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WQ0022207_Regional Office Historical File Pre 2018 (2)
A A T Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources Alan W. Klimek, RE., Director Division of Water Quality Coleen H. Sullins, Deputy Director Division of Water Quality August 05, 2003 Mr. Paul Campbell, Director of Engineering City of Concord P.O. Box 308 Concord, North Carolina 28026-0308 Subject: Permit No. WQ0022207 Modification City of Concord The Villages at Moss Creek Wastewater Collection System Extension Cabarrus County Dear Mr, Campbell: In accordance with your application received on July 11, 2003, we are forwarding herewith modified Permit No. WQ0022207, dated August 05, 2003, to the City of Concord for the construction and operation of the subject wastewater collection system extension. This permit shall be effective from, the date of issuance until rescinded, shall void Permit No. WQ0022207 issued February 03, 2003, and shall be subject to the conditions and limitations as specified therein.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. The modification includes adding sewers to serve new construction in Phase 1A and Phase 1B of the subject project. Please pay particular attention to Permit Condition 3 which requires that the wastewater collection facilities be properly operated and maintained in accordance with 15A NCAC 2H .0227 or any individual system -wide collection system permit issued to the Permittee. Permitting of this project does not constitute an acceptance of any part of the project that does not meet 1)15A NCAC 2H ,0200; 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 certffication 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 919 N. Main Street, Mooresville, NC 28115 Internet http://h2o.enrAtatesic.us/ Telephone (704) 663-1699 Fax (704) 663-6040 21 KiMENR DENR Customer Service Center Telephone 1 877 623-6748 !Pr Mr, Paul Campbell Page 2 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 Concord: for the continued construction and operation of approximately 174 linear feet of 8-inch gravity sewer; approximately 1,327 linear feet of 12-inch gravity sewer; and approximately 2,183 linear feet of 15-inch gravity sewer to serve as part of The Villages at Moss Creek Trunk Line project, with no discharge of collected domestic wastewater into the Water & Sewer Authority of Cabarrus County's (WSACC) Rocky RiverWWTP (NPDES No, NC0036269) existing sewerage system, pursuant to the application received January 06, 2003; for the construction and operation of approximately 5,248 linear feet of 8-inch gravity sewer to serve 136 homes as part of The Villages at Moss Creek Phase 1 A project, and the discharge of 48,960 gallons per day of collected domestic wastewater into the Water & Sewer Authority of Cabarrus County's (WSACC) Rocky River WWTP (NPDES No. NC0036269) existing sewerage system, pursuant to the application received July 11, 2003; for the construction and operation of approximately 3,393 linear feet of 8-inch gravity sewer to serve 55 homes as part of The Villages at Moss Creek Phase 1 B project, and the discharge of 19,800 gallons per day of collected domestic wastewater into the Water & Sewer Authority of Cabarrus County's (WSACC) Rocky River WWTP (NPDES No. NC0036269) existing sewerage system, pursuant to the application received July 11, 2003, and in conformity with 15A NCAC 2H .0200; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996, as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000, as applicable; and other supporting data subsequently filed and approved by the Department of Environment and Natural Resources and considered a part of this permit. This permit shall become voidable unless the agreement between the City of Concord and WSACC for the collection and final treatment of wastewater is in full force and effect. If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to request an adjudicatory hearing upon written request within 30 days following receipt of this permit. This request must be in the form of a written petition, conforrning to Chapter 1508 of North Carolina General Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and binding. If you need additional information concerning this matter, please contact Sonja Williams at (704) 663-1699, Sincerely, /7), /4 r Alan W, Klimek, P.E. cc: Cabarrus County Health Department Mooresville Regional Office, Water Quality Section (WWIF Permit No. NC0036269) Jeffrey Schmitt, Kenney Design Group, PA Water Quality Central Files NDPU Files NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMSSION 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 2H .0200; the Division of Water Quality's (Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996, as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000, as applicable; and other supporting materials unless specifically mentioned herein. 2. This permit shall be effective only with respect to the nature and volume of wastes described in the application and other supporting data. 3. The wastewater collection facilities shall be properly maintained and operated at all times. The Perrnittee shall maintain compliance with an individual system -wide collection system permit for the operation and maintenance of these facilities as required by 15A NCAC 2H .0227. If an individual permit is not required, the following performance criteria shall be met as provided in 15A NCAC 2H .0227: a. The sewer system shall be effectively maintained and operated at all times to prevent discharge to land or surface waters, and any contravention of the groundwater standards in 15A NCAC 21_ .0200 or the surface water standards in 15A NCAC 2B .0200. b. A map of the sewer system shall be developed prior to January 1, 2004 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 §143-215.1C. 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. Upon completion of construction and prior to operation of these permitted facilities, a certification, a copy of the construction record drawings, as well as supporting design calculations for any pump stations permitted as part of this project shall be received from a North Carolina -licensed Professional Engineer certifying that the facilities have been installed in accordance with this permit; 15A NCAC 2H .0200; the Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Station and Force Main adopted June 1, 2000 as applicable; and other supporting materials. If this project is to be completed in phases and partially certified, you shall retain the responsibility to track further construction approved under the same permit, and shall provide a final certificate of completion once the entire project has been completed. A copy of the construction record drawings, indicating the facilities constructed in the phase being certified, shall be submitted with each partial certification. Mall the Engineer's Certification, one copy of the "Construction Record Drawings," and one copy of the supporting design calculations to the Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. A copy of the construction record drawings shall be maintained on file by the Permittee for the life of the wastewater collection facilities. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2H .0200; the Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Station and Force Mains adopted June 1, 2000 as applicable; and other supporting materials may subject the Permittee to an enforcement action by the Division, in accordance with North Carolina General Statutes §143- 215.6A through §143-215.6C. 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 ail statutes, rules, regulations, or ordinances that may be imposed by other government agencies (local, state and federal) which have jurisdiction, including but not limited to applicable river buffer rules in 15A NCAC 2B .0200, erosion and sedimentation control requirements in 15A NCAC Ch. 4 and under the Division's General Permit NCG010000, and any requirements pertaining to wetlands under 15A NCAC 2B .0200 and 15A NCAC 2H .0500. Noncompliance Notification: The Perrniftee shall report by telephone to the Mooresville Regional Office, telephone number (704) -1 99, 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 occurrenof either of the following:: a. Any process unit failure, due to known or unknown reasons, that renders the facility incapable of adequate wastewater transport, such as mechanical or electrical failures of pumps, line blockage or breakage, etc.; or b. Any failure of a pumping station or sewer line resulting in a by-pass directly to receiving waters without treatment f all or any portion of the influent to such station or facility. Persons reporting such occurrences by telephone shall also file a written report in letter form within five days following first knowledge of the-occurren is report must outline the actions taken or proposed to be taken to ensure that the problem does not recur: Permit issued this the Eth day of August, 2003, NORTH A LINA ENVIRONMENTAL MANAGEMENT COMMISSION for Alan VV, KIi"iek, P.., Director Division of Water Quality By Authority of the EnvironmentalManagementanage en Commission Permit Nu ber W00022207` Fast Track Enqint1ng Certification Perrnit No. WQ00222C7 August 05, 2003 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 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 uired fojy Chan e esultin in non om nce Wth this ermit e ulation or minimum design cn eria. 