WQ0038701_Regional Office Historical File Pre 2018

Water Resource
ENVRONMENTAL QUALM,
September 2, 2016
Mr, Donald Duncan, City Manager
City of Conover
P.O Box 549
Conover, NC 28613
PAT MCCRORY'
Cif" ko
ANDFR VAART
twrzu .,sAtio
2'aet1TPUVV
S. JAY ZIMMERMAN
Dmpctor
Subject: Permit No. WQ0038701
City of Conover
Dollar General Store
Wastewater Collection Syste
Catawba County
Dear Mr. Duncan:
Extension Permit
In accordance with your application received August 26, 2016, we are forwarding herewith Permit No.
WQ0038701 dated September 2, 2016 to the City of Conover (Permittee) for the construction and
operation upon certification of the subject wastewater collection system extension. This permit shall be
effective from the date of issuance until rescinded and shall be subject to the conditions and limitations as
specified therein. This cover letter shall be considered a part of this permit and is therefore incorporated
therein by reference.
Please pay particular attention to the following conditions contained within this permit:
Condition II.1: This permit shall not be automatically transferable; a request must be made and approved.
Condition 11.4: Requires that the wastewater collection facilities be properly operated and maintained in
accordance with 15A NCAC 2T .0403 or any individual system -wide collection system
permit issued to the Permittee.
It shall be the responsibility of the Permittee to ensure that the as -constructed project meets the appropriate
design criteria and rules. Failure to comply may result in penalties in accordance with North Carolina
General Statute §143-215.6A through §143-2 I 5.6C, construction of additional or replacement wastewater
collection facilities, and/or referral of the North Carolina -licensed Professional Engineer to the licensing
board,
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing upon written request within 30 days following receipt of this permit. This
request must be in the form of a written petition, conforming to Chapter 150B of North Carolina General
Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC
27699-6714, Unless such demands are made, this permit shall be final and binding.
State of North Carolina Environmental Quality Water Resources I Water Quality Regional Operations
Mooresville Regional Office 610 East Center Avenue, Suite 301 Mouresvilk, North Carolina 28115
704 663 1699

If you need additional information concerning this matter, please contact Ori Tuvia at [phone] or
via e-mail at ori,tuvia nccienr. ov.
Sincerely,
by'W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
cc: Justin Church (P.E) (E-copy)
Mooresville Regional Office Files
Water Resources Central Files
PERCS (E-copy)
Page 2 of 8

STATE OF NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
WASTEWATER COLLECTION SYSTEM .EXTENSION PERMIT
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 Conover
Catawba County
for the construction and operation of approxmately 227 linear feet of 8-inch gravity -sewer; to serve
the proposed Dollar General Store, and the discharge of 9,100 gallons per day of collected wastewater
into the City of Conover's existing sewerage system, pursuant to the application received August 26,
2016, and in conformity with 15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria
adopted February 12, 1.996, as applicable; the Division's Minimum Design Criteria for the Fast -Track
Permitting of Pump Stations and Force Mains adopted June 1, 2000, as applicable; and other supporting
data subsequently filed and approved by the Department of Environment and Natural. Resources and
considered a part of this permit.
This permit shall be effective from the date of issuanceuntil rescinded and shall be subject to the specified
conditions and limitations contained therein.
by W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
By authority of the Environmental Management Commission
Permit Number: WQ0038701
Permit Issued: September 2, 2016
Page of 8

SUPPLEMENT TO PERMIT COVER SHEET
City f Conover 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 the City of Conover's Northeast
Regional Wastewater Treatment Facility in accordance with Permit Number NC0024252.
Permitting of this project does not constitute an acceptance of any part of the project that does not meet
15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996, as
applicable; and the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations
and Force Mains adopted June 1, 2000, as applicable, unless specifically mentioned herein. Division
approval is based on acceptance of the certification provided by a North Carolina -licensed Professional
Engineer in the application. It shall be the Permittee's responsibility to ensure that the as -constructed
project meets the appropriate design criteria and rules.
Construction and operation is contingentupon compliance with the Standard Conditions and any Special
Conditions identified below.
. SPECIAL CONDITIONS
1) No flow in excess of the quantity permitted herein, 9,100 GPD, shall be made tributary to
the subject sewer system until an application for perrnit modification for an increase in flow
has been submitted to and approved by the Division. [ i 5A NCAC 02T.0304 (b)]
II. STANDARD CONDITIONS
This permit is not transferable. In the event there is a desire for the wastewater collection facilities
to change ownership, or there is a name change of the Permittee, a formal permit request shall be
submitted to the Division accompanied by documentation from the parties involved, and other
supporting materials as may be appropriate. The approval of this request shall be considered on its
merits and may or may not be approved. [15A NCAC 02T.0104; G.S 143-215.1(0)]
2. 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's Gravity Sewer
Minimum Design Criteria adopted February 12, 1.996, 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. [15A NCAC
02T.0110]
This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data. [15A NCAC 02T .01101
4. 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 perrnit for the
operation and maintenance of these facilities as required by 15A NCAC 2T .0403. If an individual
permit is not required, the following perforrnance criteria shall be met: [15A NCAC 02T .0108(b)]:
Page 4 of 8

