WQ0039312_Regional Office Historical File Pre 2018

Water Resources
EAVIRONMENTAI. i'A),AL.i FY
June 30, 2017
Mr. Wilmer Melton, III, Director of Public Works
City of Kannapolis
401 Laureate Way.
Kannapolis, North Carolina 28081
Dear Mr. Melton:
161;.:ion
Wammes,
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. JAY ZIMMERMAN
Director
Subject: Permit No. WQ0039312
City of Kannapolis
Cabarrus Manor
Wastewater Collection System Extension Permit
Cabarrus County
In accordance with your application received June 29, 2017, we are forwarding herewith Permit No.
WQ0039312 dated June 30, 2017 to the City of Kannapolis (Permittee) for the construction and operation
upon certification 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from the date of issuance until rescinded and shall be subject to the conditions and limitations as specified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 the foliowing conditions contained within this permit:
ConditionI1.1: This permit shall not be automatically transferable; a request must be made and approved.
Condition 11.4: 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.
It shall be the responsibility of the Permittee 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.
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.
.State of North Carolina j Environmental Quality I Water Resources I Water Quality Regional Operations
Mooresville RegionalOffice 161.0 East Center Avenue, Suite 301 I Mooresvilie, North Carolina 28115
704 663 1699.

If you need additional info
via e-mail at orintuvia ncdenr. uv,
Sinei
rig this
by W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEO
atte;
please contact 0ri Tuvia at (7 ) 2 -2190 or
cc: David Reese (P..) ( -copy)
Mooresville Regional Office Files
Water Resources Central Files
PR (-copy)
Page 2 of

Environmental
Quality
STATE OF NORTH CAROLINA.
ENVIRONMENTAL MANAGEMENT COMMISSION'
DEPARTMENT OF ENVIRONMENTAL QUALITY
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
In accordance
amended, and o
the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
applicable Laws, Rules, and Regulations, permission is hereby granted to the
City of Kannapolis
Cabarrus County
for the construction and operation of approximately 644 linear feet of 8-inch gravity sewer as part of
Cabarrus Manor project, and the discharge of 7,680 gallons per day of collected wastewater into the
Water and Sewer Authority of Cabarrus County's existing sewerage system, pursuant to the
application received June 29, 2017, and in conformity with I SA 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.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the specified
conditions and limitations contained therein.
by W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
By authority of the Environmental. Management Commission
Permit Number: WQ0039312
Permit Issued: June 30, 2017
Page 3 of 8

SUPPLEMENT TO PERMIT COVER SHEET
City of Kannapolis is hereby authorized to:
Construct, and then operate upon certification the aforementionedwastewater collection extension, The
sewage and wastewater collected by this system shall be treated in the Water and Sewer Authority of
Cabamis County's Rocky River Regional Wastewater Treatment Facility in accordance with Permit
Number NC0036269.
Permitting of this project does not constitute an acceptance of any part of the project that does not meet
15A NCAC 2T; the Division's 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.
Construction and operation is contingent upon compliance with the Standard Conditions and any Special
Conditions identified below.
. SPECIAL CONDITIONS
1) No :flow in excess ofthe quantity permitted herein, 7,680 GPD, shall be made tributary to
the subject. sewer system until an application for permit modification for an increase in flow
has been submitted to and approved by the Division. [15.A NCAC 021,0304 (b)]
IL STANDARD CONDITIONS
1.. This permit is not 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. [15A NCAC 02T.0104; G.S 143-215.1.03A
2. This permit shali become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this pennit; 1.5A 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 materials unless specifically mentioned herein. [1.5A NCAC
02T.0110]
3. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data. [1.5A NC AC 02T .ot 0]
4. The wastewater collection facilities shall be properly maintained and operated at all times. The
Permittee shall maintain compliance with an individual systemwide collection system permit for th.e
operation and maintenance of these facilities as required by 15A NCAC 21' .0403. If an individual.
permit is not required, the following performance criteria shall be met: [15A NCAC 02T .0108(b)]:
Page 4 of 8