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 CERT1FiCATiON Partia 0 Final 1, , as a duly registered Professional Engineer in the State of North Carolina, having been authorized to observe (E] periodically, LI weekly, 0 full time) the construction of The Villages at Moss Creek Phase 1A, Cabarrus 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 2H .0200; the Division of Water Quality's (Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting materials. North Carolina Professional Engineer's seal, signature, and date: SEND THIS FORM & SUPPORTING DOCUMENTATION WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS MOORESVILLE REGIONAL OFFICE 919 N. MAIN STREET 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 Permittee to appropriate enforcement actions. Fast Track Engineerinq Certification Permit No, WQ0022207 August 05, 2003 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 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 re aired for an chap es resultin in noncom lianee with this ermit r ufations or minimum design criteria_ This project shall not be considered complete nor allowed to operate until this Engineer's Certification and all required supporting documentation have been received by the Division. Therefore, it is highly recommended that this certification be sent in a manner that provides proof of receipt by the Division, ENGINEER'S CERTIFICATION © Partial Final , as a duly registered Professional Engineer in the State of North Carolina, having been authorized to observe (0 periodically, 0 weekly, 0 full time) the construction of The Villages at Moss Creek Phase 18, Cabarrus 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 2H _0200; the Division of Water Quality's (Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting materials. North Carolina Professional Engineer's seal, signature, and date: SEND THIS FORM & SUPPORTING DOCUMENTATION WiTH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS MOORESVILLE REGIONAL OFFICE 919 N. MAIN STREET MOORESVILLE NC 28115 The Permittee is responsible for tracking ail 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 shalt subject the Permittee to appropriate enforcement actions. Number t 022207 Program Categor Non -discharge Pe Type Gravity Sewer Extension, Pump Sta. Extensions PrReviewer ue Permitted Flow 68760 Facili Facility Name The Villages at Moss Creek Fast Track Location Address Owner Name City of Concord Dates/Events rig issue App Received 0 / /0 1/03 Regulated Act es Subdivision tf Wat rboily lane ons In Pressure Sewer Permit Tracking Shp Status In review Version Pen M Con nor 0810,410 Project Type Major modification Permit Classification Individual et Affiliation Region Mooresville County Cabarrus FacilityConte t Affiliation Scheduled Issuance Owner Type Government - Municipal Owner Aftiliatiot Paul PO Box 308 Concord Public Na gain index Numb Issu pbeil NC 28026 Effective Eipirati' Requested Received Events Additional infattradon requested Additional information received Subbasi ANA ic.,;521 \ "J) ,515 11 5KRI.:',51W156 NC 555'0' r\y'roilw 2... k.) C.. , . ri:::;ilstriT,n41 Nrtliti,, a til,'"131,2781,7 5 _ ( MIN10 , Central Carolina Bank 1ck7 0(1P IA 1:05310051: 28 2780- ANI1155)54) 11,`,.,51.At5151 1,R5 5),5'[571,51"155 6104 C11:5A15A1155V !I \15'15ISHI'L'C',5 N(5 2.5411,3 I vt row orutToF Central Carolina Bank Iflj trim (',..p,inv (4,7 FlArtisbltrg, 14,11h 2R075 W 2- -7- 11,4Qb E3 762 $ z-v3(5. 768 ON for + RAVED( SEWERS, PUMP S I`. TIONS, AND FORCE NIA S USE THE TAB KEY TO MOVE FROM FIELD TO FIELD! Owner.' City_ of Concord Full Legal Name lb, Paul ampbell,Director iecoro g tTitle (Please review15A NCAC 2H The legal entity who will own this system is. Individual (mI Federal Municipality, 0 State/County ( t icipality, HOA, utdi ty, etc. 1 d. 850 I iwy 6t01y South Street Address 1t. NC State d 1 h. 7'04-92( -51, Telephone Project (F Moss Crec 1 hase 1A 0 u. z Brief Projec• Contact Person: 7q4 (86-4521 Facsimile me (permit will refer to this name 3b 7014-920•5411 Phone Number.___. 1. Projr ct is (. =dew NI Modification (ot an existing permit) 2 Owner is ❑ Public (skip to 2.a. f private, applicant will be: Application Num1 (to be completed by D le. Con. City rd 2.8026 Zip Code dagenha 7b. Cabarrus County Where Project is L ❑ Retaining Ownership (i.e, store, church, single office, etc.) or Leasing units (lots, townhomes, etc - skip to Item B(3)) L❑ Selling units (lots, townhorness, etc_ - go to item B(2b)) Water and Sewer Authority of Cabarrus Count Owner of Wastewater Treatment Facility (WWTF) Rocky Riveyr Regional_ ...... ......._....,__ Name of WWTF CFty of Concord Owner of Downstream Sewer The origin of this wastewater is Z Residential Subdivision ❑ Apartments/Condominium: Mobile Home Park • School ❑ Restaurant ❑ Office Volume of wastewater to be permitted in this project: 48,960 qpd gallons per day If the permitted flow is zero„ indicate why. ❑ Interceptor Line - Flow will be permitted is subsequent permits that connect to this line ❑ Flow has already been allocated in Permit No. • Rehabilitation or replacement of existing sewer with n ne v fioav expected 3c. dagenhaa(Octi concord nc.us E-mail If Modification, Permit No.: (go to item 2(a)) old, facitTies owned by a (must oh } ❑ Public Utility (In truction III) ❑ I-icn1eowner Assoc/Developer (Instruction IV) Treating Wastewater From This Project 4b. No 040129....34, 24 WWTF Permit No. he 5b. 12' Receiving'Sewer Size all that apply), wtp© Permit Number of Downstream Sewer (Rf known) [] Car Wash El Institution ❑ Hospital • Church ❑ Nursing Home • Other (specify):_. oose ne 100 % Domestic/Commercial Industrial % Other (specif)) CK APPLIC, ON for GRAVITY SI' III' STA Provide the wastewater flaw calculations used in determl .0219(1) for Item B(7) or the design flow for line or pump s that in 15A NCAC 2H .0219(l)(1-2) must be approved prior to the Division of Water Quality, Non -Discharge Permitting Unit, accordance with 15A NCAC 2H ..0219(l)(3). (136 single family homes)(360gprilhome)=48,9660 gpd 10_ Sun -liner! of Sewer Lines to be Permitted (attach additional ) ENTER TOTAL. f INF LSzNGTH IN tA1L.ES ONS, AND O MAINS e permitted flow in accordance with 1 n sizing if zerca flow in the space below submittal of this application. Submit a 1617 Mail ,Service Center, Raleigh, NC heats if necessary) Length (feet) of Pump Stations to be P''erm€tied (attr ttdditional sheets as necessary) Location ID shown on plans) Desigwl Flow (MOD} nal Point ( TDH 12. Does system comply with the MDesign Crlteri� Mains (latest version), the Gravity Sewer Minimum Design Criteria Yes [j No If no, please reference the pertinent rninimu variance is requested PAGE 4 5A NCAC 2H Values other than separate request to 27699-1 617 in Gravity or Force Main (pull down r cnu) Gravity Gravity Gravity Gravity Gravity trtavity Gravity A Power Reliability Option (dual line feed, permanent generator MATS, rtable generator wfteleretry„ wet well storage) he F=ast Track Perrr7ittineg of Pump Static is and Force est version) and 15A NCAC 2H .025C3 as applicable? design criteria or regulation and indicate why a SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS PERTINENT TO THE VARIANCE WITL E YOUR APPLICATION Have the following permits/certifications been submitted for appro Wetland/Stream Crossings - General Permit or 401 Certification? Sedi Stormwater? nd Erosion Control Plan? I4,A;tirPti5 t9e. 14 retie Cflr,51111.5. Yes [] No ❑ N/A Yes No 0 N/A QQ Yes [I No [ NYA CK APP TION for Gt AVITY SEWERS, PUMP STATIONS, AND FORCE M INS PAGE 5 Z 0 Use the Division's guidance docum"DETERMINING ent entitledry STREAM CLASSIFICATIONS FOR FOR QUt ETA 0210 (FAST -TRACK SEWER SYSTEMS)" to collect and record the stream classification data below (attach additional sheets as necessary). This document is available from our web site or by contacting the appropriate Division of Water Quality regional office(see ... (see instructions for addresses) 05 indicate the following: El A. Stream Classification is not needed because all parts of the project are gat least 100 feet away from any dowi s cope waterbed AND, A Stream Classification rs not needed because the design does not depend on wet well storage as a power reliability option for any purnp station near a Class 0 down slope waterbody. Location ID on Map Name of Waterbody County 1:6'ver Basin :Subrnit the 8.5" x 11" topographic map as required in Instruction VI reg. Appli ants Cerbficatiort: has been reviewed b OFFICIALNAME is curatetar d complete nto the ofrmy n1+= r (a ppl PROJECT been rev°r'evt° � y _ pl� of my knowledge. 