WQ0041713_Regional Office Historical File Pre 2018

State of North Carolina
Department of Environmental. Quality.
Division of 'Water Resources
15A NCAC 02T .0300 F.4.S"f TRACK SFWI;I T' TEM EXTENSION APPLICATION
ETA 04-I6 & SUPPORTING DOCUMENTATION
Applica
ust
its
APPLICANT INFORMATION:
Applicant's name: Cityof Conover (company, mtrrticipali y, IIC A, utility, etc..)
2. Applicant type: ividual 0 Corporation General Partnership
Q Federal State?(. uurrty Municipal
Signature autlwrlty's name: Donald Dcttaca r, fir. per 15A NCAC 02.T_,0106(b)
Title: City Manal;ec-
t. Applicant's mailing address Cpnove
City; Conover State NC' lip:
Applicant's cont iet. information:
Phone number (878) E64-1191 Ismail .cy.ddress: donald.duncan cottryverncgov°
PROJECT INFORMATION:
1. Project name: ltuerstateTom & Su.pp
2. Application/ Project status:
If a modification, provide the existin
ifraevv construction but part of a master~ halt
3. County where project is located: Catavj'ha_
4. Approxin tt to Coordinates (Decimal Derr.
5. Parcel ID Uapplicable): 375105274815
(or Parcel ID to closest downstream sewer;
o 549
nt.an
osed (Nevv Penult) Li] 1xisting Permit!`Froject
number: WQ00 and issued
provide the existing permit nu ber: 1 'Q00_
WR)
de: 35,704357"
CONSULTANT INFORMATION:
1. Professional l`.nineer, li;rilt Messina. P1: License. Number: 045263
1 irnr: Civil & Environmental Consultants inc
Mailing address 3701 Arco Corporate Drive Suite 400
City: Charlotte State: NC rip: 28273 .._..._
Phone number: [phone]
Entail ,Address einessina,a ceumc corn
WASTEWATER TREATMENT FA :ILEIIN' (WWII') INFORMATION:
1. Facility Name: Clark tv'reelc WW IP Permit Number: NC:036196
C v ner Name: C itv° of"Newton
IVING DOWNSTREAM SEWER IN RMATION (if different than Wi°WT'F):
1. Permit Number(s): WQ0036836 L)cavv°ttstrcattr l,Reeeivin ) Sevvet Size: 4 inch
S " ten Vs ide Collection wstettt Pe rnut P utnher_Ll )iIrpPlieabie.! WQCS
C)vvater Narne(s): City:_of Cono er
21
HECENED,144Ct' E_MF IC, W
WQROS
l6

VI. GENERAL REQUIREMENTS
1. lithe Applicant is a Privately -Owned Public 'Utility, has a Certificate of Public Convenience and Necessity been attached?
0 Yes No NIA
2. If the Applicant is a Developer of lots to be sold, has a De-veloper's Qflerationa AProement FORNt DFYA been attached?
Yes ENo N/A
3. If the Applicant is a tionic/Properis/ Owners" Association„ as an Operational .A2v:ement i'FORNI:1-1(),A1 been attached?
E Yes EJNo NA
4, Origin of wastewater: (ch
Residential Owned
0 Residential Leased
0 School / preschool / day care
0 Food and drink facilities
Businesses / offices / factories
ck all that apply):
Ej Retail (stores, centers. malls)
0 Retail with food preparation/service
E Medical / dental/ veterinary facilities
0 Church
Nursing Flome
5. Nature of wastewater 100 % DomesticiCommercial %Commercial
0 Industrial (See 15A NUAC 02 I 019:121W
Is there a Pretreatment Program in effect?
6. Has a flow reduction been approved under 15,A WAC 02 I 00 Yes
If'es, provide a copy of flow reductti©n approval letter
7, SUM marize wastewater generated by project:
01 Car Wash
Hotel and/or .,Motels
E Swimming Pool /Clubhouse
0 Swimming Pool/Filter Backwash
0 Other (Explain in Attachment)
„• ablishment Type (see 02T,11141f))
IndostriallOffice Building
Daily Design Flow "
25 gallem.ployee/shift
No. of Units
220
Flow
5500 GPD
gal/
gal/
gal/
GPD •
GPD
GPD
al
guI
GPI)
GPD
Total
5500 GPD
See /5.A NC,A.0 02T ,0 I 14(0i,id.). ,re')(1) and Le)(21 tbr caveats to wastewater design flow rates 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 is defined
in G.S. 42.N4).
Per 15A NCAC 02T .011.4(0, de•signflow rates for establishments not identified [in table 15.A NCAC 02.T.0 14] shall be
determined using available flow data, water using 'fixtures, occupancy or operation patterns, and other measured data.
8, Wastewater generated by project: 5,500 GPD (per 15/k NC:\ C 02'1 4)
Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why
fl Pump Station or Gravity Sewer NNhere flow will be permitted insubsequent 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

