WQ0036488_Regional Office Historical File Pre 2018

NCD it
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Charles Wakild, P. E.
Governor Director
April 25, 2013
The Broadway Group, LLC
Mr, Robert Broadway, Managing Member
132 Holmes Ave
Huntsville, AL 35801
John Skvarla, Ill
Secretary
Subject Permit No. WQ0036488
Hickory, NC New dollar General Store
Wastewater Collection System Extension
Catawba County
Dear Mr. Broadway:
In accordance with your application received April 24, 2013, we are forwarding Permit No. WQ0036488,
dated April 25, 2013 to the Broadway Group, LLC 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rescinded, and shall be subject to the conditions and limitations as specified therein.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
and supplement shall be considered a part of this permit and are therefore incorporated therein by
reference.
It shall be responsibility of the Broadway Group to ensure that the as -constructed project meets the
appropriate design criteria and rules. Failure to comply may result in penalties in accordance with the
North Carolina General Statute 5143-215.6A through 5143-215.6C, 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 It titattons 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.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 $. Salisbury St Raleigh, North Carolina 278I
Phone: [phone], FAX: 919-807. '92
Internet: www ncwaterquality,orq
An Equal Opportunity a Affimtrialive Action Empinyer
None
hCaro na
tura/f

Broadway
6488
if you need additional information concerning this matter, please contact r.SamarBoo-Ghat le at
(70 ) 235-21.99 or via e-mail at mar.E ou-Gha ales me enc oy
cc: (err y IV;.Cargile, P.., electron
Water Quality Central Files
PERCS (electronic copy)
Sincerely,
far Charles Wakild, P,E, Director
Division of Water Quality
copy) 45ite; Inc.

A siaA
NCDENR
STATE OF NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
WASTEWATER COLLECTION SYSTEM EXTENSION PERMhT
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
The Broadway Group, LLC
Catawba County
for the construction and operation of approximately 850 linear feet of 1.5 inch force main sewer, a
0.0009 MGD Pump Station (14.75 GPM @ 5.5 feet) and the discharge of 900 gallons per day of collected
domestic wastewater into Henry Fork Creek WWTP existing sewerage system, pursuant to the
application received April 24, 2013, 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 J ne ,2000 as
applicable; and other supporting data subsequently filed and approved byDepartment
f
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,
sued this the 25th day of April, 2013.
Per
or Charles Wakild, P.E., Director
Division of Water Quality
By Authority of The Environmental Management Commission
Permit Number. WQ0036488

SUPPLEMENT EMENT TO PERMIT COVER SHEET
The Broadway Group, LLC is hereby authorized to:
Construct, and then operate upon certification the aforementioned wastewater collection: extension,
The sewage and wastewater collected by this system shall be treated in Henry Fork Wastewater
Treatment Fad|ity(NPDES Permit No. N[O040797) prior to being discharged into the receiving stream,
PennAhn0 of this project does not constitute an acceptance of any part vfthe project that does not
meet 25A N[A[ 2T; the Division of Water Quality's (Division) Gravity Sewer Minimum Design Criteria
adopted February 12, 1996 as applicable; and the Division's Minimum Design Criteria for the Fast -Track
Permitting ofPump Stations and Force Mains adopted June l, 2000 as applicable, unless specifically
mentioned herein. Division approval is based on acceptance of the certification provided by a North
Caro|ina-/icrnsed 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.
11. STANDARD CONDITIONS
I. This permit shall not be transferable, m the event there is a desire for the wastewater collection facilities to
change ownership, or there is name change of the Permituee, o 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,
2. This permit shall become voidable unless the wastewater collection facilities are constructed in accordance
with the conditions of this permit; 15A m[A[ 2T; the Division of Water Quality's (Division) Gravity Sewer
Minimum Design Criteria adopted Februaryl2, 1996asapplicable; the 0Ms|mn'sMinimum Design Criteria for
the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1' 3000as applicable; and other
supporting materials unless spedficaHymentioned herein.
l This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data.
4. The wastewater collection facilities shall be properly maintained and operated at all times. The Pennittee
shall maintain compliance with an individual system -wide collection system permit for the operation and
maintenance of these facilities as required by ISA NCA[ 2T .0403, if an individual permit is not required, the
following performance criteria shall bemet asprovided 'in 15AN[A[2T.0403:
a. The sewer system shall boeffectively maintained and operated atall times tpprevent discharge uoland 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 are
documented.
f. A general observation of the entire sewer system shall be conducted at least once per year,
g. 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.
h. A Grease Control Program is in place as follows:
1. 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.
2. 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.
3. 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,
j. Documentation shall be kept for Subparagraphs (a) through (i) of this Rule for a minimum of three years
with exception of the map, which shall be maintained for the life of the system.
5. Noncompliance Notification:
The Permittee shall report by telephone to a water quality staff member at the Mooresville Regional Office,
telephone number 704-663-1699, 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 SSO and/or spill over 1,000 gallons; or
c. Any SSO and/or spill, regardless of volume, that reaches surface water
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 I of Form CS-SSO (or the most
current Division approved form) 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,