a. The sewer system shall be effectively maintained and operated at all times to prevent discharge
to land or surface waters, and to prevent any contravention of groundwater standards or surface
water standards.
b. A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan including pump station inspection frequency, preventative
maintenance schedule, spare parts inventory and overflow response has been developed and
implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e. 365
days per year). Pump stations that are connected to a telemetry system shall be inspected at least
once per week.
e. High -priority sewer lines shall be inspected at least once per every six months and inspections
documented.
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:
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
perrnittee 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.
The Permittee shall report by telephone to a water resources staff member at the Mooresville Regional
Office, telephone number [phone], as soon as possible, but in no case more than 24 hours
following the occurrence or first knowledge of the occurrence of either of the following:
a. Any process unit failure, due to known or unknown reasons, that renders the facility
incapable of adequate wastewater transport, such as mechanical or electrical failures of
pumps, line blockage or breakage, etc.; or
b. Any SSO and/or spill over 1,000 gallons; or
c. Any SSO and/or spill, regardless of volume, that reaches surface water
Page 5 o 8

Voice mail messages or faxed information is permissible, but this shall not be considered as the initial
verbal report. Overflows and spills occurring outside normal business hours may also be reported to
the Division of Emergency Management at telephone number [phone] or [phone].
Persons reporting any of the above occurrences shall file a spill report by completing and submitting
Part 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. [G.S. 143-
215.IC(al)]
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. [15A NCAC 02T.0108(b)]
7. Upon completion of construction and prior to operation of these permitted facilities, the completed
Engineering Certification form attached to this permit shall be submitted with the required supporting
documents to the address provided on the form. A complete certification is one where the form is
fully executed and the supporting documents are provided as applicable. Any wastewater 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 applicable design calculations including pipe and pump sizing,
velocity, pump cycle times, and level control settings, pump station buoyancy, wet well storage,
surge protection, detention time in the wet well, and force main, ability to flush low points in
force mains with a pump cycle, and downstream sewer capacity analysis. If a portable power
source or pump is dedicated to multiple stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, include travel
timeframes, shall be provided.
c. Changes to the project that do not result in non-compliance with this pemiit, regulations, or the
Minimum Design Criteria should be clearly identified on the record drawings, on the certification
in the space provided, or in written summary form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting
in non-compliance with this permit (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
Page 6 of 8

or variances to the Minimum Design Criteria will be reviewed on a case -by -ease basis and each on
its own merit. Please note that variances to the Minimum Design Criteria should be requested and
approved during the permitting process prior to construction. After -construction requests are
discouraged by the Division and may not be approved, thus requiring replacement or repair prior to
certification & activation. [15A NCAC 02T .0116]
Gravity sewers installed greater than ten percent below the minimum required slope per the Division's
Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be certified until.
corrected. If there is an unforeseen obstacle in the field where all viable solutions have been
examined, a slope variance can be requested from the Division with firm supporting documentation.
This shall be done through a permit modification with fee. Such variance requests will be evaluated
on a case -by -case basis. Resolution of such request shall be evident prior to completing and
submitting the construction certification. [ 15A NCAC 02T.0105(n)]
9. A copy of the construction record drawings shall be maintained on file by the Permittee for the life
of the wastewater collection. facilities. [1.5A NCAC 02T .0116]
10. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2T; the
Division's Gravity Sewer Design Criteria adopted February 12, 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 § 143-21.5.6C, construction of additional or replacement wastewater collection facilities,
and/or referral of the North Carolina -licensed Professional Engineer to the licensing board. [15A
NCAC 02T .0104; 15A NCAC 02T .0108(b-c)]
11. 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.
[15A NCAC 02T .011.0; 15A NCAC 02T .0108(b)]
12. 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 the Division any other Federal, State, or
Local government agencies which have jurisdiction or obtaining other permits which maybe required
by the Division or any other Federal, State, of Local government agencies. [G.S. 143-215.1(b)]
Page 7 of 8

