WQ0037612_Regional Office Historical File Pre 2018

~
North Carolina Department n6Environment an
Pat McCrory
Governor
February 25,ZOlS
Mr. Barry Webb, City Manager
City ofBelmont
115 N' Main Street
Belmont, NCZ8O1Z
Subject: Permit No. \NO00376lI
City ofBelmont
McLean South Shore Phase 1-Gravity System
Wastewater Collection System Extension Permit
Gaston County
Natural Resources
Donald R, van der Vaart
Secretary
Dear Mr. VVebb�
in accordance with your application received February 20, 2015, we are forwarding herewith Permit No.
WQ0037612 dated February 25, 2015, to City of Belmont (Permittee) for the construction and operation
upon cmrtif�a�ion' ^ of subject wastewater collection system ex1ens|om. This permit shall be effective
from the date of issuance until rescinded, and shall be subject to the conditions andlimitations as
i�
spedfiedtherein. This cover letter shoUbeconsidered apart mf this permand istherefore incorporated
therein byreference.
Please pay particular attention to the following conditions contained within this permit:
[onditlon|\'I: This permit shall not be automatically transferable; m request must be made and
approved.
Condition ||.�4Requires that thewastevvatercnUectimnfadOdesbeproperly operated and mnaintaimed
-
inaccordance with 1S4N[A[2T . Q4O3orany\ndividualsystem+uidecoUectionsystenm
permit issued tmthe Perm\1tee.
It !sha|| be responsibility of the Pernnit\ee to ensure that the as -constructed project meets the
appropriate design criteria and rules. Failure tncomply may result inpenalties inaccordance with North
Carolina General Statute 6143-215.6A through §143'I15.6[, construction of additional or replacement
wastewater collection facilities, and/or referral of the North Carolina -licensed Pmmheos|oma| Engineer to
the licensing board.
If any partsrequirements, orUmitadonscontained in this permit are unacceptable, you have the right
" / to request `n a��udicato—r` `hearing upon written request within 30 days following receipt of this perm\\. This request must be in the form of written petition, conforming to Chapter 150B of North Carolina
General Statutes, and filed with the Office ofAdministrative Hearin0s' 6714Mail Service Center, Raleigh, � m��shaUbehna\�n�bindinD
NCI7899'67l4. Un|esssochd�ma�dsarenn� e, this .
Mooresville Regional Office
6zcEast Center Avenue, Suite 30z'Mooresville, mCI8z15
phnne�70*-6B-l699\Fax [phone]U40\Customer Service 1'877'6B'6748
/nternerwvmw.mcwaterqva|/rv.m$g

City of Belmont
Permit No. )NO0037612
If you need additional information concerning this natter please contact Barry I ove a (7 ) 2 2143
or via e-mail at [e-mail].
for . Jay Zimmerman, Acting Director
Division of Water Resources, NIERR
by Michael Parker, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office
Division of Water Resources, NCDENR
EI R
cc; Joel Madden, P,E; (electronic copy)
Regional Office Files
Water Resources Central Files
PER )electronic copy)
Page 2of 8

AVA
NCQENR
STATE OF NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT 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
City of Belmont
Gaston County
for the construction and operation of approximately 1,078 linear feet of 10-inch gravity sewer and 1,396
linear feet of 8-inch gravity sewer to serve 19 four -bedroom homes and an amenity center as part of the
McLean - South Shore Phase ]. - Gravity System project, and the discharge of 0 gpd (11,720 gpd already
allocated in Permit No. WQ0037537) of collected domestic wastewater into the City of Belmont existing
sewerage system, pursuant to the application received February 20, 2015, and in conformity with 15A.
NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria adopted February 20, 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.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
cified conditions and limitations contain therein,
S. Jay irrrnnerman, Acting Director
Division of Water Resources, NCDENR
By Authority of The Environmental Management Commission
Per 'ri't Number: WQ003761.2
Permit Issued: February 25, 2015
Page 3 of 8

SUPPLEMENT ���� �������A�� ��� ��U����
.���v v �w�"�ou.w�" o�� PERMIT "�v~"�u-nv .nvvn~n~v
City of Belmont 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 Belmont Wastewater
Treatment Facility inaccordance with Permit NumberN[0OI1l81'
Permitting of this project does not constitute an acceptance of any part of the project that does not
meet 15ANCAC2T; the Division's Gravity Sewer Minimum Design Criteria adopted FebrumryZQ' 1896as
app|icaWc� and the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations
and Force Mains adopted June I^ Z0Q0aeapplicable, unless specifically mentioned henain. Division
approval is based on acceptance of the certification provided by a North Carolina -licensed Professional
Engineer in the application. It shall he the Perrnittee's responsibility to ensure that the as -constructed
project meets the appropriate design criteria and rules,
Construction and operation is contingent upon compliance with the Standard Conditions and any Special
Conditions identified below.
SPECIAL CONDITIONS
I. No flow in excess nfthe quantity pcnnbtpd herein, OGPD (11,720god already allocated in Permit
No. VV[�0037537), shall be made tributary to the subject mewrrrystem wnd| an application for
permit modification for an increase in flow has been submitted to and approved by the Division,
III. STANDARD CONDITIONS
l. This permit |pnot transferable. Iothe event there is a desire for the wastewater collection facilities
to change ownership, or there is name change of the Perm^ttee, a formal permit request shall be
submitted to the Division accompanied by documentation from the parties involved, and other
supporting materials as may he appropriate. The approval of this request shall be considered on its
merits and may ormay not bcapproved, [ISAN[A[O2T.OIO4;G.S14J`2I52(d3)l
2. This permit shall become voidable unless the wastewater collection facilities are constructed in |
|
accordance with the conditions of this Permit; 15A N[A[ ll� the Division's Gravity Sewer Minimum |
Design Criteria adopted February 20, 1996asapplicable; the Division's Minimum Design Criteria for i
the Fast -Track Permitting ofPump Stations and Force Mains adopted June l,2OQOasapplicable; and !
other supporting materials unless specifically mentioned herein, [15A NCAC 02T,01101 |
l This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data. [1SANCA[Q3T�0llU]
4. The wastewater collection facilities shall he properly maintained and operated at all times, The
Pcrmmittee 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 rnet, [15A NCAC 02T .0108(b)]:
Page 4 of 8

