WQCS00030_Regional Office Historical File Pre 2018 (4)

CITY of tAtl
tatesville
PUBLIC WORKS
P. O. Box 1111, Statesville, NC 28687-1111
Laserl1Che
Public Works Director/City Engineer
Assistant Public Works Director
Assistant City Engineer
Engineering Tech
Office Manager
Garage Superintendent
Sanitation Superintendent
Street Superintendent
Water/Sewer Mtn Superint
1 May 2020
NC Department of Environmental Quality
Division of Water Resources
Mooresville Regional Office
Attn: Mr. W. Correy Basinger, Regional Supervisor
610 East Center Avenue, Suite 301
Mooresville NC 28115
Subject: NOV-2020-DV-0159 (22 Apr 20)
Reference: WQCS00030
ndent
704 878-3551
704 878-3567
704 878-3552
704 878-3563
704 878-3562
704 878-3420
704 878-3415
704 878-3414
704 878-3417
EC€IVEDINCDENR/DWR
MAY 07 2020
WQROS
MOORESVILLE REGIONAL OFFICE
Enclosures: (1) Location Map
(2) COS Maintenance Logs #12795 and 12805
(3) NOAA climatological data for Statesville NC — February 2020
(4) NC DEQ DWR Form CS-SSO, Incident # 20200809 dtd 26 Feb 20
Dear Mr. Basinger:
This letter is in response to your request for additional information concerning the SSO of
February 26th (pipe failure - break). The incident was of short duration and resulted in a minimal
SSO.
Prior to the SSO, Statesville was engaged in preparation activities related to the repair of a
section of sewer downstream from the incident site (slip lining and streambank maintenance
repair in the environs of 707 and 709 Sullivan Road, adjacent to Free Nancy Creek). These
activities included the flushing of the sewer line and mowing of utility easement immediately
upstream to accommodate possible by-pass and other requirements related to the repair work.
The sewer line was flushed on February 19th. Inspection and mowing of the area was performed
on February 23rd and no issues were found.
An outfall inspection was performed on February 26th post a 0.75-in rainfall event the
previous day (enclosure (3)). This inspection identified a washout of the 10-in pipe at 0800 in
the environs of 743 Springdale Road and City forces took immediate action to repair the break.
The sewer main was plugged to preclude further SSO and the repair was completed by 0930.
Staff estimated the release to be 750 gallons based upon low flow and duration of the break
event. The requisite SSO report was submitted at 1115 and verbal notifications were completed
by 1350 the same day.

Subject: NOV-2020-DV-0159 (22 Apr 20)
Should you have any further questions regarding this SSO event, please feel free to contact
me at [phone], or email [e-mail].
Sincerely,
William E. Vaughan, PE
Public Utilities Director
Cc: Mr. A. Scott Harrell, PE, Executive Director PW/City Engineer
Bcc: Mr. Ron Smith, City Manager

Vicinity Map — Incident # 20200809
- - - -

Report ID: Job Foreman: Service Date: # of Workers: Call or Regular:
Daily Equipment Check
Truck/Equip:
506 J
[523
12805
Sloan, Randy
2/23/2020
2
Regular 1
Mileage/Hours:
1
Water
Sewer
Type of Problem
■
Employees Present
Wl - Backflow
W2 - Hydrant
W3 - Meter
W4 - Meter Box
W5 - Register
W6- Valve
W7 - Valve Box
W8 - Water Main
W9 - Water Service
❑
E
❑
❑
❑
U
❑
❑
❑
Si - Manhole ❑
S2 - MH Ring/Cover ❑
S3 - Outfall ❑
S4 - Sewer Clean -Out ❑
S5 - Sewer Main ❑
S6 - Sewer Service ❑
i - Customer Problem Elii
2 - Dirty Water ❑
3 - Grease ❑
4 - Leak ❑
5 - Low Pressure ❑
6 - Main Break ❑
7 - Mismarked I _i
8 - Odor ri
9 - Pressure I ..1
i0 - Roots Li
- Sewer Backed in House ❑
12 - Sewer Blown in House ❑
13 - Sewer Call ❑
14 - Sewer Spill ❑
15 - Stoppage ❑
16 - Vapor Rooting ❑
Employee Name #1:
Swaim, Justin
[Employee Name #2:
L
Employee Name #3:
I
Employee Name #4:
Employee Name #5: i
I-
Employee Name #6:
Employee Name #7:
J
Employee Name #8:
'
Employee Name #9:
Employee Name #lo: --jr
Type of Work
1- Blow Off ❑
2 - Calibrate Flow Monitor ❑
3 - Calibrate Gas Monitor ❑
4 - Camera Work ❑
5 -.Checked Pressure ❑
6 - Clean Out ❑
7 - Cleared ❑
8 - Confined Space Entry ❑
9- Cut Water Off ❑
io - Cut Water On ❑
11- Degrease Sewer ❑
12 - Dye Test
13 - Exchange
14 - Fire Dept List
15 - Flow Monitoring
16 - Flow Test
17 -Flushed
18 - GIS Work
19 - Inspect
20 - Invert
21- Lead Joint Repair,
22 - Locate
❑
r
❑
❑
❑
❑
lili
❑
❑
❑
23 - Locate for One Call LI
24 - Lower ❑
25 - Mapping ❑
26 - Miscellaneous 11
27 - Mowing
a8 New pi38
29 - Non Pay Meter Pull ❑
3o - Non Pay Meter Reinstall ❑
31- Patch Cuts ❑
32 - Raise ❑
33 - Readings for Billing ❑
34 - Relocate ❑
35 -Remove ❑
36 -Repair ❑
37 -Replace ❑
- Routine Rodding LI
39 -Safety Meeting1-1
40 - Seal ❑
41- Seeding LI
42 - Smoke Testing - ❑
43 - Split Repair 0
44 - Tailgate Safety Meeting ❑
45 - Test ❑
46 - Two -Way Clean -Out :1J
47 -Unstopped ❑
48 -Walked ❑
49 - Washed Road
So -Worked at Shop ❑
51- 36o Repair ❑
52 - 558 Vacuuming Only ❑
53 - 6 Month Report ❑
Comments
Mowed sewer line behind Gregs BBQ form hwy 21 to springdale dr
Street Name
House
#
Crossing Street Name
Hours
Response
Time
Footage
Pipe
Depth
Pipe
Dia.
Flow
Depth
# of MH
Checked
# of BM
Entered
Sullivan Rd.
Springdale Rd.
4
1250
5

Report ID: Job Foreman: Service Date: # of Workers: Call or Regular:
Daily Equipment Check
- -
Truck/Equip:
507
514
509
504
12795
Steele, Bradley
2/26/2020
11•
Regular
Mileage/Hours:
Water
Sewer
Type of Problem
Employees Present
Wi - Backflow ❑
Si - Manhole ❑
1- Customer Problem ❑
li - Sewer Backed in House ❑
Employee Name #1:
Crotts, Travis
W2 - Hydrant ❑
S2 - MH Ring/Cover ❑
2 - Dirty Water ❑
12 - Sewer Blown in House ❑
Employee Name #2:
Chapman, Steven
W3.- Meter ❑
S3 - Outfall
3 - Grease ❑
13• - Sewer Call ❑
Employee Name #3:
Bass, Derek
W4 - Meter Box ❑
S4 - Sewer Clean -Out ❑
4 - Leak ❑
14 - Sewer Spill ❑
Employee Name #4:
Hoke, Brett
W5 - Register ❑
S5 - Sewer Main V
5 - Low Pressure ❑
15 - Stoppage ❑
Employee Name #5:
Meadows, Justin
W6- Valve ❑
S6 - Sewer Service ❑
6 - Main Break ❑
16 - Vapor Rooting ❑
Employee Name #6:
Mitchell, Will
W7 - Valve Box ❑
❑
7 - Mismarked ❑
❑
Employee Name #7:
Rosenbaum, Coty
W8 -Water Main
W9 - Water Service ❑
8 Odor
❑
Employee Name #8:
Sloan, Randy
9 - Pressure
10 - Roots ❑
Employee Name #9:
Reavis, Alan •
Employee Name #io:
Murphy, Patrick
Type of Work
1- Blow Off ❑
2 - Calibrate Flow Monitor ❑
3 - Calibrate Gas Monitor ❑
4 - Camera Work ❑
5 - Checked Pressure ❑
6 -Clean Out ❑
7 - Cleared •
8 - Confined Space Entry ❑
9- Cut Water Off ❑
to - Cut Water On ❑
11- Degrease Sewer ❑
12 - Dye Test ❑
13 - Exchange ❑
14 - Fire Dept List ❑
15 - Flow Monitoring ❑
16 - Flow Test ❑
17 Flushed ❑
18 - GIS Work ❑
19 - Inspect V
20 - Invert ❑
21- Lead Joint Repair ❑
22 - Locate ❑
23. - Locate for One Call ❑
24 - Lower ❑
25 - Mapping ❑
26 - Miscellaneous ❑
27 - Mowing ❑
28 -New ❑
29 - Non Pay Meter Pull ❑
3o - Non Pay Meter Reinstall ❑
31- Patch Cuts ❑
32 - Raise ❑
33 - Readings for Billing ❑
34 - Relocate
35 - Remove
36 -Repair
37 -Replace
38 - Routine Rodding
39 -Safety Meeting
40 - Seal
41- Seeding
42 - Smoke Testing
43 - Split Repair
44 - Tailgate Safety Meeting
❑
❑
V
❑
1-149
❑
❑
n
❑
❑
W
45 - Test ❑
46 - Two -Way Clean -Out ❑
47 -Unstopped ❑
48 -Walked ❑
- Washed Road El
50 - Worked at Shop ❑
51- 36o Repair ❑
52 - 558 Vacuuming Only ❑
53 - 6 Month Report ❑
Comments
checking sewer outfalls cause of rains. Found a wash out with a 10" pipe washed out at 8:00. grabbed equipment and had repaired by 9:3o
Street Name
House
#
Crossing Street Name
Hours
Response
Time
Footage
Pipe
Depth
Pipe
Dia.
Flow
Depth
# of MH
Checked
# of MH
Entered
Springdale Rd.
7,13
Brookdale Dr.
5
20
11
3
10
0
2

Snow Depth : 8am
CA
0
41
w
Precipitation : 8am
Min Temperature : 8am
Max Temperature : 8am
Observations for each day cover the 24 hours ending
at the time given below (Local Standard Time).
I
P
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Average
Sum
2020-02-29
2020-02-28
2020-02-27
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2020-02-25
2020-02-24
2020-02-23
2020-02-22
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2020-02-19
2020-02-18
I 2020-02-17
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2020-02-15
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"Division of Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Collection System Sanitary Sewer Overflow Reporting Form
Form CS-SSO
PART I:
This form shall be submitted to the appropriate DWQ Regional Office within five business days of the first knowledge of the
sanitary sewer overflow (SSO).
Permit Number: WQCS00030 (WQCS# if active, otherwise use WQCSD#)
Facility: Statesville Collection System Incident #: 202000809
Owner: City of Statesville
City: Statesville
County: Iredell Region: Mooresville
Source of SSO (check applicable): [r Sanitary Sewer
❑ Pump Station / Lift Station
SPECIFIC location of the SSO (be consistent in description from past reports or documentation - i.e. Pump Station 6,
Manhole at Westall & Bragg Street, etc): 743 Springdale Rd
Manhole #: FG101
Latitude (Decimal Degrees):
35.80334 Longitude (Decimal Degrees):
-80.87926
Incident Started Dt: ' 02/26/2020 Time: 8:00 am Incident End Dt: 02/26/2020 Time: 08:30 am
(mm-dd-yyyy) (hh:mm AM/PM) (mm-dd-yyyy) (hh:mm AM/PM)
Estimated Volume of the SSO: 750 gallons Estimated Duration (Round to nearest hour): 0:30 hours
Describe how the volume was determined: Measurement
Weather conditions during the SSO event: Cloudy
Did SSO reach surface waters? [r Yes ❑ No ❑ Unknown Volume reaching surface waters (gals): 750
Surface water name: Fourth Creek
Did the SSO result in a fish kill? ❑ Yes Er No ❑ Unknown If Yes, what is the estimated number of fish killed?
SPECIFIC cause(s) of the SSO:
[I Pipe Failure (Break)
24 hour verbal notification (name of person contacted ): Tony Parker
[✓1 DWR ❑ Emergency Mgmt Date (mm-dd-yyy): 02/26/2020 Time (hh:mm AM/PM): 01:50:00 pm
0
If an SSO is ongoing, please notify the appropriate Regional Office on a daily basis until SSO can be stopped.
Per G.S. 143-215.1C(b), the responsible party of a discharge of 1,000 or more of untreated wastewater to surface waters
shall issue a press release within 24-hours of first knowledge to all print and electronic news media providing general
coverage in the county where the discharge occurred. When 15,000 gallons or more of untreated wastewater enters surface
waters, a public notice shall be published within 10 days and proof of publication shall be provided to the Division within 30
days. Refer to the reference statute for further detail.
The Director, Division of Water Resources, may take enforcement action for SSOs that are required to be reported to
Division unless it is demonstrated that:
1) the discharge was cause by sever natural conditions and there were no feasible alternative to the discharge; or
2) the discharge was exceptional, unintentional, temporary and caused by factors beyond the reasonable control of the
Permittee and/or owner, and the discharge could not have been prevented by the exercise of reasonable control.
Part II must be completed to provide a justification claim for either of the above situations. This information will be the basis
WHETHER OR NOT PART 11I IS COMPLETED, A SIGNATURE IS REQUIRED AT THE END OF THIS FORM
CS-SSO Form
Page: 1

PART II:
ANSWER THE FOLLOWING QUESTIONS FOR EACH RELATED CAUSE CHECKED IN PART 1 OF THIS FORM AND
INCLUDE THE APPROPRIATE DOCUMENTATION AS REQUIRED OR DESIRED
COMPLETE ONLY THOSE SECTONS PERTAINING TO THE CAUSE OF THE SSO AS CHECKED IN PART I
(In the check boxes below, NA = Not Applicable and NE = Not Evaluated)
A HARDCOPY OF THIS FORM SHOULD BE SUBMITTED TO THE APPROPRIATE DWR REGIONAL OFFICE UNLESS IS
Pipe Failure (Break)
Pipe size (inches)
10"
What is the pipe material?
VCP
What is the approximate age of line/pipe? (years old)
Is this a gravity line?
Is this a force main line?
Is the line a "High Priority" line?
Last inspection date and findings
2/23/2020-mowed outfall-no pipe showing
2/19/2020-flushed outfall sewer mains
2/17/2020-Walked outfalls and checked Manholes
If a force main then,
Was the break on the force main veritical?
Was the break on the force main horizantal?
Was the leak at the joint due to gasket failure?
Was the leak at the joint due to split bell?
When was the last inspection or test of the nearest air -release valve to determine of
operable?
When was the last maintenace of the air release performed?
If gravity sewer then,
0 Yes No ❑ NA D NE
El Yes 0 No D NA D NE
171 Yes 0 No El NA ❑ NE
Yes ❑ No NA ❑ NE
• Yes ❑ No El NA ❑ NE
• Yes El No El NA El NE
• Yes ❑ No ❑ NA D NE
CS-SSO Form Page: 2

d 0
Does the line receive flow from a force main immediately upstream of the failed section
of pipe?
❑ Yes Q No D NA El NE
If yes, what measures are taken to control the hydrogen sulfide production?
When was the line last inspected or videoed?
02/23/2020
If line collapsed, what is the condition of the line up and down stream of the failure?
What type of repair was made?
Replaced broken pipe with 10" PVC and 2 shear bands
Is the repair temporary or permanent?
Permanent
If temporary, when is the permanent repair planned?
Have there been other failures of this line in the past five years? Yes 171 No ❑ NA ❑ NE
If so, then describe
System Visitation
ORC
Backup
Name:
Clyde Fox
Cert#
997772
Date visited:
2/26/2020
Time visited:
08:30am
Yes
El Yes
How was the SSO remediated (i.e. Stopped and cleaned up)?
Sewer main was plugged immediately, repairs were made on 10" Pipe, creek was walked and inspected and very little
debris was found, what was found was removed from creek and bank.
CS-SSO Form Page: 3

, 1 Ed
As a representative for the responsible party, I certify that the information contained in this report is true and accurate to the
best of my knowledge.
Person submitting claim:
Signature:
Telephone Number:
Clyde Wesley Fox Date: 02/26/20 11:15 am
Title: SSLip e,ri ✓ITerd
Any addition information desired to be submitted should be sent to the appropriate Division Regional Office within five days of first
knowledge of the SSO with reference to the incident number (the incident number is only generated when electronic entry of this
form is completed, if used).
CS-SSO Form
Page: 4

ROY COOPER
Governor
MICHAEL S. REGAN
Secretory
S. DANIEL SMITH
Director
=1i=;sec:
NORTH CAROLINA
Environmental Quality
CERTIFIED MAIL #: 7 18 0360 0002 2099 7651
RETURN RECEIPT REQUESTED
April 22, 2020
Ron Smith
City of Statesville
PO Box 1111
Statesville, NC 28687-1111
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2020-DV-0159
Sanitary Sewer Overflows - February 2020
Collection System Permit No. WQCS00030
Statesville Collection System
Iredell County
Dear Mr
Smith:
ALE
The self -reported Sanitary Sewer Overflow (SSO) 5-Day Report submitted by City of Statesville indicates violations
of perm t conditions stipulated in the subject permit and North Carolina G.S. 143-215.1. Violations include failing to
effectively manage, maintain, and operate the subject collection system so that there is no SSO to the land or
surface waters and making an outlet to waters of the State for purposes of G.S. 143-215.1(a)(1), for which a
permit i� required.
Specific
incident(s) cited in the subject report include the following:
Incident Start Duration
Number Date (Mins) Location
Cause
Total Vol
Total Surface
Vol Water
(Gals) (Gals) DWR Action
202000
09 2/26/2020
30 743 Springdale Rd Pipe Failure (Break) 750 750 Notice of Violation
Remedial actions, if not a ready implemented, should be taken to correct the above noncompliance. Please submit
a written response to this Notice of Violation. Your response is to be received by the regional office within 60
busines days following receipt of this violation. Please include any additional documentation about this incident(s)
in the response. The submittal will be considered in determining whether the Division will assess a civil penalty for
the cited violations.
ODE
P., r ,J;._• r_ Department .f Esc ^. a^r ��ca _ I v v.aor.:f Water nea:urDe_
=ate Cert_r.4,re. se.ts I t!,..es. _.N_^.r,

if you have any questions, please do not hesitate to contact Michael Meilinger or me with the Water Quality Section
in the Mooresville Regional Office at 704-663-1699 or via email at [e-mail] or
[e-mail].
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ROY COOER
Governor
MICHAEL S. REGAN
Secretory
S. DANIEL SMITH
Director
NORTH CAROLINA
Environmental Quality
CERTIFIED MAIL #: 7018 0360 0002 2099 7804
RETURN RECEIPT REQUESTED
April 22, 2020
Allison Kraft, Director Public Utilities
Town of Mooresville
PO Box 878
Mooresville, NC 28115-0878
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2020-DV-0160
Sanitary Sewer Overflows - February 2020
Collection System Permit No. WQCS00043
Mooresville Collection System
Iredell County
Dear Mrs. Kraft:
IL
The self -reported Sanitary Sewer Overflow (SSO) 5-Day Report submitted by Town of Mooresville indicates
violations of permit conditions stipulated in the subject permit and North Carolina G.S. 143-215.1. Violations include
failing to effectively manage, maintain, and operate the subject collection system so that there is no SSO to the
land or surface waters and making an outlet to waters of the State for purposes of G.S. 143-215.1(a)(1), for
which a permit is required.
Specific incident(s) cited in the subject report include the following:
Incident Start Duration
Number Date (Mins) Location
Cause
Total Vol
Total Surface
Vol Water
(Gals) (Gals) DWR Action
202000263 2/6/2020 18 169 Kilborne Rd Inflow and Infiltration, 54 54 Notice of Violation
Severe Natural Severe Natural Condition
Condition
202000265 2/6/2020 50 253 Golf Course Lane Inflow and Infiltration, 5,000 5,000 Notice of Violation
Severe Natural Severe Natural Condition
Condition
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Incident Start Duration
Number Date (Mins) Location
Cause
Total Vol
Total Surface
Vol Water
(Gals) (Gals) DWR Action
202000267 2/6/2020 522. 130 Rockhopper Lane Inflow and Infiltration, 52,200 52,200 Notice of Violation
Severe Natural Severe Natural Condition
Condition
Remedial actions, if not already implemented, should be taken to correct the above noncompliance. Please submit
a written response to this Notice of Violation. Your response is to be received by the regional office within 60
business days following receipt of this violation. Please include any additional documentation about this incident(s)
in the response. The submittal will be considered in determining whether the Division will assess a civil penalty for
the cited violations.
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NOR'TH. CAROI..INi4
11 December 2019
Mr. Ron Smith, City Manager
City of Statesville
PO Box 1111
Statesville, North Carolina 28687
Subject: Compliance Evaluation Inspection
Permittee: City of Statesville Waste Water Collection System
Permit No. WQCS00030
Iredell County
Dear Mr. Smith:
1. Mr. Tony Parker of the Mooresville Regional Office of the NC Division of Water
Resources (DWR or the Division) conducted a compliance evaluation inspection (CEI) of
the City's wastewater collection system (WWCS) on December 10, 2019. The assistance
of Bill Vaughan, Clyde Fox, Adam Surratt, Brian Wilson and others during the inspection
was greatly appreciated. A copy of the inspection report is attached for your records and
inspection findings are summarized below.
Site/System Review
2. The following system components were inspected:
a. Four pump stations were inspected. No issues noted.
b'. Four manholes were inspected. No issues noted.
c. Several right-of-ways were inspected or observed. No issues noted.
d. One aerial crossing was inspected. No issues noted.
3. As you are aware, owners of permitted collection systems must comply with their permit
and all rules listed under NC Administrative Code 15A NCAC 02T .0400, et seq. The
Town's compliance status with each of these rules is summarized below:
a. 15A NCAC 02T .0403(a)(1): Requires that the system be effectively maintained
and operated at all times to prevent discharge to land or surface waters and any
contravention of ground or surface water standards.
Observations: Each pump station appeared to well maintained and operated.
Compliance Status: Compliant
North Carolina Department of Environmental Quality I Division of Water Resources
610 East Center Avenue I Suite 301 I Mooresville, North Carolina 28115
— 704-663-1699

b. 15A NCAC 02T .0403(a)(2): Requires that a map of the wastewater collection
system be developed and actively maintained.
Observations: The City has a detailed GPS mapping system showing locations
of lines, direction of flow, force mains, pump stations, manholes and other
information.
Compliance Status: Compliant
c. 15A NCAC 02T .0403(a)(3): Requires that an operation and maintenance (O&M)
plan be developed and implemented, which includes pump station inspection
frequency, preventative maintenance schedule, spare parts inventory and overflow
response.
Observations Pump station logs were available. Records were available for
maintenance activities. Spare parts and pumps are kept in stock. An overflow
response plan was available.
Compliance Status: Compliant
d. 15A NCAC 02T .0403(a)(4): Requires that the permittee or its representative
inspect pump stations that are not connected to a telemetry system (i.e., remote
alarm system) every day (i.e., 365 days per year) and pump stations that are
connected to a telemetry system at least once per week.
Observations: The pump station inspection logs indicate that the pump stations
are visited as required.
Compliance Status: Compliant
e. 15A NCAC 02T .0403(a)(5): Requires that the permittee or its representative
inspect high -priority sewers (HPS - as defined in 15A NCAC 02T .0402(2)) at least
once every six months and document the inspections.
Observations: All lines are checked and documented.
Compliance Status: Compliant
f. 15A NCAC 02T .0403(a)(6): Requires that the permittee or its representative
conduct a general observation of the entire wastewater collection system at least
once per year and document same.
g.
Compliance Status: Compliant.
15A NCAC 02T .0403(a)(7): Requires that overflows and bypasses from the
system be reported to the Division's Mooresville Regional Office in accordance

with 15A NCAC 02B .0506(a), and that public notice must be provided as required
by G.S. 143-215.1C.
Observations: SSO's have been reported with this system during this review
period. The NC regulations and statutes, which cover the reporting requirements
for SSOs, are found in NC Administrative Code 15A NCAC 02B .0506(a) and NC
General Statute 143-215.1C, respectively. You may access the NC regulations
online at the NC Office of Administrative Hearings (OAH) website at:
http://www.oah.state.nc.us/rules/ and the NC General Statutes online at the NC
General Assembly's website at:
http://www.ncga.state.nc.us/gascripts/Statutes/StatutesTOC.pl. You may wish to
review them to ensure you are fully familiar with all requirements.
When reporting SSOs to DWQ, you must call the Mooresville Regional Office
(MRO) at 704-663-1699 during normal business hours. If outside normal business
hours, you must report the spill to the NC Division of Emergency Management at
1-800-858-0368. Please note that all reportable_ SSOs must be reported within 24
hours of the occurrence, or first knowledge, of the SSO. Please also note that voice
mail or faxed messages are not considered as the initial verbal report. You must
talk to and report the spill to a live person.
Compliance Status: Compliant
h. 15A NCAC 02T .0403(a)(8): Requires that a grease control program be developed
and implemented as follows:
1. For publicly owned collection systems, the Grease Control Program shall
include at least bi-annual distribution of grease education materials to users
and the legal means to require grease interceptors. The Program shall also
include legal means for inspections, enforcement, and legal means to
control grease entering the system from other public and private satellite
sewer systems.
2. Grease education materials shall be distributed more often than required
above if necessary to prevent grease -related sanitary sewer overflows.
Observations: Educational materials are mailed out to all customers 2/year and
the same information is available upon request.
Compliance Status: Compliant.
i. 15A NCAC 02T .0403(a)(9): Requires that right-of-ways (ROW) and easements
be maintained to allow for personnel and equipment accessibility.

J.
Observations: Records were reviewed documenting that the right-of-ways were
mowed, inspected and well maintained to provide accessibility.
Compliance Status: Compliant.
15A NCAC 02T .0403(a)(10): Requires that documentation be kept for all
activities you undertake to comply with the requirements of 15A NCAC 02T .0403,
subparagraphs (a)(1) through (a)(9), for a minimum of three years, with the
exception of the map, which shall be maintained for the life of the system.
Observations: Records were reviewed for right of way mowing, high -priority line
inspections, and observation of the entire system.
Compliance Status: Compliant
The inspection report should be self-explanatory; however, if you have any questions
regarding the inspection report or this letter, please contact Tony Parker at 704-663-1699
or [e-mail].
Attachments:
BIMS Inspection Report
CC: MRO
Central Files (LaserFiche)
PERCS Unit (e-copy)
Sincerely,
—DocuSigned by:
'—A14CC681 AF27425...
W. Corey Basinger, Regional Supervisor
Mooresville Regional Office
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ

Compliance Inspection Report
Permit: WQCS00030 Effective: 07/01/15
SOC: Effective:
County: Iredell
Region: Mooresville
Contact Person: Scott Harrell
Directions to Facility:
System Classifications: CS3,
Primary ORC: Clyde Wesley Fox
Secondary. ORC(s):
On -Site Representative(s):
Related Permits:
NC0020591
NC0031836
Inspection Date:
Primary Inspector:
Expiration:
Expiration:
06/30/23 Owner : City of Statesville
Facility: Statesville Collection System
PO Box 1111
Title: Public Works Director
Certification: 997772
City of Statesville - Third Creek WWTP
City of Statesville - Fourth Creek WWTP
12/10/2019
Tony Parker
Secondary Inspector(s):
Reason for Inspection: Routine
Entry Time: 09:30AM
Statesville NC 286871111
Exit Time: 01:OOPM
Phone: [phone]
Phone: [phone]
Phone: [phone]
Inspection Type: Collection System Inspect Non Sampling
Permit Inspection Type: Collection system management and operation
Facility Status: II Compliant ❑ Not Compliant
Question Areas:
1.1 Miscellaneous Questions
▪ Capital Improvement Plan
El Inspections
▪ Lines
(See attachment summary)
1—DocuSigned by:
—A14CC681 AF27425...
▪ General
El Map
111 Spill Response Plan
▪ Manholes
12/11/2019
IIII Sewer & FOG Ordinances
▪ Reporting Requirements
▪ Spills
1.1 Pump Stations
Page 1 of 7

Permit: WQCS00030
Inspection Date: 12/10/2019
Owner - Facility: City of Statesville
Inspection Type : Collection System Inspect Non Sampling
Reason for Visit: Routine
Inspection Summary:
Page 2 of 7

Permit: WQCS00030 Owner - Facility: City of Statesville
Inspection Date: 12/10/2019 Inspection Type : Collection System Inspect Non Sampling
Reason for Visit: Routine
General
Is there a properly designated primary ORC and at least one back-up of proper grade?
Are logs being reviewed by the system management or owner on a regular basis?
# What is that frequency?
# Are there any issues being addressed currently or any in the planning stages?
Is there a specific pump failure plan available for all pump stations?
Does plan indicate if pump parts/new pumps are in spare parts/equipment inventory?
Are new/significantly upgraded pump stations equipped with anti -corrosion materials?
Does the permittee have a copy of their permit?
# Is permit expiring within the next 6 months?
If Yes, has the Permittee applied for renewal?
Comment: The Permit expires 6/30/23..
Sewer and FOG Ordinances
Is Sewer Use Ordinance (SUO) or other Legal Authority available?
Does it appear that the Sewer Use Ordinance is enforced?
Is there a Grease Control Program that legally requires grease control devices?
What is the standard grease trap cleaning requirement in the FOG ordinance?
Is Grease Control Program enforced via periodic inspections/records review?
Is action taken against violators?
# Have satellite systems adopted an equivalent or more stringent ordinance?
Is grease/sewer education program documented with req'd customer distribution?
# Are other types of education tools used like websites, booths, special meetings, etc?
If Yes, what are they? (This can reduce mailing to annual.)
Mail outs and bill stuffers 2/ year.
Comment:
Capital Improvement Plan
Has a Capital (CIP) or System Improvement Plan been developed and adopted?
Is it designated for wastewater only or does it have a dedicated section?
Does CIP cover three to five year period of earmarked improvements?
Does CIP include description of project area?
Does CIP include description of existing facilities?
Does CIP include known deficiencies?
Does CIP include forecasted future needs?
Comment: The City has a current 6 year CIP.
Map
Yes No NA NE
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Page 3 of 7

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Is a Spill Response Action Plan available for all personnel?
Is a Spill Response Action Plan available?
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Are new lines being added to the HPL list when found or created?
Are inspections of HPL documented at least every 6 months?
# Does the system have any high -priority lines/locations?
Is the annual inspection documented?
Is there a system or plan in place to observe the entire system annually?
# Is at least one complete functionality test conducted weekly per pump station?
Are pump stations being inspected at the required frequency?
Are adequate maintenance records maintained?
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Is an Annual Wastewater Performance Report being filed with the Division, if required?
If applicable, is there documentation of press releases and public notices issued?
If Yes, were they reported to the Division if meeting the reportable criteria?
# Have there been any sewer spills in the past 3 years?
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Is the map being updated for changes/additions within 1 year of activation?
Location of satellite connections
Force main air release valve location & type
Pump station ID, location and capacity
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Inspection Date: 12/10/2019
Inspection Type : Collection System Inspect Non Sampling
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Permit: WQCS00030 Owner - Facility: City of Statesville
Inspection Date: 12/10/2019 Inspection Type : Collection System Inspect Non Sampling
Reason for Visit: Routine
24-hour contact numbers
Response time
Equipment list and spare parts inventory
Access to cleaning equipment
Access to construction crews, contractors, and/or engineers
Source of emergency funds
Site sanitation and cleanup materials
Post-overflow/spill assessment
Does the Permittee appear to respond within 2 hours of first knowledge of a spill?
Comment: The City had one reportable spill for the. review period and was previously addressed under
seperate cover.
Spills
Is system free of known points of bypass?
If No, describe type of bypass and location
Are all spills or sewer related issues/complaints documented?
# Are there repeated overflows/problems (2 or more in 12 months) at same location?
# If Yes, is there a corrective action plan?
Comment:
Lines/Right-of-Ways/Aerial Lines
Please list the Lines/Right of Ways/Aerial Lines Inspected:
Lippard St. RM/ outfall and aerial and Garner Bagnel Blvd. R/W.
Are right-of-ways/easements maintained for full width for access by staff/equipment?
If No, give details on temporary access:
No issues noted for any of the above lines inspected.
Is maintenance documented?
Are gravity sewer cleaning records available?
Has at least 10% of lines older than 5 yrs been cleaned annually?
Were all areas/lines inspected free of issues?
• ❑ ❑ ❑
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Comment: • The City had cleaened 114 miles of G/M for 2018/2019 review period which is well above the
10% minimum requirement.
Manholes
Please list the Manholes Inspected:
Various manholes were inspected with no issues observed.
Are manholes accessible?
# Are manhole covers/vents above grade?
Are manholes free of visible signs of overflow?
Are manholes free of sinkholes and depressions?
Yes No NA NE
▪ ❑ ❑ ❑
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• ❑ ❑ ❑
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Page 5 of 7

Permit: WQCS00030 Owner - Facility: City of Statesville
Inspection Date: 12/10/2019 Inspection Type : Collection System Inspect Non Sampling
Reason for Visit: Routine
Are manhole covers present?
# Are manholes properly seated?
# Are manholes in good condition?
# Are inverts in good condition?
Is flow unrestricted in manholes?
Are manholes free of excessive amounts of grease?
Are manholes free of excessive roots?
Are manholes free of excessive sand?
Are manhole vents screened?
Are vents free of submergence?
Are manholes free of bypass structures or pipes?
Comment: All M/H's observed were in good condition.
Pump Stations
Please list the Pump Stations Inspected:
Interstate, Industrial, Deer Ridge and Marjorie Rd. liftstations. No issues noted with any of these P/S's.
# Number of duplex or larger pump stations in system
# Number of vacuum stations in system
# Number of simplex pump stations in system
# Number of simplex pump stations in system serving more than one building
How many pump/vacuum stations have:
# A two-way "auto polling" communication system (SCADA) installed?
# A simple one-way telemetry/communication system (auto -dialer) installed?
For pump stations inspected:
Are they secure with restricted access?
Were they free of by-pass structures/pipes?
Were wet wells free of excessive grease/debris?
# Do they all have telemetry installed?
Is the communication system functional?
Is a 24-hour notification sign posted ?
Does the sign include:
Owner Name?
Pump station identifier?
# Address?
Instructions for notification? _
24-hour emergency contact numbers?
Are audio and visual alarms present?
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Page 6 of 7

Permit: WQCS00030 Owner - Facility: City of Statesville
Inspection Date: 12/10/2019 Inspection Type : Collection System Inspect Non Sampling Reason for Visit: Routine
Are audio and visual alarms operable?
# Is there a backup generator or bypass pump connected?
If tested during inspection, did it function properly?
Is the back-up system tested at least bi-annually under normal operating conditions?
# Does it have a dedicated connection for a portable generator?
# Is the owner relying on portable units in the event of a power outage?
# If Yes, is there a distribution plan?
If Yes, what resources (Units/StaffNehicles/etc) are included in Plan?
AU P/S's are served by dedicated or portable generators and all are tested at 10 day intervals and
documented.
# Does Permittee have the approved percentage of replacement simplex pumps?
. Is recordkeeping of pump station inspection and maintenance program adequate?
Do pump station logs include at a minimum:
Inside and outside cleaning and debris removal?
Inspecting and exercising all valves?
Inspecting and lubricating pumps and other equipment?
Inspecting alarms, telemetry and auxiliary equipment?
Comment: Pump Stations inspected appeared to be well maintained.
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Page 7 of 7

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Permit: IMO Owner- Faci 11111`
• Inspection Date: 08/06/2019 Inspection Typed Collection System Inspect Non Sampling
IMO
Reason for Visit Routine
General
Is there a properly designated primary ORC and at least one back-up of proper grade?
Are Togs being reviewed by the system management or owner on a regular basis?
# What is that frequency?
# Are there any issues being addressed currently or any in the planning stages?
Is there a specific pump failure plan available for all pump stations?
• Does plan indicate if pump parts/new pumps are in spare parts/equipment inventory?
Are new/significantly upgraded pump stations equipped with anti -corrosion materials?
iDoes the permittee have a copy of their permit?
# Is permit expiring within the next 6 months?
If Yes, has the Permittee applied for renewal? �;{ •//3Qj3
Comment:'
Sewer and FOG Ordinances
Is Sewer Use Ordinance (SUO) or other Legal Authority available?.
Does it appear that the Sewer Use Ordinance is enforced?
Is there a Grease Control Program that legally requires grease control devices?
What is the standard grease trap cleaning requirement in the FOG ordinance? 4QJ c C +vl` '1h <(7 ,`
Is Grease Control Program enforced via periodic inspections/records review? .9
Is action taken against violators?
# Have satellite systems adopted an equivalent or more stringent ordinance?
Is grease/sewer education program documented with req'd customer distribution?
# Are other typesof education tools used like websites, booths, special meetings, etc?
If Yes, what are they? (This can reduce mailing to annual:)
<LAI r �l f -3d1`411 ?/ '-
Comment: WI-4 tIcf-
Capital Improvement Plan
Has a Capital (CIP) or System Improvement Plan been developed and adopted?
Is it designated for wastewater only or does it have a dedicated section?
Does CIP cover three to five year period of earmarked improvements?
Does CIP include description of project area?
Does CIP include description of existing facilities?
Does CIP include known deficiencies?
Does CIP include forecasted future needs?
Comment:
klap
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Page 3 of 7

Penn
Inspection Date: 06/06/2019
Owner - Facili '
Inspection Type :;Collection System; Inspect NonSarnpling
Reason fer Visit: . Routine
Is there a overall sewer system map?
Does the map include:
Pipe Type (GS/FM)
Pipe sizes
Pipe materials (PVC, DIP, etc) •
Pipe location
Flow.direction
Approximate pipe age
Pump station ID, location and capacity
# Force main air release valve location & type
# Location of satellite connections
Is the map being updated for changes/additions within 1 year of activation?
Comment:
Reporting Requirements
# Have there been any sewer spills in the past 3 years?
If Yes, were they reported to the Division if meeting the reportable criteria?
If applicable, is there documentation of press releases and public notices issued?
Is an Annual Wastewater Performance Report being filed with the Division, if required?
Is the report being made available to all its sewer customers?
# How is it being made available?
Comment:
Inspections
Are adequate maintenance records maintained?
Are pump stations being inspected at the required frequency? 2 1 i- k
# Is at least one complete functionality test conducted weekly per pump station?
Is there a system or plan in place to observe the entire system annually?
Is the annual inspection documented?
# Does the system have any high -priority lines/locations?
Are inspections of HPL documented at least every 6 months?
Are new lines being added to the HPL list when found or created?
Comment: -
Spill Response Action Plan
Is a Spill Response Action Plan available?
Is a Spill Response Action Plan available for all personnel?
Does the plan include:
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Page-4 of 7-- _ — __..

,aG ‘?L')
Permit: -. Owner -Facile;.:
Inspection Date: 08/06/2019 - Inspection Type Collection System Inspect Non Sampling Reason for visit: Routine
24-hour contact numbers
Response time
Equipment list and spare parts inventory
Access to cleaning equipment
Access to. construction crews, contractors, and/or engineers
Source of emergency funds
Site sanitation and cleanup materials
Post-overflow/spill assessment.
Does the Permittee appear to respond within 2 hours of first knowledge of a spill?
Spills
Is system free of known points of bypass?
If No, describe type of bypass and location
Are all spills or sewer related issues/complaints documented?
# Are there repeated overflows/problems (2 or more in 12 months) at same location?
# If Yes, is there a corrective action plan?
Comment:
c11
201`
Comment / 516 (`il
Lines/Right-of-Ways/Aerial Lines
Please list the Lines/Right of Ways/Aerial Lines Inspected:
Are right-of-ways/easements maintained for full width for access by staff/equipment?
If No, give details on temporary access:
Is maintenance documented?
Are gravity sewer cleaning records available?
Has at least 10% of lines older than 5 yrs been cleaned annually?
Were all areas/lines inspected free of issues?
Comment:
Manholes
Please list the Manholes Inspected:
Are manholes accessible?
# Are manhole covers/vents above grade?
Are manholes free of visible signs of overflow'?
Are manholes free of sinkholes and depressions?
Are manhole covers present?
# Are manholes properly seated?
# Are manholes in good condition?
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DODO
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t
Permit.
IMMI
Inspection Date: 08/06/2019 Inspection Type Collection, Syste►n lnspect•Non Sampling
Owner - Facil
Wan
Y-
Reason for Visit: Routine,
# Are inverts in good condition?
Is flow unrestricted in Manholes?
Are manholes free of excessiveamounts of grease?
Are manholes free of excessive roots?
Are manholes free of excessive sand?
Are manhole vents screened?
Are vents free of submergence?
Are manholes free of bypass structures or pipes?
Comment:
Pump Stations
Please Iistthe Pump Stations Inspected:
# Number of duplex or larger pump stations in system.
# Number of vacuum stations in system
# Number of simplex pump stations in system
# Number of simplex pump stations in system serving more than one building
How many pump/vacuum stations have:
# A two-way "auto polling" communication system (SCADA) installed?
# A simple one-way telemetry/communication system (auto -dialer) installed?
For pump stations inspected:
Are they secure with restricted access? _
Were they free of by-pass structures/pipes?
Were wet wells free of excessive grease/debris?
# Do they all have telemetry installed?
Is the communication system functional?
Is a 24-hour notification sign posted ?
Does the sign include:
Owner Name?
Pump stationidentifier?
# Address?
Instructions for notification?
24-hour emergency contact numbers?
Are audio and visual alarms present?
Are audio and visual alarms operable?
# Is there a backup generator or bypass pump connected?
If tested during inspection, did it function properly?
Is the back-up system tested at least bi-annually under normal operating conditions?
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Page 61147 —y

Perm.' Owner - Facil'
Inspection Date: 08/06/2019 Inspection Type : Collection System Inspect Non Sampling ' Reason for Visit: • Routine
# Does it have a dedicated connection for a portable generator?
# Is the owner relying on portable units in the event of a power outage?
# If Yes, is there a distribution plan?
If Yes, what resources (Units/StaffNehicles/etc) are included in Plan?
# Does Permittee have the approved percentage of replacement simplex pumps?
Is recordkeeping of pump station inspection and maintenance program adequate?
Do pump station logs include at a minimum:
Inside and outside cleaning and debris removal?
Inspecting and exercising all valves?
Inspecting and Lubricating pumps and other equipment?
Inspecting alarms, telemetry and auxiliary equipment?
Comment:
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-Page 7 of 7

'Name: Address:
Weather. .
Signage:
Housekeeping:
•Secure:
Wet Well Floats:
Debris:.
Working High Water Float
Telemetry:.
SCADA:
Audio/Visual: ...
Is alarm systeth tested, low often:
Inspection Logs:
Emergency Powi_c
Type: 'Portable Onsite Fuel - ScheduleNendet -
Duick Connect.
#Purops
RunTime -
resting Schedule:
3ackflow:
)verflow Piping:
3yPass Pumping:
AVA-
lspection Schedule:
;omments/ Observations:
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Name:
Weather .
Signage:
Housekeeping:
Secure: •
Wet Well Floats:
Debris:
-
Working High Water Float
Telemetry:
SCADA:
AudioNisual:
Is alarm systeni tested, How often:
Inspection Logs:
Emergency Power •
Pump Station Inspection Checklist
Address:
Type: Portable Onsite Fuel -
Dula Connect.
resting Schedule: /.
3ackflow:
)verflow Piping:
3ypass Pumping:
ispection Schedule:
;omments/ Observations:
1)fit # Punps
/14 bAd-)
ScheduleNendet -
Workin
Run Time -
L
1

Pump Station Inspection Che .iist
Housekeeping:
Wet Well Floats:
Working High Water Float
SCADA:
Audio/Visual: ...
Is alarm systeM tested, How often:
Inspection 1..(3s:
Emergency Power
Type: Portable Onsite Fuel t 5 cheduleNendet -
Duick Connect.
resting Schedule:
3ackflow:
)verflow Piping:
3ypass Pumping:
lspection Schedule:
:omments/ Observations:

Pump Station Inspection Checklist
Name: Address:
Weather .
Signage:
Housekeeping:
Secure: •
Wet Well Floats:
Debris: -
Working High Water Float
Telemetry.:
SCADA:
AudioNisual:
Is alarm system tested, -tow often:
Inspection Logs:
Emergency Power.
Type: Portable
Duick Connect.
resting Schedule:
3ackflow:
)velflow Piping:
3ypass Pumping:
ispection Schedule:
;omments/ Observations:
/11
ScheduleNendet -
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44,
# Purops
Wading
Run Time -

City of Statesville - State Sewer Inspection Report
June 2018
Nov 2019
Footage
Miles
Footage
Miles
Sewer Gravity Mains
1,409,353.00
266.92
1,412,207.12
267.46
Sewer Force Mains
102,541.00
19.42
102,027.00
19.32
2016
2017
2018
2019
Footage
Miles
Footage
Miles
Footage
Miles
Footage
Miles
Totals Mowed
328,183.00
415_/„4-1%
247,691.00
t690
95,133.00
C8?0IA
509,896.00
1,06.
Totals Flushed
359,589.00
68.10
198,374.00
37.57
296,402.00
56.14
230,153.00
43.58
Totals CCTV
40,828.00
7.73
101,761.00
19.27
86,934.00
16.46
90,676.00
17.70
2016
2017
2018
2019
No. Inspected
No. Inspected
No. Inspected
No. Inspected
Creek Crossing Inspected
607
189
30
206
2016
2017
2018
2019
Footage
Miles
Footage
Miles
Footage
Miles
Footage
Miles
Totals Vapor Rooted
16,678.00
3.15
0.00
0.00
45,777.00
0.86
0.00
0.00
2016
2017
2018
2019
No. Inspected
No. Inspected
No. Inspected
No. Inspected
Total Manholes Inspected
5,207.00
3,660.00
1,742.00
1,812.00
2016
2017
2018
2019
New Connections
New Connections
New Connections
New Connections
New Sewer Connections
54
158
145
129
No. of Creek
Crossings
No. of Trestle
Crossings
No. of Underground
Creek Crossings
Total Creek Crossings
88
24
93

FILE
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Dinrtor
Ji yh
NORTH CAROLINA
Environmental Quality
CERTIFIED MAIL #: 7017 2620 0000 6788 4996
RETURN RECEIPT REQUESTED
April 11, 2019
Ron Smith
City of Statesville
PO Box 1111
Statesville, NC 28687-1111
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2019-DV-0196
Sanitary Sewer Overflows - March 2019
Collection System Permit No. WQCS00030
Statesville Collection System
Iredell County
Dear Mr. Smith:
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tn. lI44)1ra
of W
Uo
966h 951L9 0000 0292 LT02.
The self -reported Sanitary Sewer Overflow (SSO) 5-Day Report submitted by City of Statesville indicates violations
of permit conditions stipulated in the subject permit and North Carolina G.S. 143-215.1. Violations include failing to
effectively manage, maintain, and operate the subject collection system so that there is no SSO to the land or
surface waters and making an outlet to waters of the State for purposes of G.S. 143-215.1(a)(1), for which a
permit is required.
Specific incident(s) cited in the subject report include the following:
Incident Start Duration
Number Date (Mins) Location
Cause
Total Vol
Total Surface
Vol Water
(Gals) (Gals) DWR Action
201900544 3/7/2019 30 1602 Younger Ave Severe Natural 700 700 Notice of Violation
Condition
Norte Ca to.:na D_oart m_rt of Env,Eronmaf;ta Oua ty i D:vS;011 of 'Nat sr R_3vUrCeS
1 M1Sc-resv;_ Reg3 rat0ffic= i o10 Eaa CenterAuenu_.-Su:te 301 I Mc-0r_3v:FFe• North Caro:ra 23115
7 t?40&3-189 9

4) A
Remedial actions, if not already implemented, should be taken to correct the above noncompliance. Please submit
a written response to this Notice of Violation. Your response is to be received by the regional office within 15
business days following receipt of this violation. Please include any additional documentation about this incident(s)
in the response. The submittal will be considered in determining whether the Division will assess a civil penalty for
the cited violations.
If you have any questions, please do not hesitate to contact me in the Mooresville Regional Office at 704-663-1699
or via email at [e-mail].
Sincerely,
—DocuSigned by:
'— A14CC681 AF27425...
W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office
Division -of- Water -Resources,--NCDEQ
Cc: Mooresville Regional Office - WQS File
Central Files, Water Quality Section
Pier.} £:aro.ina Dspartne?t of Env:ronmerzta;Oce t_r D:vssoa of Water Re.souro=s Mo e re_v Reg r:e' Office 1610 Eaa Center ave^ue.Su:Le 3O1 Wvor sv;:�. North Ca 26115
704$66-1699

FILE
Water Resources
Environmental Quality
June 18, 2018
Ms. Lynn Smyth, Interim City Manager
City of Statesville
P.O. Box 1111
Statesville, North Carolina 28687-1111
Subject: Compliance Evaluation Inspection
Permittee:.Statesville Collection System
Permit No. WQCS00030
Iredell County
Dear Ms. Smyth:
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Interim Director
1. Mr. Barry Love of the Mooresville Regional Office of the NC Division of Water Resources
(DWR or the Division) conducted a compliance evaluation inspection (CEI) of the
Statesville wastewater collection system (WWCS) on June 12, 2018. The assistance of all
those present during the inspection was greatly appreciated. A copy of the inspection report
is attached for your records and inspection findings are summarized below.
Site/System Review
2. The following system components were inspected:
a. Three pump stations were inspected.
b. Seven manholes were inspected.
c. Three right of ways and three aerials were inspected.
3. As you are aware, owners of permitted collection systems must comply with their permit
and all rules listed under NC Administrative Code 15A NCAC 02T .0400, et seq.
Statesville's compliance status with each of these rules is summarized below:
a. 15A NCAC 02T .0403(a)(1): Requires that the system be effectively maintained
and operated at all times to prevent discharge to land or surface waters and any
contravention of ground or surface water standards.
Observations: This system appears to be well maintained and operated. No
SSO's have occurred on this system since 2013.
Compliance Status: Compliant
otlun� Cotnpareis
State of North Carolina I Environmental Quality I Water Resources I Water Quality Regional Operations
Mooresville Regional Office 1610 East Center Avenue, Suite 301 I Mooresville, North Carolina 28115
704-663-1699

b. 15A NCAC 02T .0403(a)(2): Requires that ‘a map of the wastewater collection.
system be developed and actively maintained.
Observations: A computer based map system is used along with paper maps. The
information on the GIS maps was very thorough.
Compliance Status: Compliant
c. 15A NCAC 02T .0403(a)(3): Requires that an operation and maintenance (O&M)
plan be developed and implemented, which includes pump station inspection
frequency, preventative maintenance schedule, spare parts inventory and overflow
response.
Observations: The system appeared to be well maintained with protocol set up to
address any need. Pump station inspection logs were available with all inspections
being documented. An overflow response plan was available with contact numbers
and other needed information.
Compliance Status: Compliant
d. 15A NCAC 02T .0403(a)(4): Requires that the permittee or its representative
inspect pump stations that are not connected to a telemetry system (i.e., remote
alarm system) every day (i.e., 365 days per year) and pump stations than are
connected to a telemetry system at least once per week.
Observations: The pump stations are inspected 2 times a week. The pump stations
appeared to be well maintained.
Compliance Status: Compliant
e. 15A NCAC 02T .0403(a)(5): Requires that the permittee or its representative
inspect high -priority sewers (HPS - as defined in 15A NCAC 02T .0402(2)) at least
once every six months and document the inspections.
Observations: Records were available showing that high priority lines are
inspected every six months, although there were a number of stations that need to
be inspected this month. Staff stated their intention to get this done before the end
of the month.
Compliance Status: Compliant
f. 15A NCAC 02T .0403(a)(6): Requires that the permittee or its representative
conduct a general observation of the entire wastewater collection system at least
once per year.

g.
Observations: The entire system is being observed through right of way
inspections/mowing, aerial inspections, manhole inspections, line inspections by
CCTV, line cleaning and other routine maintenance. These activities are well
.documented.
Compliance Status: Compliant.
15A NCAC 02T .0403(a)(7): Requires that overflows and bypasses from the
system be reported to the Division's Mooresville Regional Office in accordance
with 15A NCAC 02B .0506(a), and that public notice must be provided as required
by G.S. 143-215.1C.
Observations: Records were available to document overflows as required. The
NC regulations and statutes, which cover the reporting requirements for SSOs, are
found in NC Administrative Code 15A NCAC 02B .0506(a) and NC General
Statute' 143-215.1 C, respectively. You may access the NC regulations online at the
NC Office . of Administrative Hearings (OAH) website at:
http://www.oah.state.nc.us/rules/ and the NC General Statutes online at the NC
General Assembly's website at:
http://www.ncga.state.nc.us/gascripts/Statutes/StatutesTOC.pl. You may wish to
review them to ensure you are fully familiar with all requirements.
When reporting SSOs to DWQ, you must call the Mooresville Regional Office
(MRO) at 704-663-1699 during normal business hours. If outside normal business
hours, you must report the spill to the NC Division of Emergency Management at
1-800-858-0368. Please note that all reportable SSOs must be reported within 24
hours of the occurrence, or first knowledge, of the SSO. Please also note that voice
mail or faxed messages are not considered as the initial verbal report. You must
talk to and report the spill to a live person.
Compliance Status: Compliant
h. 15A NCAC 02T .0403(a)(8): Requires that a grease control program be developed
and implemented as follows:
1. For publicly owned collection systems, the Grease Control Program shall
include at least bi-annual distribution of grease education materials to users
and the legal means to require grease interceptors. The Program shall also
include legal means for inspections, enforcement, and legal means to
control grease entering the system from other public and private satellite
sewer systems.
2. Grease education materials shall be distributed more often than required
above if necessary to prevent grease -related sanitary sewer. overflows.

