WQ0032141_Regional Office Historical File Pre 2018

ilvtichitel F. 1:'2asley„ Governor
William a Ross Jr „ Secretary.
Nort h Carolina Department of Environment and Natural Resources
Cohen Ft, Sullins, Director
Division or Water Quality
August 29, 2007
Mr. Mick Berry, City Manager
City of Hickory
PO Box 398
Hickory, NC 28603
Subject Permit No, WQ0032141
Falling Creek Estates Phase 3
Wastewater Collection System Extension
Catawba County, North Carolina
Dear Mr, Berry,
In accordance with your application received on August 8, 2007, we are forwarding herewith
Permit No_ W00032141, dated August 29, 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date of issuance until rescinded, and shall be subject to the conditions and limitations as specified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 Officc 610 East Center Ave,„ Suite 301 Mooresville, NC 28115
lotemet: wwwincrnwaterquality.org Customer Service: 1-877-623-6748
An Equal Opportunity/Affirmative Action Employer —50% Recycled/10% Post Consumer Paper
Phone: [phone] Fax: [phone]
NorthCarolina
Naiterally

r Berry
Page 2.
August 29, 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 3,720 linear feet of 8-
inch gravity sewer and the discharge of 25,920 gallons per day of collected domestic wastewater into
the City of Hickory existing sewerage system, pursuant to the application received August 8, 2007, 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 City of Hickory
WW-TP (NPDES No, NC0020401) 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 Dee Browder at (704)
663-1699.
Sincerely,
//l
for Coleen H. Sullins
. ,
cc: Mooresville Regional Office, Collection System Permit File
Cecil Clark, Clark & Associates, Inc,
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:
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.
3. The wastewater collection facilities shall be properly maintained and operated at all times, The
Permittee shall maintain compliance with an individual system -wide collection system permit for the
operation and maintenance of these facilities as required by 15A NCAC 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 2E3 .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 Permttee for the life
of the wastewater collection facilities.
Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2-[ the
Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's
Minimum Design Criteria for the Fast -Track Permitting of Pump Station and Force Mains adopted
June 1, 2000 as applicable; and other supporting materials may subject the Permittee to an
enforcement action by the Division, in accordance with North Carolina General Statutes §143-
215.6A through §143-215.6C.
9. In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall take immediate corrective action, including
those as may be required by this Division, such as the construction of additional or replacement
facilities,
10 The issuance of this permit shall not exempt the Permittee from complying with any and all
statutes, rules, regulations, or ordinances that may be imposed by other government agencies
(local, state and federal) which have jurisdiction, including but not limited to applicable river buffer
rules in 15A NCAC 213 .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.

Voice mail messages or faxed information is permissible, but shallnot 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 (800) 3 3-03 or
(919) 33-330. Persons reporting any of the above occurrences shall file a spill report by
completing Part I of Form D - O (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- (or the most
current Division approved form) can also be completed to show that the SSO was beyond
control.
Permit issued this the 29th day of August, 2007,
NORTH A LI A ENVIRONMENTAL MANAGEMENTCOMMISSION
Coleen H, Sullins, Director
Division of Water Quality
By Authority of the Environment nageManagement Commission
Permit Nu be ° ` 003 1 1

Fast Track Engineering Certification
Permit No, WQ0032141
August 29, 2007
0wnerfv'VQC SMJWTP
Mick Berry, City Manager
Hickory, NC 28603
PO Box 398
Hickory, NC 28603
PE
Cecil Clark
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 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 chancres 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 Final
, as a duly registered Professional Engineer in the State of North Carolina, having been
authorized to observe (I periodically, [1] weekly, E full time) the construction of Falling Creek Estates Phase 3, a
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 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
Engineers Certification shall be considered a violation of the permit and shall subject the Permittee to appropriate
enforcement actions.

ACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
PAGE 3
USE THE TAB KEY TO MOVE FROM FIELD TO FIELD!
1. Owner
City of Hickory
Full Legal Name (company, municipality; HOA, u
V1ick W. Berry, City Manager
Signing Official Name and Title (Please review 15A NCAC 2H .0206(b} for authorized signing o
The legal entity who will own this system is:
Individual ❑ Federal unicipality 0 State/County 0 Pivate Partnership ❑ Corporataon
PO E3ox 398
Mailing Address
Application Number
(to be completed by DWQ
le. Hickory
City
NC f g, 28603
State
828 323-7427
Telephone
Project (Facility) Information:
2a. Falling Creek Estates phase 3
Brief Project Name (permit will refer to this name
Contact Person:
a. Cecil Clark P.E. Engineer for the Project
828 323-7403
Facsimile
Zip Code
k•reer. ci.h
E-mail
2b. Catawba
County Where Projec
Name and Affiliation of Someone Who Can Answer Questions About this Application
. ..........
828 345-1577 3c. ciarkengineering @charterint+
Phone Number } E-mail
Project is New ❑ Modification of an existing permit)
For modifications, attach a separate sheet clearly explaining the reason for the modification (Le. adding another
phase, changing line sizellength, etc.). Only include the modified information in this permit application - do not
duplicate project information in B(7) and B(10-11) that has already been included in the original permit.
2. Owner is Public (skip to Item B(3)) 0 Private (go to Item 2(a))
if Modification, Permit No.:
2a. If private, applicant well be: = 2b. If sold, facilities
❑ Retaining Ownership (Le. store, church, single office, etc.)
Leasing units (lots, townhomes, etc. - skip to Item B(3))
❑ Selling units (lots, townhomes, etc. - go to Item B(2b))
City of Hickory
Owner of Wastewater Treatment Facility (WVVTF) T
4a. City of HickorNo
Name of WVVTF
nt
wned by a (must choose one)
❑ Public Utility (Instruction III)
❑ Homeowner Assoc./Developer (Instruction I
ing Wastewater From This Proj
4b. NC 0020401
VWVTF Permit No.
a. City of Hickory 5b, 8' X Gravity
Owner of Downstream Sewer Receiving Sewer Size °❑ Force Main
The origin of this
a
wastewater is (check all that apply):
x Residential Subdivision
0 Apartments/Condominiums
Mobile Home Park
0 School
0 Restaurant
0 Office
0 Car Wash
0 Institution
Hospital
❑ Church
❑ Nursing Home
❑ Other (specify):
Permit Number of Downstream Sewer
100 % Domestic/Com
% Industrial
Other (specify):
Volume of wastewater to be allocated for this particular project: 25,920 gallons per day
*Do not include previously permitted allocations
If the permitted flow is zero, indicate why:
❑ Interceptor Line - Flow will be permitted in subsequent permits that connect to this line
0 Flow has already been allocated in Permit No.
❑ Rehabilitation or replacement of existing sewer with no new flow expected
FTA 02103 - Rev. '3 04/05

CK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
PAGE4
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(I)(1-2) must be supported with actual water or wastewater use data in accordance with 15A
NCAC 2H .0219(1)(3).
72 lots @ 120/GPD/bedroom X 3 bedroom /residence = 72 X 360 gpd
25,920 GPD
0. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches)
ENTER TOTAL LINE LENGTH IN ES
Length (feet)
Gravity or Force [ Matn
use the pull down menu
3720 gravity
.70
Summary of Pump Stations to be Permitted (attach additional sheets as necessary)
Location ID
hosen - as shown on
plans for cross-reference)
Design Flow
(MGD)
Power Reiiab'ihty Option
Operational Point b (1- dual line feed; 2- permanent generator wIATS; 3-
GPM TDH portable generator w/tetemetry; 4-wet well storage)
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 © 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
Have the following permit 'Certifiications been submitted for approva
Wetland/Stream Crossings - General Permit or 401 Certification? Yes D No X N/A
El Yes ©No
D Yes 0 No N/A
Sedimentation and Erosion Control Plan?
Stormwater?
this project invo
Does this project: have grarity 4
Be aware ttaat t e Division will not awl
corrected rxitar tea strhmittine the final en
nes or siphons? Check if yes: 0
w checked once _everv.sir.innnths...
lines designed at minimum slo
nes more than 1 O% flatter than the
rffication..
urn s10
e thos toteiaR shoutd
FTA 02/03 - Rev, 3 04/05

ACK APPATION for GRAVITY SEWERS, PUMP STATIONS, AN FORCE MAINS
Use the Division'sguidance document entitled, ''DETERMINING STREAM CLASSIFICATIONS
eNS FOR Ft�FtM FTA E12103
(FAST -TRACK SEWER SYSTEMS)" to collect and record the stream classification data below (attach additional sheets as
necessary). This document is available from our web site or by contacting the appropriate Division of Water Quality
regional office (see instructions for addresses) OR indicate the following:
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 n
option for any pump static
Location ID on Map
rtf chosen - as shown on Narnk
yap for cross-referencel rt
Bethlehem 1970 Lake Hi
ubrnit the 8-S"' x 11 D0 0
Applicant's Ceon:
eeded because the design does not depend on wet well storage as a power reliability
n near a Class C down slope waterbody,.
County
Catawba
River
Catawba
atertdy Stream Waterbody
Index Classification
11 (53) WS-iV,B:CA
aphic map as required in Instruction Vi
classification is provided!
i, Mick W. Berry, attest that this application for Falling Creek Estates phase 3 sewer extension 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. 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 civi!
penalties up to $25,000 per violation.
iv/ P93,0
Sign'
Profet
O cira Signature" v Late
Engineer's Certifacaticn:
I attest that this application for Falling Creek Estates phase 3 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. 1' further attest that to the best of my knowledge the proposed design has been prepared in
accordance with the applicable nagulations,„ Gravity Sewer Minimum Design Criteria for Gravity Sewers adopted February
12, 1996, and the Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June
1, 2000 and the watershed classification in accordance with Division guidance, Although certain portions of this submittal
package may have been developed by other professionals, inclusion of these materials under my signature and seal
signifies that l 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 1.43-215.6B, 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 $1 p, 000 as well as civi!' penalties up to $25,000 per violation.
Boa G. Cecil Clark
Professional Engineer Name
2b.. Clark & Associates Inc.
Engineering Firm
2c P© Box 2945 __._....
Mailing Address
d. Hickory
City
28 41577
Telephone
828
Facsi
e NC
State
0271
ciarkengi neering@charterinter
Signature & Date
ETA 02ltV - ltev. 1 f!4