1 ant"r�r stand trr�? r� Ji ra�rtft�x;1 parts of this application are not completed and that if all' required supporting documentation and one hnaa nts are not included, this application package is subject to being returned as incomplete. Note. in accordance wit.) North Carolina General .Statutes 143-215.6A and 143-215..6B, any person who knowingly makes any false statement, representation or certification in any application shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed $10.000 as wei"l as civil pena'tie up 10 per viol .. Waterbody Strearn Waterbdy Index Classification gna Proles. on. Engineer's Certificat¢on: i attest that this .appiicatiQn for has been reviewed by inc and is accurate, complete and consistent with the iinformatlora in the engineering plans, calculations, end ail either supporting documentation to the best of my knowledge. 1 further attest that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations, Gravity Sewer Minimum Design Criteria for Gravity Sewers adopted February 12, 1996, and the Minimum Design Criteria for the Fast --Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 and the watershed classification in accordance with Division guidance. Although certain portions of this submittal package may have been developed by other professionals, inclusion of these materials under my signature and seal signifies that 1 have reviewed this material and have judged it to he consistent with the proposed design. Note; In accordance with NC General Statutes 143-215,6A and 143-215.6B, any person who knowingly makes any false statement,. representation, or certification in any application shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed $10, as well as civil penalties up to $25, 000 per violation. of whether a classification is p ovidedl 2a. Jeffrey P. Schrnitt _ Professional Engineer Name 2b. Kenney_Desig2 Group, PA Engineering Firm 2c., 1316 Greenwood. Cliff Address 2d. Charlotte N City 2e. NC 2f. 28204 State Zip E nn9y vnet.net 2g. 7C14-377 6Q99 2h. 7©4 77-6Ci97 2i. kenn Telephone Facsimi a ail CARP 0; r SSf� SE At 8 Signature & State of North Carolina department or Environment, Health, and Natural Resources Division of Environmental Management 512 North Salisbury Street • Raleigh, North Carolina 27626-0535 Governor George T, Everett, PhD. Director y, Jr., Sc.crctary May 1, Ill Memorandum To: Delegated M unicipali From: Steve W. Tedder, Chief Water Quality Section Subject: Delegated Municipalities Checklist for Revised Non- arge Permit Applications The Division of Environmental Management's Water Quality Section has revised the Gravity Sewer Non -Discharge Permit Application Forrn. The form now incorporates the basic information that the Division feels is necessary in order for the delegated municipalities to perform a review on a gravity sewer project for the Division; therefore, the Division will no longer require that the "Delegated Municipalities Gravity Sewer Design Checklist" be completed and submitted We do, however, require that the delegated municipality perform the same type of review as always required and complete the bottom portion of this page and attach it as the last page of all gravity sewer applications that ire being submittal as a delegated municipalities project If you have any questions on this matter, please contact Mr, Randy Jones at 919/733-5083. DELEGATED MIUNICIPALTTY GRAVITY SEWER CERTIFICATION (THIS FORM MAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL) Applicant: Cit Concord Project Name: Delegated Municipality Reviewers Certification: 1, Paul D. Carabell , attest that the subject plans and. sp ifications have I cn reviewed under my supervision and that those plans and specifications arc consistent with the inf nnation that has been specified on the Non -Discharge Application and the Division of Environmental Management's minimum design requirements for gravity sewer projects. Delegated Municipality Reviewer's NC Professional Engineer's Registration No.: Seal and Signature (specify date): FORM: DMGS 4191 PAGE 1OFF] 9O6 WATER & SEWER AUTHORITY OF CABARRUS COUNTY July 7, 2003 W. Brian Hiatt City Manager City of Concord P. O. Box 308 Concord, NC 28026-0308 Subject: Flow Acceptance The Villages at Moss Creek Phase I A Mr. Hiatt :2:3otitidson Hwy. cord, NC 28027 Maul to: P.O. Box 428 Concord, NC 2802E 0428. I Phone: 704,786.1783 Fax: 704.795,1564 This is in response to the subject request for flow acceptance received 6/26/03. The Water and Sewer Authority of Cabarrus County (WSACC) has or currently expects to be able to make available capacity at the Rocky River Wastewater Treatment Plant and appropriate sewer interceptors to transport and treat the domestic wastewater from the proposed. Villages at Moss Creek Phase I A Subdivision. WSACC agrees to accept wastewater from the proposed residential subdivision based on information provided by Kenney Design Group, P.A. (Civil Engineer for the project) using North Carolina Department of Environment and Natural Resources (NCDENR) wastewater flow guidelines. The projected flow is 48,960 gpd; however W'SACC expects the actual wastewater flow to more closely approximate 34,000 gpd based upon Master Plan engineering data. By requesting flow acceptance, the City of Concord acknowledges that WSACC may need to upgrade, expand, or construct new facilities to accommodate the increased flow volume granted by this and previous flow acceptance. Appropriate design and construction will be initiated when actual flows dictate but may be subject to situations that WSACC does not expect or control. Based. upon flow of 48,960 gpd and cost of $8.126/gpd to provide treatment and transportation capacity, this flow acceptance represents an estimated capital expenditure in excess of $397,849. For your information and based upon NCDENR wastewater flow guidelines, WSACC has approved 11,142,118 gallons of flow acceptance for the City of Concord from 1992 to present and 394,685 gallons of flow acceptance year-to-date including this request. Based upon the approved flow acceptances WSACC has committed capacity valued in excess of $90,540,850 for the City of Concord since 1992 including $3,207,210 for this calendar year. Downstream facilities from the proposed project are scheduled in WSACC's current Capital. Improvement Program (CIP) to increase available capacity. Projects on the CIP are subject to approval by WSACC's Board of Directors, support from local governing bodies, regulatory approval, and funding availability. The following schedule of CIP projects is tentative and may be delayed by unforeseen circumstances: Rocky River Wastewater Treatment Plant. Phase II upgrade, Scheduled completion date: 2004. City of Correord The Villages at Moss Creek Phase IA July 7, 2003 Page -2- If construction of this project is not started within one year of the date of this approval, the approval is rescinded and a second request and approval will be required. Please notify WSACC in writing when construction of this project is initiated If you have any questions, please call me at (704) 786-1783., Sincerely, rot' John C. Murdock, III Executik,e Director - cc: SACC Engineering Staff Adam DagenhattiConcord Sherri Moore/Concord Jeffrey Schmitt/Kenney Design Group E \STDDOC\QACCEPTCNRD DO(, State of North Carolina,..°. Department of Environment and Natural Reoure k Division of Water Quality .. PERMIT NAME/OWNERSHIP CHANGE FORM.# .es PirAny changes made to this form will result in the application being returt (THIS FORhI MA }' BE PHOTOCOPIED FOR USE AS AN ORIGINAL) Far rnore to � ticrn£ � sit arrr wed stte at: h2o.enr.stateanc.us"ndpu' D ITEMS 1, Submit one original of the completed and appropriately executed Permit Name/Ownership Change Form. For a change of ownership, the certification must be signed by both the current permit holder and the new applicant, For a naive change only, the certification must be signed by the applicant_ 2. Provide legal documentation of the .transfer of ownership (such as a contract, deed, article of incorporation, etc.) for ownership changes. A copy of the Association Bylaws and Declarations should be submitted for a change of ownership to a Homeowner's Association. Submit a properly executed Operation and MaintenAgreement for all Single Family Spray/Drip Irrigation permits requesting a change of ownership, LNT PERM) INFORMATION 1„ Permit number, l .. 