WQ0032798_Regional Office Historical File Pre 2018

Mr, Brad Cornwell, Utilities Director
City of Shelby
824 West Grover Street
Shelby, NC 28150
Micha.ei F. Eiaislc!y, Governor
William Ross Jr., Seiiiretai
North Carolina Depanment of Environment and Natural Resources
Colecn Li Sullins, Director
Division of Water Quality
March 19, 2008
Subject: Permit No, WQ0032798
Kings Road Sewer Extension
Wastewater Collection System
Cleveland County, North Carolina
Dear Mr, Cornwell,
In accordance with your application received on February 27, 2008, we are forwarding herewith
Permit No. WQ0032798 dated March 19, 2008, for the construction and operation of the subject
wastewater collection system extension, This permit shall be effective from the date of issuance until
rescinded, and shall be subject to the conditions and limitations as specified therein, This cover letter
shall be considered a part of this permit and is therefore incorporated therein by reference,
Please pay particular attention to Permit Condition 3 which requires that the wastewater
collection facilities be properly operated and maintained in accordance with 15A NCAC 2T ,0403 or any
individual system -wide collection system permit issued t6 the Permittee,
Permitting of this project does not constitute an acceptance of any part of the project that does
not meet 1) 15A NCAC 2T; 2) the Division of Water Quality's (Division) Gravity Sewer Minimum Design
Criteria adopted February 12, 1996, as applicable, 3) and the Division's Minimum Design Criteria for
the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000, as applicable,
unless specifically mentioned herein, Division approval is based on acceptance of the certification
provided by a North Carolina -licensed Professional Engineer in the application, It shall be the
Permittee's responsibility to ensure that the as -constructed project meets the appropriate design criteria
and rules, Failure to comply may result in penalties in accordance with North Carolina General Statute
§143-215.6A through §143-215.6C, construction of additional or replacement wastewater collection
facilities, and/or referral of the North Carolina -licensed Professional Engineer to the licensing board
Mooresville Regionill Office 610 East Center Ave Suitc130 \I,!or1Hk Nt 28115 Phone. [phone] Fati" [phone]
Mternet: wimw.ncmwaterqually orq Customer Service: 1-877-623-6748
An Equal OpportunityIAffirmative Action Employer— 50% Recycled/10% Post Consumer Paper
t'hC1rohna
Natural y

Mr. Cornwell
Page 2
March 19, 2308
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 for the
construction and operation of approximately 229 linear feet of 8-inch gravity sewer and the discharge of
1,000 gallons per day of collected domestic in conformity with 15A NCAC 2T; the Division's Gravity
Sewer Minimum Design Criteria adopted February 12, 1996, as applicable, the Division's Minimum
Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000,
as applicable; and other supporting data subsequently filed and approved by the Department of
Environment and Natural Resources and considered a part of this permit.
The sewage and wastewater collected by this system shall be treated in the City of Shelby's
VVWTP (NPDES No. NC0024538) prior to being discharged into the receiving stream.
Assessing subsequent impacts to the downstream collection system and treatment facility is the
complete responsibility of the City of Shelby. Shelby must utilize whatever tracking tools necessary for
planning additions of sewer flow in order to maintain compliance with the WVVTP permitted limits.
if any parts, requirements, or limitations contained in this permit are unacceptable,. you have the right to
request an adjudicatory hearing upon written request within 30 days following receipt of this permit.
This request must be in the form of a written petition, conforming to Chapter 150B of North Carolina
General Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service Center,
Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and binding.
If you need additional information concerning this matter, please contact Dee Browder at (704)
663-1699.
Sincerely,
Coieen H. Sullins
cc. Mooresville Regional Office, Collection System Permit Files
D. W. Odom, Odom, Hollifield & Assoc. Engineering, Inc.
Surface Water Protection Central Files
PERCS

