely,
Roy M. Davis
Environmental Engineer
Xc: Connie South, Town of Cajah's Mountain
G:\WPDATA\DEMWQ\Caldwell\Cajah's Mtn. Collection System\Application Return -Floral Drive.09.doc
SURFACE WATER PROTECTION SECTION — ASHEVILLE REGIONAL OFFICE One
Location: 2090 U.S. Highway 70, Swannanoa, North Carolina 28778 NorthCarolina
Phone: [phone]\ FAX: [phone] \ Customer Service:1-877-623-6748 Naturally
www.ncwaterquality.org
An Equal Opportunity %Affirmative Action Employer

F ILE, COPY
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
Asheville
September 18, 2008
Ms. Connie T. South, Town Manager
Town of Cajah's Mountain
1800 Connelly Springs Road
Lenoir, North Carolina 28645
Subject: Permit No. WQ0033433
Town of Cajah's Mountain
Fairway Acres
Wastewater Collection System Extension
Caldwell County
Dear Ms. South:
In accordance with your application received on September 10, 2008 we are forwarding
herewith Permit No. WQ0033433, dated September 18, 2008, to the Town of Cajah's Mountain for the
construction and operation 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 incorporated
therein by reference. Please send Roy Davis a copy of the contractor's "notice to proceed" for this
project.
Please pay particular attention to Permit Condition 3 which requires that the wastewater
collection facilities be properly operated and maintained in accordance with 15A NCAC 2H .0227 or any
individual system -wide collection system permit issued to the Permittee.
Permitting of this project does not constitute an acceptance of any part of the project that does
not meet 15A NCAC 2H .0200; the Division of Water Quality's (Division) 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 the North Carolina -licensed Professional Engineer named in the application. It shall be the
Permittee's responsibility 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.
Asheville Regional Office Internet www.ncwaterquality.org
2090 US Highway 70, Swannanoa, NC 28778 Telephone [phone] Fax [phone]
DENR Customer Service Center
An Equal Opportunity Action Employer
Telephone [phone]
50% recycled/10% post -consumer paper
NorthCarolina
Naturally

a
Town of Cajah's Mountain September 18, 2008LL
X
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North C,
as amended, and other applicable Laws, Rules, and Regulations, permission is hereby granted to the
Town of Cajah's Mountain to construct and operate approximately 14,500 linear feet of 8-inch diameter
gravity sewer to serve Fairway Acres, a residential subdivision, and the discharge of 39,600 gallons per
day of collected domestic wastewater into Cajah's Mountain's existing sewerage system, pursuant to
the application received on September 10, 2008 and in conformity with 15A NCAC 2T .0305; 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 Environment and Natural Resources and considered a part of this permit. .
The sewage and wastewater collected by this system shall be treated in the City of Lenoir's
Gunpowder Creek Wastewater Treatment Facility (Permit No. NC0023736) prior to being discharged
into the receiving stream.
This permit shall become voidable unless the agreement. between Cajah's Mountain and the
City of Lenoir for the collection and final treatment of wastewater is in full force and effect.
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 150B 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 Roy Davis at (828)
296-4500.
Sincerely,
for Coleen H. Sullins, Director
Division of Water Quality
cc: ,.--Caldwell Countv Buildina Ins
Clarence M. Lockamy, PE
Mack Edmisten, City of Lenoir
PERCS Files
G:\WPDATA\DEMWQ\Caldwell\Cajah's Mtn. Collection System\WQ0033433 Cajah's Mountain, Fairway Acres.doc

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
TOWN OF CAJAH'S MOUNTAIN
FAIRWAY ACRES
CALDWELL COUNTY
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT WQ0033433
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
following specified conditions and limitations:
This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2H .0200; 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 unless specifically
mentioned herein.
2. This permit shall be effective only with respect to the nature and volume of wastesdescribed in the
application and other supporting data.
3. 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
operation and maintenance of these facilities as required by 15A NCAC 2H .0227. If an individual
permit is not required, the following performance criteria shall be met as provided in 15A NCAC 2H
.0227:
a. The sewer system shall be effectively maintained and operated at all times to -prevent
discharge to land or surface waters, and any contravention of the groundwater standards in
15A NCAC 2L .0200 or the surface water standards in 15A NCAC 2B .0200.
b. A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan shall be 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-month period of time.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Inspection and maintenance records shall be maintained for a period of at least three years.
h. 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 §143-215.1 C.

Permit No, W00033433. Town of Cajah's Mountain. Fairway Acres, Caldwell County, September 18. 2008
4
This permit shall not be transferable. In the event there is a desire for the wastewater col
facilities to change ownership, or there is a name change of the Permittee, a formal permit r
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.
5. 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.
6. Upon completion of construction and prior to operation of these permitted facilities, a certification, a
copy of the construction record drawings, as well as supporting design calculations for any pump
stations permitted as part of this project shall be received from a North Carolina -licensed
Professional Engineer certifying that the facilities have been installed in accordance with this
permit; 15A NCAC 2H .0200; 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 Main adopted June 1, 2000 as applicable; and other supporting materials. If this
project is to be completed in phases and partially certified, you shall retain the responsibility to
track further construction approved under the same permit, and shall provide a final certificate of
completion once the entire project has been completed. A copy of the construction record
drawings, indicating the facilities constructed in the phase being certified, shall be submitted with
each partial certification. Mail the Engineer's Certification, one copy of the "Construction Record
Drawings," and one copy of the supporting design calculations to the Non -Discharge Permitting
Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617.
7. A copy of the construction record drawings shall be maintained on file by the Permittee for the life
of the wastewater collection facilities.
8. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2H .0200; 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.
9. '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.
10. 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 other government agencies
(local, state and federal) which have jurisdiction, including but not limited to applicable river buffer
rules in 15A NCAC 2B .0200, erosion and sedimentation control requirements in 15A NCAC Ch. 4
and under the Division's General Permit NCG010000, and any. requirements pertaining to wetlands
under 15A NCAC 2B .0200 and 15A NCAC 2H .0500.
11. Noncompliance Notification:
The Permittee shall report by telephone to a water quality staff member at the Asheville Regional
Office, telephone number [phone], 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

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 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.
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 (919)
733-3300. Persons reporting any of the above occurrences shall file a spill report by -completing
Part I of Form CS-SSO (or the most current Division approved form), within five days following first
knowledge of the occurrence. This report shall outline the actions taken or proposed to ensure that
the problem does not recur. Per Condition 1(2), 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.
Permit issued this the 18th day of September, 2008
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for tolen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0033433

Permit No W00033433. Town of Caiah's Mountain Fairway Acres, Caldwell County, September 18, 2008
ENGINEERING CERTIFICATION - POST CONSTRUCTION
System Description:
14,500 linear feet of 8-inch diameter gravity sewer
Complete and submit this form to the Asheville regional office with the following:
• One copy of the project record drawings (plan & profile views of sewer lines) of the wastewater collection
system extension
• 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.
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 ❑ Final
, 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 above referenced
project 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 2H .0200; 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, signature, and date:
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
ROGER C. EDWARDS
SURFACE WATER PROTECTION SUPERVISOR
ASHEVILLE REGIONAL OFFICE
2090 US HIGHWAY 70
SWANNANOA, NC 28778
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.

--fr ' A' �j3°3p
epartment of Environment and Natural Resources
:.: S EP 1 0 2008 Division of Water Quality
„ _-- FAST TRACK APPLICATION
'.... (F°TA 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.-Ah2o. enr. state. nc. us/peres/Collection%20SystemsICollectionSystemApplications. html
® A. Application Form - Submit 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 B(13).
Separate applications should be made for non-contiauous 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

►1
❑ H
Stream Classifications — Watershed Classification Attachment (Form .WSCAS-12/07) If a
sewer system project is within 100 feet of any surface water or wetlands, the Watershed Classification
may need to be completed. A variance must be requested for encroachment within required setbacks o
pursuant to 2T .0305 (f) and be indicated in Item B-13 with supporting documentation/justification provided.
Environmental Assessments — If this project is subject to an Environmental Assessment (EA) [15A NCA
01 C], 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 B(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(1b). 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
sievii . R'- io" ! f i'.(90
U I ti F lr C
Avery, Buncombe, Burke, Cherokee,
'wan, nar�,, N; a r�li j8
Clay, Graham, Haywood, Henderson, Jackson,
(w a 29.6�404
Macon, Madison, McDowell, Mitchell, Polk,
04'43 W.R
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,
[phone]
Sampson, Scotland
[phone] Fax
Mooresville Regional Office
610 E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone]
Stanly, Union
[phone] Fax
Raleigh Regional Office
1628 Mail Service Center
Chatham, Durham, Edgecombe, Franklin,
Raleigh, North Carolina 27699-1628
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] 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,
[phone]
Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] 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
[phone]
[phone] Fax
Winston-Salem Regional Office
585 Waughtown Street
Alamance, Alleghany, Ashe, Caswell, Davidson,
Winston-Salem, North Carolina 27107
Davie, Forsyth, Guilford, Rockingham, Randolph,
[phone]
Stokes, Surry, Watauga, Wilkes, Yadkin
[phone] Fax
For more information, please visit our web site at: http://www.nccgi.netlEn-gineerinp/Sewer%2OPermits.html
or contact the Regional Office serving your county.
FFA 12/07

USE THE TAB KEY TO MOVE FROM FIELD TO FIELD! i Application Number:
(to be completed by DWQ),
A....� �-/1'f--- :sa__.
.
vrra:i�a nuaavc.
1a.
Town of Ca'ah's Mountain 3
Full Legal Name (company, municipality, HOA, utility, etc.)
Z
®
1 b.
Connie T. South, Town Manager
Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized signing officials!)
Q
1 c.
The legal entity who will own this system is:
❑ Individual El Federal Z Municipality-❑ State/County ❑ Private Partnership ❑ Corporation ❑ Other (specify):
®
1d.
1800 Connelly Springs Road he. Lenoir
LL
Mailing Address City
Z
1 f.
NC i1 g. 28645
Z
State Zip Code
®
1h.
828-728-5053 11i. 828-728-5491 ;1j. ca'[e-mail]
Telephone Facsimile E-mail
V
2.
Project (Facility) Information:
J
2a.
Fairway Acres Sanitary Sewer �2b. Caldwell
IL
Brief Project Name (permit will refer to this name) County Where Project is Located
Q
3.
Contact Person:
Q
3a.
Clarence M. Lockam , PE, PLS The Wooten Company, 1430B Old Lenoir Rd., NW, Hickory, NC 28601
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b.
828-322-5533 3c. [e-mail]
Phone Number ; E-mail
1.
Project is Z New ❑ Modification (of an existing permit) If Modification, Permit No.:
2.
Owner is Z 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.
City of Lenoir
Z
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
®
4a.
Creek WWTF 4b. NC 0023736
F"
Q
_Gunpowder
Name of WWTF WWTF Permit No.
5a.
Town of Ca'ah's Mountain 5b. 12" Z Gravity
Owner of Downstream Sewer Receiving Sewer Size ❑ Force Main emit oaf +'owr�k'l,r r n,y '"ewe (,Rmstr�acCu -'
LL
6.
The origin of this wastewater is (check all that apply):
Z
Z Residential Subdivision ElRetail (Stores, shopping centers) 100 %Domestic/Commercial
❑ Apartments/Condominiums ❑ Institution % Industrial (attach
❑ Mobile Home Park ❑ Hospital description.)
LU
❑ School ❑ Church
❑ Restaurant ❑ Nursing Home (RO: contact your Regional Office
a
❑ Office ❑ Other (specify): Pretreatment staff)
m
% Other (specify):
-
7.
- - -- - - - ... .. --- - -- - - - ---- ----- ------ -- — -
Volume of wastewater to be allocated or permitted for this particular project: 39,600 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
i
permit is required)
FFA 12/07

I
9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 12T.
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 request
Item .B(7). Values other than that in 15A NCAC 2T .0114 (b) and (c) must be supported with actual water or wastewater u
data in -accordance with 15A NCAC 2T .0114 (f).
110 Residential homes @ 360 gpd/home = 39,600 gpd
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches) f New Gravity or Additional
Length (feet)
j
Force Main
- - -- ------------ --- -
�--- - ----- - ---- - --- - - - - -- -
8
- -- - -- ----14,500 -- --- -- --- --
1---- --- ---------- ---- -- -- - - _......
11. Summary of Pump Stations w/ associated Force Mains to be Permitted (attach additional sheets as necessary)
LU
Pump Station Location ID (self chosen - as shown on plans/map for reference)
Design Flow �Operation­al_Point Power Reliability Option IZ(MGD)1 - permanent generator w/ATS; Force Main Size 1 Force Main Length
Q
GPM OTDH
i 2 - portable generator w/MTS
Z
Q---------
H
-- ------ -- - -- -- --- — - ----------------- ----- - --- -
!Pump Station Location ID (self chosen - as shown on for reference)
plans/map
---- ----- --- -- -- -- - - - _- -- - -- --- - -
Design Flow Power Reliability Option �-
Operational Point I
(MGD) 1 - Permanent generator w/ATS; Force Main Size Force Main Length
Q
GPM @TDH
2 -portable generator w/MTS
- -- -- - - ---- -
i
H
W
a
00
112.
Will the wastewater flow in the proposed sewer lines or pump stations be able to be directed to another treatment facility?
ID
Yes Z No If Yes, permit number of 2"d treatment facility
I(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?
Z Yes ❑ No If No, please reference the pertinent minimum design criteria or regulation and indicate why a
i
variance is requested. SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS
i
PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
' IFTA 12/07

Fr"Mave 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
Sedimentation and Erosion Control Plan? ® Yes ❑ No ❑ N/A
Stormwater? ® 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 lines on Line 1 at STA 0+45 and on Line 6 at STA 22+75, STA 32+65, and STA 44+15.
,1. Owner/Permittee's Certification: (Signature of Signing Official and Project Name)
1, Connie T. South attest that this application for Fairway Acres Sanitary 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 vi ion.
1a. g`v —
Signing Official Signature Date
U)
_®
H
Q
_0
LL
H
LL1
0
+,
ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMI
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, Clarence M. Lockamy, PE, PLS , attest that this application for Fairway Acres Sanitary 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 1 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. Clarence M. Lockamy, PE, PLS ��?P
Professional Engineer Name oQ
-- - - - - ---- - --- -
2b. The Wooten Company -_ - - - 0 P 1p�°. � 00
Engineering Firm A
2c. 1430B Old Lenoir Road, NW� d 29�
Mailing Address
2d. Hickory 2e. N
City Stated
2g. 828-322-5533 2h. 828-322-5242 Ji. clockarny(
Telephone Facsimile E-mail;:,
5
w: ' dip
S EP 10 2008
i
WATER QUALITY SECTION
ASHEVILLE REGIONAL OFFICE
& Date
FIFA 12/07

01 IG.L ILG &--vv —
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE-1.0107)
�r
Project Applicant Name: Town of 'ah's untan
Project Name for which flow is being requested: Fairway Acre SanitM�Sewer
More than one FTSE--! 0/07 may be required _
ar i the owner of the Wnp is not reVvnsibk for all
f a singk P►'o.leet f
pump stations along the route of the proposed wastewaterflow.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: �Ciunpawder Cr k WWTJP
b. WWTP Facility Permit #: C 0023736
AH flows are in MGD
c. WWTP facility's permitted flow
em permitted
—1000 ---�--
d. Estimated obligated flow not yet tributary to the WWTP.026
e. WWTP facility's actual avg. flow
100
- 1.100
f. Total flow for this specific request
0.03
Total actual and obligated flows to the facility
1.165
g.
h P of flow used
58%
11. Complete this se0ion for each pump station you are %esponsible for along the route of this
proposed wastewater flow.
List pump stations located between the project connection point and the WWTP
}Pump Station Name Approx. Capacity, MCTD Approx. Current Avg.
(Firm/Design) )Daily Flow, MGD
is a
M. Cettiflcati6n Stat--meat:
1, Mack —W Edinisten certify that, to the best of my knowledge, the addition of the volume of
wastewater to be permitted in this project has been evaluate along the route to the T�rvin ted to cause anY capacity related
ely ��"r�-r
tica,,,t�er: facility and tlsat the �Ilcs�v €rofl, proje� is -n amp Mtwn en rroxgr c m the remiving tMOnent
saoi*y se�reg overflows or overburden any do 'n pip
g3t Z!e® 1a�
i_ 'sue
pundern tip-*L^ : aw�,eatn5i�?+9.
This analysis has been performed M acciia`c nce Pius �•,�• vosasv.;o� .�
9:..:Ae ®�,.� ,.��. ��- ®�.t�� beat ava_ilabte data. This ce►d&s too applies #o moose fl�iFPS lis�cl above
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FWSCAS-12/07 W aTFgoG
ATrERSHED CLASSIFICATION ATTACHMENTCO
o <
FOR SEWER SYSTEMS
Applicant Name
Project Name
Town of Cajah's Mountain
Fairway Acres Sanitary Sewer
Professional Engineer Name
Engineering Firm Name
Clarence M. Lockamy, PE, PLS
The Wooten Company
Location
ID
Name of Waterbody'
County
River
Basin
Waterbody Stream
Index No.
Waterbody
Classification
SITE
Unnamed tributary to
Caldwell
Catawba
11-55-(0.5)
C
Gunpowder Creek
' If unnamed, indicate "unnamed tributary to X", where X is the named waterbody to which the unnamed tributary joins.
I certify that as a Registered Professional Engineer in the State of
North Carolina that I have diligently followed the Division's instructions
for classifying waterbodies and that the above classifications are
inclusive of the stated project, complete and correct to the best of my
knowledge and belief.
PE Seal, Signature and Date
0
*** END OF FORM WSCAS-12/07 ***
FORM: WSCAS-12/07
Page 1 of 1

W. LANE BAILEY
August 29, 2008
CITY OF LENOIR
NORTH CAROLINA
Mrs. Connie South, Town Manager
Town of Cajah's Mountain
1800 Connelly Springs Road
Lenoir, North Carolina 28645
Re: Wastewater Flow Acceptance
Sanitary Sewer Extension; Fairway Acres Subdivision
Town of Cajah's Mountain, North Carolina
Dear Mrs. South:
MAYOR
DAVID W. BARLOW
CITY COUNCIL
J. L. GIBBONS
T. H. PERDUE
M. F. PERRY
H. L. PRICE
T. J. ROHR
D.F.STEVENS
M. O. STRAWN
This letter is to acknowledge the City of Lenoir's willingness to accept an additional 39,600
gallons of wastewater per day from the Town of Cajah's Mountain. It is understood that this
flow will result from extending the Town's wastewater collection system to serve existing homes
in the Fairway Acres Subdivision area.
The additional flow will enter the City of Lenoir's collection system at the existing metering
point and will be treated at the City's Gunpowder WWTP (Permit #NC 0023736).
It is also understood that the anticipated flow is a portion of the "Guaranteed Capacity" of
200,000 gallons per day as outlined in the Wastewater Agreement between the City of Lenoir
and the Town of Cajah's Mountain and dated October 11, 1994.
Sincerely,
CITY OF LENOIR
"Oct) f
Mack W. Edmisten
Director — Public Utilities
City of Lenoir,. North Carolina
Cc: W. Lane Bailey, Lenoir City Manager
POST OFFICE BOX 958 • LENOIR, NORTH CAROLINA 28645-0958 • [phone]

THE
WOOTEN
COMPANY
E N G I N E E R I N G
PLANNING
ARCHITECTURE
1430B Old Lenoir Road, NW
Hickory, NC 28601
828.322.5533
September 3, 2008
Asheville Regional Office
N.C. Department of Environment and Natural Resources
Division of Water Quality
2090 U.S. Highway 70
Swannanoa, NC 28778
Re: Fast Track Application
Fairway Acres Sanitary Sewer
Town of Cajah's Mountain, Caldwell County
TWC Project No. 2808-Q
Dear Sir or Madam:
The following information for the above project is enclosed for review by your office:
1. One (1) original and one (1) copy of the application for "Fast Track Application, for
Gravity Sewers, Pump Stations, and Force Mains."
2. A check in the amount of $480.00 for the permit processing fee.
3. Form FTSE 10/07.
4. USGS Topographic Map of the project area.
5. Form WSCAS-12/07.
6. Letter of acceptance of wastewater flow from City of Lenoir.
Should you have any questions or need additional information, please let us know.
Sincerely, (`
THE WOOTEN COMPANY (�
Itil. SEP 1 u 3
Hannah M. Vinson, EI i
WATER QLUAlITY E;=C71GiN
Enclosure ! ASH EViL'LE,RFcSj N.? L C>:,'•. '': [. '
Pc: Mrs. Connie T. South, Town Manager
fax [phone]

PAY TO TWE
•` n�nnrwm ..
2.674
480.00

of W ArF9
� pG
Mr. Ronnie Setzer, Mayor
Town of Cajah's Mountain
1800 Connelly Springs Road
Lenoir, North Carolina 28645
Dear Mr. Setzer:
EFILE eopr
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Colleen H. Sullins, Director
Division of Water Quality
Q Asheville
February 4, 2008
Subject: Permit No. WQ0032700
Town of Cajah's. Mountain
Covington Place, Phase IV
Wastewater Collection System Extension
Caldwell County
In accordance with your application received on January 28, 2008 we are -forwarding herewith
Permit No. WQ0032700, dated February 4, 2008, to the Town of Cajah's Mountain for the construction
and operation 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 incorporated therein
by reference. Please send Roy Davis a copy of the contractor's "notice to proceed" for this project.
Please pay particular attention to Permit Condition 3 which requires that the wastewater
collection facilities be properly operated and maintained in accordance with 15A NCAC 2H .0227 or any
individual system -wide collection system permit issued to the Permittee.
Permitting of this project does not constitute an acceptance of any part of the, project that does
not meet 15A NCAC 2H .0200; the Division of Water Quality's (Division) 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 the North Carolina -licensed Professional Engineer named in the application. It shall be the
Permittee's responsibility 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.
Asheville Regional Office Internet www.ncwaterquality.org
2090 US Highway 70, Swannanoa, NC 28778 Telephone [phone] Fax *[phone]
DENR Customer Service Center Telephone [phone]
NorthCarolina
Nawallty
An Equal Opportunity Action Employer 50% recycled/10% post -consumer paper

Town of Cajah's Mountain February 4, 2008
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of
as amended, and other applicable Laws, Rules, and Regulations, permission is hereby granted to the
Town of Cajah's Mountain for the construction and operation of approximately 3,449.69 linear feet of 8-
inch gravity sewer to serve Covington Place, Phase IV, a residential subdivision, and the discharge of
14,040 gallons per day of collected domestic wastewater into Cajah's Mountain's existing sewerage
system, pursuant to the application received on January 28, 2008 and in conformity with 15A NCAC 2H
.0200; 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 Environment and Natural Resources and considered a part of this permit.
The sewage and wastewater collected by this system shall be treated in the City of Lenoir's
Gunpowder Creek Wastewater Treatment Facility (Permit No. NC0023736) prior to being discharged
into the receiving stream.
This permit shall become voidable unless the agreement between Cajah's Mountain and the
City of Lenoir for the collection and final treatment of wastewater is in full force and effect.
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 150B 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 Roy Davis'at (828)
296-4500.
Sincerely,
for Coleen H. Sullins, Director
Division of Water Quality
cc: Caldwell County Buildi
Mack Edmisten, City of Lenoir
PERCS Files

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
TOWN OF CAJAH'S MOUNTAIN
COVINGTON PLASE, PHASE IV
CALDWELL COUNTY
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT WQ0032700
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
following specified conditions and limitations:
This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2H .0200; 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 unless specifically
mentioned herein.
2. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data.
3. 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
operation and maintenance of these facilities as required by 15A NCAC 2H .0227. If an individual
permit is not required, the following performance criteria shall. be met as provided in 15A NCAC 2H
.0227:
a. The sewer system shall be effectively maintained and operated at all times to prevent
discharge to land or surface waters, and any contravention of the groundwater standards in
15A NCAC 2L .0200 or the surface water standards in 15A NCAC 2B .0200.
b. A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan shall be d`evelopetl 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-month period of time.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Inspection and maintenance records shall be maintained for a period of at least three years.
h. 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 §143-215.1 C.