2. Permit holder's name: 3. Permit's signing official's name and title: Mailing adds City: Telephone number: ( EW OWNER/NA RMATI©N egally responsible State: N Facsimile nr This request for a permit change is a result of: Xa. Change in ownership of property/company b, Marne change only c, Other (please explain): Zip: (01) rSZ FORM: PNOCF 06/00 Page l of 2 Z. New owner's nary (nee to used in permit): New owner's or signing o'cial's name and title: 4. Mailirt address: City: Telephone number: IV. CERTIFICATION Current Permittee" State: (Person legally respor sibte for peraut) Zip: Facsimile number: (7014) 7Sf' that this application for name/ownership change has been riewed and d complete to the best of my knowledge. I understand that if all required parts of this application Fleted and that if all required supporting information and attachments are not included, this application package will be returned as incomplete, I understand I will continue to be responsible for compliance with the current nrcis issued. Signature: Applicant's Certification: Date: attest tit this application for name/ownership change has been reviewed and is accurate and complete to the best of my knowledge. I understand that ifall required parts of this application. are not completed and that if all required supporting information and attachments are not included, this application Signature: 1"tlI COMPLETED APPLICATION PACKAGE, INCLC: DING ALL SUPPORTING INFORMATION AND MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDRESS: NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY NON -DISCHARGE PERMITTING UNIT tal Service: SERVICE CENTER 512 NORTH SALISBURY STREET, SUITE 1219 NORTI3 CAROLINA 27699-1617 RALEIGH. NORTH CAROLINA 27604 TELEPHONE NEJMLBER: (919) 733-5083 FORM; PNOCF 06/00 Page 2 of 2 1 : 55p Permit No, W00022207 February 3, 2003 ENGINEER'S CET-7h: Carolina,. itfavfnd bfeen a pro,,,act„. KENNEY DESIGN GROUP (7041377—G097 p.2 -1-1-11-0A V 11€_• Mt- 27- -wk kw -Ale PI IA tkt-e- ,LIA5A:Alli11,0a2 llke tc. et4tw412‹. 11,_c 1-1,4tAcic (hdy regaritererj Professional E 33e1 flll3tate of N.Jorth rrIzed Io observe, (poll, 'weekly full tirne)ioconE, --Lict,f,dn cV1-iC7 or the Project( t\i`arrie LocaTion a",t7,,d (7:(71.77 (--3r,,itYy state tl-fal, to the ,•.)est of f-ny fqfe care and dgence was L.f;' td in the ")bsetvatfon of the C:onsfruction such Inhat Ihe cont(uctorl \vas obsei-ved to be built hin substantial coMpliahee nIerrn 1 bA N AC 2id ,OaDO; the Division of Water Quaiity's Gra.vity Sewer !-Viinif-rrum D aritaria adopted FebruraJry 12,1990 as apj-ificablej Vie, Division's Mii .,:thoitipesic)n C,T,riteria for info: Fast -Track Per:Fr-Thing of Pun-11.-.) Stations FL-OrCO ITEJOipted Ji.rr o 1, 2000 as. appIlcaleleo, and other suppeiting iff.forth Ca.fo'finfa FrfttfesF.tiontal: E:nginttffiGts seal nighat:..eoe, and nate: Ys._ Final TItos above Encineer's Certification shail he completed atiTd submitted 1,0 the address L. One appy of the 'Construo'tion Record Drawincis:' of the v„fastev^,-fater collection system extelIJon s 'Nell as suppotnQ c,-esign calculations for any pump stattons ;permitted as part of this project l'his pro)eot shall not be considered oomplete nor allowed to operate until this Engineer's Ceti:location a i all requfred supportine documentation have been leceived by the laivision. Any wastewater flow r -tide tributary to the wastewater COE:!ection s:)iste.m extension prior to c;fornpietion of this Engineer's :al on shall be e.ensIclareda ViaiZ-.7i.--)n of ns permit ant shall subject the Fern-littee., to appropriate er,f(ff'cfetnent actions - NORTH CAROLINA DiVIS!ON OF WATER QUALITY WATER. QUALITY SECTION NON -DISCHARGE PERMITTING UNIT 1617 MAIL SERVICE CENTER RALEIGH, NORTH CAROLINA 27699-1617 North Carolina Departmen Michael F. Easley, Governor William G. Ross Jr., Secretary Environment and Natural Resources .Alan W. Klimek, P.E., Director Division of Water Quality Anthony P. Tramace:ra, Vice President J & B Development and Management, Inc. 9179 Davidson Highway Concord, NC 28025 Dear Mr, Tramacera: February 3, 2003 f)nry.1 ,90,1 Subject Permit No. VV00022207 J & B Development and Management, Inc, The Villages at Moss Creek Trunk Line Wastewater Collection System Extension Cabarrus County. In accordance with your application received January 6, 2003, and additional information received January 27, 2003, we are forwarding herewith Permit No. WQ0022207, dated February 3, 2003, to J & B Development and Management, Inc. 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 2H .0227 or any individual system -wide collection system permit issued to the Permittee. Permitting of this project does not constitute an acceptance of any part of the project that does not meet 15A NCAC 2H .0200; the Division of Water Quality's (Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as applicable; and the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable, unless specifically mentioned herein. Division approval is based on acceptance of the certification provided by 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. 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 J & B Development and Management, Inc. for the construction and operation of approximately 174 linear feet of 8-inch gravity sewer, 1,327 linear feet of 12-inch gravity sewer and 2,183 linear feet of 15-inch gravity sewer to serve as part of the The Villages at Moss Creek Trunk Line project, with no discharge of collected domestic wastewater into the Water & Sewer Authority of Cabarrus County's existing sewerage system (flow to be permitted with future development), pursuant to the application received January 6, 2003 and in conformity with 15A NCAC 2H .0200; the Division's Non -Discharge Permitting Unit 1617 Mail Service Center, Raleigh, NC 27699-1617 DENR Customer Service Center An Equal Opportunity Action Employer Internet http://h2o.enhstate,ncus/ndou Telephone (919) 733-5083 Fax (919) 715-6048 Telephone 1 (800) 623-7748 50% recycleci/l 0% post -consumer paper ravity 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 shalG be treated in the Water & Sewer Authority of Cabarrus County Wastewater Treatment Facility (Permit No. NC0036269) prior to being discharged into the receiving stream. This permit shall become voidable unless the agreement between J & B Development and Management, Inc. and Water & Sewer Authority of Cabarrus County for the collection and final treatment of wastewater is in full force and effect. The Operational ,Agreement between the Permittee and the Environmental Management Commission is incorporated herein by reference and shall be a condition of this permit. Noncompliance with the terms of the Operational Agreement shall subject the Permittee to ail sanctions provided by North Carolina General Statutes §143-215.6A to §143-215.6C for violation of or failure to act in accordance with the terms and conditions of this permit. 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 foilowing receipt of this permit. This request Must be in the form of a written petition, conforming to Chapter 1503 of North Carolina General Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and binding. If you need additional nformation concerning this matter, please contact Kristin E. Miguez at (919) 733-5083 extension 524.. Sincerely, for Alan VV.'Klirneliv,) P.E. cc: Cabarrus County Health Department Mooresville Regional Office, Water Quality Section (WWTF Permit No. NC0036269) Kenney Design Group, PA Water & Sewer Authority of Cabarrus County (PO Box 428, Concord, NC 28026) Central Files NPDU 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 2H .0200; the Division of Water Quality's (Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting materials unless specifically mentioned herein. 2. This permit shall be effective only with respect to the nature and volume of wastes described in the application and other supporting data. The wastewater collection facilities shall be properly maintained and operated at all times. The Permittee shall maintain compliance with an individual system -wide collection system permit for the operation and maintenance of these facilities as required by 15A NCAC 2H .0227. If an individual permit is not required, the following performance criteria shall be met as provided in 15A NCAC 2H .0227: a. The sewer system shall be effectively maintained and operated at all times to prevent discharge to land or surface waters, and any contravention of the groundwater standards in 15A NCAC 2L .0200 or the surface water standards in 15A NCAC 2B .0200. b. A map of the sewer system shall be developed prior to January 1, 2004 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 east once per every six-month period of time. f. A general observation of the entireewer 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 §143-215.1C. . 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. Upon completion of construction and prior to operation of these permitted facilities, a certification., a copy of the construction record drawings, as well as supporting design calculations, for any pump stations permitted as part of this project shall be received from a North Carolina -licensed Professional Engineer certifying that the facilities have been installed in accordance with this perrniti 15A NCAC 2H .0200; the Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump. Station and Force Main adopted June 1, 2000 as applicable; and other supporting materials. If this project is to be completed in phases and partially certified, you shall retain the responsibility to track further construction approved under the same permit, and shall provide a final certificate of completion once the entire project has been completed. A copy of the construction record drawings, indicating the facilities constructed in the phase being certified, shall be submitted with each partial certification. Mail the Engineer's Certification, one 'copy of the "Construction Record Drawings", and one copy of the supporting design calculations to the Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. 