WQ0035347_Regional Office Historical File Pre 2018

NCDENR
North Carolina Depar ment of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H, Suns Dee Freeman
Guyernor Director Secretary
May 6, 2011
City of Kannapolis
Mr Wilmer Melton, III Director of Public Works
1401 Bethpage Road
Kannapolis; NC 28081
Subject: Permit Nc WQ0035347
Carolinas Healthcare: Off- Site Sanitary
Sewer
Wastewater Collection System
Cabarrus County, North Carolina
Dear Mr Melton,
In accordance with your application received on April 28, 2011, we are forwarding herewith
Permit No, WQ0035347 dated May 6, 2011, for the construction and operation of the subject
wastewater collection system extension. This permit shall be effective from the date of issuance until
rescinded, and shall be subject to the conditions and limitations as specified therein. This cover letter
shall be considered a part of this permit and is therefore incorporated therein by reference.
Please pay particular attention to Permit Condition 3 which requires that the wastewater
collection facilities be properly operated and maintained in accordance with 15A NCAC 2T .0403 or any
individual system -wide collection system permit issued to the Permittee.
Permitting of this project does not constitute an acceptance of any part of the project that does
not meet 1) 15A NCAC 2T; 2) the Division of Water Quality's (Division) Gravity Sewer Minimum Design
Criteria adopted February 12, 1996, as applicable; 3) and the Division's Minimum Design Criteria for
the Fast -Track Permitting of Purnp 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 2'1 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 Kannapolis for the construction and operation of approximately 90 linear feet of 8-
inch gravity sewer, and approximately 1815 linear feet of 16-inch gravity sewer, and the discharge of
Mooresvi1 Regionai Office
Location: 610 East Center Ave„ Suite. 301 Moaresv1c JC 2E115
Phone: [phone] Fax: [phone] Customer Service: 1-877-6.23-6748
internet: http://poriatnectennorveb/vNlhoniRiro
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Mr, Melton
Page 2
May 6, 2011
zero (0) gallon per day of collected domestic wastewater nto Rocky River Regional WWTP existing
sewerage system pursuant to the application received April 28, 2011, and in conformity with 15A NCAC
2T: the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996, as applicable,
the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains
adopted June 1 2000, as applicable, and other supporting data subsequently filed and approved by the
Department of Environment and Natural Resources and considered a part of this permit.
The sewage and wastewater collected by this system shall be treated in the Rocky River
Regional Wastewater Treatment Facility WWTP (NPDES No,NC0036269) prior to being discharged
into the receiving stream.
Assessing subsequent impacts to the downstream collection system and treatment
facility is the complete responsibility of the Water and Sewer Authority of Cabarrus County
(WSACC). The (WSACC) must utilize whatever tracking tools necessary for planning additions
of sewer flow in order to maintain compliance with the WWTP permitted limits and the
WQCS00009 permit requirements.
Assessing subsequent impacts to the downstream collection system and treatment
facility is the complete responsibility of the City of Kannapolis. The City of Kannapolis must
utilize whatever tracking tools necessary for planning additions of sewer flow in order to
maintain compliance with the WWTP permitted limits and the collection system permit
WQCS00327.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the
right to request an adjudicatory hearing upon written request within 30 days following receipt of this
permit, This request must be in the form of a written petition, conforming to Chapter 150B of North
Carolina General Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service
Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and
binding,
If you need additional information concerning this matter, please contact Mr. Samar Bou-
Ghazale at [phone],
Sincerely,
'4' 4
for Coleen H, Sullins, Director
cc: Mooresville Regional Office, Collection System Permit Files
Surface Water Protection Central Files
PERCS

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
following specified conditions and limitations:
This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2T; the Division of Water Quality's
(Division) Gravity Sewer Minimum Design Criteria adopted February 12, 19961 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 2T .0403. If an individual
permit is not required, the following performance criteria shall be met as provided in 15A NCAC 2T
.0403:
a: The sewer system shall be effectively maintained and operated at all times to prevent
discharge to land or surface waters, and any contravention of the groundwater standards in
15A NCAC 2L .0200 or the surface water standards in 15A NCAC 2B .0200.
b. A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan shall be developed and implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e.
365 days per year). Pump stations that are connected to a telemetry system shall be
inspected at least once per week.
e High -priority sewer lines shall be inspected at least once per every six-month period of time.
f. A general observation of the entire sewer system shall be conducted at least once per year,
g. Inspection and maintenance records shall be maintained for a period of at least three years.
h. Overflows and bypasses shall be reported to the appropriate Division regional office in
accordance with 15A NCAC 2B .0506(a), and public notice shall be provided as required by
North Carolina General Statute §143-215.1C.