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE: CITY OF CONOVER
PERMIT #: WQ0038701
PROJECT: DOLLAR GENERAL STORE
ISSUE DATE: SEP I EMBER 2, 2016
This project shall not be considered complete nor allowed to operate in accordance with standard
Condition 7 of this permit until the Division has received this Certification and all required supporting
documentation. It should be submitted in a manner that documents the Division's receipt, Send the
required documentation to the Regional Supervisor, Water Quality Regional Operations Section at the
address noted in the page footer.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Perrnittee to
appropriate enforcement actions. The Perrnittee is responsible for tracking all partial certifications up
until a final certification is received by the Division,. A Final Certification shall be a complete set of
record drawings and design calculations regardlessof whether partials have been submitted.
PERMITTEE'S CERTIFICATION
I, the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant to
the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Pemiittee, and the Permittee is prepared to operate & maintain the
wastewater collection system permitted herein or portions thereof.
Printed Name, Title
Signature Date
ENGINEER'S CERTIFICATION
, as a duly registered Professional Ealgineer in the State of North Carolina,
having been authorized to observe (El periodically, El weekly, U full time) the construction of the
project name and location as referenced above for the above Permittee hereby state that, to the best of my
abilities, due care and diligence was used in the observation of the construction such that the construction
was observed to be 'built within substantial compliance of this permit; I.5A NCAC 02T; the Division of
Water Resources' (Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996, as
applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and
Force Mains adopted June 1, 2000, as applicable; and other supporting materials.
North Carolina Professional Engineer's Seal w/signature & date:
Final E Partial (include description)
Certification Comments/Qualifiers (attach if necessary):
NC DWR — Water Quality Regional Operations Section 610 East Center Avenue, Suite 301, Mooresville, NC 28115
Mooresville Regional Office Phone: [phone] FAX: [phone]

n of Water Resource%
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Numb
All items
be
7 CJ (to be completed by DWR)
e application will be returned
APPLICANT INFORMATION:
1. Applicant's name: City of Conover (company, nraunicipnlity,. HOA.,. utility, etc.)
2. Applicant type: Ind,ividua'1 [1 Corporation 0 General Partnership ©'rtvatery-Owned Public Utility
Q Federal Q State/County Municipal.
3. Signature authority's name: Donald Duncan, Jr. per 15.3 NC A( 021,0 S () b
Title: tt 4ana
4. Applicant's mailing address: PO Box 549
City: Conover State: NC Zip: 28613-
5. Applicant's contact information:
Phone number: (828) 464-I191 Email Address: donald.duncantccconovernc.gov
Other
PROJECT INFORMATION:
1. Project name: Dollar General Store
2. Application/Project status: Proposed (New Permit] [J Existing Pet"mi
If a modification, provide the existing permit number: WQ10 and issued date:
If new construction but part of a master plan, provide the existing perrnit number: WQ00
3. County where project is located: Catawba
4. Approximate Coordinates (Decimal Degrees): Latitude: 3,5,720028° Longitude:-81144946'
5. Parcel ID (if applicable):.373214347564., 373214346622.
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Justin Church License Number; 035736
Firm: Blue Ridge Environmental Consultants
Mailing address: 126 e utive Drive Suite 220
City: Wilkesboro State: NC Zip: 28697-
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Northeast WWTP Permit Number: NCQQ24252
Owner Name: City of Conover
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ Downstream (Receiving) Sewer Size: inch
System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s):
lC `LL` 11 C1:,,
ct
FORM: TA 04-16Page 1 of 5

