WQ0032951_Regional Office Historical File Pre 2018

F Easley, Governor
v!IG Ross Jr Secretary
North L ina L partmeni of En Vironmern and Naturat Reolirces
Cc.deen Et Sullins, Director
Optision of Water Quality
May 9, 2008
Mr, Brad Cornwell, Utilities Director
City of Shelby
824 VVest Grover Street
Shelby, NC 28150
Subject: Permit No. WQ0032951
Pharmacy-E, Marion Street
Wastewater Collection System
Cleveland County, North Carolina
Dear Mr, Cornwell,
In accordance with your complete application received on April 18, 2008, we are forwarding
herewith Perrnit No. VVQ0032951 dated May 9, 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rescinded, and shall be subject to the conditions and limitations as specified therein, This cover letter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 to the Permittee.
Permitting of this project does not constitute an acceptance of any part of the project that does
not meet 1) 15A NCAC 27; 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.
Nteoresville Regional Offu. 0 'Fast Center Ave,„ Suite 301 MitesvilleNC 28.115
Internet www,ncrnwaterqua1ity.orq Customer Service, 1-877-623-6748
An Equal Opportunity/Affirmative Action Employer. 50% Recycled/10% Post Consumer Paper
Phone, [phone] Fax- [phone]
NorthCarolinzt
Aaturally

Mr ComweH
Page 2
May 9, 2008
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations, permission is hereby granted for the
construction and operation of approximately 205 linear feet of 8-inch gravity sewer and the discharge of
1,456 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
WWTP (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 VVWTP permitted limits.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right o
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,
erely,
bi coleen H. Sullins
cc: Mooresville Regional Office, Collection System Permit Files
Michael Newman, PM 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:
This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2T; the Division of Water Quality's
(Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996, as applicable; the
Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force
Mains adopted June 1, 2000, as applicable; and other supporting materials unless specifically
mentioned herein.
2. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data,
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.
7. A copy of the construction record drawings shall be maintained on file by the Permittee for the life
of the wastewater collection facilities.
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 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 re °ding any of the above occurrences shall file a spill report by
completing Part of Form CS-SSO (or the most current Division approved form), within five days
following first knowledge of the occurrence, This report shall outline the actions taken or
proposed to ensure that the problem does not recur. Part II of Form CS-SSO (or the most
current Division approved form) can also be completed to show that the SSO was beyond
control,
Permit issued this the 9th day of May 2008.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
,ibr Colleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0032951

rnginee.
ng Certification
Permit No. WQ0032951
May 9, 2008
OwneriWQ C S/WWTP
Brad Cornwell, Utilities Director
City of Shelby
824 W. Grover Street
Shelby, NC 28150
PE
Michael Newman
PM Engineering, Inc.
4601 Charlotte Park Drive, Suite 160
Charlotte, NC 282'17
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 I ction
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, Perrni
modifications are re uired for an chan es esuitin 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 (Li periodically, rj weekly, Ell full time) the construction of Pharmacy-E. Marion Street, 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
Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting materials,
North Carolina Professional Engineer's
seal, signature, and date:
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
MOORESVILLE REGIONAL OFFICE
SURFACE WATER PROTECTION
610 EAST CENTER AVENUE, SUITE 301
MOORESVILLE NC 28115
The Permittee is responsible for tracking all partial certifications up until a final certification is received. Any
wastewater flow made tributary to the wastewater collection system extension prior to completion of this
Engineer's Certification shall be considered a violation of the permit and shall subject the Permittee to approp
enforcement actions,
ate