1111111111F— a. The sewer system shall be effectively maintained and operated at all times to prevent discharge
to land or surface waters, and to prevent any contravention of groundwater standards or surface
water standards.
b, A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan including pump station inspection frequency, preventative
maintenance schedule, spare parts inventory and overflow response has been 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 months and inspections
documented.
g.
A general observation of the entire sewer system shall be conducted at least once per year.
Overflows and bypasses shall be reported to the appropriate Division regional office in
accordance with 15A NCAC 2F1 .0506(a), and public notice shall be provided as required by
North Carolina General Statute §143-215.1C.
A Grease Control Program is in place as follows:
For public owned collection systems, the Grease Control Program shall include at least
biannual distribution of educational materials for both commercial and residential users and
the legal means to require grease interceptors at existing establishments. The plan shall also
include legal means for inspections of the grease interceptors, enforcement for violators and
the legal means to control grease entering the system from other public and private satellite
sewer systems.
For privately owned collection systems, the Grease Control Program shall include at least bi-
annual distribution of grease education materials to users of the collection system by the
permittee or its representative.
. Grease education materials shall be distributed more often than required in Parts (1) and (2)
of this Subparagraph if necessary to prevent grease -related sanitary sewer overflows.
i.Right-of-ways and easements shall be maintained in the full easement width for personnel and
equipment accessibility.
Documentation shall be kept for Subparagraphs (a) through (i) of this Rule for a minimum of
three years with exception of the tnap, which shall. be maintained for the life of the system..
5. The Penn ittee shall report by telephone to a water resources staff member at the Mooresville Regional
Office, telephone number [phone], as soon as possible, but in no case more than 24 hours
following the occurrence or first knowledge of the occurrence of either of the following:
a. Any 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 SSO and/or spill over 1,000 gallons; or
c. Any SSO and/or spill, regardless of volu .me, that reaches surface water
Page 5 of 8

Voice mail messages or faxed information is permissible, but this shall not be considered as the initial
verbal report. Overflows and ;spills occurring outside normal business hours may also be reported to
the Division of Emergency Management at telephone number [phone] or [phone].
Persons reporting any of the above occurrences shall file a spill report by completing and submitting
Part 1 of Form CS-SSO (or the most current Division approved forrn) 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. Part II of Form CS-SSO (or the most current Division
approved form) can also be completed to show that the SSO was beyond control. [G.S. 14.3-
215 ,1C(a.1)1
6. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to
interrupt serviceby the existing utilities nor result in an overflowor bypass discharge of wastewater
to the surface waters of the State. [15A NCAC 02T.0108(b)]
7. 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. Any wastewater flaw 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 Perm.ittee to
appropriate enforcement actions.
If the permit is issued to a private entity with an Operational Agreement, then a copy of the
Articles of Incorporation, Deciarations/Covenants/Restrictions., and Bylaws that have been
appropriately filed with the applicable County's Register of Deeds office shall be submitted
with the certification.
A complete certification is one w'here the form is fully executed and the supporting documents are
provided as applicable. Supporting documentation shall include the following:
a. One copy of the project construction record drawings (plan & profile views of sewer lines &
force mains) of the wastewater collection system extension. Final record drawings should be
clear on the plans or on digital media (CD or DVD disk) and are defined as the design drawings
that are marked up or annotated with after construction information and show required buffers,
separation distances, material changes, etc.
b. One copy of the supporting applicable design calculations including pipe and pump sizing,.
velocity:, pump cycle times, and level control settings, pump station buoyancy,. wet well storage,
surge protection, detention time in the wet well, and force main, ability to flush low points in
force mains with a pump cycle, and downstream sewer capacity analysis. If a portable power.
source or pump is dedicated to multiple stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, include travel
timeframes, shall be provided.
e. Changes to the project that do not result in non-compliance with this permit, regulations, or the
Minimum Design Criteria should be clearly identified on the record drawings, on the certification
in the space provided, or in written summary form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting
in non-compliance with this permit (includ.ing pipe length increases of 10% or greater, increased
flow, pump station design capacity design increases of 5% or greater, and increases in the
.numberltype of connections), regulations, or the Minimum Design Criteria. Requested modifications
Page 6 of 8