6, 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.
7, Per 15A NCAC 27.0116, 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. 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:
If the permit is issued to a private entity with an Operational Agreement, then a copy of the Articles of
Incorporation, Declarations/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 where 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 pump station design calculations (selected pumps, system curve, operating
point, buoyancy calculations, 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.
c. Changes to the project that do not result in non-compliance with this permit, regulations, or the Minimum
Design Criteria should be dearly 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 (including pipe length increases of 10% or greater, increased flow, pump station
design capacity design increases of 5% or greater, and increases in the number/type of connections),
regulations, or the Minimum Design Criteria, Requested modifications 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.
8. A copy of the construction record drawings shall be maintained on file by the Permittee for the life of the.
wastewater collection 'facilities.
9. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 27; 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, construction of additional or replacement
wastewater collection facilities, and/or referral of the North Carolina -licensed Professional Engineer to the
licensing board,

10. 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 construct on of additional or replacement facilities.
11. 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 1.5A NCAC 20 .0200 and 15A NCAC 2H .0500.

FAST TRACK ENGINEERING CERTIFICATION
Permittee: The Broadway Group, LLC
Project: Hickory, NC New Dollar General Store
Permit No. WQ0036488
Issue Date: 04/25/2013
Complete and submit this form to the permit issuing regional office with the following:
• One copy of the project record drawings (plan & profile views and detail drawings of sewer lines) of the wastewater
collection system extension. Final record drawings should be clear on the plans or on digital media (CD or DVD
disk) in pdf format Record drawings should indicate the design and the marked up changes during construction.
• 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. Modifications should be submitted prior to certification.
This project shall not be considered complete nor allowed to operate until the Division has received this Engineer's
Certification and all required supporting documentation, Therefore, it is highly recommended that this certification
be sent in a manner thatprovides proof of receipt by the Division.
PERMITTEE'S CERTIFICATION
, 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
El Partial El Final
, as a duly registered Professional Engineer in the State of North Carolina,
having been authorized to observe (El periodically, El weekly, El full time) the construction of the subject 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 02T; 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
SURFACE WATER PROTECTION SUPERVISOR
Mooresville REGIONAL OFFICE
610 East Center Ave., 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,

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cc
0
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USE THE TAB KEY TO MOVE FROM F E D TO FIELD!
Application Number:
(to be completed by DWQ)
1, OwneriPermittee:
la. The Broadwey_Gro9p, LLC
Full Legal Name (company, municipality, HOA, utility, etc)
1b. Robert M. Broadway, Managing Member
Signing Official Name and Title (P)ease review 15A NCAC 2T ,0106 (b) for authorized signing officials!)
lc, The legal entity who will own this system
Ej Individual Ej Federal 0 Municipality Ej Statettounty Private Partnership Corporation 0 Other (specify)
ld, 132 Holmes Ave le, Huntsville
Mailing Address City
lt. AL lg„ 35801
State Zip Code
1h. 256-533-7287 1 i„ 256-533-7236 1 [e-mail]
Telephone Facsimile E-mall
2. PratectjFacility)Information:
ej 2a, Hickory, NC New Dollar General Store 2b, Catawba
Brief Project Name (permit witrefer to this name) County Where Project is Located
EL
< 3, Contact Person:
4 3a. Melissa Ballard, Prollict Manner
Name and Affation of Someone Who Can Answer Questions About this Application
3b. 256-533-7287 3c, [e-mail]
Phone Number E-mail
1, Project is New 0 Modification (of an existing permit) If Modification, Permit No,:
0
0
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u.
ai
2, Owner is 0 Public (skip to item B(3)) Private (go to Item 2(a))
23, If private, applicant will be: 2b, If s_eld, facilities owned by a (must choose en_e)
Ej Public Utility (Instruction Cy
El Homeowner Assoc„/Developer (Instruction 0)
Retaining Ownership (i,e, store church, single office, etc,) or
0 Leasing units (lots, townhomes, etc, - skip to Item 8(3))
0 Selling units (lots, townhomes, etc. - go to item 6(2b)
3. city of Hickory_
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater Frorn This Project
4a. HenrtFork
4b NC0040797
Name of WWTF WWTF Permit No,
5a. City of Hickory_ 5b 8" Gravity 5c WOCS00020
: .
Owner of Downstream Sewer Receiving Sewer Size 0 Force Main
6, The origin of this wastewater is (check all that apply):
0 Residential Subdivision
0 Apartments/Condominiums
0 Mobile Horne Park
0 School
0 Restaurant
Li Office
N-y
Permit # of Downstream Sewer (Instruction E)
Retail (Stores, shopping centers)
0 Institution
0 Hospital
0 Church
0 Nursing Home
0 Other (specify):
7 Volume of wastewater to be allocated oeperrnitted for this particular project:
*Do not include future flows or previously permitted allocations
8. If the permitted flow is zero, indicate why'
100 % Domestic/Commercial
% Industrial (attach
description)
(RO: contact your Regional Office
Pretreatment staff)
% Other (specify).
_ 900 gallons per day
0 Pump Station, Outtall or Interceptor Line where flow will be permitted in subsequent permits that connect to this line
0 Flow has already been allocated in Permit No.
0 Rehabilitation or replacement of existing sewer with no new flow expected (see 15A NCAC 02T .0303 to determine it a
permit is required)
FTAI 2107

9, Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2T .0114 for
the value in item BM AND/OR the design flow for line or pump station sizing if a reduced or zero flow is being requested in
Item B(7). Values other than that in 15A NCAC 2T ,0114 (b) and (c) must be supported with actual water or wastewater use
data in accordance with 15A NCAC 2T ,0114 (f),
10, Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches) Length (feet)
1,50
New Gravity or Addition&
Force Main
850 New Force Main
11 Summary of Pump Stations w/ associated Force Mains to be Permitted (attach additional sheets as necessary)
LU Pump Station Location ID _WH472-92 Environment One Grinder Pump_ (self chosen - as shown on plans/map for
p
Z Design Flow Power Reliability Option
i
(MGD)
Operational Point
GPM TDH 1 - permanent generator MATS; Force Main Size Force Main Length
,,
Z 2 - portable generator w/MTS
0
C.)
z
0
14,75 None. Pump has capacity to store
00O09MGD 5.5 feet 476 gallons prior to spillage 1,5" 850 Feet
i-
11:( Pump Station Location ID
2
cc Design Flow Power Reliability Option
0 (MGD)
Operational
Point 1
GPM tiTDH - permanent generator w/ATS; Force Main Size Force Main Length
LL. 2 - portable generator w/MTS
Z
_ (self chosen - as shown on plans/map for reference)
u j Pump Station Location ID _ (self chosen - as shown on plans/map for reference)
CL
Design Flow Power Reliability Option
CCI (MGD) Operational Point
GPM TIDH
permanent generator w/ATS; Force Main Size Force Main Length
v
2 - portable generator w/MTS
12. Will the wastewater flow in the proposed sewer ines or purnp stations be able to be directed to another treatment facility?
Yes No If Yes, permit number of 2" treatment facility
(RO — if "yesto 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 Ej 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
FT A 12107