'
- —
USETHETAB KEY TOMOVE FROM FIELD T0FIELD!
' ------ --------'---
- /�wn�r�Penpit1ew:
Ia. -City ofShel
Full Legal Nome (company. municipality, HOA, utility, etc)
b. Brad Cornwell, Utilities Director
NFORMATION
Application Number:
(to be completed by DWQ)
Signing Official Name and Title (Please review 15A NCAC 2T,0106 (b)
for authorized signing offioa|p!)
10 The legal entity who will own this system is:
El Individual 0 Federal 10 Municipality F1 State/County E] Private Partnership D Corporation [I Other (specify):
1d, PO Box 207
Mailing Address
1f 1North Carolina___ _
State
1h. 7 1i
Telephone
704-484-6808
Facsimile
2 proiect/Facilitv/Information:
2a, Phannacy-E.MwhonGtree
Brief Project Name (permit will refer hothis name
3. Contact Person:
1eShelby
__
City
1g.20151
Zip Code
1]� bradco
2b Cleveland
County Where Project is Located
Name and Affiliation of Someone Who Can Answer Questions About this Application
3h. 704'521-99733crnne,!yr�a_!12pm
Phone Number E-mail
' - --'--' '
1Project is 12 New, F-1 Modification (of an existing permit) If Modification, Permit No.:
2. Owner is
Public (skip to Item B(3)) F� Private (go to Item 2(a))
2a. Ifprivate, applicant will be:
Retaining Ownership (i.e. stona, ohurch, single office, etc) or
FLeasing units (lmus.towoUumeu.etc. -skip tmItem B(3))
7 Selling units (Iots, townhomeo` etc -gmnnItem B(2t)
2b. |fsold, fwillheeowned bya(must choose on
El Public Utility (instruction C)
F] Homeowner Assoc,/Developer (instruction D)
3 City ofShelby
Owner ofYVaateww�rTvaa�en Fec�y0&A/TF)Tnea�ngVVomewa�rFxonTh�Pn�oo
� � �
4a. City o/ShollbyFirst Broad iRiver­ _____4bNC0024538
Name ofVVVVTF VVVVTF Permit No,
5a, City -of Shelby : b, Same as current 0 Gravity 5c
Owner ofDownstream Sewer Receiving Sewer Size L3 Force Main peoni
& The origin of this wastewater is (check alIl that apply),
El Residential Subdivision
El Apartments/Condominiums
Mobile Home Park
LJSchoo|
[]Reotmonsn1
El Office
ERetail (Stonan.shopping nante
Institution
Hospital
LJChurch
[] Nursing Home
0 Other (specify): Retail Shops
#cdDownstream Sewer (Instruction E)
100 96Domestic/Commercial
96Industrial (attach
descripdonj
'(RO:contact your Regional Office
� Pretreatment staff)
,& Other (specify):
T� Volume ofwastewater tole allocated or permitted for thisparticular pmject� 1456GPD
*Do not include future flows orpreviously pennifted allocations
8 If the permitted flow is zero, indicate why'.
F-1 Pump Station, Outfall or Interceptor Line where flow will be permitted in subsequent permits that connect to this line
Flow has already been allocated hnPermit No. _
LJRehabilitation urreplacement nfexisting sewer with nu
permit is required)
flow expected (see 15ANCACO2TO3O3bodetermine ifa
F[A]21/07 vm�
_

PPPP9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2T .0114 for
the value in Item B(7) AND/OR the design flow for line or pump station sizing if a reduced or zero flow is being requested in
Item B(7). Values other than that in 15A NCAC 2T .0114 (b) and (c) must be supported with actual water or wastewater use
data in accordance with 15A NCAC 2T .0114 (f)
Used 100 ga1/1,000 SF for "stores and shopping centers without food service." Building is 14,564 SF,
14564 x .1= 1,456 gpd
0
NFORMATION
10, Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches) Length (feet) New Gravity or Additional
Force Main
8 2.05 Gravity
. Summary of Pump Stations w/ associated Force Mains to be Permitted (attach additional sheets as necessary)
Pump Station Location ID (self chosen - as shown on plans/map for reference)
Design Flow Power Reliability Option
Operational Point .
(MGD) permanent generator WATS; Force Main Size Force Main Length
GPM @TDH
2 - portable generator w/MTS
Pump Station Location ID (self chosen - as shown on plans/map for reference)
Design Flow Power Reliability Option
Operational Point
.
(MGD) permanent generator w/ATS; Force Main Size Force Main Length
GPM @TDH
2 - portable generator w/MTS
E
fx. Pump Station Location ID (self chosen - as shown on plans/map for reference)
LU
CI. Design Flow
Operational Point Power Reliability Option
(MGD) 1 - permanent generator MATS; Force Main Size Force Main Length
Ca GPM @TDH
2 - portable generator w/MTS
12, Will the wastewater flow in the proposed sewer lines or pump stations be able to be directed to another treatment facility?
LI Yes No If Yes, permit number of 2"`i treatment facility
(RO — if "yes" to B,12 please contact the Central Office PERCS Unit)
13, Does the sewer system comply with the Minimum Design Criteria for the Fast Track Permitting of Pump Stations and Force
Mains (latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC Chapter 2T as
applicable?
Yes 1=1 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
171.1 2/07_ver2