Observations: Mailers are sent out twice a year. Information is also provided a
booth at a health fair and public service announcements.
Compliance Status: Compliant.
15A NCAC 02T .0403(a)(9): ` Requires that right-of-ways (ROW) and easements
be maintained in the full easement width for personnel and equipment accessibility.
Observations: Records were available documenting ROW maintenance. All
right-of-ways inspected were well maintained.
Compliance Status: Compliant.
j. 15A NCAC 02T .0403(a)(10): Requires that documentation be kept for all
activities you undertake to comply with the requirements of 15A NCAC 02T .0403,
subparagraphs (a)(1) through (a)(9), for a minimum of three years, with the
exception of the map, which shall be maintained for the life of the system.
Observations: All required records were available and well documented.
Compliance Status: Compliant
Please take note of the comments in the inspection report for other issues that may need to
be addressed. The inspection report should be self-explanatory; however, if you have any
questions regarding the _inspection report or this letter please give me or Barry Love a call
at 704-663-1699.
Sincerely,
—DocuSigned by:
`— A14CC681 AF27425_ _.
W. Corey Basinger, Regional Supervisor
Mooresville Regional Office
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
Attachments:
BIMS Inspection Report
CC: MRO
Central Files
PERCS Unit

Compliance Inspection Report
Permit: WQCS00030 Effective: 07/01/15 Expiration: 06/30/23 Owner : City of Statesville
SOC: Effective: Expiration: Facility: Statesville Collection System
PO Box 1111
County: Iredell
Region: Mooresville
Contact Person: Scott Harrell
Directions to Facility:
System Classifications: CS3,
Primary ORC: Joe E Moose
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Statesville NC 286871111
Title: Public Works Director Phone: [phone]
Certification: 997775 Phone: [phone]
NC0020591 City of Statesville - Third Creek WWTP
NC0031836 City of Statesville - Fourth Creek WWTP
Inspection Date: 06/12/2018 Entry Time: 10:OOAM Exit Time: 02:30PM
Primary Inspector: Barry F Love Phone: [phone] Ext.263
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Collection System Inspect Non Sampling
Permit Inspection Type: Collection system management and operation
Facility Status: 1. Compliant ❑ Not Compliant
Question Areas:
1.1 Miscellaneous Questions
▪ Records
• Pump Station
(See attachment summary)
▪ Performance Standards
▪ Monitoring & Rpting Reqmts
▪ Manhole
▪ Operation & Maint Reqmts
II Inspections
▪ Lines
Page: 1

permit; WQCS00030 Owner - Facility: City of Statesville
Inspection Date: 06/12/2018
Inspection Type : Collection System Inspect Non Sampling
Reason for Visit: Routine
Inspection Summary:
Page: 2

Owner - Facility: City of Statesville
Permit WQCS00030
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Inspection Type : Collection System Inspect Non Sampling
Inspection Date: 06/12/2018
W
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Performance Standards
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Is Public Education Program for grease established and documented?
What educational tools are used?
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Is Sewer Use Ordinance/Legal Authority available?
Does it appear that the Sewer Use Ordinance is enforced?
Is Grease Trap Ordinance available?
Is Septic Tank Ordinance available (as applicable, i.e. annexation)
List enforcement actions by permittee, if any, in the last 12 months
ptable Capital Improvement Plan (CIP) been implemented?
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Total annual revenue for wastewater collection and treatment?
CIP Comments
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Is system free of known points of bypass?
If no, describe type of bypass and location
Is a 24-hour notification sign posted at ALL pump stations?
# Does the sign include:
Instructions for notification?
Pump station identifier?
24-hour contact numbers
If no, list deficient pump stations
# Do ALL pump stations have an "auto polling" feature/SCADA?
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# Does the permittee have a root control program?

Owner - Facility: City of Statesville
Permit: WQCS00030
Reason for Visit:
rn
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Inspection Date: 06/12/2018
# If yes, date implemented?
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Are records available that document inspections of high -priority lines?
Has there been visual inspections of high -priority lines in last six months?
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Are all log books available?
Does supervisor review all log books on a regular basis?
Does the supervisor have plans to address documented short-term problem areas?
What is the schedule for reviewing inspection, maintenance, & operations logs and problem areas?
Are maintenance records for equipment available?
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Inside and outside cleaning and debris removal?
Inspecting and exercising all valves?
Inspecting and lubricating pumps and other equipment?
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Is there at least one spare pump for each pump station w/o pump reliability?
Are maintenance records for right-of-ways available?
Are right-of-ways currently accessible in the event of an emergency?
Are system cleaning records available?
Has at least 10% of system been cleaned annually?
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Owner - Facility: City of Statesville
Reason for Visit:
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Is a Spill Response Action Plan available?
Does the plan include:
24-hour contact numbers
Response time
Equipment list and spare parts inventory
Access to cleaning equipment
Access to construction crews, contractors, and/or engineers
Source of emergency funds
Site sanitation and cleanup materials
Post-overflow/spill assessment
Is a Spill Response Action Plan available for all personnel?
Is the spare parts inventory adequate?
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Are adequate records of all SSOs, spills and complaints available?
Are records of SSOs that are under the reportable threshold available?
Do spill records indicate repeated overflows (2 or more in 12 months) at same location?
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Flow direction
Approximate pipe age
Number of service taps
Pump stations and capacity
If no, what percent is complete?
List any modifications and extensions that need to be added to the map
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since 2013.
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Are copies of required press releases and distribution lists available?

Permit WQCS00030 Owner - Facility: City of Statesville
Inspection Date: 06/12/2018 Inspection Type : Collection System Inspect Non Sampling Reason for Visit: Routine
Are public notices and proof of publication available?
# Is an annual report being prepared in accordance with G.S. 143-215.1C?
# Is permittee compliant with all compliance schedules in the permits?
If no, which one(s)?
Comment: Older records were available, but this system has not had any SSO's that required press
release or public notice in the past several years.
KENNEDY -
Manhole
Is manhole accessible?
# Is manhole cover/vent above grade?
Is the manhole free of visible signs of overflow?
Is the manhole free of sinkholes and depressions?
Is manhole cover present?
# Is manhole properly seated?
# Is manhole in good condition?
# Is invert in good condition?
Is line free -flowing and unrestricted in manhole?
Is manhole free of excessive amounts of grease?
Is manhole free of excessive roots?
Is manhole free of excessive sand?
Is manhole's extended vent screened?
Are vents free of submergence?
Are manholes free of bypass structures or pipes?
• ❑ ❑ ❑
• ❑ ❑ ❑
❑ ❑ ❑
Yes No NA NE
▪ ❑ ❑ ❑
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Comment: Several manholes upstream of pump station were checked. 20-inch line was free flowing with
no issues observed.
PARTRIDGE -
Manhole
Is manhole accessible?
# Is manhole cover/vent above grade?
Is the manhole free of visible signs of overflow?
Is the manhole free of sinkholes and depressions?
Is manhole cover present?
# Is manhole properly seated?
# Is manhole in good condition?
# Is invert in good condition?
Is line free -flowing and unrestricted in manhole?
Is manhole free of excessive amounts of grease?
Yes No NA NE
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Page: 6

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Is a 24-hour notification sign posted?
Is the generator inspected according to their schedule?
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Is the pump station equipped for quick hook-up?
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Is the Pump station inspected as required?
Are audio and visual alarms operable?
Are audio and visual alarms present?
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Is it accessible in all weather conditions?
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Are manholes free of bypass structures or pipes?
Are vents free of submergence?
Is manhole's extended vent screened?
Is manhole free of excessive sand?
Is manhole free of excessive roots?
■ ■ ■ ■
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Inspection Date: 06/12/2018
Inspection Type : Collection System Inspect Non Sampling
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Permit: WQCS00030 Owner - Facility: City of Statesville
Inspection Date: 06/12/2018 Inspection Type : Collection System Inspect Non Sampling
Reason for Visit: Routine
Instructions for notification?
Pump station identifier?
Emergency phone number
Is public access limited?
Is pump station free of overflow piping?
Is the pump station free of signs of overflow?
Are run times comparable for multiple pumps?
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Comment: High water float was pulled. Audible and visual alarms and telemetry all worked. The generator
was cranked and ran. The generator runs on natural gas. The pump station appeared to be well
maintained.
KENNEDY P.S. -
Pump Station
Pump station type
Are pump station logs available?
Is it accessible in all weather conditions?
# Is general housekeeping acceptable?
Are all pumps present?
Are all pumps operable?
Are wet wells free of excessive debris?
Are upstream manholes free of excessive debrisigns of overflow?
Are floats/controls for pumps/alarms operable?
Is "auto polling" feature/SCADA present?
Is "auto polling" feature/SCADA operational?
Is simple telemetry present?
Is simple telemetry operational?
Are audio and visual alarms present?
Are audio and visual alarms operable?
Is the Pump station inspected as required?
Are backflow devices in place?
Are backflow devices operable?
Are air relief valves in place?
Are air relief valves operable?
# Is an emergency generator available?
Can the emergency generator run the pumps?
Is the pump station equipped for quick hook-up?
Is the generator operable?
# Is fuel in tank and sufficient?
Yes No NA NE
Duplex
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Page: 8

Permit: WQCS00030 Owner - Facility: City of Statesville
Inspection Date: 06/12/2018 Inspection Type : Collection System Inspect Non Sampling
Reason for Visit: Routine
Is the generator inspected according to their schedule?
Is a 24-hour notification sign posted?
Does it include:
Instructions for notification?
Pump station identifier?
Emergency phone number
Is public access limited?
Is pump station free of overflow piping?
Is the pump station free of signs of overflow?
Are run times comparable for multiple pumps?
Comment: The high water float was pulled. The telemetry worked, but the audible was very quiet, and the
visual didn't work. An email was received on 6/13/18 indicating the problem was a loose wire
connection to the battery, and the problem has been resolved now. The generator was tested
and ran the pumps and telemetry worked properly.
WILDWOOD -
Manhole
Is manhole accessible?
# Is manhole cover/vent above grade?
Is the manhole free of visible signs of overflow?
Is the manhole free of sinkholes and depressions?
Is manhole cover present?
# Is manhole properly seated?
# Is manhole in good condition?
# Is invert in good condition?
Is line free -flowing and unrestricted in manhole?
Is manhole free of excessive amounts of grease?
Is manhole free of excessive roots?
Is manhole free of excessive sand?
Is manhole's extended vent screened?
Are vents free of submergence?
Are manholes free of bypass structures or pipes?
■ ❑❑❑
• ❑ ❑ ❑
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• ❑ ❑ ❑
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Yes No NA NE
• ❑ ❑ ❑
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Comment: First two manholes upstream of the pump station were inspected. 8-inch line was free flowing at
about 1/5 capacity with no problems observed.
KENNEDY -
Lines/Right-of-Ways/Aerie) Lines
Is right-of-way accessible for emergency?
Is right-of-way free of sinkholes or depressions?
Yes No NA NE
■ ❑❑❑
■ ❑❑❑
Page: 9

# Are there siphons in this system?
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# Is right-of-way free of non -utility motorized traffic?
Are water crossing and supports in good condition?
# Is any exposed line constructed of ductile iron or other approved material?
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If yes, are they maintained and documented?
# Are there siphons in this system?
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If yes, are they maintained and documented?
# Are there siphons in this system?
,a6ewep algism;o aalj awl sr
# Is right-of-way free of non -utility motorized traffic?
Are water crossing and supports in good condition?
# Is any exposed line constructed of ductile iron or other approved material?
# Are there areas of exposed line?
Is line/right-of-way free of evidence of leakage?
❑ ■ ■ ❑ ❑ ❑ ■
❑ ❑ ❑ ❑ ❑ ■❑
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Inspection Date: 06/12/2018
Inspection Type : Collection System Inspect Non Sampling
:;!sIA Jo; uoseaa
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Permit: WQCS00030 Owner - Facility: City of Statesville
Inspection Date: 06/12/2018 Inspection Type : Collection System Inspect Non Sampling
Reason for Visit: Routine,
WILDWOOD P.S. -
Pump Station
Pump station type
Are pump station logs available?
Is it accessible in all weather conditions?
# Is general housekeeping acceptable?
Are all pumps present?
Are all pumps operable?
Are wet wells free of excessive debris?
Are upstream manholes free of excessive debris/signs of overflow?
Are floats/controls for pumps/alarms operable?
Is "auto polling" feature/SCADA present?
Is "auto polling" feature/SCADA operational?
Is simple telemetry present?
Is simple telemetry operational?
Are audio and visual alarms present?
Are audio and visual alarms operable?
Is the Pump station inspected as required?
Are backflow devices in place?
Are backflow devices operable?
Are air relief valves in place?
Are air relief valves operable?
# Is an emergency generator available?
Can the emergency generator run the pumps?
Is the pump station equipped for quick hook-up?
Is the generator operable?
# Is fuel in tank and sufficient?
Is the generator inspected according to their schedule?
Is a 24-hour notification sign posted?
Does it include:
Instructions for notification?
Pump station identifier?
Emergency phone number
Is public access limited?
Is pump station free of overflow piping?
Is the pump station free of signs of overflow?
Are run times comparable for multiple pumps?
Yes No NA NE
• ❑ ❑ ❑
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• ❑ ❑ ❑
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Page: 11

Permit: WQCS00030 Owner - Facility: City of Statesville
Inspection Date: 06/12/2018 Inspection Type : Collection System Inspect Non Sampling
Reason for Visit: Routine
Comment: High water float pulled. Audio and visual alarms and telemetry all worked. Generator cranked.
No issues were observed. Pump station appeared to be well maintained.
Page: 12

1-
Water Resources
ENVIRONMENTAL QUALITY
March 21, 2016
Mr. Larry P. Pressley, City Manager
City of Statesville
P.O. Box 1111
Statesville, North Carolina 28687-1111
AT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
S. JAY ZIMMERMAN
Subject: Compliance Evaluation Inspection
Statesville Collection System
Permit No. WQCS00030
Iredell County, North Carolina
Dear Mr. Pressley:
Director
Enclosed is a copy of the Compliance Evaluation Inspection Report for the inspection
conducted at the subject facility on March 10, 2016 by Mr. Barry Love of this Office. Your
assistance and that of others was greatly appreciated. The inspection revealed that the system is
being properly operated and well maintained.
Please take special note of the comments in each section of the inspection report for areas
which may need to be addressed. The inspection report should be self-explanatory; however,
should you have any questions concerning this report, please do not hesitate to contact Mr. Love
at [phone].
Sincerely,
_,///60itti/
W. Corey Basinger, Regional Supervisor
Mooresville Regional Office
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
Attachment: Inspection Report — March 2016
MRO file
PERCS
State of North Carolina I Environmental Quality I Water Resources I Water Quality Regional Operations
Mooresville Regional Office' 610 East Center Avenue, Suite 301 I Mooresville, North Carolina 28115
704 663 1699

Compliance Inspection Report
Permit: WQCS00030 Effective: 07/01/15 Expiration: 06/30/23 Owner : City of Statesville
SOC: Effective: Expiration: Facility: Statesville Collection System
PO Box 1111
County: Iredell
Region: Mooresville
Contact Person: Scott Harrell
Directions to Facility:
Statesville NC 286871111
Title: Public Works Director Phone: [phone]
System Classifications: CS3,
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
NC0020591 City of Statesville - Third Creek WWTP
NC0031836 City of Statesville - Fourth Creek WWTP
Inspection Date: 03/10/2016 Entry Time: 10:OOAM Exit Time: 03:30PM
Primary Inspector: Barry F Love Phone: [phone] Ext.263
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Collection System Inspect Non Sampling
Permit Inspection Type: Collection system management and operation
Facility Status: ® Compliant D Not Compliant
Question Areas:
Miscellaneous Questions
MI Records
II Pump Station
(See attachment summary)
II Performance Standards
Monitoring & Rpting Reqmts
Manhole
Operation & Maint Reqmts
• Inspections
• Lines
Page: 1

r
Permit: WQCS00030
Owner - Facility: City of Statesville
Inspection Date: 03/10/2016 Inspection Type : Collection SystemInspect Non Sampling
Reason for Visit: Routine
Inspection Summary:
Page: 2

Permit: WQCS00030 Owner - Facility: City of Statesville
Inspection Date: 03/10/2016 Inspection Type : Collection System Inspect Non Sampling Reason for Visit: Routine
Performance Standards
Is Public Education Program for grease established and documented?
What educational tools are used?
Flyers sent out with bills every other year.
Booth at health fair- annual event.
Is Sewer Use Ordinance/Legal Authority available?
Does it appear that the Sewer Use Ordinance is enforced?
Is Grease Trap Ordinance available?
Is Septic Tank Ordinance available (as applicable, i.e. annexation)
List enforcement actions by permittee, if any, in the last 12 months
none
Has an acceptable Capital Improvement Plan (CIP) been implemented? •
Does CIP address short term needs and longterm \"master plan\" concepts?
Does CIP cover three to five year period?
Does CIP include Goal Statement?
Does CIP include description of project area?
Does CIP include description of existing facilities?
Does CIP include known deficiencies?
Does CIP include forecasted future needs?
Is CIP designated only for wastewater collection and treatment?
Approximate capital improvement budget for collection system?
Total annual revenue for wastewater collection and treatment?
CIP Comments
Is system free of known points of bypass? If no, describe type of bypass and location
Is a 24-hour notification sign posted at ALL pump stations?
# Does the sign include:
Instructions for notification?
Pump station identifier?
24-hour contact numbers
If no, list deficient pump stations
# Do ALL pump stations have an "auto polling" feature/SCADA?
Number of pump stations
Number of pump stations that have SCADA
Number of pump stations that have simple telemetry
Number of pump stations that have only audible and visual alarms
Yes No NA NE
▪ ❑ ❑ ❑
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Page: 3

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6algel!ene spJooaJ 6ulueep we s/s GA(
6 oue6Jewe ue plume ay; u! elq!ssaooe Agua.uno sAeM Jo-;y6p any
6algel!ene s,eM-}o-;y6u Jo} spJooaJ eoueua;u!ew any
L�l!I!ge!laJ dwnd o/M uol;e;s dwnd !pee Jo} dwnd aJeds euo;seal;e any) sl
t;uawdlnbe tie!l!xne pue Mew°le) 'sump 6u!;oadsul
a;uewdmbe Jay;o pue sdwnd 6u!;eougnl pue 6u!pedsul
Lsanlen pe 6u!s!oJaxe pue 6u!;oadsul
glenowei s!Jgap pue 6u!ueep apis;no pue ep!sul
:epnpul s6o! uoge;s dwnd oa
6;uewdlnba Agpue;s/Aoue6Jewa 6ugsa; Jo} alnpayos ay; s!;elm
L;uewd!nbe i gpue;s/Aoua6Jawe 6ugsa; Jo; peu!e;u!ew alnpayos a sl
ta!gellene;uewd!nbe Jo; spJooaJ eoueua;wew any
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,seals we goid wia;-}toys pa;uawnoop ssaJppe o; sueld anal Jos!,uedns ay; saoa
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o!gel!ene s)!ooq 6o! Ile aJy
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peuie}uiew buieq eJe spiooei.1a}ndwoo pue ua}}uM :}uewwo3
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c,wa;sAs ail;ua;o uoge esgo lenuue ue pnpuoo o; wa;si(s e aney noA oa #
6s1u!eldwoo uezg!o;uawnoopley} algel!ene spJooaJ aJy
6itep liens pe oadsu! suoge;s dwnd pedd!nbe /u;ewela;/yayas-uou any
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suoi;oa sUI
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s;uawai!nbaJ;!wJed;eew;ou op 19:41suopels dwnd jo JagwnN
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Permit; WQCS00030
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Reason for Visit:
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Does'the plan include:
24-hour contact numbers
Response time
Equipment list and spare parts inventory
Access to cleaning equipment
Access to construction crews, contractors, and/or engineers
Source of emergency funds
Site sanitation and cleanup materials
Post-overflow/spill assessment
Is a Spill Response Action Plan available for all personnel?
Is the spare parts inventory adequate?
Riaht of ways are well maintained. 492.477 If of line was cleaned
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Do spill records indicate repeated overflows (2 or more in 12 months) at same location'?
Is a map of the system available?
Does the map include:
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Flow direction
Approximate pipe age
Number of service taps
Pump stations and capacity
If no, what percent is complete?
List any modifications and extensions that need to be added to the map
# Does the permittee have a copy of their permit?
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Permit: WQCS00030 Owner - Facility: City of Statesville
Inspection Date: 03/10/2016 Inspection Type : Collection System Inspect Non Sampling Reason for Visit: Routine
Are copies of required press releases and distribution lists available?
Are public notices and proof of publication available?
# Is an annual report being prepared in accordance with G.S. 143-215.1C?
# Is permittee compliant with all compliance schedules in the permits?
If no, which one(s)?
Comment:
MACANDERSON PARK -
Lines/Right-of-Ways/Aerie) Lines
Is right-of-way accessible for emergency?
Is right-of-way free of sinkholes or depressions?
Is line/right-of-way free of evidence of leakage?
# Are there areas of exposed line?
# Is any exposed line constructed of ductile iron or other approved material?
Are water crossing and supports in good condition?
# Is right-of-way free of non -utility motorized traffic?
Is line free of visible damage?
# Are there siphons in this system?
If yes, are they maintained and documented?
Comment:
VALLEY STREAM -
Manhole
Is manhole accessible?
# Is manhole cover/vent above grade?
Is the manhole free of visible signs of overflow?
Is the manhole free of sinkholes and depressions?
Is manhole cover present?
# Is manhole properly seated?
# Is manhole in good condition?
# Is invert in good condition?
Is line free -flowing and unrestricted in manhole?
Is manhole free of excessive amounts of grease?
Is manhole free of excessive roots?
Is manhole free of excessive sand?
Is manhole's extended vent screened?
Are vents free of submergence?
Are manholes free of bypass structures or pipes?
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Yes No NA NE
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Page: 6

Permit: WQCS00030 Owner - Facility: City of Statesville
Inspection Date: 03/10/2016 Inspection Type : Collection System Inspect Non Sampling Reason for Visit: Routine
Comment: Manhole was in roadway adjacent to pump station. Line was 1 /4 full and free flowing with some
debris on the shelf.
SIGNAL HILL AERIAL -
Lines/Right-of-Ways/Aerie) Lines
Is right-of-way accessible for emergency?
Is right-of-way free of sinkholes or depressions?
Is line/right-of-way free of evidence of leakage?
# Are there areas of exposed line?
# Is any exposed line constructed of ductile iron or other approved material?
Are water crossing and supports in good condition?
# Is right-of-way free of non -utility motorized traffic?
Is line free -of visible damage?
# Are there siphons in this system?
If yes, are they maintained and documented?
Comment: 940 foot long 24-inch aerial over field. No problems observed.
NEWTON DR. PS -
Pump Station
Pump station type
Are pump station logs available?
Is it accessible in all weather conditions?
# Is general housekeeping acceptable?
Are all pumps present?
Are all pumps operable?
Are wet wells free of excessive debris?
Are upstream manholes free of excessive debris/signs of overflow?
Are floats/controls for pumps/alarms operable?
Is "auto polling" feature/SCADA present?
Is "auto polling" feature/SCADA operational?
Is simple telemetry present?
Is simple telemetry operational?
Are audio and visual alarms present?
Are audio and visual alarms operable?
Is the Pump station inspected as required?
Are backflow devices in place?
Are backflow devices operable?
Are air relief valves in place?
Yes No NA NE
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Yes No NA NE
Duplex
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Page: 7

Laoeld u! saolnap molp!oeq ale
Is the Pump station inspected as required?
Are audio and visual alarms operable?
Are audio and visual alarms present?
61euo!}eiedo lu;awaia; aldwis s!
}uasaJd ti;awaia; aldwis sl
Is "auto polling" feature/SCADA operational?
Is "auto polling"feature/SCADA present?
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# Is general housekeeping acceptable?
Is it accessible in all weather conditions?
Are pump station logs available?
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Are run times comparable for multiple pumps?
Is the pump station free of signs of overflow?
Is pump station free of overflow piping?
6pa;!w!l ssaooe ollgnd sl
Jagwnu auoyd Aoua6iaw�
Wagguap! uoi;eis dwnd
,uo!;eoggou Jo; suogoru;sul
:apnlou! 1! saol]
Is a 24-hour notification sign posted?
Is the generator inspected according to their schedule?
;ua!o!ns pue glue; u! !an; sl #
6algejado Jo;eiaua6 ay; sl
Is the pump station equipped for quick hook-up?
Can the emergency generator run the pumps?
Is an emergency generator available?
ZalgeJado sanlen;a!!8J ne aw
■ ■■■■■ ■❑❑❑■❑■❑
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DEIDOOD . . . . .
Inspection Date: 03/10/2016
Inspection Type : Collection System Inspect Non Sampling
0£o00SCDM :;luued
ap!nse1e3S bo' !O :IIf!lloej - Jeumo

Owner - Facility: City of Statesville
Permit: WQCS00030
re
Reason for Visit:
Inspection Date: 03/10/2016
■■■❑❑❑❑❑❑❑ ❑❑.❑❑❑❑
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Are air relief valves in place?
Are air relief valves operable?
Is an emergency generator available?
Can the emergency generator run the pumps?
Is the pump station equipped for quick hook-up?
Is the generator operable?
# Is fuel in tank and sufficient?
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Does it include:
Instructions for notification?
Pump station identifier?
Emergency phone number
Is public access limited?
Is pump station free of overflow piping?
Is the pump station free of signs of overflow?
enerator cranked u
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Yes No NA NE
Pump Station
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Pump station type
Is it accessible in all weather conditions?
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Is "auto polling" feature/SCADA present?
Is "auto polling" feature/SCADA operational?
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Is simple telemetry operational?
Are audio and visual alarms present?
Are audio and visual alarms operable?

Permit: WQCS00030 Owner - Facility: City of Statesville
Inspection Date: 03/10/2016
Inspection Type : Collection System Inspect Non Sampling
Reason for Visit: Routine
Is the Pump station inspected as required?
Are backflow devices in place?
Are backflow devices operable?
Are air relief valves in place?
Are air relief valves operable?
# Is an emergency generator available?
Can the emergency generator run the pumps?
Is the pump station equipped for quick hook-up?
Is the generator operable? -
# Is fuel in tank and sufficient?
Is the generator inspected according to their schedule?
Is a 24-hour notification sign posted?
Does it include:
Instructions for notification?
Pump station identifier?
Emergency phone number
Is public access limited?
Is pump station free of overflow piping?
Is the pump station free of signs of overflow?
Are run times comparable for multiple pumps?
Comment: High water float was pulled and all alarms worked (audio, light, telemetry).
KENNEDY -
Manhole
Is manhole accessible?
# Is manhole cover/vent above grade?
Is the. manhole free of visible signs of overflow?
Is the manhole free of sinkholes and depressions?
Is manhole cover present?
# Is manhole properly seated?
# Is manhole in good condition?
# Is invert in good condition?
Is line free -flowing and unrestricted in manhole?
Is manhole free of excessive amounts of grease?
Is manhole free of excessive roots?
Is manhole free of excessive sand?
Is manhole's extended vent screened?
• ❑ ❑ ❑
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• ❑ ❑ ❑
• ❑ ❑ ❑
• ❑ ❑ ❑
• ❑ ❑ ❑
• ❑ ❑ ❑
Yes
Yes No NA NE
▪ ❑ ❑ ❑
• ❑ ❑ ❑
II ❑ ❑ ❑
▪ ❑ ❑ ❑
▪ ❑ ❑ ❑
• ❑ ❑ ❑
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Page: 10

Permit: WQCS00030
a)
Reason for Visit:
Inspection Date: 03/10/2016
00
. ❑
❑ ❑
.
Are vents free of submergence?
Are manholes free of bypass structures or pipes?
O
f0
E
O
co
N
First manhole
c
a)
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E
O
U
KENNEDY -
W
Z
Yes No NA
s/Aeriel Lines
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V) L - (.1)
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0)
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# Are there areas of exposed line?
# Is any exposed line constructed of ductile iron or other approved material?
Are water crossing and supports in good condition?
O
f0
v
N
O
0
E
O
0
a)
a)
9
rn
'C
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Is line free of visible damage?
# Are there siphons in this system?
If yes, are they maintained and documented?
Z
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L
2
❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑
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000000000000000
. .■ . . . ■ . . . . . ❑ ❑ .
# Is manhole cover/vent above grade?
Is the manhole free of visible signs of overflow?
Is the manhole free of sinkholes and depressions?
Is manhole cover present?
# Is manhole properly seated?
# Is manhole in good condition?
s line free -flowing and unrestricted in manhole?
0)
N
2
0)
0 -
0)
0
7
O
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a) Q) a)
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y N en
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aa) 0)) a)
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s manhole's extended vent screened?
Are vents free of submergence?
Are manholes free of bypass structures or pipes?
Two eicht-inch lines enter here. Line was half full and free flo
0)
E
E
O
U
MARJORIE
Yes No NA NE
0)
O
2

f
Permit: WQCS00030 Owner - Facility: City of Statesville
Inspection Date: 03/10/2016 Inspection Type : Collection System Inspect Non Sampling
Reason for Visit: Routine
Is manhole accessible?
# Is manhole cover/vent above grade?
Is the manhole free of visible signs of overflow?
Is the manhole free of sinkholes and depressions?
Is manhole cover present?
# Is manhole properly seated?
# Is manhole in good condition?
# Is invert in good condition?
Is line free -flowing and unrestricted in manhole?
Is manhole free of excessive amounts of grease?
Is manhole free of excessive roots?
Is manhole free of excessive sand?
Is manhole's extended vent screened?
Are yents free of submergence?
Are manholes free of bypass structures or pipes?
Comment:
KENNEDY DR. PS -
Pump Station
Pump station type
Are pump station logs available?
Is it accessible in all weather conditions?
# Is general housekeeping acceptable?
Are all pumps present?
Are all pumps operable?
Are wet wells free of excessive debris?
Are upstream manholes free of excessive debris/signs of overflow?
Are floats/controls for pumps/alarms operable?
Is "auto polling" feature/SCADA present?
Is "auto polling" feature/SCADA operational?
Is simple telemetry present?
Is simple telemetry operational?
Are audio and visual alarms present?
Are audio and visual alarms operable?
Is the Pump station inspected as required?
Are backflow devices in place?
Are backflow devices operable?
■ ❑❑❑
DE11110
IN ❑ ❑ ❑
M❑❑❑
II ❑ ❑ ❑
• ❑ ❑ ❑
• ❑ ❑ ❑
• ❑ ❑ ❑
•❑ ❑ ❑
• ❑ ❑ ❑
• ❑ ❑ ❑
• ❑ ❑ ❑
❑ ❑ II ❑
❑ ❑ MI ❑
■ ❑❑❑
Yes No NA NE
Duplex
▪ ❑ ❑ ❑
• ❑ ❑ ❑
IN ❑ ❑ ❑
■ ❑❑❑
• ❑ ❑ ❑
■ ❑❑❑
• ❑ ❑ ❑
▪ ❑ ❑ ❑
DE11110
❑ ❑ • ❑
• ❑ ❑ ❑
▪ ❑ ❑ ❑
• ❑ ❑ ❑
IIICIDEI
• ❑ ❑ ❑
1:11:11:111
❑ ❑❑■
Page: 12

Permit: WQCS00030 Owner - Facility: City of Statesville
Inspection Date: 03/10/2016 Inspection Type : Collection System Inspect Non Sampling
Reason for Visit: Routine
Are air relief valves in place?
Are air relief valves operable?
# Is an emergency generator available?
Can the emergency generator run the pumps?
Is the pump station equipped for quick hook-up?
Is the generator operable?
# Is fuel in tank and sufficient?
Is the generator inspected according to their schedule?
Is a 24-hour notification sign posted?
Does it include:
Instructions for notification?
Pump station identifier?
Emergency phone number
Is public access limited?
Is pump station free of overflow piping?
Is the pumpstation free of signs of overflow?
Are run times comparable for multiple pumps?
Comment:
❑ ❑ ❑•
❑❑❑■
• ❑ ❑ ❑
• ❑❑❑
00110
• ❑ ❑ ❑
❑ ❑ ❑
▪ ❑ ❑ ❑
• ❑ ❑ ❑
■ ❑❑❑
• ❑ ❑ ❑
1 ❑ ❑ ❑
▪ ❑ ❑ ❑
▪ ❑❑❑
■ ❑❑❑
ves
Page: 13

Water Pollution Control System Operator Designation Form
WPCSOCC
NCAC 15A 8G .0201
Permittee Owner/Officer Name: Larry P. Pressley, PE, City Manager
Mailing Address: Post Office Box 1111
City: Statesville State: NC Zip: 28687 - 1111 Phone #: [phone]
Email address: 1pressleyQstatesvillenc.net
Signature:
Facility Name: City of Statesville Collection System
Date: =
Permit #: WQCS00030
SUBMIT A SEPARATE FORM FOR EACH TYPE SYSTEM!
Facility Type/Grade:
Biological WWTP
Physical/Chemical
Collection System
Surface Irrigation
Land Application
Operator in Responsible Charge (ORC)
Print Full Name: Joe E. Moose
Certificate Type / Grade / Number: CS/3/997775 Work Phone #: [phone]
Signature: 11. / / �dd'u- Date:.. S1S/,00 1 .
"I certify that I agree my designation as the Operator in Responsible Charge for the facility noted. I understand and will abide by the rules •
and regulations pertaining to the responsibilities of the ORC as set forth in 15A NCAC 08G .0204 and failing to do so can result in Disciplinary.. '
Actions by the Water Pollution Control System Operators Certification Commission." .
Back -Up Operator in Responsible Charge (BU ORC)
Print Full Name:
Certificate Type / Grade / Number: Work Phone #: ( )
Signature: Date:
"I certify that I agree to my designation as a Back-up Operator in Responsible Charge. for the facility noted. I understand and will abide by the
rules and regulations pertaining to the responsibilities of the BU ORC as set forth in 15A NCAC 08G .0205 and,tailing to do so canresult in -
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
Mail, fax or email the
original to:
Mail or fax a copy to the
appropriate Regional Office:
WPCSOCC, 1618 Mail Service Center, Raleigh, NC 27699-1618 Fax: [phone] Email:
certadminQncdenr.gov
Asheville
2090 US Hwy 70
Swannanoa 28778 Fax:
828.299.7043 Phone:
828.296.4500
Washington
943 Washington Sq
Mall Washington 27889
Fax: [phone]
Phone: [phone]
Fayetteville 225 Green
St Suite 714 Fayetteville
28301-5043 Fax:
910.486.0707 Phone:
910.433.3300
Wilmington
127 Cardinal Dr
Wilmington 28405-2845
Fax: [phone]
Phone: [phone]
Mooresville Raleigh . ' -
610 E Center Ave Suite 3800 Barrett Dr
301 Mooresville 28115 Raleigh 27609
Fax: [phone] Fax: [phone]
Phone: [phone] Phone:[phone]
Winston-Salem 585
Waughtown St
Winston-Salem 271.07
Fax: [phone]
Phone: [phone]
• - Revised 03-2014

r
North Carolina Department of Environment and Natural Resources
RECEIVED AVA/NCDENR/DVyR
NCDENR MAR 5 2015
WQROS
Pat McCrory Dor IRE§gfirMRktieNAL OFFICE
Governor Secretary
February 13, 2015
Mr. Larry P. Pressley PE, City Manager
City of Statesville
PO Box 1111
Statesville, NC 28687-1111
Subject: Permit No. WQCS00030
City of Statesville
City of Statesville Collection System
Iredell County
Dear Mr. Pressley:
In accordance with your application received January 21, 2015, we are forwarding herewith
Permit No. WQCS00030, dated February 13, 2015, to the City of Statesville for the operation
and maintenance of the subject wastewater collection system.
This permit shall be effective from July 1, 2015 until June 30, 2023 and shall be subject to the
conditions and limitations specified herein. It is your responsibility to thoroughly review this
permit. Please pay particular attention to the monitoring and reporting requirements in this
permit and any compliance schedules shown in bold.
For purposes of permitting, .the collection system is considered to be any existing or newly
installed system extension up to the wastewater treatment facility property or point of connection
with a separately owned sewer system. The collection system is considered all gravity lines,
pump stations, force mains, low pressure sewer systems, STEP systems, vacuum systems, etc.
and associated piping, valves and appurtenances that help to collect, manage and transport
wastewater to a wastewater treatment plant under the Permittee's ownership or maintained and
operated by the Peiniittee through a perpetual legal agreement. Satellite systems are systems
tributary to the Permittee's collection system but those collection systems are not owned or
maintained by the Permittee. The system description provided on Page 1 of this permit is meant
to provide a general idea about the size of the system and may not be all inclusive of the
collection system at the time of permit issuance or afterward.
A release of wastewater from the wastewater collection system is referred to herein as a Sanitary
Sewer Overflow (S SO). The evaluation of enforcement options after an SSO will be determined
considering the criteria listed in condition I(3)(a) and I(3)(b) of the permit and all other relevant
information available or requested of the Permittee. Compliance with all conditions of the
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone]
Internet www.ncwaterquality.orq
An Equal Opportunity 1 Affirmative Action Employer
NorthCarolina
Nati/rrail,

February 13, 2015
Page2of3
permit as well as all statutes and regulations pertaining to the collection system must be
maintained or appropriate enforcement actions may be taken as noted in Condition VI(2).
A reportable SSO is an SSO greater than 1,000 gallons to the ground or an SSO of any amount
that reaches surface water (including through ditches, storm drains, etc.) Below is the procedure
to use for reporting SSOs to the Division:
1. Report by telephone to a Division of Water Resources (DWR) staff member (not email,
facsimile, or voicemail) at your regional DWR office during regular business hours
(Monday to Friday, 8AM to 5PM) as soon as possible, but in no case more than 24 hours
after the SSO is known or discovered. To report outside of regular business hours, call
[phone].
2. Follow up the verbal report by sending a completed written report on the most current
Division approved form within five days.
To provide a uniform method for all systems covered under this permit and to provide useful and
consistent information pertaining to SSOs, please utilize form CS-SSO consisting of two parts.
Part I serves to provide to the Division the required infoiiiiation that has always been necessary.
Part II serves as an area to provide a justification for the spill, as optional under Condition I(3) of
your peiinit. Form CS-SSO can be downloaded from the SSO Reporting area at
http ://portal.ncdenr. org/web/wq/swp/ps/cs/ssoreport.
An NOV, civil penalty, and/or a moratorium on the addition of waste to the system may be
issued if adequate justification for an SSO is NOT submitted to the regional office. In order to
submit a claim for justification of an SSO, you must use Form CS-SSO with additional
documentation as necessary. DWR staff willreview the justification claim and determine if
enforcement action is appropriate. Please be advised that the information needed to justify a spill
is very comprehensive. Begin using this form immediately to report SSOs from the collection
system. Continue to use our old form for reporting bypasses at the wastewater treatment plant
until further notice. The time frame for submittal of both Part I and Part II, if pertinent, is five
days.
Failure to abide by the conditions in this permit may subject the Permittee to enforcement action.
If any parts, requirements, or limitations contained in this penult are unacceptable, you have the
right to request an adjudicatory hearing upon written request within thirty days following the
receipt of this permit. This request must be in the form of a written petition, conforming to
Chapter 150B of the 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.

February 13, 2015
Page 3 of 3
If you have questions regarding compliance contact your regional office or the Pretreatment,
Emergency Response and Collection Systems Unit of the North Carolina Division of Water
Resources at [phone]. If you need additional information concerning this permit, please
contact Steve Lewis at [phone].
Sincerely,
for S. Jay Zimmerman, Acting Director
Division of Water Resources
by Deborah Gore, Supervisor
Pretreatment, Emergency Response, Collection System Unit
enclosure: Permit No. WQCS00030
cc: Iredell County Health Department
Scott Harrell, PE, Public Works Director
PO Box 1111
Statesville, NC 28687-1111
Mooresville Regional*OfficSurface Water Protection Section
ate ces n a Pies — WQCS00030
Steve Reid, NPDES — Compliance & Expedited Permitting Unit (electronic)
PERCS Files (electronic)

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
SYSTEM -WIDE WASTEWATER COLLECTION SYSTEM PERMIT
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
City of Statesville
Iredell County
FOR THE
operation and maintenance of a wastewater collection system consisting of, at th&time of permit
issuance, approximately 263.8 miles of gravity sewer, approximately 12.4 miles of force main,
16 duplex pump stations, and all associated piping, valves, and appurtenances required to
make a complete and operational wastewater collection system to serve the City of Statesville
and any deemed permitted satellite communities and the tributary wastewater collection system
serving the Town of Troutman subject to their own individual collection system permit; pursuant
to the application received January 21, 2015, and in conformity with the documents referenced
therein and other supporting data subsequently filed and approved by the Department of
Environment and Natural Resources and considered a part of this permit.
This permit shall be effective from July 1, 2015 until June 30, 2023, and shall be subject to the
following specified conditions and limitations:
I. PERFORMANCE STANDARDS
1. The sewage and wastewater collected by this system shall be treated in the Third Creek
Wastewater Treatment Facility (NC0020597) or the Fourth Creek Wastewater Treatment
Facility (NC0031836) prior to being disposed into the receiving stream. [15A NCAC 02T
.0108(b)]
2. The wastewater collection system shall be effectively managed, maintained and
operated at all times so that there is no SSO to land or surface waters, nor any
contamination of groundwater. In the event that the wastewater collection system fails to
perform satisfactorily, including the creation of nuisance conditions, the Permittee shall
take immediate corrective actions, including actions that may be required by the Division
of Water Resources (Division), such as the construction of additional or replacement
sewer lines and/or equipment. [15A NCAC 02T .0108(b)]

3. The Director may take enforcement action against the Permittee for SSOs that must be
reported to the Division as stipulated in Condition IV(2). This includes SSOs that were
caused by severe natural conditions or exceptional events unless the Permittee
demonstrates through properly signed, contemporaneous operating logs, or other
relevant evidence that:
a. The SSO was caused by severe natural conditions; there were no feasible
alternatives to the SSO, such as the use of auxiliary treatment facilities, retention
of untreated wastewater, reduction of inflow and infiltration, use of adequate
back-up equipment, or an increase in the capacity of the system. This provision
is not satisfied if, in the exercise of reasonable engineering judgment, the
Permittee should have installed auxiliary or additional collection system
components, wastewater retention or treatment facilities, adequate back-up
equipment or should have reduced inflow and infiltration; or
b. The SSO was exceptional, unintentional, temporary and caused by factors
beyond the reasonable control of the Permittee; the SSO could not have been
prevented by the exercise of reasonable control, such as proper management,
operation and maintenance; adequate treatment facilities or collection system
facilities or components (e.g., adequately enlarging treatment or collection
facilities to accommodate growth or adequately controlling and preventing
infiltration and inflow); preventive maintenance; or installation of adequate back-
up equipment;
The Permittee can submit a claim to the Division Regional Office that the SSO meets the
criteria of this condition. The Permittee has the option of submitting this claim along with
the spill report required by Condition IV(2) (i.e., within five days) in order to be
considered for immunity from enforcement action. Form CS-SSO Part II, or most current
Division approved form, shall be used for any claims. The Permittee has the burden of
proof that the above criteria have been met. [G.S. 215.6A;,15A NCAC 02T .0108(b)]
4. The Permittee shall establish by ordinance its legal authority to require new sewers be
properly constructed; to ensure proper inspection and testing of sewer mains and
service laterals; to address flows from satellite systems and to take enforcement action
as required by Condition 1(5). [G.S. 143-215.9B; G.S. 143-215.1(f)(1)]
5. The Permittee shall develop and implement an educational fats, oils and grease program
that shall include at least bi-annual distribution of educational material targeted at both
residential and non-residential users. The Permittee shall also develop and implement
an enforceable fats, oils and grease program for non-residential users under which the
Permittee can take enforcement against users who have not properly installed, operated
and maintained grease traps or grease interceptors as directed or otherwise violated the
terms of the local ordinance pertaining to fats, oils and grease. [15A NCAC 02T
.0108(b)]
6. The Permittee shall adopt and implement a Capital Improvement Plan (CIP) to designate
funding for reinvestment into the wastewater collection system infrastructure. The CIP
should address the short-term needs and long-term "master plan" concepts. The CIP
should typically cover a three to five year period and include a goal statement,
description of the project area, description of the existing facilities, known deficiencies
(over a reasonable period) and forecasted future needs. Cost analysis is integral to the
CIP. [G.S. 143-215.9B

7. Existing overflow piping from manholes and pump stations, excluding piping to approved
equalization structures, known or discovered after permit issuance shall be immediately
removed or permanently capped. Plugged emergency pumping connections are
allowable for portable pumping or rerouting without intentionally bypassing the
wastewater treatment facility. [15A NCAC 02T .0305(d)]
8. The Permittee shall maintain a contingency plan for pump failure at each pump station.
If one of the pumps in a pump station containing multiple pumps fails, the process of
repairing or replacing the pump shall be initiated immediately and the new parts or pump
shall be installed as soon as possible. If the pump in a simplex pump station fails, it
shall be replaced immediately. [15A NCAC 02T .0305(h)(1)]
9. Each pump station shall be clearly and conspicuously posted with a pump station
identifier and an emergency contact telephone number at which an individual who can
initiate or perform emergency service for the wastewater collection system 24 hours per
day, seven days per week can be contacted. This emergency contact telephone number
shall be coupled with instructions that the emergency contact should be called if the
visual alarm illuminates, if the audible alarm sounds, or if an emergency is apparent.
[15A NCAC 02T .0305(h)(2)]
10. Pump station sites, equipment and components shall have restricted access. [15A
NCAC 02T .305(h)(4)]
11. Pump stations that do not employ an automatic polling feature (i.e. routine contact with
pump stations from a central location to check operational status of the communication
system) shall have both audible and visual high water alarms. The alarms shall be
weather-proof and placed in a clear and conspicuous location. Permits issued for the
construction of pump stations that included high water alarms in the description must
maintain the alarms even if simple telemetry (i.e. notification of an alarm condition
initiated by the pump station control feature) is installed. [15A NCAC 02T .0305(h)(1)]
12, For all newly constructed, modified and rehabilitated pump stations, all equipment and
components located within the pump station shall be corrosion -resistant and
components in close proximity of the pump station shall be sealed within a corrosion -
resistant coating or encasement. [15A NCAC 02T .0108(b)]
13. All construction and rehabilitation of the wastewater collection system (i.e., permitted or
deemed permitted) shall be scheduled to minimize the interruption of service by the
existing utilities. Construction and rehabilitation shall not result in the violation of
Condition (1)(2) of this permit. [15A NCAC 02T .0108(b)]
II. OPERATION AND MAINTENANCE REQUIREMENTS
1. Upon classification of the collection system by the Water Pollution Control System
Operators Certification Commission (WPCSOCC), the Permittee shall designate and
employ a certified operator tobe in responsible charge (ORC) and one or more certified
operator(s) to be back-up ORC(s) of the facilities in accordance with 15A NCAC 8G
.0201. The ORC shall visit the system within 24 hours of knowledge of a bypass, spill,
or overflow of wastewater from the system, unless visited by the Back -Up ORC, and '
shall comply with all other conditions of 15A NCAC 8G .0204. [15A NCAC 08G .0200
et.seq.]