VI: GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
Yes ElNo 4NIA
2. If the Applicant is a Developer of lots to be sold, has a Del,eloper's Qacrational Afzreement (FORM: DEK) been attached?
0 Yes 0No N/A
1 If the Applicant is a I lorne/Propprtv Owne s' Asspsiationiia.s an OTerational Ageement (fORM: tiQA) been attached?
0 Yes 0No N/A
4, Origin of wastewater: (check all that apply):
0 Residential Owned
0 Residential Leased
0 School / preschool / day care
El Food and drink facilities
El Businesses / offices / factories
Retail (stores, centers, malls)
0 Retail with food preparation/service
0 Medical / dental / veterinary facilities
0 Church
0 Nursing Home
0 Car Wash
0 Hotel and/or Motels
0 Swimming Pool /Clubhouse
0 Swimming Pool/Filter Backwash
0 Other (Explain in Attachment)
5. Nature of wastewater : 100 % Domestic/Commercial °,10 Commercial
% industrial (See 15A NCAC 02T .0101'20')
1 ---.0.11s there a Pretreatment Program in effect? Ej Yes 0 No
6, Has a flow reduction been approved under 15A NCAC 02T .01 140? Yes 0 No
If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02TU,Ijjjj
Stores and Shopping Center w/o Food
Daily Design Flow "
100 gal/1000 sq. ft
gal/
gal/
gal/
gal/
gal/
No. of Units
9.1
Flow
9100 GPD
GPD
GPD
GPD
GPD
GPD
Total
9100 GPD
a See 15A NCAC 021 .01 14(1)),C0js.11,1) and (Oa) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use
areas; and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals
as defined in G.S. 42A-4),
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table I5A NCAC 02f.01 141 shall
be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 9100 GPD (per I 5A NCAC 02T .0114)
> Do not include future flows or previously permitted allocations
lf permitted flow is zero, indicate why:
Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
0 Flow has already been allocated in Permit Number:
0 Rehabilitation or replacement of existing sewer with no new flow expected
0 Other (Explain):
FORM: FTA 04-16
Page 2 of 5

VH. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T ,0 05 & MDC (Gravity Scwers
I. Summarize gravity sewer to be permitted:
Ductile Iron
). Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criter
• Section III contains information related to minimum slopes for gravity sewer(s)
• Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
VUL PUMP STATION DESIGN CRITERIA (IlApplicable) — 02T .0305 & MDC (Pump Statio IForee
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2, Approximate Coordinates (Decimal Degrees): Latitude: . Longitude: -
3, Design flow of the pump station: millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): gallons per minute at feet total dynamic head (TD.H)
5, Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet)
6. Power reliability in accordance with I 5A NCAC ,0305(h)(1):
Standby power source or pump with automatic activation and telemetry, - 15A NCAC 02T ,0305(h)(1)(B)_:
>• Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
> Must be permanent to facility
Or if the pump station has an average daily flow less than 15,000 gallons per day:
0 Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0305(h)(1)(C)
Or
El Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(1)(C):
> It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
and is compatible with the station,
> If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations'
storage capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be
provided in the case of a multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(0):
Does the project comply with all separations found in 15A NCAC 0211,0305(1):.
15A NCAC 02T.0 .(f) contains minimum separationsha11berovidedor
Setback Parameter*
Storm sewers and other tilities not d below (vertical)
in
ver sewer including in benched trenche
Water mains (horizontal
Reclaimed water lines (vertical -
ver sewer
Reelairned water Imes (horizontal - reclaimed over sewe
Yes El N o
24 inches
18 inches
10 feet
18 inches
**Any private or public water supply source, including any wells, WS-1 waters of Class I or
Class 11 impounded reservoirs used as a source of drinking water
**Waters classified WS (except WS-1 or WS-V), 13, SA, ORW, HOW, or SB from normal
h wa o tide elevation) and wetlands s " X.2
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
2 feet
00 feet
50 feet
10 feet
Any building foundation
Any basement
Top slope ofembankment or uts of 2 feet or vertkal height
Drainage systemnd interceptor drains
An n oo s
Final earth grade (vertical)
5 feet
0 fee
fee
10 fee
36 inches
A. 15.A NCAC 02T.030.5(g) contains alternatives where separations in 021,0305(f) cannot be achieved.
A **Stream .classifications can be identified using the Division's NC Surface Water Classifications wch_page
A If noncompliance with 021,030: c.,u(g)., see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation)
> See the Division's draft separation requirements for situations where separation cannot be meet
A No variance is required if the alternative design criteria specified is utilized in design and construction
A As built documents should reference the location of areas effected
Yes 1 INo
3. Does the project comply with all setbacks found in the river basin rules perLA NCAC 20O Yes LJ No
A This would include Trout Buffered Streams per 15A NCAC 2W0202
4. Does the project comply with an individual 404 Permit or any 401 Certifications?
". Wetland -related permits shall be requested, obtained, and adhered to for projects that impact we
Information can be obtained from the 401 & Buffer PermittinOranch
Yes El No
nds or surface waters
5. Does project comply with 5 A NCAC,..,21.A105(.0() (additional permits/certifications)? Yes El No
Per 15A NCAC, 02 TO105(cl& directly related environmental permits or certification applications are being prepared, have
been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion and
sedimentation control plans, stonnwater management plans, etc.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per 15A NCAC 02T.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer,
E] Yes No
If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shall be inspected by the permittee or its representative at least once every six -months and
inspections documented per 15A NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