7. A copy of the construction record drawings shall be maintained on file b.y the Permittee for the life of the wastewater collection facilities. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2H .0200; the Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Station and Force Mains adopted June 1, 2000 as applicable?: and other supporting materials may subject the Permittee to an enforcement action by the Division, in accordance with North Carolina General Statutes §143- 215.6A through §143-215.6C. 9. In the event that the wastewater collection facilities fail to perform satisfactorily, including the creation of nuisance conditions, the Permittee shall take immediate corrective action, including those as may be required by this Division, such as the construction of additional or replacement facilities. 10. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes, rules, regulations, or ordinances that may be imposed by other government agencies (local, state and federal) which have jurisdiction, including but not limited to applicable river buffer rules in 15A NCAC 2B .0200, erosion and sedimentation control requirements in 15A NCAC Ch. 4 and under the Division's General Permit NCG010000, and any requirements pertaining to wetlands under 15A NCAC 2B .0200 and 15A NCAC 2H .0500. 11. Noncompliance Notification: The Permittee shall report by telephone to the Mooresville Regional Office, telephone number (704) 663-1699, as soon as possible, but in no case more than 24 hours or on the next working ay, 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 2 Any ft re of a pur pirrg station carse ire r ultlrapir a dy-p ss deructl try receiving eivirar P t rs Without treatment of ail or any portion f the influent to such station or f .il t P rsor s r gad! -1g such occurrences by telephone shall also file a en report in letter form within five days folio v ihp first knowledge of the occurrence. This report must outline the d brans taken or proposed to be taken to ensure that the problem dues not recur; 'rMit i >sur this the third day of sbruar, 200 NORTH s AR LINA ENVIRONMENTAL PANAGEMTla COMM r Alan W. Kli ' i P.E., Division of Water rQuality; By Authority of the Environme Permit Number W00022207 WATER & SEWER AUTHURJTY OF CABARRUS COUNTY W '..Brian .Hiatt City Manager City of Concord P. 0, Box 308 Concord, NC 28026 0' Su Dear .N1r. lliatt: 2 03 Flu Acceptance The Villages at Moss Creek Trunk Line This i:s response to thre subject request for flow acceptance received l rf ] N / and Sewer Authority of Cabarrus Cotnity, (WSACC) has or currently expects to be able to make available capacity at the Rocky River Wastewater Treatment Plant and appropriate sewer interceptors to transport and treat the domestic wastewater from the proposed new sewer trauik line to serve The Villages at Moss t reel . WSACC agrees to accept wastewater frorn, the proposed commercial facility based on information provided by Kenney Design Group, I' A.. (Civil Engineer for the project) using North Carolina Department of Environment and. Natural Resources (NC.DI.NR) wastewater flow guidelines. 'fhere is no projected .(low for the project. ,Flow to this trunk sewer will be allocated in approvals for the future developriient served by the trunk sewer. 1y requesting flow acceptance, the, City of Concord acknowledges that, WSACC may need. t.cr upgrade, expand, or construct new facilities to accommodate the increased flow volume granted by this and previous flow acceptance. Appropr at,e design and construction will be initiated when actual flows dictate but .may be subject to situations that WS.ACC does not expect or control. Based. upon flow of 0 gpd. and cost of $ .126/"gpd to provide treatment and transportation capacity, this flow acceptance represents an estimated capital expenditure in excess of $0. For your information and based upon NCL)E.NR wastewater flow guidelines,. WSACC leas approved 10,776,683 gallons of flow acceptance for the City of Concord from 1,992 to present and 29,250 gallons of flow acceptance year-to-date including this request. Based. upon the approved flow acceptances WSACC has committed capacity valued in excess of ` 37 571 326 for the City of Concord since 1992 including 23 °°,250 for this calendar year° RC). Hex 423 AC 2802€ 1428 NacneLL 704,7 6.1753 Fax: .2 :4.795. 564 Downstream facilities from the proposed project are schedule Improvement Program (CIP) to increase available capacity. approval her i rSACC's Board of Directors, support from approval, and funding availability. The following schedule of delayed by unforeseen circumst.anecs: Rocky lire.r- Wastewater Treatment Plant upgrade and expan completion date: 2005, e d in WS.ACC's current Capital on the COP are subject to renting bodies, regulatory ojects is teritativ<e and may be 34 :ingd. Scheduled City of Concord The Villages at Moss creek Trunk Line January 21, 2003 -Page 2-- If construction of this project is not started within one year of the date of this apprOVal, the approval is rescinded and a second request and approval will be required. Please notify WSACC„in writing when construction of this project is initiated, 1 you. basic any questions, please call me at ( 4) 786-1783. Sincerely, /6, 201 Jobb C. Murdock, III Executive Director cc: WSACC Engineering Staff Adam Dagenhart/Comord Jeffrey SclunittiKenney Design Group 111111111r7 1.0:43a KENNEY DESIGN GROUP (7041377-6O97 State of North Carolina Department of Environment and Natural Resources Division ofWater Quality FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS (Pressure sewers systems are not to be included as part of this application packaree) TF)7S FOP-2)LAL4 ,/ BE PHOTOCOPIED FOR USE „-IS AN ORIGINAL P 2 INSTRUCTIONS; indicate that you hare included the following list of required application package iions by signing your initials in the space provided next to each item, Failure. to submit all iquired items will lead to additional processM2, and review lime for the .permit 3pnlictatioll A, Application Form - Submit one original and Line copy of the. completed and appropriately executed application form. Any cbanstes to this form wall result i the ai5"plitation being returned, The Division of Water C,,•)uality (Division) will only accept a.pplication pac1zages that have been fully completed with allapplicable items addressed. Yu . do not need submit cietailecl_D-lans and specificyou respond NO to item and/or nen) IV,C) 0. B. At tachintos - Submit the completed (Ind jiroperisi execule.d Form. WSCA )0/99 for each .watershed within the pioject location, Nit8 sf/C Application Fee Submit a check in -the amount or S-100 inade payable to: North Coho3Dopotoot of Environment. anti Narural Resources (NCDFNR), D, Oertracates 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, which demonstrates that the public utility i.s authori)eed to hold the utility franchise for the area to he served by the sesver extension. .11" Certificate of Public Convenience and Ne.cessity has not been issued, provide two copies of a Ictliet from the NC Utijities Commissioes Public. Staff that states that an application for r fremehise has been received, that the eerviee area coniismous to an franchised area, andior that ti'anchise approval is expocicd, E. Operational Agreements — Submit one orieinal and two copies of 3 properly eNecuted operational asireement if the sewer extension ',still hs serving residential OF rarrunercial lots houses, condominiums, townhoines, outparcels, to,) that will be owned hy a homeownersassociation or developer. Lithe applicant is a homeowners" association, use Form I-10A I 0/99. Lithe applicant is a developer, use Form DEV 10/99, F", Flow Acceptance Letters the owner of the downstream sewers andlor \Ist.WTF is different from the tipplicant, submit two copies of a flow acceptance letter from the owner of the downstream s.essti2rs and WWTF. Flow acceptance letters must contain the followine minimum information: applicant and project name, amount of !low art epted, and nine and permit nutnber of the receiving sesstersil\r\VTF, The flow acceptance inu.st not expire prior to perinit issuance and must he daled less than 3 year prior to the application date, intergovernmental agrecmcvas or other contracts will not be accepted in lieu of a project -specific flow acceptance letter, TH1 COM-PUETED APPLICATION PACKAGE, INCLUDING ALL surPORTVC INFORMATION AND MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDRESS: NORTH CAROLINA DEPARTMENT OF' ENVIRONMENT AND NATURA.L RESOURCES DIVISION OF WATER QUALITY NON -DISCHARGE PERMITTING UNIT US. Postal Ser-vice; By Courier/Special Delivery: 1617 mArL SERVICE CENTER 512 NORTH 5.A.US1nTRY STREET, SUITE 1219 ) RALEIGH. NORTH .CAROLINA 27699-1617 RALEIGH, NORTH CAROLLNA 27604 TELEPHONE NUMBER: (919) 733-5.083 FACSEMILE N LUMBER: (919) 715-6048 Far more oar web site at: 62(%eirrskite. nc lithuipril FORM: 0 Pag 1 of 5 3 • 03 11 . 