a. The sewer system shall be effectively maintained and operated at all times to prevent discharge
to 8»md o/ surface waters, and to prevent any contravention of groundwater standards or
surface water standards.
b. A map of the sewer system 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 to atelemetry system shall be inspected every day (i.e.
365 days per year). Pump stations that are connected to ate|emnetry system shall he inspected
e1least once per week.
e. High -priority sewer lines dlaU be inspected at least once per every six -months and inspections
are documented.
f. A general observation of the entire sewer system shall be conducted at least once per year.
9-
Overflows and bypasses »hoU be reported the appropriate Division regional office in
accordance with 1SA NCAC 2B OS06(a), and public notice shall be provided as required by North
Carolina General Statute §143-2lSlC
hA Grease Control Program is in place as follows:
l For public owned collection systems, the Grease Control Program shall include at least
biannual distribution of educational materials for both commercial and residential users and
the legal means to require grease interceptors at existing establishments. The plan shall also
include legal means for inspections ofthe grease interceptors, enforcement for violators and
the legal means 10control grease entering the system from other public and private satellite
sewer systems.
2. For privately owned collection systems, the Grease Control Program shall include at least bi-
annual distribution of grease education materials to users of the collection system by the
pernnitteenrits representative.
l Grease education materials shall be distributed more often than required in Parts (1) and (3)
of this Subparagraph if necessary to prevent grease -related sanitary sewer overflows,
L Right-of-ways and easements shall he maintained in the full easement width for personnel and
equipment accessibility,
i Documentation shall be kept for Subparagraphs (a)through (i) of this Rule for a minimum of
three years with exception of the map, which shall be maintained for the life of the system.
5. The Pennittee shall report by telephone to a water resources staff member at the Mooresville
Regional Office, telephone number [phone], as soon as possible, but lnno case more than
Page 5 of 8

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 orbreakage, etc.;or
k Any S5Oand/or spill over l,8O0gallons; or
c� Any SS(}and/or spill, regardless ofvolume, that reaches surface water
Voice mail messages or faxed information is permissible, but this 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 (@OO) 858'0368 or (919)
733'3300. Persons reporting any of the above occurrences shall file a spill report by completing and
submitting Part | of Form CS -SS] (or the most current Division approved form) within five days
following first knowledge of the occur,ence. This report must outline the actions taken or proposed
to be taken to ensure that the problem does not recur. Part U of Form CS -SS[) (or the most current
Division approved form) can also be completed to show that the SSO was beyond control. [G.5. 143-
6. Construction ofthe gravity sewers, pump stations, and 6nne mains shoQ be scheduled so as not to
interrupt service bythe existing utilities nor result inan overflow or bypass discharge of wastewater
to the surface waters mfthe State. [lSA N[A[02TD1O8(b)]
7. Upon completion of construction and prior to operation of these permitted facilities, the completed
Engineering Certification form attached to this pernnh shall be submitted with the required
supporting documents iothe address provided onthe form. Acomplete certification isone where
the form is fully executed and the supporting documents are provided as applicable. Any
wastewater flow made tributary to the wastewater collection system extension prior 1ncompletion
of this Engineer's Certification shall be considered aviolatinn of the permit and shall subject the
Pernniitemtoappropriate enforcement actions,
If the permit is issued to a private entity with an Operational Agreement, then a copy mfthe
Articles of Incorporation, Declarations/Covenants/Restrictions, 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 is one where the form is fuhy executed and the supporting documents are
provided asapplicable. Supporting documentation shall include the following:
a. One copy of the project construction record drawings (plan & profile views of sewer lines @
force mains) ofthe wastewater collection system extension. Final record drawingsshav|d be
clear on the plans ormn digital media (CD or O0Ddisk) and are defined as the design drawings
that are marked Up or annotated with after construction information and show required buffers,
separation distances, material changes, etc.
b. One copy of the supporting applicable design calculations including pipe and pump sizing,
velocity, pump cycle times, and level control settings, pump station buoyancy, wet well storage,
nur8n protection, detention time in the wet well, and force rna}n' ability to flush low points in
force mains with a pump cycle, and downstream sewer capacity analysis- If portable power
source or pump is dedicated to multiple stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, include travel
tirncf/ames,shall beprovided.
Page 6 of 8