4 V A
X. CERTIFICATIONS:
I. Does the submitted system comply with 15A NCAC 0211, the Minimum Design Criteria for the Permitting of Puinp_Stations
and Force Mains (latest version), and the Gravity Sewer Minimum Design Criteria latest versioL) as applicable?
Yes El No
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents
for review. Approval of the request is required prior to submittal of the Fast Track Application and supporting
documents.
2, Professional Engineer's Certification:
(Professional Engineer's name froin Application ltem
attest that this application for
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans, specifications,
engineering calculations, and all other supporting documentation to the best of my knowledge. I further attest that to the best
of my knowledge the proposed design has been prepared in accordance with the applicable regulations, Gravity Sewer
Minimum Design Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria for the Fast -Track
Permitting of Pump Stations and Force Mains (latest version). Although other professionals may have developed certain
portions of this submittal package, inclusion of these materials under my signature and sea] signifies that I have reviewed this
material and have judged it to be consistent with the proposed design,
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statenaent, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation,
North Carolina Professional Engineer's seal, signature, and date:
icant's Certification per 15A NCAC 02T .0106(b):
(Signature Authority's name efrom AppiMn Item.
attest that this application for
has been reviewed by me and is accurate and complete to the hest of my knowledge. I understand that if all required parts of
this application are not completed and that if all required supporting documentation and attachments are not included, this
application package is subject to being returned as incomplete. I understand that any discharge of wastewater from this non -
discharge system to surface waters or the land will result in an immediate enforcement action that may include civil penalties,
injunctive relief, and/or criminal prosecution. 1 will make no claim against the Division of Water Resources should a
condition of this permit be violated, I also understand that if all required parts of this application package are not completed
and that if all required supporting information and attachments are not included, this application package will be returned to
me as incomplete.
NOTE — In accordance with General Statutes I 43-215,6A and I437215„61, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation„
Date:
FORM: FTA 04-16
Page 5 of 5

State of North Carolina
Department of Environmental Quality
Division of Water Resources
ti Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 08-13)
Project Applicant Nance: City of Conover
Project Name for which flow is being requested: Dallas General Store
More than one FTSE may be required for a single protect if the owner of the WWTP is not responsi
nations along the route of the proposed wastewater flow.
a
pump
Complete this section only if you are the owner o
a. WWTP Facility Name: Northeast WWTP
eat
ent plant,
b. WWTP Facility Permit #: NC0024252
Ali f e a e in MGD
c. WWTP facility's permitted flow 1.5
d. Estimated obligated flow not yet tributary to the WWTP 0.237672
e. 'WWTP facility's actual avg. flow 0.7
f. Total flow for this specific request 0.00091
g. Total actual and obligated flows to the facility 0.937972
h. Percent of permitted flow used 63
II. Complete this section for eeach pump station you are responsible for along the route of this
proposed wastewater flow.
pump stations located between the project connection point Sind the WWTP:
(A) 03) (C) (D)=(B+C) (E)=(A-D)
Design Obligated,
Pump Average Daily Approx, Not Yet Total Current
Station Firm Flow** Current Avg, Tributary Flow Plus
(Name or Capacity,* (Firm / pi), Daily Flow, Daily Flow, Obligated Available
Number) MGD MGD MGD MGD Flow Capacity***
* The Firm Capacity of any pump station is defined as the maximum pumped flow that
can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking
factor (pf) not less than 2.5.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity
Page 1 of 6
FTSE 08-13