14, Have the following permits/certifications been submitted tor approval for the system or project to be served?
Wetland/Stream Crossings - General Permit or 401Certification?
Sedimentation and Erosion Control Plan?
Stormwater?
0 Yes ID No
N/A
Yes 0 No Ej NiA
Yes El No 0 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: 0 and provide details
1, Owner/Permittee's Certification: (Signature of Signing Official and Project Name)
1, _ROBERT M. BROADWAY attest that this application for THE BROADVYAY GROUP, LLC_, 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-f15:64..agd,143-215„619, any person who knowtrtgly makes any false statement, representation„ or
certificatconlin any applicaon,shall be guilty of a Class 2 misdemeanor, which may include a fine not to exceed $10,000
as well as &MT penalties up to 5,000 per violation
1a.
Signing Official Signature
Date
ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMI I JAL OF THIS
APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY
TO OTHER UTILITIES, DESIGN CALCULATIONS. ETC. REFER TO 15A NCAC 02T ,0305
2. Profes nal Engineer's ation: (Signature of Design Engineer and Project Name)
.5it ZchE
attest that this application for eqQ, 4 , has been
revi�d ,by me and is accurate, mplete and consistent with the information in the engineering plans, calculations, and
all other supporting documentation to the best of my knowledge. 1 further attest that to the best of my knowledge the
proposed design has been prepared in accordance with the applicable regulations, Gravity Sewer Minimum Design Criter
for Gravity Sewers adopted February 12, 1996, and the Minimum Design Criteria for the Fast -Track Permitting of Pump
Stations and Force Mains adopted June 1, 2000 and the watershed classification in accordance with Division guidance.
Although other professionals may have developed certain portions of this submittal package, inclusion of these materials
under my signature and seal signifies that 1 have reviewed this material and have judged it to be consistent with the
proposed design Note; In accordance with NC General Statutes 143-215.6A and 143-215,6B, any person who knowingly
makes any false statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor
which may include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation,
2a. JeryM Ca_rgile,
Professional Engineer Name
2b. 4Site, Inc
Engineering Firm
.,00‘111.414/
0 •
:23-1
SEAL
2c. 7500 South Memorial Pkwy, Ste 209 36690
Mailing Address
* *
ION
NC PE Seal %guature & Date
2d. Huntsvllle 2e, AL 21. 35802
City State Zip
2g, 256-539-1221 2h 256-539-1220 2i, icarglle 4sitein ,bi
Telephone Facsimile E-mail
FTA „

USE THE TAB KEY TO MOVE FI Ol41 FIELD TO FIELD!
I. Ow ner/Perrnittee:
1 a. The Br©adwayr Groat, LAC
Full Legal Name (company, mu n cipaNity, HOA, uti
1 b, Robert M BroedWe r Manag!na Member
Signing Official Name and Title (Please review 15A NCAC 2T.0106 (b) for authorized signing official'
lc. The legal entity who will own this system is:
© Individual 0 Federal 0 Municipality 0 StatelCounty 0 Private Partnership Cor+oration O
Application Number:
(to be completed by CiWO)
0 1 d. 132rnHolmea Ave
41- Mailing Address
1f, AL
Z Stale
1 h. 256-533-7267 r w
Telephone
z
Facsiml
2 Project (Facility) in as t
ryStore
2a. l-ficko NC New Dollar General
Brief Project Name (permit will refer to this name
3. Contact Per onz
3a. Melissa 8ailardPraect flatterer
Name and Affiliation of Someone Who Can An
3b 256533 7287
Phone Number
le. Huntsville
pity
p Code
bob,broadway
E-mail
h
2b. Catawba
County Where Project is Located
stions About this Application
c. rnelissa ba(lard@broadwey
E-mail .�.
1. Project is New 0 Modification (of an existing permit) if tvl, Permit No,:
2. Owner is 0 Public (skip to Item 8(3)) Private (go to lie rn 2(a))
2b. If sold, facilities awned by a (must choose one)
pacify):.
u.net
2a. If private, applicant will be:
Retaining Ownership (i.e. store, church, single office, etc.) or
0 Leasing units (lots, townhomes, etc, - skip to Item B(3))
0 Selling units (lots, townhomes, etc, - go to Item B(2b))
eq of H ckcaq_, ....._, _....w...
Owner of Wastewater Treat
4a. Han_q Fork .m... Xe
Noma of WWTF
City of Hickcary bb. 8"
Owner of Downstream Sewer 'Receiving Sewer Size
The origin of this wastewater is (check all that apply):
0 Residential Subdivision
0 Apartments/Condominiums
0 Mobile Home Park
0 School
0 Restaurant
0 Office
0 Public Utility (Instruction C)
0 Homeowner Assoc./Developer (Instruction D)
Facility (WWTF) Treating Wastewater From This Project
4b. NC0040797
WWTF Permit No n.__..._
Gravity Sc,. WOCS00080
Force Main Permit # of Downstrea
Retail (Stores, shoppin
0 Institution
0 Hospital
0 Church
0 Nursing Home
0 Other (specifyl.
enters)
Domestic/Commercial
% Industrial (attach
description.)
(RO: contact your Regional Office
Pretreatment staff)
% Other (sp
fy):
7. Volume of wastewater to be 1lrtoated er permitted for this particular project: ff_ gallons per day
•Do not inctude future'fdo to tar pr svioualy permitted allocations
8if the permitted flow is zero, indicate why:
0 Pump Station, Duffel! or Interceptor Line where flow+naif( be permitted in subsequent permits that connect to this line
0 Flow has already been allocated in Permit No.
0 Rehabilitation or replacement of existing sewer with no new flow expected (see 15A NCAC 02T ,0303 to determine 'if a
permit is required)
FT "a 12

