WQ0034249_Regional Office Historical File Pre 2018

Water .Resources
EN 'a' IQ NN Eg4 T AL '0.LIAUTY
March 15, 2016
Mr, David Odom, Town Manager
Town of Taylorsville
204 Main Ave. Drive, SE
Taylorsville, NC 28681
SUBJECT: Final Engineering Certification Acknowledgement.
Project: 352 West Main Street Sanitary Sewer Extension
Permit No. WQ0034249
Pemfittee: 'Town ,of Taylorsville
County: Alexander
Dear Mr, Odom:
PAT MCCRORY
Chreernor
DONALD R. VAN DER VAART
S. JAY ZIMMERMAN
The Division of Water Resource's Mooresville Regional Office received the final engineering
certification with record drawings for the subject sewer extension project on 03/14/201.6. Enclosed
is a certification page for your records. A full review of the certification materials may or may not
be conducted. It is assumed that receipt of this certification indicates compliance with all
regulations, design criteria and the .permit. Flowever, if a full technical review is conducted, you
will be notified of any items of non-compliance..
Please be reminded that the Permittee is responsible for keeping a copy of the final record drawings
for the life of the project. If you have not received such copy from your consultant, please contact
them immediately to obtain a copy.
Lastly, you are receiving this letter because the Division has you listed as the responsible party. If
this permitted system is no longer owned by you or your company, please complete Form PNOCF
since the permit is not automatically transferable. Form PNOCF can be downloaded from
htt ortal.ncdenr.o eb/w /s).v s/cs/ noc from the Collection Systems Applications page.
Should you have any questions, please do not hesitate to contact me at [phone].
Sincerely,
Barry Love
Environmental Specialist
cc: Mr. Benjamin B. Thomas, P.E., (West Consultants, PLLC, 405 South Sterling St., Marganton,
NC 28655)
Central. Files
MRO
State of North Carolina [ Environmental Quality Water Resources
610 E. Center Avenue, 5uite 301, Mooresville, NC 28115
Phone: [phone] \ Internet; vnAncocdenr.gov

Fast Track Engineering Certification
Permit No. WQ0034249
September 2, 2009
Own er/WQCSANWTP PE
David Odom Benjamin Thomas
Town of Taylorsville West Consultants PLLC
204 Main Ave Dr, SE 405 South Sterling Street
Taylorsville, NC 28681 Morganton, NC 28655
Complete and submit this form to the permit issuing regional office with the fallowing:
• One copy of the project record drawings (plan & profile views of sewer lines) of the wastewater collection
system extension
• Supporting design calculations (selected pumps, system curve, operating point, available storage if portable
generator(s) or storage greater than longest past three year outage reliability option selected) for any pump
stations permitted as part of this project
• Changes to the project should be clearly identified on the record drawings or in written summary form, Permit
modifications are required for any changes resulting in non-compliance with this permit, regulations or
minimum design criteria,
This project shall not be considered complete nor allowed to operate until this Engineer's Certification and all
required supporting documentation have been received by the Division. Therefore, it is highly recommended
that this certification be sent in a manner that provides proof of receipt by the Division.
ENGINEER'S CERTIFICATION
Li Partial ft.TFinaI
)
I
as a duly registered Professional Engineer in the State of North Carolina, having been
authorized to observe (ap' eriodically, El weekly, 1] full time) the construction of 352 West Main Street Sanitary
Sewer Extension, an Alexander County project for the Permittee, hereby state that, to the best of my abilities, due
care and diligence was used in the observation of the construction such that the construction was observed to be built
within substantial compliance of this permit; 15A NCAC 2T; the Division of Water Quality's (Division) Gravity Sewer
Minimum Design Criteria adopted February 12, 1996 as applicable, the Division's Minimum Design Criteria for the
Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting
materials,
North Carolina Professional Engineer s
seal, signature, and date:
CARDCARQ1 1r‘'oe,
a...
tSSIariN
SEAL,
20757 jQ
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
MOORESVILLE REGIONAL OFFICE
SURFACE WATER PROTECTION
610 EAST CENTER AVENUE, SUITE 301
MOORESVILLE NC 28115
The Permittee is responsible for tracking all partial certifications up until a final certification is received. Any
wastewater flow made tributary to the wastewater collection system extension prior to completion of this
Engineers Certification shall be considered a violation of the permit and shall subject the Permittee to appropriate
enforcement actions.