III. Certification Statement:
I Donald Duncan, Jr, certify to the best of my knowledge that 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, given the implementation
of the planned improvements identified in the planning assessment where applicable. This
analysis has been performed in accordance with local established policies and procedures using
the best available data. This certification applies to those items listed above in Sections I and II
plus all attached planning assessment addendums for which I am the responsible party.
Signature of this form indicates acceptance of this wastewater flow.
'Si.ni g 0, k a Signature
Page cif 6
08-13

ETU PLANNING ASSESSMENT ADDEND'
Submit a planning assessment addendum for each pump station listed in Section 11 where Available
Capacity is < O.
Pump Station (Name or Number):
Given that:
a. The proportion and amount of Obligated, Not Yet Tributary Daily Flow (C) accounts for
% and MGD of the Available Capacity (E) in Pump Station
and that
b. The rate of activation of this obligated, not yet tributary capacity is crrntly approximately
MGD per, year, and that
c, A funded Capital Project that will provide the required planned capacity, namely
is in design or under construction with
and/or
planned completion in
d. The following applies:
Therefore:
Given reasonably expected conditions and planning information, theres sufficient justification
to allow this flow to be permitted, without a significant likelihood of over -allocating capacity in
the system infrastructure,
1 understand that this does not relieve the collection system owner from complying with G.S.
143-215,67(a) which prohibits the introduction of any waste in excess of the capacity of the
waste disposal system.
Signing Official Sig at e Date
Page 3 of 6
FTSE 08-13

Instructions for: Flow Tracking/Acceptance for Sewer Extension Permit Applications (FTSE) and
Planning Assessment Addendum (PAA)
Section I
a. WWTP Facility Name: Enter the name of the WWTP that will receive the wastewater flow.
b. WWTP Facility Permit ff: Enter the NPDES or Non -Discharge number for the WWTP receiving the
wastewater flow,
c. WWTP facility's permitted flow. MGD: From WWTP owner's NPDES or Non -Discharge permit,
d. Estimated obligated flow not yet tribute' the WWTP, MGD: This includes flows allocated to
other construction projects not yet contributing flow to the collection system. Flows allocated through
interlocal agreements or other contracts not yet contributing flow to the collection system are also
included. For POTWs that implement a pretreatment program, include flows allocated to industrial
use's who may not be using all of their flow allocation. Please contact your Pretreatment Coordinator
for information on industrial flow tributary to your WWTP.
As of Janualy 15, 2008 the POTW should have reviewed flow allocations made over the last two
years and reconciled their flow reconis, to the best of their ability, so it is known how much flow has
been obligated and is not yet been made tributary to the WWTP, in accordance with local policies and
procedures employed by the reporting entity.
The obligated flow not yet tributary plus actual flow will be reconciled annually for systems at less
than 60% of permitted flow used. Annual updates shall be submitted to the appropriate Regional
Office by January 15 ofeach year and cover the previous calendar year.
Serni-Annual updates shall be required when the percent of permitted flow used reaches 60%. Semi-
annual time period are defined as January 1 through June 30 and July 1 through December 31. Semi-
annual updates shall be subinitted to the appropriate Regional Office by July 15 and January 15 of
each year.
Quarterly updates shall be required when the percent of permitted flow used reaches 80%. Quarters
are defined as Qtrl (Jan -Feb -Mar); Qtr2 (Apr -May -Jun); Qtr3 (Jul -Aug -Sep); Qtr4 (Oct -Nov -Dec).
Quarterly updates shall be submitted to the appropriate Regional Office by April 15, Juty 15, October
15 and January 15 of each year,
e. WWTP facility's actual avg. flow, MGD: Previous 12 month average.
f. Total flow for this specific request, MGD: Enter the requested flow volume.
g. Total actual and obligated flows to the facility, MGD Equals [d + e + f]
h. tof 1 d d: Equals [(g / 100]
Page 4 of 6
FTSE 08-13