4, Have the folio ing permits/certifications been submitted for approval for the system or project to be served?
Wetland/Stream Crossings - General Permit or 401Certification? [1] Yes E No N/A
Sedimentation and Erosion Control Plan? Yes ri No N/A
Stormwater? [1] Yes El No El NIA
15. Does this project include any high priority lines, [see 15A NCAC 02T ,0402 (2)] involve aerial lines, siphons, or interference
manholes)? These lines will be considered high priority and must be checked once every six months
Check if Yes: D and provide details
1 Owner/Permi ee's Certification: (Signature of Signing Official and Project Name)
I, Brad Cornwell attest that this application for Rite Aid 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 143-215,66,
any person who knowingly makes any false statement; representation, or certification in any application shall be guilty of
a Class 2 misdemeanor, which may include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per
violation.
Signfrfg OfficaI Signature
ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY
TO OTHER UTILITIES, DESIGN CALCULATIONS. ETC. REFER TO 15A NCAC 02T .0305
2. Professional Engineers Certification: (Signature of Design Engineer and Project Name)
1, Michael Newman , attest that this application 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 Criteria for the Fast -Track Permitting ofPump Stations and Force Mains adopted June 1, 2000 and the watershed
classification in accordance with Division guidance, Although other professionals may have developed certain portions of
this submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this rnaterial
and have judged it to be consistent with the proposed design. Note: In accordance with NC General Statutes 143-215,6A
and 143-215.6B, any person who knowingly makes any false statement, representation, or certification in any application
shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed $10,000 as web as civil penalties up to
$25, 000 per violation.
2a Michael D. Newman
Professional Engineer Name
2b. PM Engineering, Inc
Engineering Firm
2c. 4601 Charlotte Park Dr, Suite 160
Mailing Address
2d, Charlotte
City
2g. 704-521-9973
Telephone
2h, 704-521-9974
Facsimile
2e, NC
State
2f. 28217
Zip
21. mnewm n charlotte,com
E-mail
‘-‘
-7. 7
iEAL
28274
, •
G \
NC PE Seal, Signature & Date
FTA12 "07 ver2

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE —10/07)
Project .Applicant Name: City of Shelby
Project Name for which flow is being requested: _Rite Aid Pharmacy — PM Engineering
More than one FTSE-10/07 may. he required for a single project the owner of the WWTP is not responsible far all
pump stations along the route of the proposed wastewater, ow,
I.. Complete this section only if you are the owner of the wastewater eat en plant.
a. WWTP Facility Name: City of Shelby — First Broad WWTP_____
b. WWTP Facility Permit ,- WQ0024538
All flows are in MGD
c. WWTP facility's permitted flow 6.0 MGD
d. Estimated obligated flow not yet tributary to the WWTP 0.35
e. WWTP facility's actual avg. flow 2.57
f Total flow for this specific request
g. Total actual and obligated flows to the facility
h, Percent of permitted flow used
0.001456
292
48.69
II, Complete this section for each pump station you are responsible for along the route of this
proposed wastewater flow,
List pump stations located between the project connection point and the WWTP
Pump Station Name Approx. Capacity, MGD Approx. Current Avg.
(Firm/Design) Daily Flow, MGD
N/A
III C
certify that, to the best of my knowledge, the addition of the
volume of wastewater to be permitted in this project has been evaluated along the route to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity
related sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant under normal circumstances. This analysis has been performed in accordance with local
established policies and procedures using the best available data This certification applies to those items
hstt above in Sections I and II for which I am the responsible party. Signature of this form indicates
actance ti2 wAewater
Signing Official
AM.
ture

TopoZone
arwood To nhouses. USGS Shelby (N+) Topo Map
0.3
0.6 0.9
1.5 Km
0 0.2 1 mi
UTM 17 452578E 3906006N (NAD83/WGS84)
Briarwood Townhouses, USGS Shelby (NC) Quadrangle
Projection is UTM Zone 17 NAD83 Datum
http:
p azonc.conz/print.asp'?1at = 57&.size=1&sy-anshow_=n&u=4&laye =i)R... '2008

k-arOilna utparttnent OI ,Flat-ne-t and Nawral KcsourceS
CAcer) H. Sullins, Director
plyrsion, of Water Quality
2008
Subject: Fast Track Appl pon Return
Project Name:. VI 6-4-Tew-kty EE. r1,144,1
0_ Lit, (co4Counry, North Carolina
DearNir Qorru4f
rite Dl\ sion of Water Quahtv. Mooresville Regional Office received your Fast Track sewer
application on, , .During an initial review of your application, your application was determined to
be incomplete, Therefore, your application is being returned, (Please include a copy of this letter with
your resubniittal). For a listing of the correct forms and instructions please visit:
http ://h2o.enr. site . nc.us/percs/Co I lectionSvstems1Co 1 lectionSstemAppl ications.htm I,
complete/correct the following deficiencies:
Application submitted on wrong or outdated forms. Form():
1? tri ucir
Application vyas submitted without a processing fee or with an incorrectprocessing fee.
Application did not contain a Flow Tracking Form (F-FSE 1 0/07),
L. Application did not contain the Developer's/Homeowner's Operational Agreement.
Application did not contain the correct number of copies.
Application faded to IULIUJC project map.
Application (line A. 1 b) was not signed an authorized representative in accordance with 15A.
NCAC :2T 01 06(b). (see http:.:Yh2o.enr:statenc.us/adminfruleslcodes statutes:him)
Following submission of a complete application, the Ntooresville Regional Office will begin a
technical review of your application, IT your application is -technically deficient additional information may
he required or the package may be returned again.
Robert B. Krebs
Supervisor, 1oores OleMooresville Regional Office
Enclosure: Fast Track Sewer E tensi n A 1p ication
cc: RO File
STs.lIctliF(asi Track Return 398
610 East C.:enter Ave. Suite 300 A.looresville. NC, 2B 11'5 7N-663-1699 (Telephone)

