WQ0030387_Regional Office Historical File Pre 2018

Michael E. Easley, Governor
William 6. Ross Jr„ Secretary
North Carolina Department of Environment and Natural Resources
Alan W4 Klimek, P.E.. Director
Division. of Water Quality
June 14, 2006
Mr, Michael McLaurin, Interim Town Manager
Town of Stanley
PO Box 279
Stanley, NC 20164
Subject: Permit No, WQ0030387
Kelly's Landing Development
Town of Stanley
Wastewater Collection System Extension
Gaston County, North Carolina
Dear Mr, McLaurin:
In accordance with your application received on May 19, 2006, we are forwarding herewith
Permit No, WQ0030387, dated June 14, 2006, to the Town of Stanley 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date of issuance until rescinded and shall be subject to the conditions and limitations as specified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 the 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 2H .0227 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 2H .0200; 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 an 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 Regional Office 610 East Center Ave,, Suite 301 Mooresville, NC 28.115
Internet www,ncwaterqualIty,org Customer Service, I -877-623.-6.748
An Equal Opportunity/Affirmatve Action Employer-50% Recycledi10% Post Consumer. Paper
Phone; [phone] En; [phone]
One
NorthCa
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IPPIIFF In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North
Mr McLaunn
Page 2
June 14„ 2006
Carolina as amended, and other applicable Laws, Rules, and Regulations, permission is hereby
granted to the Town of Stanley for the construction and operation of approximately 3,024 linear feet of
8-inch force main as part of the Kelly's Landing Development sewer project, and the discharge of
40,680 gallons per day of collected domestic wastewater into the City of Mt. Holly's existing sewerage
system, pursuant to the application received May 19, 2006, and in conformity with 15A NCAC 2H
0200; 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 Mt. Holly
VVVVTP (NPDES No. NC0021156) prior to being discharged into the receiving stream.
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,
%), '?-
for Alan W. Klimek, RE.
cc: Mooresville Regional Office, Surface Water Protection (WVVTP Permit No. NC0021156)
Miles Wright, Wright 8, Associates
Surface Water Protection Central Files
Marie Doklovic, PERCS

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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 ssuance 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 2H .0200; 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.
3. 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 2H .0227. If an individual
permit is not required, the following performance criteria shall be met as provided in 15A NCAC 2H
,0227:
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.
High -priority sewer lines shall be inspected at least once per every six-month period of time.
A general observation of the entire sewer system shall be conducted at least once per year.
Inspection and maintenance records shall be maintained for a period of at least three years.
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 2H .0220, 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 2H ,0200; 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.
9. 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 mad 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 (800) 88-8 or
[phone]. Persons reporting any of the above occurrences shall file a spill report by
completing Part 1 of Form C - O (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 Il of Form CS -SS (or the most
current Division approved form) can also be completed to show that the SSO was beyond
control.
Permit issued this the loth day of June„ 2005.
NORTH CAROLINA ENVIRONMENTAL ANAGE
f
r$
for Alan W. kl0fiek, RE, E., Director
Division of Water Quality
By Authority of the Environmental Management Comm]
Ifiv QOO (
ion

Fast Track Engineering Certification
Town of Stanley
Permit No. WQ0030387
June 14, 2006
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
modJficatiojrereuiredfor any char ges resultin in non-com�liance with this perrnit, re ulations or
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 LI Final
, as a duly registered Professional Engineer in the State of North Carolina, having
been authorized to observe (0 periodically, 0 weekly, 0 full time) the construction of the Kelly's Landing
Development, Gaston 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 2H 0200; 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 appropriate
enforcement actions,