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
Construction of the gravity sewers, pump stations and force mains shall be scheduled so as not to
interrupt service by the existing utilities nor result in an overflow or bypass discharge of wastewater
to the surface waters of the State.
6. Per 15A NCAC 2T .0116, upon completion of construction and prior to operation of these
permitted facilities, the completed Engineering Certification form attached to this permit shall be
submitted with the required supporting documents to the address provided on the form. A complete
certification is one where the form is fully executed and the supporting documents are provided as
applicable.
7. A copy of the construction record drawings shallbe 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 2T; the
Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's
Minimum Design Criteria for the Fast -Track Permitting of Pump Station and Force Mains adopted
June 1, 2000 as applicable, and other supporting materials may subject the Permittee to an
enforcement action by the Division, in accordance with North Carolina General Statutes §143-
215.6A through §143-215.6C.
In the event that the wastewater collection facilities fail to perform satisfactorily, ncluding 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 verbally report to a Division of Water Quality employee at the Mooresville
Regional Office, telephone number [phone] as soon as possible, but in no case more than
24 hours or on the next working dayfollowing the occurrence or first knowledge of the occurrence
of either of the following -
a. Any process unit failure, due to known cr unknown reasons, that renders the facility incapable
of adequate wastewater transport, such as mechanical cr 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
2

Voice mail messages or faxed information is permissible, but shall not be considered as the
initial verbal report. Overflows and spills occurring outside normal business hours may also be
reported to the Division of Emergency Management t telephone number (d) - or
( 1 ) 733-3300. Persons reporting any of the above occurrences shall file a spill report by
completing Part I of Form CS-SSO (or the most eurrent Division approved form), within five days
following first knowledge of the occurrence. This report shall outline the actions taken or
proposed to ensure that the problem does not recur. Part 11 of Form ® C(or the most
current Division approved form) can also be completed to show that the SSO was beyond
control.
Permit issued this the 6th day of May 2011.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMIS ION
for Coleen H. Sullins, Directar
Division of Water Quality
By Authority of the Environmental Management Comrrrissian
Permit Nuinber W 0if 5 47

Fast Track Engineering Certification
May 6 2011
Permit No. WQ0035347
Owner/WQCS
City of Kannapolis
Wilmer Melton, Director of Public Works
1401 Bethpage Road
Kannapolis, NC 28082
PE
Michael Allen
Mulkey Engineers & Consultant
6750 Tryon Road
Cary. NC 27518
WQCSIWWTP
Thomas Bach
WSACC
P.C. Box 428
Concord, NC 2
Complete and submit this form to the permit ssuing 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 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 .surnmari form_ Permit
modifications arejeguiredfor any changes resulting in non-compliance with this permit. regulations or
minimum design Clri'
This oroiect sha• not be considered complete nor aHowed to operate until this Engineer's Cetfication and aN
required supportng 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 CERT6FICATION
Partial [I] Final El
as a duly registered Professional Engineer in the State of North Carolina, having been
authorized to observe ( II periodically, weekly; full time) the construction of The Carolinas Healthcare System
:Off -Site Sanitary Sewer, Sewer extenension collection System, a 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 2T, the Division of
Water Quality's (Division) Gravity Sewer Minimum Design Criteria adopted February 12. 1996 as applicable, the
Divis.ion's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1,
2000 as applicablei 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
SURFACE WATER PROTECTION
610 EAST CENTER AVENUE, SUITE 301
MOORESVILLE NC 28115
The Permittee is responsible for tracking all partial certifications up until a final certification is received. Any
wastewater flow made tributary to the wastewater collection system extension prior to completion of this
Engineer's Certification shall be considered a violation of the permit and shall subject the Permittee to appropriate
enforcement actions.