GRAVITY SEWER DESIGN CRITERIA (If A licable) - 02T .0305 & M Sewers)
n I, Summarize gravity sewer to be permitted:
Size inches)
8
8
Length (feet) Material
129 1 Ductile Iron
139 1 PVC
Section 11 & Ill Utile MIX1 for Permitting of Gravity Sewers contains information related to design criteria
Section 111 contains information related to ill rtunium slopes for gravity sewer(s)
Or ersizirtg lines to meet minimum ti !ripe requirement is not allowed and a violation of the MDC
VEIL 'PUMP STATION :DESIGN CRITERIA (if Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
COMPLETE; FOR EACH PUMP STATION INCLUDED IN THIS PRO.IECT
1. Pump station number or name: NSA
Approximate Coordinates (Decimal egrees): Latitude: . Longitude: 7,
3, Design flow of the pump station: millions gallons per day (firtn capacity)
4. Operational point(s) of the pump(s): gallons per minute at feet total dynamic head CIDH)
5. Summarize the force main to be permitted (for this Pump. Station):
Sire ekes) Length (feet) Material
6. Power reliability in accordance with ISA NQAC 02T j)3051bIi):
El Standby power source or pump livith automatic activation and telemetry - 15A NCAC 02T ,0305( 4;1
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:
E Portable power source with manual activation, quick -connection receptacle and telemetry -
„0305(h)( 1)(0
Or
A NC:
021
El Portable pumping unit With plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)( 1 )(( ):
;,. 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: 11A 04-16 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & ISA NCAC 021 .0305(4):
1. Dbes the project comply with all separations found in t 5A NCAC 021.0305.
15A NC.AC 02T,0305(t) contains minimum se larations that shall be provided for sewer systems:
Z Yes LI No
Setback Parameter* Separation Reivired
Storm sewers and other utilities not listed below (yet -treat) 24 inches
Water mains (vertical -water over sewer including_in benched trenches) 18 inches
I Water mains (horizontal) 10 feet
-
1 1
I Reclaimed water lines (vertical - reclaimed over sewer) 18 inches
Reclaimed water lines (horizontal reclaimed over sewer) 2 feet
**Any private or public water supply source, including any wells, WS-I waters of Class 1 or
Class 1 impounded reservoirs used as a source of drinking Water
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, HQW, or SI3 from normal
high water (or tide elevation) and wetlands (see item 1X.2) 50 fee
**Any other stream, lake, impoundment., or ground water lowering and surface drainage
ditches
Any building foundation
I A yhnsemer0
100 feet
1.0 ifeet
5 feet
10 feet
Top slope of embankment or cuts of 2 feet or more vertical 'height 10 feet
Drairage systems and interceptor drains 5 feet
Any swimming_pools 10 feet
Final eaith. grade (vertical) 36 inches
• 15A NCAC 021,030510 contains alternatives where separations in ,02T.03051.(D cannot be achieved,
**Stream) classifications can be identified using the Division's NC Surface Water Classifications webwe
• If noncompliance with 02T.0305(f)sjgL ec Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) El Yes
• See the Division'.s draft separation requirements for situations where separation cannot be .meet
No variance is required if the alternative design criteria specified is utilized in design and construction
• As built documents should reference the location of areas effected
3, Does the project comply with setbacks found in the river basin rules per I5A :NCAC 02B .0200?
111his would include 'Front .Buffered Streams per .1,5A NCAC 2B.0202
4, Does the project require coverage/authorization under a 4.04 Nationwide or
individual permits or .401 Water Quality' Cenifications?
Information can be obtained from the 401 & Buffer PernUttingBranch
NIA
es 1 INo 1 INA
LI Yes E No
5. Does project comply with I5A NCAC 02`1.0[05..(01() (additional permits/certifications)? Ycs fl No
Per 15A. NCAC 02I17,01051c)(6), 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, stortnwater management plans, etc.).
6. Does this project include any sesscr Collection lines that are deemed "high-priorityr
Per ISA NCAC...021I,0/4.02, "high -priority sewer" means an aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer,
Yes E No EINA
• Ify es, include an attachment with details for each line, including type (aerial line, site, material, and location).
High priority lines shall be inspected by the per . 'ttee or its representative at least once every six -months and inspections.
documented per 15A NCAC 02T.0403(a)(5) or the perrnitee's individual System -Wide Collection permit.
FORM: FT,\ 04-16 Page 4 of 5