example:
On January 15 a POTW with a permitted flow of 6.0 MGD, reported to the Regional Office that there
is 0.5 MGD of flow that is obligated but not yet tributary. The annual average flow for 2007 is 2.7
MGD. Them is a proposed flow expansion of 0,015 MGD.
The first Form FTSE submitted after January 15, 2008 may have numbers like this:
c. 6.0 MGD
d. = 0.5 MGD
e. = 2.7 MGD
f. 0.015 MGD
g = 3.215 MGD
h. = 53.6 %
The next Form FTSE may be updated like this with a proposed flow expansion of 0.102 MGD:
c. = 6.0 MGD
d. 0.515 MGD
e. = 2.73 MGD
f. = 0.102 MGD
g = 3.349 MGD
h. = 55,8 %
Each subsequent Form FTSE- will be updated in the same manner.
Section 11
List the pump station name or number and approximate pump station firm capacity, approximate design
average daily flow (A) approximate current average daily flow (B), and the obligated, not yet tributary
flow through the pump station (C) for each pump station that will be impacted by the proposed sewer
extension project. Calculate the total current flow plus obligated flow (D=13+C) and the available
capacity (E=A-D). Include the proposed flow for this project with other obligated flows that have been
approved for the pump station but are not yet tributary (C).
Firm capacity is the maximum pumped flow that can be achieved with the largest pump out of servioe as
per the Minimum Design Criteria.
Design Average Daily Flow is the firm capacity of the pump station divided y a peaking factor (pf) of
not less than 2.5.
lithe available capacity (E) for any pump station is 0, then prepare a planning assessment for that pump
station if the system has future specific plans related to capacity that should be considered in the
permitting process.
(A) (B)
Design
Firm Average
Pump Station Capacity Daily Flow
(Name or Number) MGD (Firm / pf)
Approx.
Current Avg.
Daily Flow,
MGD
Kaw Creek PS 0.800 0.320 0.252
Valley Road PS 1,895 0.758 0.472
(C) (D)=(B+C) (E)=(A-D)
Obligated,
Not Yet Total Current
Tributary Flow Plus
Daily Flow, Obligated Available
MGD Flow Capacity*
0.080 0.332 -0,012
0.135 0.607 0.151
Page 5 of 6
FTSE 08-13

Planning Assessment Addendurn lftstruvttons
Submit a planning assessment addendum for each pump station listed in Section II where available
capacity is < 0.
A planning assessment for Kaw Creek PS (sce example data above) may be performed to evaluate
whether there is significant likelihood that needed hnprovernents or reductions in obligated flows will be
in place prior to activating the flows from the proposed sewer extension project.
If the system decides to accept the flow based on a planning assessment addendum, it is responsible to
manage the flow without capacity related sanitary overflows and must take all steps necessary to
complete the project or control the rate of flow to prevent sanitary sewer overflows.
The planning assessment may identify a funded project currently in design or construction, or a planned
project in the future not yet funded but in a formal plan adopted by the system. The system should
carefully weigh the certainty of successful timely project completion for any expansion, flow
management diversion or infiltration and inflow elimination projects that are the foundation of a planned
solution to capacity tracking and acceptance compliance.
For example:
Given that:
a, The proportion and amount of obligated, not yet tributary flow accounts for 24 % and 0.040
MGD of the committed flow in Pump Station Kaw Creek; and that
b. The rate of activation of this obligated, not yet tributary capacity is currently approximately 0.01
MGD per year; and that
c. A funded capital project that will provide the required planned capacity, namely
is in design or under construction with
planned completion in ; andior
d. The following applies:
The master plan and ten year capital plan contain recommended scope and funding fora capital project
entitled Kaw Creek Pump Station upgrade with funding planned in July 2014. This project is planned to
add 0.100 MGD to the firm capacity of the pump station by October 2015, Inclusion of this proposed
capital project AS A condition of this Flow Tracking/Acceptance for Sewer Extension Permit Application
elevates this project's priority for funding and construction to be inwlernented ahead of the activation of
obligated, not yet tributary flows in amounts that exceed the firm pump station capacities identified in
Section II above.
Therefore:
Given reasonably expected conditions and planning information, there is sufficient justification to allow
this flow to be permitted, without a significant likelihood of over -allocating capacity in the system
infrastructure.
Page 6 of 6
FTSE 08-13