2 5a.
0
z
C‘
0
z
USETHE TAB KEY TO MOVE FROM FIELD TO FIELD! Application Number:
(to be completed by DWQ)
Owner/Permittee:
la. City of Kannapolis
Full Legal Name (company. municipality, HOA„ utility, etc.)
ib. Wilmer Melton, Ill, Director of Public Works
Signing Official Name and Title (Please review 15A NCAC 2T .
06 (b) for authorized signing officials!)
lc. The legal entity who will own this system is:
El Individual El Federal i4 Municipality 0 State/County 0 Private Partnership 0 Corporation J OtheiffiSPildW
D, PSK)N OF WA fER QUAI,
le, Kannapolis
City
lg. 28081
State Zip Code ON
MOORES \hi„LE, ECK)NAL OFFiCE
1 h. [phone] li. [phone] 1 wmellongcr.kannapolis,nc„us
Telephone
ld. 1401 Bethpage Rd
Mailing Address
if. North Carolina
Facsimile
E-mail
2. Project (Facility) Information:
2a, Carolinas Healthcare System: Off -Site Sanitary Sewer 2b, Cabarrus
Brief Project Name (permit will refer to this name)
3, Contact Person:
3a, Michael D. Allen, MulkeyEngineers and Consultants
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b. [phone] 3c. [e-mail]
Phone Number E-mail
1. Project is New 0 Modification (of an existing permit) If Modification, Pem-iit No.:
County Where Project is Located
2. Owner is Public (skip to Item B(3)) U Private (go to item 2(a))
2a, lf private, applicant will be:
El Retaining Ownership (1,e. store, church, single office, etc.) or
El Leasing units (lots, townhomes, etc, - skip to Item B(3))
Selling units (lots, townhomes, etc„ - go to Item B(2b))
3. Water & Sewer Authority of Cabarrus County
2b. If sold, facilities owned by a (must choose one,
1
El Public Utility (Instruction C)
0 Homeowner Assoc./Developer (Instruction 0)
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
0
4a. Rocky River Regional Wastewater Treatment Plant 4b. NC8036269 ,
:
Name of WWTF WWTF Penmit No.
City of Kannapolis 15b„ 16" ,A Gravity I5c„ Unknown
Owner of Downstream Sewer !Receiving Sewer Sizel0 Force Main Permit # of Downstream Sewer (Instruction E) i
The origin of this wastewater is (check all that apply):
fl Residential Subdivision
o Apartments/Condominiums
Ei Mobile Horne Park
0 School
0 Restaurant
El Office
o Retail (Stores, shopping centers)
0 Institution
Hospital
0 Church
o Nursing Home
Other (specify) Future Development
100
% Domestic/Commercial
% Industrial (attach
description.)
(RO: contact your Regional Office
Pretreatment staff)
% Other (specify):
7. Volume of wastewater to be allocated or permitted for this particular project: 0 gallons per day
'Do not include future flows or previously permitted allocations
8. If the permitted flow is zero, indicate why:
Pump Station, Outfall or Interceptor Line where flow will be permitted in subsequent permits that connect to this line
0 Flow has already been allocated in Permit No.
0 Rehabilitation or replacement of existing sewer with no new flow expected (see 15A NCAC 02T .0303 to determine if a
permit is required)
F A I2fO7vei 2

Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2T ,0114 forj
the value in Item B(7) AND/OR the design flow for line or pump station sizing if a reduced or zero flow is being requested in
Item B(7). Values other than that in 15A NCAC 2T .0114 (b) and (c) must be supported with actual water or wastewater use
data in accordance with 15A NCAC 2T .0114 (f).
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches) Length (feet)
8" DI 90
1 fi" DI
815
New Gravity or Additional
Force Main
New Gravity Sewer
New Gravity Sewer
11. Summary of Pump Stations wf associated Force Mains to be Permitted (attach additional sheets as necessary)
Pump Station Location ID (self chosen - as shown on plans/map for reference)
Design Flow
(MGD)
Operational Point:
GPM @TDH
Power Reliability Option
- permanent generator w1ATS•
2 - portable generator w1MTS
Force Main Size Force Main Length
Pump Station Location ID (self chosen -
Design Flow
(MGD)
Operational Pain
GPM @TDH
Power Reliability Option
- permanent generator wIATS;
2 - portable generator w/MTS
shown on plans/map for reference)
Force Main Size
Force Main Length
Pump Station Location ID (self chosen - as shown on plans/map for
Design Flow
(MGD)
Operational Point
GPM @TDH
Power Reliability Option
- permanent generator wIATS,
2 - portable generator w/MTS
ncef..
Force Main Size Force Main Length
12. Will the wastewater flow in the proposed sewer lines or pump stations be able to be directed to another trea
e
facility?
© Yes No If Yes, permit number of 2"d treatment facility
(RO - if ''yes" to B,12 please contact the Central Office PERCS Unit)
13. Does the sewer system comply with the Minimum Design Criteria for the Fast Track Permitting of Pump Stations and Force
Mains (latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC Chapter 2T as
applicable?
Yes L No If No, please reference the pertinent minimum design criteria or regulation and indicate why a
variance is requested. SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS
PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
7 ver2