f�.11
z
z
Q
0
0
Provide the wastewater flow calculations used in determining the permitted flaw in accordance with 15A NCAC 2T .0114 for
the value in item 8(7) AND/OR the design flow for fine or pump station sizing if a reduced or zero flow is being requested in
Item S(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).
Commercial Building with 2 toilets, 1 drink fauntain, & 1 mop sink, Based on NC Rule 15A NCAC 2T, 900 GPD
i minimum required flow for retail store without food service 0 100 gallons/1000 sq, ft,
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches)
1.50
Length (feet)
New Gravity or Additional
Force Main
780 New Force Main
p Stations w/ associated Force Mains to be Permitted (attach additional sheets as necessary)
Pump Station Location ID __Duplex Jung Pumpen Model G2DT-21 Grinder Pump (self chosen - as shown on plans/map
Design Flow
(MGD)
9 mop_ ,
nal Point Power Reliability Option
operatio
GPMit 1 - permanent generator w/ATS; Farce Main Size Force Main Length
2 - portable generator w/MTS
18 GPM
48 feet
Portable Generator wf MTS
780 Feet
Pump Station Location ID qp Aself chosen - as shown on plans/map for reference)
Design Flow a erational Point Power Reliability Option
(MGD) GPM tIa�TDH 1 - permanent generator w/ATS; Force Main Size Force Main Length
2 - portable generator w/MTS
W Pump Station Location ID
a.
(self chosen - as shown on plane/map for reference)
Design Flow Operational Point Power Reliability Option
(MGD) GPM' *TON - permanent generator w/ATS,; Force Main Size Force Main Length
2 - portable generator wlMTS
12. Will the wastewater flow in the proposed sewer lines or pump stations be able to be directed to another treatment facility?
] Yes ►`a No if Yes, permit number of 2nd treatment facility
(RC - if yes" to 8,12 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 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

la
Signing Official
14, Have the following permits/certifications been submitted for approval for the system or project to be served?
VVetland/Strearn Crossings - General Permit or 401Certificaton? 0 Yes D No 4 N/A
Sedimentation and Erosion Control Plan? 4 Yes 0 No El N/A
Stormwaler? 4 Yes E3 No 0 WA
15. Does this project include any high priority lines, [see 15A NCAC 02T .0402 2Involve aerial lines, siphons, or interference
manholes)? These lines w II be con h h nd
Check if Yes: El and provide details
1. Owner/Permittee's Certification: (Signature of Signing Meal and Project Name)
1, _ROBERT M. BROADWAY , attest that this application for THE BROADWAY GROUP, LLD' has
been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts ot
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
certia ' ' ti shall be guilty of a Class 2 misdemeanor, which may include a fine not to exceed $10,000
as we i ami94Q$250o0 per violation, ,
Date
-4
ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITYi
w TO OTHER UTILITIES, DESIGN CALCULATIONS. ETC. REFER TO 15A NCAC 02T .0305
0
i-- 2. PTcqralEngine9eMiication: (Signature of Design Engineer and Project Name)
•attest that this application for hit eiccul-a ple• Neu) /OW irapr. 59sirthas been
by me and7 accurate, complere and consistent with the information in the engineering plans, calculations, and
!her supporting documentation to the best of my knowledge. ffurther attest that to the best of my knowledge the
proposed design has been prepared in accordance with the applicable regulations, Gravity Sewer Minimum Design Criteria
for Gravity Sewers adopted February 12, 1996, and the Minimum Design Criteria for the Fast -Track Permitting of Pump
Stations and Force Mains adopted June 1, 2000 and the watershed classification in accordance with Division guidance.
Although other professionals may have developed contain 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 NC 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,
2a, Jerry M. Carps
Professional Engineer Name
2b, 4Site, Inc
Engineering Firm
2c. 7500 South Memorial Ployy, Ste 209
Mailing Address
2d, Huntaville
City
2e. AL 2f, 35802_
State iip
2g. 255-539-1221 2h, 256-59-1220 21, icarglle 4sIteinc.blz
Telephone Facsimile EmaiI
‘‘‘i
.c:Rc
4'9'44-
'0- SEAL
036590
NC PE Seat, Signature & Date
A l',210:7