or variances to the Minimum Design Criteria will be reviewed on a case -by -case basis and each on
its own merit. Please note that variances to the Minimum Design Criteria should be requested and
approved during the permitting process prior to construction. After -construction requests are
discouraged by the Division and may not be approved, thus requiring replacement or repair prior to
certification & activation, [15A NCAC 021 ,OH 6]
Gravity sewers installed greater than ten percent below the minimum required slope per the Division's
GravitySewer Minimum Design Criteria shall not be acceptable and shall not be certified until
corrected, If there is an unforeseen obstacle in the field where all viable solutions have been
examined, a slope variance can be requested from the Division with firm supporting documentation.
This shall be done through a permit modification with fee. Such variance requests will be evaluated
on a case -by -case basis. Resolution of such request shall be evident prior to completing and
submitting the construction certification. [1.5A NCAC 02T.0105(n)]
9. A copy of the construction record drawings shall be maintained on file by the Permittee for the life
of the wastewater collection facilities. [15A 'NCAC 02T .011.6 .
10. 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, 1,996, 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 Permitter to an
enforcement action by the Division, in accordance With North Carolina General Statutes §143-21.5.6A
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. [15A
NCAC 02T .0104; 1.5.A NCAC 021' ..01.08(b-c)]
11 . In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the Perrnittee shall take ittunediate corrective action, including those
as may he required by this Division, such as the construction of additional or replacement facilities.
[1.5A NCAC 02T .0110; 15A NCAC 02T .0108(b)]
12. The issuance of this permit shall not exempt the Perrnittee from complying with any and all statutes,
rules, regulations, or ordinances that may be imposed by the Division any other Federal, State, or
Local government agencies which have jurisdiction or obtaining other permits which maybe required
by the Division or any other Federal, State, of Local government agencies. [G.S. 143-215,1(b)]
Page 7 of 8

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE: CITY OF KANNAPOLIS
PERMIT #: WQ0039312
PROJECT: CABARRLTS MANOR
ISSUE DATE: JUNE 30, 2017
This project shall not be considered complete nor allowed, to operate in accordance with standard
Condition 7 of this perrnit until the Division has received this Certification and all required supporting
documentation It should be submitted in a manner that documents the Division's receipt, Send the
required documentation to the Regional Supervisor, Water Quality Regional Operations Section at the
address noted in the page footer.
Any wastewater now made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the perrnit and shall subject the Pennittee to
appropriate enforcement actions. The Permittee is responsible for tracking all partial certifications up
until a final certification is received by the Division A Final Certification shall be a complete set of
record drawings and design calculations regardless of whether partials have been submitted.
PERMITTEE'S CERTIFICATION
I, the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant to
the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate & maintain the
wastewater collection system permitted, herein or portions thereof,
Printed Name, Title
Signature Date
ENGINEER'S CERTIFICATION
, as a duly registered Professional En neer in the State of North Carolina,
having been authorized to observe (El periodically, weekly, LJ full time) the construction of the
project name and location as referenced above for the above Pennittee 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 02T; the Division of
Water Resources' (Division) Gravity Sewer .Minimum Design Criteria adopted February 1.2, 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 wisignature & date:
E Final E. Partial (include description)
Certification Comments/Qualif (attaeh if necessary):
NC DWR — Water Quality Regional Operations Section 610 East Center Avenue, Suite 301, Mooresville, NC 28115
Mooresville Regional Office Phone: [phone] FAX: [phone]

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
I5A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number bet.3 .9:3.• (to be completed by DWR)
Al] items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1 Applicant's name: City of Kanna i (company, municipality, HOA, utility, etc.)
2. Applicant type: Individual Ej Corporation Li General Partnership 0 Privately -Owned
El Federal 0 State/County El Municipal Ei Other
3. Signature authority's name: Wilmer Melton. II per 15A NCAC 02-r .0106(b)
Title: Director of Public Works
4. Applicant's mailing address: 401 Laureate Wax
City: Kannwolis State: Ng Zip: 28081-0005
5. Applicant's contact information:
Phone number: [phone] Email Address: wmeltorigkannanolisticgov
11. PROJECT INFORMATION:
1, project name: Ca barrus Manor
2. Application/Project status: Proposed (New Permit) El Existing Permit/Project
If a modification, provide the existing permit number: WQOO and issued date:
If new construction but part of a master plan, provide the existing permit number: WQOO
3. County where project is located: Cabarrus
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.4801 Longitude: -80,6763
5. Parcel ID (if applicable): 5603-13-4901
(or Parcel ID to closest downstream sewer)
111. CONSULTANT INFORMATION:
1. Professional Engineer: David Reese
CES1
Mailing address: PO Box 268
City: Concord State: NC
Phone number: (204)11.6.-.5.1(14
License Number: 18163
Zip: 28026-WM
Email Address: davidreese@cesicgs..com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I. Facility Name: Rocky River Regional Wastewater Treatment Plant Permit Number: NC0036269
Owner Name: Water & Sewer AuSbority of Cabarrus County
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
L Permit Number(s): WQ
System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s):
FORM: FTA 04-R
Page 1 of 5

