WQ0022595_Regional Office Historical File Pre 2018 (2)

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
May 16, 2003
Paul D. Campbell P.E., Director of Engineering
City of Concord
PO Box 308
Concord, NC
Subject: Permit No. W00022595
City of Concord
Yates Mill Subdivision
Wastewater Collection System Extension
Cabarrus County
Dear MR Cam loell
In accordance with your application received March 28, 2003,.we are forwarding herewith Permit No.
A00022595, dated May 16, 2003, to the City of Concord for the construction and operation of the subject
wastewater collection system ex -tension. This permit shall be effective from the date of issuance until rescinded,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,
Permittin9 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: and 3) the Division's Minimum Design Criteria for the Fast -Track Permitting of
Pump Stations and Force Mains adopted June 1, 2000, as applicable, uniess 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.
Atv:i7A
NLDENR
Mooresville Regional Office
919 N. Main Street, Mooresvilie, NC 28115
Internet hrtp://h2o.enr)state..no):Jsi
Telephone [phone] Fax [phone]
DENR Customer Service Center
An Eaual Opportunity Action Employer
Telephone [phone]
50% recycled/10% post -consumer pacer

City of Concord
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
construction and operation of approximately 11,058 linear feet of 8-inch gravity sewer to serve a residential
subdivision with 198 single family lots as part of the Yates Mill Subdivision project, and the discharge of 71,280
gallons per day of collected domestic wastewater into the Water and Sewer Authority of Cabarrus County's
existing sewerage system, pursuant to the application received March 28, 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 City of Concord and Water and Sewer
Authority of Cabarrus County for the collection and final treatment of wastewater is in full force and effect.
If any parts, requirements, orlimitations contained in this permit are unacceptabe, you have the right to request
an adjudicatory hearing upon written request within 30 days following receipt of this permit_ This request must be
in the form of a written petition, conforming to Chapter 150B of North Carolina General Statutes, and filed with the
Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC 2769,9-6714, Unless such demands are
made, this permit shall be final and binding.
U.' you need additional information concerning this matter, please contact Dee Browder at [phone].
S n erely,
for Alan Klimek, P.E.
Cabarrus County Health Department
Mooresville Regional Office, Water Quality Section (lANVTF Permit No, NC0D6259
Cathey and Associates
Water Quality Central Files
NDPU 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 ssuance until rescinded and shall be subject to the following
specified conditions and limitations:
This permit shall become voidable unless the wastewater collection facilities are constructed in accordance
with the conditions of this permit; 15A NCAC 2H .0200; the Division of Water QuaIfty'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 materialsunless 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.
3. The wastewater collection facilities shall be properly maintained and operated at all times. The Permittee
shall maintain compliance with an individual system -wide collection system permit for the operation and
maintenance of these facilities as required by 15A NCAC 2H .0227. If an individual permit is not required, the
following performance criteria shall be met as provided in 15A NCAC 2H 0227:
a. The sewer system shall be effectively maintained and operated at all times to prevent discharae 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 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 .0505(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.
6, Upon completion of construction and prior to operation of these permitted facilities, a certification, a copy of
the construction record drawings, as well as supporting design calculations for any pump stations permitted
as part of this project shall be received from a North Carolina -licensed Professional Engineer certifying that
the facilities have been installed in accordance with this permit; 15A NCAC 2H .0200; the Division's Gravity
Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for
the Fast -Track Permitting of Pump Station and Force Main adopted June 1, 2000 as applicable, and other
supporting materials. If this project is to be completed in phases and partially certified, you shall retain the
responsibility to track further construction approved under the same perrnit, 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 Mali 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.
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 day, following the
occurrence or first knowledge of the occurrence of either of the following
a. Any process unit faiiure, 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.