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
following specified conditions and limitations:
1 This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2T; the Division of Water Quality's
(Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996, as applicable; the
Division's Minimum Design Criteria for the Fast -Track Permitting of Purnp Stations and Force
Mains adopted June 1, 2000, as applicable; and other supporting materials unless specifically
mentioned herein
2 This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data.
The wastewater collection facilities shall be properly maintained and operated at all times The
Permittee shall maintain compliance with an individual system -wide collection system permit for the
operation and maintenance of these facilities as required by 15A NCAC 2T .0403. If an individual
permit is not required, the following performance criteria shall be met as provided in 15A NCAC 2T
.0403:
a. The sewer system shall be effectively maintained and operated at all times to prevent
discharge to land or surface waters, and any contravention of the groundwater standards in
15A NCAC 2L 0200 or the surface water standards in 15A NCAC 2B ,0200.
b. A map of the sewer system shall be developed and shall be actively maintained,
c. An operation and maintenance plan shall be developed and implemented,
d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e.
365 days per year). Pump stations that are connected to a telemetry system shall be
inspected at least once per week,
e. High -priority sewer lines shall be inspected at least once per every six-month period of time,
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Inspection and maintenance records shall be maintained for a period of at least three years.
h. Overflows and bypasses shall be reported to the appropriate Division regional office in
accordance with 15A NCAC 2B .0506(a), and public notice shall be provided as required by
North Carolina General Statute §143-215.1C.

4! This permit shall not be transferable. In the event there is a desire for the wastewater collection
facilities to change ownership, or there is a name change of the Permittee, a formal permit request
shall be submitted to the Division accompanied by documentation from the parties involved, and
other supporting materials as may be appropriate. The approval of this request shall be
considered on its merits and may or may not be approved.
5. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to
interrupt service by the existing utilities nor result in an overflow or bypass discharge of wastewater
to the surface waters of the State,
6. Per 15A NCAC 2T .0116, upon completion of construction and prior to operation of these
permitted facilities, the completed Engineering Certification form attached to this permit shall be
submitted with the required supporting documents to the address provided on the form. A complete
certification is one where the form is fully executed and the supporting documents are provided as
applicable.
A copy of the construction record drawings shall be maintained on file by the Permittee for the life
of the wastewater collection facilities.
8. Failure to abide by the conditions and limitations contained in this permit: 15A NCAC 2T: the
Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's
Minimum Design Criteria for the Fast -Track Permitting of Pump Station and Force Mains adopted
June 1, 2000 as applicable; and other supporting materials may subject the Permittee to an
enforcement action by the Division, in accordance with North Carolina General Statutes §143-
215.6A through §143-215.6C.
In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall take immediate corrective action, including
those as may be required by this Division, such as the construction of additional or replacement
facilities.
10. The issuance of this permit shall not exempt the Permittee from complying with any and all
statutes, rules, regulations, or ordinances that may be imposed by other government agencies
(local, state and federal) which have jurisdiction, including but not limited to applicable river buffer
rules in 15A NCAC 2B .0200, erosion and sedimentation control requirements in 15A NCAC Ch. 4
and under the Division's General Permit NCG010000, and any requirements pertaining to wetlands
under 15A NCAC 2B .0200 and 15A NCAC 2H ,0500.
11 Noncompliance Notification:
The Permittee shall verbally report to a Division of Water Quality employee at the Mooresville
Regional Office, telephone number [phone], as soon as possible, but in no case more than
24 hours or on the next working day, following the occurrence or first knowledge of the occurrence
of either of the following:
a. Any process unit failure, due to known or unknown reasons, that renders the facility incapable
of adequate wastewater transport, such as mechanical or electrical failures of pumps, line
blockage or breakage, etc.; or
b. Any failure of a pumping station or sewer line resulting in a by-pass directly to receiving waters
without treatment of all or any portion of the influent to such station or facility,

Voice mail messages or faxed information is permissible, but shall not be consideredas the
initial verbal report. Overflows and spills occurring outside normal business hours may also be
reported to the Division of Emergency n gement at telephone number (800) 858 0 68 or
(919) 6- 300 Persons reporting any of the above occurrences shall file a spill report by
completing Part I of Form m (or the most current Division approved form), within five days
following first knowledge of the occurrence. This report shall outline the actions taken or
proposed to ensure that the problem does not recur. Part II of Form -t (or the most
current Division approved form) can also be completed to show that the SSO was beyond
control.
Permit issued this the 19th day of March 2008,
NORTH T CA . LINA ENVIRONMENTALMANAGEMENT CO I I P
Coleen H. Sullins, Director
Division of Water Quality
By Authority of the - nvironrnent l an gem nt Cornm ssion
Per t um r =C, 00: #9