PPFas][��ck����ineey�M���e��0����ion
t,
permNo. VV�OU34249
September 2.2OO9
Owner8WQCS/N/VV7P PE
David Odom Benjamin Thomas
Town oyTay|orsviRa West Consultants PLLC
2O4Main Ave, Dr, 8E 4Q5South Sterling Street
Tay|orsviUe.NC20O81 Morganton, NC2RO55
�C'() OFFit- r-l",
Complete and submit this form to the permit issuing nagkzno| office with the following:
m One copy of the project record drawings (plan & profile views of sewer lines) of the wastewater collection
system extension
w Supporting design calculations (selected pumpa, system curve, operating point, available storage if portable
generator(s) or storage greater than longest past three year outage reliability option selected) for any pump
stations permitted aspart of this project
m Changes Vothe project ehnu|dbmo/*ar|y|dent|fiedonthenaoovddnavvingsor|nvvr|tbansummaryform,Permit
modifications are required for any changes nauu|Ung in non-compliance with this permit. regulations or
minimum design criteria.
This project shall not be considered cornplete nor allowed to operate until this Engineer's Certification and all
required supporting dooumenhadonhave been received bythe Division. Therefore, itimhighly recommended
that this certification be sent in a manner that provides proof of receipt by the Division.
ENGINEER'S CERTIFICATION
F-1 Partial
.oemduly registeredProfeosiona|EngineerintheShabaofNnrthCaro|ina.havinBbeen
authorized toobserve ([5"-pehodioaUy.E weekly, F�full time) the construction of352West Main Street Sanitary
Sewer Extension, an Alexander County project for the Permittee, hereby state that, to the best of my abilities, due
care and diligence was used in the observation of the construction such that the construction was observed to be built
within substantial compliance cf this permit: 15ANCAC2l[the Division cfWater Quality's (Oivisinn)Gravity Sewer
Minimum Design Criteria adopted February 12. 1986esapplicable; the Division's Minimum Design Criteria for the
Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting
materials,
North Carolina Professional Engineer's
sea].signature, anddahm:
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
MOORESVILLEREGIONAL OFFICE
SURFACE WATER PROTECTION
G10EAST CENTER AVENUE, SUITE 3D1
K8OORESV|LLENC 28115
The Permhhyoioresponsible for tracking all partial certifications up until a final certification is received. Any
wastewater flow made tributary to the wastewater collection system extension prior to completion of this
Engineer's Certification shall be considered a violation of the permit and shall subject the Permittee to appropriate
enforcement actions,

4
NCDENR
North Carolina Department of Environment anc Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coieen H, Sullins Dee Freeman
Governor Director Secretary
September 2, 2009
Mr. David Odom, Town Manager
Town of Taylorsville
204 Main Ave, Drive, SE
Taylorsville, NC 28681
Subject: Permit No, WQ0034249
352 West Main Street Sanitary Sewer
Extension
Wastewater Collection System Extension
Alexander County, North Carolina
Dear Mr, Odom,
In accordance with your application received on August 24, 2009, we are forwarding herewith
Permit No. WO0034249 dated September 2, 2009, to the Town of Taylorsville for the construction and
operation of the subject wastewater collection system extension. This permit shall be effective from the
date of issuance until rescinded and shall be subject to the conditions and limitations as specified
therein. This cover letter shall be considered a part of this permit and is therefore incorporated therein
by reference,
Please pay particular attention to Permit Condition 3 which requires that the wastewater
collection facilities be properly operated and maintained in accordance with 15A NCAC 2T .0403 or any
individual system -wide collection system permit issued to the Permittee,
Permitting of this project does not constitute an acceptance of any part of the project that does
not meet 1) 15A NCAC 2T; 2) the Division of Water Quality's (Division) Gravity Sewer Minimum Design
Criteria adopted February 12, 1996, as applicable; 3) and the Division's Minimum Design Criteria for
the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1 „ 2000, as applicable,
unless specifically mentioned herein. Division approval is based on acceptance of the certification
provided by a North Carolina -licensed Professional Engineer in the application. It shall be the
Permittee's responsibility to ensure that the as -constructed project meets the appropriate design criteria
and rules. Failure to comply may result in penalties in accordance with North Carolina General Statute
§143-215.6A through §143-215 6C, construction of additional or replacement wastewater collection
facilities, and/or referral of the North Carolina -licensed Professional Engineer to the licensing board.
Mooresville Regional Office
Location: 610 East enter.Ave., Suite 3011 'Mooresville, NC 28115
Prime- [phone] `)Fax: [phone] Customer Service: 1-577-623-6748
rriernet: www.ncwatereuality ore

Mr. Odom
Page 2
SeptemmDer 2, 2009
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 for the
construction and operation of approximately 501 linear feet of 8-inch gravity sewer and the discharge of
50 gallons per day of domestic wastewater in conformity with 15A NCAC 2T; the Division's Gravity
Sewer Minimum Design Criteria adopted February 12, 1996, as applicable; the Division's Minimum
Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000,
as applicable; and other supporting data subsequently filed and approved by the Department of
Environment and Natural Resources and considered a part of this permit.
The sewage and wastewater collected by this system shall be treated in the Town of Taylorsville
WWTP (NPDES Permit No, NC0026271) prior to being discharged into the receiving stream,.
Assessing subsequent impacts to the downstream collection system and treatment
facility is the complete responsibility of the Town of Taylorsville. Taylorsville must utilize
whatever tracking tools necessary for planning additions of sewer flow in order to maintain
compliance with the WWTP permitted limits and the collection system permit WQCSOO135.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the
right to request an adjudicatory hearing upon written request within 30 days following receipt of this
permit. This request must be in the form of a written petition, conforming to Chapter 150E of North
Carolina General Statutes, and filed with the Office of Administrative Hearings, 6714 Mall Service
Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and
binding.
If you need additional information concerning this matter, please contact Dee Browder at (704)
663-1699.
Sincerely,
{car Coleen H. Sullins
cc. Mooresville Regional Office, Collection System Permit Files
Surface Water Protection Central Files