14. Have the following permits/certifications been submitted for approval for the system or project to be served?
Wetland/Stream Crossings - General Permit or 401Certification? [Z] Yes 0 No 0 N/A
Sedimentation and Erosion Control Plan?
Stormwater?
Z Yes Ej No N/A
0 Yes El No N/A
15. Does this project include any high priority lines, [see 15A NCAC 02T .0402 (2)] involve aerial lines, siphons, or interference
manholes)? These lines will be considered high priority and must be checked once every six months
Check if Yes: and provide details
487 LF of aerial gravity sewer is proposed where the proposed extension connects to an existing 16" line
1. Owner/Permittee's Certification: (Signature of Signing Official and Project Name)
la.
1, Wilmer Melton, Ill, Director of Pubic Works, attest that this application for Carolinas Healthcare Systems: Off -Site
Sanitary Sewer has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that it,
all required parts of this application are not completed and that if all required supporting documentation and attachments!
are not included, this application package is subject to being returned as incomplete. Note: In accordance with North
Carolina General Statutes 143-215,6A and 143-215,6B, any person who knowingly makes any false statement,
representation, or certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine not
to e d $10,000 as well as civil penalties up to $25,000 per violation.
Signing Official Signature
Date
ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
APPLICATION, THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY
TO OTHER UTILITIES, DESIGN CALCULATIONS, ETC. REFER TO 15A NCAC 02T .0305
2. Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
1, Michael D. Allen, P.E„ attest that this application for Carolinas Healthcare Systems: Off -Site Sanitary Sewer has been
reviewed by me and is accurate, complete and consistent with the information in the engineering plans, calculations, and
all other supporting documentation to the best of my knowledge. 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 other professionals may have developed certain portions of this submittal package, inclusion of these materials
under my signature and seal signifies that 1 have reviewed this material and have judged it to be consistent with the
proposed design. Note: In accordance with NC General Statutes 143-215.6A and 143-215.6B, any person who knowingly
makes any false statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor
which may include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
2a. Michael D. Allen
Professional Engineer Name
2b. Mulkey Engineers and Consultants
Engineering Firm
2c. 6750 Tryon Road
Mailing Address
2d. Cary
City
2e. NC 2f. 27518
State Zip
2g. a19) 858-1888 2h. 1219) 851-1918 2i. [e-mail]
Telephone Facsimile E-mail
NC PE Seal, Signature& Date
l2/07_ver2

FORM WSCAS-12/07
WATERSHED CLASSIFICATION ATTACHMENT
FOR SEWER SYSTEMS
A licant Name
City of Kannapolis
Project Name
Carolina Healthcare System: Off -Site Sanitary Sewer
Professional En ineer Name
Michael D. Allen
Location
ID
Engineerin Firm Name
Mulkey Engineers & Consultants
Name of Waterbody1
Ori Unnamed Tributary to Lake Fisher
River
Count Basin
Cabarrus
Yadkin -Pee
Dee
a erbody Stream
Index No.
-1 7-9-4-(
Waterbody
Classffication
S-IV, CA
If unnamed, indicate "unnamed tributary to X", where X is the named waterbody to which the unnamed tributary loins
I certify that as a Registered Professional Engineer in the State of
North Carolina that I have diligently followed the Division's instructions
for classifying waterbodies and that the above classifications are
inclusive of the stated project, complete and correct to the best of my
knowledge and belief
PE Seal, Signature and Date
*** END OF FORM WSCAS-12/07 ***
FORA WSCAS-12/07 Page 1 of 1