Cent f=tiles. APS 1i
08 /07
Penn Number WQ0032141 Perm Tracking lip
Program Category
Stan -discharge
Status Project Type
Active New Project
Permit Type :. t T ra s Version Permit Classific non
Gravity Sewer Extension„ Pump Stattohs., Pressure Sewer 1.00 Individual
Extensions
Primary Pevies
dee.drovrder
Permitted Flown
25920
facility
er
Facility Name
FallingCreek Estates Phase
Location Address
Owner
Owner Name
City of Hickory
Permit Con et Affdianon
nor
inor Region
Mooresviile
County
Catawba
Facility Contact Affiliation
Owner Type
Government -Municipal
Owner Affiliation
Mick Berry
PO Box 398
Hickory
DatestEv9nts
Scheduled
Orig Issue App Received Draft initiated Issuance Pubtic Notice Issue
08 29/07 0 /0 /07 /29/ 7 0 /29/07
NC 2860103
Regulated Activities
Subdivision
Wastewater co
tttfll N1
Waterbody Name
At/Moots t Irtfori
lveeived Events
rr received
Addrtional information requested
ctive Expirsti©n
Stream index Number Currurat Class ashaslta

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HICKORY LAND LAND DEVELOPERS LLC
127 1ST AVE NE
HICKORY, NC 26601-6206
DATE
'AY
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WO YEARS ---
Bank of Granite
CC wroil SOLItt StftVI
HICKORY, NC Z86,03
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4.4
1005
66-363/531

(k*� M chaeV F. Easley, Governor
William G. Ross Jr, Secretary
North Carolina Departsrrent of Environment and Natural Resources
Coleen Sullins, Director
©lvision of Water Quality
Oct
ber 2, 2008
City of Hickory
P.O. Box 398
Hickory, North Carolina 28603
Attn: Mick Berry, City Manager
SUBJECT: Falling Creek Estates Phase 3
Permit No. WQ00321.1
Wastewater Collection System Extension
Final Engineering Certification
Dear Perrnittee:
The Division received a final engineering certification for the subject project on September 12,
2008. A full review of -the certification materials may or may not be conducted, it is assumed that
receipt of this certification indicates compliance with at 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
i-Ittp://h2o,enr.state,nc,us/ndpuf ndpuapps,html#Sewer.
if you have any questions concerning this document or the completion of Form PNOCF-S (if
necessary), please contact Ms. Dee Browder at the letterhead address or via E-mail at
[e-mail]
ncerely,
e
bert Krebs
ace'Water Protection kegionai Supervisor
EncIosure
Celli Claris„ Cvlark & Associa'es
Surfoce Water Protection Septic t :eniral Files (certifc ati)on page only)
Pretreatment, Emergency Response and Collec5oct S tstems Unit Internet http,r1h2o.enr.nc.state usindpu
1617 Mail Service Center, Raleigh, NC 27699-161 7 An Equal Qpportu.nity Action Employer
Telephone [phone] Fax [phone]% recycle `1ti0% post -consumer paper

1111Pr ast Track Engineering Certification
Permit No WQ0032141
August 29, 2007
Owner/WQCS/WWTP PE
Mick Berry, City Manager Cecil Clark
Hickory, NC 28603 Clark & Associates, Inc.
PO Box 398 PO Box 2945
Hickory, NC 28603 Hickory, NC 28603
Complete and submit this form to the permit issuing regional office with the following:—Cfl
• One copy of the project record drawings (plan & profile views of sewer lines) of the wastewater collection
system extension g'SLITIOCe -
• 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 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 a Final
I,G. cool 1 Clark as a duly registered Professional Engineer in the State of North Carolina, having been
authorized to observe (EE periodically, El weekly, E full time) the construction of Falling Creek Estates Phase 3, a
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 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.