1C1U11LIC.J LV VI IQI Il a VVVI ICI OI HF, v' a1 .1� w u Iiu...v v. I",1y1 + — .1— . —..-- .•-...•...• r-.... .--,----
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.
5. 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.
6. Upon completion of construction and prior to operation of these permitted facilities, a certification, a
copy of the construction record drawings, as well as supporting design calculations for any pump
stations permitted as part of this project shall be received from a North Carolina -licensed
Professional Engineer certifying that the facilities have been installed in accordance with this
permit; 15A NCAC 2H .0200; 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 Main adopted June 1, 2000 as applicable; and other supporting materials. If this
project is to be completed in phases and partially certified, you. shall retain the responsibility to
track further construction approved under the same permit, and shall provide a final certificate of
completion once the entire project has been completed. A copy of the construction record
drawings, indicating the facilities constructed in the phase being certified, shall be submitted with
each partial certification. Mail the Engineer's Certification, one copy of the "Construction Record
Drawings," and one copy of the supporting design calculations to the Non -Discharge Permitting
Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617.
7. A copy of the construction record drawings shall be maintained on file by the Permittee for the life
of the wastewater collection facilities.
8. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2H .0200; 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.
9. 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.
10. 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 other government agencies
(local, state and federal) which have jurisdiction, including but not limited to applicable river buffer
rules in 15A NCAC 2B .0200, erosion and sedimentation control requirements in 15A NCAC Ch. 4
and under the Division's General Permit NCG010000, and any requirements pertaining to wetlands
under 15A NCAC 213.0200 and 15A NCAC 2H .0500.
11. Noncompliance Notification:
The Permittee shall report by telephone to a water -quality staff member at the Asheville Regional
Office, telephone number [phone], 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:
fd

Any process unit failure, due .to known or unknown reasons,
of adequate wastewater transport, such as. mechanical or
blockage or breakage, etc.; or
that renders the facility incapable
electrical failures of pumps, line
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.
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 (919)
733-3300. Persons reporting any of the above occurrences shall file a spill report by completing
Part I of Form CS-SSO (or the most current Division approved form), within five days following first
knowledge of the occurrence. This report shall outline the actions taken or proposed to ensure that
the problem does not recur. Per Condition 1(2), 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.
Permit issued this the 41h day of February, 2008
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
fo C een H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0032700

ENGINEERING CERTIFICATION - POST CONSTRUCTION
System Description:
3449.69 linear feet of 8-inch diameter gravity sewer
Complete and submit this form to the Asheville regional office with the following:
• One copy of the project record drawings (plan & profile views of sewer lines) of the wastewater collection
system extension
• 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.
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. '
ENGINEERS CERTIFICATION
❑ Partial ❑ Final
, 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 above referenced
project 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 2H .0200; 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, signature, and date:
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
ROGER C. EDWARDS
SURFACE WATER PROTECTION SUPERVISOR
ASHEVILLE REGIONAL OFFICE
2090 US HIGHWAY 70
SWANNANOA, NC 28778
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.

TION�IAISWERS, PUMP STATIONS, AND FORCE MI
f i Departm
�J JA N 2 8 2008
OG
State of
North Carolina
Environment and Natural Resources
Division of Water Quality
FAST -TRACK APPLICATION
for)V�I-T�Y`S�E FWERSa PUMP STATIONS, AND FORCE MAINS
essure-s�i4�rssys'tems 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. This form may be photocopied for use as an original.
® I. Application Form - Submit one original and one copy of the completed and appropriately executed application
form. 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 13(12)
® II. 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.
❑ III. 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(2a) of this application.
❑ IV. Operational Agreements — Submit one original and two copies of a properly executed operational agreement if
the sewer extension is permitted 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
homeowners' association, use Form HOA 02/03. If the applicant is a developer, use Form DEV 02/03. EVEN IF
THE PROJECT WILL BE TURNED OVER TO A MUNICIPALITY, FORM DEV 02/03 IS REQUIRED.
® V. Flow Acceptance Letters — If the owner of the downstream sewers and/or WWTF is different from the applicant,
submit two copies of a flow acceptance letter from the owner of the downstream sewers and WWTF, if different.
Flow acceptance letters must contain the following minimum information: applicant and project name, amount of
flow accepted, and name and permit number of the receiving sewers/WWTF. The flow acceptance must not
expire prior to permit issuance and must be dated less than a year prior to the application date.
Intergovernmental agreements or other contracts will not be accepted in lieu of a project -specific flow acceptance
letter.
® VI. Map — Submit an 8.5-inch by 11-inch COLOR copy of the portion of a 7.5-minute USGS Topographic Map along
with this form. The map should identify the entire project area location as well as the closest downslope surface
waters as clearly as possible. Each map portion must be labeled with the map name and number, the identified
location of the sewer line and pump stations, and be of clear and reproducible quality. For instance, if the project
involves 4 miles of interceptor sewer that traverses over or near several different waterbodies (or counties,
basins, etc.), the map should have location ID's shown for each different waterbody (where the sewer line is within
100 feet of such waterbody - see Instruction VII). This location ID is self chosen and used to cross reference the
location in Section C of the permit application.
® VII. Stream Classifications — Section C
• If any portion of the project is within 100 feet of any down slope surface water, Section C must be completed
for the pertinent sections.
• If the entire project area is a minimum of 100 feet away from any down slope surface waters BUT there is a
pump station involved where a history of power outage is to be used to provide adequate design storage
instead of dual feed or permanent or portable generator, Section C must be completed to demonstrate that
the closest down slope surface water is Class C (see 15A NCAC 2H .0219(h)(3)(D)).
TTA Ail/A, A__- 1 .41-

TION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 2
PVUse the guidance document entitled, "Determining Watershed Classifications for Form FTA 02/03 (Fast -Track
Sewer Systems)" available from http://h2o.enr.state.nc.us/peres or by contacting the appropriate regional
office.
Vill. Environmental Assessments — If this project is subject to an Environmental Assessment (EA) [15A NCAC
01C], this application can not be used. Send the project application on Form PSFMGSA 10/99 to the PERCS
Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. Applications can not 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.
® IX. Certifications — Section D
The application must be certified by both the applicant and a North Carolina Registered Professional Engineer
(PE). The applicant signature must match the signing official listed in Item A(lb). The PE should NOT certify the
application if he/she is unfamiliar with 15A NCAC 2H .0200, 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. Certification by a PE who is unfamiliar with these documents
is subject to NC Board referral.
® X. Downstream Sewer & Wastewater Treatment Plant Capacity
The applicant has assured downstream pipe, pump station and treatment plant capacity. The addition of new
sources of wastewater from this project has been evaluated along the route to the receiving treatment plant. 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. If the applicant is not the owner of the
downstream sewer or receiving treatment plant, submittal of flow acceptance letters) indicates that owner has
adequate capacity and will not violate G.S. 143-215.67(a).
THE COMPLETED FTA 02/03 APPLICATION PACKAGE, INCLUDING ALL SUPPORTING DOCUMENTS AND $400
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,
Swannanoa, North Carolina 28778
Cherokee, Clay, Graham, Haywood,
[phone]
Henderson, Jackson, Macon, Madison,
[phone] Fax
McDowell, Mitchell, Polk, Rutherford,
Swain, Transylvania, Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Harnett,
Fayetteville, North Carolina 28301
Hoke, Montgomery, Moore, Robeson,
[phone]
Richmond, Sampson, Scotland
[phone] Fax
Mooresville Regional Office
610 E. Center Avenue, Suite 301
Alexander, Cabarrus, Catawba,
Mooresville, North Carolina 28115
Cleveland, Gaston, Iredell, Lincoln,
[phone]
Mecklenburg, Rowan, Stanly, Union
[phone] Fax
Raleigh Regional Office
1628 Mail Service Center
Chatham, Durham, Edgecombe, Franklin,
Raleigh, North Carolina 27699-1628
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance,
[phone] Fax
Wake, Warren, Wilson
Washington Regional Office
943 Washington Square Mall
Beaufort, Bertie, Camden, Chowan,
Washington, North Carolina 27889
Craven, Currituck, Dare, Gates, Greene,
[phone]
Hertford, Hyde, Jones, Lenoir, Martin,
[phone] Fax
Pamlico, Pasquotank, Perquimans, Pitt,
Tyrrell, Washington, Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin,
Wilmington, North Carolina 28405
New Hanover, Onslow, Pender
[phone]
[phone] Fax
Winston-Salem Regional Office
585 Waughtown Street
Alamance, Alleghany, Ashe, Caswell,
Winston-Salem, North Carolina 27107
Davidson, Davie, Forsyth, Guilford,
[phone]
Rockingham, Randolph, Stokes, Surry,
[phone] Fax
Watauga, Wilkes, Yadkin
For more information, visit our web site at: http✓lh2o.enr.state. nc.uslperesl
- nn/nn A___ n nA/nC

TION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 3
LL
Z
_0
H
USE THE TAB KEY TO MOVE FROM FIELD TO FIELD! Application Number:
(to be completed by DW(
Owner.
-- -___- _ _ _ .. _ ..
_._.. ._ _ .�
a. TOWN OF CAJAH'S MOUNTAIN
Full Legal Name (company, municipality, HOA, utility, etc.)
.............................................. ....... ............ ...... ............ ... ...................................................................... ...................... ................ ........................... ........... ..
b. RONNIE SETZER, MAYOR
Signing Official Name and Title (Please review 15A NCAC 2H .0206(b) for authorized signing officials!)
...................................................................................................................................................................................................................:.................................................................................................................................................................................... .................................................................................................................
c. The legal entity who will own this system is:
❑ Individual ❑ Federal ® Municipality ❑ State/County ❑ Private Partnership ❑ Comoration ❑ Other (soecifv):
d. 1800 CONNELLY SPRINGS ROAD
Mailing Address
f. NC
State
h. [phone] il i. [phone]
Telephone Facsimile
e.
9
LENOIR
City
28645
Zip Code
cajahmtr
E-mail
C.i.
2.
Project (Facility) Information:
a
2a.
__.._._...... ___ _ _.________--
COVINGTON PLACE PHASE IV SANITARY SEWER
.___ _ __ .._.._.._.._.,,____._,,.._.__.._....._.
2b. CALDWELL
G.
Brief Project Name (permit will refer to this name)Count
__..__......... _ _.___......_
Where Project is Located
Y 1
Q
,3 ........................................................................................................................................................................................................................................................................................................................._.........................................................................................................................................
Contact Person:
Q
3a.
BENJAMIN B. THOMAS, CONSULTING ENGINEER
I
Name and Affiliation of Someone Who Can Answer Questions
....... ......... ...
About this Application
3b
.......... ........... ....... ............ .........
[phone]
....... .............................. ....... ........ ...........................
3c [e-mail]
..........._
Phone Number
E-mail
I.
Project is ® New ❑ Modification (of an existing permit)
If Modification, Permit No.:
For modifications, attach a separate sheet clearly explaining 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 in B(7) and B(10-11) that has already been included in the original permit.
5 ......... ............. .................. ...................................................................... ........................ .... .......
,2. Owner is ® Public (skip to Item B(3)) ❑ Private (go to Item 2(a))
a. 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 El Public Utility (Instruction III)
Z ElLeasing units (lots, townhomes, etc. - skip to Item B(3)) El Homeowner Assoc./Developer (Instruction IV)
0 i ❑ Selling units (lots, townhomes, etc. - go to Item B(2b))
33. CITY OF LENOIR _ --._...
Q x Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
4a GUNPOWDER WASTEWATER TREATMENT PLANT 4b. NCO023736
Name of WWTF WWTF Permit No.
Z;?..................................................................................................................................................................................................................................................................................�86............................... .
5a. TOWN OF CAJAH'S MTN 5b. 8" ® Gravitynknown
_ Owner of Downstream SewerReceiving Sewer Size ,❑ Force Mrmit Number of Downstream Sewer (if known)
1_- 6. The origin of this wastewater is (check all that apply):
..................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
® Residential Subdivision ❑ Car Wash
i.LI ❑ Apartments/Condominiums ❑ Institution o
❑ Mobile Home Park 100 /o Domestic/Commercial
IL ❑ Hospital
i El School ❑ Church % Industrial
❑ Restaurant ❑ Nursing Home _�_ `
m ❑Office ❑ Other (specify) ................._. .._.�-...� _.-_/o Q�t�er�(sp�ecif T�' _._ ___ _.
7. Volume of wastewater to be allocated for this particular project: 14.040 gallon per, day I I
*Do not include previously permitted allocations 1171 1 _ I A nl 1) o
1 8. If the permitted flow is zero, indicate why:
❑ Interceptor Line - Flow will be permitted in subsequent permits that connect o this ImeTER QUALPY SECTION
❑ Flow has already been allocated in Permit No. ASHEVI�LE REGIONAL OFFICE
❑ Rehabilitation or replacement of existing sewer with no new flow expected
TT A Ail 1^' - ___ I / A /AG

TION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 4
0
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9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2H
.0219(I) for Item 13(7) or the design flow for line or pump station sizing if zero flow in the space below. Values other than
that in 15A NCAC 2H .0219(I)(1-2) must be supported with actual water or wastewater use data in accordance with 15A
NCAC 2H .0219(I)(3).
8" 3449.69
ENTER TOTAL LINE LENGTH IN MILES: .6534
1. Summary of Pump Stations to be Permitted (attach additional sheets as necessary) N/A
Gravity
Location ID Power Reliability Option
(self chosen - as shown on, Design Flow. Operational Point (1-dual line feed; 2- permanent generator w/ATS; 3-
plans for cross-reference) (MGD) GPM @ TDH portable generator w/telemetry; 4-wet well storage)
2. 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 2H .0200 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
._........ — _.__._____.- ........
..
13. Have the following permits/certifications been submitted for approval?
Wetland/Stream Crossings - General Permit or 401 Certification? ❑ Yes [-]No ® N/A
Sedimentation and Erosion Control Plan?
® Yes ❑ No ❑ N/A
Stormwater? ❑ Yes ❑ No ®N/A
_ .__... _ -_ ........... _ ...... _...
14. Does this project involve aerial lines or siphons? Check if yes: ❑
These.. lines..will...be..co.nsidered h.iah..priority..an.d..mu.st.be_checked...w.ce eue.rv..six..months ...... ...................
15. Does this project have gravity sewer lines designed at minimum slopes? ❑
Be aware that the Division will not accept installed lines more than 10% flatter than the minimum slope. Lines installed outside this tolerance should be
corrected prior to submitting the final engineering certification..
TT A Art 1- - ___ ^I / A 1-

PLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 5
!.Use the Division's guidance document entitled, "DETERMINING STREAM CLASSIFICATIONS FOR FORM FTA 02103
FAST -TRACK SEWER SYSTEMS)" to collect and record the stream classification data below (attach additional sheets asl
necessary). This document is available from our web site or by contacting the appropriate Division of Water Quality
Zregional office (see instructions for addresses) OR indicate the following
�.__ __.. _.. _ .... _ _.. _. .__.....�..._
❑ A Stream Classification is not needed because all parts of the project are at least 100 feet away from any down slope
waterbodY ; AND,
Q;
V ` ❑ A Stream Classification is not needed because the design does not depend on wet well storage as a power reliability
IUL
option for any pump station near a Class C down slope water body.
......... ... ............. ..........
Location ID on Map
Q (self chosen as shown on Name of Waterbody Stream Waterbody
J map for cross-reference) WaterboCounty River Basin Index Classification
dy
(� LOT 26 SERVICE LITTLE GUNCALDWELL CATAWBA 11-55-2 (1) C
.. ..... ............................ _.POWDERCREEK
.... ........ .... ... ........... . i
LOT 27 SERVICE LITTLE CALDWELL CATAWBA 11-55-2-(1) C
ni ition�nmGo roGG�
W
LOT 28 SERVICE GUNPOWDER CREEK CALDWELL I CATAWBA 11 55-2 (1) C
H............... ....... .._................... .... ......... .......... ,........................................... ..
_..............._.....__..__._._._.__-___.____..........,,._.._...__ .,,_._..._........._.___
Submit the 8.5" x 11" COLOR topographic map as required in Instruction VI
regardless of whether a classification is provided!
1. .___...........__._.______....__.......____......_........ __...____._ __._........... _............._. _____.. ___._._............... __................._
Applicants Certification:._....._
1, RONNIE SETZER, attest that this application for COVINGTON PLACE PHASE IV 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
00 per viol ion.
_-- -_ ____. _
1 a. I I Oi
Sin Official Signature Date
.. _ _ .__ __. _..____..._..__-.__—._
2. Professional Engineer's Certification:
Z I attest that this application for COVINGTON PLACE PHASE IV has been reviewed by me and is accurate, complete and
0 ` consistent with the information in the engineering plans, calculations, and all other supporting documentation to the best of
1— my knowledge. I further attest that to the best of my knowledge the proposed design has been prepared in accordance
Q with the applicable regulations, Gravity Sewer Minimum Design Criteria for Gravity Sewers adopted February 12, 1996,
V and the Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000
LL and the watershed classification in accordance with Division guidance. Although certain portions of this submittal package
may have been developed by other professionals, 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
W General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement, representation, or
V 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.
BENJAMIN B. THOMAS, P.E.
:.....................
Professional Engineer Name
.................................. ................................... .....................................................................................................................................................................
2b.
WEST CONSULTANTS, PLLC
Engineering g Firm
_......... _ __._ . � _ ___ _ —
__._... ...........
2c.
405 SOUTH STERLING STREET
Mailing Address
..2d.
MORGANTON
2e. NC
City
State
2 g
[phone]- 2h. [phone]
2i. bthor
Telephone Facsimile
E-mail
Seal, Signature & Date
-- A - 1- ---- ' /l A IA G

\NA
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state of North Cara llam
Department of Enviroutnexii and Natural'Resourees
Divisim Of water QUORty
Flow TraCkd9gJAcceptaace for' Sewer Exteusion PermItAPPReld-Ons
project Applicant Namia;
Project Name fox which flow is being requested,
Norc thart oiieFYSE-1010 may be required for avaigle projgcr lj'dje
pump sintions along the route of meproposed wasitNaturpaw.
6f rhe A�WTr iv nol reaps mviblefor all
ser.tion only if you are the owner of Ibtre,wasU:Water e,atmen t nC.
a. "TP Facility Nam�'
-41 Z7
b,'\7V"XITP Facility Pm -nit gj!o
4.owm axe in MIGD
a. W'%'TP facility's permitted flask,
d. Estitnaftfl obligated flow not yet trilautuY to the WNYTIP
e. 'Y\rWTP facility's acta-al avg, flow
r. Total flow for this Specific request
7
Total ac-tual and obligated flows to the facility
h. Peroant of pertaitied flOW Used
11. Complete tIll's soctiori for e W-h p'urnp station yoitaru responsible for alOnP-, thee TUute Of this
proposed waste water flow,
Fist; pump StItiorls located bc-t%ve�asj. the project comicction point and dic WW—I?
Puix-p Station Name App-mx. Capacity, IVGD Al )prox. Cuatent Avg.
(Firmoesign) Daily Flow, IVIGI)
M11"ItIfic ation Sul tpMaxt: e&, fy that, to the b ddi-tion of �:rj of my J,:jjo,,Jodge,t a t,
TWO 0 ow
Volume of vra%fe'water to'b�e pvnnittod in this project has bean evahtatt�d ilq--19 the t
wastewater Lft:atyrient facility and that the flDw ftorn this Project is'not antivivaU;d to cause, any cupacky
related sall.:Ury scwk-r overflow or everburden any downsivearn ptim p Ulation = roate to the roc(riving
plant =derrwrenal uilcurfmtances"rhis finglysis has boal purfk)rmed in accordance With local
established policies and procedures vaing the best avvilzblc data,This cmliiaultion Upplius to those ;;term;
listed ji in Spctig)4 ;Y Wbich I am the rlts7on , party. 5jg%3-tura of t1ur. fortu indicate s
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WEST CONSULTANTS, PLLC
Consulting Engineers
405 South Sterling Street
Morganton, North Carolina 28655
Phone [phone] Fax [phone]
TO NCDENR - DWQ (Ashevile)
2090 US Highway 70
Swannanoa NC 28778
WE ARE SENDING YOU
Shop drawings
Copy of letter
Attached Under separate cover via
Prints Plans
Change order Other:
LETTER OF 4
TRANSMITTAL
JOB NUMBER/PHONE DATE
1/25/2008
ATTENTION
RE:
Triple H Construction Co., LLC
Covington Place - Phase IV
Caldwell County, NC
the following items.
Specifications Samples
COPIES
DATE
NUMBER
DESCRIPTION
2
Fast Track Application . . .
1
Fee ($480) Pd By Triple H. Construction
FFZ I r E .-F
f
JAN 2 8 2008
i
WATER QUALITY SECTION
ASHEVILLE REGIONAL OFFICE
THESE ARE TRANSMITTED as checked below:
X For your approval Approved as submitted Resubmit copies for approval
For your use Approved as noted Submit copies for distribution
As requested Returned for corrections Return corrected prints
For review and comment Other
FOR BIDS DUE/DATE: 1/25/2008 PRINTS RETURNED AFTER LOAN TO US
REMARKS
COPY TO
ff enclosures are not as noted, please notify us at once.
PRODUCT 13127G USE WITH 771C ENVELOPE NEBS To Reorder: 1-800-225-6380 or www.nebs.com
SIGNED
&0
PRINTED IN U.S.A. A
A