Fir Fast Track Engineering Certification
Permit No WQ0032798
March 19,2008
Owner/WQCSMNVTP PE
Brad Cornwell, Utilities Director D VV Odom
City of Shelby Odom, Hollifield & Associates Engineerng, Inc
824 W. Grover Street 152 E Main Street
Shelby, NC 28150 Forest City, NC 28043
Complete and submit this form to the permit issuing regional office with the following:
• One copy of the project record drawings (plan & profile, views of sewer lines) of the wastewater collection
system extension
• Supporting design calculations (selected pumps, system curve, operating point, available storage if portable
generator(s) or storage greater than longest past three year outage reliability option selected) for any pump
stations permitted as part of this project
• Changes to the project should be clearly identified on the record drawings or in written summary form, Permit
modifications are required for any changes resulting in non-compliance with this permit, regulations or
minimum design criteria.
This project shall not be considered complete nor allowed to operate until this Engineer's Certification and all
required supporting documentation have been received by the Division, Therefore, it is highly recommended
that this certification be sent in a manner that provides proof of receipt by the Division.
ENGINEER'S CERTIFICATION
Partial Final
, as a duly registered Professional Engineer in the State of North Carolina, having been
authorized to observe ([1] periodically, Li weekly, LI full time) the construction of Kings Road Sewer Extension, a
Cleveland County project for the Permittee, hereby state that, to the best of my abilities, due care and diligence was
used in the observation of the construction such that the construction was observed to be built within substantial
compliance of this permit; 15A NCAC 2T; the Division of Water Quality's (Division) Gravity Sewer Minimum Design
Criteria adopted February 12,1996 as applicable; the Division's Minimum Design Criteria for the Fast -Track
Permittin of Pump Stations and Force Mains adopted June 1,2000 as applicable; and other supporting materials.
North Carolina Professional Engineer's
seal, signature, and date:
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
MOORESVILLE REGIONAL OFFICE
SURFACE WATER PROTECTION
610 EAST CENTER AVENUE, SUITE 301
MOORESVILLE NC 28115
The Permittee is responsible for tracking all partial certifications up until a final certification is received. Any
wastewater flow made tributary to the wastewater collection system extension prior to completion of this
Engineer's Certification shall be considered a violation of the permit and shall subject the Permittee to appropriate
enforcement actions,

CK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 3
USE THE TAB KEY TO MOVE FROM FIELD TO FIELD!
1, Owner:
la. CITY OF SHELBY
Full Legal Name (company, municipality, HOA, utility, etc.)
C4
O 1cL
LL
lf. NC
O State
1h 704-484-6840 1i. 704-484-6808
Application Number:
(to be completed by DWQ)
lb. BRAD CORNWELL, UTILITIES DIRECTOR
Signing Official Name and Title (Please review 15A NCAC 2H .0206(b) for authorized signing officials!)
g1 c. The legal entity who will own this system is:
O Individual E Federal Municipality 0 State/County 0 Private Partnership 0 Corporation U Other (specify):
824 W GROVER ST
Mailing Address
Telephone Facsimile
2. Project (Facility) Information:
2a, Kings Road Sewer Extension
Brief Project Name (permit will refer to this name)
3. Contact Person:
ice 3a. DAVID ODOM
0
LL
pi
le. SHELBY
1 g.
City
28150
Zip Code
1j. brad.corn e
E-mail
2b. CLEVELAND
vofshelbv co
County Where Project is Located
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b, 828-247-4495 3c. dvIdodorQod
Phone Number E-mail
1. Project is Z New Z Modification (of an existing pem-lit) If Modification, Permit No.:
For modifications, attach a separate sheet clearly explaining the reason for the modification (i.e. adding another
phase, changing line size/length, etc.). Only include the modified information in this permit application - do not
duplicate project information in B(7) and B(10-11) that has already been included in the original permit.
2 Owner is Z Public (skip to Item B(3)) Ei Private (go to Item 2(a))
2a. If private, applicant will be: 2b. If sold, facilities owned by a (must choose one
O Retaining Ownership (Le. store, church, single office, etc) or Z Public Utility (Instruction III)
ID Leasing units (lots, townhomes, etc, - skip to Item B(3)) 0 Homeowner Assoc./Developer (Instruction IV)
O Selling units (lots, townhomes, etc. - go to Item B(2b))
3, CITY OF SHELBY
Owner of Wastewater Treatment Facility (VVWTF) Treating Wastewater From This Project
4a, CITY OF SHELBY 4b. WQ0017771
Name of WVVTF WWTF Permit No.
5a. CITY OF SHELBY I5 b 0 6' IZ Gravity —18c. WO0017771
Owner of Downstream Sewer Receiving Sewer Size 0 Force Main 1 Permit Number of Downstream Sewer Of known
6, The origin of this wastewater is (check all that apply):
Residential Subdivision
0 Apartments/Condominiums
0 Mobile Home Park
O School
Restaurant
Office
El Car Wash
Institution
Ej Hospital
El Church
0 Nursing Home
0 Other (specify):
10Q % Domestic,/Commercial
% Industrial
% Other (specify):
7. Volume of wastewater to be allocated for this particular project: 1,000 gallons per day
ADO not include previously permitted allocations
8, If the permitted flow is zero, indicate why:
Ej Interceptor Line - Flow will be permitted in subsequent permits that connect to this line
EJ Flow has already been allocated in Permit No.
0 Rehabilitation or replacement of existing sewer with no new flow expected
FTA 02/03 - Rev. 3 04/05