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
following specified conditions and limitations:
1. This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit: 15A NCAC 2T; the Division of Water Quality's
(Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996, as applicable; the
Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force
Mains adopted June 1, 2000, as applicable; and other supporting materials unless specifically
mentioned herein.
This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data.
The wastewater collection facilities shall be properly maintained and operated at all times. The
Permittee shall maintain compliance with an individual system -wide collection system permit for the
operation and maintenance of these facilities as required by 15A NCAC 2T .0403. If an individual
permit is not required, the following performance criteria shall be met as provided in 15A NCAC 2T
.0403:
a, The sewer system shall be effectively maintained and operated at all times to prevent
discharge to land or surface waters, and any contravention of the groundwater standards in
15A NCAC 21_ .0200 or the surface water standards in 15A NCAC 2B .0200.
b. A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan shall be developed and implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e.
365 days per year). Pump stations that are connected to a telemetry system shall be
inspected at least once per week.
e. High -priority sewer lines shall be inspected at least once per every six-month period of time.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Inspection and maintenance records shall be maintained for a period of at least three years.
h. Overflows and bypasses shall be reported to the appropriate Division regional office in
accordance with 15A NCAC 2B .0506(a), and public notice shall be provided as required by
North Carolina General Statute §143-215.1 C.

4. This permit shall not be transferable. In the event there is a desire for the wastewater collection
facilities to change ownership, or there is a name change of the Permittee, a formal permit request
shall be submitted to the Division accompanied by documentation from the parties involved, and
other supporting materials as may be appropriate. The approval of this request shall be
considered on its merits and may or may not be approved,
5. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to
interrupt service by the existing utilities nor result in an overflow or bypass discharge of wastewater
to the surface waters of the State.
6 Per 15A NCAC 2T .0116, upon completion of construction and prior to operation of these
permitted facilities, the completed Engineering Certification form attached to this permit shall be
submitted with the required supporting documents to the address provided on the form, A complete
certification is one where the form is fully executed and the supporting documents are provided as
applicable
7 A copy of the construction record drawings shall be maintained on file by the Permittee for the life
of the wastewater collection facilities.
8. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2T; the
Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's
Minimum Design Criteria for the Fast -Track Permitting of Pump Station and Force Mains adopted
June 1, 2000 as applicable: and other supporting materials may subject the Permittee to an
enforcement action by the Division; in accordance with North Carolina General Statutes §143-
215 6A through §143-215.6C,
In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the .Permittee shall take immediate corrective action, including
those as may be required by this Division, such as the construction of additional or replacement
facilities,
10. The issuance of this permit shall not exempt the Permittee from complying with any and all
statutes, rules, regulations, or ordinances that may be imposed by other government agencies
(local, state and federal) which have jurisdiction, including but not limited to applicable river buffer
rules in 15A NCAC 2B .0200, erosion and sedimentation control requirements in 15A NCAC Ch. 4
and under the Division's General Permit NCGO10000, and any requirements pertaining to wetlands
under 15A NCAC 28 .0200 and 15A NCAC 2H .0500,
11, Noncompliance Notification:
The Permittee shall verbally report to a Division of VVater Quality employee at the Mooresville
Regional Office, telephone number [phone], as soon as possible, but in no case more than
24 hours or on the next working day, following the occurrence or first knowledge of the occurrence
of either of the follovving'
a Any process unit failure, due to known or unknown reasons,that renders the facility incapable
of adequate wastewater transport, such as mechanical or electrical failures of pumps, line
blockage or breakage, etc,: or
b Any failure of a pumping station or sewer line resulting in a by-pass directly to receiving waters
without treatment of all or any portion of the influent to such station or facility.

