WQ0036401_Regional Office Historical File Pre 2018

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water duality
Pat McCrory Charles Wakild, P. E.
Governor Director
March 12, 2013
Ms. Kelly Pledger, Chairperson
Mountain Island Charter School, Inc:
14516 Lucia Riverbend Highway
Mount Holly, NC 28120
John Skvarla, Ill
Secretary
Subject: Permit No. W0036401
Mountain Island Charter School, Inc,
MICS Private Utilities
Wastewater Collection System Extension
Gaston County
Dear Ms. Pledger:
In accordance with your application received March 1, 2013, we are forwarding herewith Permit No.
WQ0036401, dated March 12, 2013, to the Mountain Island Charter School, Inc. 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from the date of issuance until rescinded, and shall be subject to the conditions and limitations as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 Better and supplement shall be considered a part of this permit and are
therefore incorporated therein by reference.
Please pay particular attention to the following conditions contained within this permit:
Condition 11.4: 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.
It shall be responsibility of the Mountain Island Charter School, Inc. 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,
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 150E3 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,
1617 Mall Service Censer, Rale'ugh, North Carolina 276 -1617
Location: 512 N, Salisbury St, Raleigh„ North Carolina 276ti4
Phone; 919-807.6300 l FAX [phone]
Internet: www.newateritualitY Cr9
An Equal Opporlurtiity 1 Affirmative Action Employer
One
Nort.l Carolina

Kelly Pledger
ch 12, 2013
Page Two
if you need additional information concerning this rrra er, please contact Michael Parker at " 4)
2194 or via e-mail a 1' ichael.Par' er@nc enr. ov
tonic copy Jeff Mccluskey, P.P.
Sincerely,
for Charles a iici, P.l:„ i
Division of Water Quality
by Michael Parker
Mooresville Region
cc; Mooresville Regional l Office, Surface Wter Protection Section'
Water Quality Central Files
PEPS (electronic copy)
ate r ,omit Supei

,RC'DENR
STATE OFNORTH CAROL|NA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT 0FENVIRONMENT AND NATURAL RESOURCES
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
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
Mountain Island Charter School, Inc.
Gaston County
for the construction andnpenotionofapproxnoatek/l^457,45|inearkeetofR-inchgravtyseoer,347/47
linear feet pf6'inch gravity sewer, 1461 linear feet *f2.S-inch force main, and a 0.018 IVIGD pump
station (32 gpm@85.9TDH) to serve the K4|[3 Private Utilities, and the discharge of 18,000 gallons per
day of collected domestic wastewater into the City of Mount Holly's existing sewerage system, pursuant
to the application received March 1, 2813, and in conformity with 154 N[AC ZT; the Division's Gravity
Sewer Minimum Design [,heMa 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 apart ofthis permit.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
specified conditions and limitations contained therein,
Pe
/
for Charles VVakild,P-[,Director
Division ofWater Quality
ByAuthority ufThe Environmental Management Commission
Permit Number. VVQ8036401

SUPPLEMENT�� �������� ������ �A����
o�� PERMIT �-���u-ox ~,uvu-u.v
Mountain Island Charter School, Inc. is hereby authorized to:
Construct, and then operate upon certification the aforementioned wastewater collection extension.
The sewage and wastewater collected by this system shall be treated in the City of Mount HmUy's
Wastewater Treatment Facility prior to being discharged into the receiving stream.
Permitting of this project does not constitute on acceptance of any part of the project that does not
meet 15A N[A[ ZT; the Division ofWater Quality's (Division) Gravity Sewer Minimum Design Criteria
adopted February 12,2996asapplicable; 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 Pennittee'sresponsibility to
ensure that the as -constructed project meeixtheapp^mphatedesigncrhedaandru|es.
Construction and operation is contingent upon compliance with the Standard Conditions and any Special
Conditions identified below.
1. SPECIAL CONDITIONS
L If, at any time, the additional wastewater flow volume made tributary to this sewer extension is befievrd to
exceed the value permitted herein, a modification shall be requested for this permit from the Division of
Water Quality to properly allocate the subject wastewater flow,
Z. No Mmm in excess of the quantity permitted herein, 18,008 6PD, shall be made tributary to the subject sewer
system until an application for permit modification for an increase in flow has been submitted to and
approved bythe Division ofEnvironmental Management.
3. Bycopy ofthis permit, the. Gaston County Building Inspections Department bhereby notified that building or
occupancy permits shall only be issued for the proposed number of students/faculty as part of the K4o[3
Private Utilities project until a modified permit is issued by the Division indicating additional connections,
4, @ycopy ofthis permit, the Gaston County Health Department and the Gaston County Building Inspections
Department are advised that, no certificates of occupancy are to be granted prior tothe submittal of sealed
engineer's certification.