CATION for GRAVITY SEWERS, PUMP STATIONS, AND FORC
PAGE4
Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2H
,0219(I) for Item B(7) or the design flow for line or pump station sizing if zero flow in the space below, Values other than
that in 15A NCAC 2H .0219(I)(1-2) must be supported with actual water or wastewater use data in accordance with 15A.
NCAC 2H ,0219(I)(3).
Q=40 PEOPLE/DAY x 25GALIPERSON / DAY =1000GPD
10, Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches) Length (feet)
8
Z
Z
0
Summary of Pump Stations to be Permitted (attach additional sheets as necessary)
Gravity or Force Main
(use the pull down menu)
229.32 GRAVITY
z
0
2
0
ItL'
i.L
Z
ENTER TOTAL LINE LENGTH IN MILES 0.043
Location ID
(self chosen - as shown on Design Flow Operational Point
plans for cross-reference) (MGD) GPM @ TDH
Power Reliability Option
(1- dual line feed; 2- permanent generator w/ATS; 3-
portable generator w/telemetry; 4-wet well storage)
12, Does the sewer system comply with the Minimum Design Criteria for the Fast Track Permitting of Pump Stations and Force
Mains (latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC 2H .0200 as applicable?
Yes ❑ No If no, please reference the pertinent minimum design criteria or regulation and indicate why a
variance is requested, SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS
PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
13, Have the following permits/certifications been submitted for approval?
Wetland/Stream Crossings - General Permit or 401 Certification? ❑ Yes ❑ No N/A
® N/A
Stormwater? ❑ Yes ❑ No Z N/A
Sedimentation and Erosion Control Plan?
❑ Yes ❑ No
14, Does this project involve aerial lines or siphons? Check if yes: ❑
These lines will be considered hrah Priority and must be checked once every six months
15, Does this project have gravity sewer lines designed at minimum slopes? ❑
Be aware that the Division will not accept installed lines more than 10% Ratter than the minimum slope. Lines installed outside this tolerance should be
corrected prtlor to submitting the final engineering certification..
ETA 02/03 - Rev. 3 04/05