FAST -TRACK APP
ICA 'ION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE NIAINS PAGE 3
0
0
z
(.)
0-
a.
USE THE TAD KEY To MOVE FROM FIELD TO FtEELU
1, Owner
1 a. 'aft
Full Legal Name (company, municipality', HOA, utility, etc.)
lb., ITV' ck /z r)(\c,.
App ication Number:
(to be completed by DWQ)
Signing Official Name and Title (Please review 15A NCAC 2(1 ,0206(b) for authOnzed signing officials!)
lc. The legal entity who will own this system is:
0 Individual, 0 Federal Ei Municipality Ej State/County rj Private Partnership 0 Corporation 0 Other (specify):
1 O, p„ tS le,
<)4- ey
Mailing Address City
if. Noll11\.. 1g,
State Zip Code
1 h 70-1 —L17V i Us4 Zij 11,-je 41. cot" ell', Of" -
Telephone Facsimile E-mail
2. Project (Facility) information:
2a. 'LQr De 2b.
Brief Project Name (perm *I refer to lhis name)
3. Contact Person:
3a.
nik, L.),
" a "
County Where Project is Located
Name and Affiliation of S mec e Who Can Answer Questions About this Application
3bi 6 Le) £/ Z?o 3c, /11iie.;
Phone Number E-mail
1. Project is New Ej fVlodification (of an existing permit) If Modification, Permit No.:
For modifications, attach a separate sheet clearly explaining the reason for the modification (Le. 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 ryi Public (skip to Item B(3)) 0 Private (go to Item 2(a))
2a. If private, applicant will be 2b. If sold, facilities owned by a (must choose one)
0 Retaining Ownership (i.e. store, church, single office, etc) or Ej Public Utility (Instruction III)
0 Leasing units (lots, townhomes, etc. - skip to Item B(3)) 0 Homeowner Assoc./Developer fin tr bon IV)
0 0 Selling units (lots, townhomes, etc, - go to Item B(2))
C4 rc ,42/' &V /
Owner ofli/Vastewater Treatment taciiity (VVVVTF) Treating Wastewater From This Project
..„,,,.
ii44/ NI /Xi 4biF N,{C.- 00Z1150
.„„ .
Name ofWITF 'VVVVTF Permit No.
5a. --ri),J,. . ,,, 5b. e.J° Gravity i?,o.
Z Owner of Downstream Sewer Receiving Sewer Size 0 Force Main ' Permit Number of Downstream Sewer (if known),
........
_ 6, The origin of this wastewater is (check all that app(y),
E E3 Residential Subdivision
IX 0 Apartm,ents/Condominiums
LLI 0 Mobile Home Park
CL 0 School
Ca El Restaurant
0 Office
Ej Car Wash
0 Institution
0 Hospital
Church
ID Nursing Home
0 Other (specify):
% Domestic/Commercial
°A Industrial
% Other (specify):
7. Volume of wastewater to be allocated for this particular proiect.liacei0 gallons per day
*Do not include previously permitted allocations
8. If the permitted low is zero, indicate why.
O Interceptor Line - Flow will be permitted in subsequent permits that connect to this ne
Ej Flow has already been allocated in Permit No.
O Rehabilitation or replacement of existing sewer with no new low expected
FTA 02/03 - Rev. 3 04105

FAST -I APPLICA'I°I+C N for GRAVIT7' SEWERS, PI1MP STATIONS, AND FORCE l "IAINS PACE 4
Provide the wastewater flow calculations used In dete wining the permitted flow in accordance with 15A NCAC 2H
,0219(t) for Item B(7) or the design flow for line, or pump station sizing if zero go w in the space below„ Values other than
that in 15A NCAC 2H .0219(1)(1-2) must be supported with actual water or wastewater use data In accordance with 15A
NCAC 2H .0219(i0(3),
i !2
10 Summary of Sewer Lines to be Permitted (attach addittonal sheets if necessary)
Size (inches)
Length (feet)
z
H
ENTER TOTAL LINE LENGTH IN MILES
V11. Summary of Pump Stations to be Permitted (attach additional sheets as necessary)
z
0
1—
Q
0
LL
Z
Location ID
(self chosen - as shown on
plans for cross-reference)
Design Flow Operational Point
(MGD) GPM t TDH
Gravity or Force Main
(use the pull down menu)
Power Reliability Option
(1- dual line feed; 2- permanent generator w1ATS; 3-
portable generator wltelemetry; 4-wet well storage)
12, Does the sewer system comply wsth the Minimum Des gn 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?
Mt Yes D 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
Yes [] No
Yes 0 No
Stormwater? 0 'Yes [) No
14. Does this project involve aerial Nines or sophons? Check if yes: 0
These lines -will be considered hiah anohty and must be checked once every sir 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% flatter than the mini
corrected pnor to submitting the final engineering certification..
Have the following permits/certifications been submitted for approval
Wetland/Stream Crossings - General Permit or 401 Certification?
Sedimentation and Erasion Control Plan?
pe. Lin
NiA
0 N/A
Ej N/A
a
d outside this toferar ce shoo
FTA 02/03 - Rev. 3 04/05