-ne: _b-"Ft7 - f�"-�" , 9 -4 Review Date: j U O.e
Project Number:
Reviewer: a, t Y,,_�
All fast -track projects should be submitted on the application entitled "Fast -Track Application for
Gravity Sewers, Pump Stations, and Force Mains" (FORM: FTA 02/03 Rev 3,currently) unless
otherwise directed by the PERCS. Any pump station/force main projects that require an
Environmental Assessment (EA) are excluded from the Fast -Track review process, and should be
submitted for full review to the Central Office (PERCS) on FORM: PSFMGSA 10/99. Additionally,
any projects involving a flow reduction request must receive approval for the flow reduction from
the central office.
PRE -REVIEW
Does the application package appear to be generally complete (i.e. all attachments, check, key
questions answered)? If any portion of the application is not complete, or if any required
instruction items have been omitted, RETURN the application package and supporting
documents to the applicant using the Project Return Letter template. Send the package and
letter via certified mail to the applicant, and a copy of the letter to the engineering consultant.
Any projects that are to be returned shall be returned prior to accepting the application (i.e.,
before logging in the application and depositing the check). After a project has been accepted,
any information that is found to be incorrect and/or lacking must be requested via an Additional
Information Request in accordance with 15A NCAC 2H .0208(e).
<nsure
A+ 8D
that a check for W1s submitted and made out to NCDENR. All new projects and major
modifications to existing projects require an application fee. A major modification includes any
changes to permitted flow volumes, changes in pipe diameter, changes in pipe length greater that
10% of the originally permitted length, changes in the operating points of a pump station, etc.
SE ION A - Application Information
/ —I# the applicant is private (Item B(2)) and listed as a corporation, check the NC Department of the
/_ Secretary of State's web site at http://www.secretary.state.nc.us/Corporations/ to ensure that the
Applicant is registered with the Secretary of State to conduct business as a corporation in the
State NC. Developer's and HOA's should be listed.
Ensure that the signing official meets the requirements of 15A NCAC 2H .0206(b). If they do not,
request a revised application that has been completed by an appropriate official or a letter from
an appropriate official that indicates the person in question is delegated to sign the application on
the applicant's behalf. A current list of Delegated Signing Officials can be obtained from the
PERCS. If a new delegated signing official letter is presented with the application, forward a copy
to the central office so that the person may be added to the Delegated Signing Official list. The
central office will send E-mails to the appropriate region if a new signing official has been added
so that the most current list can be used. The Non -Discharge Permitting Unit has an example
delegated signing official letter from http://h2o.enr.state.nc.us/PERCS/spraypol.htmi#DELEG.
SECT B - Permit Information
Project is new? Modification? If the project is a modification to an existing permit, be sure to
enter the application into BIMS as a permit modification (i.e. "renew/modify application" and not
"create new project'). BIMS will pull the previous signing official and affiliations information.
Please go through all the tabs and ensure the information is correct for the current project.
Applicant a public entity (e.g. county, town, sanitary district)?
&';�t—JApplicant a private entity? .
Own (i.e. lease). units, lots, parcels, etc?
1
FAST -TRACK Application Review Procedures 2003 (Rev 2/06)

I
Sell units, lots,, parcels, etc'
;''Certificate of Public
nience and Necessity? 2W;0205(d)(2)-
♦ Required if the applic t is a public utility. In lieu of a Certificate
Convenience and Nece sity, they may submit written approval fr
North Carolina Utilities C mmission's Public Staff that states that the utility is
allowed to provide utility s ice in the subject project area. Note that the
project name on the applica 'on and on the CPCN must match. Contact the
NCUC Public Staff if question arise. This is NOT REQUIRED for a
municipality or county! Exampl of companies that would provide a CPCN
are Heater Utilities or Carolina ter Service, etc.
******OR*******
Operational Agreement? 2H .0205(d)(2
♦ Operational Agreements are only requir d if the applicant is not a public
entity (i.e. Town, County, etc.) or public u ' ity as designated by the North
Carolina Utilities Commission AND the lots eing served by the collection
system are to be sold to individual owners.
♦ If the applicant is a developer, they must fill o t the DEVELOPER
Operational Agreement (FORM: DEV 02/03). A developer may be
responsible for the system for an interim peri d until the homeowners
association is.formed, at which time a Permi Name/Ownership Change
request (FORM: PNOCF 06/00) will be nee ed to transfer the permit to
the HOA.
♦ If the applicant is a homeowners' ass ciation (HOA), they must fill out
the ASSOCIATION Operational Agr ement (FORM: HOA 02/03 The
HOA must be registered with the S cretary of State's office and must
provide a copy of the Association ' Bylaws and Articles of Incorporation.
These documents should be re ewed to ensure that all applicable
language regarding the collec n system is included as is required by
the Operational Agreement.
♦ The Operational Agreement s ould be attached to the permit and
incorporated into the Iangua e of the permit. Please note that Operational
Agreement language shou not be altered without approval from the
Attorney General's Office Operational Agreements are available at
htt ://h2o.enr.state.nc.0 /PERCS/ from the collection system applications
/ page.
./ Approval of flow to receiving sewers and WV\ TF? (i.e. P4 procedure, but now in-house!)
♦ Ensure that the receiving sewers and VVWTF have adequate capacity available to accept the
flow volume that is being requested, and that the VVV\ TF has been in compliance with their
treatment and disposal permit.
Flow acceptance letter(s) from the owner of the VVVVTF and owner of any intermediate sewers (if
different from VVV\ TF owner and applicant)? 2H .0205(d)(3)(C)
♦ Required only if the applicant and the owner of the WVVTF/intermediate sewers are not the
same entity.
♦ Project specific flow acceptance letters are required.
♦ Ensure that the following items appear in the flow acceptance letter: applicant's name,
project name, amount of wastewater flow accepted, date that the flow acceptance was
granted, expiration date of the acceptance, and name/permit number of the receiving WWTF.
Do not accept a flow acceptance letter that was issued more than one year prior to the
receipt of the package.
♦ Ensure that the owner accepted the entire volume of flow listed in application.
2
FAST -TRACK Application Review Procedures 2003 (Rev 2106)

PP
Main Problems Noted,:..A flow acceptance. letter i&provided by the receiving WWTP,owner but-
t the downstream sewer owner, which both are. different from. the applicant ; EXample,"private
developer in Knightdale. Both Knightdale and Raleigh would need to provide.a.flow acceptance .
letter as Knightdale will transport the wastewater and Raleigh will treat the wastewater.
Wastewater industrial omesti ' nature?
♦ Most projects will astewater that is domestic in nature, however, if Item B.6 indicates
that the wastewater is industrial in nature, notify the Regional Office Pretreatment
Coordinator or the WQ Pretreatment Unit Central Office to determine if a pretreatment permit
is needed or if a program already in place and compliant.
low volume calculated correctly? 2H .0299(1)
♦ Ensure that the daily design flow in the application is based on the guidance provided in the
regulations or existing flow, and that the explanation as to how this volume was determined is
very specific (i.e., 22 three -bedroom homes, 50,000 s.f. of retail space, 18 employees, etc).
This information will be included in the description of the system in the permit. Our regs say
120 gpd/bedroom for residential. Note that for one -bedroom the minimum they can use is
240 gpd.
♦ If daily design flow is not based on regulations, ensure that the applicant has an approved
flow reduction of daily design flow rate on file with the Division. A list of approved flow
reductions may be obtained from the DWQ Intranet or by contacting the PERCS. Flow
reduction requests are to be reviewed by the central office, and must be reviewed and
approved before the application is accepted by the regional office for review.
♦ On occasion, there may be an instance where supporting documentation is submitted with
the application for a specific facility. Contact PERCS to determine a course of action.
♦ Ensure that the flows shown on the application match up to what is shown on the plans (if
available for review). For example, if the application states that 100 lots are to be developed,
ensure that there are 100 lots, and not 150 lots, shown on the plans. Plans are only required
for review if the applicant is requesting a variance to the MDC or the .0200's.
♦ Do not allocate "future" wastewater flows (i.e., that based on speculative development).
These would be permitted in future wastewater collection system extensions. Although, we
do allocate "unknown" flows on a per acre basis for industrial/commercial park applications.
Generally, the Division has accepted between 900 gpd/acre -1500 gpd/acre. Let the
engineer support his calculation.
Adequate information provided regarding the proposed gravity sewer and/or force main (if
applicable)?
Note 1: An Environmental Assessment may be required if there are 3 miles of gravity sewer over
18-inches in diameter (15A NCAC 1C .0100). Environmental Assessment projects can NOT go
Fast -Track!
Main Problems Noted: A public entity specifies 6-inch line when 8-inch is required; 4-inch line is
sp___,pefied and no variance requested
A& Adequate information provided regarding the proposed pump station(s) (if applicable)?
Note: An Environmental Assessment may be required if the pump station(s) have a firm capacity
of 1,750 GPM or greater (15A NCAC 1 C .0100). If there are any questions about whether an EA
may be required, discuss with your supervisor or contact Alex Marks of the Planning Branch's
Local Government Assistance Unit.
♦ Power reliability at the pump station provided in accordance with Section 5.04 of the
Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains
document (i.e. dual line feed, portable generator w/telemetry, permanent generator with
automatic transfer switch, wet well storage if near Class C waters)? Note 1: Section C of the
FTA has to be completed and show a Class C down slope water in order to use wet well
storage as a reliability option. Include the special condition in the permit. You will need to
ask for storage calculations and -the power outage data. Note 2: Ensure telemetry is specified
if a portable generator is called out. Check with the engineer if unsure. Note 3: Ensure an
automatic transfer switch (ATS) is specified if a permanent (standby) generator is specified.
Check with the engineer if unsure:
Main Problems Noted: Failure to specify appropriate or applicable power reliability option
3
FAST -TRACK Application Review. Procedures 2003 (Rev 2/06)

Project designed in accordance with 15A NCAC'2H;..0200;,the Gravity Sewer Minimum Design
Criteria and the Minimum Design Criteria 'for the Fast -Track Permitting of Pump -.-Stations, and.
Force Mains document.(as applicable)? NO will be checked in Item 13(12) of. the FTA. If NO,
forward one copy of the supporting documents to the Central Office for review, indicating the
permit number, owner and project name. The Central Office will review the variance request, and
if approvable specific language regarding the variance will be forwarded to the Regional Office
reviewer to incorporate into the permit A copy of the variance letter provided by the central office
should be kept with the application file. If you catch something in the application or supporting
documents that is not in accordance with our regs or MDC, send an additional information
request.
Main Problems Noted: A public entity specifies 6-inch line when 8-inch is required; 4-inch line is
specified and no variance requested; supporting documents show slope issues...
SECT N C — Watershed Classification
for topographic map submitted?
Watershed classification required? if YES, you are advised to "spot-check" the classification(s).
If NO, ensure the applicant/engineer has indicated why one is not required. BOTH BOXES IN
SECTION C MUST BE CHECKED TO NOT PROVIDE A CLASSIFICATION!
SE�'TyI�N D —Applicant Certifications
C/ Signing Official's signature? 2H .0206(b)
o Ensure that the applicant's signature is the same person as that listed as the applicant's
signing official on Page 1 of the application form.
L/ PE stamped, signed, and dated application, plans, specifications, and calculations (if applicable)?
2H .0205(d)(1)(A)(iii)
♦ Ensure that the same engineer has signed, sealed, and dated the application and all the
items, with the exception of items designed by specialty disciplines (i.e., architectural,
structural, plumbing, and electrical plans). If not, an explanation and/or authorization is
C� required.
x
Adequate information provided for the engineer/engineering firm?
PE with active license in North Carolina? 2H.0205(d)(1)(A)(iii) or2H.0203(28)
♦ Ensure that ALL pertinent P.E's have active licenses by checking the NC Professional
Engineer's Board web site (www.ncbels.org - the PE number must be six digits, use leading 0
when needed).
♦ If the PE seal number does not show up on the web site database, call the PE Board for
verification [phone].
Drafting a Permit
♦ In order to be consistent, use the most current version of the Fast -Track permit shell. This permit
shell contains specific language with respect to the Minimum Design Criteria, regulations, and
collection system permitting. The PERCS will notify you of any changes to this permit shell.
♦ Be specific with respect the system description and information. Indicate the flow, what the project
will be serving, length and size of gravity sewer lines and force mains, etc. For projects involving
pump stations, the size of the pump stations, as well as the reliability option and any additional info
(telemetry, odor control system, etc) should be included. A sample permit is on the DWQ Intranet.
♦ Add or remove any special conditions as necessary. Please call attention to any non-standard permit
conditions in the cover letter of the permit and include the permit condition where necessary. See the
Example Special Conditions document.
♦ If the project is a modification, don't forget to include the system description from the previous permit
and void the previous permit in the language! Some of these can be tricky so feel free to run the
drafted permit through PERCS first before issuance.
♦ It is preferable if Fast -Tracks are saved electronically by permit number under issued year and month.
4,
FAST TRACK Application Review Procedures 2003. (Rev 2/06)

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Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P:E., Director
Division of Water Quality
Asheville
August 6, 2006
Ms. Connie South, Town Administrator
Town of Cajah's Mountain
1800 Connelly Springs Road
Lenoir, North Carolina 28645
Subject: Permit No. WQ0030593
Town of Cajah's Mountain
Frosty Frez
Wastewater Collection System Extension
Caldwell County
Dear Ms. South:
In accordance with your application received on July 31, 2006 we are forwarding herewith
Permit No. WQ0030593, dated August 4, 2006, to Cajah's Mountain for the construction and operation
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 incorporated therein by reference.
Please pay particular attention to Permit Condition 3 which requires that the wastewater
collection facilities be properly operated and maintained in accordance with 15A NCAC 2H .0227 or any
individual system -wide collection system permit issued to the Permittee.
Permitting of this project does not constitute an acceptance of any part of the project that does
not meet 15A NCAC 2H .0200; the Division of Water Quality's (Division) 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 the North Carolina -licensed Professional Engineer named in the application. It shall be the
Permittee's responsibility 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.
Asheville Regional Office Internet www.ncwaterquality.org
2090 US Highway 70, Swannanoa, NC 28778 Telephone [phone] Fax [phone]
a
DENR Customer Service Center
An Equal Opportunity Action Employer
Telephone [phone]
50% recycled/10% post -consumer paper
Nne
orthCarolina
;Vatumlly

Town of Cajah's Mountain August 4, 2006
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina al
amended, and other applicable Laws, Rules, and Regulations, permission is hereby granted to the
Town of Cajah's Mountain for the construction and operation of approximately 3,862 linear feet of 8-
inch gravity sewer to serve Frosty Frez, an ice cream restaurant, and the discharge of 6,240 gallons
per day of collected domestic wastewater into Cajah's Mountain's existing sewerage system, pursuant
to the application received on July 31, 2006 and in conformity with 15A NCAC 2H .0200; 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 Environment and Natural Resources and considered a part of this permit.
'The sewage and wastewater collected by this system shall be treated in the City of Lenoir's
Gunpowder Creek Wastewater Treatment Facility (Permit No. NC0023736) prior to being discharged
into the receiving stream.
This .permit shall become voidable unless the agreement. between Cajah's Mountain and the
City of Lenoir for the collection and final treatment of wastewater is in full force and effect.
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 150B 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 Roy Davis at (828)
296-4500.
Sincerely, r,
for Alan W. Klimek, P.E., Director
Division of Water Quality
cc: Caldwell County Building Inspector
BAR urface'V-VSater&P�:tec-tiond(WWTF Permit No. NC0023736)
Clarence M. Lockamy, PE
City of Lenoir, Charles Beck
PERCS Files

NORTH CAROLINA.
NVIRONMENTAL MANAGEMENT COMMISSION
AENT.OF ENVIRONMENT AND NATURAL RESOURCES
TOWN OF CAJAH'S MOUNTAIN
FROSTY FREZ
CALDWELL COUNTY
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT WQ0030593
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
following specified conditions and limitations:
1. This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2H .0200; 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 unless specifically
mentioned herein.
2. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data.
3. 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
operation and maintenance of these facilities as required by 15A NCAC 2H .0227. If an individual
permit is not required, the following performance criteria shall be met as provided in 15A NCAC 2H
.0227:
a. The sewer system shall be effectively maintained and operated at all times to prevent
discharge to land or surface waters, and any contravention of the groundwater standards in
15A NCAC 2L .0200 or the surface water standards in 15A NCAC 2B .0200.
b. A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan shall be 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-month period of time.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Inspection and maintenance records shall be maintained for a period of at least three years.
h. 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 §143-215.1 C.

4. This permit shall not be transferable. In the event there is a desire for the wastewater colJq
facilities to change ownership, or there is a name change of the Permittee, a formal permit r
shall be submitted to the Division accompanied by documentation from the parties involve
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.
5. 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.
6. Upon completion of construction and prior to operation of these permitted facilities, a certification, a
copy of the construction record drawings, as well as supporting design calculations for any pump
stations permitted as part of this project shall be received from a North Carolina -licensed
Professional Engineer certifying that the facilities have been installed in accordance with this
permit; 15A NCAC 2H .0200; 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 Main adopted June 1, 2000 as applicable; and other supporting materials. If this
project is to be completed in phases and partially certified, _you shall retain the responsibility to
track further construction approved under the same permit, and shall provide a final certificate of
completion once the entire project has been completed. A copy of the construction record
drawings, indicating the facilities constructed in the phase being certified, shall be submitted with
each partial certification. Mail the Engineer's Certification, one copy of the "Construction Record
Drawings," and one copy of the supporting design calculations to the Non -Discharge Permitting
Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617.
7. A copy of the construction record drawings shall be maintained on file by the Permittee for the life
of the wastewater collection facilities.
8. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2H .0200; 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.
9. 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.
10. 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 other government agencies
(local, state and federal) which have jurisdiction., including but not limited to applicable river buffer
rules in 15A NCAC 2B .0200, erosion and sedimentation control requirements in 15A NCAC Ch. 4
and under the Division's General Permit NCG010000, and any requirements pertaining to wetlands
under 15A NCAC 2B .0200 and 15A NCAC 2H .0500.
11. Noncompliance Notification:
The Permittee shall report by telephone to a water quality staff member at the Asheville Regional
Office, telephone number [phone], 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

process unit failure, due to known or unknown reasons, that renders the facility incapable
f adequate wastewater transport, such as mechanical or electrical failures of pumps, line
blockage or breakage, etc.; or
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.
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 (919)
733-3300. Persons reporting any of the above occurrences shall file a spill report by completing
Part I of Form CS-SSO (or the most current Division approved form), within five days following first
knowledge of the occurrence. This report shall outline the actions taken or proposed to ensure that
the problem does not recur. Per Condition 1(2), 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.
Permit issued this the 41h day of August, 2006
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
1 �.
for AlanAN. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0030593

linear feet of 8-inch diameter gravity sewer
Complete and submit this form to the Asheville regional office with the following:
One copy of the project record drawings (plan & profile views of sewer lines) of the wastewater collection
system extension
• supporting design calculations (selected pumps, system curve, operating point, available storage if portable
generators) 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.
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 ❑ Final
, 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 above referenced
project 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 2H .0200; 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, signature, and date:
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
ROGER C. EDWARDS
SURFACE WATER PROTECTION SUPERVISOR
ASHEVILLE REGIONAL OFFICE
2090 US HIGHWAY 70
SWANNANOA, NC 28778
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.