CI< APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 5
1 Use the Division's guidance document entitled, "DETERMINING STREAM CLASSIFICATIONS FOR FORM FTA 02/03
(FAST -TRACK SEWER SYSTEMS)" to collect and record the stream classification data below (attach additional sheets as
necessary). This document is available from our web site or by contacting the appropriate Division of Water Quality
Z regional office (see instructions for addresses) OR indicate the following:
0 El A Stream Classification is not needed because all parts of the project are at least 100 feet away from any down slope
waterbody, AND,
0 A Stream Classification is not needed because the design does not depend on wet well storage as a power reliability
option for any pump station near a Class C down slope waterbody,
2
w
2
Location ID on Map
(self chosen - as shown on Name of Waterbody Stream Waterbody
map for cross-reference) Waterbody County River Basin Index Classification
Submit the 8.5" x 11" COLOR topographic map as required in Instruction Vi
regardless of whether a classification is provided!
1, Applicant's Certification:
la.
1, BRAD CORNWELL, attest that this application for KINGS ROAD SEWER EXTENSION has been reviewed by me
and is accurate and complete to the best of my knowledge. I understand that if all required parts of this application are
not completed and that if all required supporting documentation and attachments are not included, this application
package is subject to being returned as incomplete, Note: In accordance with North Carolina General Statutes 143-
215.6A and 143-215.6B, any person who knowingly makes any false statement, representation, orcertification 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
penaltiesqo to $25,009er violation.
Signing Official Signature
2, Professional Engineer's Certification:
-tg(a
081
Date
I, DAVID W. ODOM, attest that this application for KINGS ROAD SEWER EXTENSION has been reviewed by me and is
accurate, complete and consistent with the information in the engineering plans, calculations, and all other supporting
documentation to the best of my knowledge. 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
adopted February 12, 1996, and the Minimum Design Cntena for the Fast -Track Permitting of Pump Stations and Force
Mains adopted June 1, 2000 and the watershed classification in accordance with Division guidance, Although certain
portions of this submittal package may have been developed by other professionals, inclusion of these materials under my
signature and seal signifies that 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 143-215.6B, 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
di fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation,
2a. DAVID ODOM
Professional Engineer Name
2b. ODOM & ASSOCIATES ENGINEERING, INC,
Engineering Firm
2c, 152 E MAIN ST
Mailing Address
2d, FOREST CITY
City
2g. 828-247-4495 2h, 828-247-4498
Telephone Facsimile
2e, NC 2f. 28043
State Zip
2i.
davidodom@odomengineering
Seal, Signature & D.
FTA 02/03 - Rev. 3 04/05

Top©Zone - Elizabeth School, USGS Waco (NC) Topo Map
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0 0.3 0.6 0.9 1.2 1.5 krA
0 0.2 0.4 0.6 0.8 1 mi
UTM 17 454998E 3904276N (NAD83/WGS84)
Elizabeth School, USGS Waco (NC) Quadrangle
Projection is UTM Zone 17 NAD83 Datum
86
http://www top©zone.com/print.asp?lat=35.28062&ion=-81.49486&size=1&u=4&layer=D... 20 8

Permit Number WQ0032798
t8mitral Files: APS Stairt
03/19/08
Permit Tracking Slip
Program Category
Non -discharge
Permit Type last Track
Gravity Sewer Extension, Pump Stations, & Pressure Sewer
Extensions
Primary Reviewer
dee.browder
Permitted Fiow
1000
Fragility
Facility Name
Kings Road Sewer Extension
Location Address
agier
Owner Name
City of Shelby
Dates/Events
Ogg Issue App Received Draft Initiated
03/19/08 02/27/08
Regulated Activities
Apartment complex
Commercial or industrial, other
Outten NII_L
Status Project Type
Active New Project
Version Permit Classification
1,00 Individual
Permit Contact Affiliation
Scheduled
issuance
IVIajorilVlinor
Minor
Region
Mooresville
County
Cleveland
Facility Contact Affiliation
Owner Type
Government - Municipal
Owner Affiliation
Brad Cornwell
0 Box 207
Shelby
Public Notice Issue
03/19/08
NC 28151
Effective Expiration
03019/08
RedggstediRecejyed EvEnts
Additional information requested
Additional informatton received
liNaterhody Name Stream Index Number Currant Class Subbases

ODOM, HOLI_1FIEL© & ASSOCIATES
ENGINEERING, INC.
[phone]
FAX [phone]
152 EAST MAIN STREET
FOREST CITY, NC 28043
PAY TO THE NC:.DEN
ORDER OF
Four a iundred
MEMO
NCDENR- IVIoorsevelle
610 E. Center Ave, Suite 301
Mooresville, NC 28115
CAROLINA FIRST BANK
FOREST CITY, NC 28043
67-219/539 1427
00019786e I:0539021.97i:71 062005411'
09786
6/2 60 8
00
I]f_" LLARS