Persons reporting such occurrences by telephone shall aiso file a written report in letter form within five days
following first knowledge of the occurrence. This report must outline the actions taken or proposed to be
taken to ensure that the problem does not recur
Permit issued this the tt day of May, 2003.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT CO !SCION
for Alan W. l lim : P. u. Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0022595

05/14/03
Per Number ` 0022595
Program Category
Non -discharge
Permit Type ast T ra ck
Gravity Sewer Extension, Pump S
Extensions
Primary Reviewer
dee.browder
Permitted Flow
71280
Fad*
Facility Name
Yates Mill Subdivision
Location Address
Owner
Owner Name
City of Concord
Da Even s
Pressure Sewer
Permit Tracking Slip
Status Protect Type
In review New Project
Version Permit Classification
Individual
Permit Contact Affiliation
Major/
Minor
or Region
Mooresville
County
Cabarrus
Facility Contact Affiliation
Owner Type
Government - Municipal
Owner Affiliation
Paul Campbell
Post Office Box 308
Concord
Scheduled
Orig Issue App Racelred Draft initiated Issuance
03/28/03
Reguiated Activities
Subdivision
Wastewater olie
Outfall l ..i ....
Watarbady Name
NC 28fi26
Public Notice Issue Effective
Requested/Received Events
Stream Index Number
Additional information requested
Additional information received
Current Class
Expiration
5ubbasin

OVERCASH GRAVEL. AND GRADING CO., INC. 6-80
PH 788-1603 OR 333-1404
SHELTON RD OFF POPLAR TENT RD
1150 SHELTON RD
CONCORD„ NC 28027
PAY
TO THE
ORDER OF
10071 7'" 0 L800 2 LLB"'
DATE
4296''
66-73/5:31

North Cameral r n 'E
oss Jr,Secretary'
Resatices
#fir W_Kimetic, P.E , Dirac' ^1r
Dprismn otiNdtes Quality
April '14, 2003
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Paul D. Campbell P.E.
Director of Engineering
City of Concord
P.O. Box 308
Concord, NC 28026
Sub -
Dear Mr. Campbe
The Division of Water Quail is i resvil legion 1 th aft the wed acpICaticrn
package for review for the fallowing reason:
✓ The application form submitted for the subject projec is no
return the most current version of the fast -track anion form (FORM: FTA
A
available for download from our Non -Discharge Perm tirag Unit web ste . at
http://h2o.enr„stateenc.uslndpu. Please use FORM FTA M33 for a gravity IIVEf.
and/or force main project submittals unless otherwise dreced. This form
06/00.
Please note that the item(s) listed wove must be included art compiete
permit application padcge for approval. Your application is being returned as
accordance with 15A NCAC 2H .C208. The success of the fast -track approval process depends upon
the receipt of complete and accurate applications. Pleayss make the appropriate crrectizns and
resubmit the application. The review process will then began upon receipt of the mrupleted andlcr
corrected application.
A
Please be advised that knsauction and/or operation of
a valid permit is a vio aticn of North Carolina General SVithitc.142
to appropriate enforcement actions in accordance wth North Carolina C
penalties of up b 525,000 per day per violation may be assessed for ftilitse to
by North Carolina General Mute 143-215.1,
CENR QA.aarer Service Center
city *ci E nc over
Telacitene , SOO623-77.48
5.1"(: c+r e ' : `+ - 7r' e• k=ra

April 14i,
Page
If you should have any dues ins regardkkg
to contact tne at [phone]. Thanky
Enclosures
Application return I;

N.C. Depart- ent of Environment and. Natural Resources
Division of Water Quality
Non -Discharge Permitting Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
SANITARY SEWER EXI ENSIOi` S
YATES MILL SUBDIVISION
City of Concord Cahamis 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 Vv WTF and the Delegated Municipality Certification form for the installation of 11,058
+1- linear feet of 8-inch gravity sanitary sewer to serve the above mentioned project in the central
west section of City of Concord off` Pitts School Road
This application is in accordance with your Gravi
completion of the project, you shall receive a copy of t
the Record Drawings.
er Minimum Design Criteria. Upon
engineer's Certification and a copy of
Your cooperation in this matter is greatly appreciated, If there are any questions concerning tl
application or plans, please call us at [phone].
Sincerely,
Paul v
Director off?nginneer ng
PDC`',awd.
Enclosures
cc: Project No,: 2002-042
File No, 2,2