GENERAL REQUIREMENTS
I. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
0 Yes 0No N/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (TOW: DEV) been attached?
LI Yes 0No N/A
3. If the Applicant is a H Pr c Association ha an 0 ationa1 Agreement (FORM:HOAI been attached?
Ej Yes 0No N/A
4. Origin of wastewater: (check all that apply):
0 Residential Owned
El Residential Leased
0 School / preschool / day care
El Food and drink facilities
Ei Businesses / offices / factories
5. Nature of wastewater :
EJ Retail (stores, centers, malls)
EI Retail with food preparation/service
lE1 Medical / dental / veterinary facilities
0 Church
Nursing Home
X % Domestic/Commercial
El Car Wash
El Hotel and/or Motels
E Swimming Pool /Clubhouse
0 Swimming Pool/Filter Backwash
0 Other (Explain in Attachment)
% Commercial
% Industrial (See 1.5A NCAC 02T .0103(201)
) Is there a Pretreatment Program in effect?
0 Yes Ej No
6. Has a flow reduction been approved under 15A NCAC 02T .0114(t)? Ej Yes No
If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Estahlishment Type
Convale
facilities
e 92T.0 4
nt, nursing, rest homes with laundry
Daily Design Flow 4'b
120 gall bed
gal/
gal/
gal/
gal/
No. of Units
Flow
7680 GPD
GPD
GPD
GPD
GPD
gal/
Total
GPD
7680 GPD
a See 15A NCAC 021' .0114(b). (d), (e)(1) and (e)(2) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use
areas; and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals
as defined in G.S. 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A N 'AC 2T,0114] shall
be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project:76800PD (per 15A NCAC 02T .0114)
Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
Ej Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
O Flow has already been allocated in Permit Number:
E] Rehabilitation or replacement of existing sewer with no new flow expected
0 Other (Explain):
FORM: ETA 04-16 Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T ,0305 & MDC (Gravity Sewers:
1, Summarize gravity sewer to be pemiitted:
Size (inches)
8
Length (feet)
644
Material
PVC
> Section 11 & ffl of the MDC for Permitting of Gravity Sewers contains information related to design criteria
> Section III contains information related to minimum slopes for gravity sewer(s)
);. Oversizing lines to meet minimum slope requirement is not allowed and a violation of tbe MDC
VILI, PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force 1 •
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
I. Pump station number or name:
1 Approximate Coordinates (Decimal Degrees): Latitude: 0 Longitude:
3. Design flow of the pump station: millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): gallons per minute at feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
6, Power reliability in accordance with I 5A NCA • 02T .0.305(11)(1):
LI Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(B):
> Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
> Must be permanent to facility
Or if the pump station has an average daily flow less than 15,000 gallons per day:
Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0305(h)(1)(C)
Or
LI Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(1)(C):
> It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
and is compatible with the station.
> If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations'
storage capacities and the rotation schedule of the portable power source or pump, including travel tirneframes, shall be
provided in the case of a multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
Does the project comply with all separations found in I5A NCAC 2T .0305
A 15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems;
Setback Parameter*
Storm sewers and other utilities not listed below (vertical)
Water mains (vertical -water over sewer including in benched nches)
Water mains (horizontal)
Reclaimed water lines (vertical - reclaimed over sewer)
Reclaimed water lines (horizontal - reclaimed over sewer)
*'"Any private or public water supply source, including any wells, WS-1 waters of Class 1 or
Class 11 impounded reservoirs used as a source of drinking water
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, HQW,
high water (or tide elevation) and wetlands (see itenri IX.2)
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
Any building foundation
Any basement
Top slope of embankment of 2
Drainage systems and interceptor drains
Any swimming pools
or ill
e verticalheight
:1 Yes DNo
Separation Required
24 inches
18 inches
10 feet
18 inches
2 feet
100 feet
50 feet
10 feet
5 feet
10 feet
10 feet
5 feet
10 feet
Final earth grade (vertical)
36 inches
A 1,5A NCAC 02T.0305(g) contains alternatives where separations in 02T.030501 cannot be achieved.
A **Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
A If noncompliance with 021'.0305(1) or (g), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) [] Yes Ej No
See the Division's draft separation requirements for situations where separation cannot be meet
A No variance is required if the alternative design criteria specified is utilized in design and construction
A As built documents should reference the location of areas effected
3. Does the project comply with all setbacks found in the river basin rules per 15A NCAC 02B .0200? M Yes
A This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project comply with an individual 404 Permit or any 401 Certifications? N/A 111 Yes []No
A Wetland -related permits shall be requested, obtained, and adhered to for projects that impact wetlands or surface waters
A Information can be obtained from the 401 i3c, Buffer Pcrunning Branch
5. Does project comply with 15A NCAC 02E0105 6) (additional permits/certifications)? N/A El Yes El No
Per I5A NCAC 021 .0105(c)(4 directly related environmental permits or certification applications are being prepared, have
been applied for, or have been obtained, Issuance of this permit is contingent on issuance of dependent permits (erosion and
sedimentation control plans, stonnwater management plans, etc.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per 15A NCAC 02T,0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
[11 Yes 4No
A If yes, include an attachment with details for each line, including type (aerial line, size, material, and location)
High priority lines shall be inspected by the permittee or its representative at least once every six -months and
inspections documented per 15A NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains (latest version), and the Gravity Seer Minimum Design Criteria (latest version) as applicable?
NI Yes LINo
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents
for review. Approval of the request is required prior to submittal of the Fast Track Application and supporting
documents.
2. Professional Engineer's Certification:
I, David Reese, PE
(Professional Engineer's name from Application Item (11.1.)
attest that this application for
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans, specifications,
engineering calculations, and all other supporting documentation to the best of my knowledge. [ 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 (latest version), and the Minimum Design Criteria for the Fast -Track
Permitting of Pump Stations and Force Mains (latest version). Although other professionals may have developed certain
portions of this submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this
material and have judged it to be consistent with the proposed design.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package 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.
North Carolina Professional Engineer's seat, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
Wilmer Melton, lit, Director of Public Works
(Signature Authority's name & title from Application Ite
attest that 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 documentation and attachments are not included, this
application package is subject to being returned as incomplete. I understand that any discharge of wastewater from this non -
discharge system to surface waters or the land will result in an immediate enforcement action that may include civil penalties,
injunctive relief, and/or criminal prosecution. 1 will make no claim against the Division of Water Resources should a
condition of this permit be violated. I also understand that if all required parts of this application package are not completed
and that if all required supporting information and attachments are not included, this application package will be returned to
me as incomplete.
NOTE — In accordance with General Statutes 143-215,6A and 143-215.613, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature:
Date;
FORM: FTA 04-16 Page 5 of 5

