WQ0031695_Regional Office Historical File Pre 2018

Michael F. Easley, Governor
William G. Rossir,, Secretary
North Carolina Department of Environmera and Natural Resources
Alan W. Klimek, P_E. Director
Division of Water Quality
May 9, 2007
Mr. Mick Berry, City Manager
City of Hickory
RO, Box 398
Hickory, North Carolina 28603
Subject: Permit No. WQ0031695
City of Hickory
Carolina Business Park
Wastewater Collection System Extension
Catawba County, North Carolina
Dear Mr Berry:
In accordance with your application received on May 3, 2007, we are forwarding herewith
Permit No. WQ0031695, dated May 9, 2007, to the City of Hickory for the construction and operation of
the subject wastewater collection system extension. This permit shall be effective from the date of
issuance until rescinded, and shall be subject to the conditions and limitations as specified therein, This
cover letter shall be considered a part of this permit and is therefore incorporated therein by reference,
Please pay particular attention to Permit Condition 3 which requires that the wastewater
collection facilities be properly operated and maintained in accordance with 15A NCAC 2T .0403 or any
individual system -wide collection system permit issued to the Permittee.
Permitting of this project does not constitute an acceptance of any part of the project that does
not meet 1) 15A NCAC 2T, 2) the Division of Water Quality's (Division) Gravity Sewer Minimum Design
Criteria adopted February 12, 1996, as applicable; 3) and the Division's Minimum Design Criteria for
the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000, as applicable,
unless specifically mentioned herein, Division approval is based on acceptance of the certification
provided by a North Carolina -licensed Professional Engineer in the application. It shall be the
Permittee's responsibility to ensure that the as -constructed project meets the appropriate design criteria
and rules. Failure to comply may result in penalties in accordance with North Carolina General Statute
§143-215.6A through §143-215.6C, construction of additional or replacement wastewater collection
facilities, and/or referral of the North Carolina -licensed Professional Engineer to the licensing board,
Mooresville Regional Office
610 East Center Avenue, Suite 30'1, Mooresville, NC 28115
Phone: [phone] Fax: [phone] / Internet: http'Ith2o,enrstate,nc,us
ne
NoOrthCarolina
Naturally
An Equal OpportunitylAffirmative Action Employer —50% Recycled/10%© Post Consumer Paper

Mick Berry
Page 2
May 9, 2007
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North
Carolina as amended, and other applicable Laws, Rules, and Regulations, permission is hereby
granted to the City of Hickory for the construction and operation of approximately 146 linear feet of 8-
inch gravity sewer to serve 12 employees as part of the Carolina Business Park project; and the
discharge of 450 gallons per day of collected domestic wastewater into the City of Hickory's existing
sewerage system, pursuant to the application received May 3, 2007, and in conformity with 15A NCAC
2-1; 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 City of Hickory
Henry Fork WWIP (NPDES No. NC0040797) prior to being discharged into the receiving stream.
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 Sonja Basinger at
[phone].
Sincerely,
,t- L
for Alan W. Klimek, P.E.
cc: Mooresville Regional Office, Surface Water Protection (Fast Track Sewer Ext Files)
G. Cecil Clark, RE., Clark & Associates, Inc.
Surface Water Protection Central Files
PERCS Files

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
following specified conditions and limitations:
1, This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2T; the Division of Water Quality's
(Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996, as applicable; the
Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force
Mains adopted June 1, 2000, as applicable: and other supporting materials unless specifically
mentioned herein,
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.
5 Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to
interrupt service by the existing utilities nor result in an overflow or bypass discharge of wastewater
to the surface waters of the State.
6, Per 15A NCAC 2T .0116, upon completion of construction and prior to operation of these permitted
facilities, the completed Engineering Certification form attached to this permit shall be submitted
with the required supporting documents to the address provided on the form. A complete
certification is one where the form is fully executed and the supporting documents are provided as
applicable.
7. A copy of the construction record drawings shall be maintained on file by the Permittee for the life of
the wastewater collection facilities,
8. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2T; the
Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's
Minimum Design Criteria for the Fast -Track Permitting of Pump Station and Force Mains adopted
June 1, 2000 as applicable; and other supporting materials may subject the Permittee to an
enforcement action by the Division, in accordance with North Carolina General Statutes §143-
215.6A through §143-215.6C.
In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall take immediate corrective action, including
those as may be required by this Division, such as the construction of additional or replacement
facilities.
10. The issuance of this permit shall not exempt the Permittee from complying with any and all
statutes, rules, regulations, or ordinances that may be imposed by other government agencies
(local, state and federal) which have jurisdiction, including but not limited to applicable river buffer
rules in 15A NCAC 2B .0200, erosion and sedimentation control requirements in 15A NCAC Ch. 4
and under the Division's General Permit 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 day, 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 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.