44a KEN, EY' DESIGN 14 ROUP f 7t Application Number: corporation, in ii .telutl, e. .Applica,-it's name! ,ti = or establishment, etc.)° t(1 complete address of engineering flrirf r" p4'tt-)c . City: C _ . .�_ © ___._......�__._ State: Zip: Tcleplionc number: f( 11'i7" { ) `2) r1- 4r"17 `'I Facsimile number:: ( !.G' 'Name and affiliation afcontact l crsoii who can answer questions about application: 377-GUS7 p.3 1i. PERMIT Lv'FOIt1 IATION' L i'r accC is: rX S2t 1h' [bodh w DWQ) if this application is being submitted as a result of a wodila:iitiun to as eRxisUng -tit, pro ling permit number Afpi Fnt is: if pri ,ate, arrtlts (lets to aliondcs, if sold, facilities ow:ncd'by a: INFORMATION ON WASTEWATER; pxiva l e and ate issuance date leased, (Skip to I. Please p:ovida a one- or two -word d,cscript.ion. speci.fVing the sold wastewater (school, subdivisi)n, 1rospiiat, ccnnincrcial facility, industry, apaztrricnts, cctndon'uniun , etie"e): 7—Ott 41\ `,"`oltune ofwastewater ,gencratc,d. b:., this prole r: Explanation of how wastewater flow was deter-rt. Naturc o gallons pet 5A NCAC 213 .0219(0):Eit?), l'u Dar csc"t` unercia.•, .� Other waste -, specify: f,? 3O3 1O:44 a KENNEY DESIGN GROUP (7041377-6097 P-4 5; If wastewater is industrial in nature.: NIA a, Level of pretreatment that Las been provitle.d to ellSlire protection cf the locciving coliection system and lyastewater treatmEnt facility: . _ b. If a pretreatment perutit is required. Luis one been issued? Yes; No, lives, please attach, a copy of the pretreauttent penis t, If no, provide date: applicationvms subn-Otled.: IV. DESIGN INFORMATION: 1. Brief project desc:ription: ciA-±L4. 2. Owner and name of \Wistcwater ueatment (W \VTF .eceiving wastewater (Scc Instruction _ R1V 3- c'l.VTI= permit -number (NC00***';"orWQ004:**--t•): 4, List.tb owner(s) of zuvintelinediac, ses,-„ti's if different. Crum appiicoont or o no o 'NWT": (See instruction F.): Saumary of GRAVITY SEWER o 0cpermitic d Diameter (inches) Lexigth (linear feet) Does die subject gravity sewer cellcctin system comply with the most recent version of the Gravity Sewer tviinimum Design Criterig and 1.5A NCAC 2H 0200? identify criteria and EYp1Rin; Yes; No. If no, please 7. Sunnitof l'UT\IP STATIONS to be. pf..'..rmined: .,„ No. or Design Flow Pump Operational Points Namo (MCI)) GPN1(cir) feet TDB' FORM: FTA 06/00 Paae :4 of 5 *0 i 0 , 44a K NNEY [ I N G OUP (" 04 ) Ea07' e else vl€erg €aa Linea 1 su s€ .'azt r € €.e- .. € ers etY^:':Masi;odor e i dr, 1 equip €€eaata 'a l Track Peni €tt €€ '€€r. t `a€.e tyfains € c h lrrro[ t a3c fdct7tf' O L:II"3 u;€csao ded °{ f dela Led plan peel ing tcithe ident doi d Js7.2t)0() 55al!, €tn d� rezp sup t1Ilg Biif €t i C3 6A: fh 55 red cede should be 1 111 coJI1plet d and appr peu the dr 3 03 1 0: 44a KENNEY' DESIGN GROUP t704 )377 -6087 P V, CERTIFICATIONS Profe,ssionai Engineer's Cei'tification: Eg- 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 tonowledge. I further attest that to the hest of my knowledge the proposed design has been prepared in accordance with the, applicable regulations, Gravity Sewer Minim:inn Design Criteria. for Chavity Sewers adopted February 12, 1996, and the Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June, 1, 2.000, Although certain portions of this submittal package may- have been developed by ether professionals, inclusion of these materials under my signature and scat signifiesthat 1 have reviewed this matedal and have, Judged it to be consistent with the proposed design. Note: in accordance with NC Cenci -al Statutes 143-215.6A and 14.3-215.6B, any person who knowinglymakes any false statement, representatiort'or certification in any application shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed 51 0,000 as well as civil penalties up to 525,000 per -violation, North Carolina. Professional Engineer's seal, signature, and date, A pp/icant's Certification: hat this application for 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 rucluded, this application package will be returned to me as incompete.. Note: In accordance with NC General Statutes 143-215„6A and 143.-215,61, arty person who knowingly makes any false stztement, representation, or certification in ally application shall be guilty of a Class 2 misdemeanor which may include, a fine not to exceed SI0,000 as well as civil penalties up to 525,000 per violation, Signature: Dale: FORM: FTA 06/00 Pasp. :5 of 5 A7c AEC cgiq I TT OF r..s...1,P:RtIS WASTEWATEI-.t FLOW ACCEPTANCE FORM: FOR THE WATER AND SEWER “A„IIITHORITY OF CABARRUS COUNTY hirisAiction Requesting Flow Acceptance! Date; City ofConcord City of Kannapolis Town of }Harrisburg 61 Tcrivn of Mt. Pleasant 0 Charlotte Mecklenburg Project Name and De ription: Name: L: L., ill Description: PipxXimfit.,• 1—• 414k1 4144, \Vh.e.re will the new line: be connected: tA iNIL fLc 1-7 ` .Direcitly into a 'WSACC, Interaeptor Into the Jurisdiction's existing collection system Into a private line .t.)escribe the location of the line to ,i,vhich the new line will connect: OFF Which i C Interceptor will the flow be discharged into? oc-I4, • t-ivic.P What is the WSACC manhole number that the flui ill be d.ischarged into? the quantity of flow that win he discharged? Ti "1-U, CPC b a_ L Np _C) 47- (,),C. (AO (To -D i5-o"2 GPI) IJ rf7„,re_. drawirzgs o: 1Lns wiil hesubrnitx,d to WSACiiii: viith the request for aoccptancif.... Drawings can be submitted a a digital file (DWG) or distance and bearing starna2 with the tap DTI existing infrastructure. If the no line is to connect directly 'into a '‘VSACC interceptor, derailed drawings including s.pecification of the tap, will he .required before discharge begins, Mark Lomax at C704) 788.-41.64, ext. 37, must be notified 48 hours in .advance, Of a connec`ion into a ',:iVSACC interceptor. WS'A CC 'will inspect connection before, during, aridafter completion. construCziot.i 5 OE S ay e0 h OfIe. (-1) yea r 711 1:11e date approval (,-71 e fici:iv a cc eptance 6oaz is F. r eot tit eg app ro pat rescin deal and a second requ.ese. and approval will be requidfo r the project WSA.C.0 US..E : DATE: 0 Current sewed- model s'hows anIntercepor as bciou slircharged south of the manhole in que.stion, A.pp ro ved 61 Not. Approved CUITent Sewer Model shows: Pic:vision1. 11100.7,25/00 City of Concord Engineering Department Scott Padgett, Mayor W. Brian Hiatt, City Manager Paul D. Campbell, P.E., Director of Engineering July 11, 2003 N.C. Department of Environment and Natural Resources Division of Water Quality Non -Discharge Permitting Unit 919 N. Main St Mooresville, North Carolina 28115 SUBJECT SANITARY SEWER EXTENSIONS The Villages at Moss Creek, Phase IA City of Concord Cabarrus County Dear Sir or Madam: We are enclosing for your review and approval, one original and one copy of the executed Non - Discharge Permit Application form, a check in the amount of $ 400.00, a letter of flow acceptance from the W'WTF and the Delegated Municipality Certification form for the installation of 5248 +l- linear feet of 8-inch gravity sanitary sewer to serve the above mentioned project with an average daily flow of 48,960 GPD in the western section of Cabarrus County off of Harris Road. Enclosed is a copy of the ownership transfer form, FSTA permit, the WSACC Flow Acceptance letter, and the final certification for the Villages at Moss Creek Trunk Line. The City of Concord and J& B Development are obtaining a transfer of ownership for the Villages at Moss Creek Trunk Line, designated WQ0022207. A complete transfer of ownership application package will be submitted to the NCDENR DWQ-Raleigh office for approval and processing. The enclosed docurnents are for informational purposes only, This application is in accordance with your Gravity Sewer Minimum Design Criteria. Upon completion of the project, you shall receive a copy of the Engineer's Certification and a copy of the Record Drawings. Alfred M. Brown operations Center 850 WBlvd, P.O Box 308 ;on xni, NNE t (704192)-5425 * Fax C04 786-4521 "MD 1-800-735-8262 a 4, Your cooperation in this matter is greatly appreciated. If there are any questions concerning this application or plans, please call us at (704) 920-5425. Sincerely, aul D. Campbell, P.E. ector of Engineering PDC/svm Enclosures cc: Project No.: 2003-031 File No. 2 (DWQ) J&B Development and Management, Inc. 9197 Davidson Hwy, Concord, NC 28025 Jeff Schmitt, PE, Kenny Design Group, PA, 1316 Greenwood Cliff, Charlotte, NC 28204 Alfred M. Brown Operations Center 850 Watteri C Cu Blvd oP.O. Box 308 Canard, North Cattima 28026 (704)920-5425 o Fax (704) 786-452 '1 o 'MD 1-800-735-8262, to ulattalmneadne. us APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 3 