WQ0030907_Regional Office Historical File Pre 2018 (2)

Michael F. Easley, Governor
William G. Ross.lr., Secretary
North Carolina Department of Envirorunent urd Natural Resources
Alan W. Klimek„ P.E. Director
Division of Water Quality
October 13, 2006
Mr, David Kraus
City Manager
City of Mount Holly
131 South Main Street
Mount Holly, NC 28120
Subject: Permit No. WQ0030907
CHS Rehabilitation — Phase I Project
Wastewater Collection System Extension
Gaston County, North Carolina
Dear Mr, Kraus,
In accordance with your application received on September 28, 2006, we are forwarding
herewith Permit No. WO0030907 dated October 13, 2006, to the City of Kannapolis 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the date of issuance until rescinded, and shall be subject to the conditions and limitations as specified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 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.
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 Mount Holly for the construction and operation of approximately
Mooresville Regional Office 610 East Center Ave", Suite 30I Mooresville, NC 28115 Phone: [phone] lax: [phone]
Interne9_ http:lfvtnvw ncrwaterquaIity.orgt Cu.stomerSe-rvice: I-877-623-6748
An Equal Opportunity/Affrrnative.Action Ernployer— 50% Recycled(10°% Post Consumer Paper
Caresl'srsx
Xla`i

Mr. Kraus
Page 2
October 13,, 2006
1345 linear feet of 8-inch gravity sewer and the discharge of 12,OOO gallons per day of collected
domestic wastewater into the City of Mount Holly existing sewerage system, pursuant to the application
received September 28, 2006, and 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 Mount Holly
WWTP (Mount Holly NPDES No. NCOO21156) 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 150E 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 Marcia Allocco at (704)
663-1699.
cc.: Mooresville Regional Office, Surface Water Protection (WWTP Permit No. NCOO21156)
Raymond Waugh, LandDesign, Inc,.
Surface Water Protection Central Files
Tom Ascenzo, 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 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 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.

Thi er 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,
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.
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 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 (800) -
919) 733-3300. Persons reporting any of the above occurrences shall file a spill report by
completing Part 1 of Form - (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 11 of Form CS -SS (or the most
current 0ivsion approved form) can also be completed to show that the SSO was beyond
control.
Per issued this the 1 th day of October 2006.
NORTH TH A t,.l A ENVIRONMENTAL MANAGEMENT COMl 11 ION
1
for Alan VV. Klimek, RE, Direc r
Division of Water Quality
By Authority of the EnvironmentalManagement Commission
PermitNumber

Fast Track Engineering Certification
Permit No, WQ0030907
October 13, 2006
City of Mount Holly
131 South Main Street
Mount Holly, NC 28120
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 ail
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 I l Final
, as a duly registered Professional Engineer in the State of North Carolina, having been
authorized to observe (0 periodically, El weekly, Ell full time) the construction of the CHS Rehabilitation — Phase I, 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 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 appropriate
enforcement actions.

CATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 3
1. Owner:
la. City of Mount Holly
Full Legal Name (company, municipality, HOA, utility, etc)
USE THE TAB KEY TO MOVE FROM HELD TO FIELD! Application Number:
(to be completed by DWQ)
2
lb. David Kraus, CI Mana e
Signing Official Name and Title (Please review 15A NCAC 2H ,0206(b) fofor authorized signing officiats!
lc. The The legal entity who will own this system is:
0 Individual Ej Federal El Municipality 0 State/County II Private Partnership 0 Corporation 0 Other (specify):
0 ld. 131 South Main Street
ILL Mailing Address
if. NC
State
irt
le. Mount Holly
City
lg. 28120
Zip Code
lh. 704 827 3931 11. 704 822 2933 1j. davidkraus@mtholly,us
Telephone Facsimile E-mail
2. Projeci (Facility) Information:
c_kis
2a. Gerrcrtints Rehabilitation — Phase 1 2b, Gaston
Brief Project Name (permit will refer to this name) County Where Project is Located
3. Contact Person:
3a. Ray Waugh, PE
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b. 704 376 7777 3c. [e-mail]
1, Project is I4 New El Modification (of an existing permit) 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 Public (skip to Item B(3))
Phone Number E-mail
0 Private (go to item 2(a))
2a. If private, applicant will be: 2b. If sold, facilities owned by a (must choose one)
Ej Retaining Ownership (i.e. store, church, single office, etc.) or 0 Public Utility (Instruction 111)
Z 0 Leasing units (lots, townhomes, etc, - skip to Item B(3)) 0 Homeowner Assoc./Developer (Instruction IV)
Ej Selling units (lots, townhomes, etc. - go to Item B(2b))
3, City of Mount Holly
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
4a, Mount Holly Wastewater Treament Plant 4b. NC0021156
CD Name of WWTF WWTF Permit No.
LL 5a, Mount Holly 5b. 8 inches , Gravity 5c. nia
Z Owner of Downstream Sewer Recerving Sewer Size 0 Force Main I
I , Permit Number of Downstream Sewer (if known)
I— 6. The origin of this wastewater is (check all that apply):
E 0 Residential Subdivision El Car Wash
, r4 0 Apartments/Condominiums 0 Institution 1 0C-) % Domestic/Commercial
WI 0 Mobile Home Park ii Hospital
CL 0 School 0 Church % Industrial
EJ Restaurant 0 Nursing Home % Other (specify):
0 Office 0 Other (specify):
7. Volume of wastewater to be allocated for th's particular project: 12000 ga ons per day
*Do not include previously permitted allocations
8. If the permitted flow is zero, indicate why:
ID Interceptor Line - Flow will be permitted in subsequent permits that connect to this line
0 Flow has already been allocated in Permit No.
0 Rehabilitation or replacement of existing sewer with no new flow expected
FA 02/03 - Rev. 3 04/05