NEAREST REC EYEING
WATER BODY
AFTON RUN
IN©EX 3-17-6-6
C ASSIEICATION: C

,* NC5tat Putil[c Set; * os
Mr. Michael Legg
City Manager
City of Kannapolis
P.O. Box 1199
Kannapolis, NC 28082-1.199
June 20, 2017
Subject: Flow Acceptante Request — City of Kannapolis
C'abarrus Manor
De' r r, .Legg:
WATER & SEWER AUTHORITY
OF CABARRUS COUNTY
232 Davidson Hwy
Concord, NC 28027
704.786,1783 • 704,795„1564 Fax
wwwmsacc.org
his is an approval of the flow acceptance request received by the Water and Sewer Authority of Cabarrus
County (WSACC) from the City of K.aimapolis on June 8, 201'7. WSACC has or will have capacity at the Rocky
River Regional Wastewater Treatment Plant and appropriate sewer interceptors to transport and treat the
domestic wastewater from the proposed project entitled Ca.barrus Manor, located off Milestone Avenue. The
referenced project xvill serve a nursing home with laundry facilities and 64 beds, with a projected rvastewater
flow of '7,680 gallons per day (gpd). The wa.stewater generated by this project will be conveyed through the
proposed 8-inch line, through an existing gravity system, and then enter WSACC's system at the existing 15-inch
Afton Run Branch Outfall Interceptor. WSACC agrees to accept Waste water from the proposed development
based on information provided by CES1 ((..7.ivil Engineer for the project.) using North Carolina :Department of
Environmental Quality (NCDEQ) Nvastewater flow guidelines.
WSACC Capital briprovement Program (CIP), has been on pay as you go since Fiscal Year 2005 — 2006,
funding Capital Projects entirely from Capital Reseres, and WSACC expects to continue this policy into the
future. Projects on the OP are subject to a.prn-oval by WSACC's Board of Directors, support from local
governing bodies, regulatory approval, and funding availa.bility. -rhe list and schedule of CIP projects are
tentative and are revised periodically to reflect changing conditions and needs.
If construction of this project is not started W ith tWO (2) y,ears of the date of this approval, the approval is
rescinded and a second request and approval will be required. Please notify WSAC(', in Writing when
construction of this project is initiated.
If you have any questions, please call me at [phone], extension 228.
Sincerely,
,I, Thomas Hahn, PE,
Utility Systems 'Engineer
cc: Misty Lippard, PE/Kannapolis
Wilmer Melton/Kannapolis
David Reese, PE/CESI
Michael Wikon/WSACC
.71 itn Kiser, PEIWSACC
Chad VonCannon, PE/WSACC
Mark Lomax/WSACC