2. The Permittee shall develop and adhere to a schedule for reviewing all inspection,
maintenance, operational and complaint logs. If the review process results in the
identification of any recurring problem in the wastewater collection system that cannot be
resolved in a short time period, the Permittee shall establish a plan for addressing the
problem(s). [15A NCAC 02T .0108 (b)]
3. The Permittee shall develop and adhere to a schedule for testing emergency and
standby equipment. [15A NCAC 02T .0108 (b)]
4. The Permittee shall develop and implement a routine pump station inspection and
maintenance program, which shall include, but not be limited to, the following
maintenance activities:
a. Cleaning and removing debris from the pump station structure, outside perimeter,
and wet well;
b. Inspecting and exercising all valves;
c. Inspecting and lubricating pumps and other mechanical equipment according to
the manufacturer's recommendations; and
d. Verifying the proper operation of the alarms, telemetry system and auxiliary
equipment.
[15A NCAC 02T .0108 (b)]
5. For each pump station without pump reliability (i.e. simplex pump stations serving more
than a single building or pump stations not capable of pumping at a rate of 2.5 times the
average daily flow rate with the largest pump out of service), at least one fully
operational spare pump capable of pumping peak flow shall be maintained on hand.
[15A NCAC 02T .0305(h)(1)(A)]
6. The Permittee shall maintain on hand at least two percent of the number of pumps
installed, but no less than two pumps, that discharge to a pressure sewer and serve a
single building, unless the Permittee has the ability to purchase and install a
replacement pump within 24 hours of first knowledge of the simplex pump failure or
within the storage capacity provided in any sewer line extension permit. [15A NCAC 02T
.0108 (b)]
7. Rights -of -way and/or easements shall be properly maintained to allow accessibility to the
wastewater collection system unless the Permittee can demonstrate the ability to gain
temporary access in an emergency situation where existing land -use conditions do not
allow the establishment and maintenance of permanent access. In this case, the
Permittee shall continue to observe the lines visually, utilize remote inspection methods
(e.g. CCTV) and use the opportunity of drier conditions to perform further inspections
and necessary maintenance. [15A NCAC 02T .0108 (b)]
8. The Permittee shall assess cleaning needs, and develop and implement a program for
appropriately cleaning, whether by hydraulic or mechanical methods, all sewer lines. At
least 10 percent of the wastewater collection system, selected at the discretion of the
ORC, shall be cleaned each year. Preventative cleaning is not required for sewer lines
less than five years old unless inspection otherwise reveals the need for cleaning or
cleaning is required by a sewer line extension permit. [15A NCAC 02T .0108 (b)]

4
9. Adequate measures shall be taken to contain and properly dispose of materials
associated with .SSOs. The Permittee shall maintain a Response Action Plan that
addresses the following minimum items:
a. Contact phone numbers for 24-hour response, including weekends and holidays;
b. Response time;
c. Equipment list and spare parts inventory;
d. Access to cleaning equipment;
e. Access to construction crews, contractors and/or engineers;
f. Source(s) of emergency funds;
g. Site sanitation and clean up materials; and
h. Post-SSO assessment.
[15A NCAC 02T .0108 (b)]
10. The Permittee, or their authorized representative, shall conduct an on -site evaluation for
all SSOs as soon as possible, but no more than two hours after first knowledge of the
SSO. [15A NCAC 02T .0108 (b)]
11. In the event of an SSO or blockage within the wastewater collection system, the
Permittee shall restore the system operation, remove visible solids and paper, sanitize
any ground area and restore the surroundings. [15A NCAC 02T .0108 (b)]
III. RECORDS
1. Records shall be maintained to document compliance with Conditions 1(5), 11(2) - 11(4),
11(7) - 11(8), IV(3) and V(1) -V(4). Records shall be kept on file for a minimum of three
years. [15A NCAC 02T .0108 (b)]
2. The Permittee shall maintain adequate records pertaining to SSOs, and complaints for a
minimum of three years. These records shall include, but are not limited to, the following
information:
a. Date of SSO or complaint;
b. Volume of wastewater released as a result of the SSO and/or nature of
complaint;
c. Location of the SSO and/or complaint;
d. Estimated duration of the SSO;
e. Individual from the Division who was informed about the SSO and/or complaint,
when applicable;
f. Final destination of the SSO;
g. Corrective actions;
h. Known environmental/human health impacts resulting from the SSO; and
i. How the SSO was discovered.
[15A NCAC 02T .0108 (b)]
3. The Permittee shall maintain an up-to-date, accurate, comprehensive map of its
wastewater collection system that also notes the locations where other wastewater
collection systems become tributary. If a comprehensive map of the collection system
has not been established, a rough sketch shall be drawn. The Permittee shall map
approximately 10 percent of its existing collection system each year for the next ten
years beginning at the original permit issuance date, or until complete, whichever is
sooner. The comprehensive map shall include, but is not limited to: pipe size, pipe

material, pipe location, flow direction, approximate pipe age, number of active service
taps, and each pump station identification, location and capacity. [15A NCAC 02T .0108
(b)]
4. The Permittee shall maintain records of all of the modifications and extensions to the
collection system permitted herein. The Permittee shall maintain a copy of the
construction record drawings and specifications for modifications/extensions to the
wastewater collection system for the life of the modification/extension. Information
concerning the extension shall be incorporated into the map of the wastewater collection
system within one year of the completion of construction. The system description
contained within this permit shall be updated to include this modification/extension
information upon permit renewal. [15A NCAC 02T .0108 (b)]
IV. MONITORING AND REPORTING REQUIREMENTS
1. Any monitoring (including, but not necessarily limited to, wastewater flow, groundwater,
surface water, soil or plant tissue analyses) deemed necessary by the Division to ensure
surface water and groundwater protection will be established, and an acceptable
sampling and reporting schedule shall be followed. [15A NCAC 02T .0108 (c)]
2. The Permittee shall. verbally report to a Division of Water Resources staff member at the
Mooresville Regional Office, at telephone number [phone] as soon as possible,
but in no case more than 24 hours following the occurrence or first knowledge of the
occurrence of either of the following:
a. Any SSO and/or spill over 1,000 gallons; or
b. Any SSO and/or spill, regardless of volume, that reaches surface water.
Voice mail messages or faxed information shall not be considered as the initial verbal
report. SSOs (and other types of spills) occurring outside normal business hours may
also be reported to the Division of Emergency Management at telephone number (800)
858-0368 or [phone]. 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(3), 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. [G.S. 143-215.1C(a1)
3. The Permittee shall meet the annual reporting and notification requirements provided in
North Carolina General Statute §143-215.1C.
V. INSPECTIONS
1. The Permittee or the Permittee's designee shall inspect the wastewater collection
system regularly to reduce the risk of malfunctions and deterioration, operator errors,
and other issues that may cause or lead to the release of wastes to the environment,
threaten human health or create nuisance conditions. The Permittee shall keep an
inspection log or summary including, at a minimum, the date and time of inspection,
observations made, and any maintenance, repairs, or corrective actions taken by the
Permittee. [15A NCAC 02T .0108 (b)]

2. 'Pump stations without Supervisory Control and Data Acquisition (SCADA) systems or
telemetry shall be inspected everyday (i.e. 365 days per year). Pump stations equipped
with SCADA systems or telemetry shall be inspected at least once per week. [15A
NCAC 02T .0108 (b)]
3. A general observation of the entire collection system shall be performed throughout the
course of every year. [15A NCAC 02T .0108 (b)]
4. Inspections of all high priority lines (i.e. aerial line, sub -waterway crossing, line
contacting surface waters, siphon, line positioned parallel to stream banks that are
subject to eroding in such a manner that may threaten the sewer line, or line designated
as high -priority in a permit) shall be performed at least once per every six-month period
of time. A list of high -priority lines is presented as Attachment A and is hereby
incorporated into this permit condition. New high priority lines installed or identified after
permit issuance are incorporated by reference and subject to this permit condition until
permit renewal where they shall be referenced in writing in Attachment A. [15A NCAC
02T .0108 (b)]
VI. GENERAL CONDITIONS
1. This permit is not transferable. In the event that the Permittee desires to transfer
ownership of the wastewater collection system or there is a name change of the
Permittee, a formal permit modification request shall be submitted to the Division. The
request shall be accompanied by documentation from the parties involved, and other
supporting materials as may be appropriate. Such request will be considered on its
merits and may or may not be approved. [15A NCAC 02T .0104; G.S. 143-215.1(d)(3)
2. Failure to abide by the conditions and limitations contained in this permit may subject the
Permittee to an enforcement action by the Division in accordance with North Carolina
General Statute §143-215.6A through §143-215.6C, and a sewer moratorium may be
established. [15A NCAC 02T .0104]
3. The issuance of this permit does not exempt the Permittee from complying with any and
all statutes, rules, regulations, or ordinances that may be imposed by other government
agencies (i.e., local, state, and federal) having jurisdiction, including but not limited to
applicable river buffer rules in 15A NCAC 2B .0200, soil erosion and sedimentation
control requirements in 15A NCAC Chapter 4 and under the Division's General Permit
NCG010000, and any requirements pertaining to wetlands under 15A NCAC 2B .0200
and I5A NCAC 02T .0100 and all applicable North Carolina Occupational Safety and
Health Act health and safety standards. [G.S. 143-215.1(b)]
4. The issuance of this permit does not prohibit the Division from reopening and modifying
the permit, revoking and reissuing the permit or terminating the permit as allowed by the
laws, rules, and regulations contained in I5A NCAC 02T .0100 and North Carolina
General Statute §I43-215.1 et. al., or as needed to address changes in federal regulations
with respect to the wastewater collection system. [G.S. 143-215.1(b)(4)]
5. The Permittee shall pay the annual fee within thirty (30) days after being billed by the
Division. Failure to pay the fee accordingly may cause the Division to initiate action to
revoke this permit. [15A NCAC 02T .0110(4)]

6. The Permittee shall request renewal of this permit at least six months prior to the
expiration of this permit. Upon receipt of the request, the Commission will review the
adequacy of the wastewater collection system described therein, and if warranted, will
extend the permit for a period of time and under such conditions and limitations, as the
Commission may deem appropriate. [15A NCAC 02T .0109]
7. The Permittee shall notify the Division's Pretreatment, Emergency Response and
Collection Systems Unit in writing at 1617 Mail Service Center, Raleigh, North Carolina
27699-1617 of any changes to the name and/or address of the responsible party (i.e.
mayor, city/town manager) of the wastewater collection system. [15A NCAC 02T
.0106(c)]
8. Any duly authorized officer, employee, or representative of the Division may, upon
presentation of credentials, enter and inspect any property, premises or place on or
related to the collection system at any reasonable time for the purpose of determining
compliance with this permit, may inspect or copy any records that must be maintained
under the terms and conditions of this permit, and may obtain samples of wastewater,
groundwater, surface water, soil, or plant tissue. [15A NCAC 02T .0110 (3)]
Permit issued this the 13th of February, 2015
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for S. Jay Zimmerman
Division of Water Resources
By Authority of the Environmental Management Commission
by Deborah Gore, Supervisor
Pretreatment, Emergency Response, Collection System Unit
Permit Number WQCS00030 (Renewal)

Attachment A for Condition IV(4)
City of Statesville
Collection System Report
Third Creek Crossings
pf
Job Foreman
Completion Date
# t„(verything is OK
# 6 Clearing work needs to be done
# 2 LTnes needs cleaning
# 7 Erosion prevention needs to be done ,
# 3 Manholes needs work
•
# 8 Manholes needs cleaning e
# 4 Structure needs cleaning
# 9 Manholes needs sealing
# 5 Structure needs painting
# 10 Other (please note problem on reverse side)
Report
Codes
Third Creek Locations
Inspection
Date
Inspection
Date
Inspection
Date
Inspection
Date
C, " iP
10" 1232 Wilmington Av.
•
P; tP.
12" 138 Foggy Bottom Ln.
citi,p
12" 1444 Harris St.
aj, p
12" 1921 Wilson Lee Blvd.
e: j3
15" 1105 Winston Av. i
e_t''
15" 1219 Goldsboro Av.
(P
15" 2253 Bristol Rd. •
P
15" 324S.Miller Av. ,
P.a P
15" 762 Buffalo Shoals Rd.
•
Clip
16" 118 Raleigh Av.
CT?
16" 1444 Harris St.
•
e_I?
16" 152 Newton Alley
C, tP
16" 208 Corinthian Dr. •
e.= P
16" 1903 5th St.
C.i p
18" 124 Bostian Bridge Dr. •
trp
24" 180 Cara Ln. (Hillcrest Trailer Park)
•
p •
24" 229 Belfast Rd.
DTP
30" 137 Pendergrass Dr.
0;TP
30" Under 1-77 --Behind 3rd creek school
CT2
30" 175 Club House Dr.
C'j;'P .
30" 201 Hunters Hill Dr. (2 diff. locations)
t. ,
8" 1212 Harris St.
8
8" 237 Cara Ln. (Hillcrest Trailer Park) •
e l P
8" 635 Meadowlane Dr.
P '
8" 1026 Cass St.
...
-PIP
8" 108 -C Wall St. & 1-77 •
01- (P
8" 115 Megby Trail
Dr FP
8" 119 Megby Trail
e:T.P
8" 1201 Wall St. ,
erP
8" 123 E. Raleigh Av. & Dobson Av.
IP
8" 1335 11th St.
Di i.)
8" 139 Tenth Green Ct. ,
PT ?
8" 175 Club House Dr.
VIP
8" 197 Hunters Hill Dr.
Di?
8" 220 Wedge View Way

Attachment A for Condition IV(4)
City of Statesville
Collection System Report
Fourth Creek Crossings
Job Foreman
Completion Date
ReDo
#11gverything is OK
# 6 Clearing work needs to be done
# 2 tines needs cleaning
# 7 Erosion prevention needs to be done
# 3 Manholes needs work
# 8 Manholes needs cleaning ift
# 4 Structure needs cleaning
# 9 Manholes needs sealing
# 5 Structure needs painting '
# 10 Other (please note problem on reverse side)
• Report
Codes
Fourth Creek Locations
Closest Address
Inspection
Date
Inspection
Date
Inspection
Date
Inspection
Date
6 2 Po
8"
843 Stockton St.
_
pu;xr
8"
857 Wendover Rd.
t.±- p
8"
.ii Wendpver kd.
C.
8"
904 Hedrick Cir.
10?
8"
105 Coddington Ln.
OtP
8"
119 Coddington Ln.
P1?
8"
127 Coddington Ln.
cip
8"
628 E. Front St.
.
D I p
8"
646 Hartness Rd.
MT
8"
behind 520 Signal Hill Ext. Dr.
DtP
8"
behind FoxcroftTer Apt. 606
0 P
8"
. south of 156 Brad Dr.
C:ep
8"
south of 715 Sullivan Rd. • .
•
•
•
.
.
.
.

Attachment A for Condition IV(4)
City of Statesville
Collection System Report
Fourth Creek Overhead Piers & Trestles
Job Foreman
Completion Date
Report 1
#t;yverything is OK
# 6 Clearing work needs to be clone
# 2 tines needs cleaning
# 7 Erosion prevention needs to be dome
# 3 Manholes needs work
# 8 Manholes needs cleaning e
# 4 Structure needs cleaning
# 9 Manholes needs sealing
# $+Structure needs painting
# 10 Other (please note problem on reverse side).
. Report
Codes
...
Fourth Creek Locations
Closest Address
Inspection
Date
Inspection
Date
Inspection
Date
Inspection
Date
Ci p
12"
818 E. Sharpe St.
a p
16"
1635 Simonton Rd. at Signal Hill Dr.
•
C.I P
16"
204 Austin HealeY.Dr. &_Simonton Rd,
C.j p
24"
1515 Forest Park,Dr.
G
24"
434 Oakdale. Dr. & Bryant St.
a,I
24"
Simonton Rd. & I-77 (In the Curve)
C {
g
24"
Simonton Rd. at Signal Hill Dr.
e
24"
Valley Stream Rd. @ Beechwood Rd
P
24"
1547 Brookgreen Av.
I p
24"
222 Knox St.
r p
6"
1203 Valley Stream Rd.
i S
6"
•.2#4.1 E: Broad St. @Statesville Manor
8
8"
531 Stgneybrooke Rd.
P
8"
1358 Radio Rd.
(.'
8"
474 N. Center St. @ S. H. S.
C (p
8"
815 Partridge Dr.
0-1 P
8"
920 Brookwood Ct.

Attachment
IV. Collection System Information:
Item 3
City of Statesville
Duplex Pump: Stations
The City of Statesville maintains the following lift stations:
Pump
No. Identification
1. Barkley Rd.
2. Industrial Dr.
3. Interstate Equipment
4. Newton Dr.
5. Park Dr.
6. Airport
7. Kennedy Dr.
8. Marjorie Rd.
9. Valley Stream
10. Davis Hospital
11. Hatfield Rd.
12. Commerce Blvd.
13. Statesville Business Park
14. Pine Forest
15. Wildewood
16. Deer Ridge
Physical Location
116 E. Barkley Road
1302 Industrial Dr.
1610 Salisbury Rd.
2035 Newton Dr.
1018 Park Dr.
262 Hangar Dr.
2415 Kennedy Dr.
241 Marjorie Rd.
301 Valley Stream
269 Old Mocksville Rd.
152 Hatfield Rd.
186 Commerce Blvd.
341 Business Park Dr.
153 Planters Dr.
196 Skyuka Rd.
144 Deer Ridge Dr.
Alarm Type
Visual, Telemetry
Visual, Telemetry
Visual, Telemetry
Visual, Telemetry
Visual, Telemetry
Visual, Telemetry
Visual, Telemetry
Visual, Telemetry
Visual, Telemetry
Visual, Telemetry
Visual, Telemetry
Visual, Telemetry
Visual, Telemetry
Visual, Telemetry
Visual, Telemetry
Visual, Telemetry
Pump
Reliability Reliability Source
Yes Port. Gen.
Yes Port. Gen.
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Port. Gen.
Port. Gen.
Port. Gen.
Perm. Gen., Port. Pump
Perm. Gen., Port. Pump
Perm. Gen.
Port. Gen., Port. Pump
Perm. Gen.
Perm. Gen.
Port. Gen.
Port. Gen.
Perm. Gen., Port. Pump
Perm. Gen., Port. Pump
Perm. Gen., Port. Pump
Capacity
200 gpm
100 gpm
225 gpm
100 gpm
100 gpm
190 gpm
740 gpm
100 gpm
160 gpm
180 gpm
260 gpm
336 gpm
210 gpm
250 gpm
70 gpm
145 gpm

Love, Barry F
From: Love, Barry F
Sent: Monday, February 09, 2015 9:23 AM
To: Lewis, Steven
Subject: Renewal Application Package - WQCS00030 City of Statesville
Steve,
I reviewed the copy of the subject application which Deborah sent. I also spoke to Barbara Sifford about it. We don't
have any additional comments or questions in regard.
Barry Love
Barry Love
North Carolina Dept. of Environment & Natural Resources
Division of Water Resources / Water Quality Regional Operations Section
610 E. Center Ave., Suite 301
Mooresville, NC 28115
Ph: 704.663.1699 Fax: [phone]
****************************************************************************
E-mail correspondence to and from this address is subject to the North Carolina Public Records Law
and may be disclosed to third parties unless the content is exempt by statute or other regulation.
****************************************************************************
1

ATA
NCDENR
North Carolina Department of Environment and Natural ResouriO$RESv'6LLEOFFICE
Pat McCrory
Governor
January 23, 2015
MEMORANDUM
TO: Michael Parker, Mooresville Regional Office Supervisor
FROM: Deborah Gore, PERCS Unit
Subject: Renewal Application Package
Permit Number: WQCS00030, City of Statesville
RECEIVED
DIVISION OF'tr„o,TER QUALITY
JAN l 8 2015
Donald R. van der Vaardt
Secretary
The subject collection system permit renewal was received by the central office on January 21,
2015. A copy of the collection system application package is attached for your records and
comments. If possible, please relay any questions, comments or additional information requests
you have to the permit application reviewer, Steve Lewis [919-807-6308 or
Steve. Lewis (a�ncdenr. gov] .
Enclosures: application package
Cc: PERCS file (electronic)
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Phone: [phone] Internet: www.ncwaterquality.org
An Equal opportunity \ Affirmative Action Employer— Made in part by recycled paper

Division of Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
15A NCAC 02T .0400 — SYSTEM -WIDE WASTERWATER COLLECTION SYSTEMS
INSTRUCTIONS FOR FORM CSA 08-13 & SUPPORTING DOCUMENTATION
Documents shall be prepared in accordance with 15A NCAC 02T .0100, 15A NCAC 02T .0400, and all relevant
Division Policies. Failure to submit all required items will necessitate additional processing and review time.
For more information, visit the Surface Water Section's Collection System website at:
http://portancdenr.org/web/wq/swp/ps/cs
General — When submitting an application to the Pretreatment, Emergency Response, & Collection Systems (PERCS)
Unit, please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to
these instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of
requested additional information.
The Applicant shall submit one original and one copy of the application and supp ocumentation.
'� EU/DENR/DWR
A. Cover Letter JAN 21 2015
El Submit a coverletter listing all items and attachments included in the permit application packau r.QuaYlty
Permitting Section
B. No Application Fee Required
• No application fee is necessary: The permittee will be billed an annual fee upon issuance of the permit
> The appropriate annual fee. for systemwide wastewater collection system permits may be found at:
> Annual Non -Discharge Fees
C. System -Wide Wastewater Collection System (FORM: CSA 08-13) Application:
® Submit the completed and appropriately executed System -wide Wastewater Collection System (FORM: CSA 08-
13) application. Any unauthorized content changes to this form shall result in the application package being
returned. If necessary for clarity or due to space restrictions, attachments to the application may be made, as long
as the attachments are numbered to correspond to the section and item to which they refer.
❑ If the Applicant Type in Section I.3 is a Privatley-Owned Public Utility, provide the Certificate of Public
Convenience and Necessity (CPCN) from the North Carolina Utilities Commission demonstrating the Applicant
is authorized to hold the utility franchise for the area to be served by the wastewater collection system, or
❑ Provide a letter from the'North Carolina Utilities Commission's Water and Sewer Division Public Staff stating an
application for a franchise has been received and that the service area is contiguous to an existing franchised area
or that franchise approval is expected.
❑ _ If the Applicant Type in Section I.3 is a corporation or company, provide documentation if it is registered for
business with the North Carolina Secretary of State.
D. General Information:
> The Authorized signing official listed in Section I.4 should match with that of the Applicant certification page in
accordance with 15A NCAC 02T .0106(b). Per 15A NCAC 02T .0106(c), an alternate person may be designated
as the signing official if a delegation letter is provided from a person who meets the criteria in 15A NCAC 02T
.0'106(b).
• NOTE - Public Works Director's are not authorized to sign this permit application according to the rule
unless they are delegated.
INSTRUCTIONS FOR APPLICATION CSA 08-13 & SUPPORTING DOCUMENTATION Page 1 of 6

E. Summary of Attachments Required:
Instruction A: Cover Letter
Instruction C: Application
❑ Instruction C: Ownership Documentation (i.e. CPCN) (If necessary)
❑ Instruction D: Delegation Letter (If necessary for signing official)
Section IV.3 Pump Station List
Section IV.4 High Priority Lines List
Section V.4 Annual Budget for Collection System (Updated and Approved)
Section V.6 • Capital Improvement Plan (Updated and Approved)
Section VI. 2 Response Action Plan
® Section VI.4 Contingency Plan
Section VI.6 Comprehensive Collection System Map
❑ Section VH Note Any Potential Compliance Issues
THE COMPLETED APPLICATION PACKAGE IN.CLDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT TO:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER RESOURCES
PERCS UNIT
By U.S. Postal Service: By Courier/Special Delivery:
Attn: PERCS Unit Supervisor
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1636
TELEPHONE NUMBER: [phone]
512 N. SALISBURY ST. Suite 925
RALEIGH, NORTH CAROLINA 27604
FAX NUMBER: [phone]
INSTRUCTIONS FOR APPLICATION CSA 08-13 & SUPPORTING DOCUMENTATION Page 2 of 5

. APPLICANT INFORMATION:
1. Applicant's name (Municipality, Public Utility, etc): City of Statesville
2. Facility Information: Name: City of Statesville Collection System Permit No.: WQCS00030
3. Applicant type: ® Municipal ❑ State
❑ County ❑ Other:
4. Signature authority's name: Larry P. Pressley, PE per 15A NCAC 02T .0106(b)
Title: City Manager
5 Applicant's mailing address: PO Box 1111
City: Statesville State: NC
6. Applicant's contact information:
Phone number: [phone]
Zip: 28687-1111
❑ Privately -Owned Public Utility
Fax number: [phone] Email address: 1pressley(a,statesvillenc.net
II. CONTACT/CONSULTANT INFORMATION:
1. Contact Name: Scott Harrell, PE
2. Title/Affiliation: Public Works Director
3. Contact's mailing address: PO Box 1111
4. City: Statesville State: NC Zip: 28687-1111
5. Contact's information:
Phone number: [phone] Fax number: [phone] Email address: sharrell( ,statesvillenc.net
III. GENERAL REQUIREMENTS:
1. New Permit or Premit Renewal? •❑ New ® Renewal
2. County System is located in: Iredell County
3. Owner & Name of Wastewater Treatment Facility(ies) receiving wastewater from this collection system:
Owner(s) & Name(s): City of Statesville , Third Creek WWTP and Fourth Creek WWTP
4. WWTF Permit Number(s): 3rd Creek - NC0020591 and 4th Creek - NC0031836
5. What is the wastewater type? 60 % Domestic orI40 % Industrial (See 15A NCAC 02T .0103(20))
y Is there a Pretreatment Program in effect? ® Yes or ❑ No
6. Wastewater flow: 3.22 MGD (Current average flow of wastewater generated by collection system)
7. Combined permitted flow of all treatment plants: 10 MGD
8. Explain how the wastewater flow was determined: ❑ 15A NCAC 02T .0114 or ® Representative Data
9.. Population served by the collection system: 24,710
IV. COLLECTION SYSTEM INFORMATION:
1. Line Lengths for Collection System:
Sewer Line Description,
Length
Gravity Sewer
263.8 (miles)
Force Main
12.4 (miles)
Vacuum Sewer
0 (miles)
Pressure Sewer
0 (miles)
APPLICATION CSA 08-13
Page 3 of 5

Attachment
IV. Collection System Information:
Item 3
City of Statesville
Duplex Pump Stations
The City of Statesville maintains the following lift stations:
Pump
No. Identification
1. Barkley Rd.
2. Industrial Dr.
3. Interstate Equipment
4. Newton Dr.
5. Park Dr.
6. Airport
7. Kennedy Dr.
8. Marjorie Rd.
9. Valley Stream
10. Davis Hospital
11. Hatfield Rd.
12. Commerce Blvd.
13. Statesville Business Park
14. Pine Forest
15. Wildewood
16. Deer Ridge
Physical Location
116 E. Barkley Road
1302 Industrial Dr.
1610 Salisbury Rd.
2035 Newton Dr.
1018 Park Dr.
262 Hangar Dr.
2415 Kennedy Dr.
241 Marjorie Rd.
301 Valley Stream
269 Old Mocksville Rd.
152 Hatfield Rd.
186 Commerce Blvd.
341 Business Park Dr.
153 Planters Dr.
196 Skyuka Rd.
144 Deer Ridge Dr.
Alarm Type
Visual, Telemetry
Visual, Telemetry
Visual, Telemetry
Visual, Telemetry
Visual, Telemetry
Visual, Telemetry
Visual, Telemetry
Visual, Telemetry
Visual, Telemetry
Visual, Telemetry
Visual, Telemetry
Visual, Telemetry
Visual, Telemetry
Visual, Telemetry
Visual, Telemetry
Visual, Telemetry
Pump
Reliabilit
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Reliability Source
Port. Gen.
Port. Gen.
Port. Gen.
Port. Gen.
Port. Gen.
Perm. Gen., Port. Pump
Perm. Gen., Port. Pump
Perm. Gen.
Port. Gen., Port. Pump
Perm. Gen.
Perm. Gen.
Port. Gen.
Port. Gen.
Perm. Gen., Port. Pump
Perm. Gen., Port. Pump
Perm. Gen., Port. Pump
Capacity
200 gpm
100 gpm
225 gpm
100 gpm
100 gpm
190 gpm
740 gpm
100 gpm
160 gpm
180 gpm
260 gpm
336 gpm
210 gpm
250 gpm
70 gpm
145 gpm

Attachment A for Condition IV(4)
City of Statesville
Collection System Report
Third Creek Crossings
Job Foreman
Completion Date
Report Information Codes
# 1. Everything is OK
# 6 Clearing work needs to be done
# 2 Lines needs cleaning
# 7 Erosion prevention needs to be done
# 3 Manholes needs work
# 8 Manholes needs cleaning -
# 4 Structure needs cleaning
# 9 Manholes needs sealing
# 5 Structure needs painting
# 10 Other (please note problem on reverse side)
Report
Codes
Third Creek Locations
Inspection
Date
Inspection
Date
Inspection
Date
Inspection
Date
1 P
10"
1232 Wilmington Av.
p;- tP
12"
.138 Foggy Bottom Ln.
(?gip
12"
1444 Harris St.
ey p
12"
1921 Wilson Lee Blvd.
(° 17
15"
1105 Winston Av.
C'a
15"
1219 Goldsboro Av.
ex?
15"
2253 Bristol Rd..
Cp
15"
324 S. Miller Av.
Ai
15"
762 Buffalo Shoals Rd.
CI
16"
118 Raleigh Av.
CT P
16"
1444 Harris St.
I✓y?
16"
152 Newton Alley
?,. P
16"
208 Corinthian Dr.
Ca P
16"
1903 5th St.
CT..?
18"
124 Bostian Bridge Dr.
(.gyp
24"
180 Cara Ln. (Hillcrest Trailer Park)
=-p
24"
229 Belfast Rd.
DI lP-
30"
137 Pendergrass Dr.
Cr p
30"
Under 1-77 —Behind 3rd creek school
f�TP
30"
175 Club House Dr.
C.r?
30"
201 Hunters Hill Dr.. (2 diff. locations)
el?
8"
1212 Harris St.
CI
8"
237 Cara Ln. (Hillcrest Trailer Park)
e (P .
8"
635 Meadowlane Dr.
(_ - Q
8"
1026 Cass St.
- Pr P
8"
108 -C Wall St. & 1-77
0; P
8"
115 Megby Trail
L7i p
8"
119 Megby Trail
Ca-?
8"
1201 Wall St.
CT?
8"
123 E. Raleigh Av. & Dobson Av.
Jr P
8"
1335 11th St.
DI p
8"
139 Tenth Green Ct.
PIP
8"
175 Club House Dr.
DT Ip
8"
197 Hunters Hill Dr.
.D ?
8"
220 Wedge View Way

Attachment A for Condition IV(4)
City of Statesville
Collection System Report
Third Creek Overhead Piers & Trestles
Job Foreman
Completion Date
Resort Information Codes
# I,;Everything is OK
# 6 Clearing work needs to be done
# 2 Lines needs cleaning
# 7 Erosion prevention needs to be done
# 3 Manholes needs work
# 8 Manholes needs cleaning '
# 4 Structure needs cleaning
# 9 Manholes needs sealing
# 5 Structure needs painting
# 10 Other (please note problem on reverse side)
Report
Codes
Third Creek Locations
Closest Address
Inspection
Date
Inspection Inspection
Date • Date
Inspection
Date
10" 353 Forest Hollow Dr.
12" 313 Bristol Dr.
oP
C =P
S:lf)
12" At Hidden Lakes
8" E. of Crowell Av. At W.Garner Bagnal Blvd.
8"
130 Uppard St.
8" E. of Cochran St. & Cedar St:

Attachment A for Condition IV(4)
City of Statesville
Collection System Report
Fourth Creek Crossings
Job Foreman
Completion Date
Report Information Codes
# 1,Everything is OK
# 6 Clearing work needs to be done
# 2 Lines needs cleaning
# 7 Erosion prevention needs to be done
# 3 Manholes needs work
# 8 Manholes needs cleaning
# 4 Structure needs cleaning . . .. .
# 9 Manholes needs sealing
# 5 Structure needs painting
# 10 Other (please note problem on reverse side)
Report
Codes
Fourth Creek Locations
Closest Address
Inspection
Date
Inspection
Date
Inspection
Date
Inspection
Date
DJ. I?
10" 341 W. Bingham St.
es P
12" 1335 Museum Rd.
CI?
12" 2224 Wexford Way
(1 1 P
12" 474 N. Center St. @ S.H.S.
C r P
12" 1036 Hunter St. ,
CIP
12" 502 Wilson St.
rr
12" 115.W. Bell St.
e.11:
15" 304 Gregory Rd.
5 eej
15"_ Victory•Ln. & I-40
C'2P
15" 1180 Free Nancy Av.
3I?
16" 545 N. Race St. @. Anderson .Park (1)
j .P
16" . 545 N. Race St. @ Anderson Park (2)
(S}7
16" 816 Alexander St.
C ?
18" 2360 Northside Dr.
c1 3
21" 1250 Northside Dr.
'D j P
24" 437 Tradd St. @ S.H.S.
CT'
24" 406 Oakhurst Rd.
al 9
30" 1364 Royality Cir.
(1,1 (
30" 232 Pump Station Rd.
C.T.?.
30" 140 Turnersburg Hwy.
Av.
Cz p
30" 107 Drookgrccn @ 1 77
I.i'?
30" Bridge on Davie Ave at Walking Trail
1 i jj
30" off 1637 Brookgreen Ave & I-77
(r?
42" 450 Signal Hill Dr.
DIP
6" 628 E. Front St.
P P
8" 121 Anna Dr:
'-)1 P
8" 1630 Crown Vue Ct.
a. I p
8" 232 Pump Station Rd.
(.,_I k?
8" 701 Springdale Rd.
i ?
8" 144 James Farm Rd.
-m p
8" : 163 Intercraft Dr.
'D 1
8" 178 May Dr.
YIP
8" 334 N. Oakland Av.
CY?
8" 340 Wilson St.
C.rP
8" 442 Salisbury Rd. '
a._..?
8" 453 N. Lackey St.
tP (
8" 502 Wilson St.
•
LIP
8" 503 Fall St.

r
Attachment A for Condition IV(4)
City of Statesville
Collection System Report
Fourth Creek Crossings
Job Foreman
Completion Date
Report Information Codes
# 1 Everything is OK
# 6 Clearing work needs to be done
# 2 Lines needs cleaning
# 7 Erosion prevention needs to be done
# 3 Manholes needs work
# 8 Manholes needs cleaning
# 4 Structure needs cleaning
# 9 Manholes needs sealing
# 5 Structure needs painting
# 10 Other (please note problem on reverse side)
Report
Codes
Fourth Creek Locations
Closest Address .
Inspection
Date
Inspection
Date
Inspection
Date
Inspection
Date
(.I p
8"
843 Stockton St.
Q-Zf)
8"
857 Wendover Rd.
rY P
8"
870 Wendover Rd.
CIR
8"
904 Hedrick Cir.
PT?
8"
105 Coddington Ln.
D
8"
119 Coddington Ln.
Di.A
8"
127 Coddington Ln.
GT P
8"
628 E. Front St.
1) 1 P
8"
646 Hartness Rd.
8"
behind 520 Signal Hill Ext. Dr.
DTP P
8"
behind Foxcroft Ter Apt. 606
DrP
8"
. south of 156 Brad Dr.
C:y rQ
8"
south of 715 Sullivan Rd.

Attachment A for Condition IV(4)
City of Statesville
Collection System Report
Fourth Creek Overhead Piers & Trestles
Job Foreman
Completion Date
Report Information Codes
# 1:,Everything is OK
# 6 Clearing work needs to be done •
# 2 Lines needs cleaning
# 7 Erosion prevention needs to be done
# 3 Manholes needs work
# 8 Manholes needs cleaning •
# 4 Structure needs cleaning
# 9 Manholes needs sealing
# 5 Structure needs painting
# 10 Other (please note problem on reverse side)
Report
Codes
Fourth Creek Locations
Closest Address
Inspection
Date
Inspection
Date
Inspection
Date
Inspection
Date
al P
12"
818 E. Sharpe St.
C- I p
16"
1635 Simonton Rd. at Signal Hill Dr.
di P
16"
204 Austin Healey Dr. & Simonton Rd.
O. i p
24"
1515 Forest Park_Dr.
C. I
24"
434 Oakdale Dr. & Bryant St. •
C ( p
24"
Simonton Rd. & 1-77 (In the Curve)
C j.
24"
. Simonton Rd. at Signal Hill Dr.
C. l
24"
Valley Stream Rd. @ Beechwood Rd
f
24"
1547 Brookgreen Av.
24"
222 Knox St.
C. j P
6"
1203 Valley Stream Rd.
6"
.2441 E: Broad St. @ Statesville Manor
8"
• 531 Stoneybrooke Rd.
I
8"
123 Lincoln St.
•
8"
1358 Radio Rd.
1 Jr
8"
474 N. Center St. @ S. H. S.
C ((7
8"
815 Partridge Dr.
C I P
i3"
920 Brookwood Ct.

•V/'
Attachment
Section V.4
WATER AND SEWER FUND DETAIL REVENUES
Original Adopted
Actual Actual Budget Budget
2011-12 2012-13 2013-14 2014-15 Change
Inside Charges
Inside Charges -Water Special $60,039 $60,367 $70,000 l $67,000 -4.29%
Total Inside Charges 60,039 60,367 70,000 • 67,000 -4.29%
Investment Earnings
Earnings -
Total.Investment Earnings •
Assessments
Interest
Water & Sewer
Total Assessments
100,088 75,746 100,000 80,000 l -20.00%
100,088 75,746 100,000. i :. 80,000 •-20.00%
425
324
N/A
N/A
749 - , N/A
Other Revenue .• 1
Misc Revenue 3,887 2,265 - 3,002 N/A
Sale Of Fixed Assets 9,981 5,632 3,000 1 '5,000 i 66.67%
NC Forest Service Grant 20,006 - N/A
Sewer Permit Violations 950 350 - = I N/A
County Share Of Sewer Line • 91,157 91,157 91,000 91,0001 . 0.00%
Insurance Proceeds 2,625 -' N/A
Total Other Revenue • • 128,606_ 99,404 94,000 +;. , 99,002 5.32%
Fees.
Sewer Fees (Collections) • 4,969,223 5,325,446 5,420,000 ' 5,457,00'0 0.68%_
.Sewer Surcharge • 24,750 • • 26,947 20,000 20,000 .0.00%
Troutman 210,858 256,895 230,000 i . - 285,600 y 24.17%
Penalty &Interest . ' 87,937 • .86,185 • • 90,000 j • 90,000'] 0.00%
Total Fees . 5,292,768 • 5,695,473 . 5,760,000 5,852,600. 1.61%
Page 184

WATER AND SEWER FUND - REVENUES
Original Adopted
Actual Actual Budget Budget
2011-12 2012-13 2013-14 2014-15
Change
Sales
Water -General 3,245,453 3,457,016 3,518,000 .3,565,000 1.34%
Iredell 46,131 44,906 45,900 • 46,800 1.96%
West Iredell 81,085 89,976 91,800 66,300 '-27.78%
Town of Troutman 83 84 - - , N/A
Total Sales 3,372,752 3,591,982 3,655,700 3,678,100 0.61%
Services
Water Meters & Connect 24,079 10,817 15,000 10,000 •-33.33%
Sewer Service & Permits 16,275 14,675 15,000 13,000 .-13.33%
Water System Development Fees 50,562 15,214 60,000 60,000 0.00%
Sewer System Development Fees 155,859 87,963 250,000 : 250,000 : 0.00%
Total Services
Rent
Site Lease
Total Rent
246,775 128,669
31,740 31,740
340,000 .333,000 -2.06%
31,740 31,740 0.00%
31,740 31,740 31,740 31,740 0.00%
Reimbursements
Electric Reimbursement 13,258 13,741 14,807 13,755 -7.10%
Total Reimbursements 13,258 13,741 14,807 13,755 -7.10%
Transfers
From Water/Sewer Capital Reserve 1,452,724 242,409 12,492 - N/A
Total Transfers
Fund Balance
Appropriated Fund. Balance
Total Fund Balance
1,452,724 242,409 12,492 .N/A
196,212 N/A
196,212 - N/A
Total Revenues . $10,699,499 $9,939,531 $10,274,951 $10,155,197 -1.17%
Page 185

WATER & SEWER FUND : PUBLIC WORKS - SEWER MAINTENANCE
: Salaries -Permanent
Salaries -Overtime
Salaries -Longevity
FICA. Expense
Group Life
Retirement.
Hospitalization
Christmas Bonus
Uniforms
Total Personnel
Actual.
2011-12
Actual
2012-13
Original Adopted
Budget Budget
2013 14 2014-15
Change
• $256,951 I $214,352 $ 224,867
19,814 i 13,949 25,250
5001 125 125
19,993 16,082 19,178
1,155 773 1,182
18,774 15,426 . 17,724
39,558. . 43,513 43,818
525 450 450
120 108 . 450
$.234,543 4.30%
24,000 -4.95%
125 0.00%
19,918• 3.86%
1,228' 3.89%
18,669. ; . 5.33%
43,818 0.00%
450 0.00%
4$0 . 0.00%
357,390. .304,778. 333,044 ' • : 343,201 .3.05%
Professional Services 1,310 4,010 1,500 .1,500 0.00%
Diesel Fuel 21,565 20,784 24,000 24,000 0.00%
Gasoline 14,096 13,039 15,800 16,000 , 1.27%
Travel And Training -. 655 2,000 .'• • ' 2,000'. •0.00%
Maint & Rep/Bldgs & Grnds 891 905 1,000 . 1,000 0.00%
Maint & Rep/Equipment 14,801 22,304 29,190 26,000 ,-10.93%
Maint & Rep/Auto & Truck 15,506 20,422 16,000 16,000 , 0.00%
Bldgs Equip And Land Rent 634 634 1,500 • •1,500 0.00%
Hand Tools 932 1,816 3,000 3,000 0.00%
Supplies -General 2,882 2,433 3,500 3,500 ' 0.00%
Supplies -Materials 1,065 1,256 2,000 2,500 25.00%
Contracted Serv-General 1,500 N/A
Sewer Utility Avail Fee - 2,000 • .- N/A
Dues & Subscriptions 450 400 .2,500 • 2,500 ' 0.00%
Insurance & Bonds 14,026 14,026 14,026 • • 14,026. . 0.00%
Inventory Short/Over (55) - - N/A
OSHA -Safety. 3,276.. 2,292 3,500 3,500 ' 0.00%
Sewer Maintenance 43,798 30,299 65,000 75,000_ 15.38%
Supplies . 14,811 6,414 16,000 14,000-12.50%.
Uncollectible - : : -. N/A
Total Operating
Capital Improvement Sewer
Capital Outlay -Equipment
Non -Depreciable
Total Capital Outlay
Total Sewer Maintenance
151,488 : 141,689 202,516 • i .206,026 • 1.73% •
140,430 200,000 : . 300,000. 50.00%
141,032 13,555 75,000 : 95,000. 26,67%
. 4,896 .40,798 - •' • . N/A
145,928 194,783 275,000 395,000 43.64%
$654,806 • $641,250 •$810,560 $944,227' 16.49%
Page 193

Attachment
Section V.6
Fund/Department
Total Cultural & Recreation
TOTAL GENERAL FUND
ELECTRIC FUND
Electric Utility
Electric Utility
Electric Utility
Electric Utility
Electric Utility
Electric Utility
Electric Utility
Electric Utility
Electric Utility
Electric Utility
Electric Utility
Electric Utility
Electric Utility
Electric Utility.
Electric Utility
TOTAL ELECTRIC FUND.
WATER AND SEWER FUND
Sewer Maintenance'
Sewer Maintenance
Sewer Maintenance
Sewer Maintenance
Sewer Maintenance
Sewer Maintenance
Sewer Maintenance
Sewer Maintenance
Sewer Maintenance
Sewer Maintenance
Sewer Maintenance
Sewer Maintenance
Water Maintenance
Water Maintenance
Water Maintenance
Water Maintenance
Water Maintenance
Water Maintenance
Water Maintenance
Water Maintenance
BUDGET SUMMARY
CAPITAL OUTLAY AND NON -DEPRECIABLE EQUIPMENT LISTING
Requested
Description 2014-15
Improvement &.Expansion
2012 System Study Implementation
Distribution Automation
Smart Grid AMI Pilot Program
Fiber Optic Project -Phase 2C & 2D
Delivery 5 HVAC
Meter Test Board
Field Test Unit
1500 Extended Cab Pickup Truck
Bucket Truck w/Utility Bed
SUV 4WD.
Smith Light/Work Light
Digital Voltage Indicator w/Kit
Burndy 6 Ton/18 Volt Battery Crimp Tool
Burndy 15 Ton/18 Volt battery Crimp Tool s/Dies
Sewer Rehabilitation (Capital Reserve)
Sewer Maintenance & Larkin
Old Country Club Area Sewer Rehab
Sullivan Road Sewer Improvements
Backhoe (515)
Truck Mount Air Compressor/Generator Unit
Hydraulic Root Cutter w/Options
Diesel Ext Cab 3/4 Ton Utility Truck
Pickup Truck (502)
11/2 Ton Diesel Truck w/Service Body
Dump Truck
3/4 Ton 4X4 Pickup Truck (506)
977,958
CAPITAL
Adopted
2014-15
129,750
6,869,699
1,809,353
635,000
735,600
75,000
50,000
206,700
7,000
48,000
22,000
28,500
220,000
25,000
2,300
1,300
2,000
4,500
635,000
75,000
50,000
206,700
7,000
48,000
22,000
28,500
220,000
2,300
1,300
2,000
4,500
2,062,900
1,302,300.
250,000
1,600,000
300,000
100,000
115,000
18,000
18,000
42,000
28,000
65,000
85,000
35,000
300,000
18,000
42,000
35,000
Total 2,656,000
Water Line Rehabilitation (Capital Reserve)
Capital Water Improvements (Capital Reserve)
Water Line Upsizing
Pickup Truck (510)
Pickup Truck 4X4 (501)
Diesel Ext Cab Utility Truck (503)
11/2 Ton Utility Truck
Laptop
200,000
600,000
50,000
28,000
30,000
42,000
52,000
2,000
395,000
50,000
28,000.
2,000
Total 1,004,000 80,000
Page 44

DEPARTMENT
Sewer Maint „ "!' .
DESCRIPTION
Backhoe"#515.,- � r'r
•
Adopted
Funding
Source
-o •Pay -go
City of
Water and
Capital Improvement
2015
$ '_ ' -
Statesville
Sewer Fund
Plan
2016
u$ - 115,000
2015-2020
2017
$. ` ' -
.
,
.
2018
$
2019
Total 2015 thru
2019
Y 115,000.
2020 & Future
'Years
$
Sewer Maint
Truck Mount Air -Comp. and Gen.Unit
Pay -go
-
18,000.
18;000
Sewer Maint , .,,�
Hydraulic Root Cutter W/ Options' '
Pay -go ;
18,000.,
=
,. „,
-
; 18,000
-
Sewer Maint
Diesel ext cab 3/4 tonutility truck
Pay -go
42,000
-
-.42,000
-
Sewer Maint .'
Pick up Truck #502 , _;
Pay -go
; 28,000
-
°i 28;000
-
Sewer Maint
1-1/2 ton Diesel Truck w/service body.
Pay -go.
65,000
65,000
-
Sewer Maint
Dump p Truck . i .
" Pay -go F
` 85,000.
.. 8-5,000
-
Sewer Maint
3/4 Ton. 4x4 pick up truck #506
Pay -go
35,000
35,000
Sewer Maint
Sewer Rodding and Hi -pressure Jet Truck
Pay -go
° :'
-
'250,000
:; -
_ , 250,000
rt
Sewer Maint.
Sewer Rehabilitation
Pay -go
-
250,000
250,000
250,000
250,000
1,000,000
200,000
Sewer Maint " .
Sewer Maintenance•& Larkin,. '
, Pay -go „
„' ' „ -,,
` 1,600,000
150,000,
'
200,000:
°
200,000
2,150;000
- 200,000
Sewer Maint-
Old Country Club Area Sewer Rehab
Pay -go
300,000
''„ 300,000
:..' -
Sewer Maint „
Sullivan' Road Sewer Improvements . _
Pay -go
-
= 100,000
' 100,000 •
-
Water Maint
Pick-up Truck #510
Pay -go
28,000
28,000
-
Water Maint :"
Pick-up Truck 4x4 #501 ,,
• Pay -go„,
" .
30,000
-: - '
,."
9
"30,000
-
Water Maint
Diesel ext cab utility truck 503'
Pay -go
- -
42,000
`42,000
50,000
Water Maint „'
11/2'Ton,UtilityTruck #507
Pay -go '
52,000
, .-
' 52,000
-
Water Maint
Water Line Rehabilitation
Pay -go
200,000
200,000
200,000
200,000
°800,000
-
Water Maint
Major Capital Water, Improvements
Pay -go, ,.
.. .-
". 150,000
„. 500,000.
-
• ' -
' , -
. 650,000•
-
Water Maint
Water Line Upsizing
Pay -go
50,000
50,000
50,000
50,000
50,000
-250,000'
50,000
Water Trmt ,
Space.Eaton Cutler Hammer Soft Starter-
, Pay -go '
". 8,500
-
-
T
=_
„ 8,500
-
Water Trmt
ABB 700HP PST Soft Starter
Pay -go
18,525
-
18,525
Water Trmt
ABB 350HP PST Soft Starter " '
Pay go, F
9,075°
„ " -
-
-
9,075
-
Water Trmt
Hypochlorite Recirculation Pump
Pay -go
13,000
13,000
-
WaterTrmt -
16"Pump Control Valve,'
,Pay -go
., ; 69,000.
`„
-
69,000
-..
Water Trmt
Compact. or 1/2 Ton Pickup Truck
Pay -go
_
22,000
. 22,000
-
Water Trmt
' Basin Concrete Repair'and Restoration °
" Pay -go :
235,000
- =
0
235,000
--
Water Trmt
Chain Link. Fence at. Reservoir
Pay -go..
40,000
..
40,000
-
ThirdCreek- ''_
John Deere Tractor 4x4
. Pay go °
, ; 16;000
,.
n o : ,,
"•
16,000
-
Third Creek
Roll up doors and openers
Pay -go
-
14,212
14,212
-
Fourth Creek „
Commercial Zero Turn Mower
Pay -go -;
17,000
-17,000
Fourth Creek
Spare lift.
station pump .
Pay -go
-
9,000
' . -
-
-
9,000
-