�Q �3
State of North Carolina
G JUL 3 1 2006 Department of Environment and Natural Resources
i r Division of Water Quality
FAST -TRACK APPLICATION
WATER QUALITY SECTION
ASHE"iI_�E�rcORAY S WERS, PUMP STATIONS, AND FORCE MAINS
(Pressure sewers systems are not to be included as part of this application package)
r STRUCTIONS: Indicate that you have included the following list of required application package items by checking the
space provided next to each item. Failure to submit all required items will lead to your application being returned as
incomplete or additional processing and review time. This form may be photocopied for use as an original.
® I. Application Form - Submit one original and one copy of the completed and appropriately executed application
form. 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 B(12).
® II. Application Fee - Submit a check in the amount of $400 made payable to: North Carolina Department of
Environment and Natural Resources (NCDENR).
❑ III. 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(2a) of this application.
❑ IV. Operational Agreements — Submit one original.and two copies of a properly executed operational agreement if
the sewer extension will be serving residential or commercial lots (e.g., houses, condominiums, townhomes,
outparcels, etc.) that will be owned by a homeowners' association or developer (Item B(2b)). If the applicant is a
homeowners' association, use Form HOA 02/03. If the applicant is a developer, use Form DEV 02/03. EVEN IF
THE PROJECT WILL BE TURNED OVER TO A MUNICIPALITY, FORM DEV 02/03 IS REQUIRED.
® V. Flow Acceptance Letters — If the owner of the downstream sewers and/or WWTF is different from the applicant,
submit two copies of a flow acceptance letter from the owner of the downstream sewers and WWTF, if different.
Flow acceptance letters must contain the following minimum information: applicant and project name, amount of
flow accepted, and name and permit number of the receiving sewers/WWTF. The flow acceptance must not
expire prior to permit issuance and must be dated less than a year prior to the application date.
Intergovernmental agreements or other contracts will not be accepted in lieu of a project -specific flow acceptance
letter.
® VI. Map — Submit an 8.5-inch by 11-inch copy of the portion of a 7.5-minute USGS Topographic Map along with this
form. The map should identify the entire project area location as well as the closest downslope surface waters as
clearly as possible. Each map portion must be labeled with the map name and number, the identified location,
and be of clear and reproducible quality. For instance, if the project involves 4 miles of interceptor sewer that
traverses over or near several different waterbodies (or counties, basins, etc.), the map should have location ID's
for each different waterbody (where the sewer line is within 100 feet of such waterbody - see Instruction VII).
❑ VIi. Watershed Classifications — Section C
• If any portion of the project is within 100 feet of any down slope surface water, Section C must be completed
for the pertinent sections.
• If the entire project area is a minimum of 100 feet away from any down slope surface waters BUT there is a
pump station involved where a history of power outage is to be used to provide adequate design storage
instead of dual feed' or permanent or portable generator, Section C must be completed to demonstrate that
the closest down slope surface water is Class C (see 15A NCAC 2H .0219(h)(3)(D)).
• Use the guidance document entitled, "Determining Watershed Classifications for Form FTA 02/03 (Fast -Track
Sewer Systems)" available from http://h2o.enr.state.nc.us/ndpu or by contacting the appropriate .regional
office.
INSTRUCTIONS FOR FORM FTA 02/03

V
ssessments — If this project is subject to an Environmental Assessment (EA) ]15A NCAC
application can not be used. Send the project application on Form. PSFMGSA 10/99 to the
ermitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. Applications can not be
;ed until a Finding of No Significant Impact (FONSI) or Environmental Impact Statement (EIS) has been
A copy is to be submitted with that permit application.
Certifications — Section D
The application must be certified by both the applicant and 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 2H .0200, 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. Certification by a PE who is unfamiliar with these documents
is subject to NC Board referral.
THE COMPLETED FTA 02103 APPLICATION PACKAGE, INCLUDING ALL SUPPORTING DOCUMENTS AND $400
FEE, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
59 Woodfin Place
Avery, Buncombe, Burke, Caldwell,
Asheville, North Carolina 28801
Cherokee, Clay, Graham, Haywood,
Henderson, Jackson, Macon, Madison,
[phone]
McDowell,'Mitchell, Polk, Rutherford, Swain,
[phone] Fax
Transylvania, Yancey
Fayetteville Regional Office
Anson, Bladen, Cumberland, Harnett, Hoke,
225 Green Street Suite 714
Montgomery, Moore, Robeson, Richmond,
Fayetteville, North Carolina 28301
Sampson, Scotland
[phone]
[phone] Fax
Mooresville Regional Office
919 N Main Street
Alexander, Cabarrus, Catawba, Cleveland,
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
Stanly, Union
[phone]
[phone] Fax
Raleigh Regional Office
Chatham, Durham, Edgecombe, Franklin,
1628 Mail Service Center
Granville, Halifax, Johnston, Lee, Nash,
Raleigh, North Carolina 27699-1628
Northampton, Orange, Person, Vance, Wake,
[phone]
Warren, Wilson
[phone] Fax
Washington Regional Office
Beaufort, Bertie, Camden, Chowan, Craven,
943 Washington Square Mall
Currituck, Dare, Gates, Greene, Hertford,
Washington, North Carolina 27889
Hyde, Jones, Lenoir, Martin, Pamlico,
[phone]
Pasquotank, Perquimans, Pitt, Tyrrell,
[phone] Fax
Washington, Wayne
Wilmington Regional Office
Brunswick, Carteret, Columbus, Duplin, New
127 Cardinal Drive Extension
Hanover, Onslow, Pender
Wilmington, North Carolina 28405
[phone]
[phone] Fax
Winston-Salem Regional
585 Waughtown Street
Alamance, Alleghany, Ashe, Caswell,
Office
Winston-Salem, North Carolina
Davidson, David, Forsyth, Guilford,
27107
Rockingham, Randolph, Stokes, Surry,
[phone]
Watauga, Wilkes, Yadkin
[phone] Fax
For more information, visit our web site at. http://h2o.enr.state.nc.us/ndpu/
INSTRUCTIONS FOR FORM FTA 02/03

FrON for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 1
TAB KEY TO MOVE FROM FIELD TO FIELD! Application Number:
(to be completed by DWQ) F,V Cj�c�03 Q S
Full Legal Name (company, municipality, HOA, utility, etc.)
1b. Connie South, Town Administrator
Signing Official Name and Title (Please review 15A NCAC 2H .0206(b) for authorized signing officials!)
1 c. The legal entity who will own this system is:
Q ❑ Individual ❑ Federal ® Municipality ❑ State/County Private Partnership Corporation ❑ Otherjpe
yi
1 d. 1800 Connelly Springs Road 1 e. Lenoir
Street Address City
Z Mf. North Carolina 1g. 28645
Z State Zip Code
h. 828-728-5053 1 i. 828-728-4166 11j. [e-mail]
Telephone_ Facsimile E-mail
;i2. Project (Facility) Information:
_2a. Frosty Frez Sanitary Sewer Extension 2b. Caldwell
Brief Project Name (permit will refer to this name) County Where Project is Located
'Q h 3. Contact Person:
Q 3a. Clarence M. Lockamy, PE, PLS The Wooten Company, 1226 19�h Street Lane, NW Hickory, NC 28601
Name and Affiliation of Someone Who Can Answer Questions About this Application
828-322-5533 C. clockamy(cOthewootencompany.com
Phone Number E-mail
Project is ® New ❑ Modification (of an existing permit) If Modification, Permit No.:
Owner is ® Public (skip to Item B(3)) ❑ Private (go to Item 2(a))
If private, applicant will be: 2b. If sold, facilities owned by a (must choose one
❑ Retaining Ownership (i.e. store, church, single office, etc.) ❑ Public Utility (Instruction III)
❑ Leasing units (lots, townhomes, etc. - skip to Item B(3)) ❑ Homeowner Assoc./Developer (Instruction IV)
❑ Selling units (lots, townhomeg, etc. - go to Item B(2b))
City of Lenoir
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
Gunpowder Creek WWTF b. NC 0023736
Name of WWTF WWTF Permit No.
m:y5a. Town of Ca'ah's Mountain
b. 8-inch
c. W00021792
Owner of Downstream Sewer
Receiving Sewer Size
Permit Number of Downstream Sewer
G. The origin of this wastewater is (check all that apply):
;.{ ® Residential Subdivision
❑ Car Wash
❑ Apartments/Condominiums
❑ Institution
100 % Domestic/Commercial
❑ Mobile Home Park
❑ Hospital
El School
❑ Church
%Industrial
® Restaurant
❑ Nursing Home
% Other (specify):
❑ Office
❑ Other (specify):
7. Volume of wastewater to be permitted in this project: 6,240 gallons per dayIR
8. If the permitted flow is zero, indicate why:
4, _ ❑interceptor Line -Flow will be permitted is subsequent permits that connect to this I! J JUL 3 1 2006
s' ,E El Flow has already been allocated in Permit No.
,,, ;; ❑ Rehabilitation or replacement of existing sewer with no new flow expected
IWATER QUALITY SECTION
ASHEVILLE fiEGiorVw OFFICE
FTA 02/03

for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 2
Wide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2H
219(1) for Item B(7) or the design flow for line or pump station sizing if zero flow in the space below. Values other than
that in 15A NCAC 2H .0219(I)(1-2) must be approved prior to submittal of this application. Submit a separate request to
the Division of Water Quality, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617 in
accordance with 15A NCAC 2H .0219(I)(3).
14 services at 360 gpd/service = 5,040 gpd plus
1 restaurant with approx. 30 seats at 40 gpd/seat = 1,200 gpd Total = 6,240 gpd
1 10.
Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches)
Length (feet)
Gravity or Force Main
(pull down menu)
is
8-inch
3,862
Gravity
Gravity
Gravity
Gravity
Z
Gravity
Z
Gravity
Gravity
Z
O;
ENTER TOTAL LINE LENGTH IN MILES
0.73 miles
H 11.
Summary of Pump Stations to be Permitted (attach additional sheets as necessary) N/A
Power Reliability Option
jLocation
ID
Design Flow
Operational Point
(dual line feed, permanent generator,
(as shown on plans)
(as
(MGD)
GPM @ TDH
portable generator, wet well storage)
r-
I
_
_ .
,Z
(i
I
LLI
12.
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 2H .0200 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
13.
Have the following permits/certifications been submitted for approval?
�.
❑ Yes ® No ❑
Wetland/Stream Crossings -General Permit or 401 Certification?
T�A
I
Sedimentation and Erosion Control Plan? ® Yes ❑ No ❑
JUL 3 i 2006
Stormwater? El Yes ® No
WATER QUALITY SECTION
ASHEVILLE REGIONAL OFFICE
FTA 02/0'

FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 3
1.
Use the Division's guidance document entitled, "DETERMINING STREAM CLASSIFICATIONS FOR FORM FTA 02/03
(FAST -TRACK SEWER SYSTEMS)" to collect and record the stream classification data below (attach additional sheets as
necessary). This document is available from our web site or by contacting the appropriate Division of Water Quality
regional office (see instructions for addresses) OR indicate the following:
❑ A Watershed Classification is not needed because all parts of the project are at least 100 feet away from any down
slope waterbody; AND,
❑ A Watershed Classification is not needed because the design does not depend on wet well storage as a power
.. _
reliability option for any pump station near a Class C down slope waterbody.
Location ID
I Name of
iI Waterbody Stream
Waterbody
on Ma
Waterbody
County
River Basin ! Index
Classification
UT -Little Gunpowder
Caldwell
Catawba 11-55-2(1)
Class C
I
Creek
{
i
Submit
the 8.5" x 11" topographic map as required in Instruction VI regardless of whether a classification is provided!
I 1.
,
Applicant's Certification:
1, Connie South, attest that this application for Frosty Frez Sanitary Sewer Extension has been reviewed by me and is
eell
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
$ __ 000 per violation.
1 a.
j
OD U �p
Signing Official Signature Date
Y
:tt
2.
Professional Engineer's Certification:
I attest that this application for Frosty Frez Sanitary Sewer Extension 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
Q
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 certain portions of this submittal
F
package may have been developed by other professionals, inclusion of these materials under my signature and seal
signifies that/ have reviewed this material and have judged it to be consistent with the proposed design. Note: In
W
accordance with NC General Statutes 143-215.6A and 143-215.68, any person who knowingly makes any false statement,
O
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.
Clarence M. Lockam , PE, PLS
��v` �, CARD o
�,� •°�FSS�°� �',°vs
`
Professional Engineer Name
2b.
The Wooten Company
Engineering Firm
�• SEA
a
= 29 0 4
i
' CID
° O 4
°°
2c.
1226 19�h Street Lane, NW —— —
Address
e l � Ee
°0°oee0000o so®
2d.
Hickory
e. NC �2f. 28601
City
orftnM�
I `[
State F zip
2g.
828-322-5533 h. 828-322-5242
i.clockamy aAthewootencompany.com
E-mail
Telephone Facsimile
Seal, Signature &Date
FTA 02/03

r
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JUL 25 '06 02:39PM TOWN OF CAJAHS MOUNTAIN P.1
. IrMron .
CIN MANWR CITY OF LENOIR DAVID W. BARLOW
W UWEBAILEY
NORTH CAROLINA arreouncu
J. L GIBBONS
T. H. PERDUE
July 14, 2006 M. F. PERRY
H. L. PRICE
T. J. ROHR
D. F. STIOMNS
%L o. STRAWN
Mrs. Connie South, Town Administrator
Town of COWS Mountain
1800 Connelly Springs Road
Lenoir, North Carolina 28645
Re: Wastewater Flow Acceptance
Sanitary Sewer Extension: Frosty Freeze
Town of Cajah's Mountain, North Carolina
Dear Mrs. South:
This letter is to acknowledge the City of Lenoir,',s willingapss to.#ccept an
additional 6,240 gallons of wastewater per day from the town; O aja8's Mountain. It is
understood that this flow will result from extending the towels wastewater collection
system to serve an area which includes the Frosty Freese Restaurant.
The additional flow will enter the City of Lenoir's collection system at the
existing metering point and will be treated at the City's Gunpowder WWTP (Permit #NC
0023736).
It is also understood that the anticipated flow is a portion of the -"Guaranteed
Capacity" of 200,000 gallons per day as outlined in the Wastewater Agreement between
the City of Lenoir and the Town of Cajah's Mountain and dated October 11,1994.
Sincerely,
CITY OF LENOIR >G
Mgc1 W; Edmiston
�� - ' '�� • • � ' � - �. � ' , Director,Public,U�ilities ,
MWE:mfs
POST OFFICE BOX 058 • LENOIR. NO" CAROLINA E8645-005e • (825) 767•EP-00

7eC. 1. 7/34OlQ
Project Name:
Blrns: 8/�/d ce
FAST --TRACK APPLICATION REVIEW PROCEDURES
Review Date: t� ��- • �7
Project Number:
Reviewer: %1<12��
All fast -track projects should be submitted on the application entitled "Fast -Track Application for
Gravity Sewers, Pump Stations, and Force Mains" (FORM: FTA 02/03 Rev 3,currently) unless
otherwise directed by the PERCS. Any pump station/force main projects that require an
Environmental Assessment (EA) are excluded from the Fast -Track review process, and should be
submitted for full review to the Central Office (PERCS) on FORM: PSFMGSA 10199. Additionally,
any projects involving a flow reduction request must receive approval for the flow reduction from
the central office.
PRE -REVIEW
Does the application package appear to be generally complete (i.e. all attachments, check, key
questions answered)? If any portion of the application is not complete, or if any required
instruction items have been omitted, RETURN the application package and supporting
documents to the applicant using the Project Return Letter template. Send the package and
letter via certified mail to the applicant, and a copy of the letter to the engineering consultant.
Any projects that are to be returned shall be returned prior to accepting the application (i.e.,
before logging in the application and depositing the check). After a project has been accepted,
any information that is found to be incorrect and/or lacking must be requested via an Additional
Information Request in accordance with 15A NCAC 2H .0208(e).
Ensure that a check for $400 is submitted and made out to NCDENR. All new projects and major
modifications to existing projects require an application fee. A major modification includes any
changes to permitted flow volumes, changes in pipe diameter, changes in pipe length greater that
10% of the originally permitted length, changes in the operating points of a pump station, etc.
SEC O A Application Information
,/{�' If the applicant is private (item B(2)) and listed as a corporation, check the NC Department of the
Secretary of State's web site at http://www.secretary.state.nc.us/Corporations/ to ensure that the
Applicant is registered with the Secretary of State to conduct business as a corporation in the
State of NC. Developer's and HOA's should be listed. /
Ensure that the signing official meets the requirements of 15A NCAC 2H .0206(b). If they do not,
request a revised application that has been completed by an appropriate official or a letter from
an appropriate official that indicates the person in question is delegated to sign the application on
the applicant's behalf. A current list of Delegated Signing Officials can be obtained from the
PERCS. If a new delegated signing official letter is presented with the application, forward a copy
to the central office so that the person may be added to the Delegated Signing Official list. The
central office will send E-mails to the appropriate region if a new signing official has been added
so that the most current list can be used. The Non -Discharge Permitting Unit has an example
delegated signing official letter from http://h2o.enr.state.nc.us/PERCS/spraypol.html#DELEG.
SECT B — Permit Information
Project is new? Modification? If the project is a modification to an existing permit, be sure to
enter the application into BIMS as a permit modification (i.e. "renew/modify application" and not
"create new project"). BIMS will pull the previous signing official and affiliations information.
Please go through all the tabs and ensure the information is correct for the current project.
Applicant a public entity (e.g. county, town, sanitary district)?
JA Applicant a private entity?
Own (i.e. lease) units, lots, parcels, etc?
1
FAST -TRACK Application Review Procedures 2003 (Rev 2/06)

Sell units, lots, parcels, etc?
Certificate of Public Conve fence and Necessity? 2H .0205(d)(2)
♦ Required if the applicant \s a public utility. In lieu of a Certificate of Public
Convenience and Neces ty, they may submit written approval from the
North Carolina Utilities Co mission's Public Staff that states that the utility is
allowed to provide utility se ice in the subject project area. Note that the
project name on the applica .on and on the CPCN must match. Contact the
NCUC Public Staff if questio arise. This is NOT REQUIRED for a
municipality or county! Exam es of companies that would provide a CPCN
are Heater Utilities or Carolina ater Service, etc.
******OR*******
Operational Agreement? 2H .0205(d)
♦ Operational Agreements are only re wired if the applicant is not a public
entity (i.e. Town, County, etc.) or pub �c utility as designated by the North
Carolina Utilities Commission AND th lots being served by the collection
system are to be sold to individual own rs.
♦ If the applicant is a developer, they Aust fill out the DEVELOPER
Operational Agreement (FORM: DEV 2/03). A developer may be
responsible for the system for an interi period until the homeowners
association is.formed, at which time. Permit Name/Ownership Change
request (FORM: PNOCF 06/00) w)lbe needed to transfer the permit to
the HOA.
If the applicant is a homeown rs' association (HOA), they must fill out
the ASSOCIATION Operati al Agreement (FORM: HOA 02/03 The
HOA must be registered w' h the Secretary of State's office and must
provide a copy of the As ciations' Bylaws and Articles of Incorporation.
These documents show be reviewed to ensure that all applicable
language regarding th collection system is included as is required by
the Operational Agr ment.
The Operational Agr ment should be attached to the permit and
incorporated into th language of the permit. Please note that Operational
Agreement lan?te.nc.us/PERCS/
e should not be altered without approval from the
Attorney GeneOffice. Operational Agreements are available at
htt://h2o.enr.s from the collection system applications
page.
��'Approval of flow to receiving sewers and WWTF? (i.e. P4 procedure, but now in-house!)
♦ Ensure that the receiving sewers and WWTF have adequate capacity available to accept the
flow volume that is being requested, and that the WWTF has been in compliance with their
treatment and disposal permit.
y Flow acceptance letter(s) from the owner of the WWTF and owner of any intermediate sewers (if
different from WWTF owner and applicant)? 2H .0205(d)(3)(C)
♦ Required only if the applicant and the owner of the WWTF/intermediate sewers are not the
same entity.
♦ Project specific flow acceptance letters are required.
♦ Ensure that the following items appear in the flow acceptance letter: applicant's name,
project name, amount of wastewater flow accepted, date that the flow acceptance was
granted, expiration date of the acceptance, and name/permit number of the receiving WWTF.
Do not accept a flow acceptance letter that was issued more than one year prior to the
receipt of the package.
♦ Ensure that the owner accepted the entire volume of flow listed in application.
2
FAST -TRACK Application Review Procedures 2003 (Rev 2/06)

Main Problems Noted: A flow acceptance letter is provided by the receiving WWTP owner but
not the downstream sewer owner, which both are different from the applicant. Example, private
Pr developer in Knightdale. Both Knightdale and Raleigh would need to provide a flow acceptance
letter as Knightdale will transport the wastewater and Raleigh will treat the wastewater.
V�Wastewater industri or do�fiature?
♦ Most projects wi r that is domestic in nature, however, if Item B.6 indicates
that the wastewater is industrial in nature, notify the Regional Office Pretreatment
Coordinator or the WQ Pretreatment Unit Central Office to determine if a pretreatment permit
is needed or if a program already in place and compliant.
�iF'low volume calculated correctly? 2H .0219(l)
♦ Ensure that the daily design flow in the application is based on the guidance provided in the
regulations or existing flow, and that the explanation as to how this volume was determined is
very specific (i.e., 22 three -bedroom homes, 50,000 s.f. of retail space, 18 employees, etc).
This information will be included in the description of the system in the permit. Our regs say
120 gpd/bedroom for residential. Note that for one -bedroom the minimum they can use is
240 gpd.
♦ If daily design flow is not based on regulations, ensure that the applicant has an approved
flow reduction of daily design flow rate on file with the Division. A list of approved flow
reductions may be obtained from the DWQ Intranet or by contacting the PERCS. Flow
reduction requests are to be reviewed by the central office, and must be reviewed and
approved before the application is accepted by the regional office for review.
♦ On occasion, there may be an instance where supporting documentation is submitted with
the application for a specific facility. Contact PERCS to determine a course of action.
♦ Ensure that the flows shown on the application match up to what is shown on the plans (if
available for review). For example, if the application states that 100 lots are to be developed,
ensure that there are 100 lots, and not 150 lots, shown on the plans. Plans are only required
for review if the applicant is requesting a variance to the MDC or the .0200's.
♦ Do not allocate "future" wastewater flows (i.e., that based on speculative development).
These would be permitted in future wastewater collection system extensions. Although, we
do allocate "unknown" flows on a per acre basis for industrial/commercial park applications.
Generally, the Division has accepted between 900 gpd/acre —1500 gpd/acre. Let the
ngineer support his calculation.
Adequate information provided regarding the proposed gravity sewer and/or force main (if
applicable)?
Note 1: An Environmental Assessment may be required if there are 3 miles of gravity sewer over
18-inches in diameter (15A NCAC 1C .0100). Environmental Assessment projects can NOT go
Fast -Track!
Main Problems Noted: A public entity specifies 6-inch line when 8-inch is required; 4-inch line is
O
specified and no variance requested
Adequate information provided regarding the proposed pump station(s) (if applicable)?
Note: An Environmental Assessment may be required if the pump station(s) have a firm capacity
of 1,750 GPM or greater (15A NCAC 1 C .0100). If there are any questions about whether an EA
may be required, discuss with your supervisor or contact Alex Marks of the Planning Branch's
Local Government Assistance Unit.
♦ Power reliability at the pump station provided in accordance with Section 5.04 of the
Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains
document (i.e. dual line feed, portable generator w/telemetry, permanent generator with
automatic transfer switch, wet well storage if near Class C waters)? Note 1: Section C of the
FTA has to be completed and show a Class C down slope water in order to use wet well
storage as a reliability option. Include the special condition in the permit. You will need to
ask for storage calculations and the power outage data. Note 2: Ensure telemetry is specified
if a portable generator is called out. Check with the engineer if unsure. Note 3: Ensure an
automatic transfer switch (ATS) is specified if a permanent (standby) generator is specified.
Check with the engineer if unsure.
Main Problems Noted: Failure to specify appropriate or applicable power reliability option
3
FAST -TRACK Application Review Procedures 2003 (Rev 2/06)