11. STANDARD CONDITIONS
l. Thispemm|t shall not be transferable, |nthe event there ^sa desire for the wastewater collection facilities to
change ownership, o/there b a name change of the P*rmittee, afo/ma| 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,
2. This permit shall become voidable unless the wastewater collection fad|xbex are constructed in accordance
with the conditions of this permit; 15A NCA[ ZT; 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, 3000 as applicable; and other
supporting materials unless specifically mentioned herein.
I This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data.
4. The wastewater collection facilities shall be properly maintained and operated at all times. ThePemittem
shall maintain compliance with an individual system -wide collection system permit for the operation and
maintenance of these facilities as mqo|md by 15A N[AC 2T .0401 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 a1all times uo prevent discharge tvland or
surface waters, and to prevent any contravention of groundwater standards or surface water standards.
bA map of the sewersystern shall be developed and shall be actively maintained.
c An operation and maintenance plan including pump station inspection frequency, preventative
maintenance schedule, spare parts inventory and overflow response has been developed and
implemented.
d. Pump stations that are not connected toa telemetry system shall be inspected every day (i.e. 365 days
per year). Pump stations that are connected to u telemetry system shall be inspected at least once per
week.
e. High -priority sewer lines shall be inspected at least once per every six -months and inspections are
documented
fA general observation of the entire sewer system shall be conducted at least once per year.
8overflows and bypasses shall be reported tothe appropriate Division regional office in accordance with
lIA NCA[28 .0506(a),and public notice shall be provided asrequired byNorth Carolina General Statute
§149'215.1[.
In. A Grease Contral Program is in place as follows�
l, For public owned collection systems, the Grease [ombm| Program shall include at |mag biannual
distribution of educational materials for both commercial and residential users and the legal means to
require grease interceptors at existing estab|ishments. The plan shall also include legal means for
inspections of the grease interceptors, enforcement for violators and the legal means to control
grease entering the system frurn other public and private satellite sewer systems,

2. �orPrivately owned collection systems, the Grease Control Program shall include at least b,annual' '
distribution of grease education materials to users of the collection system by the permittee or its
representative.
]. Grease education materials shall be distributed more often than'equired in Parts (1) and (2) of this
Subparagraph if necessary to prevent grease -related sanitary sewer overflows.
. Right-of-ways and easements shall be maintained �n the full easement width for personnel and equipment
j� Documentation shall bekept for Subparagraphs (a)thrnughNofthisRule for aminimum ofthree years
with exception oythe map, which shall bamaintained for the life of the system,
5Noncompliance Notification,
The Perm|ttce shall report by telephone to a water quality staff member at the Mooresville Regional office,
telephone number (7O4) 663-1699\ ausoon aspossible, but in nucase more than 24 hours oronthe next
�o
a. Any process unit failure, due to known or unknown reasons, that renders the facility incapable o/
adequate wastewater transport, such as mechanical o/ electrical failures of pumps, line blockage or
breakage etc,; or
u, AnV S5Oand/or spill over 1,OQOgallons; or
c Any S5Oand/or spill, regardless ofvolume, that reaches surface water
Voice nnaU messages or taxed information is permissible, but this shall not brconsidered asthe initial verbal
report. OwcrDows and spills occurring outside normal business hours may also be reported to the Division of Emergency Management at telephone number [phone] or(919)733-338O. Persons reporting`
any y
the above, occurrences shall file a spill report by completing and submitting Pau uu
/ of [3'��O (mrthe m "
current Division approved form) within five days 6oU0��
owin�know/edgroftheoccunence This reponmust
outline the actions taken or proposed to be taken to ensure that the problem does not rec-"r pan Form
|| n�
[]-S3Q (or the most current Division approved fornn)can also be completed |nshow that t�5O was bey
ond
6� [nnurucdu* of the gravity sewers, pump gadons, and force mains shall be scheduled »o as no/ to interrupt
service by the existing utilities nor result in an overflow or bypass discharge of wastewater to the surface
waters of the State,
7. Per IlA N(A[ 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 twthe address provided nnthe form. Acomplete certiMe certification form�
0u|�executed and the suppurUngdocunnentsare pro�dedasapp|ioab|� 4nywastewaze,Mowmades
to the wastewater collection system extension prior to completion of this Engineer's Certification
ti �'�buca'y
corsideredavm|otkznoftAepermi,andsha|Ymbjectthepermitteeunappropdateenforoymencns�aU �»
If the permit is issued to a private entity with an Operational Agreement, then a copy of the Articles of
Incorporation, Decla rat ions/Covenants/Restrictio n s, and Bylaws that have been appropriately filed with the
applicable County's Register of Deeds office shall be submitted with the certification,
A complete certification kone where the form is fully executed and the mpponinKdocuments are provided
applicable, SuppurbmQdmcumentabonshaUinclude the |nUovv)rV- as