WASTEWATER FLOW ACCEPTANCE FORM
FOR THE
ATER AND SEWER AUT ORITY OF CABARRUS COUNTY
Jurisdiction Requesting Flow Acceptance: Date: April 20, 2017
RCharlotte Mecklenburg Utilities
City of Concord City of Kammpolis 0 Town, of Harrisburg OTown of Mt Pieasimt
Project Title, Description, and Number of Lots/Unit: Caharrus Manor
Project Title: Cabarrus Manor
Description: The Cabarrus Mager enginegri
NCPE. with CS L for tbe wastewater collection aysterp
II41itarY seWet with 3 =Dhaka Intel (OCT ;mitten:int:es to _sera.
* 64 beds 7680 GPI)
*Number of Lots: A OR *Number of Units:64 halt (Assisted livine facility)
request
Where will the new line be connected:
Directly into a WSACC Interceptor
into the Jurisdiction's existing collection system
0 into a private line
Describe the location of the ie-In tine to which the new sewer line wftl connect: The proposed 8-ineb sanitary sewn-
' lug li-ineb sanitary sewer systent,_ which Sqacia4s IQ the 11 5" _PVC WSACc Alien Etuu
Uoterepto
Which WSACC Interceptor will the flow ultimately he discharged Into:
chilfiaInlerzarat
What is the WSACC manhole number that the flow will be discharged into? Node (112.661
What b the quantity of flow that will be discharged? 7.¢10.5PD
Fiow type:
Domestic 100 D Commercial
0/0
LJ Industrial
t431 be included in
Name of wastewater treatment facility (wwrF) receiving wastewater:
Rocky River Wastewater 'Treatment Facility — Peru* #NC0036269
0 Muddy Creek Wastewater Treatment Facility — Permit #NC0081421
Design drawings of new lines will be submitted to WSACC with the request for aoceptance. Drawings can be submitted
as a digital fie (DWG) or disunte and hearing starting with the tap on existing infrastructure.
If the new line is to connect directly into a WSACC interceptor, detailed drawings including specification of the tap, will
be required before flow acceptance will be provided.
Mark Lomax at 704-786-1783, ext. 231, must be notified 48 hours in advance of a connettion into a WSACC interceptor.
WSACC will inspect connection before, during, and after completion.
If construction Is not started within two (2) year front the date of approval of the flow acceptance for this project, the
approval Is rescinded and a second request and approval will be required for the project.
WSACC USE ONLY;
Er], Current seteynodel shows
Approved i e„,,v.k A
El Current Sewer Model shows;
ALtS QFJL DA'?
ptor as being surcharged south of the maiThqIe queation.
A i4 0 Not Approved •
-(_EJNT FV•F_a'S (Ai I-4r
AVF:t.hr,p , ZNINILY PIA) tirlo,