Voice mail messages or faxed information is permissible, but 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 (800) 853- 368 or
(919) 33-33 0. Persons reporting any of the above occurrences sell file a spill report by
completing Part I of Form -S (or the most current Division approved form), within five days
foflovving first knowledge of the occurrence This report shall outline the actions taken or
proposed to ensure that the problem does not recur. Part 11 of Form CS-SSO (or the most
current Division approved form) can also be completed to shove that the SSO was beyond
control.
Perissued this the 2nd day of September, 2009
NORTH CAROLINA ENVIRONMENTAL MANAGE
r Coleen R. Sullins, Director
Division of Water Quality
By Authority of the Environments anage en ComComm ssfon
Per it Number WQ0034249
SSION

Fast Track Enqjneerinq Ce
Permit No, WQ0034249
September 2, 2009
Owner/WQCSi/WWTP
David Odom
Town of Taylorsville
204 Main Ave Dr; SE
Taylorsville, NC 28681
cation
PE
Benjamin Thomas
West Consultants PLLC
405 South Sterling Street
Morganton, NC 28655
Complete and submit this form to the permit issuing regional office with the following:
• One copy of the project record drawings (plan & profile views of sewer lines) of the wastewater collection
system extension
• Supporting design calcu ations (selected pumps, systern curve; operating point, available storage if portable
generator(s) or storage greater than longest past three year outage reliability option selected) for any pump
stations permitted as part of this project
• Changes to the project should be clearly identified on the record drawings or in written summary form. Permit
modifications are required for any changes resulting in non-compliance with this permit, regulations or
minimum design criteria,
This project shall not be considered complete nor allowed to operate until this Engineer's Certification and all
required supporting documentation have been received by the Division Therefore, it is highly recommended
that this certification be sent in a manner that provides proof of receipt by the Division.
ENGINEER'S CERTIFICATION
ri Partial Finai
, as a duly registered Professional Engineer in the State of North Carolina, having been
authorized to observe (1] periodically, El weekly; El full time) the construction of 352 West Main Street Sanitary
Sewer Extension, an Alexander County project for the Permittee, hereby state that, to the best of my abilities, due
care and diligence was used in the observation of the construction such that the construction was observed to be built
within substantial compliance of this permit 15A NCAC 2T; the Division of Water Quality's (Division) Gravity Sewer
Minimum Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the
Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable, and other supporting
materials_
North Carolina Professional Engineer's
seal, signature, and datei
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
MOORESVILLE REGIONAL OFFICE
SURFACE WATER PROTECTION
610 EAST CENTER AVENUE, SUITE 301
MOORESVILLE NC 28115
The Permittee is responsible for tracking all partial certifications up until a final certification is received. Any
wastewater flow made tributary to the wastewater collection system extension prior to completion of this
Engineer's Certification shall be considered a violation of the permit and shall subject the Perrnittee to appropriate
enforcement actions.

State of North Carolina
of Environment and Natural Resources
I/ivision of Water Quality
FAST -TRACK APPLICATION
(VIA 12/o7
• GRAVITY SEWERS, PUMP STATIONS„AND FORCE MAINS
(Pressure Gt. VOCUUM sewer systems are not to he included as part ()Calk application package)
INSTRUCTIONS: late that you have included/addressed the following list of required application package items by
checking the space provided next to each applicable iterrif Failure to submit all required items will lead to your application
being returned as incomplete. Forms are available from the web site or by calling the Regional Office serving your county:
http://h2o,enr.state,nc,us/percs/Collection%20Systerns/CollectionSystemApplications.htrn1
El A. Application Form - Submit one original and one copy of the completed and appropriately executed application
form. The application should include a project narrative describing the final build -out design (i.e. system and/or
pump station to ultimately serve 500 homes, but flow for only 100 homes being requested now), For modifications,
clearly explain the reason for the modification (i.e. adding another phase, changing line size(length, etc.). Only
include the modified information in this permit application - do not duplicate project information that has already
been included in the original permit.
Any changes to this form will result in the application being returned. The Division of Water Quality (Division) will
only accept application packages that have been fully completed with all applicable items addressed. You do not
need to submit detailed plans and specifications unless you respond NO to Item B(13),
Separate appcations should be made for non-conti uous sewer systems,
B. Application Fee Submit a check in the amount of $480 made payable to: North Carolina Department of
Environment and Natural Resources (NCDENR), Checks shall be dated within 90 days of application submittal,
Certificates of Public Convenience and Necessity — If the application is being submitted in the name of a
privately -owned public utility, submit two copies of the Certificate of Public Convenience and Necessity (CPCN)
which demonstrates that the public utility is authorized to hold the utility franchise for the area to be served by the
sewer extension. If a CPCN has not been issued, provide two copies of a letter from the North Carolina Utilities
Commission's Public Staff that states that an application for a franchise has been received, that the service area
is contiguous to an existing franchised area, and/or that franchise approval is expected, The project name in the
CPCN or letter must match that provided in Item A(2)a of this application.
D. Operational Agreements — Submit one original and two copies of a properly executed operational agreement, as
per 15A NCAC 02T ,0115, if the application is submitted by a private applicant and will be serving residential or
commercial lots (e.g., houses, condominiums, townhomes, outparcels, etc.) that will be sold to another entity. If
the applicant is a home or property owner's association, use Form HOA 02/03, If the applicant is a developer,
use Form DEV 02/03. EVEN IF THE PROJECT MAY BE TURNED OVER TO A MUNICIPALITYUPON
COMPLETION, FORM DEV 02/03 IS REQUIRED.
E. Downstream Sewer, WWTF Capacity and Flow Tracking/Acceptance — FORM FTSE 10/07 (Flow
Tracking/Acceptance for Sewer Extension Permit Applications) is required with every application, The applicant
(and owners of downstream sewers, pump stations and/or treatment facilities submitting FORM FTSE-10107)
certifies that the addition of the volume of wastewater to be permitted in this project has been evaluated along the
route to the receiving treatment plant, and that the flow from this project will not cause capacity related Force
Main overflows or overburden any downstream pump station en route to the receiving wastewater treatment plant.
Where the applicant is not the owner of the downstream sewer, submit two copies of FORM FTSE 10/07 from the
owner of the downstream sewer and owner of the WWTF. if different. The flow acceptance indicated in FORM
FTSE-10/07 must not expire prior to permit issuance and must be dated less than one year prior to the application
date. Submittal of this application and FORM FTSE-1O/07 indicates that owner has adequate capacity and
will not violate G.S. 143-215.67(a). Intergovernmental agreements or other contracts will not be accepted in lieu
of project -specific FTSE 10/07.
El F Map — Submit an 8 5-inch by 11-inch COLOR copy of a USGS Topographic Map of sufficient scale to identify the
entire project area and the closest surface waters. Each map or maps must show the location of the sewer line
and pump stations and be of reproducible quality, Include a street level map showing the downstream connection
point, and the permit number for the downstream sewer, if known.
FIA.1.2/07