Subject:
Dear Mr./
licel F. Easley, Crovernor
William Cr. Ross Jr„, Secretary
North Carolina Department of Environment and Natural Resources
Coleen I-1„ Sullins, Director
Dsion of Water Quality
2008
Fast Track App1ic»tion Return
Project Name:
County, North Caroline
The Division of Water Qualitv. .Mooresville Regional Office received your Fast Track sewer
application on During an initial review of your application your application was determined to
be incomplete. Therefore., your application is being returned. (Please include a copy of this letter with
your resubmittal). For a listing of the correct forms and instructions please visit:
p_,;//h2o.enr,state.nc..us/Rercs/CollectionSystems/CollectionSvstemApplications.html„
Please complete/correct the following deficiencies:
Application submitted on wrong or outdated forms.
Application was submitted without . a processing fee or with an incorrect processing fee.
Application did not contain a Flow Tracking Form (FTSE 1.0/07).
Application did not contain the Developer's/Homeowner's Operational Agreement.
Application did not contain the correct number of copies,
Application .failed to include project map.
LIII Application (line. Act b) was notsigned by an authorized representative in accordance with 15A
NCAC 2T .0106(b). (see http://h2o.enr.stateaic.us/adminfrulesleodes statutes,htm)
Following submission of a complete application, the Mooresville Regional Office vill begin a
technicalreview of your application. If your application is technically deficient additional information may
be required or the package may be returned again,
Sincerely,
) Robert B. Krebs
Supervisor, Mooresville Regional Office
Enclosure: Fast. Track Sewer Extension Application
cc: RO File
sAshadoc\fasi Track. Remm 308
6 10 East Center Ave Suite 300 Mooresville, NC 28115 744-663-1699 (Telephone)

Central Mies AR P
0 /08
Permit Number Q0032951 Permit Trac .h ig Slip
Prorarn Category
let -discharge
status
In review
Project Type
New Project
Pewit Type Fist ick Version Permit Ciassif at on
Gravity Sewer Btensoan, Pump Btaborts, Pressure ewer A Individual
Extensions
Primary Reviewer
dee.browder
Permitted How
1456
Facility
Facility fare
Pharmacy - B. Marion Street
Loation Adrires
wner
Permit Contact Affiiia aon
#ajerlllitinor legion
Mincer Mooresville
County
Cleveland
facilityContact Affiliation
Owner Name Owner Type
City of Shelby Government - Municipal
Date lven
r r g issue App Received Dra
05/09/08 04/18/08
Reg ated Activitlea
Retail
'
step rater idles IiOn
uttan NULL
Scheduled
tssuenca
Owner Affiliatit
rad
PO Box 207
Shelby
ornl elI
NC 21 1
Public Notice Issue Effective Evian- ion
05/09/08 05/09/08
Reau,stediReceive Bveft
Add:#Waal anfermation requested
ArtrtEtrr,:i IKifurrratirrn retJerrrett
""aterbco-dy Name stream Index NumberNum Curtsr t Iris Subbasi

PAY
TO THE
ORDER
OF
PRIMAX PROPERTIES, LLC
1065 East Morehead Street, 4th Floor
Charlotte, NC 28204
00,✓ 100
FIRSTTRUST BANK
CHARLOTTE, NG
W W W. FIRST TFiUS FNC.COM
66-0226i53OO1
Mar 1 , 2008
DATE
II'02033211' 1:053022651:01,200L880'711'
PRIMAX PROPERTIES, LLC
1065 East Morehead Street, 4thFloor
Charlotte, NC 28204
an c,0/
PAY
TO THE
ORDER i;,4 DE F>
OF
FIRST TRUST BANK
CHARLOTTE, MC
WWV FIRSTTRUSINC .COM
66,122663C/0
100203?till' 1:0530L2265i:0 200La 07lt'
***** ,400 00
AMOUNT
20374