WQ0033598_Regional Office Historical File Pre 2018

Mr, Mick Berry, City Manager
City of Hickory
PO Box 398
Hickory, NC 28603
North Cf
November 20, 2008
Michael F. Easley, Governor
'vk'd lam C6 Ro,ss Jr , Secretary
inaDeprt ruuttt '1 :nviR'nnrentand Natural Resources
(."r)leen ri. Sullins, Director
Division of Water Quality
Subject. Permit No. W00033598
Mountain View Baptist Church
Wastewater Collection System Extension
Catawba County, North Carolina
Dear Mr. Berry;
In accordance with your application received on November 13, 2008, we are forwarding
herewith Permit No. W00033598, dated November 20, 2008, 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the date of issuance until rescinded, and shall be subject to the conditions and limitations as specified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
Perrnittee'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 ProfessionalEngineer to the licensing board.
a,at
Nor-thC::arolina
tarry
Mooresville. Regional i Office 610 Fast C;'eirter,.yv°e , Sutte :if)I N1eauresvt11e, NC 28115 l'hrsnc,. (704) 66 3-I6i?3l Fax d a043 t"la-tty t
Internet: wwrv.ncrnwaterquality.ory Customer See: I-87'7.623-674I8
An Equal ©pportunitytAffirma'live Action Employer - 50% Rk cyeledr10% Post Consumer Paper

Mr, Berry
Page 2
November 20, 2008
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 1,805 linear feet of 2-
inch force main sewer and the discharge of 2,250 gallons per day of collected domestic wastewater into
the City of Hickory existing sewerage system 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
WWTP (NPDES No. NC0020401) prior to being discharged into the receiving stream.
Assessing subsequent impacts to the downstream collection system and treatment facility is the
complete responsibility of the City of Hickory. Hickory must utilize whatever tracking tools necessary for
planning additions of sewer flow in order to maintain compliance with the WWTP permitted limits and
the WQCS0002O permit requirements.
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 1508 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,
,oleen H. Sullins
cc. Mooresville Regional Office, Collection System Permit File
R. Carroll Williams, PE
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 aes. The
Perrnittee 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.
9. In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall take immediate corrective action, including
those as may be required by this Division, such as the construction of additional or replacement
facilities
10. The issuance of this permit shall not exempt the Permittee from complying with any and all
statutes, rules, regulations, or ordinances that may be imposed by other government agencies
(local, state and federal) which have jurisdiction, including but not limited to applicable river buffer
rules in 15A NCAC 2B ,0200, erosion and sedimentation control requirements in 15A NCAC Ch. 4
and under the Division's General Permit NCG010000, and any requirements pertaining to wetlands
under 15A NCAC 2B ,0200 and 15A NCAC 2H .0500.
11. Noncompliance Notification:
The Permittee shall 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 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 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.
Permit issued this the 20th day of November, 2008.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmenta
Permit Number WQ0033598
anagement Commission

Fast Track Engineering Certification
Permit No WQ0033598
November 20, 2008
OwneriWQCS PE
Mick Berry, City Manager R Carroll Williams
Hickory, NC 28603 4840 N. Center St.
PO Box 398 Hickory, NC 28601
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 n chages 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
F Partial El Final
, as a duly registered Professional Engineer in the State of North Carolina, having been
authorized to observe (LI periodically, E weekly, Li full time) the construction of Mountain View Baptist Church, 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

=
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
Flow Tracking/Acceptance for Sewer Extension Permit Applications
io“ (FTSE -10107)
LIT ct.,e wat
Project Applicant Name: City of Hickory
Project Name for which flow is being requested: Mountain View Baptist Church. Force Main
Afore than one VISE-10/07 may he required fir a single ,project tithe otner of the WirTP is not responsible for all
pump stations along the route of the proposed wastewater flow
Complete this section only it' you are the owner of the wastewater treatment plan
a. WAIT Facility 'Name: Henry Fork 'Waste Water Treatment Plant
b. WWTP Facility Permit #: NC0040797
All flows are in N GD
c. WWII' facility's permitted flow 9 MGD
d. Estimated obligated flow not yet tributary to the WWTP 1.33 MGD
e. WWTP facility's actual avg. flow 2.48 MGD
f. Total flow for this specific request 0.00225 MGD
g. Total actual and obligated flows to the facility 3.81225 MGD
h. Percent of permitted flow used 42.36 %
11. Complete this section ;for each pump station you are responsible for along the route of this
proposed wastewater flow,
List pump stations located between the project connection point and the ww-rp
Pump Station Name Approx. Capacity, MGI) Approx. Current. Avg.
(Firm/Design) Daily Flow, MGD
2.30 MGD 0.936 MGD
Sandy Ford
111.Certification Statement:
1, Mick W. Berry, City Manager. certifythat, 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 to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity
related sanitary sewer overflows or overburden any downstream pinup station en route to the receiving
treatment plant under normal circumstances. 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 Sections 1 and 11 for which I. am the responsible party. Signature of this form indicates
acceptance s waater flow.
Signing Signature Date