Li G.
Stream Classifications — Watershed Classification Attachment (Form WSCAS-12/07) If any portion of the
sewer system project is within 100 feet of any surface water or wetlands, the Watershed Classification Attachment
may need to be completed, A variance must be requested for encroachment within required setbacks or buffers
pursuant ro 2T .0305 (f) and be indicated in Item B-13 with supporting documentation/justification provided.
Li H Environmental Assessments — If this project is subject to an Environmental Assessment (EA) 115A NCAC
01C1, this application cannot be used. Send the project application on the most current version of Form
PSFMGSA to the Design Management Unit, 1633 Mail Service Center, Raleigh, NC 27699-1633, Applications
cannot be accepted until a Finding of No Significant Impact (FONSI) or Environmental Impact Statement (E)S)
has been issued, A copy is to be submitted with that permit application.
Li I. Flow Direction — Many wastewater treatment systems are entering into agreements for regionalization efforts
and emergency treatment capacity. Parts of the system are installed so that the wastewater flow can be directed
to more than one treatment facility' If this is the case with this project, please indicate in B(12) and give the permit
number of the second treatment facility,
Certifications — Section C
The application must be certified by both the applicant and the design engineer who is a North Carolina
Registered Professional Engineer (PE), The applicant signature must match the signing official listed in Item
A(1b). The PE should NOT certify the application if he/she is unfamiliar with 15A NCAC Chapter 2T, the Gravity
Sewer Minimum Design Criteria (most recent version) and the Minimum Design Criteria for the Fast -Track
Permitting of Pump Stations and Force Mains (most recent version), as applicable to the project.
THE COMPLETED FTA 12/07 APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
DOCUMENTS AND $480 FEE, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
Asheville RegOna10
Fayetteville Regional Office
oresvifle Regional Office
ADDRESS
090 US Highway 70
Swannanoa, North Carolina 28778
[phone]
[phone] Fax
225 Green Street Suite 714
Fayetteville, North Carolina 28301-5094
[phone]
[phone] Fax
610 E. Center Avenue
Mooresville, North Carolina 28115
[phone]
[phone] Fax
Raleigh Regional Office 1628 Mail Service Center
Raleigh, North Carolina 27699-1628
[phone]
[phone] Fax
°nal Office 943 Washington Square Mall
Washington, North Carolina 27889
[phone]
[phone] Fax
shington Re
ington Regional Office
Winston-Salem Regional Office
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
910) 796-7215
[phone] Fax
585 Waughtown Street
Winston-Salem, North Carolina 27107
[phone]
[phone] Fax
COUNTIES SERVED
Avery, Buncombe, Burke, Caldwell, Cherokee,
Clay, Graham, Haywood, Henderson, Jackson,
Macon, Madison, McDowell, Mitchell, Polk,
Rutherford, Swain, Transylvania, Yancey
Anson, Bladen, Cumberland Harnett, Hoke,
Montgomery, Moore, Robeson, Richmond,
Sampson, Scotland
Alexander, Cabarrus, Catawba, Cleveland,
Gaston, lredell, Lincoln, Mecklenburg, Rowan,
Stanly, Union
Chatham, Durham, Edgecombe, Franklin,
Granville, Haiifax, Johnston, Lee, Nash,
Northampton, Orange, Person, Vance, Wake,
Warren, Wilson
Beaufort, Bertie, Camden, Chowan, Craven,
Currituck, Dare, Gates, Greene. Hertford, Hyde,
Jones, Lenoir, Martin, Pamlico, Pasquotank,
Perquimans, Pitt, Tyrrell, Washington, Wayne
runswick, Carteret, Columbus, Duolin, New
Hanover, Onslow, Pender
Alarnance, Allegheny. Ashe, Caswell, Davidson,
Davie, Forsyth, Guilford, Rockingham, Randolph,
Stokes, Surry, Watauga, Wilkes, Yadkin
For more information, please visit our web site at: ww.nccol.net/Enqineering/Sewer%20Pe mits.htrni
or contact the Regional Office serving your county.
FT Al2/07