a. One copy ofthe project construction record drawings (plan &profile views mfsewer lines & force mains)
mfthe wastewater collection system extension. Final record drawings should be clear on the plans or on
digital media (CD or DVD disk) and are defined asthe design drawings that are marked up or annotated
with after construction information and show required buffers, separation distances, material changes,
etc.
t, One copy of the supporting pump station design calculations (selected pumps, system curve, operating
point, buoyancy calculations, 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 that do not result in non-compliance with this permit, regulations, or the Minimum
Design Criteria should be clearly identified on the record drawings, on the certification in the space
provided, prinwritten summary form,
Prior toCertification (Final or Partial): Permit modifications are required for any changes resulting in non-
compliance with this permit (including pipe length increases of10%orgreater, increased flow, pump station
design capacity design increases of 5% or greater, and increases in the number/type of connections),
regulations, or the Minimum Design Criteria, Requested modifications or variances to the Minimum Design
Criteria will be reviewed on acn;a-by-case bads and each on its own merit, Please note that variances tn the
Minimum Design Criteria should be requested and approved du/inB the permitting process prior to
construction, After -construction requests are discouraged by the Division and may not be approved, thus
requiring replacement or repair prior to certification & activation.
8. A copy of the construction record drawings shall be maintained on file by the Pe,mxtee for the life of the
wastewater collection facilities,
Failure toabide bythe conditions and limitations contained inthis permit; 15AwCAC2T; the Division's Gravity
Sewer Design Criteria adopted February 12, I996as applicable,- the Division's Minimum Design Criteria for the
Fast -Track Permitting of Pump Station and Force Mains adopted June 1, 2000 as appUcab|e� and other
supporting materials may subject the Pexmit\ee to an enforcement action by the Division, in accordance with
North Carolina General Statutes gl4]-ZtS.6A through §143'315,6C' construction of additional o/ replacement
wastewater collection facilities, and/or rehorn`| of the North Carolina -licensed Professional Engineer to the
licensing board,
10. In the event that the wastewater collection facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permhtpe shall take immediate corrective ocdor, including those ao may be required
by this Division, such as the construction of additional orreplacement faci|ide�,
ll. 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 I5& N[A[ 28 .8200, erosion and
sedimentation control requirements in I5A NCACCh. 4uod under the Division's General Permit NCG810800.
and any requirements pertaining to wetlands under lSA NCA[Z8 .0200aod 15A m[4[lH .0500�

.
FAST TRACK ENGINEERING CERTIFICATION ^
. ^.
Pemnbtew: K0oUntuin|m&and Charter School, Inc. Permit No. WO00364Ui
Project: MICS Private Utilities Issue Date: 0311212013
Complete and submit this form to the permit issuing regional office with the following:
� One copy cf the project record drawings (plan & profile views and detail drawings of sewer lines) of the wastewater
collection system extension. Final record drawings should be clearon the plans o/ on digital media (CD or DVD
disk) inpdfformat, Record drawings should indicate the design and the marked up changes during construction,
° Supporting design calculations (selected pumps, system oun/e, operating point, available storage /f portable
generator(s) orstorage greater than longest past three year outage reliability option selected) for any pump stations
permitted oapart ofthis project
w Changes tothe project should be clearly identified on the record drawings or in written summary form, Permit
modifications are required for any changes 'esu|thA|�.non-compliance with this permit, ryou|mbons or
minimum design criteria. Modifications should be submitted prior to certificmUnn.
This project shall not be considered complete nor allowed tooperate until the Division has received this Engineer's
Certification and all required supporting documentation. Thmrnf�re, d is highly recommended that this certificationb*mwntinmmmnnorthmtpymvidaspruofofneneiptbyiheOivi�inn.
PERMITTEE'S CERTIFICATION
K. , the undersigned egent for the Pennittee.hereby state that this project has
been constructed pursuant to the applicable standards & requirements, the Professional Engineer below has
provided applicable design/construction information to the Permittee, and the perrnittee is prepared to operate &
maintain the wastewater collection system permitted herein or portions thereof.
/Printed Name, Title
}
Signature Date
ENGINEER'S CERTIFICATION
[71 Partial n Final
as a duly registered Professional Engineer in the State of North Carolina,
having been authorized to observe (M periodically, Fl weeNy, rl full time) the construction of the subject project
for the Permitteehereby state that, bothe best ofmyabilities, due care and diligence was used inthe observation
of the construction such that the construction was observed to be built within substantial compliance of this
permit; 15A NCAC 02T-1 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
SURFACE WATER PROTECTION SUPERVISOR
KNQORESW{LLEREGIONAL OFFICE
@10EAST CENTER AVENUE, SUITE 381
K0<]ORESV|LLENC28115
The Pennitteo 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 beconsidered aviolation ofthe permit and shall subject the PnrmiMeetoappropriate
� enforcement actions,
`--- ------- ----
UWg Usm On|y-