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�__--__-'----------'--� FIELD -~ Application �
USE THE TAB KEY TO MOVE FROM «u��L"! _ _xv by�wvu!_
7, :
1a City
� �- ----- Full Legal Name (company, unicipalhy, HOA uhNy, etc)
1b. Mick V&Berry,
Signing Official Nmnm=.
Name and ^o\�"v�xr/x~= °..,~.__ _ , .
' 1c, The legal entity who will own this i State/County E3Private Partnership El Corporation [] Other (sPe«ify):
1d, PO
LL Mailing Address
if, NC
lip s�am
1j
�� 1h 1i . _____
Telephone Facsimile^._�
2 Project (Facility) Information:
2o, Mountian View Baptist Church
_64JProjectNmme(penndwiHnefertm\nmnama)
| ~ Director
3o. l�vi/". reel,"--====�----- - ----� nsAbou` ��App8o�dmn
Name and A0hadnnnySomeone VVhoCan Answer uueaoo
' 3c k�re�r cum
� 3b, 828-323-7427E-m__ uU�--�- -
! Phone Number ___ '__ __-'--- --- -----'--' ---- --
--- ------- ---'--- --- --- --- existing p�nniV if Modification, Permit No,
i--'- i ��N []�odi�wuhon(omunex ng .
1� Project � New ~. ,_�',____
� -2 owner is ��Pubhc�h�k`Aem8(3/)LJrn«a�mvw/u""^�"» |___
' � __- ------'--- ---�-' ---- ------'-- �uUb�uownodbyu�n�1uhoonenne1 |
� --- wNbo ^~. if sold, /
` 2� �pdvu�.ep�kan � _ ,. �
1e,
Hickory -
City
1g� 28603 _
Zip Code
orauthorized s�officials!)
2b� _
- County ���
Project
Re��inyOwne�hp�au�re.church, s�y�o�ue.o�jor
Leasing unhaUo�.�wnhmmes.�c� �"
s�*o8emB(3)
F] Selling units (lots, townhomes, etc - go to item B(2b))
Public Utility C)
~ Assoc,/Developer |
LJHmmanwnar u |
3City--- \
' --�--� Teoum vvun���o/r,vo, .`^�"���
er of Wastewater Treatment Facility (WWT
_ �~.'~.-�_____-_
4m, H ---------- --------- yVVVTF Permit No.
Name of WWTF
5c
Permit #ofDownstream Sewer (instnuctionE) |
------- --------- Gravity5m. Chyc�+�c«o'y °". ,` '~''- Sewer Size ' !El Force Main
- Downstream Soww,�mnem�ng
6, The origin of this wastewater is (check all that apply):
Owner of
Residential Subdivision
Apartments/Condominiums
Mobile Home Park
School
Restaurant
0Offima
Retail (Stores, shopping centers)
Institution
Hospital
Church
Nursing Home
Other (specify):
7 Vo�me�wp�w�r����a�or�nn��for M� ��r�����
� *Do not include future flows or previously permitted allocations
8, If the permitted flow is zero, indicate why:
��con�����N�
Pump Stuton.OuthmUor} Line where flow wWbepwrm�edinsubsequent permits
Flow has already been allocated inPermit No. / "�wOmwa �m�=| d�ee15ANCACO2T.Q3O3tod�e«»inm�m
El �
~Roha0��m���me����og��r��no �=
permit isrequired)
1O8%Domestic/Commercial
! Y6Industrial (attach
�-_____
/ denohpbon)
(130�oontau your Regional Office
|Pretreatment staft)
% Other (specify):
I gallons per day