FAST -TRACK .:ATION for
VERS, PUMP STATIONS, AND FORCE MAINS
PAGE 5
„ .
0
F—
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
regional office (see instructions for addresses) OR indicate the following,
El] A Stream Classification is not needed because ail parts of the project are at least 100 feet away from any down slope
waterbody: AND
1:1 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,
Location ID on Map
(self chosen - as shown on
map for cross-reference)
Name of
Waterbody County
Waterbody Stream Waterbody
River Basin Index Classification
osvNt 1;3 . 454bn 11-1k4- 4 t)IV 5, Stois boy
c crek
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.
/, SIGNING OFFICIAL NAME, attest that this application for PROJECT NAME
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
Genera/ Statutes143-215.64 and 143-215.6B, any person who knowingly makes any false statement, representation, or
certification in any application shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed $10,000
as well as civil pen /ties up to $25.000 per violation.
Signing Official Signature
2, Professional Engineer's Certification:
0
6
2a
2b
2c
2d
2a
I attest that this application for • has been reviewed by rne and is accurate, complete
and consistent with the information in the engineer 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 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 sea/
signifies that I have reviewed this material and have judged it to be consistent with the proposed design:(Vote: 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,
5 ,
Professional Engineer Name
Engineerfrfg Firm
f t
Mailing Address
Ale 1‘)J1V1
City
-2Z,K 2h e 7.6 ,
Telephone
Facsimile
2e. 4/C: 2f,
State Zip
2i, 71/04.5 kPS.0,5
E-mail 1 Seal Signature& Date
ETA 02103 - Rev. 3 04/05

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Terms of Use Privacy Statement
http:!/ternaserver.m.kcrasoft.com/Printulluage.aspx?T=2 S=i &Z==1.7&X 17" 4887&W=3... 4/ 0/ 006

CITY ref MQII l+iT` HOLLY
Robert Whitt, Mayor
Phyllis Harris, Mayor ProTem
Jerry Bishop, Councilrnan
Jim Hope, Councilman
Pat Hubbard, Councilwoman
Frank McLean, Councilman
David A, Moore, Councilman
David Kraus, City Manager
'th Main Street • Post Office Box 406 • Mount Flour, North Carolina 28120 • 704- 327-i931
May 17, 2006
Town of Stanley
Michael Mc Laurin, City Manager
11.4 South Main. Street
Stanley, North Carolina 28164
RE: Kelly Landing
Dear Michael;
704 822 2'I
You have requested 40,600 gallons of capacity for water and sewer for the proposed
Kelly Landing subdivision. Per our 1993 agreement, the Town of Stanley has reserved
the capacity for up to 1,5 millions gallons of water per day and 500,000 gpd of treatment
capacity. Currently, Stanley consumes approximately 600,000 gallons of water per day.
On a monthly basis, Stanly has reserved the waste treatment capacity of 6,000,000 and
has had a peak usage of 5,822,000. While this will allow for the development of Kelly's
Landing, Stanley should begin to look at its wastewater usage for future developments.
Additionally, the Kelly's Landing application for a permit will require our WWTF permit
number, which is NC0021156 and NC0021156-104 for the downstream discharge. if you
have any additional questions, please contact me directly. Thank you.
vv,rntholly.us