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE —01/14)
(JURISDICTION USE ONLY
Jurisdiction Requesting Flow Acceptance for Collection System:
EICity of Concord City of1C..annapolis D Town of Ilarrisburg EITown of Mt. Pleasant
EICharlotte Mecklenburg Utilities
Project Title, Description, and Number of Lots/Unit: Cabarrus Manor
Project Title: Cabarrus Manor
Description: The Cabarrus Manor engineering plans arid specifications, as prepared and sealed by David Reese, NCPE, with
cthwastwater collection system extenston consisting of approimatelv 644 linear feet of 8 •mch samtarv•
3 manholes and other appurtenances to, serve Cabarrus Manor located off Mile4tune Avenue in Icanaanolis NC, with a
wastewater discharge of 7.680 GPD. Nursi g home with laundry facilities daily flow of 120 gal/bed * 64 beds = 7680 GPD
What is the quantity of flow that will be discharged? 7680 GPD
Flow type:
0 Domestic 100 % 0 Commercial °/6 0 Industrial
Section I - List the Jurisdiction's pump stations located between the project connection point and the WSACC
Interceptor connection point.
Pump Station
(Name or Number)
Firm Capacity *
MGD
(A)
Din Average Daily Flow ** Approx. Current
(FirmiP0 Average Daily Flow
MGO MOH
(C)
Obligated, Nat Yet
Tributary Daily Flow
MOD
(D)' Rite)
Total Current Flow
Plus Obligate,/ now
MGD
(E)--(A-D)
Available
Capacity***
MGD
* The Firm Capacity of any pump station h defined as the maximum pumped flow that tau be achieved with the largest pomp taken out of service.
**Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor not less than 2.5.
***A Planning Assessment Addendum shall be attached for each pump station located between the project connection point and the WAIT where Available Capacity is <0.
Section II, Jurisdiction's Certification Statement:
1, Wilmer Melton, III, Director of Public Works, certify that, to the best of my knowledge, the addition of the volume
of wastewater to be pennittecl in this project has been evaluated along the route to the receiving WSACC interceptor; and the
flow from this project is not anticipated to cause any capacity related sanitary sewer overflows or overburden on any
downstream pump station in route to the receiving WSACC interceptor normal circumstances, given the implementation of the
planned improvements identified in the planning assessment where applicable. This analysis has been performed in accordance
with local established policies and procedures using the best available data. This certification applies to those items listed above
in Section 1 plus all attached planning assessment addendums for which, to the best of my knowledge, will not adversely affect
the downstrearter c pacity. Sipa-tire of this form indicates acceptance of this wastewater flow,
„i"
'
Jurisdiction's Signing Official Signature Date
Revision DaW 08/09M 3

Division of Wter Resouites
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Fkw Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE —01 /14)
(WSACC USE ONLY) Cabarrus Manor
Section I. Name of wastewater treatment facility (MIT) receiving wastewater:
Rocky River Wastewater Treatment Facility Permit #N.00036269
El Muddy Creek Wastewater Treatment Facility Permit .4.NC0081621
WWII) faci „'- itted flow, MGD
26.500
Estimated obligated flow not yet tributaa to the WWTP.MGD
WWTP facility's actual ava. daily flow, MGD
Total flow for this specific request, MG[)
Total actual and obligated flows to the facility, MGD
Percent of permitted flow used
2.083
16.2 5(61.15% of 2_52-mit)
0.008
18.296
69.04%
Section 11. Pump stations along the route from the Jurisdiction's connection point to the WWTP.
Pump Station
(Name or Number)
1—
Firm Capacity *
MGD
Lower Rocky River PS 4 000
(.A) (0)
Design Average Daily Flow " Approx Current
(iitratipn Average Daily Flow
MGD NIGD
14.800
(C)
Obligated, Num Yet
Frbtr'Daliy Hew
MGD
9.5.64 1.75.3
(Binci
Total Current Flew
las Obligated Nov,
MGD
(E)A-D)
Available
Capacity*"
*illihe Firm Capacity of any pomp station is defined as the maximum pumped flow that can he achieved with the largest pump taken out of service.
"'Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor not less than 2.5.
Planning Assessment A ddendUM shall he attached for each pomp station located between the project connection point and the WWI' where Available Capacity is
Section HI. WSACC Certification Statement:
1, J. Thomas Hahn, PE, certif‘,, that, to the best of my knowledge, the addition of the volume of wastewater to be permitted
in this project has been evaluated along the route from the connection to the interceptor to the receiving wastewater
treatment facility; and the flow from this project is not anticipated to cause any capacity related sanitary sewer overflows
or overburden on any downstream pump station i„n route to the receiving treatment plant under normal circumstances,
given the implementation of the planned improvements identified in the planning assessment where applicable, This
analysis has been performed in accordance with local established policies and procedures using the best available data.
This certification applies to those items listedabove in Section I and Section If plus all attached planning assessment
addendums for which, to the best of my 'knowledge, will not adversely affect the downstream sewer capacity. Signature
of this form indicates acceptance of this wastewater flow.
ACC g (Vidal Signature
D 'e
7
Revision Dater 08/09/13