IV Admin.-Of The Collection System Item No. 8
STATE OF NORTH CAROLINA
COUNTY OF IREDELL
WASTEWATER AGREEMENT
BETWEEN
CITY OF STATESVILLE AND TOWN OF TROUTMAN
THIS AGREEMENT, made and entered into this 0 ' day of
CD�c_, � , 1998, by and between the City of Statesville, North Carolina, a
municipal corporation hereinafter referred to as "Statesville" and the Town of
Troutman, North Carolina, a municipal corporation hereinafter referred to as
"Troutman".
WITNESSETH
THAT WHEREAS, Statesville owns, operates and maintains certain wastewater
collection and 'transmission lines and treatment plants within its service area; and
WHEREAS, Troutman desires to install certain wastewater collection and
transmission lines and appurtenant facilities into the wastewater system of Statesville for
transmission and treatment, and
WHEREAS, Statesville and Troutman desire to cooperate with each other to
provide wastewater service in their respective service area in the most cost effective and
practical manner possible.
WHEREAS, Chapter 23 of the Code of the City of Statesville, as amended,
provides the rules and regulations for any municipality desiring to discharge sewage
into the City of Statesville's sewage system.
NOW THEREFORE, in consideration of the mutual covenants, terms and
conditions hereto, Statesville and Troutman mutually agree., as follows:
A. GENERAL
1. Statesville will receive wastewater from Troutman at points of delivery
herein specified during . the term of this Agreement or any renewal or
extension thereof, and will transport said wastewater for treatment in
quantities defined in this Agreement.
2. Statesville will furnish, install, operate and maintain adequate wastewater
transportation (i.e. collectors, force mains and pump stations) and
treatment systems to transport and treat wastewater quantities from the
Page 1

specified point(s) of delivery as specified herein from Troutman.
Statesville will be responsible for operations, maintenance and regulatory
compliance for the wastewater transportation system from the point(s) of
delivery specified herein to the wastewater treatment facility. Troutman
will be responsible for operations, maintenance and regulatory
compliance for the wastewater transportation system upstream of the
specified delivery point(s) including bypass and spill reporting
requirements. Troutman shall hold harmlessq
Statesville against any claims or regulatory actions arising from anand y
bypass or spill of wastewater within the Troutman system. Statesville
shall hold harmless, indemnify and defend Troutman against any claims
or regulatory actions arising from any bypass or spill of wastewater
within the Statesville system.
3. Statesville and Troutman shall exchange information with regard to their
long range wastewater planning and may conduct such planning jointl ,
beneficial
if such joint planning is deemed mutuallyy
.
4. Troutman agrees that its wastewater, as delivered to the C'
interceptor for treatment, shall not contain excessive amounts of
stormwater or surface drainage, as determined by Statesville. Troutman
further agrees to adopt and implement a program.
a from its sanitaryexclude such
stormwaters and surface drainage sewers, and such
program shall be subject to Statesville's approval on an annual basis as
long as said program is no more restrictive or demanding than
Statesville's own program. A copy of s Troutman' program
ogram for such
extraneous exclusions shall be provided to Statesville periodically as
revised. Troutman also agrees to provide to Statesville a copy of the
most recent sewer collection facilities map for the Town. Periodically,
at a minimum of five (5) years, the Town of Troutman shall provide
updated versions of the Town's sewer collection facilities map to the
City.
5. Troutman shall continue infiltration and inflow
minimize I/I contribution into its wastewater flow work t order shall
establish and conduct an appropriate ongoing I/I program Troutman sand
correct collection system problems. g g P gym to identify and
6. Statesville shall transmit and treat all wastewater discharged
Troutman into Statesville's lines in sc green by
r
provided, however, that Statesville shall not be liable for ffaailuurreanto
transmit and treat such wastewater in the event that such failure is caused
by circumstances over which Statesville has no control, including, but
not limited to, the following:
Page 2

(b) Theft, fire, vandalism, sabotage, criminal acts, or acts of
war;
(c) Strikes, equipment and/or electric failure or unavailability
of supplies; 'and
(d) Orders by the Government of the United States or the
State of North Carolina.
In the event that such failures occur, it is agreed that Troutman shall be
afforded the same rights and protection as any Statesville customer and
that Statesville shall exercise due diligence in providing for the repair,
replacement or other corrective actions as required to re-establish service
to the affected areas. These corrective actions may include the use of
temporary structures, equipment or facilities as deemed appropriate.
7. Nothing in this Agreement shall, imply or contrive any ownership rights
by Troutman in any wastewater treatment facilities owned by Statesville.
Neither shall anything in the Agreement imply or contrive any ownership
rights by Statesville in any wastewater collection facilities owned by
Troutman.
8. This Agreement constitutes the sole Agreement between Statesville and
Troutman related to wastewater matters and may be amended from time
to time if the Parties so mutually agree to do so.
B. RIGHT OF STATESVILLE TO ACCESS TROUTMAN LINE
1. Statesville or customers of Statesville will be permitted by Troutman to
tap onto and access these lines being constructed by Troutman as a part
of this project, subject to Troutman's standard tap -on fees and user
availability fees.
2. Should Statesville or any of its customers access Troutman's lines, they
will be charged the same rates as charged by Troutman to its customers
inside the town limits of Troutman based upon the amount of wastewater
entering the Troutman lines.
3. Should Statesville or any of its customers access Troutman's lines, the
quantity of wastewater discharge produced by them shall not be charged
against the maximum amount of 455,000 gallons of discharge per day
being allocated to Troutman pursuant to this agreement. Troutman shall

have the responsibility of monitoring the amount of Statesville's
discharge into Troutman's system, subject to the right of Statesville to
have access to Troutman's meters and monitoring records.
4. Should Statesville or any of its customers access Troutman's lines, then
Statesville and its customers shall be responsible for any violation of
wastewater discharge requirements or regulations they may incur, and
shall defend, hold harmless and indemnify Troutman from any fine,
penalties, or other liability as the result of such violations.
C. GUARANTEED CAPACITY
1. Subject to the limitations and conditions set forth herein, Statesville
agrees to accept in the Statesville wastewater system from Troutman
when needed or desired, such maximum flows allocated herein. The
maximum amount of wastewater to be discharged from Troutman to
Statesville shall be 455.000 gallons per day of daily flow.
2. The daily flow is defined as wastewater flow measured on a daily basis
for a twenty-four (24) hour period from midnight to midnight. There
shall not be any instantaneous rate of wastewater discharge exceeding
three (3) times the maximum daily amount where instantaneous flow is
defined as the observed rate of flow at any given moment in time.
3. Troutman may acquire additional wastewater transportation and
treatment capacity from Statesville by mutual agreement, such capacity
to exist at the time of acquisition or to be provided by additional line
and/or treatment plant construction. Statesville agrees not to
unreasonably deny to Troutman additional treatment capacity within its
current VWWTp, provided such additional wastewater capacity does not
jeopardize Statesville's ability to provide service to its then existing
service area and further provided under all circumstances Statesville at
all times retains no less than 30% of the plant's capacity. Statesville and
Troutman shall begin negotiations to assess the availability of additional
capacity and identify alternatives when the average daily flow of
wastewater from Troutman reaches a sustained level of 0.318 mgd (70 %
of capacity). All cost sharing for the construction of any new facilities to
provide adequate capacity shall be determined at that time.
4. Statesville shall agree to provide letter of flow allocation for new
services and connections within thirty (30) calendar days from the date of
receipt of request from Troutman. Provided such flow allocations,
services and connections are in full compliance with the City of
Statesville's Sewer Use Ordinance (SUO) and the additional flow does
not cause Troutman to exceed its maximum daily flow allocation.
Page 4

Troutman shall provide Statesville information related to flows and
information to be provided to the North Carolina Department of
Environment and Natural Resources. In the case of new connections
Troutman will provide technical drawings and maps as part of such
request.
D. CHARACTER OF WASTEWATER FLOW
1. Troutman shall not discharge or allow to be discharged into Statesville's
wastewater system any wastewater not in compliance with the sewer use
ordinances and pretreatment programs of Statesville as they currently
exist and may be promulgated and amended in the future. Troutman
shall comply with all enforcement provisions of the respective sewer use
ordinance and pretreatment programs of Statesville as applicable.
Troutman shall comply specifically with the City of Statesville's sewer
use ordinance, Chapter 23. Statesville shall have the right to suspend
service to Troutman upon Troutman's failure to comply with provisions
of this agreement specified herein and to continue such suspension until
full compliance is met. Statesville may not suspend service, however,
until after giving Troutman at least 30 days notice to cure any failure to
comply on Troutman's part.
2. Statesville shall provide wastewater treatment services for Troutman and
shall administer an area wide pretreatment ordinance on behalf of
Statesville and Troutman. Statesville shall act as Troutman's agent and
on their behalf to enforce said ordinance. Troutman shall support and
aid in enforcement of the pretreatment ordinance. Statesville shall carry
out the industrial waste permitting process required\ by State and federal
regulations and shall monitor the industrial users and shall enforce the
provisions of the sewer use ordinance for applicable industrial discharges
in the Troutman service area. Statesville shall notify Troutman
immediately at the time it discovers any violation of its ordinances or
regulations by industrial users on Troutman's system and shall further
notify Troutman of any action being taken as a result of such violations.
In the event of a violation to the extent that a surcharge or penalty shall
be owed by any industrial user, the violating industry shall remit such
surcharge or penalty to Troutman. In the event of violation of the
regulations by such users, Statesville shall enforce said ordinance
provisions and Troutman shall remit payment to Statesville for such
penalties and surcharges owed. Statesville shall further have the right
and responsibility to enforce other provisions of said sewer use ordinance
within Troutman's sewage collection area.
Troutman shall abide by the policies of Statesville relating to sewer use
and other such policies that will be from time to time promulgated by

F. FLOW MEASURING/SAMPLING
1. Unless otherwise herein provided, Troutman shall furnish and install the
necessary metering and sampling equipment of proper type for
measuring the quantity and quality of wastewater delivered from
Troutman's system. The location, design, equipment- and construction of
such metering and sampling facilities shall be in accordance with sound
engineering principles and shall be acceptable to both Statesville and
Troutman. Furthermore, such metering and sampling equipment shall be
approved by the City of Statesville prior to construction and installation
of such equipment.
2. Troutman hereto agrees to construct and Statesville " hereto agrees to
maintain the respective metering/sampling facilities in such a manner as
to ensure accurate measurement of flow and flow proportionate samples
from Troutman. Troutman shall have the right to inspect, read and test
the metering equipment and Statesville shall cooperate fully in " this
regard. Statesville shall perform repairs or adjust any metering
equipment and Troutman shall cooperate fully in this regard. Statesville
shall perform repairs or adjust any metering equipment not conforming
to the standards of accuracy for which it was designed.
3. In the case of meter equipment failure, billing for wastewater flow shall
be made on the basis of an average of the previous twelve (12) months
until such failure is remedied.
4. Metering/sampling equipment shall be calibrated on an annual basis at
the expense of Statesville unless either party requests a more frequent
calibration. The party requesting the more frequent calibration shall bear
the expense of such.

G. PAYMENT FOR SERVICES
1. Troutman shall provide for the total capital cost of the desi&n,
construction and financing of the required metering and sampling
facilities at the point(s) of delivery as provided by Statesville.
2. Troutman shall pay all costs associated with connecting to and extending
any existing Statesville wastewater collection or transmission lines for
the transportation of Troutman's discharge.
3. Troutman shall pay to Statesville a service availability charge of
$1,542,450 ($3.39/gallon * 455,000 GPD) which is calculated as
Troutman's proportionate share of the treatment process and facilities
improvements. This payment shall be made within 30 days after
Troutman begins its construction of this project, providing the funding
Troutman is anticipating from the State of North Carolina is available at
that time. If Troutman's funding from the State of North Carolina is not
available within 30 days after Troutman begins construction, the payment
of this service availability charge shall be made as soon as the funding is
available to Troutman, but in no event shall Statesville allow the initial
connection of the Troutman wastewater system to the Statesville
wastewater system until the entire service availability charge of
$1,542,450 has been paid in full. Should Troutman in the future desire
to increase its flow allocation to the Statesville system, additional service
availability charges shall be assessed to Troutman by Statesville at that
time based on the additional flow allocation so requested. That flow
allocation, if available, will be provided at a rate equivalent to the net
present worth of that portion of the WWTP at that time and may include
the cost of expansion or construction associated with the increase in flow
on a prorated basis, except as otherwise stipulated in this Agreement.
4. Troutman shall pay Statesville for the metered wastewater flow in
amounts up to the herein -stated quantity allowances at each delivery
point at the initial presently calculated rate of $L92 per 1000 gallons or
$1.44 per 100 cubic feet. A rate schedule for wastewater flow is
attached to this agreement in Appendix A.
5. At appropriate intervals as deemed necessary by Statesville, but not more
than one time per year, an independent auditor chosen by Statesville and
Troutman will determine the actual cost of operation and maintenance of
the Third Creek Plant on a per 100 cubic feet or 1,000 gallon basis. This
cost shall be determined in accordance with Appendix A. Statesville
shall make available to Troutman all information relating to the
derivation of the above -referenced cost such that Troutman can make a
Page 8

full and complete yearly audit of such cost. The cost of the independent
audit shall be shared equally by Troutman and Statesville.
6. If, at any time during the first twenty-four (24) months that Troutman
discharges flow to Statesville, the average daily flow for any month from
the'point(s) of delivery combined shall exceed the stated maximum daily
flow allocation, Troutman shall pay to Statesville, in addition to all other
rates, fees and charges, a penalty per 1,000 gallons or 100 cubic feet that
equals 100% of the rate being charged at the time for all flow amount
that exceeds the maximum daily allocation. The City shall also have the
right to charge Troutman a penalty that equals 100% of the rate being
charged at the time, for any flows that exceed the maximum
instantaneous rate as defined within this Agreement when the maximum
daily flow allocation is exceeded.
7. If, after the first twenty-four (24) months that Troutman discharges
wastewater flow to Statesville, the total daily flow amounts from the
point(s) of delivery combined shall exceed the stated maximum daily
flow allocations, Troutman shall pay to Statesville, in addition to all
other rates, fees and charges, a penalty per 1,000 gallons or 100 cubic
feet that equals 100% of the rate being charged at the time for all flow
amount that exceeds the maximum daily allocation. The City shall also
have the right to charge Troutman a penalty that equals 100% of the rate
being charged at the time, for any flows that exceed the maximum
instantaneous rate as defined within this Agreement when the maximum
daily flow allocation is exceeded.
8. It is the expressed desire of both parties to coordinate their respective
rate structures. Each party shall notify the other party no less than sixty
(60) days prior to the adoption of any rate changes.
9. Statesville will bill Troutman for the wastewater services provided in
accordance with Statesville's standard billing procedures for all other
wastewater customers. Statesville shall have the right to suspend service
to Troutman upon Troutman's failure to pay for the services billed and to
continue such suspension until such payment is made. However,
Statesville may not suspend service until after giving Troutman at least
30 days notice to pay for such services billed in full. Late payment
charges and any other penalties shall be applicable within the policies of
Statesville.
Page 9

H. DISPUTES
1. All claims, counterclaims, disputes and other matters in question
between the parities hereto arising out of or relating to this Agreement or
the breach thereof shall be decided by (1) formal mediation, (2) by a
court of competent jurisdiction. If the matter of disagreement concerns
rates to be paid, it is agree that participants shall continue payment based
on the rate in effect prior to the dispute, until the matter is settled.
I. TERM
1. Except as otherwise provided, the provisions of . the Agreement shall
continue and be effective for a term of twenty (20) years from the date
Troutman pays to Statesville the service availability charge. It shall,
thereafter, be effective for a five-year period with automatic renewal
from one five-year period to the next; provided, however, that in the
event either party shall desire that this Agreement not be renewed for the
next effective period, they shall so notify the other party, thereby giving
the other party five years notice of termination. There shall be no
additional service availability charge paid by Troutman to Statesville
should this agreement be extended beyond the initial term.
2. It is agreed that Statesville may seek injunctive relief through a court of
competent jurisdiction upon Troutman's breach of or failure to perform
any of the terms of this agreement. Likewise, it is agreed that Troutman
may seek injunctive relief through a court of competent jurisdiction upon.
Statesville's breach of or failure to perform any of the terms of this
agreement.
3. If at any time during the period of the agreement, by mutual consent,
both parties determine that they do not desire to continue the agreement,
then Statesville shall pay back to Troutman an amount of money
equivalent to the unamortized portion of the service availability charge
paid based upon an amortization of the service availability charge over
the 20-year term of this agreement. By way of example, should the
parties agree by mutual consent to terminate this agreement after five
years of the 20-year term have expired, Statesville will refund to
Troutman 75 % of the initial service availability charge, as 75 % of the
20-year term of this agreement would remain unfulfilled.
Page 10

4. Should Troutman not initiate any wastewater discharge to the Statesville
wastewater system within three (3) years of the date of this Agreement,
this Agreement shall be considered terminated at that time.
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be
executed in duplicate original in their respective names by their respective Mayors and
attested by their Manager and/or/Clerk and their corporate seals hereto affixed, all
pursuant to Resolutionsduly adopted by their respective governing boards.
ATTEST:
ATTEST:
Clerk to Board 0 / Mayor
CITY OF STATESVILLE
Pane 11

WASTEWATER AGREEMENT
BETWEEN
CITY OF STATESVILLE AND TOWN OF TROUTMAN
APPENDIX A
The formula for calculating the wastewater treatment charge is as follows:
OPERATIONAL COST (O&M) (1)
+ ADMINISTRATION (G&A) (2)
+ 50% OF (O&M) + (G&A)
= WASTEWATER CHARGE
1.,• Operational cost is the personnel, operating and maintenance costs associated with operating
the City of Statesville Third Creek Wastewater Treatment Plant (plant).
2. Administration is the general and administrative cost associated with the plant that is not
charged to the plant's cost directly.

•
Attachment
VI.2
City of Statesville
Sanitary Sewer Overflow Response Plan
Applies to All Employees — Water/Sewer Division
July 26, 2006
As required by the State, we have developed a plan to address Sanitary Sewer Overflows caused
by grease, roots, pipe failures, vandalism, or Act of God.
1. Upon discovery of Sanitary Sewer Overflow, the Water/Sewer Division personnel will
respond and make an immediate assessment. If overflow has occurred, the Water/Sewer Division
personnel will contact his supervisor.
2. The Supervisor will determine what course of action is required to stop the overflow and clean
up the site. Remediation Procedures for Sanitary Sewer Overflows are to be used as a guide.
Further guidance may be received through the Water/Sewer Utility Superintendent, his Assistant
or State authorities.
3. The Supervisor will make a record of all events and handle any reporting necessary. The
Supervisor will report all activities to the Water/Sewer Utility Superintendent.
Reporting thresholds as stated in the State's Elimination of Collection System Overflows memo
are as follows:
- All spills, regardless of volume that reach surface waters must be reported.
- Spills of 1,000 gallons or less that do not reach surface waters and are confined on site do not
have to be reported. However, records must be retained documenting spill and action taken to
address the spill.
- Spills greater than 1,000 gallons, regardless of whether or not they reach surface waters must be
reported.
The telephone number for the Mooresville Regional Office is [phone] or the State's 24-
hour number, Division of Emergency Management, is 1-800-858-0638. Reportable spills must be
reported immediately but in no case more than 24 hours from the time of the spill was
discovered.
PURPOSE
The purpose of the Sanitary Sewer Overflow Response Plan is to protect the citizens of the City
of Statesville, North Carolina and the environment by establishing written procedures for
responding to Sanitary Sewer Overflows. This procedure applies to all Water/Sewer Division
employees that in the course of their work may deal with sanitary sewer overflows. These
procedures will be reviewed at least semi-annually, or whenever revised guidance from County,
State or Federal authorities dictate a revision is necessary.

s
PLAN OF ACTION
1. Upon discovery of a Sanitary Sewer Overflow, Water/Sewer Division employees will respond
and make an immediate assessment. If an overflow has occurred the Water/Sewer Division
employees will contact their supervisor.
2. The supervisor will determine what course of action is required to stop the overflow and clean
up the site. Remediation Procedures for Sanitary Sewer Overflows are to be used as a guide.
Further guidance may be received through the Water/Sewer Utility Superintendent, his assistant
or State authorities.
3. The supervisor will make a record of all events and handle any reporting necessary. The
supervisor will report all activities to the Water/Sewer Utility Superintendent.
SPILL REPORTING
Reportable Sanitary Sewer Overflows will be reported in compliance with the State's Elimination
of Collection System Overflows memo. (See Reference Section) All reportable spills will be
reported to the Mooresville Regional Office at [phone] or the State Division of
Emergency Management (24 hours) at 1-800-858-0638 immediately or in no case more than 24
hours after discovery of a spill.
REQUIRED EMERGENCY EQUIPMENT
Water/Sewer division has the following equipment available at these locations.
Item No. Location
1. Sewer Equip. of America Flushing Truck
2. Vac -all Combination Unit
3. Srerco Flexible Rodding Machine
4. 3" Trash Pump
5. (3) 3" Mud Hog Pumps
6. 2 Mad Pump (8" discharge & suction)
7. Camera Truck
8. 4-wheel Drive Tractor (with bush hog)
9. Backhoes
10. John Deere Loader
11. Rubber Tire Loader
12. Motor Grader
13. Boom Truck
14. Vacuum Trailer — Ram Vac
15. Easement Flushing Machine
Collection System Maintenance Records
Municipal Warehouse
Municipal Warehouse
Municipal Warehouse
Municipal Warehouse
Municipal Warehouse
Third Creek WWTP
Municipal Warehouse
Municipal Warehouse
Municipal Warehouse
Municipal Warehouse
Municipal Warehouse
Municipal Warehouse
Municipal Warehouse
Municipal Warehouse
Municipal Warehouse
The Water/Sewer Division employees keep daily work reports on routine rodding, grease and
root problems, flow monitoring, TV inspection and outfall mowing and inspection.

Remediation Procedures for Sanitary Sewer Overflows
Sanitary Sewer Overflow on Asphalt or Concrete
1. Set up containment at or near the storm drainage system; do not let the spill enter the storm
drainage system.
2. Put up tape, red or yellow, aroundthe overflow area.
3. Spread lime on spillage and sand for equivalent material) to a depth of 1 inch. Let this stand
for 1 hour and sweep up. If moisture or grease is still present, repeat procedure.
4. After removing the contaminated material, wash down the area with high water pressure and
Clorox. Pump this back into the sewer system. Transport wet sand to drying beds at Fourth
Creek. Let dry and then dispose of at the County Landfill.
5. If this spill goes into the storm drainage system, refer to creek procedure.
Sanitary Sewer Overflow in Creek or Stream
1 Take conductivity readings of the creek in order to determine the proper placement of a dam.
The dam needs to be constructed near a manhole or at a location which is accessible to the
vacuum truck. Placement of the dam should be at a point where the lowest conductivity
reading is measured if possible. Build the dam using dirt that is capable of handling creek and
hydrant water without dam failure. Station two pumps at the dam that are capable of handling
creek flow. Use one pump for backup. Have backhoe at site with extra material at all the
rebuilt if a breach occurs. There will be two workers at the pump site at all times during
pumping operations. Pump effluent from the dam into the manhole.
2. Put up red warning tape from the overflow site to the pump site on both sides of the
creek in populated areas. In unpopulated areas restrict access where there is any chance of
humans coming in contact with the overflow.
3. Take fecal coliform samples every 24 hours until readings are 500 colonies/ml or less.
Samples should be collected at the overflow site, 100 feet above the site and in 400 fee
intervals downstream until the pump site is reached. Bring the samples to the Fourth Creek
Wastewater Plant for analysis.
4. Flush stream with water from a sufficient number of hydrants to remove waste products from
the creek. Continue to pump and flush the stream until all fecal coliform tests come back 500
colonies/ml or less. Notify water treatment plant when starting and stopping stream flushing.
5. If there is rip rap in the creek, wash it down with high water pressure until there is no waste
residue remaining on or within the rip rap structure.
6. If sludge is in the creek, broom the creek bottom and sides until there is no waste residue
remaining.
7. If the creek flows into a body of water that is used for recreationandlor drinking, notify the
affected county and local officials as soon as the problem is discovered. If this happens, refer
to pond, lake procedure.

Sanitary Sewer Overflow in a Pond or Lake
1. Put up red warning tape and sign "DO NOT ENTER" on the shoreline at the contaminated
area.
2. In a pond, collect fecal coliform samples and dissolved oxygen (DO) readings around the
entire circumference. Set up a dam to contain the spill. Pumping operations should be set up
to remove the spillage.
3. If fecal coliform counts are greater than 8,000 colonies/ml, special action will need to be
taken.
4. Continue pumping operations until fecal coliform counts are less than 500 colonies/ml.
5. Keep monitoring fecal coliform counts until the North Carolina Department of Water Quality
or the Iredell County Health Department says that monitoring is no longer required.
Sanitary Sewer Overflow at an Outfall
1. Restrict entrance to the area.
2. In an open area, lime heavily and till. Repeat procedure. Reseed and put down straw.
Sanitary Sewer Overflow in a Citizen's Yard
1. Till the area whenever possible. Apply lime, seed and straw.
2. If not able to till, apply lime and two inches of topsoil and mix thoroughly. Lime again lightly,
seed and cover with straw.

#1 Cell 902-9089
#2 Cell 902-9091
Water/Sewer Dept -1st Call Sheet
Joe Moose
C-902-9093
C-902-9168
Dennis Harris
H-881-0060 C-902-9095
CELL
PHONE
Kevin Weber
22-Dec-14
704-902-4180
704-592-2442
Jeff Gallaher
29-Dec-14
704-682-4741
704-924-7357
Travis Crotts
5-Jan-15
704-902-9277
704-278-9466
Clyde Fox
12-Jan-15
704-902-2753
704-878-9014
Chris sloan
19-Jan-15
704-902-2648
704-876-2561
Kevin Weber
26-Jan-15
704-902-4180
704-592-2442
Jeff Gallaher
2-Feb-15
704-682-4741
704-924-7357
Travis Crotts
9-Feb-15
704-902-9277
704-278-9466
Clyde Fox
16-Feb-15
704-902-2753
704-878-9014
Chris sloan
23-Feb-15
704-902-2648
704-876-2561
Kevin Weber
2-Mar-15
704-902-4180
704-592-2442
Jeff Gallaher
9-Mar-15
704-682-4741
704-924-7357
Travis Crotts
16-Mar-15
704-902-9277
704-278-9466
Clyde Fox
23-Mar-15
704-902-2753
704-878-9014
Chris sloan
30-Mar-15
704-902-2648
704-876-2561
Kevin Weber
6-Apr-15
704-902-4180
704-592-2442
Jeff Gallaher
13-Apr-15
704-682-4741
704-924-7357
Travis Crotts
20-Apr-15
704-902-9277
.704-278-9466
Clyde Fox
27-Apr-14
704-902-2753
704-878-9014
Chris sloan
4-May-15
704-902-2648
704-876-2561
Kevin Weber
11-May-15
704-902-4180
704-592-2442
Jeff Gallaher
18-May-15
704-682-4741
704-924-7357
Travis Crotts
25-May-15
704-902-9277
704-278-9466
Clyde Fox
1-Jun-15
704-902-2753
704-878-9014
Chris sloan
8-Jun-15
704-902-2648
704-876-2561
Kevin Weber
15-Jun-15
704-902-4180
704-592-2442
Jeff Gallaher
22-Jun-15
704-682-4741
704-924-7357
Travis Crotts
29-Jun-15
704-902-9277
704-278-9466

Water/Sewer Dept-2nd Call Sheet
#1 Cell 902-9089 Joe Moose Dennis Harris
#2 Cell 902-9091 C-902-9093 H-881-0060 C-902-9095
C-902-9168
HOME
PHONE
Brett Hoke
22-Dec-14
704-528-5355
704-902-4224
Brad Kennedy
29-Dec-14
704-880-6121
Randy Sloan
5-Jan-15
704-380-3243
704-495-9453
Dustin Sweet
12-Jan-15
704-791-9646
Corey Arehart
19-Jan-15
704-902-8950
Adam Surratt
26-Jan-15
704-437-6492
Chase Anderson
2-Feb-15
704-902-0862
Brett Hoke
9-Feb-15
704-528-5355
704-902-4224
Brad Kennedy
16-Feb-15
704-880-6121
Randy Sloan
23-Feb-15
704-380-3243
704-495-9453
Dustin Sweet
2-Mar-15
704-791-9646
Corey Arehart
9-Mar-15
704-902-8950
Adam Surratt
16-Mar-15
704-437-6492
Chase Anderson
23-Mar-15
704-902-0862
Brett Hoke
30-Mar-15
704-528-5355
704-902-4224
Brad Kennedy
6-Apr-15
704-880-6121
Randy Sloan
13-Apr-15
704-380-3243
704-495-9453
Dustin Sweet
20-Apr-15
704-791-9646
Corey Arehart
27-Apr-15
704-902-8950
Adam Surratt
4-May-15
704-437-6492
Chase Anderson
11-May-15
704-902-0862
Brett Hoke
18-May-15
704-528-5355
704-902-4224
Brad Kennedy
25-May-15
704-880-6121
Randy Sloan
1-Jun-15
704-380-3243
704-495-9453
Dustin Sweet
8-Jun-15
704-791-9646
Corey Arehart
15-Jun-15
704-902-8950
Adam Surratt
22-Jun-15
704-437-6492
Chase Anderson
29-Jun-15
704-902-0862

Attachment
VI.4
Pump Station Contingency Plan
FOURTH CREEK LIFT STATIONS
Commerce Blvd. (ASMO) 704-872-2270
Davis Hospital 704-873-3540
Hatfield Rd. 704-872-2197
Marjorie Rd. 704-878-2890
Statesville Business Park 704-878-3403
Valley Stream 704-872-6963
Deer Ridge 704-873-7647
Name
Fourth Creek On -Call Numbers
Home
Cell
1 Philip Reavis 704-873-4091 704-437-1203
2 Andy Smith 704-528-0478 704-437-2792
3 Scott Austin 704-878-8796 704-437-2668
4 Jerry Byerly •. 336-751-0857 704-437-6288
THIRD CREEK LIFT STATIONS
Airport 704-871-1415
Barkley. Rd. 704-872-2193
Industrial Dr. • 704-872-2170
Interstate Equipment 704-872-2191
Kennedy Dr. 704-871-1496
Newton Drive 704-872-2158
Park D.r. 704-872-2099
Pine Forest 704-873-2923
Wildewood 704-872-5518
3
Name
Third Creek On -Call Numbers
RECEIVED/DENR/DWR
JAN 2.1 2015
Water Quality
Permitting Section
Home CeII
Ken Houston
Todd Norman.
Scott Austin
Jerry Byerly
704-592-2026
704-876-2447
704-878-8796
336-751-0857
704-437-1202
(704-881-6997 pager)
704-437-2213
704-437-2668
7.04-437-6288
If you receive a call from a lift station, call the plant responsible for the station and let them know which station
called. If you cannot reach the plant, call the supervisor of the plant. When Davis hospital lift station calls, it
identifies itself as Station 1: it will continue to call until it is reset. Press '9" to acknowledge the signal or call the
station back at 704-873-3540.

PROCEDURES
LIFT STATION CHECKS:
1 When you arrive, look for the RED INDICATOR LIGHT to see if there is a problem.
2 Listen for water running into the wet well or for the pumps, if they are running.
3 turn pumps to "on" or "hand" position to assure that they are primed and will run. If
pumps will not run or have lost prime, check the breaker. Call for assistance if an
electrical problem is found.
4 Check oil levels if applicable.
5 Check and test the phone system. Reset phone system if everything is ok.
PORTABLE GENERATOR HOOK-UP:
The Water Resources Department has two portable generators with one stationed at Third Creek and
one at Fourth Creek. Do not operate a generator that you have not been trained to use.
1 Turn the phone system off.
2 Set up the ground rod.
3 Turn the disconnect box to the OFF position
4 WITH THE GENERATOR TURNED OFF AND ALL GENERATOR BREAKERS OPEN,
hook up the appropriate amperage plug from the generator to the standby power receptacle at
the lift station disconnect box. MAKE SURE THAT THE GENERATOR VOLTAGE OUTPUT
SETTING IS EQUAL TO THE LIFT STATION VOLTAGE BEFORE GOING ANY FURTHER!
The correct voltage/ amperage settings can be found on a sign posted at the lift station
disconnect or inthis manual in the section that covers the technical data for
5 Start the generator and bring it up to speed.
6 Switch the disconnect to the BOTTOM "ON" position (for generator power)
7 Close the appropriate voltage breakers on the generator
8 When finished and the generator is completely disconnected, remember to turn the
disconnect box to the TOP "ON" position (to accept line power)
Both Davis Hospital and Pine Forest have permanently stationed standby generators that
automatically switch during a power outage.
ELECTRICAL OUTAGE:
To report an electrical outage for a station that is on Energy United power, call 704-873-5241 or 800-283-
8237, 24 hours per day. To report an outage for a station that is on City power, call 704-878-3479, 24
hours per day. Davis Hospital, Hatfield, ASMO, and Airport are on Energy United power. All other stations
are serviced by the City of Statesville Utilities.
SEWER PROBLEMS:
To obtain help from Sewer Maintenance during regular business hours call 704-878-3417 or 704-8783406
(Police Department) after regular business hours.

y
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
July 9, 2007
CERTIFIED MAIL/RETURN RECEIPT
Robert W. Hites Jr., City Manager
City of Statesville
P.O. Box 1111
Statesville, NC 28687
Subject: Permit No. WQCS00030
City of Statesville
Wastewater Collection System
Iredell County
Dear Mr. Hites:
In accordance with your application received on August 7, 2006, we are forwarding herewith Permit
No.WQCS00030, dated July 9, 2007, to the City of Statesville for the operation and maintenance of the
subject wastewater collection system.
This permit shall be effective from the effective date of July 9, 2007 until June 30, 2012. This permit shall
be subject to the conditions and limitations specified herein. It is your responsibility to thoroughly review
this permit. Please pay particular attention to the monitoring and reporting requirements in this permit
and any compliance schedules shown in bold.
For purposes of permitting, the collection system is considered to be any existing or newly installed
system extension up to the wastewater treatment facility property or pointof connection with a
separately owned sewer system. The collection system is considered all gravity lines, pump stations,
force mains, low pressure sewer systems, STEP systems, vacuum systems, etc. and associated piping,
valves and appurtenances that help to collect, manage and transport wastewater to a wastewater
treatment plant under the Permittee's ownership or maintained and operated by the Permittee through
a perpetual legal agreement. Satellite systems are systems tributary to the Permittee's collection system
but those collection systems are not owned or maintained by the Permittee. The system description
provided on Page 1 of this permit is meant to provide a general idea about the size of the system and
may not be all inclusive of the collection system at the time of permit issuance or afterward.
A release of wastewater from the wastewater collection system is referred to herein as a Sanitary Sewer
Overflow (SSO). The evaluation of enforcement options after a SSO will be determined considering the
criteria listed in condition I (2) (a) and I (2) (b) of the permit and all other relevant information available or
requested of the Permittee. Compliance with all conditions of the permit as well as all statutes and
regulations pertaining to the collection system must be maintained or appropriate enforcement actions
may be taken as noted in Condition VI(2).
NorthCarolina
Naturally
Pretreatment, Emergency Response and Collection Systems Unit Internet http://h2o.enr.state.nc.us/ndpu
1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone [phone] Fax [phone]
DENR Customer Service Center Telephone [phone]
,171

Mr. Robert W. Hites, Jr
July 9, 2007
Page 2
A reportable SSO is a SSO greater than 1,000 gallons to the ground or a SSO of any amount that reaches
surface water (including through ditches, storm drains, etc.) Below is the procedure to use for reporting
SSOs to the Division:
.,-- Report by telephone to a Division of Water Quality staff member (not facsimile or voicemail) at
your regional DWQ office during regular business flours (Monday to Friday, 8AM to 5PM) as soon
as possible, but in no case more than 24 hours after the SSO is known or discovered. To report
outside of regular business hours, call [phone].
2. Follow up the verbal report by sending a completed written report on the most current Division
approved form within five days.
To provide a uniform methodfor all systems covered under this permit and to provide useful and
consistent information pertaining to SSOs, a new spill reporting form has been developed (October
2003). Form CS-SSO consists of two parts. Part I serves to provide to the Division the required information
that has always been necessary. Part II serves as an area to provide a justification for the spill, as
optional under Condition 1(2) of your permit. Form CS-SSO can be downloaded from
http://h2o.enr.state.nc.us/peres/Collection%20Svstems/CollectionSvstemsHome.html from the SSO
Reporting area.
An NOV, civil penalty, and/or a moratorium on the addition of waste to the system may be issued if
adequate justification for an SSO is NOT submitted to the regional office. In order to submit a claim for
justification of an SSO, you must use the Form CS-SSO with additional documentation as necessary.
DWQ staff will review the justification claim and determine if enforcement action is appropriate. Please
be advised that the information needed to justify a spill is very comprehensive. Begin using this form
immediately to report SSOs from the collection system. Continue to use our old form for reporting
bypasses at the wastewater treatment plant until further notice. The time frame for submittal of both
Part I and Part II, if pertinent, is five days.
Failure to abide by the conditions in this permit may subject the Permittee to enforcement action. 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 thirty days following the receipt of this
permit. This request must be in the form of a written petition, conforming to Chapter 150E of the 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 have questions regarding compliance contact your regional office or Jeff Poupart of the
Pretreatment, Emergency Response and Collection Systems Unit of the North Carolina Division of Water
Quality at [phone] extension 527. If you need additional information concerning this permit,
please contact Deborah Gore in the Pretreatment, Emergency Response and Collection Systems Unit at
[phone] extension 593.
Sincerely,
Coleen H. Sullins
cc: Iredell County Health Department
Mooresville Regional Office, Surface Water Protection Section
Collection System ORC, City of Statesville, P.O. Box 1111, Statesville, NC, 28687
Technical Assistance and Certification Unit
Water Quality Central Files
PERCS Files
Pcrrrii+ kli imhor wnrcnnn'n

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
SYSTEM -WIDE WASTEWATER COLLECTION SYSTEM PERMIT
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
CITY OF STATFSVILLE
IREDELL COUNTY
FOR THE
operation and maintenance of a wastewater collection system consisting of, at the time of permit
issuance, approximately 244 miles of gravity sewer, approximately 7 miles of force main, 13 duplex
pump stations, and all associated piping, valves, and appurtenances required to make a complete
and operational wastewater collection system to serve Johnston County and any deemed permitted
satellite communities, pursuant to the application received on August 7, 2006, and in conformity with
the documents referenced therein and other supporting data subsequently filed and approved by the
Department of Environment and Natural Resources and considered a part of this permit.
This permit shall be effective from the July 9, 2007 until June 30, 2012 and shall be subject to the
following specified conditions and limitations:
I. PERFORMANCE STANDARDS
1. The sewage and wastewater collected by this system shall be treated in the City of Statesville 3rd
Creek Wastewater Treatment Facility (NC 0020591) or the City of Statesville 4th Creek
Wastewater Treatment Facility (NC 0031836) prior to being disposed into the receiving stream.
This collection system permit will be referenced upon renewal or modification of your NPDES
permit(s).
1 Permit Number WQCS00030

2. . The wastewater collection system shall be effectively managed, maintained and operated at all
times so that there is no SSO to land or surface waters, nor any contamination of groundwater. In
the event that the wastewater collection system fails to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall take immediate corrective actions, including
actions that may be required by the Division of Water Quality (Division), such as the construction
of additional or replacement sewer lines and/or equipment.
The Director may take enforcement action against the Permittee for SSOs that must be reported
to the Division as stipulated in Condition IV(2). This includes SSOs that were caused by severe
natural conditions or exceptional events unless the Permittee demonstrates through properly
signed, contemporaneous operating logs, or other relevant evidence that:
a) The SSO was caused by severe natural conditions; there were no feasible alternatives to
the SSO, such as the use of auxiliary treatment facilities, retention of untreated
wastewater, reduction of inflow and infiltration, use of adequate back-up equipment, or
an increase in the capacity of the system. This provision is not satisfied if, in the exercise
of reasonable engineering judgment, the Permittee should have installed auxiliary or
additional collection system components, wastewater retention or treatment facilities,
adequate back-up equipment or should have reduced inflow and infiltration; or
b) the SSO was exceptional, unintentional, temporary and caused by factors beyond the
reasonable control of the Permittee; the SSO could not have been prevented by the
exercise of reasonable control, such as proper management, operation and
maintenance; adequate treatment facilities or collection system facilities or components
(e.g., adequately enlarging treatment or collection facilities to accommodate growth or
adequately controlling and preventing infiltration and inflow); preventive maintenance;
or installation of adequate back-up equipment;
The Permittee can submit a claim to the Division Regional Office that the SSO meets the criteria
of this condition. The Permittee has the option of submitting this claim along with the spill report
required by Condition IV(2) (i.e., within five days) in order to be considered for immunity from
enforcement action. Form CS-SSO Part II, or most current Division approved form, shall be used
for any claims. The Permittee has the burden of proof that the above criteria have been met.
3. The Permittee shall establish by ordinance its legal authority to require new sewers be properly
constructed; to ensure proper inspection and testing of sewer mains and service laterals; to
address flows from satellite systems and to take enforcement action as required by Condition
1(4).
4. The Permittee shall develop and implement an educational fats, oils and grease program
targeted at both residential and non-residential users. The Permittee shall also develop and
implement an enforceable fats, oils and grease program for non-residential users under which
the Permittee can take enforcement against users who have not properly installed, operated
and maintained grease traps or grease interceptors as directed or otherwise violated the terms
of the local ordinance pertaining to fats, oils and grease.
5. The Permittee shall adopt and implement a Capital Improvement Plan (CIP) to designate
funding for reinvestment into the wastewater collection system infrastructure. The CIP should
address the short-term needs and long-term "master plan" concepts. The CIP should typically
cover a three to five year period and include a goal statement, description of the project area,
description of the existing facilities, known deficiencies (over a reasonable period) and
forecasted future needs. Cost analysis is integral to the CIP.
Permit Number WQCS00030

6._ Existing overflow piping from manholes and pump stations, excluding piping to approved
equalization structures, known or discovered after permit issuance shall be immediately
removed or permanently capped. Plugged emergency pumping connections are allowable for
portable pumping or rerouting without intentionally bypassing the wastewater treatment facility.
_7.. The Permittee. shall maintain a contingency plan for pump failure at each pump station. If one
of the pumps in a pump station containing multiple pumps fails, the process of repairing or
replacingthe pump shallbe: initiated immediately and the new parts or pump shall be installed
as soon as. possible. If the pump in a simplex pump station fails, it shall be replaced immediately.
8. Each pump station shall be clearly and conspicuously posted with a pump station identifier and
an emergency contact telephone number at which an individual who can initiate or perform
emergency service for the wastewater collection system 24 hours per day, seven days per week
can be contacted. This emergency contact telephone number shall be coupled with
instructions that the emergency contact should be called if the visual alarm illuminates, if the
audible alarm sounds, or if an emergency is apparent.
9. Pump station sites, equipment and components shall have restricted access, per 15A NCAC 02T
.305(h) (4).
10. Pump stations that do not employ an automatic polling feature (i.e. routine contact with pump
stations from a central location to check operational status of the communication system) shall
have both audible,and visual high water alarms. The alarms shall be weather-proof and placed
in a clear and conspicuous location. Permits issued for the construction of pump stations that
included high water alarms in the description must maintain the alarms even if simple telemetry
(i.e. notification of an alarm condition initiated by the pump station control feature) is installed.
11. For all newly constructed, modified and rehabilitated pump stations, all equipment and
components located within the pump station shall be corrosion -resistant and components in
close proximity of the pump station shall be sealed within a corrosion -resistant coating or
encasement.
12. All construction and rehabilitation of the wastewater collection system (i.e., permitted or
deemed permitted) shall be scheduled to minimize the interruption of service by the existing
utilities. Construction and rehabilitation shall not result in the violation of Condition (1) (2) of this
permit.
II. OPERATION AND MAINTENANCE REQUIREMENTS .
1. Upon classification of the collection system by the Water Pollution Control System Operators
Certification Commission (WPCSOCC), the Permittee shall designate and employ a certified
operator to be in responsible charge (ORC) and one or more certified operator(s) to be back-up
ORC(s) of the facilities in accordance with 15A NCAC 8G .0201. The ORC shall visit the system
within 24 hours of knowledge of a bypass, spill, or overflow of wastewater from the system, unless
visited by the Back -Up ORC, and shall comply with all other conditions of 15A NCAC 8G .0204.
2. The Permittee shall develop and adhere to a schedule for reviewing all inspection,
maintenance, operational and complaint logs. If the review process results in the identification
of any recurring problem in the wastewater collection system, that cannot be resolved in a short
time period, the Permittee shall establish a plan for addressing the problem(s).
3. The Permittee shall develop and adhere to a schedule for testing emergency and standby
equipment.
3 Permit Number WQCS00030

4. The Permittee shall develop and implement a routine pump station inspection and maintenance
program, which shall include, but not be limited to, the following maintenance activities:
a. Cleaning and removing debris from the pump station structure, outside perimeter, and
wet well;
b. Inspecting and exercising all valves;
c. .Inspecting and: lubricating pumps and other mechanical equipment according to the
manufacturer's recommendations; and
d. .Verifying the proper operation of the alarms, telemetry system and auxiliary equipment.
5. For each pump station without pump reliability (i.e. simplex pump stations serving more than a
single building or pump stations not capable of pumping at a rate of 2.5 times the average daily
flow rate with the largest pump out of service), at least one fully operational spare pump
capable of pumping peak flow shall be maintained on hand.
6. The Permittee shall maintain on hand at least two percent of the number of pumps installed, but
no less than two pumps, that discharge to a pressure sewer and serve a single -building, unless
the Permittee has the ability to purchase and install a replacement pump within 24 hours of first
knowledge of the simplex pump failure or within the storage capacity provided in any sewer line
extension permit..
7. Rights -of -way and/or easements shall be properly maintained to allow accessibility to the
wastewater collection system unless the Permittee can demonstrate the ability to gain
temporary access in an emergency situation where existing land -use conditions do not allow the
establishment and maintenance of permanent access. In this case, the Permittee shall continue
to observe the lines visually, utilize remote inspection methods (e.g. CCTV) and use the
opportunity of drier conditions to perform further inspections and necessary maintenance.
8. The Permittee shall assess cleaning needs, and develop and implement a program for
appropriately cleaning, whether by hydraulic or mechanical methods, all sewer lines. At least 10
percent of the wastewater collection system, selected at the discretion of the ORC, shall be
cleaned each year. Preventative cleaning is not required for sewer lines less than five years old
unless inspection otherwise reveals the need for cleaning or cleaning is required by a sewer line
extension permit.
9. Adequate measures shall be taken to contain and properly dispose of materials associated with
SSOs. The Permittee shall maintain a Response Action Plan that addresses the following
minimum items:
a. Contact phone numbers for 24-hour response, including weekends and holidays;
b. Response time;
c. Equipment list and spare parts inventory;
d. Access to cleaning equipment;
e. Access to construction crews, contractors and/or engineers;
f. Source(s) of emergency funds;
g. Site sanitation and clean up materials; and
h. Post-SSO assessment.
10. The Permittee, or their authorized representative, shall conduct an on -site evaluation for all SSOs
as soon as possible, but no more than two hours after first knowledge of the SSO.
11. In the event of a SSO or blockage within the wastewater collection system, the Permittee shall
restore the system operation, remove visible solids and paper, sanitize any ground area and
restore the surroundings.
4 Permit Number WQCS00030

HI. RECORDS
1. Records shall be maintained to document compliance with Conditions 1(4), 11(2) - 11(4), 11(7) - 11(8),
IV(3) and V(1) -V(4). Records shall be kept on file for a minimum of three years.
2. The Permittee shall maintain adequate records pertaining to SSOs, and complaints for a
minimum of three years. These records shall include, but are not limited to, the following
information:
a. Date of SSO or complaint;
b. Volume of wastewater released as a result of. the SSO and/or nature of complaint;
c. Location of the SSO and/or complaint;
d. Estimated duration of the SSO;
e. Individual from the Division who was informed about the SSO and/or complaint, when
applicable;
f. Final destination of the SSO;
g. Corrective actions;
h. Known environmental/human health impacts resulting from the SSO; and
i. How the SSO was discovered.
3. The Permittee shall maintain an up-to-date, accurate, comprehensive map of its wastewater
collection system that also notes the locations where other wastewater collection systems
become tributary. If a comprehensive map of the collection system has not been established, a
rough sketch shall be drawn. The Permittee shall map approximately 10 percent of its existing
collection system each year for the next five years, or until complete, whichever is sooner. The
comprehensive map shall include, but is not limited to: pipe size, pipe material, pipe location,
flow direction, approximate pipe age, number of active service taps, and each pump station
identification, location and capacity.
4. The Permittee shall maintain records of all of the modifications and extensions to the collection
system permitted herein. The Permittee shall maintain a copy of the construction record
drawings and specifications for modifications/extensions to the wastewater collection system for
the life of the modification/extension. Information concerning the extension shall be
incorporated into the map of the wastewater collection system within one year of the
completion of construction. The system description contained within this permit shall be updated
to include this modification/extension information upon permit renewal.
IV. MONITORING AND REPORTING REQUIREMENTS
1. Any monitoring (including, but not necessarily limited to, wastewater flow, groundwater, surface
water, soil or plant tissue analyses) deemed necessary by the Division to ensure surface water
and groundwater protection will be established, and an acceptable sampling and reporting
schedule shall be followed.
Permit Number WQCS00030

2. The Permittee shall verbally report to a Division of Water Quality staff member at the Mooresville
Regional Office, at telephone number 704-663-1699 as soon as possible, but in no case more
than 24 hours following the occurrence or first knowledge of the occurrence of either of the
following:
a. Any SSO and/or spill over 1,000 gallons; or
b._ --Any SSO and/or spill, regardless of volume, that reaches surface water.
Voice mail messages or faxed information shall not be considered as the initial verbal report.
SSOs (and other types of spills) occurring outside normal business hours may also be reported to.
the Division of Emergency Management at telephone number [phone] or [phone].
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.
3. The Permittee shall meet the annual reporting and -notification requirements provided in North
Carolina General Statute § 143-215.1 C.
V. INSPECTIONS
1. The Permittee or the Permittee's designee shall inspect the wastewater collection system
regularly to reduce the risk of malfunctions and deterioration, operator errors, and otherissues
that may cause or lead to the release of wastes to the environment, threaten human health or
create nuisance conditions. The Permittee shall keep an inspection log or summary including, at
a minimum, the date and time of inspection, observations made, and any maintenance,
repairs, or corrective actions taken by the Permittee.
2. Pump stations without Supervisory Control and Data Acquisition (SCADA) systems or telemetry
shall be inspected everyday (i.e. 365 days per year). Pump stations equipped with SCADA
systems or telemetry shall be inspected at least once per week.
3 A general observation of the entire collection system shall be performed throughout the course
of every year.
4. Inspections of all high priority lines (i.e. aerial line, sub -waterway crossing, line contacting surface
waters, siphon, line positioned parallel to stream banks that are subject to eroding in such a
manner that may threaten the sewer line, or line designated as high -priority in a permit) shall be
performed at least once per every six month period of time. A list of high -priority lines is
presented as Attachment A and is hereby incorporated into this permit condition. New high
priority lines installed or identified after permit issuance are incorporated by reference and
subject to this permit condition until permit renewal where they shall be referenced in writing in
Attachment A.
VI. GENERAL CONDITIONS
1. This permit is not transferable. In the event that the Permittee desires to transfer ownership of the
wastewater collection system or there is a name change of the Permittee, a formal permit
modification request shall be submitted to the Division. The request shall be accompanied by
documentation from the parties involved, and other supporting materials as may be
appropriate. Such request will be considered on its merits and may or may not be approved.
2. Failure to abide by the conditions and limitations contained in this permit may subject the
Permittee to an enforcement action by the Division in accordance with North Carolina General
Statute § 143-215.6A through § 143-215.6C, and a sewer moratorium may be established.
Permit Number WQCS00030