USE THE TAB KEY TO MOVE FROM HELD TO FELD
/, Owner/Perm ittee:
la. TOWN OF TAYLORSVILLE
Full LegalName (company, municipality, HOA, utility, etc.
1b. DAVID ODOM, TOWN MANAGER
Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized signing officials!)
lc, The legal entity who will own this system is:
• Individual 0 Federal Municipality 0 State/County E Private Partnership 0 Corporation 0 Other (specify):
Application Number:
(to be completed by DWQ)
ld. 204 MAIN AVE DR., SE,
Mailing Address
if. NC
e TAYLORSVILLE
City
1 g. 28681
State Zip Code
1h. [phone] . [phone] 1j,
Telephone Facsimile
2 Project (Facility) Information:
2a: 352 WEST MAIN STREET SANITARY SEWER EXTENSION 2b, ALEXANDER
Brief Project Name (permit will refer to this name) County Where Project is Located
3 Contact Person:
3a, BENJAMIN B. THOMAS, P.E., CONSULTING ENGINEER
E-mail
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b. [phone] 3c, [e-mail]
Phone Number E-mail
1 Project is Ei New 0 Modification (of an existing permit) If Modification, Permit No.:
2, Owner is Public (skip to Item 8(3)) [1] Private (go to Item 2(a))
2a. If private, applicant will be: 2b. If wict, facilities own d by a (must choose one)
0 Retaining Ownership (i,e. store, church, single office, etc.) or
0 Leasing units (lots, townhomes, etc. - skip to item B(3I)
• Selling units (lots, townhomes, etc, - go to Item B(2b))
0 Public Utility (Instruction C)
0 Homeowner Assoc./Developer (Instruction D)
3, TOWN OF TAYLORSVILLE
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
4a TOWN OF TAYLORSVILLE WVVTP
Name of WWTF
5a. TOWN OF TAYLORSVILLE 5b 8" Gravity_Sewer Gravity
Owner of Downstream Sewer Receiving Sewer Size Ei Force Main
0
• 6. The origin of this wastewater is (check all that apply):
z
ai
7
0 Residential Subdivision
El Apartments/Condominiums
0 Mobile Home Park
0 School
O Restaurant
Office
4b, NC0026271
WWTF Permit No.
5c,
Permit # of Downstream Sewer ns ruction
El Retail (Stores, shopping centers)
LJ Institution
rj Hospital
0 Church
0 Nursing Home
Other (specify): CAR LOT
Volume of wastewater to be allocated or permitted for this particular project:
*Do not include future flows or previously permitted allocations
8. If the permitted flow is zero, indicate why.
El Purnp Station, Outfall or Interceptor Line where flow will be permitted in subsequent permits that connect to this line
0 Flow has already been allocated in Permit No,
O Rehabilitation or replacement of existing sewer with no new flow expected (see 15A NCAC 02T .0303 to determine if a
permit is required)
100 % DomestidCommercial
% Industrial (attach
description.)
(RO: contact your Regional Office
Pretreatment staff)
% Other (specify):
gallons per day
F"FA12/07