Michael F. Easley. Governor
Wham G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen Sullins, Director
Division of Water Quality
July 7, 2008
City of Shelby
824 W, Grover Street
Shelby, North Carolina 28150
Attn: Brad Cornwell, Unities Direct
SUBJECT: Kings Road Sewer Project
Permit No. Wa0032798
Wastewater Collection System Extension
Final Engineering Certification
Dear Permittee:
The Division received a final engineering certification for the subject project on May 8, 2008. A full
review of the cerlification materials may or may not be conducted, it is assumed that receipt of
this certification indicates compliance with all redulations, design criteria and the permit. Please be
reminded that the Permittee is responsible for keeping a copy of the final record drawings for The
life of the project. If you have not received a copy, please contact your consultant immediately to
obtain a copy.
You are reoeivi'nq this letter because the Division has you listed as the responsible party, If this
permitted system is no longer owned by you, please complete Form PNOCF-S as this permit is not
automatically transferable. Form PNocE-s can be downloaded from
----lr,stoie,nousindouindpuoppshtml#Sewen
If you have any questions concerning this document or the completion of Form FIJOCF-S (if
necessary), please contact Ms, Dee Browder at the letterhead address or via E-mail at
[e-mail].
Robert Krebs
Surface Water Protection Regional Supervisor
Enclosure
Cc: David Odom„ Associates
SurfacF:, Wol'er Protection Section Central 0e (certification page an1y)
Ale
Nth Carol i n a
?WI/rally
Pretreatment, Emergency Response and Collection Systems Unit Internet http lih2o.enr nc.state.usindpu
1517 Mail Service Center, Raleigh. NC 27899-1617 An Equal Opportunity Action Employer
Teieprione (919) 7.33-5083 Fax [phone] recycleAll 0% post -consumer paper

!Fr
Fast Track Engineerin
Permit No, VVQ0032798
March 19, 2808
Own er/WQ 0 SPMNTP
Brad Cornwell, Utilities Director
City of Shelby
824 W. Grover Street
Shelby, NC 28150
Certification
PE
D,W, Odom
Odom, Hollifield & Associates Engineering, Inc,
152 E Main Street
Forest City, NC 28043
Complete and submit this form to the permit issuing regional office with the followin
CeliiiVater Protection
One copy of the project record drawings (plan & profile views of sewer lines) of the wastewater collection
system extension
• Supporting design calculations (selected pumps, system curve, operating point, available storage if portable
generator(s) or storage greater than longest past three year outage reliability option selected) for any pump
stations permitted as part of this project
• Changes to the project should be clearly identified on the record drawings or in written summary form, Permit
modifications are required for any changes resulting in non compliance with this permit, regulations or
minimum design criteria.
This project shall not be considered complete nor allowed to operate until this Engineer's Certification and all
required supporting documentation have been received by the Division, Therefore, it is highly recommended
that this certification he sent In a manner that provides proof of receipt by the Division.
ENGINEER'S CERTIFICATION
Partial ftKFinal
1, Cc4le , as a duly reajered Professional Engineer in the State of North Carolina, having been
authorized to observe (D periodically, Lweekty, EJ full time) the construction of Kings Road Sewer Extension, a
Cleveland County project for the Perrnittee, hereby state that, to the best of my abilities, due care and diligence was
used in the observation of the construction such that the construction was observed to be built within substantial
compliance of this permit, 15A NCAC 2T; the Division of Water Quality's (Division) Gravity Sewer Minimum Design
Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast -Track
Permitting or Pump Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting materials,
North Carolina Professional Engineer's
seal, signature, and date:
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
MOORESVILLE REGIONAL OFFICE
SURFACE WATER PROTECTION
610 EAST CENTER AVENUE, SUITE 301
MOORESVILLE NC 28115
The Permittee is responsible for tracking all partial certifications up until a final certification is received, Any
wastewater flow made tributary to the wastewater collection system extension prior to completion of this
Engineer's Certification shall be considered a violation of the permit and shall subject the Permittee to appropriate
enforcement actions,