3. The issuance of this permit does not exempt the Permittee from complying with any and all.
statutes, rules, regulations, or ordinances that may be imposed by other government agencies
(i.e., local, state, and federal) having jurisdiction, including but not limited to applicable river
buffer rules in 15A NCAC 2B .0200,. soil erosion and sedimentation control requirements in 15A
NCAC Chapter 4 and under the Division's General Permit NCG010000, and any requirements
pertaining to wetlands under 15A NCAC 2B .0200 and 15A NCAC 02T .0100 and all_applicable
North Carolina Occupational Safety and Health Act health and safety standards.
The issuance of this permit does not prohibit the Division from reopening and modifying the
permit, revoking and reissuing the permit or terminating the •permit as allowed by the,laws, rules, .: - --
and regulations contained in I5A NCAC 02T .0100 and North Carolina General Statute §143-215.1
et. al., or as needed to address changes in federal regulations with respect to the wastewater
collection system.
5. The Permittee shall pay the annual fee within thirty (30) days after being billed by the Division.
Failure to pay the fee accordingly may cause the Division to initiate action to revoke this permit
as specified by 15A NCAC 02T .01 10(4).
6. The Permittee shall request renewal of this permit at least six months prior to the expiration of this
permit. Upon receipt of the request, the Commission will review the adequacy of the
wastewater collection system described therein, and if warranted, will extend the permit for a
period of time and under such conditions and limitations, as the Commission may deem
appropriate.
7. The Permittee shall notify the Division's Pretreatment, Emergency Response and Collection
Systems Unit in writing at 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 of any
changes to the name and/or address of the responsible party.(i.e. mayor, city/town manager)
of the wastewater collection system.
8. Any duly authorized officer, employee, or representative of the Division may, upon presentation
of credentials, enter and inspect any property, premises or place on or related to the collection
system at any reasonable time for the purpose of determining compliance with this permit, may
inspect or copy any records that must be maintained under the terms and conditions of this
permit, and may obtain samples of wastewater, groundwater, surface water, soil, or plant tissue.
Permit issued this the 9th day of July 2007
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQCS00030
Permit Number WQCS00030

CITY OF STATESVILLE
COLLECTION SYSTEM INFORMATION
ATTACHMENT A for Condition V(4)
CREEK CROSSINGS:
36" Behind Mallard Creek Apartments.
6" :. Off Broad St. at Statesville Manor
8" . : Greenbrier Rd. ;
24" Statesville Senior High School
5. 6" Statesville Senior High School
10" Statesville Senior High School
30" Morrison Creek
. • 24" Hillcrest Trailer Park
9. . 8" - Hillcrest Trailer Park
10. 12" Phillips ..
11. 15" Near Goldsboro Road
12.." 12" . MoCaro Industries
13. 8". Thornburg Plant
14. 15".. Hickory Highway 70E.
15. . 18 Behind Gene Davis
16. 24" West of Wallace Springs Road
17. • 8" . Days Inn..
18. 8":. Behind Indian Ridge Subdivision
19. 30" Below Queens Crest Subdivision
20. . 8" Below Queens Crest Subdivision
21. 12". Museum Road
22. 27" : Absher Property
23. 21" Behind Martin Marietta Aggregates
24.: 8" Anna Drive
25. 10" Mulberry Park
26.15" Anderson Park
27. 15" Alexander Street.
28. ' 8" Falls Street
'29. :. 8" St. Andrews Road
30.. 8" St. Cloud Drive
31.. 8" Broad Street across from Statesville Manor
32. 8" Springfield Road
33. 12" East Elementary Road
34. 24" Free Nancy Avenue
35. 12" Camden Drive
36. 16" Under 1-40 ...:.
37. 12" Amity Hill Road at Fox Den Subdivision
38. : 12" :; 1-77 at Fox Den Subdivision
39. 8" Lincoln Street
40. 12" to 42" Outfall to Fourth Creek WWTP
41. 12" to 30 Outfall to Third Creek W TP

City of Statesville .
Attachment A for condition V(4)
Collection System Information
Page 2
AERIALS
42. 24". Off Simonton Road
43. 16" ..Off Simonton Road
44. 24" Off Brookgreen Drive
45. • 24" Off Forest Park Drive
46. 24" Off Oakdale Drive •.
47. 8" . Off Lerain Court
48. 8" Off Stoneybrooke Road
49.. . 8" . • Off Camden Drive
50. • 8" Off Crowell Drive
51. • 8" • Off Lippard Street
52. 24" • Off Norwood Road
53. 24" Off Valley Stream Road
54. 8" . Off Cedar Street

FILE,„
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
October 11, 2010
Mr. Robert Hites, City Manager
City of Statesville
P.O. Box l l l l
Statesville, North Carolina 28687
Subject: Compliance Evaluation Inspection
City of Statesville Collection System
Permit No. WQCS00030
Iredell County, NC
Dear Mr. Hites:
Enclosed is a copy of the Compliance Evaluation Inspection Report for the inspection
conducted at the subject facility on September 30, 2010 by Lon Snider of this Office. Please inform
the facility's Operator -in -Responsible Charge of our findings by forwarding a copy of the enclosed
report.
It is requested that a written response be submitted by no later than November 9, 2010
regarding deficiencies found in the Operation & Maintenance Section of the subject report. In
responding, please address your response to the attention of Mr. Lon Snider of this office.
The report should be self-explanatory; however, should you have any questions concerning
this report, please do not hesitate to contact Lon Snider at 704-663-1699.
Sincerely,
tn
Robert B. Krebs
Surface Water Protection
Regional Supervisor
Enclosure
Mooresville Regional Office
Location: 610 East Center Ave., Suite 301 Mooresville, NC 28115
Phone: [phone] \ Fax: [phone] \ Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled/10% Post Consumer paper
NorthCarolina
Naturally

Compliance Inspection Report
Permit: WQCS00030 Effective: 07/09/07 Expiration: 06/30/15 Owner: City of Statesville
SOC: Effective: Expiration: Facility: Statesville Collection System
PO Box1111
County: Iredell
Region: Mooresville
Contact Person: Robert W Hites
Directions to Facility:
System Classifications: CS3,
Primary ORC: Dennis Carl Harris
Secondary ORC(s):
On -Site Representative(s):
Statesville NC 286871111
Title: Phone: [phone]
Certification: 992308 Phone: [phone]
Related Permits:
NC0020591 City of Statesville - Third Creek WWTP
NC0031836 City of Statesville - Fourth Creek WV TP
Inspection Date: 09/30/2010 Entry Time: 09:00 AM Exit Time: 01:00 PM
Primary Inspector: Lon Snide Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Collection system management and operation
Facility Status: II Compliant ❑ Not Compliant
•Question Areas:
• Miscellaneous Questions
■ Monitoring & Rpting
Reqmts
1111 Lines
■ Performance Standards
® Inspections
(See attachment summary)
• Operation & Maint Reqmts ® Records
■ Pump Station ® Manhole
Page: 1

Permit: WQCS00030 Owner - Facility: City of Statesville
Inspection Date: 09/30/2010 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Statesville is doing a good job with cleaning as evident in the low number of spills within the system.
The only concern which is also noted in the Operation & Maintenance Section of this report is the lift station inspection
logs for all stations that provide flow to the Third Creek WWTP.
DWQ will check these logs over the next year to make sure they are in compliance with Permit # WQCS00030.
Page: 2

Permit: WQCS00030 Owner - Facility: City of Statesville
Inspection Date: 09/30/2010
Inspection Type: Compliance Evaluation Reason for Visit: Routine
Performance Standards Yes No NA NE
Is Public Education Program for grease established and documented? ■ ❑ ❑ ❑
What educational tools are used?
Mailers, education days via plant tours to public and schools.
Is Sewer Use Ordinance/Legal Authority available? ■ ❑ ❑ ❑
Does it appear that the Sewer Use Ordinance is enforced? m n n ❑
Is Grease Trap Ordinance available? m n ❑ ❑
Is Septic Tank Ordinance available (as applicable, i.e. annexation) n n n ■
List enforcement actions by permittee, if any, in the last 12 months
No enforcements that were documented. Grease traps are checked twice a year and tested for compliance.
Has an acceptable Capital Improvement Plan (CIP) been implemented? m n n n
Does CIP address short term needs and long term \"master plan\" concepts'? ® n n n
Does CIP cover three to five year period? ® n ❑ n
Does CIP include Goal Statement? ® ❑ n ❑
Does CIP include description of project area? • ❑ ❑ ❑
Does CIP include description of existing facilities? pp El ❑ ❑
Does CIP include known deficiencies? e n ❑ ❑
Does CIP include forecasted future needs? ODD❑
Is CIP designated only for wastewater collection and treatment? ■ ❑ n ❑
Approximate capital improvement budget for collection system? $7,295,000.00
Total annual revenue for wastewater collection and treatment? $0.00
CIP Comments
Is system free of known points of bypass? ■ ❑ ❑ ❑
If no, describe type of bypass and location
Is a 24-hour notification sign posted at ALL pump stations? ®❑ ❑ ❑
# Does the sign include:
Instructions for notification? ®n ❑ ❑
Pump station identifier? m n n n
24-hour contact numbers ®❑ ❑ ❑
If no, list deficient pump stations
Page: 3

Inspection Date: 09/30/2010
Permit: WQCS00030 Owner - Facility: City of Statesville
Inspection Type: Compliance Evaluation Reason for Visit: Routine
# Do ALL pump stations have an "auto polling" feature/SCADA?
Number of pump stations
Number of pump stations that have SCADA
Number of pump stations that have simple telemetry
Number of pump stations that have only audible and visual alarms
Number of pump stations that do not meet permit requirements
# Does the permittee have a root control program?
# If yes, date implemented?
Describe:
They have used Dukes since the mid to early 90's.
Comment:
Inspections
Are maintenance records for sewer lines available?
Are records available that document pump station inspections?
Are SCADA or telemetry equipped pump stations inspected at least once a week?
Are non-SCADA/telemetry equipped pump stations inspected every day?
Are records available that document citizen complaints?
# Do you have a system to conduct an annual observation of entire system?
# Has there been an observation of remote areas in the last year?
Are records available that document inspections of high -priority lines?
Has there been visual inspections of high -priority lines in last six months'?
Comment:
Operation & Maintenance Requirements
Are all log books available?
Does supervisor review all log books on a regular basis?
Does the supervisor have plans to address documented short-term problem areas?
What is the schedule for reviewing inspection, maintenance, & operations logs and problem areas?
Upgrading some old pumpstations.
Are maintenance records for equipment available?
Is a schedule maintained for testing emergency/standby equipment?
What is the schedule for testing emergency/standby equipment?
n■nn
15
0
15
15
0
nnn
01/01/1995
Yes No NA NE
®nnn
®nnn
nn
nn®n
®nnn
nn
▪ nnn
:.nnn
® nnn
Yes No NA NE
®nnn
DI! nnn
nnn
nnn
nnn
Weekly under load
Page: 4

Permit: VVQCS00030 Owner - Facility: City of Statesville .
Inspection Date: 09/30/2010
Inspection Type: Compliance Evaluation Reason for Visit: Routine
Do pump station logs include:
Inside and outside cleaning and debris removal? n ® n n
Inspecting and exercising all valves? n ®❑
Inspecting and lubricating pumps and other equipment? n ® n n
Inspecting alarms, telemetry and auxiliary equipment? n ®❑ n
Is there at least one spare pump for each pump station w/o pump reliability? ®❑ ❑ ❑
Are maintenance records for right-of-ways available? ® n n n
Are right-of-ways currently accessible in the event of an emergency? on n n
Are system cleaning records available? ®n ❑ n
Has at least 10% of system been cleaned annually? ■ IT ❑ ❑
What areas are scheduled for cleaning in the next 12 months?
530,000' cleaned in 2009, 370,000' cleaned so far for 2010. 10% of system is 128,832'.
Is a Spill Response Action Plan available? ®❑ ❑ ❑
Does the plan include:
24-hour contact numbers ®n n n
Response time ®n n n
Equipment list and spare parts inventory ® n ❑ n
Access to cleaning equipment ® n ❑ n
Access to construction crews, contractors, and/or engineers ■ n ❑ ❑
Source of emergency funds 0 ❑ ❑ ❑
Site sanitation and cleanup materials • ❑ ❑ ❑
Post-overflow/spill assessment ® n n n
Is a Spill Response Action Plan available for all personnel? ❑ ❑
11
Is the spare parts inventory adequate? ®n n n
Comment: Logs for lift stations that serve the Fourth Creek VWVfP are complete and
filled out appropriately. Logs for all lift stations logs that flow to the Third Creek VVVVfP
do not include any specific information on staff inspections that is required by the permit.
These logs only included the date that the lift station was checked. DWQ will spot check
these lift station logs over the next year to see that the proper information is included.
Records
Are adequate records of all SSOs, spills and complaints available?
Are records of SSOs that are under the reportable threshold available?
Yes No NA NE
®nnn
®nnn
Page: 5

Permit: WQCS00030 Owner - Facility: City of Statesville
Inspection Date: 09/30/2010 Inspection Type: Compliance Evaluation
Reason for Visit: Routine
Do spill records indicate repeated overflows (2 or more in 12 months) at same location?
If yes, is there a corrective action plan'?
Is a map of the system available?
Does the map include:
Pipe sizes
Pipe materials
Pipe location
Flow direction
Approximate pipe age
Number of service taps
Pump stations and capacity
If no, what percent is complete?
List any modifications and extensions that need to be added to the map
None. They are still putting the whole system on GPS.
# Does the permittee have a copy of their permit?
Comment: There have been no repeat spills.
Monitoring and Reporting Requirements
Are copies of required press releases and distribution lists available'?
Are public notices and proof of publication available?
# Is an annual report being prepared in accordance with G.S. 143-215.1C?
# Is permittee compliant with all compliance schedules in the permits?
If no, which one(s)?
Comment:
BOST ST -
Manhole
Is manhole accessible?
# Is manhole cover/vent above grade?
Is the manhole free of visible signs of overflow'?
Is the manhole free of sinkholes and depressions?
Is manhole cover present?
nEnn
W HEW
n nnn
®nnn
® nnn
®nnn
■ nnn
n nn®
n nn®
®nnn
95
nnn
Yes No NA NE
n n n
n n®n
nnn
n n a n
Yes No NA NE
Wnnn
®nnn
nnn
nnn
®nnn
Page: 6

Permit: WQCS00030 Owner - Facility: City of Statesville
Inspection Date: 09/30/2010
Inspection Type: Compliance Evaluation Reason for Visit: Routine
# Is manhole properly seated?
# Is manhole in good condition?
# Is invert in good condition'?
Is line free -Flowing and unrestricted in manhole'?
Is manhole free of excessive amounts of grease?
Is manhole free of excessive roots?
Is manhole free of excessive sand?
Is manhole's extended vent screened?
Are vents free of submergence?
Are manholes free of bypass structures or pipes?
Comment:
BROOKGREEN-
Lines/Right-of-Ways/Aeriel Lines
Is right-of-way accessible for emergency?
Is right-of-way free of sinkholes or depressions'?
Is line/right-of-way free of evidence of leakage?
# Are there areas of exposed line?
# Is any exposed line constructed of ductile iron or other approved material?
Are water crossing and supports in good condition?
# Is right-of-way free of non -utility motorized traffic?
Is line free of visible damage?
# Are there siphons in this system?
If yes, are they maintained and documented?
Yes they are maintained and documented.
Comment:
CALDWELL & DURHAM AV -
Manhole
Is manhole accessible?
# Is manhole cover/vent above grade?
Is the manhole free of visible signs of overflow?
Is the manhole free of sinkholes and depressions?
®nnn
®nnn
mnnn
®nnn
® nnn
® nnn
®nnn
n n®n
n nnn
® nnn
Yes No NA NE
n nn
n nn
n nn
® nnn
n nn
® nnn
mnnn
▪ nnn
n ®nn
Yes No NA NE
® nnn
nnn
nnn
® nnn
Page: 7

Permit: WQCS00030 Owner - Facility: City of Statesville
Inspection Date: 09/30/2010
Inspection Type: Compliance Evaluation Reason for Visit: Routine
Is manhole cover present? n n n
# Is manhole properly seated'? ® n n ❑
# Is manhole in good condition? min n n
# Is invert in good condition? ❑ n ❑
Is line free -flowing and unrestricted in manhole? N n n n
Is manhole free of excessive amounts of grease? ® ❑ n ❑ -
Is manhole free of excessive roots? ® n n n
Is manhole free of excessive sand? n n n
Is manhole's extended vent screened? ❑ ❑ ® ❑
Are vents free of submergence? n n '' n
Are manholes free of bypass structures or pipes? ❑ n ❑
Comment: -
DAVIS HOSPITAL -
Pump Station Yes No NA NE
Pump station type Duplex
Are pump station logs available? n n n
Is it accessible in all weather conditions? ® n n n
# Is general housekeeping acceptable? n ❑ ❑
Are all pumps present? ❑ ❑ ❑
Are all pumps operable? ® n ❑ n
Are wet wells free of excessive debris? kin n ❑
Are upstream manholes free of excessive debris/signs of overflow'? ° n n ❑
Are floats/controls for pumps/alarms operable? n n n
Is "auto polling" feature/SCADA present? ❑ n t n
Is "auto polling" feature/SCADA operational? n n ❑
Is simple telemetry present? ® n n n
Is simple telemetry operational? ® n n n
Are audio and visual alarms present? ® n n n
Are audio and visual alarms operable? ® n ❑ n
Is the Pump station inspected as required? n n n
Page: 8

Permit: WQCS00030 Owner - Facility: City of Statesville
Inspection Date: 09/30/2010
Inspection Type: Compliance Evaluation Reason for Visit: Routine
Are backflow devices in place'?
Are backflow devices operable?
Are aft relief valves in place?
Are air relief valves operable?
# Is an emergency generator available?
Can the emergency generator run the pumps?
Is the pump station equipped for quick hook-up?
Is the generator operable?
# Is fuel in tank and sufficient'?
Is the generator inspected according to their schedule?
Is a 24-hour notification sign posted?
Does it include:
Instructions for notification?
Pump station identifier?
Emergency phone number
Is public access limited?
Is pump station free of overflow piping?
Is the pump station free of signs of overflow'?
Are run times comparable for multiple pumps?
Comment: Pump station handles a constant amount of flow from Davis Hospital.
FOREST PARK -
Lines/Right-of-Ways/Aeriel Lines
Is right-of-way accessible for emergency?
Is right-of-way free of sinkholes or depressions?
Is line/right-of-way free of evidence of leakage?
# Are there areas of exposed line?
# Is any exposed line constructed of ductile iron or other approved material?
Are water crossing and supports in good condition?
# Is right-of-way free of non -utility motorized traffic?
Is line free of visible damage?
nnn■
nnnu
nnn®
nnn®
®nnn
® nnn
nn■n
® nnn
o nnn
® nnn
o nnn
elnnn
00
®nnn
kgnnn
®nnn
®nnn
yes
Yes No NA NE
® nnn
®nnn
® nnn
■ nnn
® nnn
®nnn
®nnn
® nnn
Page: 9

Permit: WQCS00030 Owner - Facility: City of Statesville
Inspection Date: 09/30/2010
Inspection Type: Compliance Evaluation Reason for Visit: Routine
# Are there siphons in this system?
If yes, are they maintained and documented?
Yes line is maintained and documented.
Comment:
HATFIELD RD -
Pump Station
Pump station type
Are pump station logs available?_
Is it accessible in all weather conditions?
# Is general housekeeping acceptable?
'Are all pumps present?
Are all pumps operable?
Are wet wells free of excessive debris?
Are upstream manholes free of excessive debris/signs of overflow?
Are floats/controls for pumps/alarms operable?
Is "auto polling" feature/SCADA present?
Is "auto polling" feature/SCADA operational?
Is simple telemetry present?
Is simple telemetry operational?
Are audio and visual alarms present?
Are audio and visual alarms operable'?
Is the Pump station inspected as required?
Are backflow devices in place?
Are backflow devices operable?
Are air relief valves in place?
Are air relief valves operable?
# Is an emergency generator available?
Can the emergency generator run the pumps?
Is the pump station equipped for quick hook-up?
Is the generator operable?
# Is fuel in tank and sufficient?
Yes No NA NE
Duplex
▪ nnn
® nnn
®nnn
• nnn
nn
nnn
® nnn
®nnn
nn n
nn®n
n nn
nnn
®nnn
®nnn
Finnn
n nn®
n nn
nnn::
n nn;
pinnn
nnn
El El
n nn
n nn
Page: 10

Permit: WQCS00030 Owner - Facility: City of Statesville
Inspection Date: 09/30/2010
Inspection Type: Compliance Evaluation Reason for Visit: Routine
Is the generator inspected according to their schedule?
Is a 24-hour notification sign posted?
Does it include:
Instructions for notification?
Pump station identifier?
Emergency phone number
Is public access limited?
Is pump station free of overflow piping?
Is the pump station free of signs of overflow? •
Are run times comparable for multiple pumps?
Comment:
KENNEDY -
Pump Station
Pump station type
Are pump station logs available?
Is it accessible in all weather conditions?
# Is general housekeeping acceptable?
Are all pumps present?
Are all pumps operable?
Are wet wells free of excessive debris?
Are upstream manholes free of excessive debris/signs of overflow?
Are floats/controls for pumps/alarms operable?
Is "auto polling" feature/SCADA present?
Is "auto polling" feature/SCADA operational?
Is simple telemetry present?
Is simple telemetry operational?
Are audio and visual alarms present?
Are audio and visual alarms operable?
Is the Pump station inspected as required?
Are backflow devices in place?
■ nnn
® nnn
® nnn
• nnn
▪ 11 FT
® nnn
® nnn
e nnn
yes
Yes No NA NE
Duplex
® nnn
® fin n
■ nnn
® nnn
® nnn
lnnn
® nnn
nnn
n n :j n
nn®n
nnn
®nnn
■ nnn
Ili nnn
® nnn
nnn®
Page: 11

Permit: WQCS00030 Owner - Facility: City of Statesville
Inspection Date: 09/30/2010 Inspection Type: Compliance Evaluation
Reason for Visit: Routine
Are backflow devices operable?
Are air relief valves in place?
Are air relief valves operable?
# Is an emergency generator available?
Can the emergency generator run the pumps?
Is the pump station equipped for quick hook-up?
Is the generator operable?
# Is fuel in tank and sufficient?
Is the generator inspected according to their schedule?
Is a 24-hour notification sign posted?
Does it include:
Instructions for notification?
Pump station identifier?
Emergency phone number
Is public access limited?
Is pump station free of overflow piping'?
Is the pump station free of signs of overflow'?
Are run times comparable for multiple pumps?
Comment: Can bypass the pump station if electricity and generator fail.
PARK DRIVE -
Pump Station
Pump station type
Are pump station logs available?
Is it accessible in all weather conditions?
# Is general housekeeping acceptable?
Are all pumps present?
Are all pumps operable?
Are wet wells free of excessive debris?
Are upstream manholes free of excessive debris/signs of overflow?
Are floats/controls for pumps/alarms operable?
nnn
n nn®
n nn
nnn
® nnn
nn®n
12nnn
® nnn
®nnn
® nnn
nnn
n nn
n nn
® nnn
t;� nnn
• nnn
Yes
Yes No NA NE
Duplex
®nnn
® nnn
®nnn
® nnn
nnn
nn
® nnn
nnn
Page: 12

Permit: WQCS00030 Owner - Facility: City of Statesville
Inspection Date: 09/30/2010
Inspection Type: Compliance Evaluation Reason for Visit: Routine
Is "auto polling" feature/SCADA present?
Is "auto polling" feature/SCADA operational?
Is simple telemetry present?
Is simple telemetry operational?
Are audio and visual alarms present?
Are audio and visual alarms operable?
Is the Pump station inspected as required?
Are backflow devices in place?
Are backflow devices operable?
Are air relief valves in place?
Are air relief valves operable?
# Is an emergency generator available?
Can the emergency generator run the pumps?
Is the pump station equipped for quick hook-up?
Is the generator operable?
# Is fuel in tank and sufficient?
Is the generator inspected according to their schedule?
Is a 24-hour notification sign posted?
Does it include:
Instructions for notification?
Pump station identifier?
Emergency phone number
Is public access limited?
Is pump station free of overflow piping?
Is the pump station free of signs of overflow'?
Are run times comparable for multiple pumps?
Comment: Pump station is above ground type.
SEVENTH ST -
Manhole
Is manhole accessible?
nn®n
nn®n
® nnn
® nnn
® nnn
®nnn
® nnn
n nn■
nnn
nnn.
nnn®
mnnn
:.,nnn
® nnn
®nnn
®nnn
mnnn
® nnn
■ nnn
■ nEln
® nnn
.nnn
▪ nnn
nnn
yes
Yes No NA NE
nnn
Page: 13

Permit: WQCS00030 Owner - Facility: City of Statesville
Inspection Date: 09/30/2010 Inspection Type: Compliance Evaluation
Reason for Visit: Routine
# Is manhole cover/vent above grade?
Is the manhole free of visible signs of overflow?
Is the manhole free of sinkholes and depressions?
Is manhole cover present?
# Is manhole properly seated?
# Is manhole in good condition?
# Is invert in good condition?
Is line free -flowing and unrestricted in manhole?
Is manhole free of excessive amounts of grease?
Is manhole free of excessive roots?
Ismanhole free of excessive sand'?
Is manhole's extended vent screened?
Are vents free of submergence?
Are manholes free of bypass structures or pipes?
Comment:
SHELTON AVE -
Manhole
Is manhole accessible?
# Is manhole cover/vent above grade?
Is the manhole free of visible signs of overflow?
Is the manhole free of sinkholes and depressions?
Is manhole cover present?
# Is manhole properly seated?
# Is manhole in good condition?
# Is invert in good condition?
Is line free -flowing and unrestricted in manhole?
Is manhole free of excessive amounts of grease?
Is manhole free of excessive roots?
Is manhole free of excessive sand?
Is manhole's extended vent screened?
annn
nnn
®nnn
® nnn
annn
® nnn
annn
® nnn
®nnn
® nnn
annn
nn®n
nn®n
® nnn.
Yes No NA NE
® Finn
® nnn
® nnn
annn
®nnn
n nn
n nn
n nn
annn
®nnn
®nnn
n nn
nn=;:n
Page: 14

Permit: WQCS00030 Owner - Facility: City of Statesville
Inspection Date: 09/30/2010
Inspection Type: Compliance Evaluation Reason for Visit: Routine
Are vents free of submergence?
Are manholes free of bypass structures or pipes?
Comment:
SIMONTON RD -
Lines/Right-of-Ways/Aeriel Lines
Is right-of-way accessible for emergency?
Is right-of-way free of sinkholes or depressions?
Is line/right-of-way free of evidence of leakage?
# Are there areas of exposed line?
# Is any exposed line constructed of ductile iron or other approved material?
Are water crossing and supports in good condition?
# Is right-of-way free of non -utility motorized traffic?
Is line free of visible damage?
# Are there siphons in this system?
If yes, are they maintained and documented?
Aeriel lines are maintained and documented.
Comment: Inspected two lines, one was a 18" the other a 24" that come together at a
manhole that was also inspected.
SIMONTON RD -
Manhole
Is manhole accessible?
# Is manhole cover/veht above grade?
Is the manhole free of visible signs of overflow?
Is the manhole free of sinkholes and depressions?
Is manhole cover present?
# Is manhole properly seated?
# Is manhole in good condition?
# Is invert in good condition?
Is line free -flowing and unrestricted in manhole?
Is manhole free of excessive amounts of grease?
Is manhole free of excessive roots?
nn■D
■ DDD
Yes No NA NE
■ nnn
▪ El El
■ nnn
■nnn
■ nnn
■ O D
■ ODD
■ODD
D■DD
Yes No NA NE
■ ODD
■ DOD
■ ODD
■ ODD
■ D D ❑
DD
■ ODD
■ ODD
■ ODD
■ ODD
■ D D D
Page: 15

Permit: WQCS00030 Owner - Facility: City of Statesville
Inspection Date: 09/30/2010 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Is manhole free of excessive sand?
Is manhole's extended vent screened?
Are vents free of submergence?
Are manholes free of bypass structures or pipes?
Comment:
STOCKTON ST -
Manhole
Is manhole accessible?
# Is manhole cover/vent above grade?
Is the manhole free of visible signs of overflow?
Is the manhole free of sinkholes and depressions?
Is manhole cover present?
# Is manhole properly seated?
# Is manhole in good condition?
# Is invert in good condition?
Is line free -flowing and unrestricted in manhole?
Is manhole free of excessive amounts of grease?
Is manhole free of excessive roots?
Is manhole free of excessive sand?
Is manhole's extended vent screened?
Are vents free of submergence?
Are manholes free of bypass structures or pipes?
Comment:
TRADD ST -
Manhole
Is manhole accessible?
# Is manhole cover/vent above grade?
Is the manhole free of visible signs of overflow?
Is the manhole free of sinkholes and depressions?
Is manhole cover present?
■ nnn
El nun
nnan
® nnn
Yes No NA NE
■ nnn
■ nnn
■ nnn
■ nnn
■ nnn
• nnn
■ nnn
■ nnn
• nnn
■ nnn
e nnn
■ nnn
n n.•n
n n■n
■ nnn
Yes No NA NE
■ nnn
■ nnn
■ nnn
■ nnn
.•nnn
Page: 16

Permit: WQCS00030 Owner - Facility: City of Statesville
Inspection Date: 09/30/2010
Inspection Type: Compliance Evaluation Reason for Visit: Routine
# Is manhole properly seated?
# Is manhole in good condition?
# Is invert in good condition?
Is line free -flowing and unrestricted in manhole?
Is manhole free of excessive amounts of grease?
Is manhole free of excessive roots?
Is manhole free of excessive sand?
Is manhole's extended vent screened?
Are vents free of submergence?
Are manholes free of bypass structures or pipes?
Comment:
WINTER DR -
Manhole
Is manhole accessible?
# Is manhole cover/vent above grade'?
Is the manhole free of visible signs of overflow?
Is the manhole free of sinkholes and depressions?
Is manhole cover present?
# Is manhole properly seated?
# Is manhole in good condition?
# Is invert in good condition?
Is line free -flowing and unrestricted in manhole?
Is manhole free of excessive amounts of grease?
Is manhole free of excessive roots?
Is manhole free of excessive sand?
Is manhole's extended vent screened?
Are vents free of submergence'?
Are manholes free of bypass structures or pipes?
Comment:
▪ ono
®nnn
▪ nnn
▪ nn
• nn
® nnn
nn
nn®n
® oun
® nnn
Yes No NA NE
® nnn
® nnn
rat nnn
▪ nnn
vnnn
Ennn
nnn
n n n
n
® Fin n
®nnn
® nnn
nnrn
nn::zn
nnn
Page: 17

Statesville Water
Resources Department
P.O. Box 1111
Statesville, NC
28687.1111
704-878-3438
www.ci,statesville.nc.us
2006 Wastewater System
Performance Report
City of Statesville Water Resources Department
February, 2007
City operates outstanding Wastewater System
We're pleased
to present to
you this year's
Annual Waste-
water System
Performance
Report. This
report is
designed to
inform you
about the outstanding wastewater services we
provide. The City of Statesville owns and operates
the City's wastewater treatment system, which is
comprised of the collection system and two waste-
water treatment plants. Our mission is to treat and
dispose of wastewater and residuals generated by
the users in the most cost efficient manner possible;
and because we are committed to environmental
excellence, to do this without imposing an adverse
impact on the environment.
During 2006, Statesville treated an average of
4.34 million gallons of wastewater per day. Waste-
water is collected from homes, businesses and in-
dustries through approximately 240 miles of sewer
lines within Statesville and the immediate area.
This wastewater is biologically treated at either
the Fourth Creek Wastewater Treatment Plant
(NPDES Permit NO. NC0031836) or the Third Creek
Waste -water Treatment Plant (NPDES Permit No.
NC0020591) under a Federal permit of the National
Pollution Discharge Elimination System (NPDES)
Program.
Treated water must meet quality limitations set
out in the permit. Failure to meet these limits is a
violation of the permit and sanctions may be
THIRD CREEK
Parameter Tested
Flow
BOD, 5-day, 20° C
Total Suspended Residue
NH3 as N
Dissolved Oxygen
Fecal Coliform
and FOURTH CREEK
Test Frequency
Continuous
Daily
Daily
Daily
Daily
Daily
Total Residual Chlorine Daily
Temperature Daily
Conductivity Daily
Cadmium (3rd Creek only) Weekly
Cyanide (3rd Creek only) Weekly
Chronic Toxicity Quarterly
Test Results
Compliant
Compliant
Compliant
3rd Creek, non-
compliant, Feb.
Compliant
Compliant
Compliant
3rd Creek, non -
Compliant, Sept.
Compliant
Compliant
Compliant
Compliant
Compliant
Compliant
imposed by the NC Division of Water Quality. In
addition, the permit contains sampling, reporting
and testing requirements.
The treated water is returned to the environ-
ment via a receiving stream: Third Creek or
Fourth Creek. Residuals generated during treat-
ment are processed into an alkaline product
called STA-LIME that is given to local farmers at
no cost. We also land apply some residuals as a
Class B product under a separate Land
Application Permit.
In accordance with Federal and State laws, we
routinely monitor the performance of the waste-
water treatment system and the treated water that
is retumed to the environment and the receiving stream.
The fable included with this report shows the resufs of our
monitoring for the period January 1, 2006 to December 31, 2006.
Sanitary Sewer Overflows
January 4, 2006: Eight -inch sewer line at intersection
of Valley St. and Longdale Dr. Approximately 750
gallons escaped and reached surface water. No
known environmental impact.
June 15, 2006: Six-inch line behind 1908 Fifth St. ext.
Approximately 500 gallons escaped and reached
surface water °;No known environmental impact.
Because of the different constituents found in the waste-
water, sewer lines can become plugged or tree roots can
damage the sewer lines and cause wastewater to overflow
out of the collection system. The City of Statesville
employs a staff of 21 to ensure that the collection system is
maintained properly and the collection system spills are
handled quickly. To contact the city in case of an overflow,
call 704-878-3438. After working hours, call 704-878-3406.
Statesville Wastewater Treatment
If you have questions about the City's waste-
water system or this report, call Jerry Byerly,
Assistant Director of Water Resources, at
704-878-3438.
If you want to learn more about Statesville's
wastewater system, attend any of City Council's
regularly schedule meetings, first and third Mon-
day nights each month at 7:30 p.m. in the council
chambers of the City Hall building, 227 S. Center
St. These meetings are broadcast live on the
City's Government channel, cable channel 20.

tA

North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary',
January 6, 2010
Robert W Hites, Jr
Statesville Collection System
PO Box 1111
Statesville, NC 286871111
S I f.4O1 L' 2�JIQ
Subject: System -Wide Wastewater Collection System Permit Expiration Date
Permit Number WQCS00030
Statesville Collection System
Iredell County
Dear Robert W Hites, Jr:
Due to the recent enactment of SL 2009-406 (or SB 831), An Act to Extend Certain Government
Approvals Affecting the Development of Real Property Within the State, the expiration date of
all system -wide wastewater collection system permits is being extended by three (3) years. The
new expiration date for the Statesville Collection System Permit WQCS00030 is 06/30/15. A
permit renewal application is due six months prior to the extended expiration date.
If you have any questions or concerns, please contact me at [phone] or via email
[D eborah. Gore@ncdenr. gov] .
Sincerely,
Deborah Gore
PERCS Unit Supervisor
cc: Central Files
Surface Water Protection Section Regional Office Supervisor
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
North Carolina
!atiartil j
An Equal Opportunity 1 Affirmative Action Employer

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
July 9, 2007
CERTIFIED MAIL/RETURN RECEIPT
Robert W. Hites Jr., City Manager
City of Statesville
P.O. Box 1111
Statesville, NC 28687
Subject: Permit No. WQCS00030
City of Statesville
Wastewater Collection System
Iredell County
Dear Mr. Hites:
In accordance with your application received on August 7, 2006, we are forwarding herewith Permit
No.WQCS00030, dated July 9, 2007, to the City of Statesville for the operation and maintenance of the
subject wastewater collection system.
This permit shall be effective from the effective date of July 9, 2007 until June 30, 2012. This permit shall
be subject to the conditions and limitations specified herein. It is your responsibility to thoroughly review
this permit. Please pay particular attention to the monitoring and reporting requirements in this permit
and any compliance schedules shown in bold.
For purposes of permitting, the collection system is considered to be any existing or newly installed
system extension up to the wastewater treatment facility property or point of connection with a
separately owned sewer system. The collection system is considered all gravity lines, pump stations,
force mains, low pressure sewer systems, STEP systems, vacuum systems, etc. and associated piping,
valves and appurtenances that help to collect, manage and transport wastewater to a wastewater
treatment plant under the Permittee's ownership or maintained and operated by the Permittee through
a perpetual legal agreement. Satellite systems are systems tributary to the Permittee's collection system
but those collection systems are not owned or maintained by the Permittee. The system description
provided on Page 1 of this permit is meant to provide a general idea about the size of the system and
may not be all inclusive of the collection system at the time of permit issuance or afterward.
A release of wastewater from the wastewater collection system is referred to herein as a Sanitary Sewer
Overflow (SSO). The evaluation of enforcement options after a SSO will be determined considering the
criteria listed in condition 1(2) (a) and I (2) (b) of the permit and all other relevant information available or
requested of the Permittee. Compliance with all conditions of the permit as well as all statutes and
regulations pertaining to the collection system must be maintained or appropriate enforcement actions
may be taken as noted in Condition VI(2).
horthCarolina
aturaiij
Pretreatment, Emergency Response and Collection Systems Unitlnternet http://h2o.enr.state.nc.us/ndpu
1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone [phone] Fax [phone]
DENR Customer Service Center Telephone [phone]
cnor

r!
Mr. Robert W. Hites, Jr
July 9, 2007
Page 2
A reportable SSO is a SSO greater than 1,000 gallons to the ground or a SSO of any amount that reaches
surface water (including through ditches, storm drains, etc.) Below is the procedure to use for reporting
SSOs to the Division:
Report by telephone to a Division of Water Quality staff member (not facsimile or voicemail) at
your regioral DWQ office during regular business hours (Monday to Friday, 8AM to 5PM) as soon
as possible, but in no case more than 24 hours after the SSO is known or discovered. To report
outside of regular business hours, call [phone].
2. Follow up the verbal report by sending.a completed written report on the most current Division
approved form within five days.
To provide a uniform method for all systems covered under this permit and to provide useful and
consistent information pertaining to SSOs, a new spill reporting form has been developed (October
2003). Form CS-SSO consists of two parts. Part I serves to provide to the Division the required information
that has always been necessary. Part II serves as an area to provide a justification for the spill, as
optional under Condition 1(2) of your permit. Form CS-SSO can be downloaded from
http://h2o.enr.state.nc.us/peres/Collection%20Systems/CollectionSystemsHome.html from the SSO
Reporting area.
An NOV, civil penalty, and/or a moratorium on the addition of waste to the system may be issued if
adequate justification for an SSO is NOT submitted to the regional office. In order to submit a claim for
justification of an SSO, you must use the Form CS-SSO with additional documentation as necessary.
DWQ staff will review the justification claim and determine if enforcement action is appropriate. Please
be advised that the information needed to justify a spill is very comprehensive. Begin using this form
immediately to report SSOs from the collection system. Continue to use our old form for reporting
bypasses at the wastewater treatment plant until further notice. The time frame for submittal of both
Part I and Part II, if pertinent, is five days.
Failure to abide by the conditions in this permit may subject the Permittee to enforcement action. 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 thirty days following the receipt of this
permit. This request must be in the form of a written petition, conforming to Chapter 150B of the 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 have questions regarding compliance contact your regional office or Jeff Poupart of the
Pretreatment, Emergency Response and Collection Systems Unit of the North Carolina Division of Water
Quality at [phone] extension 527. If you need additional information concerning this permit,
please contact Deborah Gore in the Pretreatment, Emergency Response and Collection Systems Unit at
[phone] extension 593.
Sincerely,
Coleen H. Sullins
cc: Iredell County Health Department
Mooresville Regional Office, Surface Water Protection Section
Collection System ORC, City of Statesville, P.O. Box 1111, Statesville, NC, 28687
Technical Assistance and Certification Unit
Water Quality Central Files
PERCS Files
7 Pormi+ Mu ,mhcr wnrcnnn-4n

t,
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
SYSTEM -WIDE WASTEWATER COLLECTION SYSTEM PERMIT
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
CITY OF STATFSVILLF
IREDELL COUNTY
FOR THE
operation and maintenance of a wastewater collection system consisting of, at the time of permit
issuance, approximately 244 miles of gravity sewer, approximately 7 miles of force main, 13 duplex
pump stations, and all associated piping, valves, and appurtenances required to make a complete
and operational wastewater collection system to serve Johnston County and any deemed permitted
satellite communities, pursuant to the application received on August 7, 2006, and in conformity with
the documents referenced therein and other supporting data subsequently filed and approved by the
Department of Environment and Natural Resources and considered a part of this permit.
This permit shall be effective from the July 9, 2007 until June 30, 2012 and shall be subject to the
following specified conditions and limitations:
PERFORMANCE STANDARDS
1. The sewage and wastewater collected by this system shall be treated in the City of Statesville 3rd
Creek Wastewater Treatment Facility (NC 0020591) or the City of Statesville 4th Creek
Wastewater Treatment Facility (NC 0031836) prior to being disposed into the receiving stream.
This collection system permit will be referenced upon renewal or modification of your NPDES
permit(s).
1 Permit Number WQCS00030

r_
2. The wastewater collection system shall be effectively managed, maintained and operated at all
times so that there is no SSO to land or surface waters, nor any contamination of groundwater. In
the event that the wastewater collection system fails to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall take immediate corrective actions, including
actions that may be required by the Division of Water Quality (Division), such as the construction
of additional or replacement sewer lines and/or equipment.
.The Director may take enforcement action against the Permittee for SSOs that must be reported
to the Division as stipulated in Condition IV(2). This includes SSOs that were caused by severe
natural conditions orexceptional events unless the Permittee demonstrates through properly
signed, contemporaneous operating logs, or other relevant evidence that:
a) The SSO was caused by severe natural conditions; there were no feasible alternatives to
the SSO, such as the use of auxiliary treatment facilities, retention of untreated
wastewater, reduction of inflow and infiltration, use of adequate back-up equipment, or
an increase in the capacity of the system. This provision is not satisfied if, in the exercise
of reasonable engineering judgment, the Permittee should have installed auxiliary or
additional collection system components, wastewater retention or treatment facilities,
adequate back-up equipment or should have reduced inflow and infiltration; or
b) the SSO was exceptional, unintentional, temporary and caused by factors beyond the
reasonable control of the Permittee; the SSO could not have been prevented by the
exercise of reasonable control, such as proper management, operation and
maintenance; adequate treatment facilities or collection system facilities or components
(e.g., adequately enlarging treatment or collection facilities to accommodate growth or
adequately controlling and preventing infiltration and inflow); preventive maintenance;
or installation of adequate back-up equipment;
The Permittee can submit a claim to the Division Regional Office that the SSO meets the criteria
of this condition. The Permittee has the option of submitting this claim along with the spill report
required by Condition IV(2) (i.e., within five days) in order to be considered for immunity from
enforcement action. Form CS-SSO Part II, or most current Division approved form, shall be used
for any claims. The Permittee has the burden of proof that the above criteria have been met.
3. The Permittee shall establish by ordinance its legal authority to require new sewers be properly
constructed; to ensure proper inspection and testing of sewer mains and service laterals; to
address flows from satellite systems and to take enforcement action as required by Condition
1(4).
4. The Permittee shall develop and implement an educational fats, oils and grease program
targeted at both residential and non-residential users. The Permittee shall also develop and
implement an enforceable fats, oils and grease program for non-residential users under which
the Permittee can take enforcement against users who have not properly installed, operated
and maintained grease traps or grease interceptors as directed or otherwise violated the terms
of the local ordinance pertaining to fats, oils and grease. -
The Permittee shall adopt and implement a Capital Improvement Plan (CIP) to designate
funding for reinvestment into the wastewater collection system infrastructure. The CIP should
address the short-term needs and long-term "master plan" concepts. The CIP should typically
cover a three to five year period and include a goal statement, description of the project area,
description of the existing facilities, known deficiencies (over a reasonable period) and
forecasted future needs. Cost analysis is integral to the CIP.
2 Permit Number WQCS00030

6._ Existing overflow piping from manholes and pump stations, excluding piping to approved
equalization structures, known or discovered after permit issuance shall be immediately
removed or permanently capped. Plugged emergency pumping connections are allowable for
portable pumping or rerouting without intentionally bypassing the wastewater treatment facility.
,7. The Permittee. shall maintain a contingency plan for pump failure at each pump station. If one
of the pumps in a pump station containing multiple pumps fails, the process of repairing or
replacing the -pump shall.be:initiated immediately and the new parts or pump shall be installed
as soon as. possible. If the pump in a simplex pump station fails, it shall bereplacedimmediately.
8. Each pump station shall be clearly and conspicuously posted with a pump station identifier and
an emergency contact telephone number at which an individual who can initiate or perform
emergency service for the wastewater collection system 24 hours per day, seven days per week
can be contacted. This emergency contact telephone number shall be coupled with
instructions that the emergency contact should be called if the visual alarm illuminates; if the
audible alarm sounds, or if an emergency is apparent.
9. Pump station sites, -equipment and components shall have restricted access, per 15A NCAC 02T
.305(h) (4).
10. Pump stations that do not employ an automatic polling feature (Le. routine contact with pump
stations from a central location to check operational status of the communication system) shall
have both audible and visual high water alarms. The alarms shall be weather-proof and placed
in a clear and conspicuous location. Permits issued for the construction of pump stations that
included high water alarms in the description must maintain the alarms even if simple telemetry
(i.e. notification of an alarm condition initiated by the pump station control feature) is installed.
11 For all newly constructed, modified and rehabilitated pump stations, all equipment and
components located within the pump station shall be corrosion -resistant "and components in
close proximity of the pump station shall be sealed within a corrosion -resistant coating or
encasement.
12. All construction and rehabilitation of the wastewater collection system (i.e., permitted or
deemed permitted) shall be scheduled to minimize the interruption of service by the existing
utilities. Construction and rehabilitation shall not result in the violation of Condition (1) (2) of this
permit.
II. OPERATION AND MAINTENANCE REQUIREMENTS
1. Upon classification of the collection system by the Water Pollution Control System Operators
Certification Commission (WPCSOCC), the Permittee shall designate and employ a certified
operator to be in responsible charge (ORC) and one or more certified operator(s) to be back-up
ORC(s) of the facilities in accordance with 15A NCAC 8G .0201. The ORC shall visit the system
within 24 hours of knowledge of a bypass, spill, or overflow of wastewater from the system, unless
visited by the Back -Up ORC, and shall comply with all other conditions of 15A NCAC 8G .0204.
2. The Permittee shall develop and adhere to a schedule for reviewing all inspection,
maintenance, operational and complaint logs. If the review process results in the identification
of any recurring problem in the wastewater collection system, that cannot be resolved in a short
time period, the Permittee shall establish a plan for addressing the problem(s).
3. The Permittee shall develop and adhere to a schedule for testing emergency and standby
equipment.
3 Permit Number WQCS00030

4. The Permittee shall develop and implement a routine pump station inspection and maintenance
program, which shall include, but not be limited to, the following maintenance activities:
a. Cleaning and removing debris from the pump station structure, outside perimeter, and
wet well;
b. Inspecting and exercising all valves;
c Inspecting and lubricating pumps and other mechanical equipment according to the
manufacturer's recommendations; and
- d. _Verifying the proper operation of the alarms, telemetry system and auxiliary equipment.
5. For each pump station without pump reliability (i.e. simplex pump stations serving more than a
single building or pump stations not capable of pumping at a rate of 2.5 times the average daily
flow rate with the largest pump out of service), at least one fully operational spare pump
capable of pumping peak flow shall be maintained on hand.
6. The Permittee shall maintain on hand at least two percent of the number of pumps installed, but
no less than two pumps, that discharge to a pressure sewer and serve a single building, unless
the Permittee has the ability to purchase and install a replacement pump within 24 hours of first
knowledge of the simplex pump failure or within the storage capacity provided in any sewer line
extension permit._
7. Rights -of -way and/or easements shall be properly maintained to allow accessibility to the
wastewater collection system unless the Permittee can demonstrate the ability to gain
temporary access in an emergency situation where existing land -use conditions do not allow the
establishment and maintenance of permanent access. In this case, the Permittee shall continue
to observe the lines visually, utilize remote inspection methods (e.g. CCTV) and use the
opportunity of drier conditions to perform further inspections and necessary maintenance.
8. The Permittee shall assess cleaning needs, and develop and implement a program for
appropriately cleaning, whether by hydraulic or mechanical methods, all sewer lines. At least 10
percent of the wastewater collection system, selected at the discretion of the ORC, shall be
cleaned each year. Preventative cleaning is not required for sewer lines less than five years old
unless inspection otherwise reveals the need for cleaning or cleaning is required by a sewer line
extension permit.
9. Adequate measures shall be taken to contain and properly dispose of materials associated with
SSOs. The Permittee shall maintain a Response Action Plan that addresses the following
minimum items:
a. Contact phone numbers for 24-hour response, including weekends and holidays;
b. Response time;
c. Equipment list and spare parts inventory;
d. Access to cleaning equipment;
e. Access to construction crews, contractors and/or engineers;
f. Source(s) of emergency funds;
g. Site sanitation and clean up materials; and
h. Post-SSO assessment. .
10. The Permittee, or their authorized representative, shall conduct an on -site evaluation for all SSOs
as soon as possible, but no more than two hours after first knowledge of the SSO.
11. In the event of a SSO or blockage within the wastewater collection system, the Permittee shall
restore the system operation, remove visible solids and paper, sanitize any ground area and
restore the surroundings.
Permit Number WQCS00030

III. RECORDS
1. Records shall be maintained to document compliance with Conditions 1(4), 11(2) - 11(4), 11(7) - 11(8),
IV(3) and V(1) -V(4). Records shall be kept on file fora minimum of three years.
2. The Permittee shall maintain adequate records pertaining to SSOs, and complaints for a
minimum of three years. These records shall include, but are not limited to, the following
information:
a. Date of SSO or complaint;
b. Volume of wastewater released as a result of the SSO and/or nature of complaint;
c. Location of the SSO and/or complaint;
d. Estimated duration of the SSO;
e. Individual from the Division who was informed about the SSO and/or complaint, when
applicable;
f. Final destination of the SSO;
g. Corrective actions;
h. Known environmental/human health impacts resulting from the SSO; and
i. How the SSO was discovered.
3. The Permittee shall maintain an up-to-date, accurate, comprehensive map of its wastewater
collection system that also notes the locations where other wastewater collection systems
become tributary. If a comprehensive map of the collection system has not been established, a
rough sketch shall be drawn. The Permittee shall map approximately 10 percent of its existing
collection system each year for the next five years, or until complete, whichever is sooner. The
comprehensive map shall include, but is not limited to: pipe size, pipe material, pipe location,
flow direction, approximate pipe age, number of active service taps, and each pump station
identification, location and capacity.
4. The Permittee shall maintain records of all of the modifications and extensions to the collection
system permitted herein. The Permittee shall maintain a copy of the construction record
drawings and specifications for modifications/extensions to the wastewater collection system for
the life of the modification/extension. Information concerning the extension shall be
incorporated into the map of the wastewater collection system within one year of the
completion of construction. The system description contained within this permit shall be updated
to include this modification/extension information upon permit renewal.
IV. MONITORING AND REPORTING REQUIREMENTS
1. Any monitoring (including, but not necessarily limited to, wastewater flow, groundwater, surface
water, soil or plant tissue analyses) deemed necessary by the Division to ensure surface water
and groundwater protection will be established, and an acceptable sampling and reporting
schedule shall be followed.
Permit Number WQCS00030