KA .N
public \Y3(r)7,ks
June 27, 2017
North Carolina Department of Environmental Quality
Mooresville Regional Office - Water Quality Section
610 East Center Avenue, Suite 301
Mooresville, North Carolina 28115
Re: Cabarrus Manor
Sewer Extension and Relocation
City of Kannapolis — Cabarrus County
Dear Sir or Madam:
Please find attached for your review and approval the original and one copy of the
permit application along with the $480 processing fee for the above referenced project.
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 proposed extension and relocation will connect to the existing Kannapolis sewer
system which extends to the WSACC Afton Run Branch Outfall Interceptor. This
wastewater collection system will serve the proposed Cabarrus Manor Assisted Living
Facility on Milestone Avenue.
The Water and Sewer Authority of Cabarrus County Standard Specifications for
Wastewater Collections Systems were approved by your office and are being
maintained by the Division of Environmental Management, This project will be installed
in accordance with these Standard Specifications.
Please call me at 704-920-4219 if you have any questions,
Sincerely,,
Misty M. Lippard, PE
KANNAi'Oo ti. N
4200 AWW.h ANNAr[ 11SN .G

Permit Number W00039312
Central Rev APS SWP
6730/2017
Permit Tracking Shp
Program Category Status Project Type
Non-dischange rve New Project
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
ori,tovia
Coastal SWRule
Permitted Row
1,680
Facility
Version Permit Classification
1,00 Individual
Permit Contact Affiliation
Facility Name
Cabarrus Manor
Location Address
Owner
MajonMinor Region
Minor Mooresville
County
Cabarrus
Facility Contact Affiliation
Owner Name
City of Kannapolis
Dates/Events
Owner Type
Government - Municipal
Owner Affiliation
Wilmer Melton 111
DIP, PUBLIC WORKS
PO Box 1199
Kannadolis
NC 28081119
Scheduled
0rig issue Apo Received Draft Initiated issuance Public Notice issue Effective
6130/2017 6,12812017 613012017 6/30/2917
Regulated Activities
Nursing Home
Wastewater collection
Outfall
Requested /Received Events
Additional information requested
Additional iriformation received
Expiration
Waterer:ry Name Streamindex Number Curremt Class Subbasin

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE: CITY OF KANNAPOLIS
PERMIT #: WQ0039312
PROJECT: CABARRUS MANOR
ISSUE DATE: JUNE 30, 2017
This project shall not be considered complete nor allowed to operate in accordance with standard
Condition 7 of this permit until the Division has received this Certification and all required supporting
documentation. It should be submitted in a manner that documents the Division's receipt. Send the
required documentation to the Regional Supervisor, Water Quality Regional Operations Section at the
address noted in the page footer.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions. The Pennittee is responsible for tracking all partial certifications up
until a final certification is received by the Division. A Final Certification shall be a complete set of
record drawings and design calculations regardless of whether partials have been submitted.
PERMITTEE'S CERTIFICATION
1, the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant to
the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate & maintain the
wastewater collection system permitted herein or portions thereof.
Wt(ff'
&(IC k
ENGINEER'S CERTIFICATION
I, David F. Reese, PE , as a duly registered Professional Eagineer in the State of North Carolina,
having been authorized to observe (E] periodically, D weekly, u full time) the construction of the
project name and location as referenced above for the above 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 02T; the Division of
Water Resources' (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.
Printed Name, Title Signature
North Carolina Professional Engineer's Seal w/signature & date:
'anal 0 Partial (include description)
Certification Comments/Qualifiers (attach if necessary):
Date
NC DWR — Water Quality Regional 0perations Section 610 East Center Avenue, Suite 301, Mooresville, NC 28115
Mooresville Regional Office
Phone: [phone] FAX: [phone]