USE THE TAB KEY TO MOVE FROM FIELD TO FIELD!
Owner/Permittee:
a. Mountain Island Charter School, Inc.
Application Number:
(to be completed by DWQ)
Full Legal Name (company, municipality, HOA, utility, etc.)
1b, Kelly Pledger, Chairperson
Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized signing officials!)
lc. The legal entity who will own this system is:
El Individual ❑ Federal 0 Municipality ❑ State/County ❑ Private Partnership Corporation ❑ Other (specify):
0 1d.
z
0
14516 Lucia Riverbend Highwa
Mailing Address
NC
State
1 h, 704,827.8840
Telephone
704.827.8675
Facsimile
2. Project (Facility) Information:
2a. MICS Private Utilities
Brief Project Name (permit will refer to this name)
3. Contact Person:
3a. Jeff McCluskey — Civil Engineer
Mount Holly
City
2812t
Zip Code
kraledcoe
iharte
2b. Gaston
County Where Project is Located
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b. 7©4.51 0.9797
3c. [e-mail]
Phone Number E-mail
Project is t New El Modification (of an existing permit) tf Modification, Permit No.:
2. Owner is ❑ Public (skip to Item B(3))
2a. If private, applicant will be:
Private
go to Item 2(a))
2b. If sold, facilities own
taining Ownership (Le. store, church, single office, etc.) or
ing units (lots, townhomes, etc. - skip to Item B(3))
ij Selling units (lots, townhomes, etc. - go to Item B(2b))
3. City of Mount Holly
Owner of Wastewater Treatment Facility (WWTF) Treating'
4a, Mount Holl Wastewater Tr
Name of WWTF
5a. City of Mount Holly
Owner of Downstream Sewer
Plant
d by a (must choose one
❑ Public Utility (Instruction C)
❑ Homeowner Assoc./Developer (Instruction D)
er From This Project
4b. NC 0021156
5b, Prop. 4" ❑ Gravity 5c.
Receiving Sewer Size ® Force Main
The origin of this wastewater is (check all that apply):
El Residential Subdivision
❑ Apartments/Condominiums
Mobile Home Park
School
Restaurant
❑ Office
WWTF Permit No.
Proposed 4" Forcernain (Permitted Separately)
Permit # of Downstream Sewer (Instruction E)
❑ Retail (Stores, shopping centers)
❑ Institution
© Hospital
❑ Church
0 Nursing Home
❑ Other (specify):
7Y Volume of wastewater to be allocated or permitted for this particular project:
*Do not include future flows or previously permitted allocations
8. If the permitted flow is zero, indicate why:
• Pump Station, Outfall or Interceptor Line where flow will be permitted in subsequent permits that connect to this line
• Flow has already been allocated in Permit No.
Li Rehabilitation or replacement of existing sewer with no new flow expected (see 15A NCAC 02T .0303 to determine if a
permit is required)
10000 Domestic/Commerciat
Industrial (attach
description.)
(RO: contact your Regional Office
Pretreatment staff)
© Other (specify):
18Ckttt} gallons per day
ETAt2I07