2. The Permitteeshallverbally report to a Division of Water Quality staff member at the Mooresville
Regional Office, at telephone number 704-663-1699 as soon as possible, but in no case more
than 24 hours following the occurrence or first knowledge of the occurrence of either of the
following:
a. Any SSO and/or spill over 1,000 gallons; or
- b.-Any SSO and/or spill, regardless of volume, that reaches surface water.
Voice mail messages or faxed information shall not be considered as the initial verbal report.
SSOs;(and other types of spills) occurring outside normal business hours may also be reported to
the Division of Emergency Management at telephone number [phone] or [phone].
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.
3. The Permittee shall meet the annual reporting and -notification requirements provided in North
Carolina General Statute § 143-215.1 C. .
V. INSPECTIONS
1. The Permittee or the Permittee's designee shall inspect the wastewater collection system
regularly to reduce the risk of malfunctions and deterioration, operator errors, and other issues
that may cause or lead to the release of wastes to the environment, threaten human health or
create nuisance conditions. The Permittee shall keep an inspection log or summary including, at
a minimum, the date and time of inspection, observations made, and any maintenance,
repairs, or corrective actions taken by the Permittee. .
2. Pump stations without Supervisory Control and Data Acquisition (SCADA) systems or telemetry
shall be inspected everyday (i.e. 365 days per year). Pump stations equipped with SCADA.
systems or telemetry shall be inspected at least once per week.
3 A. general observation of the entire collection system shall be performed throughout the course
of every year.
4. Inspections of all high priority lines (i.e. aerial line, sub -waterway crossing, line contacting surface
waters, siphon, line positioned parallel to stream banks that are subject to eroding in such a
manner that may threaten the sewer line, or line designated as high -priority in a permit) shall be
performed at least once per every six month period of time. A list of high -priority lines is
presented as Attachment A and is hereby incorporated into this permit condition. New high
priority lines installed or identified after permit issuance are incorporated by reference and
subject to this permit condition until permit renewal where they shall be referenced in writing in
Attachment A.
VI. GENERAL CONDITIONS
1. This permit is not transferable. In the event that the Permittee desires to transfer ownership of the
wastewater collection system or there is a name change of the Permittee, a formal permit
modification request shall be submitted to the Division. The request shall be accompanied by
documentation from the parties involved, and other supporting materials as may be
appropriate. Such request will be considered on its merits and may or may not be approved.
2. Failure to abide by the conditions and limitations contained in this permit may subject the
Permittee to an enforcement action by the Division in accordance with North Carolina General
Statute § 143-215.6A through § 143-215.6C, and a sewer moratorium may be established.
6 Permit Number WQCS00030

3. The issuance of this permit does not exempt the Permittee from complying with any and all
statutes, rules, regulations, or ordinances that may be imposed by other government agencies
(i.e., local, state, and federal) having jurisdiction, including but not limited to applicable river
buffer rules in 15A NCAC 2B .0200,. soil erosion and sedimentation control requirements in 15A
NCAC Chapter 4 and under the Division's General Permit NCG010000, and any requirements
pertaining to wetlands under 15A NCAC 2B .0200 and 15A NCAC 02T .0100 and all_applicable
North Carolina Occupational Safety and Health Act health and safety standards.
4 The issuance of this permit does not prohibit the Division from reopening and modifying the
permit, revoking: and reissuing the permit or terminating the permit as allowed by the laws, rules,
and regulations contained in I5A NCAC 02T .0100 and North Carolina General Statute §143-215.1
et. al., or as needed to address changes in federal regulations with respect to the wastewater
collection system.
5. The Permittee shall pay the annual fee within thirty (30) days after being billed by the Division.
Failure to pay the fee accordingly may cause the Division to initiate action to revoke this permit
as specified by 15A NCAC 02T .01 10(4).
6. The Permittee shall request renewal of this permit at least six months prior to the expiration of this
permit. Upon receipt of the request, the Commission will review the adequacy of the
wastewater collection system described therein, and if warranted, will extend the permit for a
period of time and under such conditions and limitations, as the Commission may deem
appropriate.
7. The Permittee shall notify the Division's Pretreatment, Emergency Response and Collection
Systems Unit in writing at 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 of any
changes to the name and/or address of the responsible party.(i.e. mayor, city/town manager)
of the wastewater collection system.
8 _ Any duly authorized officer, employee, or representative of the Division may, upon presentation
of credentials, enter and inspect any property, premises or place on or related to the collection
system at any reasonable time for the purpose of determining compliance with this permit, may
inspect or copy any records that must be maintained under the terms and conditions of this
permit, and may obtain samples of wastewater, groundwater, surface water, soil, or plant tissue.
Permit issued this the 9th day of July 2007
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQCS00030.
7 Permit Number WQCS00030

CITY OF STATESVILLE
COLLECTION SYSTEM INFORMATION
ATTACHMENT A for Condition V(4)
CREEK CROSSINGS:
36" .• Behind Mallard Creek Apartments.
6" Off Broad St. at Statesville Manor
8".. Greenbriar Rd.
24" Statesville Senior High School
6" ' . ' Statesville Senior High School
10" Statesville Senior High School
30" Morrison Creek
�. 24" Hillcrest Trailer Park :
9. 8" Hillcrest Trailer Park
10. 12" Phillips
11.: 15" Near Goldsboro Road
12. " 12" . MoCaro Industries
13. 8" Thornburg Plant
14. 15". Hickory Highway 70E.
15. 18" Behind Gene Davis
16.' _ 24" West of Wallace Springs Road
17. 8" : Days Inn.:;
18. 8".. Behind Indian Ridge Subdivision:
19. 30" Below Queens Crest Subdivision
20. 8" Below Queens Crest Subdivision
21. '. 12". Museum Road
22. 27" Absher Property
23. 21" Behind Martin Marietta Aggregates
24.. 8" Anna Drive
25. 10" ., Mulberry Park
26. 15" Anderson Park
27. 15" .. Alexander Street
28. 8" Falls Street
'29...: • 8" . St. Andrews Road
30. 8" St. Cloud Drive
31. 8" . Broad Street across from Statesville Manor
32. 8" Springfield Road
33. 12" East Elementary Road
34. , 24" Free Nancy Avenue
35. ' 12" ` Camden Drive
36. 16" Under 1-40
37. 12" Amity Hill Road at Fox Den Subdivision
38.: 12" 1-77 at Fox Den Subdivision
39. 8" Lincoln Street .'
40. 12" to 42" Outfall to Fourth Creek WWTP.�
41. 12". to 30" Outfall to Third Creek WWTP

City of Statesville
Attachment A for condition V(4)
Collection System Information
Page 2
AERIALS
42. .. 24". .. Off Simonton Road
43. 16" • • .Off Simonton Road
44. 24" Off Brookgreen Drive
45. 24" Off Forest Park Drive
46. 24" Off Oakdale Drive
47.. 8" • • . Off Lerain Court
48., 8" Off Stoneybrooke Road
49. . 8" Off Camden Drive
50. 8" : Off Crowell Drive . .
51. 8" Off Lippard Street
52. 24" Off Norwood Road
53. 24" Off Valley Stream Road
54. 8" . Off Cedar Street

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Coleen H. Sullins, Deputy Director
Division of Water Quality
October 17, 2003
Robert W. Hites Jr., City Manager
City of Statesville
P.O. Box 1111
Statesville, NC 28687
Subject: Administrative Amendment
Permit No. WQCS00030
City of Statesville
Statesville Wastewater Collection System
Iredell County
Dear Mr. Hites:
The Division of Water Quality (DWQ) has revised the procedures for enforcement of sanitary sewer
overflows (SSOs) and the reporting of those overflows to the Division. As you are aware, issuance of the subject
system -wide collection system permit for your facility on February 15, 2002 superceded the Division's 1999
Enforcement Policy. The evaluation of enforcement options after a sanitary sewer overflow will be determined
considering the criteria listed in condition I(2)(a) and I(2)(b) of your permit. Compliance with all conditions of
the permit as well as all statutes and regulations pertaining to the collection system must be maintained or
appropriate enforcement actions may be taken as noted in Condition VI(3).
A reportable SSO is a SSO greater than 1,000 gallons to the ground or a SSO of any amount that reaches
surface water (including through ditches, storm drains, etc.) Below is the procedure to use for reporting SSOs to
the Division:
a) Report by telephone to a person (not facsimile or voicemail) to your regional DWQ office during
regular business hours (Monday to Friday, 8AM to 5PM) as soon as possible, but in no case more
than 24 hours after the S SO is known or discovered. To report outside of regular business hours, call
[phone].
b) Follow up the verbal report by sending a completed written report on the most current Division
approved form within five days.
To provide a uniform method for all systems covered under this permit to provide useful and consistent
information pertaining to SSOs, a new spill reporting form has been developed. Enclosed you will find Form CS-
SSO, which consists of two parts. Part I serves to provide to the Division the required information that has always
been necessary. Part II serves as an area to provide a justification for the spill, as optional under Condition I(2) of
your permit.
An NOV, civil penalty, and/or a moratorium on the addition of waste to the system may be issued if
adequate justification for an SSO is NOT submitted to the regional office. In order to submit a claim for
justification of an SSO, you must use the attached form with additional documentation as necessary. DWQ staff
will review the justification claim and determine if enforcement action is appropriate. Please review the attached
form and be advised that the information needed to justify a spill is very comprehensive. Begin using this form
immediately to report SSOs from the collection system. Continue to use our old form for reporting bypasses at
the wastewater treatment plant until further notice. The time frame for submittal of both Part I and Part II, if
pertinent, is five days.
Non -Discharge Permitting Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
DENR Customer Service Center
An Equal Opportunity Action Employer
Internet http://h2o.enr.state.nc.us/ndpu
Telephone [phone] Fax [phone]
Telephone [phone]
50% recycled/10% post -consumer paper
NCDEN

Robert W. Hites Jr., City Manager
October 17, 2003
Page 2
Currently, your permit allows for ten days to submit the justification claim. Because Form CS-SSO has
incorporated space to provide a justification along with the required spill report, your permit has been amended to
reflect that all written documentation pertaining to an SSO is to be submitted within five days. This change is
reflected in Condition I(2). Per General Statute 143-215.1(b)(4)(c), you have sixty days to appeal this amendment.
Additionally, some minor modifications to Condition IV(2) have been made. The highway patrol 800 number has
been removed, clarification has been made to the verbal reporting requirements (i.e. no facimilies or voice mails)
and we have referenced the new form. Spill reporting should be made to the appropriate regional office during
business hours or to the emergency management number identified in the permit after hours.
In accordance with this administrative amendment directed on October 7, 2003, we are forwarding
herewith Permit No. WQCS00030 (without original attachments), dated October 17, 2003, to the City of
Statesville for the operation and maintenance of the subject wastewater collection system.
This permit shall be effective sixty days from the date of receipt until January 31, 2007 and shall void
Permit No. WQCS00030 issued February 15, 2002. This comprehensive collection system permit includes
conditions which cover all of the Spill Response and Operation and Maintenance Evaluation Factors in the
Updated Collection System Enforcement Guidance issued June 14, 1999. As mentioned, this permit supercedes
the 1999 point system used to determine enforcement options for sanitary sewer overflows. The evaluation of
enforcement options after a sanitary sewer overflow will be determined considering the criteria listed in condition
I(2)(a) and I(2)(b) of the permit. Compliance with all conditions of the permit must be maintained or appropriate
enforcement actions may be taken as noted in Condition VI(3).
This permit shall be subject to the conditions and limitations specified herein. It is your responsibility to
thoroughly review this permit. Please pay particular attention to the monitoring and reporting requirements in this
permit and any compliance schedules shown in bold.
Failure to abide by the conditions in this permit may subject the Permittee to enforcement action. 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 thirty days following the receipt of this permit. This request
must be in the form of a written petition, conforming to Chapter 150B of the 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.
The Division is also pursuing a way to provide an Internet based electronic submittal of SSO reports.
Enclosed is a User Identifier/Password Request Form. In preparation for this service, please complete the
enclosed form and return it to the address provided on the form by November 30, 2003. The Division will be
contacting those who submit this form to provide the login site and your specific login ID and password. We
anticipate early 2004 to implement on-line submittal of 5-day SSO reports. Until then, hard copies must be
submitted as currently practiced. Initally, this service will roll out only for SSO written 5-day reports and then
expand to bypass reporting and other types of spills.
Please ensure all collection system staff receive this notice! This permit should replace your original
permit with exception of any attachment(s), which should be transferred and attached to this permit. Now is a
good time to again thoroughly review your permit. Ensure any expired compliance dates have been met and the
regional office has been notified of your compliance with those conditions.
2 10/03

Robert W. Hites Jr., City Manager
October 17, 2003
Page 3
If you have questions regarding the new enforcement policy or to download Form CS-SSO, please contact
your regional office or go to http://h2o.enr.state.nc.us/ndceu/Collection.htm. You may also contact Daryl Merritt
at [phone], ext. 539 or via E-mail at [e-mail] or Linda Fitzpatrick at [phone], ext.
526 or via E-mail at [e-mail]. For questions pertaining to your permit, please contact Marie
Doklovic at [phone], ext. 371 or via E-mail at [e-mail].
Sincerely,
Alan W. Klimek, P.E.
Enclosures:
Form CS-SSO
User Identifier/Password Request Form
Amended Peiniit No. WQCS00030 (w/o original attachments)
Cc (permit only):
Iredell County Health Department
Wayne Lambe ' 'csa d Coope,., City
M
a ordsvi11e
Statesville
ec ica Assistance and Certification Unit
Water Quality Central Files
NDPU File WQCS00030
3 10/03

k'
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
SYSTEM -WIDE WASTEWATER COLLECTION SYSTEM PERMIT
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
City of Statesville
Iredell County.
FOR THE
operation and maintenance of a wastewater collection system consisting of approximately 240 miles of gravity
sewer, approximately 4 miles of force main, 11 duplex pump stations, and all associated piping, valves, and
appurtenances required to make a complete and operational wastewater collection system to serve the City of
Statesville and any deemed permitted satellite communities and the tributary wastewater collection system owned
by the Town of Troutman that is subject to an individual collection system permit, pursuant to the application
received on February 16, 2001, and in conformity with the documents referenced therein and other supporting
data subsequently filed and approved by the Department of Environment and Natural Resources and considered a
part of this permit.
This permit shall be effective from the date of issuance until January 31, 2007, shall void Permit No.
WQCS00030 issued February 15, 2002, and shall be subject to the following specified conditions and limitations:
I. PERFORMANCE STANDARDS
1. The sewage and wastewater collected by this system shall be treated in the Fourth Creek or Third
Creek Wastewater Treatment Facility (NC0031836 and NC0020591, respectively) prior to being
disposed into the receiving stream. This collection system permit will be referenced upon renewal or
modification of your NPDES permit(s).
2. The wastewater collection system shall be effectively managed, maintained and operated at all times
so that there is no discharge to land or surface waters, nor any contamination of groundwater. In the
event that the wastewater collection system fails to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall take immediate corrective actions, including actions that may
be required by the Division of Water Quality (Division), such as the construction of additional or
replacement sewer lines and/or equipment.
1 10/03

The Director may take enforcement action against the Permittee for sanitary sewer system discharges
that must be reported to the Division as stipulated in Condition IV(2). This includes discharges that
were caused by severe natural conditions or exceptional events unless the Permittee demonstrates
through properly signed, contemporaneous operating logs, or other relevant evidence that:
a. The discharge was caused by severe natural conditions; there were no feasible alternatives to the
discharge, such as the use of auxiliary treatment facilities, retention of untreated wastewater,
reduction of inflow and infiltration, use of adequate back-up equipment, or an increase in the
capacity of the system. This provision is not satisfied if, in the exercise of reasonable engineering
judgment, the Permittee should have installed auxiliary or additional collection system
components, wastewater retention or treatment facilities, adequate back-up equipment or should
have reduced inflow and infiltration; or
b. the discharge was exceptional, unintentional, temporary and caused by factors beyond the
reasonable control of the Permittee; the discharge could not have been prevented by the exercise of
reasonable control, such as proper management, operation and maintenance; adequate treatment
facilities or collection system facilities or components (e.g., adequately enlarging treatment or
collection facilities to accommodate growth or adequately controlling and preventing infiltration
and inflow); preventive maintenance; or installation of adequate back-up equipment;
The Permittee can submit a claim to the Division Regional Office that the discharge meets the criteria
of this condition. The Permittee has the option of submitting this claim along with the spill report
required by Condition IV(2) (i.e., within five days) in order to be considered for immunity from
enforcement action. Form CS-SSO Part II, or most current Division approved form, shall be used for
any claims. The Permittee has the burden of proof that the above criteria have been met.
3. The Permittee shall have the legal authority to implement the requirements of Condition I(4), require
new sewers be properly constructed, ensure proper inspection and testing of sewers and laterals, and
address flows from satellite systems.
4. The Permittee shall maintain an educational and enforcement program that requires the proper
operation and maintenance of all grease traps and septic tanks connected to the wastewater collection
system. The educational program should target both residential and commercial users.
5. The Permittee shall implement a Capital Improvement Plan (CIP) to designate funding for
reinvestment into the wastewater collection system infrastructure. The CIP should address the short-
term needs and long-term "master plan" concepts. The CEP should typically cover a three to five year
period and include a goal statement, description of the project area, description of the existing
facilities, known deficiencies (over a reasonable period) and forecasted future needs. Cost analysis is
integral to the CIP.
6. Existing overflow piping from manholes and pump stations, excluding piping to approved equalization
structures, shall be immediately removed or permanently capped. Plugged emergency pumping
connections are allowable for portable pumping or rerouting without intentionally bypassing the
wastewater treatment facility.
7. The Permittee shall maintain a contingency plan for pump failure at each pump station. If one of the
pumps in a pump station containing multiple pumps fails, the process of repairing or replacing the
pump shall be initiated immediately and the new parts or pump shall be installed as soon as possible.
If the pump in a simplex pump station fails, it shall be replaced immediately.
8. Each pump station shall be clearly and conspicuously posted with a pump station identifier and an
emergency contact telephone number at which an individual who can initiate or perform emergency
service for the wastewater collection system 24 hours per day, seven days per week can be contacted.
This emergency contact telephone number shall be coupled with instructions for anyone to call if the
visual alarm illuminates, if the audible alarm sounds, or if an emergency is apparent.
2 10/03

9. Pump station sites, equipment and components shall have restricted access, per 15A NCAC 2H
.0219(h)(7).
10. Pump stations that do not employ an automatic polling feature (i.e. routine contact with pump stations
from a central location to check operational status of the communication system) shall have both
audible and visual high water alarms. The alarms shall be weatherproof and placed in a clear and
conspicuous location. Permits issued for the construction of pump stations that included high water
alarms in the description must maintain the alaiuis even if simple telemetry (i.e. notification of an
alarm condition initiated by the pump station control feature) is installed.
11. For all newly constructed, modified and rehabilitated pump stations, equipment and components
located within the pump station shall be corrosion -resistant and components in close proximity of the
pump station shall be sealed within a corrosion -resistant coating or encasement.
12. All construction and rehabilitation of the wastewater collection system (i.e., permitted or deemed
permitted) shall be scheduled so as to minimize the interruption of service by the existing utilities.
Construction and rehabilitation shall not result in the violation of Condition I(2) of this permit.
II. OPERATION AND MAINTENANCE REQUIREMENTS
1. Upon classification of the system by the Water Pollution Control System Operators Certification
Commission (WPCSOCC), the Permittee shall designate a certified wastewater collection system
operator to be the Operator in Responsible Charge (ORC) of the wastewater collection system. The
operator shall hold a valid certificate of the type and grade equivalent to or greater than the
classification assigned to the wastewater collection system by the WPCSOCC. The Permittee shall
also designate one or more Back -Up Operator(s) in Responsible Charge who possess(es) a valid
certificate of the type and grade of the system that is no more than one grade less than the grade of the
system. The ORC of the system shall visit the system within 24 hours of knowledge of a bypass, spill,
or overflow of wastewater from the system, unless visited by the Back -Up ORC, and shall comply
with all other conditions of 15A NCAC 8G .0204.
2. The Permittee shall develop and maintain a schedule for reviewing all inspection, maintenance,
operational and complaint logs. Once recurring problems are identified in the wastewater collection
system because of the review process, the Permittee shall establish a plan for addressing the
problem(s) if they can not be resolved in a short time period. The Permittee shall define and adhere to
a review period.
3. The Permittee shall develop and maintain a schedule for testing emergency and standby equipment.
4. The Permittee shall develop and conduct a routine pump station inspection and maintenance program,
which shall include, but not be limited to, the following maintenance activities:
a. Cleaning and removing debris from the pump station structure, outside perimeter, and wet well;
b. Inspecting and exercising all valves;
c. Inspecting and lubricating pumps and other mechanical equipment according to the
manufacturer's recommendations; and
d. Verifying the proper operation of the alarms, telemetry system and auxiliary equipment.
5. For each pump station without pump reliability (i.e. simplex pump stations serving more than a single
building or pump stations not capable of pumping at a rate of 2.5 times the average daily flow rate
with the largest pump out of service), at least one fully operational spare pump capable of pumping
peak flow shall be maintained on hand.
3 10/03

6. The Permittee shall maintain on hand at least two percent of the number of pumps installed, but no
less than two pumps, that discharge to a pressure sewer and serve a single building, unless the
Permittee has the ability to purchase and install a replacement pump within 24 hours of first
knowledge of the simplex pump failure or within the storage capacity provided in any sewer line
extension permit.
7. Rights -of -way shall be properly maintained to allow accessibility to the wastewater collection system.
8. The Permittee shall assess cleaning needs and develop and maintain a program for appropriately
cleaning, whether by hydraulic or mechanical methods, all sewer lines. At least 10 percent of the
wastewater collection system, selected at the discretion of the ORC, shall be cleaned each year.
Preventative cleaning is not required for sewer lines less than five years old unless inspection
otherwise reveals a necessity or as required by a sewer line extension permit.
9. Adequate measures shall be taken to contain and properly dispose of Sanitary Sewer Overflows
(SSOs) and spills. The Permittee shall maintain a Response Action Plan that addresses the following
minimum items:
a. Contact telephone numbers for 24-hour response, including weekends and holidays;
b. Response time;
c. Equipment list and spare parts inventory;
d. Access to cleaning equipment;
e. Access to construction crews, contractors and/or engineers;
e. Source(s) of emergency funds;
f. Site sanitation and clean up materials; and
h. Post-overflow/spill assessment.
10. The Permittee shall conduct an on -site evaluation for all SSOs and spills as soon as possible, but no
more than two hours after first knowledge of the overflow and/or spill.
11. In the event of a discharge from or blockage within the wastewater collection system, the Permittee
shall restore the system operation, remove visible solids and paper, sanitize any ground area and
restore the surroundings.
III. RECORDS
1. Records shall be maintained to document compliance with Conditions I(4), 11(2) - 11(4), 11(7) - II(8),
IV(3) and V(1) -V(4). Records must be kept on file for a minimum of three years.
2. Adequate records pertaining to SSOs, spills, and complaints shall be maintained by the Permittee for a
minimum of three years. These records shall include, but are not limited to, the following information:
a. Date of overflow and/or spill or complaint;
b. Volume of wastewater discharged as a result of the overflow and/or spill or nature of complaint;
c. Location of overflow and/or spill or complaint;
d. Estimated duration of the overflow and/or spill;
e. Individual from the Division who was informed about the overflow and/or spill or complaint,
when applicable;
f. Final destination of the overflow and/or spill;
g. Corrective actions;
h. Known environmental/human health impacts resulting from the overflow and/or spill; and
i. How the overflow and/or spill was discovered.
4 10/03

3. The Permittee shall maintain an up-to-date, accurate, comprehensive map of their wastewater
collection system that also notes the locations where other wastewater collection systems become
tributary. If a comprehensive map of the collection system has not been established, a rough sketch
shall be drawn. The Permittee shall map approximately 10 percent of their collection system each year
for the next ten years, or until complete, whichever is sooner. The comprehensive map shall include,
but is not limited to: pipe size, pipe material, pipe location, flow direction, approximate pipe age,
number of active service taps, and each pump station identification, location and capacity.
4. The Permittee shall maintain records of all of the modifications and extensions to the collection system
permitted herein. The Permittee shall maintain a copy of the construction record drawings and
specifications for modifications/extensions to the wastewater collection system for the life of the
modification/extension. Information concerning the extension shall be incorporated into the map of the
wastewater collection system within one year of the completion of construction. The system
description contained within this permit shall be updated to include this modification/extension
information upon permit renewal.
IV. MONITORING AND REPORTING REQUIREMENTS
1. Any monitoring (including, but not necessarily limited to, wastewater flow, groundwater, surface
water, soil or plant tissue analyses) deemed necessary by the Division to ensure surface water and
groundwater protection will be established, and an acceptable sampling and reporting schedule shall be
followed.
2. The Permittee shall verbally report to a person at the Mooresville Regional Office, at telephone
number [phone], as soon as possible, but in no case more than 24 hours following the
occurrence or first knowledge of the occurrence of either of the following:
a. Any SSO and/or spill over 1,000 gallons; or
b. Any SSO and/or spill, regardless of volume, that reaches surface water.
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 [phone].
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 I(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.
3. The Permittee shall meet the annual reporting and notification requirements provided in North
Carolina General Statute § 143-215.1 C.
V. INSPECTIONS
1. The Permittee or the Permittee's designee shall inspect the wastewater collection system regularly to
prevent malfunctions and deterioration, operator errors, and discharges that may cause or lead to the
release of wastes to the environment, a threat to human health, or a nuisance. The Permittee shall
keep an inspection log or summary including at least the date and time of inspection, observations
made, and any maintenance, repairs, or corrective actions taken by the Permittee.
2. Pump stations without Supervisory Control and Data Acquisition (SCADA) systems or telemetry
shall be inspected everyday (i.e. 365 days per year) as defined in 15A NCAC 2B.0503(5). Pump
stations equipped with SCADA systems or telemetry shall be inspected at least once per week.
5 10/03

3. A general observation of the entire collection system shall be performed throughout the course e
every year.
4. Inspections of all high priority lines (i.e. aerial line, sub -waterway crossing, line contacting surface
waters, siphon, line positioned parallel to stream banks that are subject to eroding in such a manner
that may threaten the sewer line, or line designated as high -priority in a permit) shall be performed at
least once per every six month period of time. A list of high -priority lines is presented as Attachment
A and is hereby incorporated into this permit condition. New high priority lines installed or identified
after permit issuance are incorporated by reference and subject to this permit condition until permit
renewal where they shall be referenced in writing in Attachment A.
VI. GENERAL CONDITIONS
1. This permit shall become voidable unless the wastewater collection system is maintained and
operated in accordance with the conditions of this permit and other supporting data.
2. This permit is not transferable. In the event there is a desire for the wastewater collection system to
change ownership, or there is a name change of the Permittee, a formal permit request shall be
submitted to the Division. The request shall be accompanied by documentation from the parties
involved, and other supporting materials as may be appropriate. The approval of this request will be
considered on its merits and may or may not be approved.
3. Failure to abide by the conditions and limitations contained in this permit may subject the Permittee
to an enforcement action by the Division in accordance with North Carolina General Statute § 143-
215.6A through §143-215.6C, and a sewer moratorium may be established.
4. The issuance of this permit does not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances that may be imposed by other government agencies (i.e., local, state,
and federal) having jurisdiction, including but not limited to applicable river buffer rules in 15A
NCAC 2B .0200, soil erosion and sedimentation control requirements in 15A NCAC Chapter 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 and all applicable North Carolina Occupational
Safety and Health Act health and safety standards.
5. The issuance of this permit does not prohibit the Division from reopening and modifying the permit,
revoking and reissuing the permit, or terminating the permit as allowed by the laws, rules, and
regulations contained in 15A NCAC 2H .0200 and North Carolina General Statute §143-215.1 et. al., or
as needed to address changes in federal regulations with respect to the wastewater collection system.
6. The Permittee shall pay the annual fee within thirty (30) days after being billed by the Division.
Failure to pay the fee accordingly may cause the Division to initiate action to revoke this permit as
specified by 15A NCAC 2H .0205(c)(4).
7. The Permittee shall request its renewal at least six months prior to the expiration of this permit. Upon
receipt of the request, the Commission will review the adequacy of the wastewater collection system
described therein, and if warranted, will extend the permit for a period of time and under such
conditions and limitations, as the Commission may deem appropriate.
8. The Permittee shall notify the Division's Non -Discharge Permitting Unit in, writing at 1617 Mail
Service Center, Raleigh, North Carolina 27699-1617 of any changes to the name and/or address of the
responsible party (i.e. mayor, city/town manager) of the wastewater collection system.
6 10/03

9. Any duly authorized officer, employee, or representative of the Division may, upon presentation of
credentials, enter and inspect any property, premises or place on or related to the collection system at
any reasonable time for the purpose of determining compliance with this permit, may inspect or copy
any records that must be maintained under the terms and conditions of this permit, and may obtain
samples of wastewater, groundwater, surface water, soil, or plant tissue.
rmit issued this the 17th day of October, 2003
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
/an W. Klimek, P.E., Director
livision of Water Quality
3y Authority of the Environmental Management Commission
Permit Number WQCS00030
7 10/03

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D., Acting Director
Di.vision.of•-Water Quality
iuC lat.r t. tJr t_'P'u"i'i 't"'-"- 7
AHD
February 15, 2002
Robert W. Hites Jr., City Manager
City of Statesville
P.O. Box 1111
Statesville, NC 28687
FEB 2 5 200a
Subject: Permit No. WQCS00030
Statesville Wastewater Collection System
Iredell County
Dear Mr. Hites:
In accordance with your application received on February 16, 2001, as well as the additional information
received on March 22, 2001 and February 11, 2002, we are forwarding herewith Permit No. WQCS00030, dated
February 15, 2002, to City of Statesville for the operation and maintenance of the subject wastewater collection
system.
This permit shall be effective from the date of issuance until January 31, 2007. This comprehensive
collection system permit includes conditions which cover all of the Spill Response and Operation and
Maintenance Evaluation Factors in the Updated Collection System Enforcement Guidance issued June 14, 1999.
Therefore, this permit supercedes the 1999 point system used to determine enforcement options for sanitary
sewer overflows. The evaluation of enforcement options after a sanitary sewer overflow will be determined
considering the criteria listed in condition I(2)(a) and I(2)(b) of the permit. Compliance with all conditions of the
permit must be maintained or appropriate enforcement actions may be taken as noted in Condition VI(3). If you
have questions regarding compliance contact your regional office or the Non -Discharge Compliance and
Enforcement Unit of the North Carolina Division of Water Quality at [phone].
This permit shall be subject to the conditions and limitations specified herein. It is your responsibility to
thoroughly review this permit. Please pay particular attention to the monitoring and reporting requirements in this
permit. Failure to abide by the conditions in this permit may subject the Permittee to enforcement action. If any
parts, requirements, or limitations contained in this peiniit are unacceptable, you have the right to request an
adjudicatory hearing upon written request within thirty days following the receipt of this permit. This request
must be in the form of a written petition, conforming to Chapter 150B of the 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.
Non -Discharge Permitting Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
Internet http://h2o.enr.nc.state.us/ndpu NCDENR
Telephone [phone] Fax [phone]
DENR Customer Service Center
An Equal Opportunity Action Employer
Telephone [phone]
50% recycled/10% post -consumer paper

.t
If you need additional information concerning this matter, please contact Marie Doklovic at (919) 733-
5083 extension 371.
Gregory J. Thorpe, Ph.D.
cc: Iredell County Health Department
Wayne Lambert/Richard Cooper, City of Statesville
oM arcsville_Regi°naLQffrce;-Water-Quality-Section
Technical Assistance and Certification Unit
Non-Discharge.Compliance/Enforcement Unit
Water Quality Central Files
NDPU File WQCS00030
2

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
SYSTEM -WIDE WASTEWATER COLLECTION SYSTEM PERMIT
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
City of Statesville
Iredell County
FOR THE
operation and maintenance of a wastewater collection system consisting of approximately 240 miles of gravity
sewer, approximately 4 miles of force main, 11 duplex pump stations, and all associated piping, valves, and
appurtenances required to make a complete and operational wastewater collection system to serve the City of
Statesville and any deemed permitted satellite communities and the tributary wastewater collection system owned
by the Town of Troutman that is subject to an individual collection system permit, pursuant to the application
received on February 16, 2001, and in conformity with the documents referenced therein and other supporting
data subsequently filed and approved by the Department of Environment and Natural Resources and considered a
part of this permit.
This permit shall be effective from the date of issuance until January 31, 2007 and shall be subject to the
following specified conditions and limitations:
I. PERFORMANCE STANDARDS
1. The sewage and wastewater collected by this system shall be treated in the Fourth Creek or Third
Creek Wastewater Treatment Facility (NC0031836 and NC0020591, respectively) prior to being
disposed into the receiving stream. This collection system permit will be referenced upon renewal or
modification of your NPDES permit(s).
2. The wastewater collection system shall be effectively managed, maintained and operated at all times
so that there is no discharge to land or surface waters, nor any contamination of groundwater. In the
event that the wastewater collection system fails to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall take immediate corrective actions, including actions that may
be required by the Division of Water Quality (Division), such as the construction of additional or
replacement sewer lines and/or equipment.
The Director may take enforcement action against the Permittee for sanitary sewer system discharges
that must be reported to the Division as stipulated in Condition IV(2). This includes discharges that
were caused by severe natural conditions or exceptional events unless the Permittee demonstrates
through properly signed, contemporaneous operating logs, or other relevant evidence that:
1 PERMIT WQCS00030

a. The discharge was caused by severe natural conditions; there were no feasible alternatives to the
discharge, such as the use of auxiliary treatment facilities, retention of untreated wastewater,
reduction of inflow and infiltration, use of adequate back-up equipment, or an increase in the
capacity of the system. This provision is not satisfied if, in the exercise of reasonable engineering
judgment, the Permittee should have installed auxiliary or additional collection system
components, wastewater retention or treatment facilities, adequate back-up equipment or should
have reduced inflow and infiltration; or
b. the discharge was exceptional, unintentional, temporary and caused by factors beyond the
reasonable control of the Permittee; the discharge could not have been prevented by the exercise of
reasonable control, such as proper management, operation and maintenance; adequate treatment
facilities or collection system facilities or components (e.g., adequately enlarging treatment or
collection facilities to accommodate growth or adequately controlling and preventing infiltration
and inflow); preventive maintenance; or installation of adequate back-up equipment;
The Permittee can submit a claim to the Division Regional Office that the discharge meets the criteria
of this condition. The Permittee has the option of submitting this claim along with the report required
by Condition IV(2) (i.e., within five working days), but in all viable instances, the claim should be
submitted to the appropriate Division Regional Office within 10 working days (i.e., Monday through
Friday, excluding State holidays) of the date of the discharge in order to be considered for immunity
from enforcement action. The Peiniittee has the burden of proof that the above criteria have been met.
3. The Permittee shall have the legal authority to implement the requirements of Condition I(4), require
new sewers be properly constructed, ensure proper inspection and testing of sewers and laterals, and
address flows from satellite systems.
4. The Permittee shall maintain an educational and enforcement program that requires the proper
operation and maintenance of all grease traps and septic tanks connected to the wastewater collection
system. The educational program should target both residential and commercial users.
5. The Permittee shall implement a Capital Improvement Plan (CIP) to designate funding for
reinvestment into the wastewater collection system infrastructure. The CIP should address the short-
term needs and long-term "master plan" concepts. The CIP should typically cover a three to five year
period and include a goal statement, description of the project area, description of the existing
facilities, known deficiencies (over a reasonable period) and forecasted future needs. Cost analysis is
integral to the CIP.
6. Existing overflow piping from manholes and pump stations, excluding piping to approved equalization
structures, shall be immediately removed or permanently capped. Plugged emergency pumping
connections are allowable for portable pumping or rerouting without intentionally bypassing the
wastewater treatment facility.
7. The Permittee shall maintain a contingency plan for pump failure at each pump station. If one of the
pumps in a pump station containing multiple pumps fails, the process of repairing or replacing the
pump shall be initiated immediately and the new parts or pump shall be installed as soon as possible.
If the pump in a simplex pump station fails, it shall be replaced immediately.
8. Each pump station shall be clearly and conspicuously posted with a pump station identifier and an
emergency contact telephone number at which an individual who can initiate or perform emergency
service for the wastewater collection system 24 hours per day, seven days per week can be contacted.
This emergency contact telephone number shall be coupled with instructions for anyone to call if the
visual alarm illuminates, if the audible alarm sounds, or if an emergency is apparent.
9. Pump station sites, equipment and components shall have restricted access, per 15A NCAC 2H
.0219(h)(7).
2 PERMIT WQCS00030

10. Pump stations that do not employ an automatic polling feature (i.e. routine contact with pump stations
from a central location to check operational status of the communication system) shall have both
audible and visual high water alarms. The alarms shall be weatherproof and placed in a clear and
conspicuous location. Permits issued for the construction of pump stations that included high water
alarms in the description must maintain the alarms even if simple telemetry (i.e. notification of an
alarm condition initiated by the pump station control feature) is installed.
11. For all newly constructed, modified and rehabilitated pump stations, equipment and components
located within the pump station shall be corrosion -resistant and components in close proximity of the
pump station shall be sealed within a corrosion -resistant coating or encasement.
12. All construction and rehabilitation of the wastewater collection system (i.e., permitted or deemed
permitted) shall be scheduled so as to minimize the interruption of service by the existing utilities.
Construction and rehabilitation shall not result in the violation of Condition I(2) of this permit.
II. OPERATION AND MAINTENANCE REQUIREMENTS
1. Upon classification of the system by the Water Pollution Control System Operators Certification
Commission (WPCSOCC), the Permittee shall designate a certified wastewater collection system
operator to be the Operator in Responsible Charge (ORC) of the wastewater collection system. The
operator shall hold a valid certificate of the type and grade equivalent to or greater than the
classification assigned to the wastewater collection system by the WPCSOCC. The Permittee shall
also designate one or more Back -Up Operator(s) in Responsible Charge who possess(es) a valid
certificate of the type and grade of the system that is no more than one grade less than the grade of the
system. The ORC of the system shall visit the system within 24 hours of knowledge of a bypass, spill,
or overflow of wastewater from the system, unless visited by the Back -Up ORC, and shall comply
with all other conditions of 15A NCAC 8G .0204.
2. The Permittee shall develop and maintain a schedule for reviewing all inspection, maintenance,
operational and complaint logs. Once recurring problems are identified in the wastewater collection
system because of the review process, the Permittee shall establish a plan for addressing the
problem(s) if they can not be resolved in a short time period. The Permittee shall define and adhere to
a review period.
3. The Permittee shall develop and maintain a schedule for testing emergency and standby equipment.
4. The Permittee shall develop and conduct a routine pump station inspection and maintenance program,
which shall include, but not be limited to, the following maintenance activities:
a. Cleaning and removing debris from the pump station structure, outside perimeter, and wet well;
b. Inspecting and exercising all valves;
c. Inspecting and lubricating pumps and other mechanical equipment according to the
manufacturer's recommendations; and
d. Verifying the proper operation of the alarms, telemetry system and auxiliary equipment.
5. For each pump station without pump reliability (i.e. simplex pump stations serving more than a single
building or pump stations not capable of pumping at a rate of 2.5 times the average daily flow rate
with the largest pump out of service), at least one fully operational spare pump capable of pumping
peak flow shall be maintained on hand.
6. The Permittee shall maintain on hand at least two percent of the number of pumps installed, but no
less than two pumps, that discharge to a pressure sewer and serve a single building, unless the
Permittee has the ability to purchase and install a replacement pump within 24 hours of first
knowledge of the simplex pump failure or within the storage capacity provided in any sewer line
extension permit.
3 PERMIT WQCS00030

7. Rights -of -way shall be properly maintained to allow accessibility to the wastewater collection system.
8. The Permittee shall assess cleaning needs and develop and maintain a program for appropriately
cleaning, whether by hydraulic or mechanical methods, all sewer lines. At least 10 percent of the
wastewater collection system, selected at the discretion of the ORC, shall be cleaned each year.
Preventative cleaning is not required for sewer lines less than five years old unless inspection
otherwise reveals a necessity or as required by a sewer line extension permit.
9. Adequate measures shall be taken to contain and properly dispose of Sanitary Sewer Overflows
(SSOs) and spills. The Permittee shall maintain a Response Action Plan that addresses the following
minimum items:
a. Contact telephone numbers for 24-hour response, including weekends and holidays;
b. Response time;
c. Equipment list and spare parts inventory;
d. Access to cleaning equipment;
e. Access to construction crews, contractors and/or engineers;
f. Source(s) of emergency funds;
g. Site sanitation and clean up materials; and
h. Post-overflow/spill assessment.
10. The Permittee shall conduct an on -site evaluation for all SSOs and spills as soon as possible, but no
more than two hours after first knowledge of the overflow and/or spill.
11. In the event of a discharge from or blockage within the wastewater collection system, the Peiuuttee
shall restore the system operation, remove visible solids and paper, sanitize any ground area and
restore the surroundings.
III. RECORDS
1. Records shall be maintained to document compliance with Conditions I(4), 11(2) - 11(4), II(7) - 11(8),
IV(3) and V(1) -V(4). Records must be kept on file for a minimum of three years.
2. Adequate records pertaining to SSOs, spills, and complaints shall be maintained by the Permittee for a
minimum of three years. These records shall include, but are not limited to, the following information:
a. Date of overflow and/or spill or complaint;
b. Volume of wastewater discharged as a result of the overflow and/or spill or nature of complaint;
c. Location of overflow and/or spill or complaint;
d. Estimated duration of the overflow and/or spill;
e. Individual from the Division who was informed about the overflow and/or spill or complaint,
when applicable;
f. Final destination of the overflow and/or spill;
g. Corrective actions;
h. Known environmental/human health impacts resulting from the overflow and/or spill; and
i. How the overflow and/or spill was discovered.
3. The Permittee shall maintain an up-to-date, accurate, comprehensive map of their wastewater
collection system that also notes the locations where other wastewater collection systems become
tributary. If a comprehensive map of the collection system has not been established, a rough sketch
shall be drawn. The Permittee shall map approximately 10 percent of their collection system each year
for the next ten years, or until complete, whichever is sooner. The comprehensive map shall include,
but is not limited to: pipe size, pipe material, pipe location, flow direction, approximate pipe age,
number of active service taps, and each pump station identification, location and capacity.
4 PERMIT WQCS00030

4. The Permittee shall maintain records of all of the modifications and extensions to the collection system
permitted herein. The Permittee shall maintain a copy of the construction record drawings and
specifications for modifications/extensions to the wastewater collection system for the life of the
modification/extension. Information concerning the extension shall be incorporated into the map of the
wastewater collection system within one year of the completion of construction. The system
description contained within this permit shall be updated to include this modification/extension
information upon permit renewal.
IV. MONITORING AND REPORTING REQUIREMENTS
1. Any monitoring (including, but not necessarily limited to, wastewater flow, groundwater, surface
water, soil or plant tissue analyses) deemed necessary by the Division to ensure surface water and
groundwater protection will be established, and an acceptable sampling and reporting schedule shall be
followed.
2. The Permittee shall report to the Mooresville Regional Office, at telephone number [phone] or
facsimile number [phone], as soon as possible, but in no case more than 24 hours following the
occurrence or first knowledge of the occurrence of either of the following:
a. Any SSO and/or spill over 1,000 gallons; or
b. Any SSO and/or spill, regardless of volume, that reaches surface water.
Overflows and spills occurring outside normal business hours may also be reported to the Division's
Emergency Response personnel at telephone number [phone], [phone], or (919) 733-
3300. Persons reporting any of the above occurrences shall file a Spill Response Form within five
working days (i.e., Monday through Friday, excluding State holidays) following first knowledge of the
occurrence. This report shall outline the actions taken or proposed to be taken to ensure that the
problem does not recur.
3. The Permittee shall meet the annual reporting and notification requirements provided in North
Carolina General Statute §143-215.1C.
V. INSPECTIONS
1. The Permittee or the Permittee's designee shall inspect the wastewater collection system regularly to
prevent malfunctions and deterioration, operator errors, and discharges that may cause or lead to the
release of wastes to the environment, a threat to human health, or a nuisance. The Permittee shall
keep an inspection log or summary including at least the date and time of inspection, observations
made, and any maintenance, repairs, or corrective actions taken by the Permittee.
2. Pump stations without Supervisory Control and Data Acquisition (SCADA) systems or telemetry
shall be inspected everyday (i.e. 365 days per year) as defined in 15A NCAC 2B.0503(5). Pump
stations equipped with SCADA systems or telemetry shall be inspected at least once per week.
3. A general observation of the entire collection system shall be performed throughout the course of
every year.
4. Inspections of all high priority lines (i.e. aerial line, sub -waterway crossing, line contacting surface
waters, siphon, line positioned parallel to stream banks that are subject to eroding in such a manner
that may threaten the sewer line, or line designated as high -priority in a permit) shall be performed at
least once per every six month period of time. A list of high -priority lines is presented as Attachment
A and is hereby incorporated into this permit condition. New high priority lines installed or identified
after permit issuance are incorporated by reference and subject to this permit condition until permit
renewal where they shall be referenced in writing in Attachment A.
5 PERMIT WQCS00030

VI. GENERAL CONDITIONS
1. This permit shall become voidable unless the wastewater collection system is maintained and
operated in accordance with the conditions of this permit and other supporting data.
2. This permit is not transferable. In the event there is a desire for the wastewater collection system to
change ownership, or there is a name change of the Permittee, a formal permit request shall be
submitted to the Division. The request shall be accompanied by documentation from the parties
involved, and other supporting materials as may be appropriate. The approval of this request will be
considered on its merits and may or may not be approved.
3. Failure to abide by the conditions and limitations contained in this permit may subject the Permittee
to an enforcement action by the Division in accordance with North Carolina General Statute §143-
215.6A through §143-215.6C, and a sewer moratorium may be established.
4. The issuance of this permit does not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances that may be imposed by other government agencies (i.e., local, state,
and federal) having jurisdiction, including but not limited to applicable river buffer rules in 15A
NCAC 2B .0200, soil erosion and sedimentation control requirements in 15A NCAC Chapter 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 and all applicable North Carolina Occupational
Safety and Health Act health and safety standards.
5. The issuance of this permit does not prohibit the Division from reopening and modifying the permit,
revoking and reissuing the permit, or terminating the permit as allowed by the laws, rules, and
regulations contained in 15A NCAC 2H .0200 and North Carolina General Statute §143-215.1 et. al., or
as needed to address changes in federal regulations with respect to the wastewater collection system.
6. The Permittee shall pay the annual fee within thirty (30) days after being billed by the Division.
Failure to pay the fee accordingly may cause the Division to initiate action to revoke this permit as
specified by 15A NCAC 2H .0205(c)(4).
7. The Permittee shall request its renewal at least six months prior to the expiration of this permit. Upon
receipt of the request, the Commission will review the adequacy of the wastewater collection system
described therein, and if warranted, will extend the permit for a period of time and under such
conditions and limitations, as the Commission may deem appropriate.
8. The Permittee shall notify the Division's Non -Discharge Permitting Unit in writing at 1617 Mail
Service Center, Raleigh, North Carolina 27699-1617 of any changes to the name and/or address of the
responsible party (i.e. mayor, city/town manager) of the wastewater collection system.
9. Any duly authorized officer, employee, or representative of the Division may, upon presentation of
credentials, enter and inspect any property, premises or place on or related to the collection system at
any reasonable time for the purpose of determining compliance with this permit, may inspect or copy
any records that must be maintained under the terms and conditions of this permit, and may obtain
samples of wastewater, groundwater, surface water, soil, or plant tissue.
6 PERMIT WQCS00030

Permit issued thi e 15th day of February, 2002
NO AROLIN • ' NNI ONMENTAL MANAGEMENT COMMISSION
Gregory J. Thorpe, Ph.D., Acting Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQCS00030
7 PERMIT WOCS00030

Permit No. WQCS00030
City of Statesville Wastewater Collection System
Attachment A for Condition V(4): High Priority Lines
CREEK CROSSINGS:
1. 36" Behind Mallard Creek Apartments.
2. 6" Off Broad St. at Statesville Manor
3. 8" Greenbriar Rd.
4. 24" Statesville Senior High School
5. 6" Statesville Senior High School
6. 10" Statesville Senior High School
7. 30" Morrison Creek
8. - 24" Hillcrest Trailer Park
9. 8" Hillcrest Trailer Park
10. 12" Philips
11. 15" Near Goldsboro Road
12. 12" MoCaro Industries
13. 8" Thornburg Plant
14. 15" Hickory Highway 70W.
15. 18" Behind Gene Davis
16. 24" West of Wallace Springs Road
17. 8" Days Inn
18. 8" Behind Indian Ridge Subdivision
19. 30" Below Queens Crest Subdivision
20. 8" Below Queens Crest Subdivision
21. 12" Museum Road
22. 27" Absher Property
23. 21" Behind Martin Marietta Aggregates
24. 8" Anna Drive
25. 10" Mulberry Park
26. 15" Anderson Park
27. 15" Alexander Street
28. 8" Falls Street
29. 8" St. Andrews Road
30. 8" St. Cloud Drive
31. 8" _ Broad Street across from Statesville Manor
32. 8" Springfield Road
33. 12" East Elementary Road
34. 24" Free Nancy Avenue
35. 12" . Camden Drive
36. 16" Under 1-40
37. 12" Amity Hill Road at Fox Den Subdivision
38. 12" 1-77 at Fox Den Subdivision
39. 8" Lincoln Street
40. 12" to 42" Outfall to Fourth Creek WWTP
41. 12" to 30" - Outfall to Third Creek WWTP

Permit No: WQCS00030
City of Statesville Wastewater Collection System
Attachment A for Condition V(4): Hiah Priority Lines
AERIALS
42. 24" Off Simonton Road
43. 16" Off Simonton Road
44. 24" Off Brookgreen Drive
45. 24" Off Forest Park Drive
46. 24" Off Oakdale Drive
47. 8" Off Lerain Court
48. 8" Off Stoneybrooke Road
49. 8" Off Camden Drive
50. 8" Off Crowell Drive
51. 8" Off Lippard Street
52. 24" Off Norwood Road
53. 24" Off Valley Stream Road
54. 8" Off Cedar Street
2-2-01

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
Kerr T. Stevens, Director
TO:
cet,A,AwicwA
4);(1%1CDENR
NORTH CARQ
�Eti H
ENVIRONMEN A A UF�%�L_FZESQLIRCES
to At a Cd.yy711?.
iFebruary 22, 2001 �+'
V
MEMORANDUM
Rex Gleason
Mooresville Regional Office__
FROM: Marie Doklovic
SUBJECT: Collection System Permit Application
Statesville Collection System
WQCS00030 (subject to change)
EP�AR�.MF�NT OF
FEB 2 6 2001
WATER QUALITY SECTION
The subject collection system permit application was received by the central office on 2/16/2001.
Since the collection system permitting program is new, the central office would like to visit most of the
systems applying for a permit with a regional inspector. Please plan to visit the City of Statesville
collection system with me within 60 days if possible. I can be contacted at 919/733-5083 x 371 to
coordinate visitation schedules. We would also appreciate your review of the enclosed application.
Submit any comments to us no later than 30 days after our site visit so we can process the permit
before the statutory date of 5/17/2001. The permit application enclosed can be kept for your records.
A copy of the draft permit will be forwarded for final comments and the final permit will be sent to you
upon issuance. If you have any questions, don't hesitate to contact me. Thank you.
Enclosure
Cc: Permit File
1617 Mail Service Center, Raleigh, North .Carolina 27699-1617 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post -consumer paper