9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2T .0114 for
the value in ttem B(7) AND/OR the design flow for line or pump station sizing if a reduced or zero flow is being requested in
Item 6(7), Values other than that in 15A NCAC 2T .0114 (b) and (c) must be supported with actual water or wastewater use,
data in accordance with 15A NCAC 2T .0114 (f).
450 seats x 5 gal/seat = 2250 gpd
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Length (feet)
1805-ft
Size (inches)
2-in PVC Class 315 SDR 115
New Gravity or Additional
Force Main
Force Main
C) 11. Summary of Pump Stations wl associated Force Mains to be Permitted (attach additional sheets as necessary)
Pump Station Location ID
z
z
z
0
I— Pump Station Location ID
Design Flow
(MGD)
u-
Design Flow
(MGD)
Pump Station LocationLocatiofl ID
Design Flow
(MGD)
(self chosen - as shown on plans/map for reference)
Power Reliability Option
permanent generator wiATS; Force Main Size Force Main Length
Operational Point 1
GPM @TDH 2 - portable generator wIMTS
(self chosen - as shown on plans/map for reference)
Power Reliability Option
Operational Point 1
permanent generator MATS; Force Main Size Force Main Length
GPM @TDH 2 - portable generator w/MTS
(self chosen -
Power Reliability Option
Operational Point 1
permanent generator w/ATS;
GPM @TDH 2 - portable generator w/MTS
as shown on plans/map for reference)
Force Main Size Force Main Length
12, Will the wastewater flow in the proposed sewer lines or pump stations be able to be directed to another treatment facility?
Lil Yes No If Yes, permit number of 2nci treatment facility
(RO — if "yes" to 6,12 please contact the Central Office PERCS Unit)
13, Does the sewer system comply with the Minimum Design Criteria for the Fast Track Permitting of Pump Stations and Force
Mains (latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC Chapter 2T as
applicable?
Yes El 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
FTA 7

14. Have the following permits/certifications been submitted for approval for the system or project to be served?
Wetland/Stream Crossings - General Permit or 401Certification? ID Yes D No I4 N/A
Sedimentation and Erosion Control Plan? El Yes [1] No N/A
Storrnwater? El Yes Ell No 4 N/A
15. Does this project include any high priority lines, [see 15A NCAC 02T ,0402 (2)] involve aerial lines, siphons, or interference
manholes)? These lines will be considered high priority and must be checked once every six months
Check if Yes. II] and provide details
1. Owner/Permittee's Certification. (Signature of Signing Official and Project Name)
la.
1, Mick W. Berry, City Manager attest that this application for Mountian View Baptist Church has been reviewed by me
and is accurate and complete to the best of my knowledge 1 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 143-215,68, 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.
Signing OffiI Signature
Date
ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
APPLICATION THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY
to TO OTHER UTILITIES, DESIGN CALCULATIONS. ETC. REFER TO 15A NCAC 02T .0305
0
2. Professional Engineer's Certification. (Signature of Design Engineer and Project Name)
1, R. Carroll Williams, PE attest that this application for Mountian View Baptist Church 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 forlGravity Sewers
adopted February 12, 1996, and the Minimum Design Critena far the Fast -Track Permitting of Pump Stations and Force
Mains adopted June 1, 2000 and the watershed classification in accordance with Division guidance, Although other
professionals may have developed certain portions of this submittal package, inclusion of these materials under my
signature and seal signifies that 1 have reviewed this material and have judged it to be consistent with the proposed design,
Note: In accordance with NC General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or codification 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. R, Carroll Williams, PE
Professional Engineer Name
2b. R. Carroll Williams PE
Engineering Firm
2c. 4840 N. Center St,
Mailing Address
2d. Hickory 2e, NC 2f 28601
City State Zip
2g. 828-327-4697 2h. 2i. Rcw.peacharter.net
Telephone Facsimile
E-mail NC PE Seal, Signature & Date
1TA I 2/07

Central Files APS SWP
11/19/©8
Pert Number WQ0033598 Permit Tr king Slip
Program Category
Non -discharge
Status Project Type
In review New Project
Permit Type Fr3st'Track Version
Gravity Sewer Extension„ Pump Stations, & Pressure Sewer A
Extensions
Primary Reviewer
dee. Browder
Permitted Flow
2250
facility
Facility Name
Mountain View Baptist Church
Location Address
Owner
Owner Name
City of Hickory
Dates/Events.
Orig Issue
11/20/08
App Received Draft Initiated
11/13/08
Regulated Activities
Church
Scheduled
Issuance
Permit Classification
Individual
Permit Contact Affiliation
Major/Minor Region
Minor Mooresville
County
Catawba
Facility Contact Affiliation
Owner Type
Government - Mun
Owner Affiliation
Mick Berry
PG Box 398
Hickory
NC 286010398
Public Notice Issue Effective
11/20/08 11/20/08
Reauested/Received Evg
Additional information requested
Wastewatercallection Additional information received
°utfall NULL
Expiration
Waterbody Name
Index Number Current Glass Subbasin

J)`51.fi
40 5 3 i00 30 ,: 0 it 000 82i' 09947