9. ,Provide -the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2T .0114 for
the value in Item B(7) AND/OR the design flow for line or pump station sizing if a reduced or zero flow is being requested in
Item B(7). Values other than that in 15A NCAC 2T .0114 (b) and (c) must be supported with actual water or wastewater use
data in accordance with 15A NCAC 2T .0114 (f).
2 EMPLOYEES X 25 GAL/EMPLOYEE = 50 GPD
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches)
8
Length (feet)
501
New Gravity or Additional
Force Main
Gravity
11 Summary of Pump Stations wl associated Force Mains to be Permitted (attach additional sheets as necessary)
W Pump Station Location ID
Z Design Flow
(MGD)
I.
0
Pump Station
(self chosen - as shown on plans/map for reference)
Power Reliability Option
Operational Point
GPM TON
1 - permanent generator WATS; Force Main Size Force Main Length
©
2 - portable generator w/MTS
0
1-
< Pump Station Location ID
Design Flow
O (MGD)
LL
Operational Point
GPM @TDH
(self chosen
Power Reliability Option
- permanent generator w/ATS;
2 - portable generator w/MTS
• as shown on plans/map for reference)
Force Main Size Force Main Length
u Pump Station Location ID (self chosen - as shown on plans/map for reference)
a.
Design Flow
(MGD)
Operational Point Power Reliability Option
GPM ©TDH 1 - permanent generator wIATS; Force Main Size Force Main Length
2 - portable generator w/MTS
12, Will the wastewater flow in the proposed sewer lines or pump stations be able to be directed to another treatment facility?
Yes No If Yes, permit number of 2'}3 treatment facility
(RO — if "yes" to B,12 please contact the Central Office PERCS Unit)
13. Does the sewer system comply with the Minimum Design Criteria for the Fast Track Permitting of Pump Stations and Force
Mains (latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC Chapter 2T as
applicable?
Yes E] No If No, please reference the pertinent minimum design criteria or regulation and indicate why a
variance is requested. SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS
PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
FTA 12107

14 Have the following permits/certifications been submitted for approval for the system or project to be served?
Wetland/Stream Crossings - General Permit or 401Certification? El Yes [1]. No N/A
Sedimentation and Erosion Control Plan? El Yes El No N/A
Stormwater? Li Yes LI No N/A
15, Does this project include any high priority lines, [see 15A NCAC 02T ,0402 (2)] involve aerial lines, siphons, or interference
manholes)? These lines will be considered high priority and must be checked once every six months
Check if Yes: LJ and provide details
la.
Owner/Permittees Certification: (Signature of Signing Official and Project Name)
I, DAVID ODOM, attest that this application for TOWN OF TAYLORSVILLE 352 WEST MAIN STREET SANITARY
SEWER EXTENSION has been reviewed by me and is accurate and complete to the best of my knowledge.
understand that if all required parts of this application are not completed and that if all required supporting documentation
and attachments are not included, this application package is subject to being returned as incomplete, Note: In
accordance with North Carolina General Statutes 143-215,6A and 143-215.68, 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 $/0,0 well as civil penalties up to $25,000 per violation.
Signing Official Signature
Date
ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY
co TO OTHER UTILITIES, DESIGN CALCULATIONS. ETC. REFER TO 15A NCAC 02T 0305
0
2. Professional Engineers Certification (Signature of Design Engineer and Project Name)
1, BENJAMIN B. THOMAS, attest that this application for TOWN OF TAYLORSVILLE 352 WEST MAIN STREET
SANITARY SEWER EXTENSION has been reviewed by me and is accurate, complete and consistent with the information
in the engineering plans, calculations, and all other supporting documentation to the best of my knowledge. 1 further attest
that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations,
Gravity Sewer Minimum Design Criteria for Gravity Sewers adopted February 12,1996, and the Minimum Design Criteria
for the Fast -Track Permitting of F'ump Stations and Force Mains adopted June 1. 2000 and the watershed classification in
accordance with Division guidance. Although other professionals may have developed certain portions of this submittal
package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and have
judged it to be consistent with the proposed design, Note: In accordance with NC General Statutes 143-215,6A and 143-
215.68, 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 v(lation.
2a, BENJAMIN B. THOMAS, PE
Professional Engineer Name
2b. WEST CONSULTANTS, PLLC
Engineering Firm
2c 405 SOUTH STERLING STREET
Mailing Address
2d. MORGANTON
City
2e. NC 2f. 28655
State Zip
2g. 828) 433-5661 2h. ._,(62,6.1 433-5662 2i. bthornas@west-consultantscom
Telephone Facsimile NC PE Seat, Signatue & Date
FTAI2/07

35 9166666' N
35.916666'
35.9222222' N 35.9277777' N
35,9222222' 4
277777' N

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
Flow Tracking/Acceptance for Sewer Extension Perrnit Applications
(FUSE —1.0/07)
Project Applicant Name:. TOWN OF TAYLORSVILLE
Project Name for which flow is being requested: -FOWN OF TAYLORSVILI.,E
352 WEST MAIN STREET
SANITARY SEWER EXTENSION
it4ore than one FTSE-10/07 may be re4paredlOr a single project it owner of the WIFTP IS not responsiblePr all
pump stations along the route of the proposed wastewater flow
1. Complete this section only if you are the owner of the wastewater treatment plant.
WWTP Facility Name: TAYLORSVILLE WWTP
b.WWTP Facility Permit #: NC 0026271„
All flows are in MGD
c, WWTP facility's permitted flow 0.830
d. Estimated obligated flow not yet 'tributary to the WWTP _0.042535
e. WWTP facility's actual avg. flow 0.450
I Total flow for this specific request 0.000050
g. Total actual and obligated flows to the facility 0.493
h. Percent of permitted flow used
59 o
II. Complete this section for each pump station you are responsible for along the route of this
proposed wastewater flow.
List pump stations located between the project connection point and the WWTP
Pump Station Name Approx. Capacity,. MCiD Approx, Current Avg.
(Firm/Design) Daily Flow, IVIGD
_NORTHWOOD PS
0,131
111. Certification Statement:
David Odom,, manager, certify that, to the best of my knowledge, the addition of the volume of
wastewater to be permitted in this project has been evaluated along the route to the receiving wastewater
treatment facility and that the flow front this project is not anticipated to cause any capacity related
sanitary sewer overflows or overburden any downstream pump station en route to the receiving treatment
plant under 'normal circumstances. This analysis has been performed. in accordance with local established
policies and procedures using the best available data, This certification applies to those items listed above
in Sections I and li for which I aj the responsible party. Signature of this form indicates acceptance of
this wastewater flow.
Signing OflkialSignc Date