0
9. 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).
1,200 students x 15 gpd (based on school with gym) = 18,00
pd
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches)
8
6
2.5
Length (feet)
1457.45
347,47
1461
New Gravity or Additional
Force Main
Gravity
Gravity
Force Main
11. Summary of Pump Stations w/ associated Force Mains to be Permitted (attach additional sheets as necessary)
Pump Station Location ID
Design Flow
(MGD)
.018
Pump Station Location fD
Design Flow
(MGD)
Operational Point
GPM @TDH
2
(self chosen - as shown on plans/map for reference)
Power Reliability Option
1 - permanent generator w/ATS; Force Main Size Force Main Length
2 - portable generator w/MTS
Operational Point 1
GPM @TDH
2
(self chosen -
Power Reliability Option
- permanent generator w/ATS;
2 - portable generator w/MTS
2.5 1461
as shown on plans/map for reference
Force Main Size Force Main Length
Pump Station Location ID
Design Flow
(MGD)
(self chosen - as shown on plans/map for reference)
Operational Point Power Reliability Option
GPM @TDH 1 - permanent generator w/ATS;
2 - portable generator w/MTS
Force Main Size Force Main Length
12. Will the wastewater flow i
he proposed sewer lines or pump stations be able to be directed to another treatment facility?
❑ Yes I] No If Yes, permit number of 2nd 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 ❑ 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
ETA I2/07

14. Have the following permits/certifications been submitted for approval for the systemor project to be served?
Wetland/Stream Crossings - General Permit or 401Certification? I4 Yes LJ No [1] N/A
Sedimentation and Erosion Control Plan? Yes L No El N/A
Stormwater? Yes D No 0 N/A
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: 0 and provide details
Owner/Permittee's Certification: (Signature of Signing Official and Project Name)
1, _Kelly Pledger -Chairperson , attest that this application for Mountain Island Charter School, Inc. 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 143-215.6E3, 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,
la.
Signing 4ciaI ure
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 Engineer's Certification: (Signature of Design Engineer and Project Name)
_Jeffrey D. McCluskey , attest that this application for _ Mountain Island Charter School, Inc._ 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. 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 other professionals may have developed certain portions of this submittal package, inclusion of these materials
under my signature and seal signifies that lhave 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 $2444Qiiiiqr oblation.
2a. Jeffrey D. McCluskey
Professional Engineer Name
2b. Mc2 Engineering, Inc.
Engineering Firm
2c, 2110 Ben Craig Drive, Si
Mailing Address
2d. Charlotte
City
2g, 704.510,9797
2i. Jeff 2eng.com
2h. 704.510,9787
Telephone Facsimile E-mail
COVatu r
SEAL :
- .
7 4. C-2630 i ,
v *. P/NEEt,
IV EE Vk'''
FT A 12/07'

IFATE OF NORTH CAROLINA
COLINTs( OF Gaston
DEN/ELOPERS OPERATIONAL AC EE,IEN
This AGREEMENT made pursuant to GS, 143-215.1. idl) and entered into this 8th day of
February 2013. by and between the North Carolina Environmental Management
Commission, an a,-,eticy of the State of North Carolina, hereinafter known as the COMMISSION, and
Mountain Island Charter School, Inca corporation/general partnership reoistered/licensed to do
business in the State of 'North Carolina, hereinafter known as the D.EVELOPER.
WITNESSED+
The DEVELOPER is the owner of the certain lands lying in Gaston County, upon
\-vhich it is erecting, and will erect dwelling units and other improvements, said development to be known
as Mountain Island Charter School, inc. (hereinafter the Development),
The DEVELOPER desires, to construct a wastewater collection system with pumps, m,ustewater treatment
works, and, or disposal facilities (hereinafter Disposal System) to provide sanitary sewage disposal to serve
the Development (7,iri said lands,
The DEVELOPER has applied to the COMMISSION for the issuance of a permit pursuant to G.S.
215, I to construct, maintain, and operate the Disposal System.
The DEVELOPER has created or shall create unit ownership in said dwellings 'units, other improvements
and lands through filing of a 'Declaration of Unit. Ownership (hereinafter ',Declaration), pursuant to Chapter
47C or 471 of the North Carolina General Statutes.
The DEVELOPER has caused to be formed er Wilt Call Se to be -formed at the tinic of filing of the
Declaration. the LUnit Owners' Association) Mountain Island Charter School (hereinafter
Association), a non-profit corporation organized and existing under and by the virtue of the laws of the
State of North Carolina., for the purpose, among others, of handling the property, affairs and business of
the Development; of operating, maintaining, re -constructing and repairing the co:mnton elements of the
lands and improvements subject to unit ownership, including the Disposal System; and of collecfing dues
and assessments to provide funds for such operation, maintenance, re -construction and repair
6. The COMMISSION desires to assure that the Disposal System of the Development is properly
constructed, maintained and operated in accordance \kith law and permit. provisions in order to protect the
quality of the .waters of the State and the public interest therein.
NOW. THEREFORE, in consideration of the promises and the benefits to he derived by each of the parties
hereto, the COMMISSION and DEVELOPER do hereby mutually agree as follows:
The. DEVELOPER shall construct the Disposal Systemin accordance with the permit and plans and
specifications hereafter issued and approved by the COMMISSION, and shall thereafter properly operate
and maintain such systems and facilities in accordance with applicable permit provisions and law,
The DEVELOPER shall not transfer ownership and or control of the Disposal System to the Association
'until construction has been completed in accordance with the permit and approved plans, and the staff of
the 'Division of Water Quality has inspected and approved °fate facilities. In order to change the name of
the permit holder the 'DEVELOPER must request that the permit be re ssued to the Association. The
request must include a copy of the Association Bylaws and Declaration,
The DEVELOPER shall not transfer, convey, assign or otherwise relinquish or release its responsibility
tor the operation and maintenance of its Disposal System until a 'permit has been reissued to the
DEVELOPER's successor,