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE —10/07)
Project Applicant Name: The Broadway Group
Project Name for which flow is being requested: Dollar General,Mountain View. Pump and
Ha.ul
More than one FTSE-10/07 may he required for u single project ij,heoilIkr kfr P is not responsible
pump „stations along the Finite qf the proposed wastewater ilow,
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WW1 P Facility Name: Henry Fork Waste Water Treatment Plant
b. WWTP Facility Permit #: NC0040797
All flows are in MGD
c. WWTP facility's permitted flow 9 MGD
d. Estimated obligated flow not yet tributaryto the WWTP 1.578555 MGD
e..WWTP facility's actual avg. flow 2.1. 6 MGD
f. Total flow for this specific request 0.0009 MGD
g. Total actual and obligated flows to the 'facility 3.739455 MGD
h. Percent of permitted flow used 41.55 %
II.. 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 WWII'
Pump Station Name
Approx. Capacity, MGD Approx. Current Avg.
(Firm/Design) Daily Flow, MGD
III. Certification Statement:
1. Mick W. Berry, City Manager, certify 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 to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any. capacity
related sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant 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 1 ant the responsible party. Signature of this form indicates
acceptance ojis ,astewatertt.!-v-,
C-P/ 1-1 /3
Signing Oicial Signature 711C

New 1,5" Force
Main to Existing
Manhole

o h
Longview & LHickory, NC 7.5 Minute Quad Maps
Scale: I" = 500`
New 1 e 5" Force
Main to Existing
•Manhole
New Duplex
Grinder Pump
Satatian

North Carolina
Account Login Register
Noftti Ca.rolirr )
Elaine I Mars
Secretary
Date) 4/24/2013
Click here to.
View Document Filings I File an Annual Report
Print a Pre -populated Annual Report Fillable PDF Forn
Corporation Names
Amended A Previous Annual Report
Name
NC THE BROADWAY GROUP OF
ALABAMA, LLC
THE BR.OADWAY GROUP, LLC
ecf t.iai ifify Company Information
Name Type
LEGAL
HOME STATE
SOSID: 1173785
Status: Current -Active
Effective Date: 11/2/2010
Citizenship: FOREIGN
State of Inc: AL
Duration: PERPETUAL
Annual Report Status: CURRENT
Registered Agent
Agent Name:
Office Address:
Mailing Address:
Principal Office
Office Address:
Mailing Address:
Officers
HU, MEGHAN
7511 BEDFORDSHIRE DRIVE
CHARLOTTE NC 28226
7511 BEDFORDSHIRE DRIVE
CHARLOTTE NC 28225
132 HOLMES AVE
HUNTSVILLE AL 35801
132 HOLMES AVE
HUNTSVILLE AL 35801
This website is provided to the public as a faarl of the Secretary of State Knowledge Base (SOSKB) system. Version 425
irr¢ 4764 1 l 2O i z

Permit Number er 00 6488
Central Files AP M"dl
04J113
Perm t Tracking Slip
Program Category
Non -discharge
Permit Type
Gravity Sewsr Extension, Pump Sat ens, Pressure Sewver
Extensions
Primary Reviewer
samar,ben-ghazale
Coastal SW Rule
Pe fitted Plow
900
Fa
Fast hack
Status
in review
Verson
A
Project Type
New Project
Permit Classifidatiorn
individual
Per Centact filiation
Facility Name
Dollar General Store, Hoker+r NC
alien Address
Owner
Mier/Min r Region
Liner Mooresville
County
Catawba
Facility Con tact Affiliation
Owner Name
The i« roadways Croup LLC
DatesifEvents
Scheduled
Orig issue App Received Draft Initiated Issuance
04124/13
Re utated A ttAtlas
Retail
Wastewater col&ecden
iutfalt NtJLL
Owner Type
Non-Governraent
Owner Affiliation
Robert M, Broadway
President
132 olmes Ave Nw
Huntsville AL 35801
Public Nub ce Issue Effective Expiration
Requested/Received Events
Additional information received
Addltionai information requested
04 d 13
body Name
Stream Index Numbe
Curt Class Subbain

T'R65 DOCUMENT MAS A. COLORE[T'RACKCRDUNE) AND 671CROPRINTING. THE REVERSE
The B
Hot ,v: lV'
Huntsville, AL ;
256-533.728
S AN ARTIFICIAL WATERMARK.
nc©rp c u h
C19 Highland Ave S
'ragham, AL 35205-2901
205-933-8080
* *4'8©.90
DOLLARS