SCALE 1:7500
2000
EET

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE —10/07)
(JURISDICTION USE ONLY)
Jurisdiction Requesting Flow Acceptance for Collection System:
EICity of Concord
City of Kannapolis
EITown of Harrisburg
OTown of Mt. Pleasant
EICharlotte Mecklenburg Utilities
Project .Natrie, Description, and Number of Lots/Unit:
Name: Carolinas Healthcare SI/stern: CMC Pavilion
Description.: Approximately 1,815 feet of 16-incl
facility on Lane Street in the City of Kannapolis
ve the proposed CMG.. Medical
What is the quantity of Pow that will be discharged? 5,100 GM
Flow type:
Domestic 0 % I: Commercial 100 % D Industrial
Section I - List the Jurisdiction's pump stations located between the project connection point and
the WSACC Interceptor connection point. (For each existing pump station to be impacted by this
proposed sewer extension project, list each pump station name, approximate pump station firm (design)
capacity and approximate current average flow (previous 12 months) for each pimp station. Include the
proposed flow for this project and other flows that have been approved for the pump station but are not yet
tributary.)
Pump Station Name:
Approx. Capac
MGD
(Finn/Desigr
Approx. Current Avg.
Daily Flow, MGD
Section . Jurisdiction's Certification Statement:
I, Wilmer Melton, 11.1_ , certify that, to the best ofmy knowledge, the addition of the volume of
wastewater to be permitted in this project has been evaluated along the route to the receiving WSACC
interceptor and that the flow from this project is not anticipated to cause any capacity related sanitary
sewer overflows or overburden any downstream pump station en route to the receiving WSACC
interceptor. This analysis has been preformed in accordance with local established policies and
procedures using the best available data. This certification applies to those items listed above in Section I
for which, to the best of my knowledge, will not adversely affect the downstream sewer capacity.
Sigrpaa * o indicatesa eptance of this wastewater flow.
# - Y:4///i
Jurisdiction's Signing Offkial Signaiurc
Revision Date: 02103/04
Date

WATER & SEWER AUTHORITY
OF CABARR'US COUNTY
April 1.4, 2011
Mr. Michael Legg
City Manager
City of Kannapolis
P.0, Box 11.99
Kannapolis, NC 280824199
Subject: Flow Acceptance Request
Carolinas Healthcare System — CMC Pavilion Along Lane Street
Office: 232
Concord, NC 28027
to: Pa Box 428
Conr.wd, NC 28026-0428
Ni-one .70,4,786,1783
Fax:. ,7',14,795..1564
Dear Mr. Legg:
This is in response to the City's request for flow acceptance received April 11, .2011;
The Water and Sewer Authority of Cabarrus County (WSACC) has or currently expects to be
able to make available capacityat the Rocky River Regional Wastewater Treatment Plant and
appropriate sewer interceptors to transport and treat the .wastewater from the Carolinas
Healthcare System -- CMC Pavilion project located along Lane Street just east of the intersection
with Stadium Drive in Kannapolis. The wastewater generated by this project will be conveyed
through the City of Kannapolis' proposed and existing gravity system, and then enter WSACC's
system at the existing 18-inch Cold Water Creek Interceptor located just west of1-85.
WSACC agrees to accept wastewater from the proposed hospital complex, which will
include a 17-bed service facility. This is basedon the information provided by Mulkey
Engineers & Consultants (Engineer fill- the Project) using North Carolina Department of
Environm.ent and Natural Resources (NCDENR) wastewater flow guidelines. The projected
flow is 5,100 gpd; however WSACC expects the actual wastewater flows to more closely
approximate 4,080 gpd based upon Master Plan engineering data.
By requesting flow acceptance, the City of Kannapolis 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 5,100 gpd and cost of $8.1.26/gpd to provide treatment and
transportation capacity, this flow acceptance represents an estimated capital expenditure in
excess of S41,443.
For your information and based upon NCDENR. wastewater flow guidelines. WSACC
has approved 4,128,552 gallons of flow acceptance for the City of Kannapolis from 1992 to
present and 5,100 gallons of flow acceptance year-to-date including this request. Based upon the
approved. flow acceptances, WSACC has committed capacity valued in excess of $33,548,6'13
for the City of .Kannapolis since 1992 including $41,443 for this calendar year.
Projects on the CIP are subject to approval by WSACC's Board of Directors, support
from local governing bodies, regulatory approval, and funding availability; At this time there are
no scheduledupgrades to WSACC facilities in the current six year Capital. improvement
Program (C.1„P) that are located downstream of this proposed. project. It should be noted that the

City cat l .annapolis
Carolinas Healthcare System . (t C Pavilion
April 14, 2011
Page fof
hedule of CIP projects are tentative. and re a°evised periodic lly to eflect than iz
cot dititans and needs.
Please note that 11 construct i n cif this Project is not started with n of the
date of this approval, the approval is rescinded and a second request and apm will be
required, Please notify ' AC'C:., in Nvritin , Shen construction ofthis project is initlated.
lf'you have any questions, please call nee at (i-1 ,
Thomas A, Bach, RE„
v. Systems Pnineer
cc: WSACC Engineering Staff`
Steve Kissinger; P.P'.'Kannapolis AssistantCity Engineer
Wilmer Melton/Kannapolis
Michael Allen, RE,/Mulkey Fn i ers Consultants