CER FIFICATIONS:
Does the submitted system comply with I5A NCAC 021, the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains (latest version), and the Gravity Sewer Minimum Design Criteria (latest version) as applicable?
E Yes Ej No
Et` No, complete and submit the Variance/Alternative Design Request application ( VA DC 10-14) and supporting documents for
review,. Approval attic request is required printto submittal of the Fast 'frack Application and supporting documents.
2. Professional Engincees ( ertification:
(Pr. .essional 1 niiirlcers name from Application Item 111,1.)
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, 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 tiriteria 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 seal signifies that 1 have reviewed this material and
have judged it to be consistent %kith the proposed design,
NOTE In accordance with General Statutes I 43-215.6,A and 143-215.613, any person who knowingly makes any false
statement., representation, or certification in any application package shall he guilty. of a Class 2 .rnisdemeanor, which may
include a fine not to exceed 5I0,000. as well as civil penalties up to $25,000 per violation,
ioivarctritori
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per I51 NC, (1'.' ,02'1' .01 06(b):
sL.204,742‘27X
(Signature A
est
his application for
has been reviewed by me and is accurate and complete to the best of in 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. V 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 allrequired parts of this application package are not completed and that if
all required supporting information and attachments are not included, this application package will he returned to me as
incomplete.
NOTE, — In accordance with General Statutes I43-213.61 and 143-215,6E3, any person who knowingly makes any false
statement, representation, or certification in any application package shall he guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000 as well as civil penalties up to 525,000 per violation.
Signature: -
Date:
1IA 04-1.6
Page 5 of 5

of- VVatey
R EC Et V PONCOEN RiDWR
vu R Os
MOORESVILLG REGIONAL OFFICE
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: City of Conover
Project Name for which flow is being requested: interstate Foam & Supply Company
Vlore than one FTSE may be required for a single project if the owner of the WWTP is not responsible fOr all pomp
stations along the route of the proposed wastewater flow.
Complete this section only if you are the owner of the wastewater treatment plant,
a. WWTP Facility Name: City of Newton's Clark Creek WWTP
b. WWTP Facility Permit #: NC00361.96
All/lows are in 111GD
c. WWTP facility's permitted flow 5.0
d. Estimated obligated flow not yet tributary to the WWTP 0
e. ww r facility's actual avg. flow
f. Total flow for this specific request.
g. Total actual and obligated flows to the facility
h: Percent of permitted flow used
2.74
0.0055
1.075
55°/0
IL 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 'WWTP:
(A) (El) (C) (D)=(I3+C) (E)-(A-
Design Obligated,
Pump Pump Average Approx, Not Yet Total Current
Station ,Station Firm Daily Flow** Current Tributary Flow Plus
(Name or Pei nnt Capacity, * (Firm / pf), Avg, Daily Daily Flow, ObligatedAvailable
Number) No, MGD MOD Flow, MGD MGD Flow Capacity***
* The Firm Capacity (design flow) of any pump station is defined as the rnaximum pumped flow
that can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the punip station divided by a peaking factor
(pf) not less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria,
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < O.
Downstream Facility Name (Sewer): Comfort Drive Sewer Extension
Downstream Permit Number: WQ0036836
FTSE 10-18
Page 1 of 6

Certification Statement:
I E. Todd Clark certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted irt 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 circtunstances, given the implementation of the planned improvements
identified in the planning assessment where applicablel'his analysis has been performed in accordance
with local established policies and procedures using the nest available data. l'his certification applies to
those items listed above in Sections I and 1.1 plus all attached planning amassment addendums for which
am the responsible party Signature of this form certifies that the receiving collection system or treatment
works has ades ante spactty to tr pm and treat the proposed new wastewater.
Si ti
eff
1 SignattiPe Dale
Title of iglu) g Official
Page 2 of 6
VISE 1048

May .2.1, 2020
North Carolina Department of EnvironmentalQuality (NCDEQ)
Division of Water Resources
610 East Center Avenue
Mooresville, North Carolina 28115
To whom it may concern:
Subject: Fast Track Sewer System .Application
Project IFS Public Sewer Extension
CEC Project 196-31.7
Civil & Environmental Consultants, Inc.
RECEIVECYNCDENROVIM
NAM 2 2 2 121)
wokos
mooREs \PLLF. F4EGio 4AL OFFICE
Attached for your review and approval are the following items for Fast Track Sewer System
Application permitting for Project IFS Public Sewer Extension, located off Comfort Drive,
Conover., NC:
• One (1) check written to the amount of $480.00 for application fee. Check made payable
to North Carolina Department of:Environmental Quality (NCDEQ);
• One (1) original and one (1) copy orthe completed and executed Fast Track Application;
• One (1) original and one (1) copy of the completed and executed Flow
Tracking/Acceptance Form;
• One (1) copy of an 8.5" x 11" USGS topography map; and
• One (I) aerial m..ap of project area.
The project includes the installation of approximately 468 linear feet of gravity sewer that will tie
into an existing 8 inch diameter gravity sewer public system — WQ#0036836.
Shouldyou have any questions or require any additional information in support of this application,
please do not hesitateto contact inc at 9.80-237-0373.
Sincerely,
CIVIL & ENVIRONMENTAL CONSULT.ANTS,
Erik Messina, PE
Project Manager
CC: Terry Jones, City of Conover
Attachments
370 I Arco Corporate Drive, Suite 400
Charlotte, NC 28273 p: 980-237-0373 f: 980-237-0372 www.cecinc,,corn