Oftice.: 232 Day.idson Hwy.
Concord,, NC .28027
WATER ,& SEWER AUTHORITY
OF CABAR.RUS COUNTY
March 19, 2003
W. Brian Hiatt
CityManager
City of Concord
P. O. Box 308
Concord, NC 28026-0308
Subject: Flow Acceptance
Yates Alin Subdivision
'-liatt;
Mail to P.O. Box 428
Concord, NC 28026-0428
Phone; 704..786.1783
Fax: [phone]
RECEIVED
,,TY rcxN8FuJ ENCANEERING
MAR 2 1 2003
P4 0 4.2.(XEMAN. BLVD, 1P0 .
t*1; f3028 70492(054.0.
FAX [phone]i
This is in response to the subject request for flow acceptance received 1/2/03, The
additional information requested from the owner in order to process the request has now been
received. 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 new
Yates Mill Subdivision. WSACC agrees to accept wastewater from the proposed commercial
'facility basedon information provided by Cathey and Associates (Civil Engineer for the project)
using North Carolina Department of Environment. and Natural. Resources (NCDENR) wastewater
flow guidelines. The projected flow is 71,280 gpd, however WSACC expects the actual wastewater
flow to more closely approximate 49,500 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 71,280 gpd and cost of $8.126/gpd to provide treatment and transportation capacity,
this flow acceptance represents an estimated capital expenditure in excess of $579,221,
For your information and based upon NCDENR wastewater flow guidelines,. WSACC has
approved 10,871,363 gallons of flow acceptance for the City of Concord from 1.992 to present and
123,930 gallons of flow acceptance year-to-date including this request. Based upon the approved
.flow acceptances WSACC has committed capacity valued in excess of $88,340,695 for the City of
Concord since 1992 including $1,007,055 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 upgrade and expansion to 34 mgd. Scheduled
completion date: 2005..

City of Concord
atesdill: ubdi °i.sio
2003
Since this saner• coup ection will be made directly to the WSACC Rocky River
erceptor, W SA C must be notified 48 hours prior to connection being made Notification
to be made to Mark Lora 70 /7 -17
If construction t" this project is no t stT d \vithin one ar of the date of
approval is rescinded and a .second request and approval will be required. Please no
writing when construction rat this project is initiated,
If you have any questions, please t [phone].
WSACC Engineering Staff
Adam Da nhart/Con ord'
Sherri Moore/Concord
Ray Catheyl ( they & Ass& is
Sine
y,
John ". Murdock,
Executive Director
approval, the
WSACCin

Governor
y, Jr., Secretary
State or North Carolina
Department or Environment, Health, and Natural Resources
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27626-0535
George T. Everett, PhD.
Dutctor
Memos andum
To: Delegated Municipalities
Frorn: Steve W. Tedder, Chief
Water Quality Section
Subject.: Delegated Municipalities Checklist for Revised Non -Discharge Permit Applications
The Division of Environmental Management's Water Quality Section has revised the
Gravity Sewer Non -Discharge Permit Application Forrn. The forth 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 r_c being submitted as a delegated municipalities project. If you have any questions
on this matter, please contact Mr. Randy Jones at 919/733-5083.
DELEGATED !'MUNICIPALITY GRAVITY SEWER CERTIFICATION
(THIS FORM MAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL)
May 1,1991
Applicant:
Project Name:
rvtsion and that those attest lanet the s and specifications cot plans and
ifiCatlon5 are
have been reviewed under my s e p
consistent with the info rnation that has been specified on the Non -Discharge Application and the
Division of Environmental Management's minimum design requirements for gravity sewer projects.
11 eel -Delegated Municipality Reviewer's NC Professional Engineer's Registration No.: ' �`'
Seal and Signature (specify date):
Delegated ?1unicipality Reviewers Certification:
I
FORM: DIMS 4191
PAGE 1 OF 1
u

