WQ0030621_Regional Office Historical File Pre 2018

Mr, Barry Webb, City Manager
City of Belmont
PO Box 431
Belmont, North Carolina 28012
North Car(
August 7, 2006
Michael F, Easley, Governor
William G. Ross Jr,, Secretary
partment of Envirormnt and Natural Resources
Alan W. KLimek P.L. Director
Division of Water Quality
Subject: Permit No. WQ0030621
Sterling Professional Park
City of Belmont
Wastewater Collection System Extension
Gaston County, North Carolina
Dear Mr, Webb:
In accordance with your application received on July 26, 2006, we are forwarding herewith
Permit No. WQ0030621, dated August 7, 2006, to the City of Belmont 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date of issuance until rescinded and shall be subject to the conditions and limitations as specified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 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 Regional Office 610 East Center Ave., Suite 301 Mooresville, NC 28115
intemetwww,ncwaterquality.org Customer Service: 1-877-623-6748
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Papet
Phone. [phone] Fax [phone]
One
N iffiCarcAina

Mf. Webb
Paget
July 7, 2006
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North
Carolina as amended, and other applicable Laws, Rules, and Regulations, permission is hereby
granted to the City of Belmont for the construction and operation of approximately 1065 linear feet of 8-
inch gravity sewer as part of the Sterling Professional Park sewer project, and the transfer of 5,000
additional gallons per day of collected domestic wastewater into the City of Belmont's existing
sewerage system, pursuant to the application received July 26, 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 Belmont
WWTP (NPDES No, NC0021181) 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 156E 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 Samar Bou-Ghazale at
[phone].
Sincerely,
• Alan W. Klimek, P.E.
cc: Mooresville Regional Office, Surface Water Protection (WWTP Permit No, NC0021181)
Kevin S. Caldwell, Geoscience Group, Inc.
Surface Water Protection Central Files
Marie Doklovic, 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 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.
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.
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.
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 Permttee for the life
of the wastewater collection facilities.
8. 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. n 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.
2

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 reporting any of the above occurrences shall file a spill report by
completing Part I 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 7'h day of August, 2006.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for Alan W, Klimek,, .E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
\WOO( 621.

Fast Track Engineering Certification
Permit No, WQ0030621
August 7, 2006, 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
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 E Final
1,, as a duly registered Professional Engineer in the State of North Carolina, having
been authorized to observe periodically, E] weekly, El full time) the construction of the Sterling Professional
Park, a 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.

C.
CATION for GRAVITY SEWERS, PUMP STATIONS, AND
ORCE MAINS
PAGE 3
USE THE TAB KEY TO MOVE FROM FIELD TO FIELD!
Owner:
la. City of Belmont
Full Legal Name (company, municipality, HOA, u
Mr. Barry Webb, City Manager
Application Number:
(to be completed by DWQ)
Signing Official Name and Title (Please review 15A NCAC 2H .0206(b) for authorized signing off'rciiaisl)
lc, The legal entity who will own this system is;
❑ Individual ❑ Federal X Municipality ❑ State/County ❑ Private Partnership ❑ Corporation ❑ Othe
ld, PO Box 431, 115 N. Main Street
Street Address
1f, NC
State
1 h. 704-825-5586 1 i. 704-825-0
4
Telephone Facsimile
2. Project (Facility) Information:
[i. a. Sterling Professional Park
• Brief Project Name (permit will refer to thi
Q 3. Contact Person:
• 3a. Kevin S. Caldwell, PE, Geoscience Group, Inc.
Q
ame
Name and Affiliation of Someone Who Can Answer
3b, 704-525-2003
Phone Number
Project is X New
Beimon
City
lg. 28012
Zip Code
specify):
E-mail
2b. Gaston
County Where Project is
uestions About this Application
3c, kcaldwell@geoscienceucorn
E-mail
odification (of an existing permit)
cated
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 X Public (skip to Item B(3)) ❑ Private (go to item 2(a))
2a. If private, applicant will be: 2b. If sold, facilities owned by a (must choose one
❑ Retaining Ownership (i.e. store, church, single office, etc.) or
❑ Leasing units (lots, townhomes, etc. - skip to Item B(3))
❑ Selling units (lots, townhomes, etc. - go to Item B(2b))
City of Belmont
Owner of Wastewater Treatment Facility (W
4a. Belmont Waste Treatment Plant
Name of WWTF
a. City of Belmont
Owner of Downstream Sewer
The origin of this wastewater is
❑ Residential Subdivision
❑ Apartments/Condominiums
• Mobile Horne Park
❑ School
Restaurant
Office
TF) Trea
5b. 8 inches
Public Utility (Instruction III)
Homeowner Assoc./Developer (Instruction IV)
astewater From This Project
4b, NC. 002_11 ti
Receiving Sewer Size E
hat apply):
• Car Wash
Institution
0 Hospital
Church
❑ Nursing Home
❑ Other (specify): Shopping Center
Volume of wastewater to be permitted in this project is 5000 gallons per day
WWTF Permit No.
Permit Number of Downstream Sewer
known
100 % Domestic/Commercial
% Industrial
% Other (specify):
If the permitted flow is zero, indicate why:
❑ Interceptor Line - Flow will be permitted is subsequent permits that connect to this line
❑ Flow has already been allocated in Permit No..
0 Rehabilitation or replacement of existing sewer with no new flow expected
FTA 02103 - Rev. 106/03