Project designed in accordance with 15A NCAC 2H .0200, the Gravity Sewer Minimum Design
Criteria and the Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and
Force Mains document (as applicable)? NO will be checked in Item B(12) of the FTA. If NO,
forward one copy of the supporting documents to the Central Office for review, indicating the
permit number, owner and project name. The Central Office will review the variance request, and
if approvable specific language regarding the variance will be forwarded to the Regional Office
reviewer to incorporate into the permit. A copy of the variance letter provided by the central office
should be kept with the application file. If you catch something in the application or supporting
documents that is not in accordance with our regs or MDC, send an additional information
request.
Main Problems Noted: A public entity specifies 6-inch line when 8-inch is required; 4-inch line is
specified and no variance requested; supporting documents show slope issues...
SECTION C - Watershed Classification
_L_,-�'Color topographic map submitted?
� atershed classification required? If YES, you are advised to "spot-check" the classification(s).
If NO, ensure the applicant/engineer has indicated why one is not required. BOTH BOXES IN
SECTION C MUST BE CHECKED TO NOT PROVIDE A CLASSIFICATION!
SECTION D -Applicant Certifications
L� Signing Official's signature? 2H .0206(b)
♦ Ensure that the applicant's signature is the same person as that listed as the applicant's
signing official on Page 1 of the application form.
stamped, signed, and dated application, plans, specifications, and calculations (if applicable)?
2H . 0205(d) (1) (A) (iii)
♦ Ensure that the same engineer has signed, sealed, and dated the application and all the
items, with the exception of items designed by specialty disciplines (i.e., architectural,
structural, plumbing, and electrical plans). If not, an explanation and/or authorization is
required.
�fAdequate information provided for the engineer/engineering firm?
with active license in North Carolina? 2H.0205(d)(1)(A)(iii) or2H.0203(28)
♦ Ensure that ALL pertinent P.E's have active licenses by checking the NC Professional
Engineer's Board web site (www.ncbels.org - the PE number must be six digits, use leading 0
when needed).
♦ If the PE seal number does not show up on the web site database, call the PE Board for
verification [phone].
Drafting a Permit
♦ In order to be consistent, use the most current version of the Fast -Track permit shell. This permit
shell contains specific language with respect to the Minimum Design Criteria, regulations, and
collection system permitting. The PERCS will notify you of any changes to this permit shell.
♦ Be specific with respect the system description and information. Indicate the flow, what the project
will be serving, length and size of gravity sewer lines and force mains, etc. For projects involving
pump stations, the size of the pump stations, as well as the reliability option and any additional info
(telemetry, odor control system, etc) should be included. A sample permit is on the DWQ Intranet.
♦ Add or remove any special conditions as necessary. Please call attention to any non-standard permit
conditions in the cover letter of the permit and include the permit condition where necessary. See the
Example Special Conditions document.
♦ If the project is a modification, don't forget to include the system description from the previous permit
and void the previous permit in the language! Some of these can be tricky so feel free to run the
drafted permit through PERCS first before issuance.
♦ It is preferable if Fast -Tracks are saved electronically by permit number under issued year and month.
4
FAST -TRACK Application Review Procedures 2003 (Rev 2/06)

Denying a Project
♦ If the Reviewer/Supervisor determines that an application package should be denied because it can
not meet NC Statutes, rules or regulations, then a denial letter should be drafted. Special attention
should be paid to the statutory deadline for permitting. If it is thought that a project might be
denied, it is important to review it and draft the denial letter as soon as possible. There must
be time allowed for the denial letter to be sent up to the Director and signed prior to the
statutory date.
♦ The Reviewer should use the Application Denial Letter template to prepare a denial package for the
Supervisor's review and submittal to the Director for signature. The letter should not be dated, but
instead will be dated after the Director signs it. A memo to the Director should be attached to the top
of the denial package summarizing the reasons for denial. This package must be singed off on by the
reviewer, supervisor, Section Chief, and Director. Distribute the letter as directed in "Issuing a
Permit" below.
Issuing a Permit
♦ Permits should be signed only by those delegated to sign for the Director.
♦ Permits should be distributed as follows (include the signed Operational Agreement with the
permit and all distribution copies if applicable!):
✓ Original to the Permittee
✓ Copy to the consulting engineer
✓ Copy to the county health department
✓ Copy to the Mecklenburg County Department of Environmental Protection for all projects located
in Mecklenburg County
✓ Copy(ies) to the owner of the WWTF and owner of the downstream sewers (if different than the
Permittee)
✓ Electronic Copy and Hard Copy to the PERCS for our files
✓ Copy to Central Files (attach application package and any supporting documents with a staple —
do not include any plans unless they are small and can be folded up into an 8.5" x 11" sheet)
✓ Save an electronic version named W000XXXXX.doc in a folder on your office shared drive or
hard drive. Try to keep your drafts and issued files separate. SEND ELECTRONIC COPIES TO
PERCS on a frequent basis — weekly or monthly!
Permit Corrections
♦ If a permit has been issued but an error discovered MADE BY US internally or by the Permittee or
their engineer, a permit correction is necessary.
♦ Pull the original permit and make the corrections — do not change issue dates or enter a new
application in BIMS — resave the permit
♦ Prepare the permit correction cover letter modifying as applicable — the corrections need to be
distributed to the same people/agencies who received the orginal permit
♦ Print the corrected permit and permit correction letter — sign if needed
♦ Maintain Permit in BIMS — add permit corrected event date and comments as to what was corrected
♦ Copy and distribute
The Certification
♦ Final engineering certifications will be submitted back to your office when the project is complete.
These should be date stamped (the certification page, record drawings and calculations, if applicable)
♦ Construction, Grants & Loans (CGL) may request and audit some of these certifications
♦ Regardless of whether the region or CGL reviews a certification, the receipt date must be logged into
BIMS. Perform the following: Maintain Permit, Enter Permit No., Go to Events Tab, Add Event, Select
Engineering/Tech Specialist Certification Received, Enter Receipt Date
♦ If the certification sheet is marked partial — put partial in the event comment field.
♦ If the certification seems incomplete — missing plans or calculations or no PE seal — note incomplete
in the comment field. Send an incomplete certification letter. The certification page in the permit
explains exactly what the engineer is to provide.
♦ If the certification is provided to CGL — maintain the engineer certification received event and put "to
CGL for review on DATE" in the event engineer certification received comment field.
5
FAST -TRACK Application Review Procedures 2003 (Rev 2/06)

♦ If the region wishes to perform a detailed review — look for items not meeting the minimum design
criteria or outside of the permit. For instance, minimum cover; slope; minimum separation distances;
line size changes; length; reroutes; additional lots than permitted; pump station alarms; pump cycle
times; no indication of record drawing (as-builts) on plans; no PE seal or note about record drawings
(land surveyor seals are not appropriate). A certification checklist is being developed.
♦ Regardless of review, certifications need to be processed as this closes out the permit. Follow the
processing engineering certifications guidance document.
6
FAST -TRACK Application Review Procedures 2003 (Rev 2/06)

TfT
THE
WOOTEN
COMPANY
ENGINEERING
P L A N N I N G
ARCHITECTURE
1226 19th Street Lane NW
Hickory NC 28601
828.322.5533
fax [phone]
JULFD,E C E � V El
3 1 �D 2006
WATER QUALITY SECTION
ASHEVILLE REGIONAL OFFICE
July 28, 2006
Asheville Regional Office
N.C. Department of Environment and Natural Resources
Division of Water Quality
2090 U.S. Highway 70
Swannanoa, NC 28778
Re: Fast Track Application
Sanitary Sewer Extension; Frosty Frez
Town of Cajah's Mountain, Caldwell County
TWC Project No. 2808-L
Dear Sir or Madam:
The following information for the above project is enclosed for review by your office:
1. One (1) original and one copy of the application for "Fast Track Application, for
Gravity Sewers, Pump Stations, and Force Mains."
2. A check in the amount of $400.00 for the permit processing fee.
3. Letter of acceptance of wastewater flow from City of Lenoir.
Should you have any questions or need additional information, please let us know.
Sincerely,
THE WOOTEN COMPANY
Hannah M. Vinson, EI
Enclosure
Pc: Mrs. Connie South, Town Administrator

SECURITY FEATURES: tAICRO PRINT TOP & BOTTOM BORDERS - COLORED PATTERN - ARTIFICIAL WATERMARK ON REVERSE SIDE - MISSING FEATURE INDICATES A COPY
TOWN OFCAJAH'S MOUNTAIN
WATER AND SEWER FUND
NCDENR
Fast Track Application
7/21/2006
2416
400.00
400:00.

THE
WOOTEN
COMPANY
ENGINEERING
PLANNING
ARCHITECTURE
1226 19th Street Lane NIN
Hickory NC 28601
828.322.5533
fax [phone]
September 22, 2004
Mr. Forrest R. Westall
Water Quality Regional Supervisor
Asheville Regional Office
59 Woodfin Place
Asheville, NC 28801
Dr
t s E 2- 4 2004 `;
I i
WATER QUALITY SECTION
ASHEVILLE REGIONAL OFFICE
Re: Caldwell Family Physician's Office; Sanitary Sewer Extension
Construction Certification; Permit No. WQ0021792
Town of Cajah's Mountain, NC
TWC Project No. 2808-J
Dear Mr. Westall:
Attached are the Engineer's Certification and the Construction Record Drawings for the
above referenced project. Work has been completed on this extension and it is ready to
be placed into service.
As we discussed by phone, it was found during construction that a service at the upper
end of this line could not be installed due to conflicts with the existing underground
utilities. This service was to be bored across the road to serve an existing business. As a
result of this, the permit for this installation should be revised to show a permitted flow of
3,840 gallons per day.
If you have any questions or need additional information, please contact me at 828-322-
5533.
Sincerely,
THE WOOTEN COMPANY
Clar ce M. Lockamy, S
Pc: Mrs. Connie South, Town Administrator

)21792
D02
ENGINEER'S CERTIFICATION
Partial Final
® c E I,]
r
!I
2 2004 ! �"
WATER QUALITY SECTION
ASHEVILLE REGIONAL OFFicF i
I , C/ArcAx{ 4ocAgPt,,? , 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, Caldwell Family Physician's Office, Town of Caiah's Mountain, N,.C., Caldwell County
(Project Name) (Location and County)
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.2H .0200; 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, signature, and date:
M
�0000�aO
t v '
The above Engineer's Certification shall be completed and submitted to the address below with one
copy of the "Construction Record Drawings" of the wastewater collection system extension as well
as supporting design caiculations for any pump stations permitted as part of this project. 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. 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.
NORTH CAROLINA DIVISION OF WATER QUALITY
WATER QUALITY SECTION.
NON -DISCHARGE PERMITTING UNIT
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
2

1
Ms. Connie South, Town Administrator
Town of Cajah's Mountain
1800 Connelly Springs Road
Lenoir, North Carolina 28645
Dear Ms. South:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
Asheville
February 1, 2005
�u /t rJ1tJD �lZ - .Sewer/�/! e �r-me
Subject: Permit No. WQ0024787
Town of Cajah's Mountain
Bushvill Drive/Catawba Terrace
Wastewater Collection System Extension
Caldwell County
In accordance with your application received January 13, 2005, we are forwarding herewith
Permit No. WQ0024787, dated February 1, 2005, to the Town of Cajah's Mountain for the construction
and operation 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
by reference.
Please pay particular attention to Permit Condition 3, which requires that the wastewater collection
facilities be properly operated and maintained in accordance with 15A NCAC 2H .0227 or any individual
system -wide collection system permit issued to the Permittee.
Permitting of this project does not constitute an acceptance of any part of the project that does
not meet 15A NCAC 2H .0200; the Division of Water Quality's (Division) 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 the North Carolina -licensed Professional Engineer named in the application. It shall be the
Permittee's responsibility 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.
Asheville Regional Office
2090 US Highway 70, Swannanoa, NC 28778
Internet http://h2o.enr.state.nc.us/
Telephone [phone] Fax [phone]
NorthCarolina
Naturally
DENR Customer Service Center
An Equal Opportunity Action Employer
Telephone [phone]
50% recycled/10% post -consumer paper

Town of Cajah's Mountain W00024787 February 1, 2005
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
Town of Cajah's Mountain for the construction and operation of approximately 4,160 linear feet of eight -
inch gravity sewer to serve 58 3-bedroom residences as part of the Bushvill/Catawba Terrace project
and the discharge of 20,880 gallons per day of collected domestic wastewater into the Town of Cajah's
existing sewerage system, pursuant to the application received January 13, 2005 and in conformity with
15A NCAC 2H .0200; 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 Environment and Natural Resources and considered a part of this
permit.
The sewage and wastewater collected by this system shall be treated in the City of Lenoir's
Gunpowder Creek Wastewater Treatment Facility (Permit No. NC0023736) prior to being discharged
into the receiving stream.
This permit shall become voidable unless the agreement between The Town of Cajah's
Mountain and the City of Lenoir for collection and final treatment of wastewater is in full force and
effect.
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 150B 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 Mr. James Reid at
[phone].
Sincerely,
for Alan W.
cc: Caldwell
Clarence Lockamy, The Wooten Company
City of Lenoir, Gunpowder WWTP
Water Quality Central Files
PERCS Files
z X�Lce
Klimek, P.E.

Ffi
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
(Town of Cajah's Mountain-WQ0024787-Bushvill/Catawba Terrace)
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
following specified conditions and limitations:
1. This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2H .0200; 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 unless specifically
mentioned herein.
2. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data.
3. 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
operation and maintenance of these facilities as required by 15A NCAC 2H .0227. If an individual
permit is not,required, the following performance criteria shall be met as provided in 15A NCAC 2H
.0227:
a. The sewer system shall be effectively maintained and operated at all times to prevent
discharge to land or surface waters, and any contravention of the groundwater standards in
15A NCAC 2L .0200 or the surface water standards in 15A NCAC 2B .0200.
b. A map of the sewer system shall. be developed and shall be actively maintained.
c. An operation and maintenance plan shall be 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-month period of time.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Inspection and maintenance records shall be maintained for a period of at least three years.
h. 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 §143-215.1 C.

PERMIT NO. W00024787. Town of Cajah's Mtn, BushvilUCatawba Terrace. `,adlwell County Fet
Ci
This permit shall not be transferable. In the event there is a desire for the wastewater couection
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.
5. 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.
6. Upon completion of construction and prior to operation of these permitted facilities, a certification, a
copy of the construction record drawings, as well as supporting design calculations for any pump
stations permitted as part of this project shall be received from a North Carolina -licensed
Professional Engineer certifying that the facilities have been installed in accordance with this
permit; 15A NCAC 2H .0200; 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 Main adopted June 1, 2000 as applicable; and other supporting materials. If this
project is to be completed in phases and partially certified, you shall retain the responsibility to
track further construction approved under the same permit, and shall provide a final certificate of
completion once the entire project has been completed. A copy of the construction record
drawings, indicating the facilities constructed in the phase being certified, shall be submitted with
each partial certification. Mail the Engineer's Certification, one copy of the "Construction Record
Drawings," and one copy of the supporting design calculations to the Non -Discharge Permitting
Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617.
7. A copy of the construction record drawings shall be maintained on file by the Permittee for the life
of the wastewater collection facilities.
8. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2H .0200; 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.
9
In the event that the wastewater collection facilities fail to perform
creation of nuisance conditions, the Permittee shall take immediat
those as
facilities.
may be required by this Division, such as the construction
e
satisfactorily, including the
corrective action, including
of additional or replacement
10. 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 other government agencies
(local, state and federal) which have jurisdiction, including but not limited to applicable river buffer
rules in 15A NCAC 2B .0200, erosion and sedimentation control requirements in 15A NCAC Ch. 4
and under the Division's General Permit NCG010000, and any requirements pertaining to wetlands
under 15A NCAC 213.0200 and 15A NCAC 2H .0500.
11. Noncompliance Notification:
The Permittee shall report by telephone to a water quality staff member at the Asheville Regional
Office, telephone number [phone], 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

qO. W00024787. Town of Ca ah's Mtn. Bushvill/Catawba Terrace. Cadlwell County Feb 1 2005
ti
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 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.
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 (919)
733-3300. Persons reporting any of the above occurrences shall file a spill report by completing
Part I of Form CS-SSO (or the most current Division approved form), within five days following first
knowledge of the occurrence. This report shall outline the actions taken or proposed to ensure that
the problem does not recur. Per Condition 1(2), 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.
Permit issued this the FIRST DAY OF FEBRUARY, 2005
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for Alan W. Klimek, P.., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0024787

PERMIT NO. W00024787, Town of Cajah's Mtn. Bushvill/Catawba Terrace, Cadlwell County Feb
ENGINEERING CERTIFICATION — POST CONSTRUCTION
System Description: Permit No. WQ0024787
Town of Cajah's Mountain (to Lenoir Gunpowder Plant)
Bushvill Drive/Catawba Terrace
Wastewater Collection System Extension
Caldwell County
Complete and submit this form to the Asheville regional office with the following:
• One copy of the project record drawings (plan & profile views of sewer lines) of the wastewater collection
system extension
• 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.
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 ❑ Final
, 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 above referenced
project 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 2H .0200; 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, signature, and date:
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
FORREST R. WESTALL
SURFACE WATER PROTECTION SUPERVISOR
ASHEVILLE REGIONAL OFFICE
2090 US HIGHWAY 70
SWANNANOA, NC 28778
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.