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
Flow Tr. Acceptance for Sewer Extension Permit Applications
(ETSE -10/07)
(WSACC USE ONLY') Carolinas Healthcare System — CMC Pavilion Project
Section I. Name of wastewater treatment facility (www,) receiving wastewater:
Rocky River Wastewater Treatment Facility - Permit No: NC0036.269
Muddy Creek Wastewater Treatment Facility - Permit. No: NC0081621
WWTP 'facility's permitted. flow. MGD 24.000
Estimated obligated flow not yet tributary to the WWTP, GI) 2.038
WWTP facility's actual avo. daily flow, MGD
Total flow for this specific request, MGD
Total actual and obligated flows to the facily,
Percent of permitted flow used
13.390 (5.5.89;;: of permit)
0.005
15.433
64,3%
Section IL Pump stations along the route from the Jurisdiction's connection point to the WWTP.
(For each existing pump station to he impacted by this proposed sewer extension project, list each pump
station name, approximate pump station firm (design) capacity and approximate current average flow
(previous 12 months) for each pump station. Include the proposed flow for this project. and other flows that
have been approved for the pump station but are not yet tributary.)
Pump Station. Name:
RRRWWTP Main PS
Appro. Capacity: MGD Appro. Current Avg:
(Firm/Design) Daily Flow, MGD
55 „440
Section 111. WSACC Certification Statement:
1. I11011MS A. Bach, F.E. certify that, to the best of tray knowledge, the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route from the
connection to the interceptor to the receiving wastewater treatment facility and that the flow from this
project is not anticipated to cause any capacity related sanitary sewer overflows or overburden any
downstream pump station en route to the receiving treatment plant.. This analysis has been preformed in
accordance with local established policies and procedures using the best available data. This certification
applies to those items listed above in Section 1 and Section II for which, to the best of my knowledge, will
not adversely affect the downstream sewer capacity. Signature of this form indicates acceptance of this
1.vasLtater flo
at
WSA CC's
Dote
1.0vision 1.)0W: (2103104

KANNAPOLIS
. April 6, 2011
iT7 !::7: WED
OF',10"'0'0' 0'0 '00; '07; R (.11UALITY
L OFFICE
10501-06
NC Div of Environmental Management
Department of Environment and Natural es urc s Division of Water Quality
610 East Center Drive, Suite 301
Mooresville, North Carolina 28115
Re: Carolinas Healthcare System
Off -site Sewer Extension.
City of Kannapolis - Cabarrus County
Dear Sir or Madam:
Piease find attached for your review and approval the original and one copy of the permit
application for the above reference project. A check for $480.00 has been sent to your office
directly from Carolinas Healthcare System or the processing fee. Also enclosed is the flow
acceptance letter from the Water & Sewer Authority of Cabarrus County stating they Will accept
and treat the additional wastewater at the Rocky River Regional Wastewater Treatment .Plant.
The Water and Sewer Authority of Cabarrus County Standard Specifications for Wastewater
Collections Systems were approvedby your office and are being maintained by the Division of
Environmental Manage.ment. 't his project will he installed in accordance with these Standard
Speci fications,
Please call me at '704-938-1519 if you have any questions.
Sincerely,
Stephen J. Bissinger, PE
Assistant City Eneineer
10501-06 CMC sewer permit letter doc
1 T Y 0 F K A \ N A P 0 I, 1 S
Engineering Dept-num:1. 1- 704.938. 519 704.938-.6tillit
Box 1.248 Kumapolis. NC 28082-1248 120 5, Main it inapoli.s., NC 28081