!Fir Voice mail messages or faxed information is permissible, but shall not be considered as the initial
verbal report. Overflows and spills occurring outside normal business hours may also be reported
to the Division of Emergency Management at telephone number [phone] or (919) 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 current 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 II of Form CS-SSO (or the most current Division approved form)
can also be completed to show that the SSO was beyond control,
12. Gravity sewers installed greater than ten percent below the minimum required slope per the
Division's Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be certified
until corrected. If there is a 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.
Permit issued this the 9th day of May, 2007.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
(9)
for Alan Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0031695

r •
Fast Track Engineering Certification
Permit No, WQ0031695
May 9, 2007
Mick Berry, City Manager
City of Hickory
PO Box 398
Hickory, NC 28603
G. Cecil Clark, P.E.
Clark & Associates, Inc.
PO Box 2945
Hickory, NC 28603
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 purnps, system curve, operating point, available storage if portable
generator(s) or storage greater than longest past three year outage reliability option selected) for any pump
stations permitted as part of this project
Changes to the project should be clearly identified on the record drawings or in written summary form, Permit
modifications are required for any changes resulting in non-compliance with this permit, regulations or
minimum design criteria.
This project shall not be considered complete nor allowed to operate until this Engineer's Certification, and all
required supporting documentation, have been received by the Division. Therefore, it is highly recommended
that this certification be sent in a manner that provides proof of receipt by the Division.
ENGINEER'S CERTIFICATION
Partial E] Final
as a duly registered Professional Engineer in the State of North Carolina, having
been authorized to observe (El periodically, Ej weekly, El full time) the construction of the Carolina Business
Park, Catawba 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, NORTH CAROLINA 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.

APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
PAGE 3
USE THE TAB KEY TO MOVE FROM FIELD TO FIELDt Application Number:
(to be completed by DWQ) ;
1. Owner
1a. City of Hickory
Full Legal Name (company, municipality, HOA, utility, etc.)
0 lb MBCIt2aer
Signing Official Name and Title (Please review 15A NCAC 2H .0206(b) for authorized signing officials!)
The legal entity who will own this system is:
Individual 0 Federal Ii Municipality 0 State/County 0 Private Partnership, 0 Corporation 0 Other (specify):
1d. PO Box 398
Mailing Address
1f NC
State
11 h. 828 323-7427 1 i. 828 323-740
Telephone Faesimile
12. Project (Facility) Information:
2a, Carolina Business Park
le. Hickory
City
1g. 28603
Zip Code
lj [e-mail]
E-mail
2b. Catawba
Brief Project Name (pemfit will refer to this name)County Where Project is Located
Contact Person:
3a. Cecil Clark P.E. Engineer for the Pro'ect
i Name and Affiliation of Someone Who Can Answer Questions About this Application
3b. 828 345-1577 3c. 828 345-0271
Phone Number E-mail
1. Project is New 0 Modification (of an existing permit) If Modification, Permit No.:
For modifications, attach a separate sheet clearly explaining the reason for the modification (Le. adding another
phase, changing line sizeilength, etc.). Only include the modified information in this permit application - do not
duplicate project information in B(7) and B(1O-11) that has already been included in the original permit.
2. Owner is Public (skip to item B(3)) El Private (go to Item 2(a))
2a. If private, applicant will be: 2b. If sold, facilities owned by a (must choose one)
0 Retaining Ownership (Le. store, church, single office, etc.) or 0 Public Utility (Instruction III)
Z 0 Leasing units (lots, townhornes, etc. - skip to Item 8(3)) 0 Homeowner Assoc./Developer (Instruction IV)
0 Selling units (lots, townhomes, etc. - go to Item B(2b))
3. City of Hickory
Owner of Wastewater Treatment Facility (WVVTF) Treating Wastewater From This Project
4a. Henry Fork Waste Water Treatment Plant 4b, NC 0040797
Name of WWTF ! WVVTF Permit No,
5a. City of Hickory j5b. 8 X Gravity . NC 0040797
Z Owner of Downstream Sewer Receiving Sewer Size p Force Main 1 Permit Number of Downstream Sewer (if known)
6. The origin of this wastewater is (check all that apply)
0 Residential Subdivision
0 Apartments/Condominiums
Mobile Home Park
0 School
Restaurant
Office
El Car Wash
0 Institution
0 Hospital
0 Church
0 Nursing Home
0 Other (specify):
7. Volume of wastewater to be allocated for this particular project: 450 gallons per day
8.
*Do not include previously permitted allocations
100 % Domestic/Commercial
% Industrial
% Other (specify):
If the permitted flow is zero, indicate why:
E:1 Interceptor Line - Flow will be permitted in subsequent permits that connect to this line
0 Flow has already been allocated in Perrnit No.
0 Rehabilitation or replacement of existing sewer with no new flow expected
FTA 02/03 - Rev. 3 .04/0.5

APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
PAGE 4
CO
9 Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2H
.0219(1) for Item B(7) or the design flow for line or pump station sizing if zero flow in the space below. Values other than
that in 15A NCAC 2H .0219(1)(1-2) must be supported with actual water or wastewater use data in accordance with 15A
NCAC 2H .0219(1)(3).
Office — 12 employees @ 25 gpd/person = 300 gpdi shift + VA shift = 450 gal /day
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches) Length (feet) Gravity or Force Main
(use the pull down menu
8 146 gravity
ENTER TOTAL LINE LENGTH IN MILES! .027
. Summary of Pump Stations to be Permitted (attach additional sheets as necessary)
Location ID .
.
Power Reliability Option
(self chosen - as shown on Design Flow 1 Operational Point 1 (1- dual line feed; 2- permanent generator w/ATS; 3-
I. plans for cross-reference) jmGp) i GPM @ TDH 1 portable generator w/telemetry; 4-wet well storage)
12. Does the sewer system comply with the Minimum Design Criteria for the Fast Track Permitting of Pump Stations and Force
Mains (latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC 2H .0200 as applicable?
Yes D 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
13, Have the following permits/certifications been submitted for approval?
Wetland/Stream Crossings - General Permit or 401 Certification? LI Yes E] No N/A
Sedimentation and Erosion Control Plan?
Stormwater?
14. Does this project involve aerial lines or siphons? Check if yes:
hese lines will tteconsidereaPiaLorioritt ani3 must tke,avecimcl_onme_v_esy. siximonttis_
15. Does this project have gravity sewer lines designed at minimum slopes? El
Be aware that the Division will not accept installed lines more than 10% flatter than the minimum slope Lines installed outside this tolerance should be
corrected prior to submitting the final engineering certification
Yes DNo X N/A
Yes EJNo N/A
ETA 02/03 - Rev. 3 04/05

APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE
1. Use the Division's guidance document entitled, "DETERMINING STREAM CLASSIFICATIONS FOR FORM FTA 02/03
(FAST -TRACK SEWER SYSTEMS)" to collect and record the stream classification data below (attach additional sheets as1
necessary) This document is available from our web site or by contacting the appropriate Division of Water Quality
regional office (see instructions for addresses) OR indicate the following:
A Stream Classification is not needed because all parts of the project are at least 100 feet away from any down slope
waterbody; AND,
A Stream Classification is not needed because the design does not depend on wet well storage as a power reliability
option for any pump station near a Class C down slope waterbody.
Location ID on Map
(self chosen - as shown on Name of
map for cross-reference) Waterbody
el '3
Waterbody Stream Waterbody
County River Basin Index Classification
Submit the 8.5°' x 11" COLOR topographic map as required in Instruction VI
regardless of whether a classification is provided!
Applicant's Certification:
/, Mick W. Berry, attest That this application for Carolina Business Path Sewer Extension has been reviewed by me a
is accurate and complete to the best of my knowledge, I understand that if all required parts of this application am 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 exceed $10,000 as well as civil penalties up to
$25,000 per violation.
SifIiag 0fficia Signatui
2, Professional Engineer's Certification.
Date
attest that this application for Carolina Business Park Sewer Extension has been reviewed by me and is accurate,
complete and consistent with the information in the engineering plans, calculations, and all other supporting documentation
to the best of my knowledge. I 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 Febroary
12, 1996, and the Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June
1, 2000 and the watershed classification in accordance with Division guidance. Although certain portions of this submittal
package may have been developed by other professionals, inclusion of these ,materials under my signature and seal
signifies that I have reviewed this material and have judged it to be consistent with the proposed design. Note: In
accordance with NC General Statutes 143-215.6A and 143-215,6B, 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, G. Cecil Clark
Professional Engineer Name
2b, Clark & Associates, Inc.
Engineering Firm
2c. PO Box 2945
Mailing Address
2d, Hickory
City
2g, 828 345-1577 2h, 828 345-0271
e, NC _2f, 28603
State Zip
Telephone Facsimile clarkengineeringr; charterinter
ruat nrArn Seal, Signature a Date
FTA 02/03 - Rev, 3 04, ;