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
MAR 2 4 2003
WATERSHED CLASSIFICATION ATTACHMENT cmitiROmmeje
ANOMATURAL.RESCURCES
Any changes made to this form will result in the application being retiiPRET"
(THIS FORM NtAY BE .PHOTOCOPIED FOR USE AS ANORTGINA1.
IN
To determiner the classification of the watershed(s) in which the subject project will be located, you are required to
submit this form, with Items 1 through 8 completed, to the appropriate Division of Water Quality Regional Office
Water Quality Supervisor (see Page 2 of 2) prior to submittal of the application for review. At a minimum, you must
include an 8.5" by 11" copy of the portion of a 7.5-minute USGS Topographic Map that shows the surface waters
immediately downslope of the project. You must identify the location of the project and the closest downslope
surface waters. (vvaters for which you are requesting the classification) on the submitted map copy. If the facility is
located in the Neuse River Basin, also include a copy of the soil survey map for the project location. The
corresponding non -discharge application may not be submitted until this form is completed by the appropriate
regional office and included with the submittal,
1 Applicant's name (name of the municipality, corporation, individual, etc):
city Of Concord. _
2. Name and complete address of applicant: Citv Of Concord
City; Concord State:
Telephone number: ( 704 ) 920-542.5
NC Zip: 28026
Facsimile number: ( 704) 786-4521
3. Project name (name of the subdivision, facility or establishment, etc.):
Yates Mill Subdivision
4. County where project is located: Ca.barius
5, Name(s) of closest surface waters: Rocky River
6. River basin(s) in which the project is located: Ya
7. Topographic map name and date: Harrisbure,..
8. North Carolina Professional Engineer's seal, signature, and date:
TO: REGIONAL OFFICE WATER QUALITY SUPERVISOR
Please provide me with the classification(s) of the surface waters, watershed(s), and appropriate river basin(s) where
these activities will occur. as identified on the attached map set
Name(s) of surface waters and river basin(s):
Classification(s) (as established by the EMC):
Proposed classification(s), if applicable:
River basin buffer rules, if applicable:
Signature of regional office personnel:
FORM: WSCA 10/99

DIVISION OF WATER QUALITY REGIONAL OFFICES
Asheville Regional Office
WQ Supervisor
59 Woodfin Place
Asheville„ NC 28801
Phone: [phone]
Fax: [phone]
Avery
Buncombe
Burke
Caldwell
Cherokee
Clay
Graham
Haywood
Henderson
Jackson
Macon
Madison
McDowell
Mitchell
Polk
Rutherford
Swain
Transylvania
Yancey
Raleigh Regional Office
WQ Supervisor
3800 Barrett Drive, Suite 101
Raleigh, NC 27609
Phone: [phone]
Fax: [phone]
Chatham
Durham
Edgecombe
Franklin
Granville
Halifax
Johnston
Lee
Nash
Northampton
Orange
Person
Vance
Wake
Warren
Wilson
Winston-Salem Regional Office
WQ Supervisor
585 Waughtown Street
Winston-Salem, NC 27107
Phone: [phone]
Fax: [phone]
Alarnance
Alleghany
Ashe
Caswell
Davidson
Davie
Forsyth
Guilford
Rockingham
Randolph
Stokes
Surry
Watauga
Wilkes
Yadkin
Fayetteville Regional Office
WQ Supervisor
Wachovia Building, Suite 714
Fayetteville, NC 28301
Phone: [phone]
Fax: [phone]
Anson. Moore
Bladen Robeson
Cumberland Richmond
Harnett Sampson
Hoke Scotland
Montgomery
Washington Regional Office
WQ Supervisor
943 Washington Square Mall
Washington, NC 27889
Phone: [phone]
Fax: [phone]
Beaufort
Bertie
Camden
Chowan
Craven
Currituck
Dare
Gates
Greene
Hertford
Hyde
Jones
Lenoir
Martin
Pamlico
Pasquotank
Perquimans
Pitt
Tyrell
Washington
Wayne
Mooresville Regional Office
WQ Supervisor
919 North Main Street
Mooresville, NC 28115
Phone: [phone]
Fax: [phone]
Alexander
Cabarrus
Catawba
Cleveland
Gaston
Iredell
Lincoln
Mecklenburg
Rowan
Sturdy
Union
Wilmington Regional Office
WQ Supervisor
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
Phone: [phone]
Fax: [phone]
Brunswick
Carteret
Colu rribus
Duplin
New Hanover
Onsiow
Fender
FORM: WSCA 10/99
Page 2 of