Permit Number
Central Files: APS SWP
06113106
0030387 Permit Tracking Slip
Prograrn Category Status Project Type
Non -discharge In review New Project
Permit Type Fast Track Version Permit Classification
Gravity Sewer Extension, Pump Stations, & Pressure Sewer A Individual
Extensions
Primary Reviewer Permit Contact Affiliation
dee.browder
Permitted Flow
40680
Facility
Facility Name
Kelly's Landing Development
Location Address
Ovine
Major/Minor Region
Minor Mooresville
County
Gaston
Facility Contact Affiliation
Owner Name Owner Type
Town of Stanley Government - Municipal
Owner Affiliation
Michael McLaurin
PG Box 279
Stanley
Events
NC 28164
Orig Issue App Received Draft Initiated
05/19/06
Scheduled
Issuance
Public Notice Issue
Effective Expiration
Regulated Activities Reame$ted/Received Events
Subdivision
Additional 'information requested
Wastewater collection Additional information received
Outfall NULL
Waterbody Name Stream Index Number Current Class Subbasin

Michael F. Easley Governor
William G Ross Jr . Secretary
North Carolina Department of Environment and Natural Resources
Coleen Sullins., DIrector
Division of Water Quality
January 22, 2008
Mike McLaurin.. Int Town Manager
Town of Stanley
114 S. Main Street
Stanley, North Carolina 28164
SUBJECT: Kelly's Landing Development
Permit No. WQ0030387
Wastewater Collection System Extension
Final Engineering Certification
Dear Permittee:
The Division received a final engineering certification for the subject project on December 3, 2007.
A full review of the certification materials may or may not be conducted. It is assumed that receipt
of this certification indicates compliance with all regulations, 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 receiving 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 PNOCF-S can be downloaded from
http;//h2oenr.statenc.usindpLIThdouapps.html#Sewer.
If you have any questions concerning this document or the completion of Form PNOCF-S (if
necessary)„ please contact Ms. Dee Browder at the letterhead address or via E-mail at
dee.trowder@inamaitnet.
Sincerely,
e
Robert Krebs
Surface Water Protection Regional Supervisor
Enclosure
Ca James Magennis
Surface Water Protection Section Central Files (certification page only)
Please forward to Engineer
One
North Carohn
atitrailij
Pretreatment, Emergency Response and Collection Systems Unt Internet httptah2o enr.no..state usindpu
1617 Mail Service Center, Raleigh, NC 27699-1617 An Equal Opportunity Action Employer
Telephone [phone] Fax [phone]% recycled/10% post -consumer paper

t Track En neerirm celrti a i0t!
Town of Stanley
Permit No, WQ0030387
June 14, 2OC16
NR MRO
DWQ Sus face ater Prot ton
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 ulations (selected pumps, system curve, operating point, available storage if portable
generators) or stor age 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 su
modifications are re aired for n h n s re uI in in non om li 'nee wi h his er*xp
minimum design c
Perrmit
This project shall not be considered complete nor allowed to operate until this Enrtifi ation and all
required supporting documentation have been received by the Division. Therefere, it is highly recommended
that this certification be sent in a manner that provides proof of receipt by the Division,
ENGINEER'S CERTIFICATION
DI Partial (,Final
f, „s , as a duly registered Professional Engineer in the State of North Carolina, having
been authorized to observe perrodically, [] weekly„, 0 full time) the construction of the Kelly's Landing
Development, Gaston County project for the Permittee hereby state that, to the best of my abilities, tiue.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 2H .0200 the Division of Water Quality's{Division)
Gravity Sewer Minimum DesignCriteria adopted February 12, 1996 as applicable; the Division's Minimum Design
Criteria:for the Fast -Track, Permitting of Pump Stations and Force Mains adapted June 1 2000 as applicable; and
other supporting materials.
North Carolina Professional Engi
seal, lig ature; and date:
The Permittee is responsible for trackin
wastewater flow made tributary to the w
Engineer's Certification shall be conside
.enfdreemerpt actions.
SEND THIS FORM & 'SUPPORTING OOCt1MENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
MOORESViLLE REGIONAL OFFICE
SURFACE WATER PROTECTION
610 EAST CENTER AVENUE, SUITE 301
MOORESVILLE NC 28115
ations up until a final certification is revived. Any
lection system extension prior to completion of this
of the permit and shall subject the Permittee appropriate