Page 1 cif.' 3
Steve Bissinger
From: Jason Kolano [[e-mail]]
Sent: Tuesday, April 26, 2011 8:46 AM
To: Steve Bissinger, Michael Allen
Cc: Shelley Stephens
Subject: FW: Flow acceptance from the City and WSACC
Steve/ Mike, CHS has sent the checks directly to NCDENR for the Public and Private Applications. Please submit
application documents and copy BBH Design & CHS on the transmittals. Thank you.
Jason Kolano AIA, NCARB
Senior Associate
. 3 ::31.:`::N
BBH DESIGN, PA. P.C. BOX 33308 CHARLOTTE NC 28233-3308
T) 980 321, 4400 F) 980 321 3999 C) 919 623 4301
From: Wright, Sarah R [mailto:Sarah,Wright@carolinashealthcare,org]
Sent: Tuesday, April 26, 2011 8:02 AM
To: Jason Kolano
Subject: RE: How acceptance from the City and WSACC
Jason,
In spite of my request, these checks were cut and mailed to NCDENR on 4/21,
Do you think there is any way the checks will make it to the right person at NCDENR? I can have the checks
voided and re -issued if need be but someone at NCDENR will need to get the checks back to us.
The check numbers are 4572061 and 4572060.
Thank You,
Small Wr'Ig4t
Project Assistant
Project & Construction Mgmt, t HS
Office: 70,t 51Z 3116
NE Office: 704,403.1046 (Thurs)
Ceti 704.299.7658
Fax: 704,512.7300
From: Jason Kolano [mailto:[e-mail]]
Sent: Monday, April 25, 2011 8:24 AM
To: Wright, Sarah R
Subject: RE: Flow acceptance from the City and WSACC
Sarah, Good Monday Morning. Have you had a chance to send these checks or do you need additional
information before you can release these to us and NCDENR? Thank you.
Jason Kolano AIA, NCARB
Senior Associate
4/26/2011

Central Files; APS
Permit'Number WQ0035347
Permit Tracking Slip
05/06/11
Program Category Status Project Type
Non -discharge Active New Project
Permit Type' .4N° Version Permit Classification
Gravity Sewer Extension,, Pump Stations, & Pressure Sewer 1,00 Individual
Extensions
Primary Reviewer Permit Contact Affiliation
samar.bou-ghazale
Coastal SW Rule
Permitted Flow
0
facility
Facility Name Major/Minor Region
Carolinas Healthcare System: Off -Site Sanitary Minor Mooresville
Sewer
Location Address
Owner
County
Cabarrus
Facility Contact Affiliation
Owner Name
City of Kannapolis
pate§/gven
orig Issue
05/06/11
App Received
04/28/11
Regulated Activities
Draft Initiated
Scheduled
Issuance
Wastewater coilecion
Outf
Owner Type
Government - Municipal
Owner Affiliation
Wilmer Melton III
DIR PUBLIC WORKS
PO Box 1199
Kannapolis NC 280811199
Public Notice Issue Effective
05/06/11 05/06/11
Additional information requested
Additional information received
Expiration
Waterbody Name
Stream Index Number Current Class Subbasin

CAROLINAS DEALTIIC,ARE SYSTEM
Box32861
Cliarlollc., NC 2.8232
WACHOVIA BANK, NA,
Chapel E111l, NC 27514
0004572060
66-156/531
Date 04/21/"201 1 Pay Amount $40,00***
NOT VALID AFTER 180 DAYS
Pay ****FOUR HUNDRED FIG .AND XX / I00 DOLLAR****
To The NCDENR
Order Of 010 EAST ENTER AVE.ST 30
MOOR1 SVILLT?, NC 28115
Aulhonzed Sigrealure
Security Matures embedded in die backgruvirirl r ftli claec.k
000045720E,00 1:053 LO i56 is: 2079985034447o

Fast Track Enineorinj Certification
May 627011
Permit No: WQ0035347
Owner/WQCS
Cily of Kannapolis
Wilmer Melton, Ill, Director of Public Works
1401 Bethpage Road
Kannapolis, NC 28082
PE
Michael Alien
Mulkey Engineers & Consultant
6750 Tryon Road
Cary, NC 27518
RECE NIRO
:t RIR ION OF ORAL IP/
t_ S RE 'zt.. tEN
IR RR RIEttER L I 'WM.
IWWii
Thomas Bach
WSACC
P„0, Box 428
Concord, NC 28026
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. ELrfl
modifications are required for aniphanges resulting in non-compliance with this perrnit, regulations or
minimum design criteria,
This project shall not be considered complete nor allowed to operate until this Engineer's Certification and all
required supporting documentation have boon 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 0 Final
I, tI H : Ai t as a duly registered Professional Engineer in the State of North Carolina, having been
authorized to observe ( 0 periodically, 0 weekly, full time) the construction of The Carolinas Healthcare System
;Off -Site Sanitary Sewer, Sewer extenension collection System, a Cabarrus County project for the Permittee, hereby
stale 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; 16A NCAC 2T; the Division of
Water Quality's (Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as applicable; the
Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1,
2000 as applicable; and other supporting materials:
North Carolina Professional Engineer's
seal, signature, and date:
otillif
Oi•
A CA
2 1'
ri*
/Cup.
SEND THIS FORM 8, SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
MOORESVILLE REGIONAL OFFICE
SURFACE WATER PROTECTION
610 EAST CENTER AVENUE, SUITE 301
MOORESVILLE NC 26116
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.