USE THE TAB KEY TO MOVE FROM FIELD TO FIELD! I. Owner: la CiV_of Concord Full Legal Name (company, municipality, HOA, utility, etc lb. Paul Campbell, Director of Engineering Signing Official Name and Title (Please review 15A NCAC 2H :02 6(b) for authorized signing officials!) lc. The legal entity who will own this system is: El Individual Ej Federal Municipality 0 State/County El Private Partnership 0 Corporation 0 Other (so Application Number: (to be completed by DVVQ) a 00 (s) ld. 850ytiya601 South Street Address if NC State lh, 704-920-5425 Telephone 2. Project (Facility) Information: 2a The Villages at Moss Creek Phase 1B 704-786-4521 Facsimile Brief Project Name (permit will refer to this name) 3. Contact Person: le. Concord City lg. 28026 Zip Code ,1j. dagenhaa ci.concord,nc,us E-mail 2b Cabarrus County Where Proje 3a, Adam Dagenhart Name and Affiliation of Someone Who Can Answer Questions About this Application 3b, 704-920-5411 3c. dagenhaa/paconconi .nc. us Phone Number E-mail 1 Project is El New 4 Modification (of an existing perrnit) If Modification, Permit No.: vja00 zz20 2. Owner is Public (skip to Item 8(3)) D Private (go to Item 2(a)) 2a if private, applicant will be: 2b, If sold, facilities owned by a (must choose one) o Retaining Ownership (Le. store, church, single office, etc,) or o Leasing units (lots, townhomes, etc,. - stop to /tem 8(3)) 0 Selling units (lots, townhomes, etc, - go to Item B(2b)) 3. Water and Sewer Authori of Cabarrus Coun Public Utility (instruction III) 0 Homeowner Assoc./Developer (Instruction IV) Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project 4a, Rocky River Regional Name of WWTF WWTF Permit U. Z 5a, City of Concord 5b 12" 5c, WQ0022207 Owner of Downstream Sewer i Receiving Sewer Size Permit Number 6 The origin of this wastewater is (check all that apply): Residential Subdivision 0 Car Wash 0 Apartments/Condominiums D Institution O Mobile Home Park El Hospital El School 0 Church 0 Restaurant 0 Nursing Home O Office 0 Other(specify) 7, Volume of wastewater to be permitted in this project 19,800 clod gallons per day 8 If the permitted flow is zero, indicate why: 0 Interceptor Line - Flow will be permitted is subsequent permits that connect to this line O Flow has already been allocated in Permit No, El Rehabilitation or replacement of existing sewer with no new flow expected 4b. NC00362934, 2tv No. of Downstream Sewer (if known 100 % Domestic/Commercial % Industrial % Other (specify): CATION fair GfiA ITY SEW PUMP STATIONS, FORCE MAINS PAGE 4 Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2H 0219(I) for Item B(7) or the design flow for line or pump station sizing if zero flow in the space below. Values other than that in 15A NCAC 2H .0219(1)(1-2) must be approved prior to submittal of this application. Submit a separate request to the Division of Water Quality, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617 in accordance with 15A NCAC 2H .0219(1)(3). Size (inches) 8 fly homes)(360gpd/home) 19600 gpd o be Permitted (attach additional sheets if necessary) Length (feet) 3393 ENTER TOTAL LINE LENGTH IN MILES Summary of Pump Stations to be Permitted (attach additional sheets as necessary) Location ID as shown on pia Design Flow (MO) Operational Point GPM #4 TDH evity or Force Main pull down menu) Gravity Gravity .................... Gravity Gravity Gravity Gravity Gravity Power R+eliabillty Ofon (dual line feed, permanent g ei rator wIATS, portable generator wwtelemetry, wet well storage) 12 Does the sewer system comply with the Minimum Design Criteria for the Fast Track Permitting of Pump Stations and Force Mains (latest version), the Gravity >+aver Minimum Design Criteria (latest version) and 15A NCAC 2H .0200 as applicable? Yes 0 No If no, please reference the pertinent minimum design criteria or regulation and indicate why a variance is requested SUBMIT TWO COPIES OF P SPECIFICATIONS OR CALCULATIONS PERTCNEN" TO TILE V Have the following permits/certifications been submitted for approval? to--rollvwtiq It Wetland/Stream Crossings - General Permit or 401 Certification? ' Yes 0 No El N/A Sedimentation and Erosion Control Plan? Stormwater? Yes 0No DN/A Yes 0 No D N/A ATION PP f f+I A'UON flair G1 A I y S ONS, AND FO C ]MAINS PAGE 5 Use the Division's guidance document entitled„ "DETERMINING STREAM CLASSIFICATIONS FOR FOR ETA 02/03 (FAST -TRACK SEWER SYSTEMS)" to collect and record the stream classification data below (attach additional sheets as necessary). This document is available from our web site or by contacting the appropriate Division of Water Quality regional office (see instructions for addresses) OR indicate the following: Q A Stream Classification is not needed because all parts of the project are at least 100 feet away from any down slope waterbody; AND, 0 A Stream Classification is not needed because the design does not depend on wet well storage as a power reliability option for any pump station near a Class C down slope waterbody. Location ID Name of on Map Waterbody County 35-20 Lat 80- 4 UT for Rocky River . Cabarrus Waterbody Stream Waterbody River Basin Index. Classification Yadkin 13-17 C Submit the 8 5" x 11" topographic map as required in Instruction VI regardless of whether a classification is provided Applicant's Certification: I, SIGNING OFFICIAL NAME, attest that thin apa.'cation for PROJECT NAME has been reviewed by me and is accurate and complete to the best of my knowledge. 1 understand that if alt required parts of this application are not completed and that if ail required supporting documentation and attachments are riot included, this application package is subject to being returned as incomplete. Note' in accordance with North Carolina General Statutes 143-215,6A and 143-215,6B, any person who knowingly makes any false statement, representation, or ein any applcation shef be guilty of a Class 2 misdemeanor which may include a fine not to exceed $10,000 a s i penalties Ip $25,000 per violation. Pro Sign nal Engineer on: Date I attest that this application for has been reviewed by me and is accurate, complete and consistent with the information in the engine + ring plans, calculations, and other supporting documentation to the best of my knowledge, t 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 Critenaa for Gravity Sewers adopted February 12, 1996, and The Minimum Design Criteria for the Fast -Track Permittingof Pump Stations and Force Mains adopted June 1, 2000 and the watershed classification in accordance with Division guidance. Although certain portions of this submittal' package may have been developed by other professionals, inclusion of these materials under my signature and seal signifies that 1 have reviewed this material and have judged it to be consistent with the proposed design. Note: In accordance with NC General Statutes 143-215s 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 violation, leffr P. Schmitt Professional Engineer Name 2b, Kenney Design Group, PA Engineering Firm 2c, 1316 Greenwood Cliff Address 2d, Charlotte City 2g, 704-377 t199 Telephone 704-377-6097 Facsimile State of North Carolina Department of Environment, Health, and Natural Resources Division of Environmental Management 51? North Salisbury Street • Raleigh, North Carolina 27626 0535 Governor George T. Everett, Ph y, Jr., Secretary Director May 1,1991 Memorandum To: Delegated Municipali From: Steve W. Tedder, Chie Water Quality Section Subject: Delegated Municipalities C cecl list for Revised Non -Discharge Permit Applications The Division of Environmental Management's Water Quality Section has revised the Gravity Sewer Non -Discharge Permit Application Form. The forrn now incorporates the basic information that the Division feels is necessary in order for the delegated municipalities to perform a review on a gravity sewer project for the Division; therefore, the Division will rio longer require that the "Delegated Municipalities Gravity Sewer Design Checklist" be completed and submitted. We do, however, require that the delegated municipality perform the same type of review as always required and complete the bottom portion of this page and attach it as the last page of all gravity sewer applications that -re being submittal as a delegated municipalities project. If you have any questions on this matter, please contact Mr. Randy Jones at 919/733-5O83. DELEGATED MIJNICIPALTTY GRAVITY SEWER CERTIFICATION (THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL) Applicant: C o Concord Project Name: Delegated Municipality Reviewer Certification: 2.0b L Paul D. Campbell , attest that the subject plans and. specifications have been reviewed under my supervision and that those plans and specifications are consistent with the information that has been specified on the Non -Discharge Application and the Division of Environmental Management's minimum design requirements for gravity sewer projects. Delegated Municipality Reviewer's NC Professional Engineer's Registration No.: Seal and Signature (specify