State of North Carolina 'Q �<(`�
Department of Environment and Natural Resol 4.)16).. ces �B, �")- ccp
Division of Water Qualityp • n0 c�p�
WASTEWATER COLLECTION SYSTEMS ��,o r
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL) & 4,. (to be completed by DWQ)
Application Number:O,J(1Na
GENERAL INFORMATION:
1. System name: Statesville
2. Owner (name of the municipality, public utility, homeowners association, etc.): City of Statesville
3. Signing official's name and title (15A NCAC 2H .0206(b)): Robert W.. Hites , Jr. — City Manager
4. Name and complete address of applicant: P.O. Box 1111
City: Statesville State: NC Zip: 28687
Telephone number: ( 704 ) 878-3584 Facsimile number: ( 704 ) 878-3514
5. County where project is located: Iredell
6. Name, affiliation, and contact information of contact person who can answer questions about application:
L. F. Hudson, Jr. - City:of Statesville - 704 878-3438
Wayne Lambert - City of Statesville - 704 878-3551
II. PERMIT INFORMATION:
1. Project is:. g new ❑ modification ❑ renewal
2. If this application is being submitted as a result of a modification or renewal of an existing permit, provide:
existing permit number and the issuance date
3. Applicant is: tf public ❑ private
III. COLLECTION SYSTEM INFORMATION:
1. Flow of wastewater generated by this collection system (See Instruction E): 8 (MGD)
2. Explanation of how wastewater flow was determined: combined permitted capacity for
Fourth Creek WWTP and Third Creek WWTP.
3. Owner and name of wastewater treatment facility(ies) (WWTF) receiving wastewater:
City of Statesville
4. WWTF permit number(s): NC0031836 and NCO 020591
5. Nature of wastewater (See Instruction F): 50 % Domestic/Commercial; _ 50 % Industrial;
% Other waste - specify:
6. Population served by the collection system (See Instruction F'): 21 , 868
7. Total miles of sewer (See Instruction F): 4 Force Main 240 Gravity
N/A Pressure to/A Vacuum
8. Number of pump stations serving the pressure sewer: N/A
FORM: CSA 07/00 Page 3 of 6

9. Attach a list of all pump stations not included in Question III(8) and the following information in the given
format (See Instruction G):
Pump Station
Identification
Physical
Location
Pump Reliability
(yes/no)
Reliability Source
See Attached
10. List the operational units that are on hand at this time to provide power reliabiltiy and which pump stations
they will serve (attach additional sheets as necessary):
Power Source
(provide details as to type, model, etc.)
Portable or Permanent
Pump Station(s) Served
Ecco 100KW Generator
Portable
As listed in 9 abc
11. List aerial lines and other high priority lines known to exist in the collection system and attach map showing
location of each (See Instruction H): See Attachments
IV. ADMINISTRATION OF THE COLLECTION SYSTEM:
1. Provide a description of the organizational structure that is responsible for management, operation, and
.maintenance of the collection system (See Instruction I): City Engineer;
Superintendent; Asst. W/S. Maint. Supt.; Construction Supervisor; General
Supervisor; Camera Tech.; Equipment Operators (2); Laborer; Construction Inspector
Provide all Operator(s) in Responsible Charge (ORC), certification number and responsibility (area of
control) within the collection system (attach additional sheets as necessary):
?,
ve
ORC
Certification Number
Responsibility
Richard Cooper*
14140
Grade
IV
Supt. of Water/Sewer Ma:
Wayne Lambert,
P.E.
14192
Grade
IV
City Eng. & Dir. of Pub:
nt.
is Works
3. Approximate capital improvement budget for the collection system and description of the budget (See
Instruction J): $ 192,000 (Rehab Slip Lining, M.H. Rehab, relaying sections;Life Exp.
50+ yrs.
4. Approximate operation and maintenance budget for the collection system (See Instruction J): $ 392, 000
5. Describe the grease control program (including ordinances, inspection, education and enforcement) for the
collection system. If no grease control program has been adopted, please provide a schedule for
implementation: See Attachment
FORM: CSA 07/00 Page 4 of 6

6. Describe how the grease control program and construction and inspection of private sewer connections is
coordinated with the local building inspections department:
During our plan review, any business
that serves food is required to have a grease trap. Inspections Dept. personnel
inspects to see it is installed properly & Health Dept. checks on maint. City
personnel take random dicchargc sacs for gr ase.
7. Do you have procedures in place for implementing North Carolina General Statute 143-215.1C (public
notifications of spills and annual report to customers). If not, please provide a schedule for developing these
procedures: Yes
8. List any agreements or ordinances currently in place to address flows from satellite systems (See Instruction
K)? See Attachment
9. Attach a list of all satellite systems having a flow or capacity greater than 200,000 GPD. Include contact
information such as name, address, phone number and flow for each satellite system . Indicate N/A if no such
systems are present.
V. OPERATION AND MAINTENANCE OF THE COLLECTION SYSTEM:
1. Is an accurate and complete map of the collection system available? (See Instruction L)? If not state what
percentage of the'system is mapped- andprovideaschedule for completing the map: Map is available .•
We are continuing to update and computerize the system.
2. List the mapping parameters/descriptions included on or associated with the map such as type, pipe size, age,
etc. of the collection system: Map shows roads , sewer lines , manholes , sewer line
size, flow direction, pipe materials, pump station location, lengths.
3. Has a'sanitary sewer evaluation and study (SSES) been conducted on any portion of the collection.system
(See Instruction M)?: I/I study was done on portions in 1992.
4. Have any parts of the collection system been modeled to document capacity (See Instruction M)?
No
5. Are sanitary sewer overflows (SSOs) documented or indicated through modeling on any part of the collection
system (See Instruction M)? If yes, please indicate their locations and provide a schedule to eliminate them:
No
6. Are operational logs maintained and reviewed periodically? At what frequency? Operational logs
are maintained daily and reviewed twice weekly.
7. Are maintenance logs maintained and reviewed periodically? At what frequency? Maintenance logs
are maintained daily and reviewed on a monthly basis.
8. Are pressure and gravity sewer systems inspected on a routine basis? Explain the frequency of inspections
and any maintenance programs: Parts of the system are inspected daily, Manholes
upstream of lift stations, aerial lines, creek crossings, and other high
priority lines are inspected twice yearly.
FORM: CSA 07/00 Page 5 of 6

9. Describe plan review and inspection procedures for new construction (if applicable): Plans are reviewed
by Engineering Dept. and Water/Sewer Maint. for compliance with State/City
Requirements. Full time Inspector looks at work.
10. List all equipment available for routine cleaning of the collection system. If not owned, please indicate the
source from which the equipment is available: Sreco Flushing Truck, Vac Con Combination
Unit, Sreco Flexible Rodding Machine, Camera Van
11. What approximate percentage of the collection system is cleaned each year and the rationale for determining
which line segments are cleaned:
45% of the system is cleaned yearly. Rationale for
what areas are cleaned are based on past problem areas, results of camera
viewing, etc.
12. Describe the right of way maintenance program. Include whether all right of ways are currently accessible:
R/W are mowed at least once each year and more highly visable areas more
often. All'are accessible.
13. Describe any existing rehabilitation/replacement programs for the system (e.g. I/I studies, pump station
upgrades, pipe replacement, etc.):. Currently we have budgeted approx. 500 Lf. of
8 inch sewer line replacement and approx. 630--Zf--of 8 inch for cured in
place rehab.
14. Describe or attach the contingency plan in place to respond to SSOs: See Attachment.
Applicant's Certification:
Note: 15A NCAC 2H .0206(b) requires an authorized individual to sign this application form. In the case of
corporations, signature is required by a principal executive officer of at least the level of vice president, or his duly
authorized representative. In the case of a municipal, state, or other public entity, a signature is required by either
a principal executive officer, ranking elected official or other duly authorized employee. Duly authorized
employee's must provide proof from the principal executive officer or ranking elected offical that they have been
authorized to sign this application.
I, Robert W. Hites, Jr. , attest that this application
for City of StatPSvi l l P - waGtewater Col l er`tinn System 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 information and attachments are not included, this application
package will be returned to me as incomplete. 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.
Signature: ..-�.�
Date: o2//2/0/
FORM: CSA 07/00 Page 6 of 6

III Collection System Info. Item No. 9
The City of Statesville maintains the following lift stations:
Pump
No.
#1
#2
#3
#4
#5
#6
#7
— #8
— #9
— #10
#11
Identification
Barkley Road
Industrial Dr.
Interstate Equipment
Newton Drive
Park Drive
Marjorie Rd.
Valley Stream
Davis Hospital
Hatfield Road
Commerce Blvd.
Statesville Industrial
Park
Physical Location Pump
Reliability
1152 Barkley Road Yes
1302 Industrial Dr. Yes
1610 Salisbury Rd. Yes
2051 Newton Drive Yes
1018 Park Drive Yes
241 Marjorie Road Yes
301 Valley Stream Yes
269 Old Mocksville Rd. Yes
152 Hatfield Road Yes
2748 Commerce Blvd. Yes
341 Business Park Rd. Yes
Reliability
Source
Dual pumps, stand-by power
Dual pumps, stand-by power
Dual pumps, stand-by power
Dual pumps, stand-by power
Dual pumps, stand-by power
Dual pumps, stand-by power
Dual pumps, stand-by power
Dual pumps, stand-by power
Dual pumps, stand-by power
Dual pumps, stand-by power
Dual pumps, stand-by power

III COLLECTION SYSTEM INFORMATION
ITEM NO. 11 ATTACHMENT
CREEK CROSSINGS:
1. 36" Behind Mallard Creek Apartments.
2. 6" Off Broad St. at Statesville Manor
3. 8" Greenbriar Rd.
4. 24" Statesville Senior High School
5. 6" Statesville Senior High School
6. 10" Statesville Senior High School
7. 30" Morrison Creek
8. 24" Hillcrest Trailer Park
9. 8" Hillcrest Trailer Park
10. 12" Phillips
11. 15" Near Goldsboro Road
12. 12" MoCaro Industries
13. 8" Thornburg Plant
14. 15" Hickory Highway 70W.
15. 18" Behind Gene Davis
16. 24" West of Wallace Springs Road
17. 8" Days Inn
18. 8" Behind Indian Ridge Subdivision
19. 30" Below Queens Crest Subdivision
20. 8" Below Queens Crest Subdivision
21. 12" Museum Road
22. 27" Absher Property
23. 21" Behind Martin Marietta Aggregates
24. 8" Anna Drive
25. 10" Mulberry Park
26. 15" Anderson Park
27. 15" Alexander Street
28. 8" Falls Street
29. 8" St. Andrews Road
30. 8" St. Cloud Drive
31. 8" Broad Street across from Statesville Manor
32. 8" Springfield Road
33. 12" East Elementary Road
34. 24" Free Nancy Avenue
35. 12" Camden Drive
36. 16" Under 1-40
37. 12" Amity Hill Road at Fox Den Subdivision
38. 12" 1-77 at Fox Den Subdivision
39. 8" Lincoln Street
40. 12" to 42" Outfall to Fourth Creek WWTP
41. 12" to 30" Outfall to Third Creek WWTP

III Collection System Information
Item No. 11 Attachment
Page 2
AERIALS
42. 24" Off Simonton Road
43. 16" Off Simonton Road
44. 24" Off Brookgreen Drive
45. 24" Off Forest Park Drive
46. 24" Off Oakdale Drive
47. 8" Off Lerain Court
48. 8" Off Stoneybrooke Road
49. 8" Off Camden Drive
50. 8" Off Crowell Drive
51. 8" Off Lippard Street
52. 24" Off Norwood Road
53. 24" Off Valley Stream Road
54. 8" Off Cedar Street
2-2-01

IV Admin. Of The Collection System Item No. 5
PAGE 161
ORDINANCE NO. 65-99
AN ORDINANCE AMENDING CHAPTER 23, ARTICLE IV OF THE CODE
OF THE CITY OF STATESVILLE BY ADDING THERETO NEW PROVISIONS
ESTABLISHING REQUIREMENTS FOR FOOD PREPARATORY BUSINESSES.
BE IT HEREBY ORDAINED by the City Council of the City of Statesville,
North Carolina that Section 23-189 (B) (3) of the City Code is hereby amended to read as
follows:
Grease, oil and sand interceptors shall be provided when:in the opinion of the
POTW director, they are necessary for the proper handling of wastewater containing
excessive amounts of grease and oil, or sand;. except that such interceptors shall not be
required for residential users. All interception units shall be of type and capacity
approved by the POTW director and shall be so located to be easily accessible for
cleaning and inspection. Suchinterceptors shall be inspected, cleaned and repaired
regularly, as needed, by the user at their expense.
Oil and Grease interceptors shall be required for all food preparatory businesses
that discharge to the City of Statesville. All existing food preparatory businesses that do
not have an oil and grease interceptor and that are able to maintain compliance with the
100 mg/I limit may be exempted from installing an oil and grease interceptor by the
Director or his designee. All interceptors shall be properly sized to handle excessive
amounts of oil and grease. All interceptors shall be inspected, cleaned and repaired
regularly, as needed, by the user at the user's expense. All food preparatory businesses
are subject to being sampled semi-annually, by the City, for oil and grease content. The
result shall not exceed 100 mg/l. If the content exceeds the 100 mg/1 limit, enforcement
action can be taken in accordance with the City's Enforcement Response Plan.
This ordinance was introduced for a first reading by Councilmember Peterson
seconded by Councilmember Kutteh , and unanimously carried on the 6th

IV Admin. Of The Collection System Item No. 8 .
STATE OF NORTH CAROLINA
COUNTY OF IREDELL
WASTEWATER AGREEMENT
BETWEEN
CITY OF STATESVILLE AND TOWN OF TROUTMAN
THIS AGREEMENT, made and entered into this ) day of
, 1998, by and between the City of Statesville, North Carolina, a
municipal corporation hereinafter referred to as "Statesville" and the Town of
Troutman, North Carolina, a municipal corporation hereinafter referred to as
"Troutman".
WITNESSETH
THAT WHEREAS, Statesville owns, operates and maintains certain wastewater
collection and transmission lines and treatment plants within its service area; and
WHEREAS, Troutman desires to install certain wastewater collection and
transmission lines and appurtenant facilities into the wastewater system of Statesville for
transmission and treatment, and
WHEREAS, Statesville and Troutman desire to cooperate with each other to
provide wastewater service in their respective service area in the most cost effective and
practical manner possible.
WHEREAS, Chapter 23 of the Code of the City of Statesville, as amended,
provides the rules and regulations for any municipality desiring to discharge sewage
into the City of Statesville's sewage system.
NOW THEREFORE, in consideration of the mutual covenants, terms and
conditions hereto, Statesville and Troutman mutually agree as follows:
A. GENERAL
1. Statesville will receive wastewater from Troutman at points of delivery
herein specified during the term of this Agreement or any renewal or
extension thereof, and will transport said wastewater for treatment in
quantities defined in this Agreement.
2. Statesville will furnish, install, operate and maintain adequate wastew-/
transportation (i.e. collectors, force mains and pump stations)
treatment systems to transport and treat wastewater quantities fyr
Page 1

specified point(s) of delivery as specified herein from Troutman.
Statesville will be responsible for operations, maintenance and regulatory
compliance for the wastewater trans
portation system from the point(s) of
delivery specified herein to the wastewater treatment facility. Troutman
will be responsible for operations, maintenance and regulatory
compliance for the wastewater transportation system upstream of the
specified delivery point(s) including bypass and spill reporting
requirements. Troutman shall hold harmless, indemnify and defend
Statesville against any claims or regulatory actions arising from any
bypass or spill of wastewater within the Troutman system. Statesville
shall hold harmless, indemnify and defend Troutman against any claims
or regulatory actions arising from any bypass or spill of wastewater
within the Statesville system.
3. Statesville and Troutman shall exchange information with regard to their
long range wastewater planning and may conduct such
if such joint planning is deemed mutually beneficial. planning �ointly'
4. Troutman agrees that its wastewater, as delivered to the City
s
interceptor for treatment, shall not contain excessive amounts of
stormwater or surface drainage, as determined by Statesville. Troutman
further agrees to adopt and implement a program to exclude such
stormwaters and surface drainage from its sanitary sewers, and such
program shall be subject to Statesville's approval on an annual basis as
long as said program is no more restrictive or demanding than
Statesville's own program. A copy of s Troutman'
program
for such
extraneous exclusions shall be provided to Statesville periodically as
revised. Troutman also agrees to provide to Statesville a copy of the
most recent sewer collection facilities map for the Town. Periodically,
at a minimum of five (5) years, the Town of Troutman shall provide
updated versions of the Town's sewer collection facilities map to the
City.
5. Troutman shall continue infiltration and inflow WO rk in order to
minimize I/I contribution into its wastewater flow. woTroutman shall
establish and conduct an appropriate ongoing I/I program to identify and
correct collection system problems.
6. Statesville shall transmit and treat all wastewater dischare ed b
Troutman into Statesville's lines in accordance with this Agreement;
provided, however, that Statesville shall not be liable for ffailure to
transmit and treat such wastewater in the event that such failure is caused
by circumstances over which Statesville has no control, including, but
not limited to, the following:
Page 2

•
(b) Theft, fire, vandalism, sabotage, criminal acts, or acts of
war;
(c) Strikes, equipment and/or electric failure or unavailability
of supplies; and
(d) Orders by the Government of the United States or the
State of North Carolina.
In the event that such failures occur, it is agreed that Troutman shall be
afforded the same rights and protection as any Statesville customer and
that Statesville shall exercise due diligence in providing for the repair,
replacement or other corrective actions as required to re-establish service
to the affected areas. These corrective actions may include the use of
temporary structures, equipment or facilities as deemed appropriate.
7. Nothing in this Agreement shall imply or contrive any ownership rights
by Troutman in any wastewater treatment facilities owned by Statesville.
Neither shall anything in the Agreement imply or contrive any ownership
rights by Statesville in any wastewater collection facilities owned by
Troutman.
8. This Agreement constitutes the sole Agreement between Statesville and
Troutman related to wastewater matters and may be amended from time
to time if the Parties so mutually agree to do so.
B. RIGHT OF STATESVILLE TO ACCESS TROUTMAN LINE
1. Statesville or customers of Statesville will be permitted by Troutman to
tap onto and access these lines being constructed by Troutman as a part
of this project, subject to Troutman's standard tap -on fees and user
availability fees.
2. Should Statesville or any of its customers access Troutman's lines, they
will be charged the same rates as charged by Troutman to its customers
inside the town limits of Troutman based upon the amount of wastewater
entering the Troutman lines.
3. Should Statesville or any of its customers access Troutman's lines, the
quantity of wastewater discharge produced by them shall not be charged
against the maximum amount of 455,000 gallons of discharge per day
being allocated to Troutman pursuant to this agreement. Troutman shall
Page 3

have the responsibility of monitoring the amount of Statesville's
discharge into Troutman's system, subject to the right of Statesville to
have access to Troutman's meters and monitoring records.
4. Should Statesville or any of its customers access Troutman's lines, then
Statesville and its customers shall be responsible for any violation of
wastewater discharge requirements or regulations they may incur, and
shall defend, hold harmless and indemnify Troutman from any fine,
penalties, or other liability as the result of such violations.
C. GUARANTEED CAPACITY
1. Subject to the limitations and conditions set forth herein, Statesville
agrees to accept in the Statesville wastewater system from Troutman
when needed or desired, such maximum flows allocated herein. The
maximum amount of wastewater to be discharged from Troutman to
Statesville shall be 455.000 gallons per day of daily flow.
2. The daily flow is defined as wastewater flow measured on a daily basis
for a twenty-four (24) hour period from midnight to midnight. There
shall not be any instantaneous rate of wastewater discharge exceeding
three (3) times the maximum daily amount where instantaneous flow is
defined as the observed rate of flow at any given moment in time.
3. Troutman may acquire additional wastewater transportation and
treatment capacity from Statesville by mutual agreement, such capacity
to exist at the time of acquisition or to be provided by additional line
and/or treatment plant construction. Statesville agrees not to
unreasonably deny to Troutman additional treatment capacity within its
current WWTP, provided such additional wastewater capacity does not
jeopardize Statesville's ability to provide service to its then existing
service area and further provided under all circumstances Statesville at
all times retains no less than 30% of the plant's capacity. Statesville and
Troutman shall begin negotiations to assess the availability of additional
capacity and identify alternatives when the average daily flow of
wastewater from Troutman reaches a sustained level of 0.318 mgd (70%
of capacity). All cost sharing for the construction of any new facilities to
provide adequate capacity shall be determined at that time.
4. Statesville shall agree to provide letter of flow allocation for new
services and connections within thirty (30) calendar days from the date of
receipt of request from Troutman. Provided such flow allocations,
services and connections are in full compliance with the City of
Statesville's Sewer Use Ordinance (SUO) and the additional flow does
not cause Troutman to exceed its maximum daily flow allocation.

Troutman shall provide Statesville information related to flows and
• information to be provided to the North Carolina Department of
Environment and Natural Resources. In the case of new connections
Troutman will provide technical drawings and maps as part of such
request.
D. CHARACTER OF WASTEWATER FLOW
1. Troutman shall not discharge or allow to be discharged into Statesville's
wastewater system any wastewater not in compliance with the sewer use
ordinances and pretreatment programs of Statesville as they currently
exist and may be promulgated and amended in the future. Troutman
shall comply with all enforcement provisions of the respective sewer use
ordinance and pretreatment programs of Statesville as applicable.
Troutman shall comply specifically with the City of Statesville's sewer
use ordinance, Chapter 23. Statesville shall have the right to suspend
service to Troutman upon Troutman's failure to comply with provisions
of this agreement specified herein and to continue such ,suspension until
full compliance is met. Statesville may not suspend service, however,
until after giving Troutman at least 30 days notice to cure any failure to
comply on Troutman's part.
2. Statesville shall provide wastewater treatment services for Troutman and
shall administer an area wide pretreatment ordinance on behalf of
Statesville and Troutman. Statesville shall act as Troutman's agent and
on their behalf to enforce said ordinance. Troutman shall support and
aid in enforcement of the pretreatment ordinance. Statesville shall carry
out the industrial waste permitting process required by State and federal
regulations and shall monitor the industrial users and shall enforce the
provisions of the sewer use ordinance for applicable industrial discharges
in the Troutman service area. Statesville shall notify Troutman
immediately at the time it discovers any violation of its ordinances or
regulations by industrial users on Troutman's system and shall further
notify Troutman of any action being taken as a result of such violations.
In the event of a violation to the extent that a surcharge or penalty shall
be owed by any industrial user, the violating industry shall remit such
surcharge or penalty to Troutman. In the event of violation of the
regulations by such users, Statesville shall enforce said ordinance
provisions and Troutman shall remit payment to Statesville for such
penalties and surcharges owed. Statesville shall further have the right
and responsibility to enforce other provisions of said sewer use ordinance
within Troutman's sewage collection area.
Troutman shall abide by the policies of Statesville relating to sewer use
and other such policies that will be from time to time promulgated by
Page 5

Statesville relating to the operation of its wastewater transportation and
treatment system. However, any such regulations, ordinance or policies
shall not be arbitrary, capricious or unreasonable and shall be no more
restrictive upon Troutman than other Statesville customers. Statesville
shall immediately inform Troutman of any amendments or changes to its
Sewer Use Ordinance or other such policies.
3. Troutman shall hold harmless and defend Statesville against any claims
arising from the transportation and treatment of wastewater received
from Troutman based upon overflows, failure in pump stations, and
failure to notify, all within the Troutman system.
4. Prior to connecting to Statesville's system, Troutman shall adopt a sewer
use ordinance that is no less stringent than Statesville's Sewer Use
Ordinance. Said ordinance shall also be revised in accordance with any
future revisions to the City of Statesville's sewer use ordinance, within
ninety (90) calendar days of notification by the City of approval by City
Council.
E. POINTS OF DELIVERY
1. The initial point of delivery of wastewater from Troutman to Statesville
shall be on the premises of Statesville's Third Creek Wastewater Plant at
a place to be designated by Statesville.
2. Additional points of delivery may be mutually agreed upon in the future
as requested by either party.
3. The points of delivery, which are the same points where metering and
sampling facilities are to be installed, shall constitute the points of
change in ownership, operation and maintenance responsibilities between
Statesville and Troutman.
4. Troutman shall notify Statesville no less than sixty (60) calendar days
prior to any initial wastewater discharge to Statesville's wastewater
system as to the estimated date that such initial discharge will occur.
Page 6

F. FLQW MEASURING/SAMPLING
1. Unless otherwise herein provided, Troutman shall furnish and installthe
necessary metering and sampling equipment of proper type 'for
measuring the quantity and quality of wastewater delivered from
Troutman's system. The location, design, equipment and construction of
such metering and sampling facilities shall be in accordance with sound
engineering principles and shall be acceptable to both Statesville and
Troutman. Furthermore, such metering and sampling equipment shall be
approved by the City of Statesville prior to construction and installation
of such equipment.
2. Troutman hereto agrees to construct and Statesville -hereto agrees to
maintain the respective metering/sampling facilities in such a manner as
to ensure accurate measurement of flow and flow proportionate samples
from Troutman. Troutman shall have the right to inspect, read and test
the metering equipment and Statesville shall cooperate fully in this
regard. Statesville shall perform repairs or adjust any metering
equipment and Troutman shall cooperate fully in this regard. Statesville
shall perform repairs or adjust any metering equipment not conforming
to the standards of accuracy for which it was designed.
3. In the case of meter equipment failure, billing for wastewater flow shall
be made on the basis of an average of the previous twelve (12) months
until such failure is remedied.
4. Metering/sampling equipment shall be calibrated on an annual basis at
the expense of Statesville unless either party requests a more frequent
calibration. The party requesting the more frequent calibration shall bear
the expense of such.
Page 7

G. PAYMENT FOR SERVICES
1. Troutman shall provide for the total capital cost of the desi&n,
construction and financing of the required metering and sampling
facilities at the point(s) of delivery as provided by Statesville.
2. Troutman shall pay all costs associated with connecting to and extending
any existing Statesville wastewater collection or transmission lines for
the transportation of Troutman's discharge.
3. Troutman shall pay to Statesville a service availability charge of
$1,542,450($3.39/gallon * 455,000 GPD) which is calculated as
Troutman's proportionate share of the treatment process and facilities
improvements. This payment shall be made within 30 days after
Troutman begins its construction of this project, providing the funding
Troutman is anticipating from the State of North Carolina is available at
that time. If Troutman's funding from the State of North Carolina is not
available within 30 days after Troutman begins construction, the payment
of this service availability charge shall be made as soon as the funding is
available to Troutman, but in no event shall Statesville allow the initial
connection of the Troutman wastewater system to the Statesville
wastewater system until the entire service availability charge of
$1,542,450 has been paid in full. Should Troutman in the future desire
to increase its flow allocation to the Statesville system, additional service
availability charges shall be assessed to Troutman by Statesville at that
time based on the additional flow allocation so requested. That flow
allocation, if available, will be provided at a rate equivalent to the net
present worth of that portion of the WWTP at that time and may include
the cost of expansion or construction associated with the increase in flow
on a prorated basis, except as otherwise stipulated in this Agreement.
4. Troutman shall pay Statesville for the metered wastewater flow in
amounts up to the herein -stated quantity allowances at each delivery
point at the initial presently calculated rate of $1.92 per 1000 gallons or
$1.44 per 100 cubic feet. A rate schedule for wastewater flow is
attached to this agreement in Appendix A.
5. At appropriate intervals as deemed necesviry by Statesville, but not more
than one time per year, an independent auditor chosen by Statesville and
Troutman will determine the actual cost of operation and maintenance of
the Third Creek Plant on a per 100 cubic feet or 1,000 gallon basis. This
cost shall be determined in accordance with Appendix A. Statesville
shall make available to Troutman all information relating to the
derivation of the above -referenced cost such that Troutman can make a
Page 8

full and complete yearly audit of such cost. The cost of the independent
audit shall be shared equally by Troutman and Statesville.
6. If, at any time during the first twenty-four (24) months that Troutman
discharges flow to Statesville, the average daily flow for any month from
the point(s) of delivery combined shall exceed the stated maximum daily
flow allocation, Troutman shall pay to Statesville, in addition to all other
rates, fees and charges, a penalty per 1,000 gallons or 100 cubic feet that
equals 100% of the rate being charged at the time for all flow amount
that exceeds the maximum daily allocation. The City shall also have the
right to charge Troutman a penalty that equals 100% of the rate being
charged at the time, for any flows that exceed the maximum
instantaneous rate as defined within this Agreement when the maximum
daily flow allocation is exceeded.
7. If, after the first twenty-four (24) months that Troutman discharges
wastewater flow to Statesville, the total daily flow amounts from the
point(s) of delivery combined shall exceed the stated maximum daily
flow allocations, Troutman shall pay to Statesville, in addition to all
other rates, fees and charges, a penalty per 1,000 gallons or 100 cubic
feet that equals 100% of the rate being charged at the time for all flow
amount that exceeds the maximum daily allocation. The City shall also
have the right to charge Troutman a penalty that equals 100% of the rate
being charged at the time, for any flows that exceed the maximum
instantaneous rate as defined within this Agreement when the maximum
daily flow allocation is exceeded.
8. It is the expressed desire of both parties to coordinate their respective
rate structures. Each party shall notify the other party no less than sixty
(60) days prior to the adoption of any rate changes.
9. Statesville will bill Troutman for the wastewater services provided in
accordance with Statesville's standard billing procedures for all other
wastewater customers. Statesville shall have the right to suspend service
to Troutman upon Troutman's failure to pay for the services billed and to
continue such suspension until such payment is made. However,
Statesville may not suspend service until after giving Troutman at least
30 days notice to pay for such services billed in full. Late payment
charges and any other penalties shall be applicable within the policies of
Statesville.
Page 9

H. DISPUTES
1. All claims, counterclaims, disputes and other matters in question
between the parities hereto arising out of or relating to this Agreement or
the breach thereof shall be decided by (1) formal mediation, (2) by a
court of competent jurisdiction. If the matter of disagreement concerns
rates to be paid, it is agree that participants shall continue payment based
on the rate in effect prior to the dispute, until the matter is settled.
I. TERM
1. Except as otherwise provided, the provisions of the Agreement shall
continue and be effective for a term of twenty (20) years from the date
Troutman pays to Statesville the service availability charge. It shall,
thereafter, be effective for a five-year period with automatic renewal
from one five-year period to the next; provided, however, that in the
event either party shall desire that this Agreement not be renewed for the
next effective period, they shall so notify the other party, thereby giving
the other party five years notice of termination. There shall be no
additional service availability charge paid by Troutman to Statesville
should this agreement be extended beyond the initial term.
2. It is agreed that Statesville may seek injunctive relief through a court of
competent jurisdiction upon Troutman's breach of or failure to perform
any of the terms of this agreement. Likewise, it is agreed that Troutman
may seek injunctive relief through a court of competent jurisdiction upon
Statesville's breach of or failure to perform any of the terms of this
agreement.
3. If at any time during the period of the agreement, by mutual consent,
both parties determine that they do not desire to continue the agreement,
then Statesville shall pay back to Troutman an amount of money
equivalent to the unamortized portion of the service availability charge
paid based upon an amortization of the service availability charge over
the 20-year term of this agreement. By way of example, should the
parties agree by mutual consent to terminate this agreement after five
years of the 20-year term have expired, Statesville will refund to
Troutman 75 % of the initial service availability charge, as 75 % of the
20-year term of this agreement would remain unfulfilled.
Page 10

4. Should Troutman not initiate any wastewater discharge to the Statesville
wastewater system within three (3) years of the date of this Agreement,
this Agreement shall be considered terminated at that time.
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be
executed in duplicate original in their respective names by their respective Mayors and
attested by their Manager and/or/Clerk and their corporate seals hereto affixed, all
pursuant to Resolutions duly adopted by their respective governing boards.
ATTEST: = . �, - CITY OF STATESVILLE
Actt•A Lc=i
,City Clerk
ATTEST:
?%1
Clerk to Board / Mayor
Mayor
Page 11

WASTEWATER AGREEMENT
BETWEEN
CITY OF STATESVILLE AND TOWN OF TROUTTMAN
APPENDIX A
The formula for calculating the wastewater treatment charge is as follows:
OPERATIONAL COST (O&M) (1)
+ ADMINISTRATION (G&A) (2)
+ 50% OF (O&M) + (G&A)
= WASTEWATER CHARGE
1. • Operational cost is the personnel, operating and maintenance costs associated with operating
the City of Statesville Third Creek Wastewater Treatment Plant (plant).
2. Administration is the general and administrative cost associated with the plant that is not
charged to the plant's cost directly.

V Operation & Maint. Of The Collection System Item No. 14
o4 / City of Statesville
Interoffice Memo
TO: All Employees — Water/Sewer Division
FROM: Wayne Lambert — Director of Public Works
DATE: June 20, 1999
SUBJECT: Sanitary Sewer Overflow Response
As required by the State, we have developed a plan to address Sanitary Sewer Overflows caused by
grease, roots, pipe failures, vandalism, or Act of God.
1. Upon discovery of Sanitary Sewer Overflow, the Water/Sewer Division personnel will respond and
make an immediate assessment. If overflow has occurred, the Water/Sewer Division personnel will
contact his supervisor.
2. The Supervisor will determine what course of action is required to stop the overflow and clean up the
site. Remediation Procedures for Sanitary Sewer Overflows are to be used as a guide. Further
guidance may be received through the Water/Sewer Utility Superintendent, his Assistant or State
authorities.
3. The Supervisor will make a record of all events and handle any reporting necessary. The Supervisor
will report all activities to the Water/Sewer Utility Superintendent.
Reporting thresholds as stated in the State's Elimination of Collection System Overflows memo are as
follows:
All spills, regardless of volume that reach surface waters must be reported.
Spills of 1,000 gallons or less that do not reach surface waters and are confined on
site do not have to be reported. However, records must be retained documenting
spill and action taken to address the spill.
Spills greater than 1,000 gallons, regardless of whether or not they reach surface
waters must be reported.
The telephone number for the Mooresville Regional Office is [phone] or the State's
24-hour number, Division of Emergency Management, is 1-800-858-0638. Reportable
spills must be reported immediately but in no case more than 24 hours from the time of
the spill was discovered.
PURPOSE
The purpose of the Sanitary Sewer Overflow Response Plan is to protect the citizens of the City
of Statesville, North Carolina and the environment by establishing written procedures for
responding to Sanitary Sewer Overflows. This procedure applies to all Water/Sewer Division

employees that in the course of their work may deal with sanitary sewer overflows. These
procedures will be reviewed at least semi-annually, or whenever revised guidance from County,
State or Federal authorities dictate a revision is necessary.
PLAN OF ACTION
1. Upon discovery of a Sanitary Sewer Overflow, Water/Sewer Division employees will respond
and make an immediate assessment. If an overflow has occurred the Water/Sewer Division
employees will contact their supervisor.
2. The supervisor will determine what course of action is required to stop the overflow and clean
up the site. Remediation Procedures for Sanitary Sewer Overflows are to be used as a guide.
Further guidance may be received through the Water/Sewer Utility Superintendent, his
assistant or State authorities.
3. The supervisor will make a record of all events and handle any reporting necessary. The
supervisor will report all activities to the Water/Sewer Utility Superintendent.
SPILL REPORTING
Reportable Sanitary Sewer Overflows will be reported in compliance with the State's Elimination
of Collection System Overflows memo. (See Reference Section.) All reportable spills will be
reported to the Mooresville Regional Office at [phone] or the State Division of Emergency
Management (24 hours) at 1-800-858-0638 immediately or in no case more than 24 hours after
discovery of a spill.
REQUIRED EMERGENCY EQUIPMENT
Water/Sewer division has the following equipment available at these locations.
Item No.
Equipment
Location
1.
Sreco Flushing Truck
Municipal Warehouse
2.
Vac Con combination Unit
Municipal Warehouse
3.
Sreco Flexible Rodding Machine
Municipal Warehouse
4.
3" Trash Pump
Municipal Warehouse
5.
(3) 3" Mud Hog Pumps
Municipal Warehouse
6.
2 mgd pump 8" discharge & suction
Third Creek WWTP
7.
Camera Van
Municipal Warehouse
8.
4-wheel drive tractor will bushhog
Municipal Warehouse
9.
Backhoes
Municipal Warehouse
10.
John Deere Loader
Municipal Warehouse
11.
Rubber Tire Loader
Municipal Warehouse
12.
Motor Grader
Municipal Warehouse
13.
Boom Truck
Municipal Warehouse
COLLECTION SYSTEM MAINTENANCE RECORDS
The Water/Sewer Division employees keep daily work reports on routine rodding, grease and root
problems, flow monitoring, TV inspection and outfall mowing and inspection.

Collection System Evaluation:
1. Please estimate how many miles of sewer line are in your collection system
<100mi. x 100-500mi. 501-1,000mi.
2. How many pump stations are in your collection system? 11
>1,000mi
3. Please list any problem areas within your collection system. Include exact location of problems.
(e.g. Chronically surcharging manholes, pump stations which frequently fail, lines with severe
Infiltration and Inflow, etc..)
1. 8"vr 1ine between Race St. and West Sharpe St. - Problem is
crooked pipes, deteriorating joints, leading to blockages.
2. Forest Park Dr. from Magnolia St. to Spring St. - Heavy root problem
4. Please rank the problems listed in No. 3 in order of importance. If possible, include an estimated date
by which the problem will be appropriately addressed.
1. Relay 8" line between Race St. and West Sharpe St. Work to be done
in August 1999.
Have Forest Park Dr. chemically treated for root control by
January 2000.
5. Please describe any ongoing efforts or plans to rehabilitate and/or renovate the collection system.
Include exact location of ongoing or planned work.
(e.g. Infiltration and Inflow studies, pump station upgrades, pipe replacement, etc..)
WP propose that tho City F.ngin. er COncirlar rPmnval of Sewer trPgtle
which is located at the end of Signal Hill Dr. at Simonton Rd. and laying
a new 24" line underground crossing existing creek tieing into existing
36" sewer outfall.
NOTE: Please attach any additional sheets and/or. information if needed.

SPILL RESPONSE PLAN EVALUATION
Fourth Creek WWTP Nc0031836
Permittee Third Creek WWTP Permit Number NCnn2n591
County Iredpl l
1. Do you have a current 24-hour contact list that includes phone numbers of key personnel and/or
contractors? ,< Yes No (If Yes, please attach)
2. Do you have an equipment list that includes available functional equipment and where the
equipment is located? x Yes No (If Yes, please attach)
3. Do you have the staff resources to make an on -site assessment of a spill within two hours of
notification of the spill? x Yes No (If No, please explain below)
4. Please list your standard spill response procedures: see spill resrnnSe pI an
5. Is your spill response plan readily available to all essential personnel? x Yes No
If No, please explain why:
6. Are all essential personnel familiar with the spill response plan and do they clearly understand its
contents?
x Yes No
If No, please explain why:
Revision #1 6/11/99

OPERATION & :MAINTENANCE EVALUATION
Fourth Creek WWTP NC0031836
Permittee Third Creek WWTP Permit Number NC0020591 County Iredell
1. Is staff designated full-time for collection system operation and maintenance? Yes x No
2. Do you have a list of 24-hour contacts? Yes x No (If Yes, please attach)
3. Do you have an emergency equipment list? Yes x No (!f Yes, please attach)
4. Staff distribution/time allocation:
Number Total staff
employed hours/week
Collection System (incl. part-time) 4 160
Pump Stations
I/l Correction 2 40
5. Are map(s) of the collection system available? Yes x No
6. Total number of pump stations: 11 (Please complete a Pump Station form for each station.)
7. Is a preventive maintenance program in effect? x Yes No (If Yes, please attach)
If yes, does it include:
a. Maintaining logs/records x Yes No
(maintenance, inspection, etc)
b. Trouble log (equipment/system malfunctions) x Yes No
c. Establishing schedules x Yes No
d. I/1 evaluation x Yes No
e. Manhole inspection x Yes No
f. Sewer cleaning program _ x Yes No
g. Hydrogen sulfide monitoring and control Yes x No
h. Lift station operation X Yes No
i. Easement/right-of-way maintenance x Yes No
j. "Walking" or visual observation of lines X Yes No
k. Spare parts inventory x Yes No
8. Please describe what type of ongoing inspection program for the collection system exists.
Crews do visual inspections of creek crossings and trestles checking
for penetrations and/or swags. We check manholes_ on outfalls while
we mow them. We also TV lines checking for potential problems and
to see how effective our routine rodding is.
9. Please describe the schedule for line cleaning. our operators check out problems
areas on a regular basis and maintain as necessary. We perform routine
maintenance throughout the system.
10. Is there a sewer use ordinance? x Yes _ No. Is there a grease ordinance? x Yes _ No
If yes, please identify the responsible party for ensuring the ordinance(s) is followed.
Pretreatment Coordinator / Water/Wastewater (name/agency).
Director
11. Please describe any sewer use ordinance enforcement practices that exist.
Violators of the sewer use ordinances are issued fines and/or penalties
and are required to respond to Water/Wastewater and outline a plan of
action to put them back in compliance.
Revision #1 6/11/99

Richard Cooper
Eddy Mitchell
Pager #881-6990 Home Phone [phone]
Home Phone [phone]
Water/Sewer Division — Standby for Emergency Calls
Pager 1— 881-6991
Pager 2 — 881-6992
Name
From
To
Phone
Paul Brown
18-Jun-99
25-Jun-99
871-0867
David Wilhelm
25-Jun-99
02-Jul-99
876-0825
Joe Moose
02-Jul-99
09-Jul-99
873-5131
Dennis Harris
09-Jul-99
16-Jul-99
881-0060
Paul Brown
16-1ul-99
23-Jul-99
871-0867
David Wilhelm
23-Jul-99
30-Jul-99
876-0825
Joe Moose
30-Jul-99
06-Aug-99
873-5131
Dennis Harris
06-Aug-99
13-Aug-99
881-0060
Paul Brown
13-Aug-99
20-Aug-99
871-0867
David Wilhelm
20-Aug-99
27-Aug-99
876-0825
Joe Moose
27-Aug-99
03-Sept-99
873-5131
Dennis Harris
03-Sept-99
10-Sept-99
881-0060
Paul Brown
10-Sept-99
17-Sept-99
871-0867
David Wilhelm
17-Sept-99
24-Sept-99
876-0825
Joe Moose
24-Sept-99
01-Oct-99
873-5131
Dennis Harris
01-Oct-99
08-Oct-99
881-0060
Paul Brown
08-Oct-99
15-Oct-99
871-0867
David Wilhelm
15-Oct-99
22-Oct-99
876-0825
Joe Moose
22-Oct-99
29-Oct-99
873-5131
Dennis Harris
29-Oct-99
05-Nov-99
881-0060
To obtain assistance from Water/Sewer Division during regular working hours (7:00 AM
to 3:30 PM) call 878-3417. After regular working hours and weekends call 878-3406
(Police Department).

Water/Sewer Division - Standby for Emergency Calls
Pager 1— 881-6991 Pager 2 — 881-6992
Name
From
To
Phone
Cecil Combs
18-June-99
25-June-99
546-7903
Rick Draughn
25-June-99
02-July-99
871-1044
Mark Sloan
02-July-99
09-July-99
876-6708
Wayne Sprinkle
09-July-99
16-July-99
872-3422
Eddie Stephens
16-July-99
23-July-99
528-4688
Patrick Murphy
23-July-99
30-July-99
871-1321
Robert Knox
30-July-99
06-Aug-99
872-6883
Nate Rankin
06-Aug-99
13-Aug-99
873-9664
Newland Sloan
13-Aug-99
20-Aug-99
876-1196
Cris Sloan
20-Aug-99
27-Aug-99
876-2561
Cecil Combs
27-Aug-99
03-Sept-99
546-7903
Rick Draughn
03-Sept-99
10-Sept-99
871-1044
Mark Sloan
10-Sept-99
17-Sept-99
876-6708
Wayne Sprinkle
17-Sept-99
24-Sept-99
872-3422
Eddie Stephens
24-Sept-99
01-Oct-99
528-4688
Patrick Murphy
01-Oct-99
08-Oct-99
871-1321
Robert Knox
08-Oct-99
15-Oct-99
872-6883
Nate Rankin
15-Oct-99
22-Oct-99
873-9664
Newland Sloan
22-Oct-99
29-Oct-99
876-1196
Cris Sloan
29-Oct-99
05-Nov-99
876-2561

a.
rya
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
February 16, 2007
Brandy Johnson.
Pretreatment Coordinator
City of Statesville
PO Box 111
Statesville, NC 28687
Subject: PERCS Receipt of Oil & Grease Policy
City of Statesville
Iredell County
NPDES Number: Fourth Creek NC0031836
Third Creek NC00205191
Alan W. Klimek, P.E. Director
Division of Water Quality
I,JQcS 0®07D
AND 6'•.: I i .. , , r ._.::)JRCES
ElOCRz _+ OFFICE
FEB 1 9 2007
R1nPr7F n n7,1a%���yn�.
� U u u Lrz u . J u
Dear Ms Johnson:
The PERCS Unit of the Division of Water Quality has received th �;1; e Oil &
Grease Policy via email on February 15, 2007.
Although an oil & grease policy is not required under Pretreatment, it is a requirement of the
City's wastewater collection system permit to have an enforceable fats, oils and grease program
for non-residential users under which the City can take enforcement against users who have not
properly installed, operated and maintained grease traps or grease interceptors as directed or
otherwise violated the terms of the local ordinance pertaining touts, oilrsian d grease. The
sections of the City's Sewer Use cited within the policy document fulfill those requirements.
Thank you for your cooperation with the PERCS Program. If you have any questions or
comments, please contact Deborah Gore at [phone], ext 593 [email:
[e-mail]] or Jeff Poupart, Unit Supervisor at [phone], ext. 527
[email: [e-mail]].
Dg/statesvilleSUO03
Enclosure for files_City of Statesville Oil & Grease Policy
CC: Central Files—NC0031836 file, w/enclosure
Central Files-irkgeSO- "039iftll n loc»re
Thomas Ascenzo, PERCS, w/enclosure
John Lesley, MRO, w/enclosure
Barbara Sifford, MRO, w/enclosure
Sincerely,
Alan W. Klimek, PE
NC DWQ/PERCS
Internet: h2o.enr.state.nc.us/PERCS/
None Carolina
aturally
1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper

City of Statesville
Oil & Grease Policy
Introduction:
Fats, oils and Greases (FOG) are problem substances in wastewater that can be controlled by
properly maintained interceptors. Correct grease interceptor maintenance will lower the high number of
grease stoppages in the City of Statesville collection system. The frequent stoppages in the City of
Statesville sewer system indicates many grease traps are not properly maintained. The City of
Statesville now requires that all food service operations maintain a properly sized grease and oil
interceptor to keep excess oil and grease out of the sanitary sewer system.
Who Must Comply & What Must Be Done:
SEWER USE ORDINANCE
Section 23-189. Pretreatment of wastewater.
(b) (3) Grease, sand, grit and oil interceptors and oil/water separators shall be provided when, in the opinion of
the POTW director, they are necessary for the proper handling of wastewater containing excessive amounts of
grease and oil, grit, sand, lubricating oil, cutting oil, kerosene, gasoline, naphtha, paraffin, trisodium
phosphate, and any other light density and volatile liquids in the sewer system or have the potential to have
them discharged to the sewer system. This will not be required for residential users. All interception units
shall be of type and capacity approved by the POTW director or his designee and meet North Carolina State
Plumbing Codes. Interception units shall be so located to be easily accessible for cleaning and inspection. All
oil/water separators shall have two access ports that will allow for inspection, sampling and cleaning. A grit
interceptor shall be installed in the drainage line leading from a facility, prior to the required oil/water
separator. Such interceptors shall be inspected, cleaned and repaired regularly, as needed, by the user at their
expense.
Oil and grease interceptors shall be required for all food preparatory businesses that discharge to the
City of Statesville. All interceptors shall be properly sized to handle excessive amounts of oil and grease. All
interceptors shall be inspected, cleaned and repaired regularly, as needed, by the user at the user's expense. All
interceptors or traps shall have a sampling port, as approved by the POTW director or his designee. All food

City of Statesville
Oil & Grease Policy
preparatory businesses are subject to being sampled semi-annually, by the city, for oil and grease content. The
result shall not exceed two hundred (200) mg/1. If the content exceeds the two hundred (200) mg/1 limit,
enforcement action can be taken in accordance with the city's enforcement response plan.
A) NEW FACILITIES
1. All new food preparatory businesses shall be required to install a grease interceptor, according to
the Statesville City Code Section 23-189. Grease interceptors shall be adequately sized, with no
interceptor less than a 1,000 gallons total capacity.
2. No new food preparatory business will be allowed to initiate operations until grease -handling facilities
are installed and approved by the POTW director or his designee.
3. All grease interceptors must have each chamber directly accessible from the surface, free from
obstructions, to provide for servicing and maintaining the interceptor in working and operating
condition.
4. Where food — waste grinders are installed, the waste from those units shall discharge directly into the
building drainage system without passing through the grease interceptor. All other fixtures and drains
receiving kitchen or food preparation wastewater shall pass through a grease interceptor.
B) EXISTING FACILITIES
1. All existing food preparatory businesses that do not have an oil and grease interceptor and that are able
to maintain compliance with the two hundred (200) mg/1 limit may be exempted from installing an oil
and grease interceptor by the POTW director or his designee. Maintaining compliance shall mean no
violation of the two hundred (200) mg/1 limit.
2. Any existing food preparatory businesses that can not meet the two hundred (200) mg/1 limit will be
required to have a grease interceptor installed, which has been approved by the POTW director or his
designee. Failure to install a grease interceptor within six (6) months of notification will be considered
a violation of the City of Statesville Sewer Use Ordinance and may subject the facility to penalties and
corrective actions or service discontinuance. Said installations shall meet the same requirements for
design as for new facilities. (See Section A above).
3. For cases in which " outdoor" type grease interceptors are infeasible to install, existing food
preparatory businesses will be required to install adequate and approved "under -the- counter" grease
traps for use on individual fixtures including dishwashers, sinks, and other potentially grease
containing drains.
2

City of Statesville
Oil & Grease Policy
4. The location of "under-the-counter" units must be near the source of the wastewater as physically as
possible.
5. Wastewater from garbage grinders should not be discharged to grease traps/interceptors.
6. The exclusive use of enzymes, grease solvents, emulsifiers, etc. is not considered acceptable grease
trap maintenance.
C.) NEW FOOD PREPARATORY BUSINESSES IN EXISTING BUILDINGS
1. All new food preparatory businesses locating in existing buildings shall be required to install a
grease interceptor approved by the POTW director or his designee.
2. Where physically impossible to install "outdoor" units, "under-the-counter" units may be allowed as
with existing food preparatory businesses as approved by the POTW director or his designee. (See
Section B above).
Section 23-183. Prohibited discharge standards.
(b) (3) Total fat, wax, grease or oil concentration of more than two hundred (200) mg/1, whether
emulsified or not, or containing substances which may solidify or become viscous at temperatures
between thirty-two (32) degrees and one hundred fifty (150) degrees Fahrenheit (zero and sixty-five (65)
degrees Celsius) at the point of discharge into the system. Petroleum oil, nonbiodegradable cutting oil,
or products of mineral oil origin, in amounts that will cause interference or pass through.
(13) Fats, oils, or greases of animal or vegetable origin in concentrations greater than 200 mg/1.
ENFORCEMENT RESPONSE PLAN
Part 4 Of The Enforcement Response Guide
Enforcements:
All establishments must comply with the 200 mg/1 limit. If non-compliance occurs, the
following will apply:
1. First Violation = Warning
2. Second Violation= $50.00 fine
3. Third Violation=$100.00 fine
4. Forth Violation=$150.00, fine

City of Statesville
Oil & Grease Policy
5. Fifth Violation=$200.00 fine
6. Sixth Violation=$250.00 fine and reply, in writing, detailing steps to be taken to correct this
violation .
7. Seventh Violation=$300.00 fine and we request that you contact our office to set up a
meeting to discuss the continual problem your restaurant is having in meeting the Sewer Use
Ordinance limit for Oil & Grease.
8. Eighth Violation=$350.00 fine and we are requesting that you meet with our Pretreatment
Staff to develop a plan of action to be taken to help your restaurant meet compliance. Please
be aware that if steps are not taken to reach compliance, increasing fines and enforcement
action will be taken. Fines can increase up to $25,000 per day per violation.
9. Ninth Violation=$400.00 fine and we recommend that a sample port be provided within the
grease trap after the Zabel filter, rather that sampling from the cleanout. This would make it
easier to see what is being sampled and prevents the possibility of chunks of grease being
introduced into the sample from the sampling probe scraping the side of the pipe.
The user must be compliant for one consecutive year (two sampling periods) for the fining
process to start over. The fines will be included in your electric bill.