Alley, Williams, Carmen & King, Inc.
Post Office Box 1248
120 South Main Street
Kannapolis, North Carolina 28082-1248
Phone [phone] Fax [phone]
To: NCDENR
Mooresville Regional Office
610 East Center Avenue, Suite 301
Mooresville„ NC 28115
WE ARE SENDING YOU THE FOLLOWING:
COPIES DATE
NO.
Letter of Trans al
❑IJSPS ®LAPS ❑FED -EX
['OVERNIGHT ❑HAND DELIVER
Date: November 22, 2011 Job No, 10501-06
Attn: Dee Browder
Re: Carolinas HealthCare Sewer Extension
(WQ0035347)
Construction Record Drawings
Engineer's Certification
DESCRIPTION
THESE ARE TRANSMFTTED as checked below:
❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For signature
E For your use ❑ Approved as noted ❑ Submit copies for distribution
❑ As requested ❑ Returned for corrections ❑ Return corrected prints
❑ See Remarks
REMARKS
cc: Wendy Patterson — Public Works
G: wordltrsl10501 General110501-06 CMC sewer as built trans1,doc

RFC
totvistorttf VVATER QUALITY
Fast Track Engineering Certification
May,6,.2011.
Permit No. WQ0035347
OwnerN)/QCS
City of Kannapolis
Wilmer Melton, HI, Director of PubicWorks
1401 Bethpage Road
Kannapolis, NC 28082
PE
Michael Allen
Mulkey Engineers & Consultant
6750 Tryon Road
Cary, NC 27518
WQCSIWWTP
Thomas Bach
WSACC
P.O. Box 428
Concord, NC 28026
Complete and submit this form to the permit issuing regional office with the fol owing:
• One copy of the project record drawings (plan & profile views of sewer lines) of the wastewater coiection
system extension
• Supporting design calculations (selected pumps, system curve, operating point, available storage if portable
generator(s) or storage greater than longest past three year outage reliability option selected) for any pump
stations permitted as part of this project
• Changes to the project should be clearly identified on the record drawings or in written summary form. Permit
modifications are required for any changes resulting in non-compliance with this permit, regulations or
minimum design criteria.
This project shall not be considered complete nor allowed to operate until this Engineei's Certification and ail
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 D
Final 2/
I, M1:0,ft p, ALUI , as 4duly registered Professional Engineer in the State of North Carolina, having been
authorized to observe ( IF periodically, 1J weekly, El full time) the construction of The Carolinas Healthcare System
,Off -Site Sanitary Sewer, Sewer extenension collection System, a 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 2T; the Division of
Water Quality's (Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as applicable: the
Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1,
2000 as applicable, and other supporting materials
North Carolina Professional Engineer's
seal, signature, and date:
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
MOORESVILLE REGIONAL OFFICE
SURFACE WATER PROTECTION
610 EAST CENTER AVENUE, SUITE 301
MOORESVILLE NC 28115
The Permittee is responsible for tracking all partial certifications up until a final certification is received. Any
wastewater flow made tributary to the wastewater collection system extension prior to completion of this
Engineer's Certification shall be considered a violation of the permit and shall subject the Permittee to appropriate
enforcement actions,
4

MULKEY
E N L Y N E E P 3 6., GONE 11 LTA N
P© Box 33127
RALEIGH, NC 27636
PHONE: [phone]
FAx: 9 1 9-B 5 1- 1 9 '1 B
LETTER OF TRANSMITTAL
To: Mooresville Regional Office
Surface Water Protection
610 East Center Avenue, Suite 301
Mooresville, North Carolina 28115
CERTIFIED MAIL, RETURN RECEIPT
Re: WQ0035347 and WQ0035349
Sanitary Sewer Extensions
I am sending you the following item(s):
Date: November 22, 2011
Job No,: 10.01 Task F
A TY
COPIES DATE
NO
DESCRIPTION
7t
2
Engineer's Certification, WQ0035347
Record Drawings, WQ0035347
7
2
Engineer's Certification, WQ0035349
Record Drawings, WQ0035349
These are transmitted as checked below:
LI As requested El For your use
rj For approval Ej For Signatures
j For review and comment
Remarks
Please let me know if there are any questions or comments. You can contact me at [phone] or
mallen(c mulkeyinc.com. Thank you for your time and assistance.
Copy to: File Signed:
ichael D. Al en, P.E.
Project Manager