date): FORM: DMGS 4:191 PAGE 1 OF 1 906 WATER & SEWER AUTHORITY OF CABARRUS COUNTY July 7, 2003 W. Brian Hiatt City Manager City of Concord P. O. Box 308 Concord, NC 28026-0308 Subject: Flow Acceptance The Villages at Moss Creek Phase 1 B Mr. Hiatt: va NC 28027 I r P.C). Box 428 I„ NC 28026-04 8 This is in response to the subject request for flow acceptance received 6/26/03. The Water and Sewer Authority of Cabarrus County (WSACC) has or currently expects to be able tomake available capacity at the Rocky River Wastewater Treatment. Plant and appropriate sewer interceptors to transport and treat the domestic wastewater from the proposed Villages atMoss Creek Phase 1B Subdivision. WSACC agrees to accept wastewater from the proposed residential subdivision based on information provided by Kenney Design. Group, P.A. (Civil Engineer for the project) using North Carolina Department of Environment and Natural Resources (NCDENR) wastewater flow guidelines. The projected flow is 19,800 gpd; however WSACC expects the actual wastewater flow to more closely approximate 13,750 gpd based upon Master Plan engineering data. By requesting flow acceptance, the City of Concord acknowledges that WSACC may need to upgrade, expand, or construct new facilities to accommodate the increased flow volume granted by this and previous flow acceptance. Appropriate designn and construction will be initiated when actual flows dictate but may be subject to situations that WSACC does not expect or control. Based upon flow of 19,800 gpd and cost of $8.126Igpd to provide treatment and transportation capacity, this flow acceptance represents an estimated capital expenditure in excess of 5160,895, For your information and based upon. NCDENR wastewater flow guidelines, WSACC has approved 11,161,918 gallons of flow acceptance for the City of Concord from 1992 to present and. 414,485 gallons of flow acceptance year-to-date including this request. Based upon the approved flow acceptances WSACC has committed capacity valued in excess of $90,701,745 for the City of Concord since 1992 including $3,368,105 for this calendar year. Downstream facilities from the proposed project are scheduled in WSACC's current Capital Improvement Program (CIP) to increase available capacity. Projects on the OP are subject to approval by WSACC's Board of Directors, support from local governing bodies, regulatory approval, and funding availability. The following schedule of CIP projects is tentative and may be delayed by unforeseen circumstances; Rocky River Wastewater Treatment Plant Phase 11 upgrade. Scheduled completion date: 2004. it y of Concord The Villages at Moss Creek Phase 1B July 7, - /003 Pane -1 If construction of this project is not started Aitturi one year of the date of this approval, the approval is rescinded and a second request and approval 'Will be required Please notify WSACC rn wilting when construction of this project is initiated. If you have any questions, please call me at (704) 786-1783. WSACC Engineering Staff Adam Dauenhart/Concord Sheni Moore Concord Jeffrey Schmitt/Kenney Design Group Sincerely, John C. Murdock, Ill Executive Director E ',,STDDOCAQACCEPT(NR1) DOC City of Concord Engineering Department Scott Padgett, Mayor W. Brian Hiatt, City Manager Paul D. Campbell, P.E., Director of Engineering July 11, 2003 N.C. Department of Envirortnent and Natural Resources Division of Water Quality Non -Discharge Permitting Unit 919 N. Main St.. Mooresville, North Carolina 28115 SUBJECT SANITARY SEWER EXTENSIONS The Villages at Moss Creek, Phase 1 B City of Concord Cabarrus County Dear Sir or Madam: JUL 1 1 NC DEPT E AND NATURAL OORESV LLE RE T R'. 10 AL OEw9CE We are enclosing for your review and approval, one original and one copy of the executed Non- Discharge Permit Application form, a check in the amount of $ 400.00, a letter of flow acceptance from the WWTF and the Delegated Municipality Certification form for the installation of 3393 +/- linear feet of 8-inch gravity sanitary sewer to serve the above mentioned project with an average daily flow of 19,800 GPD in the western section of Cabarrus County of of Hwy 73. Enclosed is a copy of the ownership transfer farm, FSTA permit, the WSACC Flow Acceptance letter, and the final certification for the Villages at Moss Creek Trunk Line. The City of Concord and J& B Development are obtaining a transfer of ownership for the Villages at Moss Creek Trunk Line, designated WQ0022207. A complete transfer of ownership application package will be submitted to the NCDENR DWQ-Raleigh office for approval and processing. The enclosed documents are for informational purposes only. This application is in accordance with your Gravity Sewer Minimum Design Criteria. Upon completion of the project, you shall receive a copy of the Engineer's Certification and a copy of the Record Drawings. Alfred M. Brown Operations Center 850 W'Coleman Blvd 6 P.O. Box 308 C: a dl, NortivC xthia28026 ('O'1920-5425 Fax (7041786-45211 TDD'1-800-71,5-8262 • aflit, .€(11(ff tit vrbar.11,q Your cooperation in this matter is greatly appreciated. if ltere are any questions concerning this application or plans, please call us at (704) 920-5425. Sincerely, OF CDNCO P D. Camp D. etor of Engine ring P� C/svm Enclosures cc: Project No.: 2003-032 File No. 2 (DWQ) J&B Development and Management, Inc. 9197 Davidson Hwy, Concord, NC 28025 Jeff Schmitt, PE, Kenny Design Group, PA, 1316 Greenwood Cliff, Charlotte, NC 28204 Atfired M. Brown Operations Center 850 Wamn C Column Blvd. • P.O. Box 308 * Concord, North Carolina 28026 (704)'' 5425 Fax (704) 786-4521 TDD 1.800-735-8262 ar c°i;cx r rid s State of North Carolina Department of Environment and Natural Resources Division of Water Quality PERMIT NAME/OWNERSHIP CHANGE FORMJIJ Any changes made to this form will result in the application being retur ............. (THIS FORA," MAY BE PHOTOCOPIED FOR USE AS AV ORIGINAL) For more in or patron, visit our web site at: h2o,enr,state.nc.us%ndpu./ D. ITTEMS Submit one original of the completed and appropriately executed Permit Nanne/Ownership Change Form. For a change of ownership, the certification must be signed by both the current permit holder and the new applicant, For a name change only, the certification must be signed by the applicant. Provide legal documentation of the transfer of ownership (such as a contract, deed, article of incorporation_ etc.) for ownership changes. A copy of the Association Bylaws and Declantions should be submitted for a change of ownership to a Homeowner's Association. Submit a properly executed Operation and Maintenance Agreement for all Single Family Spray/Drip Irrigation permits requesting a change of ownership. IL CURRENT PE MIT IldlFOIl IATION I_ Permit number: 2. Permit holder's name: 3. Permit's signing official's name and title: 4. Mailing address: City: CD VN.Cr? v- Telephone number: (1 Ill. NEW OM N RMTI©.N a permit change i~s a result of: a. Change in ownership of property/company b. Name change only c. Other (please explain): State:. on legal: Facsimile FORM: PNOCF 06/00 Pate 1. of 2 New owner's name (name to be used in permit): C \AIL New owner's or signing official's name and title: 4. Mailing address City: Telephone number: ( IV. CERTI IcAT ON Current Pet°rnittee's Certification: 1, Ant1iov► l - ,vvictc a test C. c State: (Person legally responsible for permit) Zip: Facsimile number: (7t7q plication for name/ownership change has been 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 as incomplete. I understand 1 will continue to be responsible for ssued. compliance Signa 2. Applicant's Certification: attest that this application for Date: me/ownersltip change has been review e 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. Signature: Tl LETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION AND MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDRESS: NOR TI CAR©LINA. DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY NON -DISCHARGE PERMITTING UNIT )3v U.S. Postal Service: 1617 MAIL SERVICE C NTER 512 NORTH SAL BURY STREET, S1tJITE 1219 RALEIGH, NORTH CAROLINA 27699-1617 RALEIGH, NORTH CAROLINA 27604 TELEPHONE NUMBER (919) 733-5083 FORM: PNOCF 06/00 Page 2 of 2 1.11"117:5 p KENNEY IJESIGN GROUP Permit No. W00022207 February 3, 2003 ENGIN0! a, having ',.'w=`tini+ iurn Design Crileria add The affiy copy of supporting co cum ntation to cbruw y `vur�k. LlYIr. Location nd (704)377-6097 p.2 0 struc0, it was obs rvedd --f Water „u ;b�ti0l of the it 5ubStar]ii c ld Jur 1 2000 s add wastewater collection i . it aS ". rill s pump Statl dnitted .:s part at th s pr ay t, .k is ( d Si shall to operate Li tt. g leer's Ceftf lee on a -i all required eived by. the Div l ion. Any wasewa.ter flow rode trlbutary to .n prior to oomL)ieti st f this Engii e is Ce,, Lion ball be ube ct the PErilll`fPe to approp'ata oiEfw �_..,i�eilt ai'ens. NORTH CAROLINA DIVISION OF WATER QUALITY WATER QUALITY SECTION NON -DISCHARGE PERMITTING UNIT 1617 MAIL SERVICE CENTER RALEIGH, NORTH CAROi. INA 276'99-1617