pr, ' The DEVELOPER shall provide in the Declaration and Association Bylaws that the .Disposal System and
akurtenances thereto are part of the common elements and shall thereafter be properly maintained and
operated in conformity with law and the provisions of the permit for construction, operation, repair, and
maintenance of the system and facilities, The Declaration and Bylaws shall identif),: the entire 'wastewater
treatment, collection and disposal system as a common element which will receive the highest priority for
expenditures by the Association except 'for Federal. State, and local taxes and insurance.
5.. The DEVELOPER shall provide in the Declaration and Association Bylaws that the Disposal System vill
be maintained out of the common expenses. In order to assure that there shall be finds readily available to
repair, maintain or construct the Disposal. System, beyond the routine operation and maintenance
expenses, the Declaration and Association Bylaws shall provide that a fund be createdout of the .common
expenses. Such fund shall be separate from .the routine maintenance 'funds allocated for the facility and
shall be part of the yearly budget.
6. In the event the common expense allocation and separate fund are not adequate for the construction,
repair„ and ,maintenance of the Disposal System, the 'Declaration and Association Bylaws shall provide for
special assessments to roger such necessary costs. There shall he no limit on the amount of such
assessments, and the Declaration and Bylaws shall provide that such special issessments can be made as
necessary at any tinic.
, if a wastewater collection system and wastewater treatment and or disposal facility provided by any city,
town, villag,e, county, kvater and sewer authorities, or other unit of government shall hereinafter become
available to serve the Development, the DEVELOPER shall take such action as is necessaryto cause the
existing and future wastewater of the Development to be accepted and discharged into said governmental
system, and shall convey or transfer as much of the Disposal System and such necessary easements as the
governmental unit may require as condition of accepting the Development's wastewater.
8, Recog,nizing that it woukl be contrary to the public interest and to the public health, safety and welfare for
the Association to enter into voluntary dissolution without having made adequate provision. for the
continued proper rnaintenance, repair and operation of its Dispoal. System, the DEVELOP:ER shall
provide in the .Association Bylaws that the Association shall not enter lilt° Voluntary dissolution without
first having transferred its said system and facilities to some person, corporation or other entity acceptable
to and approved by the COMMISSION by the issuance of a permit.
9. The agreements set forth in numbered paraaphs 1., 2, 3, 4, 5, 6, 7, and 8 above shall be conditions of any
permit issued by the COMMISSIO,N to the DEVELOPER for the construction, maintenance, repair and
operation of the Disposal System,
10, A copy of this agreement shall be filed at the Register of Deeds in the Countytiesi where the Declaration is
filed and in the offices of the Secretary of State of North Carolina with the Articles of Incorporation (Attie
,,Nssociatiori.
IN WITNESS WHEREOF, this
representative of the parties hereto
FOR TIIE ENVIRONMENTAL
ANAGEMENT COMMISSI(
huck Wakild, Director
Division of -Water Quality
agreement was executed in duplicate originals ) thc dul
on the day and year written as indicated by each of th.C-, parties named below;
Mountain Island. Charter School, Inc.
Name of DEVELOPEP
(Signa„
Kelly Pledger - Chairperson
Print Name and Title
February 8 , 201 3
(Date)