L
of North Carolina
Natural Resources
n of Water Quality
kPPLICATION
V SEWERS, PUMP STATIONS, AND FORCE MAINS
(Pressure sewers systems are not to be included as part of this application package)
INSTRUCTIONS: Indicate that you have included the following list of required application package items by checking the
space provided next to each item. Failure to submit all required items will lead to your application being returned as
incomplete or additional processing and review time. This form may be photocopied for use as an original.
® I. Application Form - Submit one original and one copy of the completed and appropriately executed application
form. 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 B(12).
® II. Application Fee -
❑ III. 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(2a) of this application.
❑ IV. Operational Agreements — Submit one original and two copies of a properly executed operational agreement if
the sewer extension will be serving residential or commercial lots (e.g., houses, condominiums, townhomes,
outparcels, etc.) that will be owned by a homeowners' association or developer (Item B(2b)). If the applicant is a
homeowners' association, use Form HOA 02/03. If the applicant is a developer, use Form DEV 02/03. EVEN IF
THE PROJECT WILL BE TURNED OVER TO A MUNICIPALITY, FORM DEV 02/03 IS REQUIRED.
® V. F�rolcceptan.ce7L�etters If the owner of the downstream sewers and/or WWTF is different from the applicant,
submit two copies of a flow acceptance letter from the owner of the downstream sewers and WWTF, if different.
Flow acceptance letters must contain the following minimum information: applicant and project name, amount of
flow accepted, and name and permit number of the receiving sewers/WWTF. The flow acceptance must not
expire prior to permit issuance and must be dated less than a year prior to the application date.
Intergovernmental agreements or other contracts will not be accepted in lieu of a project -specific flow acceptance
letter.
® VI. Map — Submit an 8.5-inch by 11-inch copy of the portion of a 7.5-minute USGS Topographic Map along with this
form. The map should identify the entire project area location as well as the closest downslope surface waters as
clearly as possible. Each map portion must be labeled with the map name and number, the identified location,
and be of clear and reproducible quality. For instance, if the project involves 4 miles of interceptor sewer that
traverses over or near several different waterbodies (or counties, basins, etc.), the map should have location ID's
for each different waterbody (where the sewer line is within 100 feet of such waterbody - see Instruction VII).
❑ VII. Watershed Classifications — Section C
• If any portion of the project is within 100 feet of any down slope surface water, Section C must be completed
for the pertinent sections.
• If the entire project area is a minimum of 100 feet away from any down slope surface waters BUT there is a
pump station involved where a history of power outage is to be used to provide adequate design storage
instead of dual feed or permanent or portable generator, Section C must be completed to demonstrate that
the closest down slope surface water is Class C (see 15A NCAC 2H .0219(h)(3)(D)).
• Use the guidance document entitled, "Determining Watershed Classifications for Form FTA 02/03 (Fast -Track
Sewer Systems)" available from http://h2o. en r. state.nc.us/ndpu or by contacting the appropriate regional
office.
INSTRUCTIONS FOR FORM FTA 02/03

V
subject to an Environmental Assessment (EA) ]15A NCAC
Send the project application on Form PSFMGSA 10/99 to the
:e Center, Raleigh, NC 27699-1617. Applications can not be
;t (FONSI) or Environmental Impact Statement (EIS) has been
application.
Acant and 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 2H .0200, 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. Certification by a PE who is unfamiliar with these documents
is subject to NC Board referral.
THE COMPLETED FTA 02/03 APPLICATION PACKAGE, INCLUDING ALL SUPPORTING DOCUMENTS AND $400
FEE, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Avery, Buncombe, Burke
c
Cherokee, Clay, Graham, Haywood,
I No r 288q
Henderson, Jackson, Macon, Madison,
McDowell, Mitchell, Polk, Rutherford, Swain,
(� • 2 ax
Transylvania, Yancey
Fayetteville Regional Office
Anson, Bladen, Cumberland, Harnett, Hoke,
225 Green Street Suite 714
Montgomery, Moore, Robeson, Richmond,
Fayetteville, North Carolina 28301
Sampson, Scotland
[phone]
[phone] Fax
Mooresville Regional Office
919 N Main Street
Alexander, Cabarrus, Catawba, Cleveland,
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone]
Stanly, Union
[phone] Fax
Raleigh Regional Office
Chatham, Durham, Edgecombe, Franklin,
1628 Mail Service Center
Granville, Halifax, Johnston, Lee, Nash,
Raleigh, North Carolina 27699-1628
Northampton, Orange, Person, Vance, Wake,
[phone]
Warren, Wilson
[phone] Fax
Washington Regional Office
Beaufort, Bertie, Camden, Chowan, Craven,
943 Washington Square Mall
Currituck, Dare, Gates, Greene, Hertford,
Washington, North Carolina 27889
Hyde, Jones, Lenoir, Martin, Pamlico,
[phone]
Pasquotank, Perquimans, Pitt, Tyrrell,
[phone] Fax
Washington, Wayne
Wilmington Regional Office
Brunswick, Carteret, Columbus, Duplin, New
127 Cardinal Drive Extension
Hanover, Onslow, Pender
Wilmington, North Carolina 28405
[phone]
[phone] Fax
Winston-Salem Regional
585 Waughtown Street
Alamance, Alleghany, Ashe, Caswell,
Office
Winston-Salem, North Carolina
Davidson, David, Forsyth, Guilford,
27107
Rockingham, Randolph, Stokes, Surry,
[phone]
Watauga, Wilkes, Yadkin
[phone] Fax
For more information, visit our web site at. http://h2o.enr.state.nc.us/ndpu/
INSTRUCTIONS FOR FORM FTA 02/03

PV V
PUMP STATIONS, AND FORCE MAINS PAGE 1
OVE FROM FIELD TO FIELD! Application Number:
be by DWQ� Q0 _24-
(to completed _0 ___7
... . ..............................................
........................ . .... . .. . ........... ­ .... . . . ...... . ........................................................ . . ....... . ... . . .......................... . .......................... . . . ..............
.................... ..... .................... . .................................. __ .................... ............ .......... ..... . ..... ......... ...................... .......... ............................. .................... .............................. ........... ............. .................................. ..... ... ......... ........
Mountain
Full Legal Name (company, municipality, HOA, utility, etc.)
................. ............................................................. ............................................ ....................................................... ...................... ......... ........................ ....................................................... .....................
Z
!I b.
Connie South, Town Administrator
0
Signing Official Name and Title (Please review 15A NCAC 2H .0206(b) for authorized signing officials!)
I c.
The legal entity who will own this system is:
❑ Individual El Federal E Municipality El State/Countv El Private Partnership ❑ Corporation El Other.(specify): ........... ........
Municipality
..___
.... ................... ............... .. ... . .... - ........ ... . ................................................ ..... ... ..... .................................... ........ ... ­-1-1- ........ . . ......... . ....... ...................... .............❑.................... . . ..
1 d.
1800 Connelly Springs Road 1 e. Lenoir
0
Street Address City
LL.
. . ........ .............. . ..... ... ................ .... - ........................... : ............ .............. .......... - ................... ................. .................................. ................. .......................
Z
lf.
North Carolina .1g. 28645
Z
I
State Zip Code
.......... . . . ....................... ...... . .... . . . ........................................................................ .......... . .... . .... .......... ............................................... ............. ............... ................................................. ................... ...........
0
............
I h.
................................................. .......... . ........................ ..............
828-728-5053 1 i. 828-728-4166 .1j. [e-mail]
Telephone Facsimile E-mail
.. ...... ..
2.
Project (Facility) Information:
a.
2a.
Bushvill Drive/Catawba Terrace Sanitary Sewer Extension :2b. Caldwell
CL
Brief Project Name (permit will refer to this name) County Where Project is Located
on:.._— -
C-------- -
"-,o"-n"t,a-,c",tPers
!3a.
Clarence M. Lockamy, PE, PLS The Wooten Company, 1226 1 9th Street Lane, NW Hickory, NC 28601
Name and Affiliation of Someone Who Can Answer Questions About this Application
.................... . .................... .................... - ............................................. ................................... ........... ........................... .......... ................. .......... .......................... .......... ­­­­ ......... ...........
3b.
828-322-5533 .3c. [e-mail]
Phone Number E-mail
1.
Project is Z New El Modification (of an existing permit) If Modification, Permit No.:
2.
Owner is 0 Public (skip to Item B(3)) El Private (go to Item 2(a))
�2a.
If private, applicant will be: 2b. If sold, facilities owned by a (must choose one)
7
1
El Retaining Ownership (i.e. store, church, single office, etc.) ❑ Public Utility (instruction 111)
❑ Leasing units (lots, townhomes, etc. -skip to Item B(3)) El Homeowner Assoc./Developer (instruction IV)
El Selling units (lots, townhomes, etc. - go to Item B(2b)) . . . . . ...... . . . . . . . . .......................... .............. . . .... . ......... . .... . ........... .....
. . .............
C
3.
City of Lenoir
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
4a.
Gunpowder Creek WWTF 4b. NC 0023736
...................Name
of WWTF WWTF Permit No............ ­­ ................ . . . . ....... . ................................................. . ....... . ...... . ..... ...................... . . . ... . .... . . . ........... . .............. . ... ---------- . ... . . .. . ....... i .......... . .................. . ............... . . . . . ............ . .. . ........... ...................... . ............... . ..... . ....... . . . . . .. . .. . ............ . ..............................
0
i5a.
Town of Cajah's Mountain 5b. 8-inch 15c. W00021792
LL
Z.
Owner of Downstream Sewer Receiving Sewer Size Permit Number of Downstream Sewer
...... ............... . ...... .... ..
.
6.
...................
The origin of this wastewater is (check all that apply):
. . . .. . .......... . . . .............. . . ...... . . ... . . ..... . ............... . . . . . . . .. . .. . ....... . . . ................. . .............................................................................. . ... . ......... . ....... . ......... . .. . .. . ......................... ........................ . ................ .... . ..... . ...
Residential Subdivision F-1 Car Wash
LU
F-1 Apartments/Condominiums El Institution 100 % Domestic/Commercial
aMobile
❑ Home Park El Hospital
El School F1 Church % Industrial
Restaurant ❑ Nursing Home % Other (.-,pPrwfy)7
........
El Office El Other (specify):
. . . . .....of' -wastewater", __­­'* ..................... . ............... ............................. . ..................... .................................. . ........................................ . 1.1 - ------ E_
u_m_** *-,to
Volume
e be permitted in this project: 20,880 gallons per day ID
.... . ......................
8.
. . .............. . .. . ...... . ......... . . . ..... . ......... . ......... . ...... . . .................. . . ... ............................................................................................................... . ........................................................ . . ... .. . ....... - - ­-------- - --
If the permitted flow is zero, indicate why:
phi.s Fe
El interceptor Line - Flow will be permitted is subsequent permits that connect to Ii
El Flow has already been allocated in Permit No.
. ..... . .. . ...........
. . . . . ...........
❑ Rehabilitation or replacement of existing sewer with no new flow expected WATER QUALITY SECTION
. ........ .............. . ....... . ................... . ...... . .... . . . ........... . ... . ................ . . ... . . . ..... . .............................. ................................ . ................................................ . .............................. ..... --ASNEVttt'E REGIONAL-OFFiCE

or
PUMP STATIONS, AND FORCE MAINS PAGE 2
astewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2H
for Item
m RattemB(7) or the design flow for line or pump station sizing if zero flow in the space below. Values other than
15A NCAC 2H .0219(I)(1-2) must be approved prior to submittal of this application. Submit a separate request to
the Division of Water Quality, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617 in
accordance with 15A NCAC 2H .0219(I)(3).
58 services at 360 gpd/service = 20,880 gpd
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches)
8-inch
Length (feet) Gravity or Force Main
........... .
(pull down menu)
..
4,610 Gravity
-- ... .......
- _ ..._..,
Gravity
................_...
.........................:........................ ...................................................._...'................. _......... .............................. ............._...........................
............... _.................................
Gravity
Uj
Gravity
Z ............. ................ ......... ................ ......... .................................. .......... . ....... _...... ... .... .......................................................
Gravity
_ __..... _ Gravity
........._........................_........._.__....................................._.........................................._....................................................._........................................._............._................_........_........._............................_..............._......................._....._................................_.._..........................................._..................................._.........
(;) Gravity
Z
ENTER TOTAL LINE LENGTH IN MILES; 0.87 miles
0_.... ..... .............................................. ............ ...... _....._.................................................................................................... .................................. _...... ...................... ............... ............................................ .............................. .......... _.............. ......................
.
i-� !11. Summary of Pump Stations to be Permitted (attach additional sheets as necessary) N/A
Q._......... ..._.................._............... ........ _...._....................... _........... ..................................._.__.......... .............................. ............ ......._......................_.,.................. .._......._........_.................... ........_................................ ........... ..................... _........ - ...... ... .............. ..... ..
Power Reliability Option
Location ID Design Flow Operational Point (dual line feed, permanent generator,
(as shown on lans) (MGD GPM @ TDH portable generator, wewell storage)
LL P._....... ....,..
Z I
'SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
113. Have the following
i
been submitted for approval?
Wetland/Stream Crossings - General Permit or 401 Certification? ® Yes ❑ No ❑ N/A
Sedimentation and Erosion Control Plan?
® Yes ❑ No ❑ N/A
Stormwater? ❑ Yes 0 No ❑ N/A

4F
PUMP STATIONS, AND FORCE MAINS PAGE 3
s guidance document entitled, "DETERMINING STREAM CLASSIFICATIONS FOR FORM FTA 02/03
ACK SEWER SYSTEMS)" to collect and record the stream classification data below (attach additional sheets a
This document is available from our web site or by contacting the appropriate Division of Water Quality
P�Pssary).
gonal office (see instructions for addresses) OR indicate the following:
........................... ................................. _.......... _........_.................................... ................... __... ............................................................ ......_............. _................................. ...._.........._....... _.............. .._..................... ...................... __................ I ......... _........_....___....... ............ ....... ...... __.......
❑ A Watershed Classification is not needed because all parts of the project are at least 100 feet away from any down
slope waterbody; AND,
..... ............ - ........ ............... .. ................... ... ............ ...... ............... .... ..........._ .................. .......... _.......
❑ A Watershed Classification is not needed because the design does not depend on wet well storage as a power
reliability option for any pump station near a Class C down slope waterbody.
Location ID Name of
on Mapi Waterbod
UT -Little Gun
Creek
I Waterbody Stream 1 Waterbody
County River Basin Index Classification
Caldwell Catawba ? 11-55-2(1) Class C
..................... .......__................. ............ _........._.............................. .._._........ _ . _ ....._ ..... .
Submit the 8.5" x I topographic map as required in Instruction VI regardless of whether a classification is provided!
a.
Applicant's Certification:
1, Connie South, attest that this application for Bushville Drive/Catawba Terrace Sanitary Sewer Extension has been
reviewed by me and is accurate and complete to the best of my knowledge. l 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 Denalties uD to,M.000 per violation. ,
Signing Official Signature
Professional Engineer's Certification:
Date
I attest that this application for Bushville Drive/Catawba Terrace Sanitary Sewer Extension 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 certain
portions of this submittal package may have been developed by other professionals, 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. Clarence M. Lockamy, PE, PLS�0#oee�
i Professional Engineer Name-°°,FE��°°
2b. The Wooten Company
Engineering Firm 0 °
_........._._............................................................._......................................._. Z
2c. 1226 19 Street Lane, NW °
i
Address ° °° �Qr °o°,
.._..............................._._......._..........._.................................................................................................................................................:........._..........................................................................................................................._...._ °o,°°°� °°
0
00
2d. Hickory 2e. NC 2f. 28601 �®oF
�BdBQa9QHElt��
City _ State _ Zip Oq
2g. 828-322 55332h. 828-322-5242 2i.clockamyQthewootencompany.com
E-mail
TeleDhone Facsimile Seal, Signature & Date

01- 31 5.
AVOV 32'•jWBI' 31'
GRAPHIC MAP
17
4 /X ........ .
Ef
wl
�7 /1
09
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n
ant'
Connelly Springs Rd. NCSR
1 �y � � �—�_ - Hr r`.`, -tll �� L — - % n\� - `! i -4-- �� o IPCisO���Y Z ��
_T
Bushville Dr.
f P
5a
P rLOPOq s rq I n
I
ITif
Ex. Gravity Sewer j
J 0
x
Proposed Gravity
Catawb
a Terrace NCSR 1258.,
L
V,
W,
1%
:�'
�J260
L
. .. ...... .
A Portion of the DREXEL Quadrangle
41�
Scale 1 :24,000 IN
I- — 2,000 ft
(D 2001 D.1Dane_ DKINIIE.P(9)"Data copyrigbt f ­twd owner- 0 ft
zoom ILewl. 13-0 Datm. :Wr-S84 a ma am am I= . I — i

NC DENR - DIVISON OF WATER QUALITY
.0308 CATAWBA RIVER BASIN
2B .0300
Classification
Name of Stream Description Class Date Index No.
Frye Creek
From source to Horseford
WS-IV
08/03/92
11-54-1
Creek
Cripple Creek
From source to Horseford
WS-IV
08/03/92
11-54-2
Creek
Horseford Creek
From a point 0.7 mile
WS-IV;CA
08/03/92
11-54-(3)
upstream of mouth to Lake
Hickory, Catawba River
Gunpowder Creek
From source to a point 0.5
C
09/01/74
11-55-(0.5)
mile downstream of Caldwell
County SR 1127
Angley Creek
From source to Gunpowder
C
09/01/74
11-55-1
Creek
Brushy Fork
From source to Angley Creek
C
09/01/74
11-55-1-1
Gunpowder Creek (Old Mill
From a point 0.5 mile
WS-IV
08/03/92
11-55-(1.5)
Pond)
downstream of Caldwell
County SR 1127 to a point
0.8 mile downstream of Billy
Branch
Little Gunpowder Creek
From U.S. Hwy. 321-A to
WS-IV
08/03/92
11-55-2-(2)
Gunpowder Cr.
Billy Branch
From source to Old Mill
WS-IV
08/03/92
11-55-.3
Pond, Gunpowder Creek
Gunpowder Creek
From a point 0.8 mile
WS-IV;CA
08/03/92
11-55-(4)
downstream of Billy Branch
to Lake Hickory, Catawba
River
Silver Creek
From source to a point 0.7
WS-IV
08/03/92
11-56-(1)
mile upstream of mouth
Silver Creek
From a point 0.7 mile
WS-IV;CA
08/03/92
11-56-(2)
upstream of mouth to Lake
Hickory, Catawba River
Mill Creek
From source to a point 0.6
WS-IV
08/03/92
11-57-(1)
mile upstream of mouth
Mill Creek
From a point 0.6 mile
WS-IV;CA
08/03/92
11-57-(2)
upstream of mouth to Lake
Hickory, Catawba River
Upper Little River (Cedar
From source to Morris Creek
C
03/01/62
11-58
Creek)
Millers Creek
From source to Upper
C
03/01/62
11-58-1
Little River
McRary Creek
From source to Upper
C
03/01/62
11-58-2
Little River
20

4 ti2�
8 CAS°
CITY MANAGER MAYOR
W. LANE BAILEY CITY OF LENOIR DAVID W. BARLOW
NO RTH CARO L I N A CITY COUNCIL
G. L. BERNHARDT
December 15, 2004 B. L. BUSS
T. H. PERDUE
H. L. PRICE
T. J. ROHR
D.F.STEVENS
M. O. STRAWN
Mrs. Connie South, Town Administrator
Town of Cajah's Mountain
1800 Connelly Springs Road
Lenoir, North Carolina 28645
Re: Wastewater Flow Acceptance
Sanitary Sewer Extension: Bushville Drive/Catawba Terrace Subdivision
Town of Cajah's Mountain, North Carolina
Dear Mrs. South:
This letter is to acknowledge the City of Lenoir's willingness to accept an
additional 20,880 gallons of wastewater per day from the Town of Cajah's Mountain. It is
understood that this flow will result from extending the Town's wastewater collection
system to serve existing homes along Bushville Drive and Catawba Terrace.
The additional flow will enter the City of Lenoir's collection system at the
existing metering point and will be treated at the City's Gunpowder WWTP (Permit #NC
0023736).
It is also understood that the anticipated flow is a portion of the "Guaranteed
Capacity" of 200,000 gallons per day as outlined in the Wastewater Agreement between
the City of Lenoir and the Town of Cajah's Mountain and dated October 11, 1994.
WLB:smc
Sincerely,
CITY OF LENOIR
W. Lane Bailey
City Manager
POST OFFICE BOX 956 ° LENOIR, NORTH CAROLINA 28545-0958 1 [phone]

THE
WOOTEN
COMPANY
ENGINEERING
PLANNING
ARCHITECTURE
1226 19th Street Lane NW
Hickory NC 28601
828.322.5533
fax [phone]
January 6, 2005
Asheville Regional Office
N.C. Department of Environment and Natural Resources
Division of Water Quality
59 Woodfin Place
Asheville, NC 28801
Re: Fast Track Application
Sanitary Sewer Extension; Bushville Drive/Catawba Terrace Subdivision
Town of Cajah's Mountain, Caldwell County
TWC Project No. 2808-K
Dear Sir:
The following information for the above project is enclosed for review by your office:
1. One (1) original and one copy of the application for "Fast Track Application, for
Gravity Sewers, Pump Stations, and Force Mains."
2. A check in the amount of $400.00 for the permit processing fee.
3. Letter of acceptance of wastewater flow from City of Lenoir.
Should you have any questions or need additional information, please let us know.
Sincerely,
THE WOOTEN COMPANY
C &:� 0 _L�—
Clarence M. y, PE, PLS
CML/lpb
Enclosure
Pc: Mrs. Connie South, Town Administrator
F
C EC VE
JAN 13 2005
TER QUALITY SECTION

PV
4F
FAST -TRACK APPLICATION REVIEW PROCEDURES
f n` r �/� ? / / l i I
Project Name tcw&( of C A�,44'1 l� ., w Ur�56i r(Ir �c�/�i4�v�ulpK! �e Rp".C- 5u bj-
Application received Date 1 h.3105 Basic Review Date 1he os
Application Returned Date Application entered BIM's Date
Application to County Person Permit Issued Date
All fast -track projects should be submitted on the application entitled "Fast -Track Application for
Gravity Sewers, Pump Stations, and Force Mains" (FORM: FTA 02/03 currently) unless otherwise
directed by the NDPU. Any pump station/force main projects that require an Environmental
Assessment (EA) are excluded from the Fast -Track review process, and should be submitted for
full review to the Central Office (NDPU) on FORM: PSFMGSA 10/99. Additionally, any projects
involving a flow reduction request must receive approval for the flow reduction from the central
office.
PRE -REVIEW
V/ Does the application package appear to be generally complete (i.e. all attachments, check, key
questions answered)? If any portion of the application is not complete, or if any required
instruction items have been omitted, RETURN the application package and supporting
documents to the applicant using the Project Return Letter template. Send the package and
letter via certified mail to the applicant, and a copy of the letter to the engineering consultant.
Any projects that are to be returned shall be returned prior to accepting the application (i.e.,
before logging in the application and depositing the check). After a project has been accepted,
any information that is found to be incorrect and/or lacking must be requested via an Additional
Information Request in accordance with 15A NCAC 2H .0208(e).
V/ Ensure that a check for $400 is submitted and made out to NCDENR. All new projects and major
modifications to existing projects require an application fee. A major modification includes any
changes to permitted flow volumes, changes in pipe diameter, changes in pipe length greater that
10% of the originally permitted length, changes in the operating points of a pump station, etc.
SECTION A — Application Information
If the applicant is private (Item B(2)) and listed as a corporation, check the NC Department of the
A_
Secretary of State's web site at http://www.secretary.state.nc.us/Corporations/ to ensure that the
Applicant is registered with the Secretary of State to conduct business as a corporation in the
/ State of NC. Developer's and HOA's should be listed.
t/ Ensure that the signing official meets the requirements of 15A NCAC 2H .0206(b). If they do not,
request a revised application that has been completed by an appropriate official or a letter from
an appropriate official that indicates the person in question is delegated to sign the application on
the applicant's behalf. A current list of Delegated Signing Officials can be obtained from the
DWQ Intranet. If a new delegated signing official letter is presented with the application, forward
a copy to the central office so that the person may be added to the Delegated Signing Official list.
The central office will send E-mails to the appropriate region if a new signing official has been
added so that the most current list can be used. The Non -Discharge Permitting Unit has an
example delegated signing official letter from
http://h2o.enr.state.nc.us/ndpu/spraypol.htm]#DELEG.
SECTION B — Permit Information
FAST -TRACK Application Review Procedures 2003