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North Carolina Department of Environment and Natural Resources
Division of Environmental Health
Beverly Eaves Perdue Terry L. Pere Dee Freeman
Governor Dilutor Secretary
Memorand urn
To: NC Environmental Health Specialists
From: Ted Lyon, On -Site Water Protection Section Chief
Subject: Design Flow Reduction for Dollar General Stores
Date: July 30, 2010
Based on separate sets of data provided for more than ten stores in the past for flow reductions for
Dollar General Stores, a proposed design daily flow of 200 gpd may be used. This design flow can
only be used with the following conditions:
1. Tanks must be sized on the un-reduced design flow (120 gpd/1,000 square feet of retail
space area).
2. Use of low -flow fixtures such as spring -loaded or automatically activated faucets with flow
rates of one gallon per minute or less, low -flow urinals which use 0.5 gallons per flush or
less, and low -flow toilets which use 1.6 lions per flush or less. Cut sheets of the fixtures
must be provided.
3 A floor plan of the building must be provided. The retail sales floor area must be less than
8,000 square feet.
4. If a pump system is used, a Section approved flow equalization control panel must be used.
The flow equalization control panel limits the amount of effluent discharged to the drainfield
when the lag float is triggered and only one timed dose is delivered. Non -flow equalization
control panels are programmed to discharge ail effluent in the pump tank to the drainfield
when the lag float is triggered,
The control panel should be set up to limit the daily dose to the drainfield to be no more than
the maximum design daily flow of 200 t id.
6. The tenants are prohibited from disposing into the wastewater system any chemical cleaners
or any other compound which may be harmful to the bacteria in the wastewater system,
including but not limited to quaternary ammonia compounds.
7. The tenants are prohibited from disposing of any food waste (solid or liquid) into the
system.
8. The improvement permit, authorization to construct, and operation permit issued must be
specify a Dollar General store. Any change to a facility designated as a Dollar General store
would require a re-evaluation of the design flow and the system design, and revised permits
would have to be issued.
On -site Water Protection Section - Ted Lyon, Chief
1642 Mail Sento Center, Raleigh, t4orth Carolina 27699-1642
Phone: [phone] FA 919-715-3227 IIntemet wwwliekenr,sfate,nc.uskeww_newinewlifinderchtm
An Equal Opportunity ‘Alitiniariva Nino Employer

Design Flow Reduction
July 30, 2010
w reduction plies only to the design ow from a Dollarl ttr. The
unpmyement peimit, utor`, tion to n ct, and operation t of indicate
that the pennit is for ll r General store or in the of routipl stores, which specific
store will be a Dollar nr.l.
l 0. We reco end the installation of a water meter for the Dollar Gen

Engineering 1 Planning 9 Environmental
August 17, 2016
State of North Carolina
Department of Environmental Quality
Mooresville Regional Office
610 E. Center Avenue
Mooresville, NC 28115
RE: City of Conover Public Sewer Extension
Mr. James Bealle:
Please find the included application for a minor extension of public sanitary sewer for the City
of Conover, NC. This extension is being requested to provide services to a proposed 9,100 f t2
Dollar General store at the intersection of 15t Street SW and Section House Road in Conover,
NC, Dollar General has a Memorandum of Understanding (MOU) with NCDENR dated July 30,
2010 that establishes daily design flow of 200 gpd. The proposed 8" sewer extension has
sufficient capacity to serve the proposed Dollar General store. The attached package includes
the signed and completed application form, the signed and completed FTSE form, maps,
pia heets, NCDENR M©U, and permit fee. Please contact me at 336.844.4088 if any additional
in ation is required.
Th
ch, PE
t1/4.

Central Files: APS
SWP
Per rrsi% Number WQ0038701
Permit Tracking Slip
9/1/2016
Program Category
Non -discharge
Permit Type
Gravity Sewer Extension, Pump Stations, 8 Prure Sewer Extensions
Primary Reviewer
orttuvia.
Coastal SWRuIe
Permitted Flow
9,100
Facility
Status Project Type
In review New Project
Version
A
Permit Classification
Individual
Permit Contact Affiliation
Facility Name
Dollar General Store
Location Address
Owner
Major/Minor Region
Minor Mooresville
County
Catawba
Facility Contact Affiliation
Owner Name
City of Conover
Dates/Events
Owner Type
Government - Munrcpal
Owner Affiliation
Jimmy A. Clark
PO Box 549
Conover
NC 28613054
Scheduled
©rig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
9/2/2016 8/26/2016 9/2/2016 9/2/2016
Re€9ulatect Activities Requested /Received Events
Retail
Wastewater collection
Outfall
Additional information requested
Additional information received
Waterbody Name Streamindex Number Current Class Subbasin