State of Nor tit "arolina
Department of Environment and Natural Resources
Division of Water Quality
acking/Acceptance for Sewer Extension Permit Applications
(FUSE __ 1(1/07)
ct Applicant Name:.
ountain Island Charter School.
Project Name for which flow is being requested: MICS Private itilities
More than one f I SE- d 0/07 may be required for a single project tithe O vner of the ti'If'T P is not respon
pump stations along the route oj"the proposed wastewater jlow
1, Complete this section only if you are the owner of the
a. WWTP Facility Name:
b. WWTP Facility Permit t'#
/54
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent ofperm itted flow used
s
eattnen
p
ant.
All flows are in MGD
Complete this section for each pump station you are responsible for along the rouhis
proposed wastewater flow.
t pum.p stations located between the project connection point and the W W FP
p Station Name
Approx, Capacity, MGD
(Firm/Design)
Approx. Current Avg.
Daily flow, MGI)
ifleation Statement:
certify that, to the best ofrny knowledge, the addition of the
ume ofwastewvater to he permitted in this project has been evaluated along the route to the receiving
wastewater .treat rnent facility and that the flow front 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 focal
established policies and procedures using the best available data. This certification applies to those itenis
d move itt Sections l and II for which I am the responsible party. Signature of this form indicates
f 4: �xisa
Date

F
USGS U.S. DEPARTMENT
U.. S GE©LOGI©AL SURVEY RIOR
for a changing world
NV
8t°©0'
57',

FORM WSCAS-0312012
WATERSHED CLASSIFICATION ATTACHMENT
FOR SEWER SYSTEMS
ant Name Proiect Name
ountain Island Charter School, Inc, CS -Private UliJitie
Professional Engineer Name
Jeffrey D. McCluskey, PE
Location
ID Name of WaterbodyCount
Gaston
Unnamed trib. to Catawba
River (between Johnson Crk
And River Bend Stearn Sta)
L
a
En ineerin Firm Name
c2 Engineering, Inc.
2110 Ben Craig Drive, Suite 400
Charlotte, NC 28262
River
Basin
Catawba
Waterbody Waterbody
Stream Index No. Classification
1-113-(2) Johnson WS-IV: CA
j indicate "unnamed tributary to X", where X is the named waterbody to which the unnamed tributary joins,
I certify that as a Registered Professional Engineer in the State of
North Carolina that I have diligently followed the Division's
instructions for classifying waterbodies and that the above
classifications are inclusive of the stated project, complete and
correct to the best of my knowledge and belief.
PE Seal, Signature and Date
*** END OF FORM WSCAS-03/2012 ***
FORM: WSCAS-03/2012
Page of 1

North (far
Account Login Register
Duck here to:
View Document Filings
PC, PLLC, LP and Non -Pr
Corporation Names
North Carolina
Elaine F. MarshalAR-1 M
Secretary SEC RETARY o y. ATE
entities are not required to file annual reports.
Name
NC MOUNTAIN ISLAND CHARTER
SCHOOL, INC.
Non -Profit Corporation Info rr ation
Name Type
LEGAL
SOSID: 1081071
Status: Current -Active
Effective Date: 1/2.7/2009
Annual Report Due Date:
Citizenship: DOMESTIC
State of Inc.: NC
Duration: PERPETUAL
Registered Agent
Agent. Name:
Office Address:
PLEDGER, KELLY
1835 MT. ISLE HARBOR DRIVE
CHARLOTTE NC 28214
Mailing Address: 1835 MT, ISLE HARBOR DRIVE
CHARLOTTE NC 28214
Principal Office
Office Address: 14516 LUCIA RIVERBEND HIGHWAY
MOUNT HOLLY NC 28120
Mailing Address: 14516 LUCIA RIVERBEND HIGHWAY
MOUNT HOLLY NC 28120
Officers
This website is provided to the public as a part of the Secretary of
4235
Knowledge Base (SOSKB) system. Version:
it .t ttet- 9042418 /5 201:3

ENGINEERING
Transmittal
Mc2 Engineering, Inc..
2110 Ben Craig Dr., Ste. 400
Charlotte, NC 28262
Phone [phone]
Fax [phone]
Jeff @Mc2eng.com
To: NCDENR
Attention:
610 East Center Ave., Ste. 301
Mooresville, NC 28115
Dee Browder
Project #: 12-024
Date: 2/28/13
For Your tttdtpniati.on
As Requested
For Your Approval
For Your Review
Project: Mountain Island Charter School — Gaston Co., NC
Fast Track Application
2/8/13 Application fee of $480
Operational Agreement
Downstream Flow Tracking (Mt. Holly)
Color Map �.
Watershed Clasification
Comments: Let me know if you need any additional information.
CC:
Je
President
P:112-024 MICS-Crescent\Correspondence\Trans1nil.tat\NCDENR-DWQ-2-28-13 doc