" FAS1 T ACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
PAGE 4
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 approved prior to submittal of this application. Submit a separate request to
the Division of Water Quality, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617 in
accordance with 15A NCAC 2H ,0219(I)(3).
Medical Office Floor Area (60,000 sq. ft.) x (1 person per 300 sq. ft.) x (25 gal/person/day) = 5000 gallons per day
design flow
Total Daily Design Flow = 5000 gallons per day
10, Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches) Length (feet)
8 1065
ENTER TOTAL LINE LENGTH IN MILES 0.024
Summary of Pump Stations to be Permitted (attach additional sheets as necessary)
Gravity or Force Main
(use the pull down menu)
Gravity
Location ID Power Reliability Option
(self chosen - as shown on Design Flow Operational Point (1- dual line feed; 2- permanent generator % WATS; 3-
plans for crass_reference) (MGD) GPM t TDH portable generator wltelemetry; 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?`
X 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 El No XLJ N/A
Sedimentation and Erosion Control Plan? X Yes El No 0 NIA
Stormwater? X Yes © No © N/A
FTA. 02,t13 - Rev_ 1 06I03

4 „
FAST:TRACK 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
X A Stream Classification is not needed because all parts of the project are at least 100 feet away from any down slope
waterbody; AND,
X A Stream Classification is not needed because the design does not depend an wet well storage as a power reliability
option for any pump station near a Class C down slope waterbody.
w
Location ID on Map
(self chosen - as shown on Name of
map for cross-reference) Waterbody
Waterbody Stream
County River Basin Index
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:
1 a.
Waterbody
Classification
1, Barry Webb, attest that this application for gravity sewer to serve Sterling Professional Park
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, or
certification in any application shal/be guilty of a Class 2 misdemeanor which may include a fine not to exceed $10,000
as well as civ alties uBaer violation.
Signhff11 Signature
2. Professional Engineer's Certification:
I attest that this application for gravity sewer to serve Sterling Professional Parkhas 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. 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 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 seal signifies that 1 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 143-215.68, 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 penalties up to $25,000 per violation.
2a. Kevin S. Caldwell,PE
Professional Engineer Name
2b, Geoscience Group, Inc.
Engineering Fimi
2c. 500-K Clanton Road
Address
2d, Charlotte
City
2e, NC 21, 282 7
State Zip
2g. 704-525-2003 2h, 704-525-2051 2i. [e-mail]
Telephone Facsimile E-mail
Seal, Signature & Date
FTA 02/03 - Rev 1 06103

0,
BELM©NT QUADRANGLE
NORTH CAROLINA- SOUTH C°.AROA
7.5 MINUTE SERIES (TOPOGRAPH1(
NI`./4 CI.UVE 15' OldADNANG
N: 550 000 FEET
{N. L.)

Cr'eosenee
Group, Inc
To:
Atin
State of NC
Dept. of Environment and Natural R.es0
Division of Water Quality
Mooresville Regional Office
610 East Center ..Avenue
R
Suite 1 30
Mooresville,, NC 28115
LETTER OF TRANSMITTAL
..MTE: 7-03-06 r 0405.0072.0;
RESOURCES \ S erling Professional Park
E REG/ONAL OFRCE Park Street at Sterling Street
Belmont, NC
Dec Browder
We are sending. you:
The following', items:
Attached
7. Overnight
Cieotechnical, ,
Environmental &
Construction Materials
Eniiineering
UL 2 6 2006
Regular Mail
Shop Drawings Prints
Specifications. L Co PY of Lefler
Fast Track Application for Gravity Sewei7
Pick. -up
Plans
Change Order
Description
Fast Track .Al_Vication
S400 fee check
THESE ARE TRANSm.rrTED as checked below:
vf 1 Hand D-1 vered'Cot :ed
Disks
Other
, 1 For Approval I v As Requested 1 I Approved as Suhimtted
i 1 i
r or vour use , I For RevieW and Comment i Approved as Noted
- ,, .
500 Clanton Road
Suite K
Charlotte., North Cap:.
7).87)17
Returned for Corrections
Signed: Kevin McCorkle, RLA,
'felephone 'Facsimile
704.525,7003 704.525,2051