CERTIFICATION CHECKLIST
To be completed by the certifying engineer prior to operation of the permitted sewers, per 15A NCAC 02E0116.
Certifying Engineer: Erik P. Messina, PE
Certification Review Date: 10/23/2020
Project Name: Interstate Foam & §ppIyComjjan
WQ00 41713
REcElvED/NcDENRIDwR
1 2 i0?0
R OS
Project County: Catawba...20irity MOORESVILLE REGIONAL oFncc
1) Has permittee information changed since the permit was issued (or last modified): change of mailing address,
change of ownership, transfer from developer to 110A/P0A, etc. E Yes IA No
If yes, please provide either a change of ownership :formor new contact information. Note that transfer of
permits from the developer to the HOA/POA must occur with the first certification.
2) Have the as -built drawings have been signed, sealed, and dated by an N.C. PE? LXJ Yes
3) Final Engineering certification?
Dr(
Yes No
No
• If Partial 'Engineering certification, provide detailed narrative including what is being certified in the current
phase, what was previously certified (if applicable), and what is left to be certified..
4) Adequate information related to sewer lines: j Yes E No El N/A
• Three feet minimum cover has been provided for all sewers unless ferrous pipe was installed.
• Minimum diameters for gravity sewers are 8-inches for public lines and 6-inches for private lines.
• Manholes have been installed: At the end of each line, at all changes in grade, size, or alignment, at all
intersections, and at distances not greater than 425 feet; minimum diameter shall be 4 feet (48-inehes).
5) Adequate infomiation related to pump stations: El Yes P No a N/A
• Ensure power reliability option was selected per 1.5A NCAC: 02T.0305Th).
6) Was project construction completed in accordance with all of the following: LXI Yes No Li N/A
• 15A NCAC ozr, Minimum Design CriterialMDC) for the permitting of Gravity SewersDatest version), and
MI)C for the Permitting of Pump Stations a.nd Force Mans (latest version)?
If not, a variance approval is required in accordance with 15A_NCAC,02".0,1050), prior to certification and
operation.
• Contact the Central Office to discuss the variance to determine a course of action.
• Applicant must submit two copies of the variance request form, plans, specifications, calculations, and any other
pertinent information to the Central Office (one hard copy, one digital copy).
• The central office will review the variance request, and if approvable, specific language regarding the variance
will be incorporated into the permit, either via a special condition or a supplementary letter. A copy of the
reissued permit with variance language or the variance letter must be maintained with the original documents.
7) Does the project contains high priority lines (.15A NCAC 02T .0402(2))? LJ Yes X No
• ifyes, ensure that the permit already contains the necessary condition related to high priority lines 15A NCAC
02T.0403 (a)(5). If the permit does not include this language, the Fast Track reviewer will reissue the permit with
the appropriate language,
8) Are Permit modifications are required for any changes resulting in non-compliance with this permit (including but not
limited to pipe length changes of 10% or greater, change in flow, pump station design capacity design change of 51.'4 or
greater, and/or change in the nurnber/m)e of connections)? • Yes FR- No
• If yes, .a permit modification request must be submitted to the appropriate Regional Office, and a modified
permit with revised certification must be issued prior to certification and operation.
NC DWR — Water Quality Regional Operations Section 610 East Center Avenue, Suite 301, Mooresville, NC 28115
Mooresville Regional Office
Phone: [phone] FAX: [phone]

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE: CITY OF CONOVER
PERMIT WQ004 1713
PROJECT: Interstate Foam & Supply Company
ISSUE DATE: JUNE 17, 2020
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 Rioter,
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 Permittee to
appropriate enforcement actions. The Permittee 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 regardless of whether partials have been submitted.
PERMITTEE'S CERTIFICATION
1, the undersigned agent for the Perrnittee, 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.
Jerr4t.rotW
Printed Name, Title ,
ENGINEER'S CERTIFICATION
1, Erik P. Messina, PE as a duly registered Professional Engineer in the State of North Carolina,
having been authorized to observe (j periodically, r weekly, DI 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; 468 linear feet of 8-inch gravity
sewer; 15A NCAC 02T; the Division of Water Resources' (Division) Gravity Sewer Minimum Design
Criteria adopted February 1.2, 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.
North Carolina Professional Engineer's Seal w/signature & date:
Final P 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]