t Nurttler
Program Category
Non -discharge
Permit Type
Gravity Sewer Extension, Pure Stet ons, Pressure Sewer
Extensions
Primary Reviewer
mi haet parker
1Q00364101
Coastal SW Rtli
Permitted `lo
18000
Facility
Facility Name
Mountain island Charter School P
Location Address
Owner
e Utilities
Owner Name
Mountain Island Charter School Inc
test v nts
entr i Flies < AP V"Vi
Permit Tracking lip
Status Project Type
Active New Project
Version Permit ClassffClassification
1,00 individual
Fermat Can ct Affiliation
Scheduled
Ong Issue Ape Res Ned Draft tm tared Issuance
03/12/13/ 1/1
Re irlated Act tit
School
W stewater cotlecticn
Outfall NULL
aterbody Name
ajar,' inor
Region
or Mooresville
County
Gaston
FacilityContactAffiliation
Owner Type
Nan-overlmen
Owner Affiliation
Kelly Pledger
14516 Lucia Riverbend Hwy
Mt Holly
Public Notice base
Effe
03/12/13
NC 28120
tl f12/1 b 11 /1
Requested/ Received Events
Additionai information r requested
Additional information received
Sre Index Number
Current Class
Expiration
Subbasin

Au& w
Porn* No. Wg083$4Ol
boos D$s: 0311 13
Flow foam this p it is tributary to:

ENGINEERING
Transmittal
Mc2 Engineering, Inc.
2110 Ben Craig Dr., Ste, 400
Charlotte, NC 28262
Phone [phone]
Fax [phone]
[e-mail]
To: NCDENR
610 East Center Ave., Ste. 301
Mooresville, NC 28115
Attention: Dee Browder
Project #: 12-024
Date: 8/23/13
For Your Inforniatlon
As Requested
For Your Approval
For Your Review
Project:
S Private Utilities — Gaston
o.* NC
8/22/13
Sanitary Sewer As -Built Drawings
8/22/13 CD containing PDFs of the As-bu
8/22/13 Applicant/Engineer Certification
Comments: t.et me know if you need any addi
ional 'info
eff =y tll. McClusk
President
CC:
ation.
c1Il.andProjects112-024 MICS--
Crekscen\CCorrespondenceyTranit.tat\NCDENR-DWQ-fi-23-13.doc
1Users JeffM\Documents

ER1NG CERTIF1CAT ON
Sc
• One copy of the
collodion system e
disk) in pdf format.
Supporting design calculations (selected pimps, 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 static
permitted as part of this project
AC 02T; t
12, 1996 as appitabk t
d Fotte Mains adopted June
Colin
A
N
7'Q Use !tsfw
Flow from this project
rihu
record drawings or in written summary fight. alma
�. $
. }ARM) ciKtffiCatiorli.
Ip Partial
a duty registered Professional En the ;Mate of North Carolina;
periodically, 0 weekly, 0 full tune) t e cons tton of the subject project
best of my abileies, due care and diligent:* was used in the observ.ation.
r ion was observed to be built within substantial c ompfiance of this
tter Quality's (Division) Gravity Sewer Minimum Design Criteria adopted
ions Muumuum Design Criteria for the Fast Trade Permitting of Pump
2000 as applicable; and other supporting materials.
thipif
D THIS FORM & SUPPORTIN DOCUMENTATION
ATTACHMENTS TO THE FOLLOWING ADDRESS
SURFACE WATER PROTECTION SUPERVISOR.
MOORESVILLE REGIONAL OFFICE
810 EAST CENTER AVENUE, SUITE 301
MOORESVILLE, NC 28115.
up until a fitttf ration Is removed. Any
stern extere prior to completion of this
pit and shall subject the Pennine° to appropriate

Pr"
I
ENGINEERING
Transmittal
Mc2 Engineering, Inc.
2110 Ben Craig Dr., Ste. 400
Charlotte, NC 28262
Phone [phone]
Fax [phone]
[e-mail]
To: NCDENR
610 East Center Ave., Ste, 301
Mooresville, NC 28115
Attention: Dee Browder
Project #: 12-024
Date:
D
11/4/13
For Your Info
As Requested
For Your Approval
For Your Review
ion
Project: MICS Private Utilitie
— Gaston Co., NC
Comments:
10/3/13
10/3/13
et me kno
Sanitary Sewer As-Bui
CD containing PDFs o�
f the As -boil
you need
any additional info
ation.
CC:
+C:AUsersOeffM\Documents\sync\LandProjeets11.2-024 MICS-
Crescent\Correspondence\Transmittal\NCDENR-D W Q-11-4-13.doc