WEST CONSULTANTS, PLLC
Consulting Engineers and Surveyors
405 South Sterling Street
Morganton, North Carolina 28655
Phone [phone] Fax [phone]
TO NCDENR - DWQ (Mooresville)
610 E. Center Avenue, Suite 301
Mooresville NC 28115
WE ARE SENDING YOU X Attached Under separate cover via
Shop drawings Prints Plans
Copy of letter Change order Other:
COPIES DATE
1 7/23/09
NUMBE
LETTER OF
TRANSMITTAL
OB NUMBEAJPHONE
09055
DATE
7/28/2009
ATTENTION
RE.
L
352 West Main Street Sanitary Sewer
Extension (Body Shop)
Taylorsville, NC
Specifications
DESCRIPTION
Fast Track Application .
036498 Application Fee ($400) From Town Of Tay p
THESE ARE TRANSMITTED as checked below:
X For your approval Approved as submitted
For your use Approved as noted
As requested Returned for corrections
For review and comment Other
FOR BIDS DUE/DATE:
REMARKS
COPY TO
PRODUCT ',TIP 70
04N
if enclosures are not as noted, please notify us at once„
USE WiThi 77 IC ENVELOPE NETS ToEleoroer. 1-800-225-6380 or www..netscorr,
Resubmit.
Submit
Return
the folio
Samples
copies tsr approval
copies tot distribution
corrected prints
PRINTS RETURNED AFTER LOAN TO US
SIGNED
PRINTED IN U.S.A. A

Permit Number WC/0034249
Centra[ Hes: APS SWT
09102109
Permit Tracking Slip
Program Category
Nan -discharge
Permit Type FaV Tieck
Gravity Sewer Extension, Pump Stations, & Pressure Sewer
Extensions
Primary Reviewer
dee,browder
Coastal SW Rule
Permitted Flow
50
Facility
Facility Name
352 West Main Street Sanitary Sewer Expansion
Location Address
Owner
Owner Name
Town of Taylorsvitie
Dates/Events
Ong issue App Received Draft initiated
09/02/09 C8103/09
Regulated Activities
Wastewater collection
Outfall Nu
Waterbody Name
Status Project Type
Active New Project
Version
1 00
Permit Classification
Ind vidual
Permit Contact Affiliation
Scheduled
Issuance
Major/Minor Region
Minor Mooresville
County
Alexander
Facility Contact Affiliation
Owner Type
Government - Municipal
Owner Affiliation
David Matthew Robinette
204 Main Ave Dr
Taylorsvilie
NC 28681
Public Notice issue Effective Expiration
09/02/09 09/02/09
Re uestedfReceived Events
Add t onal nformation requested
Additionalinformation received
Stream index Number
Current Class
08/24/09
08/24/09
S ebbasin

WEST CONSULTANTS, PLLC
405 SOUTH STERLING STREET
MORGANTON, NC 28655
(828) 4.33-5661
PAY Eighty and no/100
TO THE ORDER NCDENR - DIVISION OF WATER QUALITY
OF (do _6,1(.1,4':31,- ' (.
b rt .1i ' . /U 623/ j
CARQV.INA FiRST
MORGANTON, NC 28655
67-219/539
DATE
8241
CHECK CHECK AMOUNT
07/31/09 8241 $80 00
000824 L)1' 1:0 5 3 90 2 L 9 7i: 7 L00831.771.o
THIS LIOCUMENT HAS INVISIBLE FLUO kESCENT FIBERS - VIEW UNDER BLACK LIGHT
TO '4 N OF TAYLORSVILLE
7 tw AIN AVENUE DRIVE
TAYl.©E SVELLE NORTH CARC)LINA 28681
1617 MAIL SERVICE CENTER
R LEI •; NC 27699-1617
MICRD-PRINT 1
93649E
K CHECK DATE EN R NO
.EtLC.NO CHFC
036498 07/23/2009 000004042
MEASURE
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Mkv,iftfd dNy th0.k LQCi311 GOVelt)(mtf@t Badge;
and CnacA Gonnol AGO
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