CK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 4
9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2H
,0219(1) 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(1)(1-2) must be supported with actual water or wastewater use data in accordance with 15A
NCAC 2H .0219(1)(3),
40 bedroom hospital 300 gallons per day per room = 12,000gpd
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches)
Z ENTER TOTAL LINE LENGTH IN MILES
Length (feet)
1344.56
.25
u mary of Pump Stations to be Permitted (attach additional sheets as necessary)
0 Location ID
!— (self chosen - as shown on Design Flow Operational Point
plans for cross-reference) (MGD) GPM TDH
0
z
Gravity or Force Main
(use the pull down menu)
Gravity
Power Reliability Option
(1- dual tine feed; 2- permanent generator wIATS; 3- I
portable generator wlteiemetry, 4-wet well storage)
2 12, Does the sewer system comply with the Minimum Design Criteria for the Fast Track Permitting of Pump Stations and Forcel
Mains (latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC 2H ,0200 as applicable?
cc
Yes 0 No If no, please reference the pertinent minimum design criteria or regulation and indicate why a I
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? p Yes 0 No N/A
Yes E No 0 N/A
Yes 0 No 0 N/A
Sedimentation and Erosion Control Plan?
Stormwater?
14. Does this project involve aerial lines or siphons? Check if yes: 0
These lines will be considered high priority and must 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% flatter than the minimum slope. Lines installed outside this tolerance should be
corrected prior to submitting the final engineering certification.
FTA 02/03 - Rev. 3 04/05

CK 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:
A Stream Classification is not needed because all parts of the project are at least 100 feet away from any down slope
waterbody; AND,
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 Name of Waterbody Stream Waterbody
map for cross-reference) Waterbody County River Basin Index Classification
C4IikitAR04 vea.. d-o4srt»- Qt II-611 LA iv (04.
z
0
Ci
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, David Kraus, attest that this application for Carolinas Rehabilitation - Phase 1 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! Statutes 143-215,6A and
143-215.6B, any person who knowingly makes any false statement, representation, or certification in any application
shall beguit a Class 2 misdemeanor which may include a fine not to exceed $10,000 as well as civil penalties up to
$2,5,-000 per vit ion,
Sighsga 1a1 Signature
Professional Engineer's Certification:
Date
I attest that this application for Carolinas Rehabilitation - Phase 1 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 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 fine not to exceed $10,000 as
well as civil penalties up to $25,000 per violation
2a. Raymond R. Waugh, PE
Professional Engineer Name
2b. LandDesign Inc
Engineering Firm
2c. 223 N. Graham Street
Mailing Address
2d. Charlotte 2e, NC 2f, 28202
City State Zip
2g: 704 376-7777 2h, 704 376-8235 21. rwaugh(glanddesign.com
Telephone Facsimile E-mail
40
1..4 .
' N 0 44
04
EA L. : 44
44
1 010 i .
.
9 4,,
IN
NI.
seal, SIgnaturettIbte
FTA 02/03 - Rev, 3 04/05

Central File s; APS SWP
10/12/©6
Permit Number WQ0030907 Permit Tracking Slip
Program Category Status Project Type
Non -discharge In review New Project
Permit Type Fast Trac/ version Permit Classifictrcrn
Gravity Sewer Extension, Pump Stations, & Pressure Sewer A Individual
Extensions
Primary Reviewer
marcia,allocco
Permitted Row
12000
acility
Facility Name
CHS Rehabilitation Phase I
Location Address
Owner Name
City of Mount Holly
Pates/Event
Orig Issue App Received Draft Initiated
09/28/06
Regulated Act►vils
Hospital
Wastewater collection
Outfall NULL
Scheduled
Issuance
Permit Contact Affiliation
Major/Minor
Minor
Region
Mooresville
County
Gaston
Facility Contact Affiliation
Owner Type
Government - Municipal
Owner Affiliation
David Krauss
PO Box 406 131 S Main
Mount Holly NC 28120
Public Notice Issue
Effective Expiration
j' gauested/Received Events_
Additional information requested
Additional information received
Waterbady Name Stream Index Number Current Class Subbasin