/ Ai nip
day 2);
I 1999
ormation
Lift Statiolili
Sanitary Sewer
Overflow
Action Plan
• f,
-

CITY OF STATESVILLE
Lift Station Information &
Sanitary Sewer Overflow Action Plan
Procedures Page 2
Technical Data Page 3
Maps Page 6
O&M Cost Data Page 12
Sanitary Sewer Overflow Action Plan Page 13
Tab: Liftstation Forms
Tab: Reference
Revised March 10, 1999

3. Renee Parkman
CITY OF STATESVILLE
Memo
January 6, 1999
To: All Personnel From: Renee Parkman, Assistant
Water/Wastewater Treatment Water/Wastewater Treatme
Re: Lift Stations
tor
Our department maintains (11) lift stations throughout the City. These stations are
equipped with callback systems that notify the plants if they have a problem. If you
receive a call from a lift station, call the plant that is responsible for the station and let
them know which station called. If you cannot reach the plant, call the supervisor of the
plant:
Third Creek Stations (872-9261)
Barkley Road
Industrial Drive
Interstate Equipment
Newton Drive
Park Drive
Third Creek On -Call Numbers
1. Deno Williams 528-1548 (home)
2. Jeff Carty 910-667-9528 (home)
3. Renee Parkman 663-4201 (home)
Fourth Creek On -Call Numbers
1. Andy Smith 872-6244 (home)
2. Ken Houston [phone] (home)
or 592-2026
663-4201 (home)
Fourth Creek Stations (878-3437)
Statesville Business Park
Valley Stream
Marjorie Road
Hatfield Road
Commerce Blvd. (ASMO)
Davis Hospital
878-4131 (beeper)
881-6993 (beeper)
881-6995 (beeper) ..,
928-4414 (beeper)
8.78-4132 (beeper)
881-6995 (beeper)
When Davis Hospital calls, it identifies itself as Station 1; it will continue to call until it is
reset. Press "9" to acknowledge the signal or call the station back at 873-3540.

PROCEDURES
LIFT STATION CHECKS:
1. When you arrive, look for the RED INDICATOR LIGHT to see if there is a problem.
2. Listen for water running into the wet well or for the pumps, if they are running.
3. Turn pumps to "on" or "hand" position to assure that they are primed and will run. If pumps
will not run or have lost prime, check the breaker. Call for assistance if an electrical problem
is found.
4. Check oil levels if applicable.
5. Check and test the phone system. Reset the phone system if everything is ok.
GENERATOR HOOK-UP:
1. Turn the phone system off.
2. Set up grounding rod.
3. Hook up 230 V cord to appropriate generator outlet.
4. Turn disconnect box to OFF position.
5. Hook up 230 V cord to disconnect plug.
6. Start the generator and bring it up to speed.
7. Switch disconnect to ON position (BOTTOM for generator power).
8. When finished remember to turn disconnect back to City power -(TOP).
Davis Hospital lift station has its own emergency back-up generator that automatically switches
to generator power during a power outage.
ELECTRICAL OUTAGE:
To report an electrical outage for a station that is on Crescent power, call 873-5241 or 800-283-
8237. To report an outage for a station that is on City power, call 878-3417 during regular
business hours or 878-3406 after hours (Police Department). Davis, Hatfield and Asmo are on
Crescent power. All other stations are on City power.
SEWER PROBLEMS:
To obtain help from Sewer Maintenance during regular business hours call 878-3417 or.878-
3406 (Police Department) after regular business hours. •
Page 2

LIFT STATION LOCATIONS AND TECHNICAL DATA
FOURTH CREEK WASTEWATER TREATMENT PLANT
MARJORIE ROAD No. 1 Lift Station
Flyght submersible pump station
5 HP Flow 100 gpm @ 43 ft TDH (each pump)
Serial No. C-87-278
Voltage 480 Volts 3 phase 60 Hertz
30 amp plug for generator hook-up
VALLEY STREAM No. 2 Lift Station
Flyght submersible pump station
2 HP Flow 160 gpm @ 20 ft TDH (each pump)
Serial No. C-85-112.
Voltage 230 Volts 3 phase 60 Hertz
50 amp plug for generator hook-up (small black cord)
DAVIS HOSPITAL No. 3 Lift Station
Fairbanks Morris
20 HP Flow 180 gpm @ 114 ft TDH (each pump)
Voltage 240 Volts 3 phase 60 Hertz
50 amp plug for generator hook-up (small black cord)
HA !HELD ROAD No. 4 Lift Station
Flyght below ground
10 HP Flow 260 gpm @ 60 ft TDH (each pump)
Serial No. 35994-A
Voltage 480 Volts 3 phase 60 Hertz
30 amp plug for generator hook-up (gray cord)
241 Marjorie Road
878-2890
301 Valley Stream
•872-6963
.269 Old Mocksville Road
• ' 873-3540
152 Hatfield Road
872-2197
COMMERCE BLVD. (ASMO) No. 5 Lift Station 2748 Commerce Blvd.
Flyght below ground 872-2270
60 HP Flow 366 gpm @ 160 ft TDH
Serial No. C88-346
Voltage 460 Volts 3 phase 60 Hertz
50 amp plug for generator hook-up (Hubble plug, large plug)
Page 3

STATESVILLE INDUSTRIAL PARK No. 6 Liftstation
Gorman Rupp Pumps
54 HP Flow 210 gpm @ 163 ft TDH
Voltage 460 Volts 3 phase 60 Hertz 68 amps
50 amp plug for generator hook-up
(Hubble plug, Large plug)
341 Business Park Dr.
878-3403
Page 4

LIFT STATION LOCATIONS AND TECHNICAL DATA
THIRD CREEK WASTEWATER TREATMENT PLANT
BARKLEY ROAD No. T-1 Lift Station
Ecodyne below ground
5 HP Flow 200 gpm @ 41 ft TDH (each pump)
Serial No. 07-7655-C
Voltage 230 Volts 3 phase 60 Hertz
INDUSTRIAL DRIVE No. T-2 Lifts Station
Gorman Rupp above ground
7.5 HP Flow 100 gpm @ 36 ft TDH (each pump)
Serial No. D-105-A
Voltage 230 Volts 3 phase 60 Hertz
INTERSTATE EQUIPMENT No. T-3 Lift Station
Ecodyne below ground
7.5 HP Flow 225 gpm @ 35 ft TDH (each pump)
Serial No. 07-7654-C
Voltage 230 Volts 3 phase 60 Hertz
NEWTON DRIVE No. T-4 Lift Station
Gorman Rupp above ground
7.5 HP Flow 100 gpm @ 50 ft TDH (each pump).
Serial No. D-079-A
Voltage 230 Volts 3 phase 60 Hertz
PARK DRIVE No. T-5 Lift Station
Gorman Rupp above ground
10 HP Flow 100 gpm @ 50 ft TDH (each pump)
Serial No. F-307-A
Voltage 230 Volts 3 phase 60 Hertz
• 115/ Barkley Road
872-2193
1302 Industrial Drive
872-2170
1610 Salisbury Road
872-2191 • `,
2051 Newton Drive
872-2158
1018 Park Drive.
872-2099
Note: All stations use 50 amp plug (small black cord) for generator hook-up.
Page 5

Map 1: Marjorie Road Lift Station
•
Page 6

Map 2: Valley Stream Lift Station
w .
Z 00
3ri..
o

Map 4: Industrial Park Lift Station
Page 9

Map 3: Davis Hospital Lift Station
Hatfield Lift Station
ASMO Lift Station —1
ti
cc
i.0 .
ug,c.k.a.H surel
v) _4 • £
to
•
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Po Lb ,d•
Page 8

Map 5: Industrial Drive Lift Station
Interstate Equipment Lift Station
Barkley Road Lift Station
M�.
•
z 14
Page 10

Map 6: Newton Drive Lift Station
Park Drive Lift Station
c-4
3
cis
Page 11

STATION NAME JPLANT
Park Drive
Newton Drive
Interstate Equipment
Barkley Road
Industrial Drive
That`
Hatfield
ASMO
Third
Third
1997-98 LIFTSTATION MAINTENANCE COSTS
Routine
Checks
hrs/yr
38.5
38.5
LABOR
Repairs &
Upkeep*
hr/yr
38.25
54.75
Cost
$/yr
MAINTENANCE
Breakdown PM
Repairs (oil, grease)
$lyr
$/yr
$ 943.00 $ 5,672.40 $ 15.00
Industrial Park
Valley Stream
Davis Hospital
Marjorie Road
Punt'
Deport
Third
Third
Third
Fourth
Fourth
40.75
48.75
49.75
34.75
66
30.75
$ 1,106.00 $ 1,525.00 $ 10.00
$ 945.00 $ 231.00 $ 10.00
$ 1,323.00
$ 640.00 $ 15.00
$ 1,021.00 $ 2,907.60
Upkeep**
$lyr
$ 610.00
CHEMICALS ELECTRICITY
$ 30.00
$ 10.00
$/yr
$lyr
$ 2,146.40 $ 487.79
$ 20.00
15.00
$ 310.00
TOTAL
$/yr
$ 9,874.59
$ 343.74
$ 3,014.74
$ 420.14
$ 482.24
${1,940.80 $ 277.82
50
50
15
11.75
Fourth
Fourth
50
50
22.5
2.15
Fourth
Fourth
50
50
3.75
1.5
$ 847.30 $ 265.00 $
$ 804.90 $
$ 945.00 $ 135.00 $
$ 679.80 $ 7.00 $
$ 700.64 $
$ 671.30 $
$ 34.00
$ 1,534.00
$ 30.00
$ 4.00
$• 30.00
$ 34.00
$ 86.65 $ 1,028.47
$ 981.65 $ 1,526.19
$ 820.00 $ 1,598.75
$ 230.00 $ 407.73
$ 263.00 $ 2,330.23
$ 3,763.00 $ 332.28
$ 1,616.14
$ 2,480.24
$ 6,472.22
$ 2,261.42
$ 4,846.74
$ 3,528.75
$ 1,328.53
$ 3,323.87
$ 4,800.58
NOTE: *Includes emergencies. .
**Upkeep includes gravel, pumping out grease, weed control & painting.
Capital Outlay was not included. $30767 was spent at Davis Hospital Lift Station.
§4

CITY OF STATESVILLE
INTER -OFFICE MEMO
March 4, 1999
TO: All Employees
Water/Wastewater Treatment
FROM: Renee Parkman, Asst.Direc
Water/Wastewater Treatme
Re:
AO
Sanitary Sewer Overflow Response
As required by the State, we have developed a plan to address Sanitary Sewer Overflows caused
by a plant back-up or failure of a liftstation. •
4r.
1. Upon discovery of a Sanitary Sewer Overflow, the maintenance' mechanic will respond and
make an immediate assessment. If an overflow has occurred, the maintenance mechanic will
contact his supervisor.
2. The supervisor will determine what course of action is required to stop the overflow and
clean-up the site. [Remediation Procedures for Sanitary Sewer Overflows are to be used as a
guide.] Further guidance may be received through the Assistant Director, Director or State
authorities.
3. The supervisor will make a record of all events and handle any reporting necessary. The
supervisor will report all activities to the Assistant Director.
Reporting thresholds as stated in the State's "Elimination of Collection System Overflows"
memo are as follows:
• All spills, regardless of volume, that reach surface waters must be reported.
• Spills of 1,000 gallons or less that do not reach surface waters and are contained on -site do
not have to be reported. However, records must be retained documenting spill and action
taken to address the spill.
• Spills greater than 1,000 gallons, regardless of whether or not they reach surface waters must
be reported.
The telephone number for the Mooresville Regional Office is [phone] or the State's 24
hour number, Division of Emergency Management, is 1-800-858-0638. Reportable spills must
be reported immediately but in no case more than 24 hours from the time that the spill was
discovered.
Page 13

Purpose
The purpose of the Sanitary,Sewer Overflow Response Plan is to protect the citizens of the City
of Statesville, North Carolina and the environment by establishing written procedures for
responding to Sanitary Sewer Overflows. This procedure applies to all Water/Wastewater
Treatment employees that in the course of their work may deal with sanitary sewer overflows.
These procedures will be reviewed at least semi-annually, or whenever revised guidance from
county, state or federal authorities dictate a revision is necessary.
Plan of Action
1. Upon discovery of a Sanitary Sewer Overflow, the maintenance mechanic will respond and
make an immediate assessment. If an overflow has occurred, the maintenance mechanic will
contact his supervisor.
2. The supervisor will determine what course of action is required to stop the overflow and
clean-up the site. [Remediation Procedures for Sanitary Sewer Overflows are to be used as a
guide.] Further guidance may be received through the Assistant Director, Director or State
authorities.
3. The supervisor will make a record of all events and handle any reporting necessary. The
supervisor will report all activities to the Assistant Director.
Spill Reporting
Reportable Sanitary Sewer Overflows will be reported in compliance with the State's
"Elimination of Collection System Overflows" memo. [See Reference section.] All reportable
spills will be reported to the Mooresville Regional Office at [phone] or the State Division
of Emergency Mangement (24 hours) at 1-800-858-0638 immediately or in no case more than 24
hours after discovery of a spill.
Required Emergency Equipment
The Water/Wastewater Treatment Department has a portable generator that is maintained for
emergency situations involving power outages at department liftstations. The generator is
housed at the Fourth Creek WWTP and is tested monthly by department staff.. Records of testing
are maintained by the Fourth Creek maintenance mechanic.
Liftstation Maintenance Logs
The Third Creek and Fourth Creek maintenance mechanics maintain a maintenance log of all
work, inspections, preventative maintenance, equipment testing and troubles for their liftstations
within their Preventative Maintenance Log. These logs are kept by the mechanic responsible for
the station.
Page 14

Liftstation Inspections/Telemetry
All liftstations are equipped with telemetry that calls its respective plant if there is a loss of
power or an alarm condition.
Liftstations are inspected as to the proper functioning of the station no less that twice per week.
Page 15

LIFTSTATION SPARE PARTS INVENTORY
Station
Vendor
Spare Parts
Davis Hospital
Hugh's Supply
Spare fuses and float switches
ASMO
Hugh's Supply
Spare fuses and float switches
Marjorie Road
Hugh's Supply
Spare fuses and float switches
Statesville Business Park
Emory Wilson
Spare fuses and float switches
Valley Stream
Hugh's Supply
Spare fuses and float switches
Hatfield Road
Hugh's Supply
Spare fuses and float switches
Interstate Equipment
Smith & Loveless
Gaskets, floats, fuses,
mechanical seals, impellers,
bearings
Barkley Road
Smith & Loveless
Gaskets, floats, fuses,
mechanical seals, impellers,
bearings
Park Drive
Emory Wilson
Belts, shafts, flapper valves,
mechanical seals, o-rings,
impellers, fuses
Newton Drive
Emory Wilson
Belts, shafts,. flapper valves,
mechanical seals, o-rings,
impeller$;`fuses
Industrial Drive
Emory Wilson
Belts, shafts, flapper valves,
mechanical seals, o-rings,
impellers, fuses
Page 16

Smith & Loveless
14040 West Sant Fe Trail
Lenexa KS 66215
Emory Wilson
256 Little Santee Road
Colfax NC 27235
Hugh's Supply
1840 Shelton Avenue
Statesville, NC 28687
Pate 17

OPERATION & MAINTENANCE EVALUATION w/wwT
1. Is staff designated full-time for collection system operation and maintenance? Yes No
2. Do you have a list of 24 hour contacts? x Yes No (If Yes, please attach)
3. Do you have an emergency equipment list? x Yes No (If Yes, please attach)
4.. Staff distribution/time allocation:
Number Total staff
employed hours/week
Collection System (incl. part-time)
Pump Stations 2 6
_ I/1 Correction
5. Are map(s) of the collection system available? x Yes No
6. Total number of pump stations: 1 1 (Please complete a Pump Station form for each station.)
7. Is a preventive maintenance program in effect? x Yes No (If Yes, please attach)
If yes, does it include:
a. Maintaining logs/records x Yes - No
b. Determining equipment/system malfunction rates _x_ Yes No
c. Establishing schedules x Yes No
d. VI evaluation Yes No
e. Manhole inspection Yes No
f. Sewer cleaning program Yes No
g. Hydrogen sulfide monitoring and control Yes • No
h. Lift station operation x Yes No
i. Easement/right-of-way maintenance, Yes No
j. °Walking° or visual observation of lines Yes No
k. Spare parts inventory x Yes No
S. Please describe what type of ongoing inspection program for the collection system exists:
9. Please describe the schedule for line. cleaning:
10. Is there a sewer use ordinance? x Yes No. Is there a grease ordinance? x Yes _ No
If yes, please identify the responsible party for ensuring the ordinance(s) is enforced.
Pratraant / water/waste- (name of responsible person/agency).
Coordinator, Director water
11. Please describe any sewer use. ordinance enforcement practices that exist: vi nlatnrs of
the Sewer Use Ordinance are issued fines and /or penalties and
are required to rspnnd to Water/Wastewater and ontlinP a plan of
action to put them back in compliance.

SPILL RESPONSE PLAN EVALUATION
1. Do you have a current 24 hour contact list which includes phone numbers of key personnel and/or
contractors? X Yes No (If Yes, please attach)
2. Do you have an equipment list which includes what functional equipment is available and where it is
located? X Yes No (If Yes, please attach)
3. Do you have the staff resources to make an on -site assessment of a spill with in two hours of notification
of the spill? X Yes No (If No, please explain below)
4. Please list your standard spill response procedures: See Spill Respnns_Q P1 an
5. Is your spill response plan readily available to all essential personnel? X Yes No
If No, please explain why:
6. Are all essential personnel familiar with the spill response plan and clearly understand its contents?
X Yes No
If No, please explain why:

PUMP STATION
(please complete one form for each pump station)
Name of Facility: 3rd Creek WWTP Contact Person: .TPff rarty
Phone Number: 704-872-9621
Location of Pump Station:
1018 Park Drive
1. How often is pump station inspected?
(check all that apply)
once per day twice per day
once per week 3 days per week
other(explain)
2. What is the pump station capacity? 200 GPM
Does the pump station have a flow meter, pump counters or other means to measure flow?
Yes x No
3. Does the pump station have a backup power source? x Yes No
If yes, what type:
x Portable generator which can be moved to site
Standby generator on site
Alternate power feed
If a portable generator is used, how many other pump stations does the generator serve? 9
How often is the generator tested? NIQ, (Mo./yr.)
When was the generator last load tested? 3 - 9 9 (Mo./yr.)
Was the test successful? x Yes No If No, what action was taken to address?
If no backup power exists, please explain why:
•
4. Does the pump station have a working alarm system? x Yes No
On site alarm system: High water audio alarm High water visual alarm
Other (describe)
Telemetry Monitoring System: x Wet well high level
Dry well high level
High/low current
Please describe other alarm systems at the pump station.
Wet well low level
HighAow pH
x AC power status
5. Is there a spare pump available or an adequate spare parts inventory to replace or rebuild pump?
x Yes No If No, what actions are being undertaken to address?

Collection System Evaluation:
1. Please estimate how many miles of sewer line are in your collection system
<100mi. x 100-500mi. 501-1,000mi. >1,000mi
2. How many pump stations are in your collection system? 11
3. Please list any problem areas within your collection system. Include exact location of problems.
(e.g. Chronically surcharging manholes, pump stations which frequently fail, lines with severe
Infiltration and Inflow, etc..)
4. Please rank the problems listed in No. 3 in order of importance. If possible, include an estimated date
by which the problem will be appropriately addressed.
5. Please describe any ongoing efforts or plans to rehabilitate and/or renovate the collection system.
Include exact location of ongoing or planned work.
(e.g. Infiltration and Inflow studies, pump station upgrades, pipe replacement, etc..)
NOTE: Please attach any additional sheets and/or information if needed.

PUMP STATION
(please complete one form for each pump station)
Name of Facility: 3rd Creek WWTP Contact Person: .7 P f f ("Arty
Phone Number: 704-872-9621
Location of Pump Station:
1302 Industrial Drive
1. How often is pump station inspected?
(check all that apply)
once per day twice per day
once per week 3 days per week
other(explain)
2. What is the pump station capacity? 100' GPM
Does the pump station have a flow meter, pump counters or other means to measure flow?
Yes x No
3. Does the pump station have a backup power source? x Yes No
If yes, what type:
Portable generator which can be moved to site
Standby generator on site
Altemate power feed
If a portable generator is used, how many other pump stations does the generator serve? 9
How often is the generator tested? Mn (MoJyr.)
When was the generator last load tested? 3 - 9 9 ' (Mo./yr.) .. -
Was the test successful? " x Yes" No If No, what action was taken to address?
If no backokpower exists, please explain why:
4. Does the pump station havea working alarm system? x Yes No
On site alarm system: High water audio alarm High water visual alarm
Other (describe)
Telemetry Monitoring System:
x Wet well high level
Dry well high level
High/low current
Please describe other alarm systems at the pump station.
Wet well low level
_ High/low pH
x AC power status
5. Is there a spare pump available or an adequate spare parts inventory to replace or rebuild pump?
x Yes No If No, what actions are being undertaken to address?

Collection System Evaluation:
1. Please estimate how many miles of sewer line are in your collection system
<100mi. x 100-500mi. 501-1,000mi. >1,000mi
2. How many pump stations are in your collection system? 11
3. Please list any problem areas within your collection system. Include exact location of problems.
(e.g. Chronically surcharging manholes, pump stations which frequently fail, lines with severe
Infiltration and Inflow, etc..)
•
4. Please rank the problems listed in No. 3 in order of importance. If possible, include an estimated date
by which the problem will be appropriately addressed. •
5. Please describe any ongoing efforts or plans to rehabilitate and/or renovate the collection system.
Include exact location of ongoing or planned work.
(e.g. Infiltration and Inflow studies, pump station upgrades, pipe replacement, etc..)
NOTE: Please attach any additional sheets and/or information if needed.

PUMP STATION
(please complete one form for each pump station)
Name of Facility: 3rd Creek WWTP Contact Person: Jeff Carty
Phone Number: 7n4-R72-9671
Location of Pump Station:
1152 Barkley Road
•
1. How often is pump station inspected?
(check all that apply)
once per day twice per. day
once per week 3 , days per week
other(explain)
2. What is the pump station capacity? 400 GPM
Does the pump station have a flow meter, pump counters or other means to measure flow?
Yes .. X No
3. Does the pump station have a backup power source? x Yes No
If yes, what type:
x Portable generator which can be moved to site
Standby generator on site
Altemate power feed
If a portable generator is used, how many other pump stations does the generator serve? 9
How often is the generator tested? Mo . (Mo./yr.)
When was the generator last load tested? 3 - 9 9 ' (Mo./yr.) .
Was the test successful? x Yes' No If No, what action was taken to address?
If no backi*power exists, please explain why:
4. Does the pump station have,a working alarm system? x Yes No
On site alarm system: High water audio alarm x High water visual alarm
Other (describe)
Telemetry Monitoring System: x Wet well high level
Dry well high level
High/low current
Please describe other alarm systems at the pump station.
Wet well low level
High/tow pH
x AC power status
5. Is there a spare pump available or an adequate spare parts inventory to replace or rebuild pump?
x Yes No If No, what actions are being undertaken to address?

Collection System Evaluation:
1. Please estimate how many miles of sewer line are in your collection system
<100mi. x 100-500mi. 501-1,000mi. >1,000mi
2. How many pump stations are in your collection system? 11
3. Please list any problem areas within your collection system. Include exact location of problems.
(e.g. Chronically surcharging manholes, pump stations which frequently fail, lines with severe
Infiltration and Inflow, etc..)
4. Please rank the problems listed in No. 3 in order of importance. If possible, include an estimated date
by which the problem will be appropriately addressed.
5. Please describe any ongoing efforts or plans to rehabilitate and/or renovate the collection system.
Include exact location of ongoing or planned work.
(e.g. Infiltration and Inflow studies, pump station upgrades, pipe replacement, etc..)
NOTE: Please attach any additional sheets and/or information if needed.

PUMP STATION
(please complete one form for each pump station)
Name of Facility: 3rd Creek WWTP Contact Person: .Jeff Carty
Phone Number: 7 0 4- 8 7 2- 9 6 21
Location of Pump Station:
2051 Newton Drive
1. How often is pump station inspected?
(check all that apply)
once per day twice per day
once per week days per week
other(explain)
2. What is the pump station capacity? 2 0 0 GPM
Does the pump station have a flow meter, pump counters or other means to measure flow?
Yes ' No
3. Does the pump station have a backup power source? x Yes No
If yes, what type: x Portable generator which can be moved to site
Standby generator on site
Alternate power feed
If a portable generator is used, how many other pump stations does the generator serve? 9
How often is the generator tested? Mo . (Mo./yr.).
When was the generator last load tested? 3 - 9 9 (Mo./yr.) . •
Was the test successful? x Yes No If No, what action was taken to address?
If no backup dower exists, please explain why:
•
4. Does the pump station have a working alarm system? x Yes No
On site alarm system: High water audio alarm High water visual alarm
Other (describe)
•
Telemetry Monitoring System: x Wet well high level
Dry well high level
High/low current
Please describe other alarm systems at the pump station.
Wet well low level
High/low pH
x AC power status
5. Is there a spare pump available or an adequate spare parts inventory to replace or rebuild pump?
x Yes No If No, what actions are being undertaken to address?

Collection System Evaluation:
1. Please estimate how many miles of sewer line are in your collection system
<100mi. x 100-500mi. 501-1,000mi. >1,000mi
2. How many pump stations are in your collection system? 11
3. Please list any problem areas within your collection system. Include exact location of problems.
(e.g. Chronically surcharging manholes, pump stations which frequently fail, lines with severe
Infiltration and Inflow, etc..)
4. Please rank the problems listed in No. 3 in order of importance. If possible, include an estimated date
by which the problem will be appropriately addressed.
5. Please describe any ongoing efforts or plans to rehabilitate and/or renovate the collection system.
Include exact location of ongoing or planned work.
(e.g. Infiltration and Inflow studies, pump station upgrades, pipe replacement, etc..)
NOTE: Please attach any additional sheets and/or information if needed.

PUMP STATION
(please complete one form for each pump station)
Name of Facility: 4 th Creek WWTP
Phone Number: 7 0 4- 8 7 8- 3 4 3 8
Location of Pump Station:
241 Marjorie Road
Contact Person:
Andy Smith
1. How often is pump station inspected?
(check all that apply)
once per day twice per day
. once per week 2 days per week
other(explain)
2. What is the pump station capacity? 20 0 GPM
Does the pump station have a flow meter, pump counters or other means to measure flow?
x Yes • : • No
3. Does the pump station have a backup power source? x Yes No
If yes, what type: • x Portable generator which can be moved to site -
Standby generator on site
Alternate power feed
If a portable generator is used, how many other pump stations does the generator serve? 9
How often is the generator tested? Mo , (Mo./yr.)
When was the generator last load tested? 4 - 9 7 (Mo./yr.) . •
Was the test successful? x Yes No If No, what action was taken to address?
If no backuptpower exists, please explain why:
4. Does the pump station have a working alarm system? x Yes No
On site alarm system: X High water audio alarrn x High water visual alarm
Other, (describe)
Telemetry Monitoring System:
x Wet well high level
Dry well high level
High low current
Please describe other alarm systems at the pump station.
Wet well low level
High/low pH
x AC power status
5. Is there a spare pump available oran adequate spare parts inventory to replace or rebuild pump?
x Yes No If No, what actions are being undertaken to address?

Collection System Evaluation:
•
7,1777
•
1. Please estimate how many miles of sewer line are in your collection system
<100mi. x 100-500mi. 501-1,000mi. >1,000mi
2. How many pump stations are in your collection system? 11
3. Please list any problem areas within your collection system. Include exact location of problems.
(e.g. Chronically surcharging manholes, pump stations which frequently fail, lines with severe
Infiltration and Inflow, etc..)
4. Please rank the problems listed in No. 3 in order of importance. If possible, include an estimated date
by which the problem will be appropriately addressed.
5. Please describe any ongoing efforts or plans to rehabilitate and/or renovate the collection system.
Include exact location of ongoing or planned work.
(e.g. Infiltration and Inflow studies, pump station upgrades, pipe replacement, etc..)
NOTE: Please attach any additional sheets and/or information if needed.

PUMP STATION
(please complete one form for each pump station)
Name of Facility: 4 th Creek wWTP
Phone Number: 704-878-3438
Location of Pump Station:
301 Valley Stream
Contact Person: Anrly Smith
1. How often is pump station inspected?
(check all that apply)
once per day twice per day
once per week 2 days per week
other(explain)
2. What is the pump station capacity? 320 GPM
Does the pump station have a flow meter, pump counters or other means to measure flow?
x Yes • No
3. Does the pump station have a backup power source? x Yes No
If yes, what type: x Portable generator which can be moved to site
Standby generator on site
Alternate power feed
If a portable generator is used, how many other pump stations does the generator serve? -9
How often is the generator tested? Mo . (Mo./yr.)
When was the generator last Toad tested? 4 - 97 (Mo./yr.)•
Was the test successful? x Yes No If No, what action was taken to address?
If no backuf power exists, please explain why:
4. Does the pump station have a working alarm system? x Yes No
On site alarrn system:
High water audio alarm x High water visual alarm
Other, (describe)
Telemetry Monitoring System: x Wet well high level Wet well low level
Dry well high level High/ow pH
High/low current x AC power status
Please describe other alarm systems at the pump station.
5. Is there a spare pump available or an adequate spare parts inventory to replace or rebuild pump?
x Yes No If No, what actions are being undertaken to address?

Collection System Evaluation:
1. Please estimate how many miles of sewer line are in your collection system
<100mi. x 100-500mi. 501-1,000mi. >1,000mi
2. How many pump stations are in your collection system? 11
3. Please list any problem areas within your collection system. Include exact location of problems.
(e.g. Chronically surcharging manholes, pump stations which frequently fail, lines with severe
Infiltration and Inflow, etc..)
4. Please rank the problems listed in No. 3 in order of importance. If possible, include an estimated date
by which the problem will be appropriately addressed.
5. Please describe any ongoing efforts or plans to rehabilitate and/or renovate the collection system.
Include exact location of ongoing or planned work.
(e.g. Infiltration and Inflow studies, pump station upgrades, pipe replacement, etc..)
NOTE: Please attach any additional sheets and/or information if needed.

PUMP STATION
(please complete one form for each pump station)
Name of Facility: 4 th Creek WWTP :: Contact Person: Andy Smith
Phone Number: 7 0 4- 8 7 8- 3 4 3 8
Location of Pump Station:
2748 Commerce Blvd. (Asmo)
1. How often is pump station inspected?
(check all that apply)
once per day twice per day
once per week 2 days per week
other(explain)
2. What is the pump station capacity? 732 GPM
Does the pump station have a flow meter, pump counters or other means to measure flow?
x Yes . ' No
3. Does the pump station have a backup power source? x Yes No
If yes, what type:
x Portable generator which can be moved to site
Standby generator on site
Alternate power feed
If a portable generator is used, how many other pump stations does the generator serve? 9
How often is the generator tested? Mo • (Mo./yr.)
When was the generator last Toad tested? 4 - 9 7 • (Mo./yr.)
Was the test successful? x Yes No If No, what action was taken to address?
If no backuppower exists, please explain why:
4. Does the pump station have a working alarm •system? x Yes No
On site alarm system: High water audio alarm x High water visual alarm
Other- (describe)
•
Telemetry Monitoring System: x Wet well high level Wet well low level
Dry well high level High/low pH
High/low current x AC power status
Please describe other alarm systems at the pump station.
5. Is there a spare pump available or an adequate spare parts inventory to replace or rebuild pump?
x Yes No If No, what actions are being undertaken to address?

Collection System Evaluation:
1. Please estimate how many miles of sewer line are in your collection system
<100mi. x 100-500mi. 501-1,000mi. >1,000mi
2. How many pump stations are in your collection system? 11
3. Please list any problem areas within your collection system. Include exact location of problems.
(e.g. Chronically surcharging manholes, pump stations which frequently fail, lines with severe
Infiltration and Inflow, etc..)
4. Please rank the problems listed in No. 3 in order of importance. If possible, include an estimated date
by which the problem will be appropriately addressed.
5. Please describe any ongoing efforts or plans to rehabilitate and/or renovate the collection system.
Include exact location of ongoing or planned work.
(e.g. Infiltration and Inflow studies, pump station upgrades, pipe replacement, etc..)
NOTE: Please attach any additional sheets and/or information if needed.

PUMP STATION
(please complete one form for each pump station)
Name of Facility: 4 th Creek WWTP Contact Person: Andy Smith
Phone Number: 7 0 4- 8 7 8- 3 4 38
Location of Pump Station:
152 Hatfield Road
1. How often is pump station inspected?
(check all that apply)
once per day twice per day
once per week 2 days per week
other(explain)
2. What is the pump station capacity? 520 GPM
Does the pump station have a flow meter, pump counters or other means to measure flow?
x Yes • ' No
3. Does the pump station have a backup power source? x Yes No
If yes, what type: x Portable generator which can be moved to site -
• Standby generator on site
Alternate power feed
If a portable generator is used, how many other pump stations does the generator serve? 9
How often is the generator tested? Mo . (Mo./yr.),
When was the generator last load tested? 4 - 9 7 (Mo./yr.) . •
Was the test successful? x Yes No If No, what action was taken to address?
If no backup power exists, please explain why:
4. Does the pump station have -a working alarrn system? x Yes No
On site alarm system: High water audio alarm x High water visual alarm
Other. (describe)
Telemetry Monitoring System: x Wet well high level Wet well low level
Dry well high level High/low pH
High/low current x AC power status
Please describe other alarm systems at the pump station.
5. Is there a spare pump available or an adequate spare parts inventory to replace or rebuild pump?
x Yes No If No, what actions are being undertaken to address?

Collection System Evaluation:
1. Please estimate how many miles of sewer line are in your collection system
<100mi. X 100-500mi. 501-1,000mi. >1,000mi
2. How many pump stations are in your collection system? 11
3. Please list any problem areas within your collection system. Include exact location of problems.
(e.g. Chronically surcharging manholes, pump stations which frequently fail, lines with severe
Infiltration and Inflow, etc..)
•
4. Please rank the problems listed in No. 3 in order of importance. If possible, include an estimated date
by which the problem will be appropriately addressed.
5. Please describe any ongoing efforts or plans to rehabilitate and/or renovate the collection system.
Include exact location of ongoing or planned work.
(e.g. Infiltration and Inflow studies, pump station upgrades, pipe replacement, etc..)
NOTE: Please attach any additional sheets and/or information if needed.

PUMP STATION
(please complete one form for each pump station)
Name of Facility: 4 th Creek wwTP Contact Person: Andy Smith
Phone Number: 704-878-3438
Location of Pump Station:
269 Old Mocksville Road Davis Hospital
1. How often is pump station inspected?
(check all that apply)
once per day twice per day
once per week 2 days per week
other(explain)
2. What is the pump station capacity? 360 GPM
Does the pump station have a flow meter, pump counters or other means to measure flow?
x Yes . ; No
3. Does the pump station have a backup power source? X Yes No
If yes, what type: _ Portable generator which can be moved to site
X Standby generator on site
Alternate power feed
If a portable generator is used, how many other pump stations does the generator serve? 1
How often is the generator tested? Mo , (Mo./yr.)
When was the generator last load tested? 17 - 9 8 (Mo./yr.)
Was the test successful? x Yes No If No, what action was taken to address?
If no backup'power exists, please explain why:
4. Does the pump station have a working alarm system? X Yes No -
On site alarm system: High water audio alarm
Other (describe)
Telemetry Monitoring System:
X High water visual alarm
x Wet well high level
Dry well high level
High/low current
Please describe other alarm systems at the pump station.
Wet well low level
High/low pH
AC power status
5. Is there a spare pump available or an adequate spare parts inventory to replace or rebuild pump?
x Yes No If No, what actions are being undertaken to address?

.;*1
'
•

RECOMMENDED CLEAN-UP PROCEDURES
1. Remove all visible debris
2. Remove all visibly ponded wastewater
3. . Disinfect the affected area (NO CHEMICAL ADDITION TO SURFACE WATERS)
4. Barriers (i.e. colored tape) should be erected: to preclude public access
for at least 24 hours
5. If soil is disturbed in close proximity to stream banks, the area should be
reseeded immediately to prevent erosion
•

3;
•
„

I .
NCDE
•
"..JAMES B. HUNTJ▪ R. j r,•. •
"GOVERNOR
..•�.�
WATNE MCDEVITT 4
SECRETARY, ▪ �^9j
•
..A. PRESTON HOWARD,`-; @ •
-
_•
:,,
•
, 411 ), k�
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
Elimination of Collection Systems Overflows
This policy was developed to promote reduction 'and elimination _of sanitary sewer
overflows (SSO's) from sewer collection systems.
To increase enforcement actions for non-compliance while recognizing and rewarding
systems that demonstrate exceptional levels of compliance and environmental
stewardship.
An Advisory Group, consisting of representatives of municipalities across the state,
consultants, and Division of Water Quality (DWQ) regional and central office staff, was
consulted in development of the policy.
The key to reducing SSO's and minimizing water quality impacts is founded in the
successful implementation of operation and maintenance programs and ensuring
adequate local response to spills and overflows from collection systems.
Initial phase of implementation (July 'l, 1998) is to focus on achieving adequate
response to spills from the collection system. New reporting thresholds are as follows:
- All spills, irregardless of volume, that reach surface waters must be reported.
- Spills of 1,000 gallons or less that do not reach surface waters and are contained on -
site do not have to be reported. However, records must be retained documenting spill
and action taken to address spill.
- Spill greater than 1,000 .gallons, regardless of whether *or' not they reach surface
waters must be reported. . • -
A "Point System" will be utilized to determine the amount of penalty to be assessed.
The Collection System Policy will beimplemented in two phases. During the first
phase (July 1, 1998 - June 30, 1999), penalty decisions will hinge on whether or not
the owner properly reported the discharge and whether or not proper response and
remedial actions were taken. During the second phase (effective July 1, 1999), penalty
decisions will also include consideration of operation and maintenance factors, as well
as whether or not the owner has substantially evaluated the collection system, identified
problem sewers and/or pump stations, and implemented a DWQ approved plan for
remediation of deficient system components.
Factors for Consideration of Civil Penalty Assessments during Phase I (July 1, 1998 -
June 30, 1999)
• SpiIl Response Evaluation Factors:
- Contact list for municipal staff and contractors on call for clean-ups
- Rapid on -site assessment of spill
- Response / Mobilization after initial assessment
- Proper DWQ notification
Factors for Consideration of Civil Penalty Assessments During Phase 11 (beginning
July 1. 1999)
• Spill Response Evaluation Factors (see Initial Phase of Implementation above)
• O/M Program Evaluation Factors:
A. Develop and submit to DWQ for approval, a collection system evaluation and
remedial action plan
P.O. Box 20535, RALEIOH, NORTH CAROLINA 2712S-0535
PHONE [phone]OS3 FAX [phone] •
AN EQUAL OPPORTUNITY /ArrIRMATIVE ACTION EMPLOYER • 50% RECYCLED/I O% POET•CON■UMER

"1"
�'� Elimination of Collection Systems. Overflows - Page 2
NORTH CAROLINA DEPARTMENT OF ;1 '
ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
t�CDEh1R ; = B. Conduct the following O&M Practices
s,:;.•� - Inventory of collection system
JAMES B.HUNTJR } .: .
,'GOVERNOR • .^:
•
•
- Annual visual inspection of all lines not visible from normal public access.
- Regular visual inspection of all high priority lines (e.g. aerial lines, aerial crossings,
stream crossings, siphons, streambank lines, etc...)
- Right-of-way maintenance
- Maintenance of a spare parts inventory
.W • M ^ - Maintaining maintenance logs documenting all work,inspections,equipment testing,
� WAYNE MCDEVII• i y�-'.
SECRETARY � =-• etc,,,
-,---yam. _--Ylt a "' : 1
''-->` r,"= 1 - Maintenance of a trouble log documenting each problem, the .time, location, who
,.',_. -.'` f�� . .... responded and how the problem was resolved
„�I:;PREs i„;, How o; •.1 • - Sewer use ordinance adoption and implementation
R::11 : �` - '? 7 `: - Testing and provision of pump station reliability measures • .
dD1RECTOR-'•;'',ti -77
•
- Pump station inspections •
=4,='•==� • Other Factors that may be considered in decisions' regarding penalty assessments
include:
ti.y�_1 _ = 4•_t:==i - Compliance histories
•` (ti r= - Vandalism or third party causes
- Extenuating circumstances •
- Implementation of Preventative arid/or Educational Programs
:: t.-"I:.t t - Upgrades or renovations in progress
- Repeat offenses
A minimum penalty of $4,000 will be assessed if:
- •6 .S
- 1 ' `_ - - the spill is not reported as required (see Initial Phase of Implementation above)
v- - . k--- • Additional compliance and enforcement measures which may be imposed include:
`• r ' '• - Mandated training and education of municipal staff
- Show Cause Hearings
- Special Orders by Consent
- Remediation requirements
- Injunctive relief
- Moratoriums
- Requiring publication of a notice of the violation in the local newspaper
_;47.'___-
�•� •.. . •.
.,51. - Civil or criminal actions
:. =—--� - Referral to the State Bureau of Investigation
• �'-' • Past emphasis by DWQ was on permitting new sewer extensions and classification of
�---a collection system operators. Future emphasis will be placed on development of a
�.::, r r..• ��44.1.
system -wide permit that incorporates existing as well as new sewer extensions. The.
new system -wide permit will address reporting requirements as well as operation and
maintenance.
P.O. Box a9535, RALEIGH, NORTH CAROLINA 27920-0535
PHONE [phone] FAX [phone]
AN EQUAL OPPORTUNITY /AFFIRMATIVE ACTION EMPLOYER • 50% RECYCLEW10% PO•T•CONSUMER PAPER
•

COLLECTION SYSTEM ENFORCEMENT GUIDANCE
Regulatory
Response
9
*: Evaluation process will determine if
spill was unavoidable or avoidable

SPILL RESPONSE EVALUATION FACTORS
Criteria
Requirement
. Evaluation
•
Total
Points ii
1
•
24 hour contact list which includes phone
numbers for
• Personnel / staff to address the situation
• Contractors / staff for mechanical repair
Complete List = 10 points
No list = 0 points
2
Equipment list which includes:
• Required functional emergency equipment
• Location of functional equipment
Complete List = 10 points
No list = 0 points'.,.
3
On site assessment of spill as soon as possible
(ASAP), or at least within 120 minutes! of
notification of spill. Documentation and
explanation required on length of response
time.
.Initial assessment time ASAP and not
more than120 min. = 10 points
Initial assessment time not ASAP or
more than 120 min. = 0 points
4
Mobilization of necessary response after initial
assessment.
Adequate mobilization .= 10 points
.
Inadequate mobilization = 0 points
5
DWQ contacted immediately, or at least within
24 hours of notification of spill.
Contact within 24 hours = 10 points
Contact after 24 hours = 0 points
TOTAL SPILL RESPONSE' SCORE
Notes
120 minute maximum initial assessment time valid until 7/1/99. After 7/1/99, maximum initial assessment time shall
be 60 minutes.
Page 2

O/M PROGRAM EVALUATION FACTORS
Criteria
Requirement
Evaluation for
Gravity Lines
(Points)
Evaluation for
Pump Stations
(Points)
Total
Points
Yes = 4
No = 0
1
,Po(may
Inventory sketch of
collection system
be a simple line
Yes = 5
No = 0
2
r v .
Annual visual inspection
of all lines not visible from
normal public access. Regular
visual inspections of high
priority areas1.
Inspections
conducted = 10 -
Inspections not •
conducted = 0
Inspections
conducted = 9
Inspections not
conducted = 0
_
3
'�1
V'
Right of way maintenance
to allow system accessibility.
Adequate = 5
Inadequate.= 0
Adequate = 4
inadequate = 0
4
-,,11
V11-
Schedules and conducts line
cleanings. (Has planned
program for cleaning certain
% of lines)
Yes = 5
No = 0. -.. .
Yes = 4
No = 0
,
5
•
Maintains a spare parts
inventory and list of
contractors.
Yes = 5 -
.. .
No = 0
Yes = 4
No = 0
6
Keeps up -to date maintenance 'Yes
logs documenting all work,
inspections, equipment testing,
etc...
= 5
No = 0 •
Yes = 4
No = 0: . -
:-; •..
•
7
.
Maintains a trouble log
documenting each problem, the
time of the problem, location, .
who responded and how the
problem was resolved.
Yes =10 . . e. _ .
No = 0 '
Yes = 9 . -• •
• '
No.= 0
•
,
8/
.
Sewer use ordinance \Yes
adopted.
--
= 2
No=0
Yes = 2
No=0
_
.
9
Sewer use ordinance
implemented
Yes = 3
No.=0 -
Yes = 2
.
No=0 .
.
10
_
(Pump stations only) :
Back-up equipment and/or
reliability systems tested
once per month.
N/A.
If
Yes = 4
reliability and back-up
power req.'s do not
apply, then score -.4
No=0
11
stations
telemetry
systems
(Pump stations only) Pump'
inspected three times
per week2 for systems without
or once per week for
with telemetry.
N/A
•
- .
Yes = 4 •
No = 0
.
TOTAL O/M PROGRAM SCORE
Notes:
Annual inspection requirement valid until 7/1/99. After 7/1/99, minimum quarterly inspection of all
high priority lines (e.g. aerial lines, aerial crossings, stream crossings, siphons and streambank
lines) in addition to the annual inspection of all lines not visible from normal public access.
2 Pump stations shall be inspected once daily beginning 7/1/99 if telemetry is not used.
Page 3

5) The following assessment factors shall be used to modify the Final Score in order
to obtain the adjusted final score
FACTORS
SCORE ADJUSTMENT
Act of God
Add 10 points
3rd Party / Vandalism
Add 10 points
Compliance History of Collection
System Since January 1, 1998
Add 10. points for good compliance history
Subtract 10 points for poor compliance history
(Documentation Required)
'Reliability Requirements not in Place
Subtract 10 points
. Extenuating Circumstances
Add 10 points
(Documentation Required)
Implementation of Preventative and/or
Educational Programs
"
, .•
.. Add 10 points
(Documentation Required)
•
Major System Upgrades /
Renovations in Progress
-
Add 10 points
(Documentation Required)
Repeat Offense
"[Same Location, Same Cause]
"
Subtract 5 points per offense and:
multiply assessment by 1.2 for 2nd offense
multiply assessment by 1.5 for 3rd offense
. multiply assessment by 2.0 for 4th offense
multiply assessment by 3.0 for 5th offense
ADJUSTED FINAL SCORE
. . •
Page 4

5) Continued
Use the following table to determine the correct regulatory response:
REGULATORY RESPONSE OPTIONS
Adjusted
Score (Valid
Until 7/1/99)
Adjusted
Score (Valid
After 7/1/99)
Monetary
Assessment
• Monetary
. Assessment
Amount
Additional Penalty
Options
50 or
greater
100 or
greater
No -
None
45 - 49
95 - 99
No -
Publish notice in local
newspaper
40 - 44
- 90 - 94
No
_
Publish notice in local
newspaper; mandated
' training and education
35 - 39'
85 - 89
No
Mandated training and
education; show cause
hearing
30 - 34
80 - 84 -
Yes
$500
Assessment
.
Show:cause hearing;
SOC agreement; and
remediation requirements
25 - 29
75 - 79
- Yes
$1,000
Assessment
SOC agreement;
remediation requirements;
injunctive relief;
moratorium
24 or less
74 or less
Yes
$4,000
Assessment
•
Civil or criminal action;
moratorium; injunctive
relief; remediation
requirements; SOC
agreement
Intentiona Bypass
(Regardless of Point Score)
Yes
$10,000 -
Assessment
Referral to SBI; civil or
criminal action;
moratorium; injunctive
relief; remediation
requirements; SOC
agreement;
Notes
The Director may select one or all of the penalty options corresponding
adjusted Final Score. Please note that the monetaryassessments
as 10 scores of 84 (or 34 unfit 7/1/99) or less are automatic and re rents associated aced with
p esent a minimum Ith
amount,
Page 5

A r.;,
6) The definition of damage includes when the spill results in:
• A fish kill, based upon an evaluation by WRC.
• A violation of a water quality standard based upon upstream and downstream
sampling data taken at the time of the spill.
• Impact to a surface water such that the water can not be used in accordance with
its classification, based upon sampling data which clearly links the impact with
the sanitary sewer overflow (SSO).
• Other adverse biological impacts (benthic, amphibian, and/or crustacean
mortality), based upon sampling data which clearly links the impact with the
SSO.
7) The penalty imposed shall be a monetary assessment. The amount of the
assessment would be established based upon direct costs of remediation (e.g. fish
replacement, reimbursement for state staff time and expenses, etc...). This
assessment is not punitive; however, an evaluation of the response and operation /
maintenance program is still required (see Number 4). �.
8) See Number 4 for guidance.
9) See Number 5 for guidance.
•Page 6