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
MAR 2 1' 2003
afPi
FAST -TRACK APPLICATION A • NA
-,,,nr•C.1011 t
for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
(Pressure sewers systems are not to be included as part of this application package)
THIS FORMN-L4YBE PHOTOCOPIED FOR USE AS AN ORIGNAL
INSTRUCTIONS: Indicate that you have included the fUoing 1ht of required application package items by signing your
initials in the space provided next to each item. Failure to submit all required items will lead to additional processing and review
mfor the permit application.
A. Application Form - Submit one original and one copy of the completed and appropriately executed application form.
Any changes to this form will result in the application being returned. The Division of Water Quality (Division) will
only accept application packages that have been fully completed with al] applicable items addressed, You do not need
to submit detailed plans and specifications unless you respond NO to item I.V.6. andlor item IV.10.
. Attachment - Submit the completed and properly executed Form WSCA 10/99 for each watershed within the project
location.
4C. Application Fee Submit a check in the amount of S400 made payable to: North Carolina Department of Environment
and Natural Resources (NCDENR).
D. 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, 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
Certificate of Public Convenience and Necessity has not been issued, provide two copies of a letter from the NC
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.
f.t. E. Operational Agreements — Submit one original and two copies of a properly executed operational agreement if the
sewer ex -tension will be serving residential or commercial lots (e,g., houses, condominiums, townhomes, outparcels,
etc.) that will be owned by a homeowners' association or developer. If the applicant is a homeowners' association, use
Form HOA 10/99. If the applicant is a developer, use Form DEV 10/99.
F. Flow Acceptance Letters — If the owner of the downstream sewers and/or WWTE is different from the applicant,
submit two copies of a flow acceptance letter from the owner of the downstream sewers and WWTF. Flow acceptance
letters must contain the following minimum infomation: applicant and project name, amount of flow accepted, and
name and permit number of the receiving sewers/WWTF, The flow acceptance must not expire prior to permit
issuance and must be dated less than a year prior to the application date. Intergovernmental agreements or other
contracts will not be accepted in lieu of a project -specific flow acceptance letter.
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION AND
N1ATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
NON -DISCHARGE PERMITTING UNIT
Bv U.S. Postal Service:
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
Bv Courier/Specisl Delivery:
512 NORTH SALISBURY STREET, SUITE 1219
RALEIGH, NORTH CAROLINA 27604
TELEPHONE NUMBER: [phone]
FACSIMILE NUMBER: [phone]
For more information, visit our web site at: it2o,enr.state.ne.us/ndpu/
In A
FORM: FTA. 06100 Page 1 of 5