srx..r r., :k a e/ r.m,01,+ar

Central Files: APS SWP
f15/07/07
Perrnit Number 131 695
Category
har °
Permit Tracking IIp
Status
In review
Project Type
New Project
Permit Type r t Version Permit Classification
Gravity Sewer Extensions Pump Stations, Pressure Sewer A Individual
Extensions
Primary Reviewer
sonj.basiner'
Permitted Flow
450
Fac
ty
Facility Name
Carolina Business Park
Location Address
,Owner
Owner Name
City of Hickory
Dates/Events
Permit Contact Affiliation
inor Region
Mooresville
County
Catawba
Faculty Contact Affiliation
Orig issue App Received Draft Initiated
05/03/07
Regulated tivitiies
Commercial or industrial, other
Wastewater collection
OLitiail NLIL.L
Waterbody Name
Scheduled
Issuance
Public
Owner Type
Government -'Municipal
Owner Afflhiatidn
Mick Berry
PO Box
Hickory
NC 286010398
ice Issue
Effecti
Requested/Received Events
Additional information received
Additio & information equested
St r :ant Index Number
Expiration
Current Class Subbasin

PAY
TO THE
ORDER
GREGORY A KIZIAH
P 0 BOX 37
TAYLORVILLE, NC 28681
PH 828-632 O 995
813AT
BRANCH BANKING AND TRUST COMPANY
1 -BOG-BANK B8T SEITcom
Four Hundred and 0 /100 Dollars
DENR
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DATE
Apr 2'7, 200
AMOUNT
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-on

Michael F. Easley, Governor
William G. Ross Jr.. Secretary
North Carolina Department of Environment and Natural Resources
Coleen Sullins, Director
Division of Water Quality
January 22, 2008
Mick Berry, City Manager
City of Hickory
P.O, Box 398
Hickory, North Carolina 28603
SUBJECT: Carolina Business Park
Permit No. WQ0031695
Wastewater Collection System Extension
Final Engineering Certification
Dear Permittee:
The Division received a final engineering certification for the subject project on September 26,
2007. A full review of the certification materials may or may not be conducted, It is assumed that
receipt of this certification indicates compliance with all regulations, design criteria and the permit.
Please be reminded that the Permittee is responsible for keeping a copy of the final record
drawings for the life of the project. If you have not received a copy, please contact your
consultant immediately to obtain a copy.
You are receiving this letter because the Division has you listed as the responsible party. If this
permitted system is no longer owned by you, please complete Form PNOCF-S as this, permit is not
automatically transferable. Form PNOCF-S can be downloaded from
htto://h2o.enr,state.nc.us/ndpuindouapps.htmlffSewer,
if you have any questions concerning this document or the completion of Form PNCCF-S (if
necessary), please contact Ms. Dee Browder at the letterhead address or via E-mail at
dee,[e-mail],
obert Krebs
urface Water Protection Regional Supervisor
Enclosure
Cc: G. Cecil Clark, Clark & Associates, FT-.
Surface Water Protection Section Central Files (certcaijon page only)
One
NorthCarohna
laturally
Pretreatment, Emergency Response and Collection Systems Unit Internet http://h2o.eninc.state.uslnripti
1617 Mail Service Center, Raleigh, NC 27699-1617 An Equal Opportunity Action Employer
Telephone [phone] Fax [phone]% recycled/10%, post -consumer paper

Fast Track Engineering Certification
Permit No. WQ0031695
May 9, 2007
Mick Berry, City Manager
City of Hickory
PO Box 398
Hickory, NC 28603
G Cecil Clark, PE,
Clark & Associates, Inc.
PO Box 2945
Hickory, NC 28603 DWQ-Sur ace Water Pro_
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 purnps, 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 Engineers Certification, and all
required supporting documentation, have been received by the Division, Therefore, it is highly recommended
that this certification be sent in a manner that provides proof of receipt by the Division.
ENGINEER'S CERTIFICATION
Partial [n Final
as a duly registered Professional Engineer in the State of North Carolina, having
been authorized to observe (J periodically, [I] weekly, El full time) the construction of the Carolina Business
Park, Catawba 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.
I, G. Cecil Clark
SEP 2 6 20(17
NC DENR MRO
North Carolina Professional Engineer's
seal, signature, and date:
iESs,G
8E4L fl
5156
11,,01‘
Oh L
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, NORTH CAROLINA 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