PV
0
Project is new. Modification? If the project is a modification to an existing permit, be sure to
enter the application into BIMS as a permit modification (i.e. "renew/modify application" and not
"create new project") .
Applicant a public entity (e.g. county, town
,_sanitary district)?
Applicant a private entity?
Own (i.e. lease) units, lots, parcels, etc?
Sell units, lots, parcels, etc?
Certificate of Public Convenience and Necessity? 2H .0205(d)(2)
♦ Required if the applicant is a public utility. In lieu of a Certificate of Public
Convenience and Necessity, they may submit written approval from the
North Carolina Utilities Commission's Public Staff that states that the utility is
allowed to provide utility service in the subject project area. Note that the
project name on the application and on the CPCN must match. Contact the
NCUC Public Staff if questions arise.
Operational Agreement? 2H .0205(d)(2)
♦ Operational Agreements are only required if the applicant is not a public
entity (i.e. Town, County, etc.) or public utility as designated by the North
Carolina Utilities Commission AND the lots being served by the collection
system are to be sold to individual owners.
♦ If the applicant is a developer, they must fill out the DEVELOPER
Operational Agreement (FORM: DEV 02/03). A developer may be
responsible for the system for an interim period until the homeowners
association is formed, at which time a Permit Name/Ownership Change
request (FORM: PNOCF 06/00) will be needed to transfer the permit to the
HOA.
♦ If the applicant is a homeowners' association (HOA), they must fill out the
ASSOCIATION Operational Agreement (FORM: HOA 02/03 The HOA must
be registered with the Secretary of State's office and must provide a copy of
the Associations' Bylaws and Articles of Incorporation. These documents
should be reviewed to ensure that all applicable language regarding the
collection system is included as is required by the Operational Agreement.
♦ The Operational Agreement should be attached to the permit and
incorporated into the language of the permit. Please note that Operational
Agreement language should not be altered without approval from the
Attorney General's Office. Operational Agreements are available at
http://h2o.enr.state.nc.us/ndpu/ndpuapps.htm1.
Approval of flow to receiving sewers and WWTF? (i.e. P4 procedure, but now in-house!)
♦ Ensure that the receiving sewers and WWTF have adequate capacity available to accept the
flow volume that is being requested, and that the WWTF has been in compliance with their
treatment and disposal permit.
Flow acceptance letter(s) from the owner of the WWTF and owner of any intermediate sewers (if
different from WWTF owner and applicant)? 2H .0205(d)(3)(C)
♦ Required only if the applicant and the owner of the WWTF/intermediate sewers are not the
same entity.
♦ Project specific flow acceptance letters are required.
♦ Ensure that the following items appear in the flow acceptance letter: applicant's name,
project name, amount of wastewater flow accepted, date that the flow acceptance was
granted, expiration date of the acceptance, and name/permit number of the receiving WWTF.
Do not accept a flow acceptance letter that was issued more than one year prior to the
receipt of the package.
♦ Ensure that the owner accepted the entire volume of flow listed in application.
Wastewater industrial or domestic in nature?
♦ Most projects will be for wastewater that is domestic in nature, however, if Item B.6 indicates
that the wastewater is industrial in nature, notify the Regional Office Pretreatment
FAST -TRACK Application Review Procedures 2003

PPV
Flow volume calculated correctly? 2H .0219(l)
♦ Ensure that the daily design flow in the application is based on the guidance provided in the
regulations or existing flow, and that the explanation as to how this volume was determined is
very specific (i.e., 22 three -bedroom homes, 50,000 s.f. of retail space, 18 employees, etc).
This information will be included in the description of the system in the permit. Our regs say
120 gpd/bedroom for residential. Note that for one -bedroom the minimum they can use is
240 gpd.
♦ If daily design flow is not based on regulations, ensure that the applicant has an approved
flow reduction of daily design flow rate on file with the Division. A list of approved flow
reductions may be obtained from the DWQ Intranet or by contacting the NDPU. Flow
reduction requests are to be reviewed by the central office, and must be reviewed and
approved before the application is accepted by the regional office for review.
♦ Ensure that the flows shown on the application match up to what is shown on the plans (if
available for review). For example, if the application states that 100 lots are to be developed,
ensure that there are 100 lots, and not 150 lots, shown on the plans. Plans are only required
for review if the applicant is requesting a variance to the MDC or the .0200's.
♦ Do not approve "future" wastewater flows (i.e., that based on speculative development).
These would be permitted in future wastewater collection system extensions.
40'
rz,
Coordinator or the WQ Pretreatment Unit Central Office to determine if a pretreatment permit
is needed or if a program already in place and compliant.
Adequate information provided regarding the proposed gravity sewer and/or force main (if
applicable)?
Note: An Environmental Assessment may be required if there are 3 miles of gravity sewer and
the design capacity is 1 MGD or greater (15A NCAC 1 C .0100). Note that this criteria is currently
under revision. Environmental Assessment projects can NOT go Fast -Track!
Adequate information provided regarding the proposed pump station(s) (if applicable)?
Note: An Environmental Assessment may be required if the pump station(s) have a design
capacity greater than 1 MGD or greater (15A NCAC 1 C .0100). If there are any questions about
whether an EA may be required, discuss with your supervisor or contact Todd Kennedy of the
Planning Branch's Local Government Assistance Unit.
♦ Power reliability at the pump station provided in accordance with Section 5.04 of the
Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains
document (i.e dual line feed, portable generator w/telemetry, permanent generator with
automatic transfer switch, wet well storage if near Class C waters)?
Project designed in accordance with 15A NCAC 2H .0200, the Gravity Sewer Minimum Design
Criteria and the Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and
Force Mains document (as applicable)? If NO, forward one copy of the supporting documents to
the Central Office for review, indicating the permit number, owner and project name. The Central
Office will review the variance request, and if approvable, specific language regarding the
variance will be forwarded to the Regional Office reviewer to incorporate into the permit. A copy
of the variance letter provided by the central office should be kept with the application file.
SECTION C — Watershed Classification
Topographic map submitted?
Watershed classification required? If YES, you are advised to "spot-check" the classification(s).
If NO, ensure the applicant/engineer has indicated why one is not required.
SECTION D —Certifications
Signing Official's signature? 2H .0206(b)
3
FAST -TRACK Application Review Procedures 2003

PPV
4"
♦ Ensure that the applicant's signature is the same person as that listed as the applicant's
signing official on Page 1 of the application form.
PE stamped, signed, and dated application, plans, specifications, and calculations (if applicable)?
2H .0205(d)(1)(A)(iii)
♦ Ensure that the same engineer has signed, sealed, and dated the application and all the
items, with the exception of items designed by specialty disciplines (i.e., architectural,
structural, plumbing, and electrical plans). If not, an explanation and/or authorization is
required.
Adequate information provided for the engineer/engineering firm?
PE with active license in North Carolina? 2H .0205(d)(1)(A)(iii) or 2H .0203(28)
♦ Ensure that ALL pertinent P.E.s have active licenses by checking the NC Professional
Engineer's Board web site (www.ncbels.org - the PE number must be six digits, use leading 0
when needed).
♦ If the PE seal number does not show up on the web site database, call the PE Board for
verification [phone].
Drafting a Permit
♦ In order to be consistent, use the most current version of the Fast -Track permit shell (see DWQ
Intranet). This permit shell contains specific language with respect to the Minimum Design Criteria,
regulations, and collection system permitting. The NDPU will notify you of any changes to this permit
shell.
♦ Be specific with respect the system description and information. Indicate the flow, what the project
will be serving, length and size of gravity sewer lines and force mains, etc. For projects involving
pump stations, the size of the pump stations, as well as the reliability option and any additional info
(telemetry, odor control system, etc) should be included. A sample permit is on the DWQ Intranet.
♦ Add or remove any special conditions as necessary. Please call attention to any non-standard permit
conditions in the cover letter of the permit and include the permit condition where necessary. See the
Example Special Conditions document.
♦ If the project is a modification, don't forget to include the system description from the previous permit
and void the previous permit in the language!
Denying a Project
If the Reviewer/Supervisor determines that an application package should be denied because it can
not meet NC Statutes, rules or regulations, then a denial letter should be drafted. Special attention
should be paid to the statutory deadline for permitting. If it is thought that a project might be
denied, it is important to review it and draft the denial letter as soon as possible. There must
be time allowed for the denial letter to be sent up to the Director and signed prior to the
statutory date.
The Reviewer should use the Application Denial Letter template to prepare a denial package for the
Supervisor's review and submittal to the Director for signature. The letter should not be dated, but
instead will be dated after the Director signs it. A memo to the Director should be attached to the top
of the denial package summarizing the reasons for denial. This package must be singed off on by the
reviewer, supervisor, Section Chief, and Director. Distribute the letter as directed in "Issuing a
Permit" below.
Issuing a Permit
♦ Permits should be signed only by those delegated to sign for the Director.
♦ Permits should be distributed as follows (include the signed Operational Agreement if applicable):
✓ Original to the Permittee
✓ Copy to the consulting engineer
4
FAST -TRACK Application Review Procedures 2003

am
pp7in
Copy to the county health department
Copy to the Mecklenburg County Department of Environmental Protection for all projects located Mecklenburg County
✓ Copy(ies) to the owner of the WWTF and owner of the downstream sewers (if different than the
Permittee)
✓ Electronic Copy and Hard Copy to the NDPU for our files
✓ Copy to Central Files (attach application package and any supporting documents)
✓ Save an electronic version named WQOOXXXXX.doc in a folder on your office shared drive or
hard drive. Try to keep your drafts and issued files separate.
FAST -TRACK Application Review Procedures 2003

11/18/2004
r.

�a
I�
F
Jlas�y=Governor
OF �NATF9
Michael
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
•,�F�, —�
Alan W. Klimek, P.E., Director
7b
Division of Water Quality
Asheville
October 6, 2004
Ms. Connie South, Town Administrator
Town of Cajah's Mountain
1800 Connelly Springs Road
Lenoir, North Carolina 28645
Dear Ms. South:
Subject: Permit No. WQ0024400
Holiday Foods Sewer
Town of Cajah's Mountain
Wastewater Collection System Extension
Caldwell County
In accordance with your application received September 27, 2004 we are forwarding herewith
Permit No. WQ0024400 dated October 6, 2004 to the Town of Cajah's Mountain for construction and
operation 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 Permit Condition 3 requiring that the wastewater collection
facilities be properly operated and maintained in accordance with 15A NCAC 2H .0227 or any individual
system -wide collection system permit issued to the Permittee.
Permitting of this project does not constitute an acceptance of any part of the project that does
not meet 15A NCAC 2H .0200; the Division of Water Quality's (Division) 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 the North Carolina -licensed Professional Engineer named in the application. It shall be the
Permittee's responsibility 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.
Asheville Regional Office
2090 US Highway 70, Swannanoa, NC 28778
Internet http://h2o.enr.state.nc.us/
Telephone [phone] Fax [phone]
NorthCarolina
Atturallry
DENR Customer Service Center Telephone [phone]
An Equal Opportunity Action Employer 50% recycled/10% post -consumer paper

Town of Cajah's Mountain — Holiday Foods October 6, 2004 W00024400
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North C;
amended, and other applicable Laws, Rules, and Regulations, permission is hereby grantea to me
Town of Cajah's Mountain for construction and operation of approximately 200 linear feet of eight -inch
gravity sewer to serve a grocery store as part of the Connelly Springs Road — Orchard Drive Project,
and the discharge of 500 gallons per day of collected domestic -commercial wastewater into the Town
of Cajah's Mountain's existing sewerage system, pursuant to the application received September 27,
2004 and in conformity with 15A NCAC 2H .0200; 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 Environment and Natural
Resources and considered a part of this permit.
The sewage and wastewater collected by this system shall be treated in the City of Lenoir's
Gunpowder Creek Wastewater Treatment Facility (Permit No. NC0023736) prior to being discharged
into the receiving stream.
This permit shall become voidable unless the agreement between the Town of Cajah's
Mountain and City of Lenoir for the collection and final treatment of wastewater is in full force and
effect.
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 150B 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 Mr. James Reid at
[phone].
Sincerely,
for AlanW. Klimek, P.E.
cc: Caldwell County Health Department
Asheville Regional Office, Surface Water Protection (WWTF Permit No. NC0023736)
Clarence M. Lockamy — The Wooten Company
City of Lenoir
Water Quality Central Files
NDPU Files

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
TOWN OF CAJAH'S MOUNTAIN — HOLIDAY FOODS — WQ0024400
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
following specified conditions and limitations:
1. This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2H .0200; 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 unless specifically
mentioned herein.
2. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data.
3. 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
operation and maintenance of these facilities as required by 15A NCAC 2H .0227. If an individual
permit is not required, the following performance criteria shall be met as provided in 15A NCAC 2H
.0227:
a. The sewer system shall be effectively maintained and operated at all times to prevent
discharge to land or surface waters, and any contravention of the groundwater standards in
15A NCAC 2L .0200 or the surface water standards in 15A NCAC 2B .0200.
b. A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan shall be 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-month period of time.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Inspection and maintenance records shall be maintained for a period of at least three years.
h. 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 §143-215.1 C.

4. 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.
5. 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.
6. Upon completion of construction and prior to operation of these permitted facilities, a certification, a
copy of the construction record drawings, as well as supporting design calculations for any pump
stations permitted as part of this project shall be received from a North Carolina -licensed
Professional Engineer certifying that the facilities have been installed in accordance with this
permit; 15A NCAC 2H .0200; 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 Main adopted June 1, 2000 as applicable; and other supporting materials. If this
project is to be completed in phases and partially certified, you shall retain the responsibility to
track further construction approved under the same permit, and shall provide a final certificate of
completion once the entire project has been completed. A copy of the construction record
drawings, indicating the facilities constructed in the phase being certified, shall be submitted with
each partial certification. Mail the Engineer's Certification, one copy of the "Construction Record
Drawings," and one copy of the supporting design calculations to the Non -Discharge Permitting
Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617.
7. A copy of the construction record drawings shall be maintained on file by the Permittee for the life
of the wastewater collection facilities.
8. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2H .0200; 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.
9. 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.
10. 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 other government agencies
(local, state and federal) which have jurisdiction, including but not limited to applicable river buffer
rules in 15A NCAC 2B .0200, erosion and sedimentation control requirements in 15A NCAC Ch. 4
and under the Division's General Permit NCG010000, and any requirements pertaining to wetlands
under 15A NCAC 2B .0200 and 15A NCAC 2H .0500.
11. Noncompliance Notification:
The Permittee shall report by telephone to a water quality staff member at the Asheville Regional
Office, telephone number [phone], 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:

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 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.
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 (919)
733-3300. Persons reporting any of the above occurrences shall file a spill report by completing
Part I of Form CS-SSO (or the most current Division approved form), within five days following first
knowledge of the occurrence. This report shall outline the actions taken or proposed to ensure that
the problem does not recur. Per Condition 1(2), 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.
(Permit issued this the Sixth Day of October, 2004
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0024400

ENGINEERING CERTIFICATION — POST CONSTRUCTION
System Description: Permit No. WQ0024400
Holiday Foods Sewer
Town of Cajah's Mountain
Wastewater Collection System Extension
Caldwell County
Complete and submit this form to the Asheville regional office with the following:
• One copy of the project record drawings (plan & profile views of sewer lines) of the wastewater collection
system extension
• 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.
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 ❑ Final
I, , 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 above referenced
project 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 2H .0200; 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, signature, and date:
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
FORREST R. WESTALL
SURFACE WATER PROTECTION SUPERVISOR
ASHEVILLE REGIONAL OFFICE
2090 US HIGHWAY 70
SWANNANOA, NC 28778
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.

ATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS; LR GE :tl
F9 D E C A � U E State of North Carolina
QG Department vironment and Natural Resources
SEP 2 7 200� Division of Water Quality
JST-TRACK APPLICATION
for RA M ERIS;. NTATIONS, AND FORCE MAINS
ASHEVILLE fa 4A31,VGEnot to be included as part of this application package)
INSTRUCTIONS: Indicate that you have included the following list of required application package items by checking the
space provided next to each item. Failure to submit all required items will lead to your application being returned as
incomplete or additional processing and review time. This form may be photocopied for use as an original.
® I. Application Form - Submit one original and one copy of the completed and appropriately executed application
form. 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 B(12).
® II. Application Fee - Submit a check in the amount of $400 made payable to: North Carolina Department of
Environment and Natural Resources (NCDENR).
❑ III. 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(2a) of this application.
❑ IV. Operational Agreements — Submit one original and two copies of a properly executed operational agreement if
the sewer extension is permitted 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
homeowners' association, use Form HOA 02/03. If the applicant is a developer, use Form DEV 02/03. EVEN IF
THE PROJECT WILL BE TURNED OVER TO A MUNICIPALITY, FORM DEV 02/03 IS REQUIRED.
® V. Flow Acceptance Letters — If the owner of the downstream sewers and/or WWTF is different from the applicant,
submit two copies of a flow acceptance letter from the owner of the downstream sewers and WWTF, if different.
Flow acceptance letters must contain the following minimum information: applicant and project name, amount of
flow accepted, and name and permit number of the receiving sewers/WWTF. The flow acceptance must not
expire prior to permit issuance and must be dated less than a year prior to the application date.
Intergovernmental agreements or other contracts will not be accepted in lieu of a project -specific flow acceptance
letter.
® VI. Map — Submit an 8.5-inch by 11-inch COLOR copy of the portion of a 7.5-minute USGS Topographic Map along
with this form. The map should identify the entire project area location as well as the closest downslope surface
waters as clearly as possible. Each map portion must be labeled with the map name and number, the identified
location of the sewer line and pump stations, and be of clear and reproducible quality. For instance, if the project
involves 4 miles of interceptor sewer that traverses over or near several different waterbodies (or counties,
basins, etc.), the map should have location ID's shown for each different waterbody (where the sewer line is within
100 feet of such waterbody - see Instruction VII). This location ID is self chosen and used to cross reference the
location in Section C of the permit application.
❑ VII. Stream Classifications — Section C
• If any portion of the project is within 100 feet of any down slope surface water, Section C must be completed
for the pertinent sections.
• If the entire project area is a minimum of 100 feet away from any down slope surface waters BUT there is a
pump station involved where a history of power outage is to be used to provide adequate design storage
instead of dual feed or permanent or portable generator, Section C must be completed to demonstrate that
the closest down slope surface water is Class C (see 15A NCAC 2H .0219(h)(3)(D)).
• Use the guidance document entitled, "Determining Watershed Classifications for Form FTA 02/03 (Fast -Track
Sewer Systems)" available from http://h2o.enr.state.nc.us/ndpu or by contacting the appropriate regional
office.

TION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 2
mental Assessments — If this project is subject to an Environmental Assessment (EA) [15A NCAC
0500], this application can not be used. Send the project application on Form PSFMGSA 10/99 to the
on -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. Applications can not be
processed 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.
® IX. Certifications —Section D
The application must be certified by both the applicant and a North Carolina Registered Professional Engineer
(PE). The applicant signature must match the signing official listed in Item A(lb). The PE should NOT certify the
application if he/she is unfamiliar with 15A NCAC 2H .0200, 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. Certification by a PE who is unfamiliar with these documents
is subject to NC Board referral.
THE COMPLETED FTA 02/03 APPLICATION PACKAGE, INCLUDING ALL SUPPORTING DOCUMENTS AND $400
FEE, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional _Office
Avery, Buncombe, Burke, Caldwell,
2090'US Highway 70
Cherokee, Clay, Graham, Haywood, .
Swannanoa; North Ck4140877
Henderson, Jackson, Macon,
(.828) 296-4500,
Madison, McDowell, Mitchell, Polk,
($281 299 7043� Fax
Rutherford, Swain, Transylvania,
Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Harnett,
Fayetteville, North Carolina 28301
Hoke, Montgomery, Moore, Robeson,
[phone]
Richmond, Sampson, Scotland
[phone] Fax
Mooresville Regional Office
919 N Main Street
No
Mooresville, North Carolina 28115
Moor
Alexander, Cabarrus, Catawba,
663le,
Cleveland, Gaston, Iredell, Lincoln,
[phone] Fax
Mecklenburg, Rowan, Stanly, Union
Raleigh Regional Office
1628 Mail Service Center
Chatham, Durham, Edgecombe,
Raleigh, North Carolina 27699-1628
Franklin, Granville, Halifax, Johnston,
Lee, Nash, Northampton, Orange,
[phone]
[phone] Fax
Person, Vance, Wake, Warren,
Wilson
Washington Regional Office
Beaufort, Bertie, Camden, Chowan,
943 Washington Square Mall
Craven, Currituck, Dare, Gates,
Washington, North Carolina 27889
Greene, Hertford, Hyde, Jones,
[phone]
Lenoir, Martin, Pamlico, Pasquotank,
[phone] Fax
Perquimans, Pitt, Tyrrell, Washington,
Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus,
Wilmington, North Carolina 28405
Duplin, New Hanover, Onslow,
[phone]
Pender
[phone] Fax
Winston-Salem Regional Office
585 Waughtown Street
Alamance, Alleghany, Ashe, Caswell,
Winston-Salem, North Carolina 27107
Davidson, Davie, Forsyth, Guilford,
[phone]
Rockingham, Randolph, Stokes,
[phone] Fax
Surry, Watauga, Wilkes, Yadkin
For more information, visit our web site at: http:llh2o.enr.state. nc.uslndpul

PFATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 3
Application Number: ®�
THE TAB KEY TO MOVE FROM FIELD TO FIELD!Q����o ,'
(to be completed by DWQ)i
nwner--
_-_ .. . :... .... ...... ....... ......... f
1 a. Towon of Ca'ah's Mountan
Full Legal Name (company, municipality, HOA, utility, etc.)
.. ......... __.......... _.
Z
'1 b.
Connie South, Town Administrator
0
Signing Official Name and Title (Please review 15A NCAC 2H 0206(b) for authorized signing officials!)
....... ........... ....... ....... ................. .... ............. _ . .......................... ........................... ...... _........................
Q
11 c.
The legal entity who will own this system is:
❑ Individual ❑ Federal ® Municipality ❑ State/County ❑ Private Partnership ❑ Corporation ❑ Other (specify):
:1d.
1800 Connelly Springs Rd. 1e. Lenoir
0
Street Address City
LL
. ...... ....... ........... .......
Z
1f.
NC 1g.28645.
Z
State Zip Code
1 h.
828-728-5053 1 1. 828-728-4166 11j.
Q.....................
Telephone Facsimile E-mail
......... _ ........ _
U
;2
Project (Facility) Information ........... ..... .... ._ ............. ............ ....... .._ ....
_
'J
[L
2a.
Holiday Foods Sewer Extension Qb. Caldwell
a
Brief Project Name (permit will refer to this name) County Where Project is Located
Q
3.
Contact Person:
Q
3a.
Clarence M. Lockam , P.E. - Engineer
...............
Name and Affiliation of Someone Who Can Answer Questions About this Application
. _............................... .......... ...................._ - .... .. .
>3b.
828-322-5533 '3c. [e-mail]
Phone Number f E-mail
1.
Project is ® New ❑ Modification (of an existing permit) If Modification, Permit No.:
For modifications, attach a separate sheet clearly explaining 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 in B(7) and B(10-11) that has already been included in the original permit.
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.) on ❑ Public Utility (Instruction 111)
Z
❑ Leasing units (lots, townhomes, etc. - skip to Item B(3)) j El Homeowner Assoc./Developer (Instruction IV)
0_
❑ Selling units (lots, townhomes, etc. - go to Item B(2b))
Q
3.
Ci of Lenoir
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
0
:_._...__.........----.—.._..
4a.
..-_...................... _.._................................ _........ ........... ..._............................................................................................................. .... __._:-..... __.-..... _........_._....... _................. ........... _.._........_.........................................._........... _............. _....... ................................... ................ ................ .,
Gunpowder Creek WWTF 4b. NC 0023736
L
Name of WWTF WWTF Permit No.
....._......__..__............__......._.._....... -----.._..........._......._._............. ----......- ....
Z
;5a.
..
_.._.._._......_.............._...._........_......_................-............._..._....__.._..................I............._._........._..._...._._........_.........._.._....
Town of Ca'ah's Mountain 5b. 8" 5c. unknown
Owner of Downstream Sewer Receiving Sewer Size Permit Number of Downstream Sewer (if known)
6^
The origin of this wastewater is (check all that apply)_ _ _ - _--- --...._.._.__...._ ... ......... ....._._._...... _. __._..._.............................. .....
--_--- —
❑ Residential Subdivision ❑ Car Wash
W
a
❑Apartments/Condominiums ❑Institution 100 % Domestic/Commercial
❑ Mobile Home Park ❑ Hospital
❑ School ❑Church %Industrial
❑ Restaurant ❑ Nursing Home o
❑ Office ® Other (specify): Convenience Stor �ff A_
- -
7.
Volume of wastewater to be permitted in this project: 500 gallons per day
8.
If the permitted flow is zero, indicate why: U U SEP 2 7 2004
❑ Interceptor Line - Flow will be permitted is subsequent permits that connect to his li e
❑ Flow has already been allocated in Permit No.
❑ Rehabilitation or replacement of existing sewer with no new flow expected WATER QUALITY SECTION
REGIONALOFFICE­—

TION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 4
' Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2H
.0219(1) for Item B(7) or the design flow for line or pump station sizing if zero flow in the space below. Values other than
that in 15A NCAC 2H .0219(I)(1-2) must be approved prior to submittal of this application. Submit a separate request to
the Division of Water Quality, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617 in
accordance with 15A NCAC 2H .0219(I)(3).
250 gpd/water closet or urinal " 2 water closet or urinal = 500 gpd
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
...... ................
Size (inches) Length (feet) Gravity or Force Main
......... .
(use the pull down menu)
g 200I Gravity
0
LU
3:
Z
O........
U
Z ENTER TOTAL LINE LENGTH IN MILES. 0.04
.... .
Q11. Summary of Pump Stations to be Permitted (attach additional sheets as necessary) N/A
Location ID Power Reliability Option
(self chosen - as shown on Design Flow Operational Point (1- dual line feed; 2- permanent generator WATS; 3-
plans for .cross-reference) (MGD) GPM @ TDH portable generator w/telemetry; 4-wet well storage)LL
Z
'SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
13. Have the following permits/certifications been submitted for approval?
Wetland/Stream Crossings - General Permit or 401 Certification? ❑ Yes ❑ No M N/A
Sedimentation and Erosion Control Plan? ❑ Yes ❑ No M N/A
Stormwater? ❑ Yes ❑ No M N/A

TION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 5
Z
0
F-
Q
U_
M
U)
Cn
J
U
Q
W
W
:F-
N
'Use the Division's guidance document entitled, "DETERMINING STREAM CLASSIFICATIONS FOR FORM FTA 02/03
(FAST -TRACK SEWER SYSTEMS)" to collect and record the stream classification data below (attach additional sheets as
necessary). This document is available from our web site or by contacting the appropriate Division of Water Quality
regional office (see instructions for addresses) OR indicate the following:
_._..... ....._. ....... _. ....._... ..........
❑ A Stream Classification is not needed because all parts of the project are at least 100 feet away from any down slope
waterbody; AND,
......... _..._ .. ...... ........ .........
❑ A Stream Classification is not needed because the design does not depend on wet well storage as a power reliability
option for any pump station near a Class C down slope waterbody..
Location ID on Map
(self chosen - as shown on Name of Waterbody Stream Waterbody
map for cross-reference) Waterbody County , River Basin ..,,Index, Classification
.........
N/A
_ _ ........ ......................
U
.._ .......... .
-- _
Submit the 8.5" x 11" COLOR topographic map as required in Instruction VI
regardless of whether a classification is provided!
1. Applicant's Certification:
1, Connie South, attest that this application for Holiday Foods Sanitary Sewer Extension
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 penalti p to $25,00/�0 r violation.
�.. � A'
1 a. (`�/�/7� — / Z
Signing Official Signature
2. Professional Engineer's Certification:
oL3— U
Date
I attest that this application for Holiday Foods Sanitary Sewer Extension 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. 1 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 certain portions of this submittal
package may have been developed by other professionals, 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. Clarence M. Lockamy
Professional Engineer\CA
Name eo®®®0 /�°00®00
v °°°°°°°°° a
2b The Wooten Company 0®® ° o G°° o®®
Engineering FirmGo
...... ..._ ......... .......................o o
2c. 1226 19th Street Lane, NW 4 0
Address a a
°
2d. Hickory 2e NC 22 28601 ° a
City State Zip s`P ° °
2g. 828-322-5533 2h. 828-322-5242 2l. [e-mail] s®aBa fl®Deese®
Telephone Facsimile E-mail Seal, Siqnature & Date

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September 3, 2002
CITY OF LENOIR MAYOR
DAVID W. BARLOW
N O R T H C A R O L I N A
Cfr/COUNCIL
G. L BERNHARDT
T. W. BROACH
B. L BUSS
J. E. GEORGE
F. H. MOORE
H. L PRICE
M. O. STRAWN
Ms. Connie Pipes, Town Administrator
Town of Cajah's Mountain
1800 Connelly Springs Road
Lenoir, North Carolina 28645
Re: Wastewater Flow Acceptance
Sanitary Sewer Extension; Caldwell Family Physician's Office
Town of Cajah's Mountain, North Carolina
Dear Ms. Pipes:
This letter is to acknowledge the City of Lenoir's willingness to accept an additional
4,500 gallons of wastewater from the Town of Cajah's Mountain. It is understood that
this flow will result from extending the Town's wastewater collection system to serve
several existing residential and commercial establishments along Connelly Springs Road.
The additional flow will enter the City of Lenoir's collection system at the existing
metering point and will be treated at the City's Gunpowder WWTP (Permit #NC
0023736).
It is also understood that the anticipated flow is a portion of the "Guaranteed Capacity" of
200,000 gallons per day as outlined in the Wastewater A City of
Lenoir and the Town of Cajah's Mountain and dated October 11, 1994.
Sincerely,
CITY OF LENOIR
Y l
I
b.Idmes H. Hipp_
City Manager
POST OFFICE BOX 958 • LENOIR, NORTH CAROLINA 28645-0958 • [phone]

THE
WOOTEN
COMPANY
ENGINEERING
PLANNING
ARCHITECTURE
1226 19th Street Lane NW
Hickory NC 28601
828.322.5533
fax [phone]
Mr. Forrest R. Westall
Water Quality Regional Supervisor
Asheville Regional Office
59 Woodfin Place
Asheville, NC 28801
Re: Holiday Foods Sewer Extension
Permit Application
Town of Cajah's Mountain, NC
TWC Project No. 2808-J
Dear Mr. Westall:
Attached is a Fast -Track Application for a permit to construct a wastewater system
extension for the Town of Cajah's Mountain. The 200 feet extension of an existing
gravity sewer line will provide service to a convenience store located at the southwest
corner of Connelly Springs Road (SR 1001) and Orchard Drive (SR 1146).
As we discussed by phone, this business was originally proposed to be served by the
sewer installed under Permit No. WQ0021792. It was found that a service line could not
be extended to the business due to conflicts with existing utilities. A permit modification
for that project has been requested by the Town to reflect the reduced flow volume. The
extension proposed in this application will serve only the convenience store not served by
the previous extension. Thus the total flow volume identified in the City of Lenoir's
Flow Acceptance Letter, issued for the original project, is still applicable.
If you have any questions or need additional information, please contact me at 828-322-
5533.
Sincerely,
THE WOOTEN COMPANY
cyai�ja���
Clarence M. Lock , PIS
Pc: Mrs. Connie South, Town Administrator
SEP 21 2004
WATER QUALITY SECTION

2206

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ORDER OFE
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FEATURES: MICRO PRINT TOP & BOTTOM BORDERS COLORED PATTERN - ARTIFICIAL WATERMARK ON REVERSE SIDE - MISSING FEATURE INDICATES A COPY
TOWN OF CAJAH'S MOUNTAIN
2206
WATER AND SEWER FUND
NCDENR 9/20/2004
Application Fee - Gravity Sewer
400.00
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BANKOY GRANIM - C

FAST -TRACK APPLICATION REVIEW PROCEDURES
Project Name��t (,�t�l flll — j/t/ fi -MLO p & K
Application received Date '7L;Z71CBasic Review Date
Application Returned Date Application entered BIM's Date
Application to County Person
Permit Issued Date
All fast -track projects should be submitted on the application entitled "Fast -Track Application for
Gravity Sewers, Pump Stations, and Force Mains" (FORM: FTA 02/03 currently) unless otherwise
directed by the NDPU. Any pump station/force main projects that require an Environmental
Assessment (EA) are excluded from the Fast -Track review process, and should be submitted for
full review to the Central Office (NDPU) on FORM: PSFMGSA 10/99. Additionally, any projects
involving a flow reduction request must receive approval for the flow reduction from the central
office.
PRE -REVIEW
v/ Does the application package appear to be generally complete (i.e. all attachments, check, key
questions answered)? If any portion of the application is not complete, or if any required
instruction items have been omitted, RETURN the application package and supporting
documents to the applicant using the Project Return Letter template. Send the package and
letter via certified mail to the applicant, and a copy of the letter to the engineering consultant.
Any projects that are to be returned shall be returned prior to accepting the application (i.e.,
before logging in the application and depositing the check). After a project has been accepted,
any information that is found to be incorrect and/or lacking must be requested via an Additional
Information Request in accordance with 15A NCAC 2H .0208(e).
Ensure that a check for $400 is submitted and made out to NCDENR. All new projects and major
modifications to existing projects require an application fee. A major modification includes any
changes to permitted flow volumes, changes in pipe diameter, changes in pipe length greater that
10% of the originally permitted length, changes in the operating points of a pump station, etc.
SECTION A — Application Information
i If the applicant is private (Item B(2)) and listed as a corporation, check the NC Department of the
Secretary of State's web site at http://www.secretary.state.nc.us/Corporations/ to ensure that the
Applicant is registered with the Secretary of State to conduct business as a corporation in the
State of NC. Developer's and HOA's should be listed.
Ensure that the signing official meets the requirements of 15A NCAC 2H .0206(b). If they do not,
request a revised application that has been completed by an appropriate official or a letter from
an appropriate official that indicates the person in question is delegated to sign the application on
the applicant's behalf. A current list of Delegated Signing Officials can be obtained from the
DWQ Intranet. If a new delegated signing official letter is presented with the application, forward
a copy to the central office so that the person may be added to the Delegated Signing Official list.
The central office will send E-mails to the appropriate region if a new signing official has been
added so that the most current list can be used. The Non -Discharge Permitting Unit has an
example delegated signing official letter from
hftp://h2o.enr.state.nc.us/ndpu/spraypol.html#DELEG.
SECTION B — Permit Information
Project is Pi ? Modification? If the project is a modification to an existing permit, be sure to
enter the application into BIMS as a permit modification (i.e. "renew/modify application" and not
"create new project") .
FAST -TRACK Application Review Procedures 2003

Applicant a public entity (e.g. county, town, sanitary district)?
Applicant a private entity?
Own (i.e. lease) units, lots, parcels, etc?
Sell units, lots, parcels, etc?
Certificate of Public Convenience and Necessity? 2H .0205(d)(2)
♦ Required if the applicant is a public utility. In lieu of a Certificate. of Public
Convenience and Necessity, they may submit written approval from the
North Carolina Utilities Commission's Public Staff that states that the utility is
allowed to provide utility service in the subject project area. Note that the
project name on the application and on the CPCN must match. Contact the
NCUC Public Staff if questions arise.
Operational Agreement? 2H .0205(d)(2)
♦ Operational Agreements are only required if the applicant is not a public
entity (i.e. Town, County, etc.) or public utility as designated by the North
Carolina Utilities Commission AND the lots being served by the collection
system are to be sold to individual owners.
♦ If the applicant is a developer, they must fill out the DEVELOPER
Operational Agreement (FORM: DEV 02/03). A developer may be
responsible for the system for an interim period until the homeowners
association is formed, at which time a Permit Name/Ownership Change
request (FORM: PNOCF 06/00) will be needed to transfer the permit to the
HOA.
♦ If the applicant is a homeowners' association (HOA), they must fill out the
ASSOCIATION Operational Agreement (FORM: HOA 02/03 The HOA must
be registered with the Secretary of State's office and must provide a copy of
the Associations' Bylaws and Articles of Incorporation. These documents
should be reviewed to ensure that all applicable language regarding the
collection system is included as is required by the Operational Agreement.
♦ The Operational Agreement should be attached to the permit and
incorporated into the language of the permit. Please note that Operational
Agreement language should not be altered without approval from the
Attorney General's Office. Operational Agreements are available at
http://h2o.enr.state.nc.us/ndpu/ndpuapps.htm1.
Approval of flow to receiving sewers and WWTF? (i.e. P4 procedure, but now in-house!)
♦ Ensure that the receiving sewers and WWTF have adequate capacity available to accept the
flow volume that is being requested, and that the WWTF has been in compliance with their
treatment and disposal permit.
Flow acceptance letter(s) from the owner of the WWTF and owner of any intermediate sewers (if
different from WWTF owner and applicant)? 2H .0205(d)(3)(C)
♦ Required only if the applicant and the owner of the WWTF/intermediate sewers are not the
same entity.
♦ Project specific flow acceptance letters are required.
♦ Ensure that the following items appear.in the flow acceptance letter: applicant's name,
project name, amount of wastewater flow accepted, date that the flow acceptance was
granted, expiration date of the acceptance, and name/permit number of the receiving WWTF.
Do not accept a flow acceptance letter that was issued more than one year prior to the
receipt of the package.
♦ Ensure that the owner accepted the entire volume of flow listed in application.
Wastewater industrial or domestic in nature?
♦ Most projects will be for wastewater that is domestic in nature, however, if Item B.6 indicates
that the wastewater is industrial in nature, notify the Regional Office Pretreatment
Coordinator or the WQ Pretreatment Unit Central Office to determine if a pretreatment permit
is needed or if a program already in place and compliant.
Flow volume calculated correctly? 2H .0219(l)
2
FAST -TRACK Application Review Procedures 2003

♦ Ensure that the daily design flow in the application is based on the guidance provided in the
regulations or existing flow, and that the explanation as to how this volume was determined is
very specific (i.e., 22 three -bedroom homes, 50,000 s.f. of retail space, 18 employees, etc).
This information will be included in the description of the system in the permit. Our regs say
120 gpd/bedroom for residential. Note that for one -bedroom the minimum they can use is
240 gpd.
♦ If daily design flow is not based on regulations, ensure that the applicant has an approved
flow reduction of daily design flow rate on file with the Division. A list of approved flow
reductions may be obtained from the DWQ Intranet or by contacting the NDPU. Flow
reduction requests are to be reviewed by the central office, and must be reviewed and
approved before the application is accepted by the regional office for review.
♦ Ensure that the flows shown on the application match up to what is shown on the plans (if
available for review). For example, if the application states that 100 lots are to be developed,
ensure that there are 100 lots, and not 150 lots, shown on the plans. Plans are only required
for review if the applicant is requesting a variance to the MDC or the .0200's.
♦ Do not approve "future" wastewater flows (i.e., that based on speculative development).
These would be permitted in future wastewater collection system extensions.
Adequate information provided regarding the proposed gravity sewer and/or force main (if
applicable)?
Note: An Environmental Assessment may be required if there are 3 miles of gravity sewer and
the design capacity is 1 MGD or greater (15A NCAC 1 C .0100). Note that this criteria is currently
under revision. Environmental Assessment projects can NOT go Fast -Track!
Adequate information provided regarding the proposed pump station(s) (if applicable)?
Note: An Environmental Assessment may be required if the pump station(s) have a design
capacity greater than 1 MGD or greater (15A NCAC 1 C .0100). If there are any questions about
whether an EA may be required, discuss with your supervisor or contact Todd Kennedy of the
Planning Branch's Local Government Assistance Unit.
♦ Power reliability at the pump station provided in accordance with Section 5.04 of the
Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains
document (i.e dual line feed, portable generator w/telemetry, permanent generator with
automatic transfer switch, wet well storage if near Class C waters)?
Project designed in accordance with 15A NCAC 2H .0200, the Gravity Sewer Minimum Design
Criteria and the Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and
Force Mains document (as applicable)? If NO, forward one copy of the supporting documents to
the Central Office for review, indicating the permit number, owner and project name. The Central
Office will review the variance request, and if approvable, specific language regarding the
variance will be forwarded to the Regional Office reviewer to incorporate into the permit. A copy
of the variance letter provided by the central office should be kept with the application file.
SECTION C — Watershed Classification
Topographic map submitted?
Watershed classification required? If YES, you are advised to "spot-check" the classification(s).
If NO, ensure the applicant/engineer has indicated why one is not required.
SECTION D —Certifications
Signing Official's signature? 2H .0206(b)
♦ Ensure that the applicant's signature is the same person as that listed as the applicant's
signing official on Page 1 of the application form.
PE stamped, signed, and dated application, plans, specifications, and calculations (if applicable)?
2H .0205(d)(1)(A)(iii)
♦ Ensure that the same engineer has signed, sealed, and dated the application and all the
items, with the exception of items designed by specialty disciplines (i.e., architectural,
FAST -TRACK Application Review Procedures 2003

structural, plumbing, and electrical plans). If not, an explanation and/or authorization is
required.
Adequate information provided for the engineer/engineering firm?
PE with active license in North Carolina? 2H .0205(d)(1)(A)(iii) or 2H .0203(28)
♦ Ensure that ALL pertinent P.E.s have active licenses by checking the NC Professional
Engineer's Board web site (www.ncbels.org - the PE number must be six digits, use leading 0
when needed).
♦ If the PE seal number does not show up on the web site database, call the PE Board for
verification [phone].
Drafting a Permit
♦ In order to be consistent, use the most current version of the Fast -Track permit shell (see DWQ
Intranet). This permit shell contains specific language with respect to the Minimum Design Criteria,
regulations, and collection system permitting. The NDPU will notify you of any changes to this permit
shell.
♦ Be specific with respect the system description and information. Indicate the flow, what the project
will be serving, length and size of gravity sewer lines and force mains, etc. For projects involving
pump stations, the size of the pump stations, as well as the reliability option and any additional info
(telemetry, odor control system, etc) should be included. A sample permit is on the DWQ Intranet.
♦ Add or remove any special conditions as necessarV. Please call attention to any non-standard permit
conditions in the cover letter of the permit and include the permit condition where necessary. See the
Example Special Conditions document.
♦ If the project is a modification, don't forget to include the system description from the previous permit
and void the previous permit in the language!
Denying a Project
♦ If the Reviewer/Supervisor determines that an application package should be denied because it can
not meet NC Statutes, rules or regulations, then a denial letter should be drafted. Special attention
should be paid to the statutory deadline for permitting. If it is thought that a project might be
denied, it is important to review it and draft the denial letter as soon as possible. There must
be time allowed for the denial letter to be sent up to the Director and signed prior to the
statutory date.
♦ The Reviewer should use the Application Denial Letter template to prepare a denial package for the
Supervisor's review and submittal to the Director for signature. The letter should not be dated, but
instead will be dated after the Director signs it. A memo to the Director should be attached to the top
of the denial package summarizing the reasons for denial. This package must be singed off on by the
reviewer, supervisor, Section Chief, and Director. Distribute the letter as directed in "Issuing a
Permit" below.
Issuing a Permit
♦ Permits should be signed only by those delegated to sign for the Director.
♦ Permits should be distributed as follows (include the signed Operational Agreement if applicable):
✓ Original to the Permittee
✓ Copy to the consulting engineer
✓ Copy to the county health department
✓ Copy to the Mecklenburg County Department of Environmental Protection for all projects located
in Mecklenburg County
✓ Copy(ies) to the owner of the WWTF and owner of the downstream sewers (if different than the
Permittee)
✓ Electronic Copy and Hard Copy to the NDPU for our files
✓ Copy to Central Files (attach application package and any supporting documents)
✓ Save an electronic version named WQOOXXXXX.doc in a folder on your office shared drive or
hard drive. Try to keep your drafts and issued files separate.
4
FAST -TRACK Application Review Procedures 2003