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
MAR 2 4 2003
WATERSHED CLASSIFICATION ATTACHMENT AKisoti. ogoitotagon
AND NATURAL
Any changes made to this form will result in the application being reteflftr" — 'isAt
(THIS FORM- .11,1-AY BE PHOTOCOPIED FOR USE AS AN OR1GINAL)
INSTRUCTIONS:
To determine the classification of the watershed(s) in which the subject project will he located, you are required to
submit this form, with Items 1 through 8 completed, to the appropriate Division of Water Quality Regional Office
Water Quality' Supervisor (see Page 2 of 2) prior to submittal of the application for review, At a minimum, you must
include an 8.5" by 11" copy of the portion of a 7.5-minute USGS Topographic Map that sows the surface waters
immediately downslope of the project You must identify the location of the project and the closest downslope
surface waters (waters for which you are requesting the classification) on the submitted map copy. If the facility is
located in the Neuse River Basin, also include a copy of the soil. survey map for the project location. The
corresponding nun -discharge application may not be submitted until this form is completed by the appropriate
regional office and included with the submittal.
1 Applicant s name (name, of the municipality, corporation, individual, et
City Of Concord.
Name and complete address ofapplicant: COI Of Concord
City: Concord State: NC Zip: 28026
Telephone .number: ( 704 ) 920-5425 Facsimile number: ( 704) 786-4521
3. Project name (name of the subdivision, facility or establishment, etc.):
Yates Mill Subdivision
4. County where project is located: Cabarrus
5. Name(s) of closest. surface waters: Rocky River
6. River basin(s) in which the project is located: Yadkin
7. Topographic map name and date: Harrisburg NC 1993
8. North Carolina Professional Engineer's seal, signature, and date:
TO: REGIONAL OFFICE WATER QUALITY SUPERVISOR
Please provide me with the classification(s) of the surface waters, watershed(s), and appropriate river basin(s) where
these activities will occur, as identified on the attached map segment
Narne(s) of surface waters and river basin(s):
Classification(s) (as established by the EMC):
Proposed classification(s), if applicable:
River basin buffer rules, if applicable:
Signature of regional office personnel:
FORM: WSCA 10/99

DIVISION OF WATER QUALITY REGIONAL OFFICES
Asheville Regional Office
WQ Supervisor
59 'Woodfin. Place
Asheville, NC 28801
Phone: [phone]
Fax: [phone]
Avery
Buncombe
Burke
Caldwell
Cherokee
Clay
Graham
Haywood
Henderson
Jackson
Macon
Madison
McDowell
Mitchell
Polk
Rutherford
Swain
Transylvania
Yancey
Raleigh Regional Office
WQ Supervisor
3800 Barrett Drive, Suite 101
Raleigh, NC 27609
Phone: [phone]
Fax: [phone]
Chatham
Durham
Edgecombe
Franklin
Granville
Halifax
Johnston
Lee
Nash
Northampton
Orange
Person
Vance
Wake
Warren
Wilson
Winston-Salem Regional Office
WQ Supervisor
585 Waughtown Street
Winston-Salem, NC 27107
Phone; (336) 7714600
Fax: [phone]
Alamance Rockingham
Alleghany Randolph
Ashe Stokes
Caswell Surly
Davidson. Watauga
Davie Wilkes
Forsyth Yadkin
Guilford
Fayetteville Regional Office
WQ Supervisor
Wachovia Building, Suite 714
Fayetteville, NC 28301
Phone: [phone].
Fax: [phone]
Anson
Bladen
Cumberland
Harnett
Hoke
Montgomery
Moore
Robeson
Richmond
Sampson
Scotland
Washington Regional Office
WQ Supervisor
943 Washington Square Mall
Washington, NC 27889
Phone: [phone]
Fax: [phone]
Beaufort Jones
Bertie Lenoir
Camden Martin
Chowan Pamlico
Craven Pasquotank
Currituck Perquimans
Dare Pitt
Gates Tyrell
Greene Washington
Hertford Wayne
Hyde
Mooresville Re
WQ Supervisor
919 North Main Street
Mooresville, NC 28115
Phone: [phone]
Fax: [phone]
Alexander
Cabarrus
Catawba
Cleveland
Gaston
Iredell
nil Office
Lincoln
Mecklenburg
Rowan
Stanly.
Union
Wilmington Regional Cuff ce
WQ Supervisor
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
Phone: [phone]
Fax: [phone]
Brunswick
Carteret
Columbus
Duplin
New Hanovc
Onslow
Pender
FORM: 'v'SCA 10/99 Page
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