Permit. Number WQ0030621
Central Files: APS SWP
08/04/©6
Permit Tracking Slip
Program 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
samar.bou-ghazaie
Permitted Flow
5000
Facility
Facility Name
City of Belmont Residuals Land Application
Program
Permit Contact Affiliation
MajorlMinor Region
Minor Mooresville
Location Address County
PO Box 431 Gaston
Belmont NC 28012
Owyier
Owner Name
City of Belmont
Dates/Events
Orig Issue
App Received
07/26/06
Scheduled
Draft Initiated Issuance
Facllity Contact Affiliation
Owner Type
Government - Municipal
Owner Affiliation
Barry Webb
P© Box 431
Belmont
Public Notice Issue
NC 28012
Effective Expiration
Regulated Activities Re9ue5ted/Received Evgnts
Wastewater treatment and disposal Additional information requested
Additional information received
Outfall NULL
Waterbody Name Stream Index Number
Current Class Subbasln

Michael! F. Easley, Governor
William G. Ross Jr. Secretary
North Caron Departrrent of Environment and Natural: Resources
Cole:en Suilms, DireCtor
Division ofWater Quality
Janus22, 2008
Barry Webb, City Manager
City of Belrnont
P.O. Box 431
Belmont, North Carolina 28012
SUBJECT: Sterling Professional Park
Permit No. WQ0030621
Wastewater Collection System Extension
Final Engineering Certification
Dear Permittee:
The D vision received a final engineering certification for the subject project on December 27, 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 PNQCF-S as this permit is not
automatically transferable. Form PNOCF-S can be downloaded from
http://h2o.enr,state.nc.us/ndpulndpuabgs,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.browder@mcmaitnet.
Sincerely,
bc:
obert Krebs
rface Water Protection Regional Supefvisor
EndOSUre
Cc: Kevin Caldwell, Geoscience Group
Surface Water Protection Seclian Central Files (certification page only)
One
North Caroli na
Naturally
Pretreatment, Emergency Response and Collection Systems Unit Internet httplih2o,enr nc state.usindpu
1617 Mail Service Center, Raleigh, NC 27699-1617 An Equal Opportunity Action Employer
Telephone [phone] Fax [phone]% recycledfl0% post -consumer paper

Fast Track Engineering Certification
Permit No, W00030621
August 7, 2006, 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
modifications are required for any changes resultln in n m n e ith thi e e u tuns or
minimum desi n 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
El Partial X Final
e4i44 as a duly registered Professional Engineer in the State of North Carolina, having
been authorized to observe ( periodically% weekly, Ej full time) the construction of the Sterling Professional
Park, a 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;
otoliceriffi
. 6 6
:r.
SEAL . .,
r.
1 0725
...
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.
. „
... 4,
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%S.
S. CPA-k' '''
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.
CWQ

Cieoscience
Croup, Inc,
To:
Attn:
LETTER OF TRANSMITTAL
NCDENR
Mooresville Regional Office
Surface Water Protection
610 East Center Avenue, Suite 301.
Ivlooresville, NC 28115
Dec Browder
We are sending you:
VIA: 1
The following items:
Copies
1
1
Attached
Overnight
Shop Drawings
Specifications
Date
No,
Under separate cover
Regular Mail
Prints
Copy ofLetter
Geotechnical, Civil,
Environmental &
Construction Materials
Engineering
DATE: 14.19-07 CH050072CV-1
Sterling Professional Park
Park Street at Sterling Street
Belmont, NC
Sanitary Sewer As -built drawings and
Engineer's Certification
Permit No. WQ0030621
Pick-up
Plans
Change Order
Description
Sanitary Sewer As -built drawings
Engineer's Certification
THESE ARE TRANSMITTED as checked below:
For Approval
For your use
As Requested
For Review and Comment
Approved as Submitted
Approved as Noted
Hand Delivered/Couriered
Disks
Other
Returned for Corrections
Copy To:
500 Clanton Road Char!
Suite K 1`I.821
Signed: Kevin S. Caldwell, P.E.
Facsimile
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