TUE) :O?:56 Land Ue,ign (F
d
State of North Carolina
Department.of Environment and Natural Resources
Division of Water Quality
WATERS}I,ED Cf.ASSJ'ICAT.ION ATTACHMENT
Any changes made to this form will result in the application being returned.
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
11VSTRUCi'IONS:
To dc1crn i:ne the classificaticnn of the watcraatrcd(s) ur w
submit this Conn, with 'terns 1 through 8 c rtt plctcd, to
Water Quality Supervisor (sec Pug 2 of 2) prior to aubr tttal of
include an 8.5" by 11' copy of the portion of a 7»5-colnute USGS To tplric Map t6 tt slto a srface wstars
inazocdiately downslope of the project. You must identify the location of t?ac prttjcct uxul ilia cl+pscst downslope
surface waters (waters for which you are requesting thc clus`aificatian) on the submittal map copy. 1 t$ facility is
located in the Ncusc River Basin, alstoinclude a copy of the soil survey snap for the project location, The
corresponding non -discharge application m ty net be submitted until this form is co pleiad by the appropriate
regional af33cc.and included with the submittal.
1. Applicant's name (name of then municipality, corpo
2. Name and co
31 Slh
CityMount }Telly dtmte. NC
Telephone nuunbe'r. (_704_ j_ S?7 1 Faeyin ile number:
3. Project mine.; (mote of the subdivision, facility or es blishtpent, ctc.):
Carolinas Rehabilitation
4. County where project is locate&
5. Namc(s) of close4 surface Waters: € tttw lit t
G. River basin(s) in which the` pr
7. Topograph map name and date. tw rattot lotfy, Nt 7911
B. North Cgroiirta Professional Engineer's seal, sirattttc; ear€:.
TO: REGIONAL OFFI(
Please provide mo with the classifies
these activities will occur, as identified on
Names) of sltrfbce water and river bau
Classification(s) (as established by the E
Proposed classifacation(s), i'appliiblc:
River basin buffer rules, if applicable
FORM: WSCA 1O/99 Page 1 of 2
you OM
giona
um. you must
FI`oily
2821 0
822-2933„
200 d
ZD 'd l l :5 t 900Z 9Z paS
O'OYE991OL
9lt©L:xe3 pdW IQN3o3N
? 6I 3fl1)9002-92 d S Atifelea coy

ET
REQUEST
MILE
QUADRANGLE
Revisions shown in purple compiled in cooperation with
North Carolina Department of Environment, Health and
Natural Resources from imagery dated 1993 and other sources
Map edited 1996
Information shown in purple may not meet USGS content
standards and may conflict with previously mapped contours
Primary highway,
hard surface
Secondary highway,
hard surface
AL SLIRVEY,1 RESTON, VORGeNIA-1
4990R)m E,
ROAD C ASSIFICATiON
Light -duty road, hard of
Interstate Route
. — 'Unimproved road ::_-:--
U S. Route State Route
MOUNT HOLLY, NC
35Q81•C1-TF-O624
1993
DMA 4754 6 SE-SERIES'V# 42

Sep terrtber 27, 2006
NSDENR
Division of Water Quailtty
610 E. Center Avenue, Suite 301
Mooresville, NC 28115
Re CHS Rehab hospital
PNL 1005147
Serial Number:
Please find enclosed the submittal package including two applications, application tee, USGS rraap and strean
classification for the CHS Rehab Hospital i0cated in Mount Holly, North Carolina.
Please give rrre a gall at 704,376.7777 should you have any questions or need any additional itiforriaat on
Sincerely;
Robb J. Klauk
Associate
LandDesign) Charlo
704.376.7777
'SiGN iN

F, Easley, Governor
Vlli`diiam G. Ross Jr,, Secretary
North Carolina Department of Enarirorrnent and Natural Resources
Coleen Sullins, Director
Division of Water Quality
September 4, 2008
City of Mount Holly
131 South Main Street
Mount Holly, North Carolina 28120
SUBJECT: CHS Rehabilitation - Phase 1
Permit No. WQ0030907
Wastewater Collection System Extension
Final Engineering Certification
Dear Permittee:
The Division received a final engineering certification for the subject project on August 21, 2008. A
full review of the certification materials may or may not be conducted, dt 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/ndputpdpuapps.htmlifSewer,
if you have any questions concerning this document or the completion of Form PNCCF-S (if
necessary, please contact Ms. Dee Browder at the letterhead address or via E-mail at
dee.browder` *ncmail.net.
Sincerely,
obert Krebs
0 Surface Water Protection Regional Supervisor
Enclosure
R.d Waugh, Landcles gn
Surface Water Protection Section Central Files lcertiricc tion pcige only)
One
NorthCarolina.
Pretreatment, Emergency Response and Collection Systems Unit Internet http,lTh2o.enr.nc.sts`ndpu
1617 Mail Service Center, Raleigh, NC 27699-1517 An Equal Opportunity Action Employer
Tetepuhone [phone] Fax [phone]% recycled/10% post -consumer paper

Fast Track Engineering Certification
Permit No, WQ0030907
October 13, 2006
City of Mount Holly
131 South Main Street
Mount Holly, NC 28120
olt
o t
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 Engineers 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,
authorized to observe
ENGINEER'S CERTIFICATION
Partial � Final
, as a duly registered Professional Engineer in the State of North Carolina, having been
riodically, weekly, LI full time) the construction of the CHS Rehabilitation — Phase I, 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 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 appropriate
enforcement actions.