c. Changes to the project that do not result in non-compliance with this permit, regulations, orthe
Minimum Design Criteria should be clearly identified on the record drawings, on the certification
inthe space provided, or|nwritten summary form.
Prior tmCertification (Final or Partial): Permit modifications are required for any changes resulting
in non-compliance with this permit (including pipe length increases of 10% or greater, increased
flow, pump station design capacity design increases of 596 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 a case -by -case bads
and each nn its own merit. Please note that variances 1uthe Minimum Design Criteria should be
requested and approved during 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 tocertification & activation. [15AN[A[QZT.O21G]
8. Gravity seovcm installed greater than ten percent below the minimum required slope per the
Division's Gravity Sewer Minimum Design Criteria shall not beacceptable and shall not brcertified
until corrected. if there is on unforeseen obstacle in the field where all viable solutions have been
examined, aslope variance can berequested from the Division with firm supporting documentation,
This shall be done through a permit modification with fee. Such variance requests will be evaluated
on a case, -by -case basis. Resolution of such request shall be evident prior to completing and
submitting the construction certification. [l54N[A[0ZT]]1b5(n)]
9. Acopy ofthe construction record drawings shall be maintained on file by the Pennittee for the life
ofthe wastewater collection facilities. (1SA NC&[02T�O116)
lO. Failure to abide by the conditions and limitations contained in this permit, ISA N[A[ 2T; the
Division's Gravity Sewer Design Criteria adopted February 20, 1996 as applicable; the Division's
Minimum Design Criteria for the Fast -Track Permitting ofPump Station and Force Mains adopted
June 1, lUUU as applicable,- and other supporting materials may subject the Pennittee 'to an
enforcement action by the Division, in accordance with North Carolina General Statutes §143-215.6A
through 6143'215.6C, construction of additional or replacement wastewater collection facilities,
and/or referral of the North Carolina -licensed Professional Engineer to the licensing board, 115A
NCACO2T.0104;15AN[ACO2T0108(b-d]
11. In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the permnittea shall take immediate corrective action, including
those as may be required by this Division, such as the construction of additional or replacement
12. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes,
rules, regulations, urordinances that may be imposed by the Division any other Federal, State, or
Local government agencies which have jurisdiction or obtaining other permits which may be
required by the Division or any other Federal, State, of Local government agencies. [G.S. l43-
Page 7of8

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERM|TTEE: City ufBelmont
PERMIT #' VVQ0097612
PROJECT: McLean South Shore Phase 1 Gravity System
ISSUE DATE. February 2S,ZOI5
This project shaUootbeuzn»idenedromp|etenurm1|nvvadtomVenskeinaocomdamcevv|th[ondition7of
this permit umh8 the Division has received this Certification and all required suppmrtingdmcurnentahon.
It should be submitted in a manner that documents the Division's receipt. Send the required
documentation to the Regional Supervisor, Water Quality Regional Operations Section atthe address at
the bottom.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Permbtee to
appropriate enforcement actions, The Pe/mi\tee is responsible for tracking all partial certifications up
until a final certification is received. A Final Certification shall be a complete set of record drawings and
design calculations regardless of whether partials have been submitted.
PERMITTEE'S CERTIFICATION
1,the undersigned agcntforthePennittee'henebvstatethatthis projecthas been constructed pursuant
10the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permi11ee,and the Permittee is prepared to operate Gk maintain
the wastewater collection system permitted herein or portions thereof.
Printed Name, Title
Signature Date
ENGINEER'S CERTIFICATION
I , as duly registered Professional! Engineer in the State of North Carolina,
having been authorized To observe (| l periodically, ' , weekly, | |fuO time) the construction of the
project name and location as referenced above for the above 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 swbstanhal compliance of this permit; 15A N[AC 02l� the
Division of Water Resources' (Division) Gravity Sewer Minimum Design Criteria adopted February 20,
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 w/signature & date:
Final
Partial (include description
Certification Comments/Qualifiers (attach if necessary):
NC DWR --Water Quality Regional Operations Section 610 East Center Avenue, Suite 301, Mooresville, NC 28115
m.__ ~m*CC7,� °f:"n c^v'/7n^` Co'l cn°n

USE THE TAB KEY TO MOVE FROM FIELD TO FIELD
1. Owner/Permittee:
la. City of Belmont
Full Legal Name (company, municipality, HOA, utility, etc.)
Application Number:
(to be completed by DWR)
O lb. Barry Webb„ CqManager
Signing Official Name and Title (Please review 15A NCAC 2- 0106 (121 for authorized signing of icia
WINN
< lc, The legal entity who will own this system is:
10 Individual 0 Federal
: EC
0 ld, 115 N Main Street
LL. Mailing Address
— if. North Carolina
Municipality 0 State/County 0 Private Partnership
le, Belmont
Z State
O lh. 704-825-5586 11.
Telephone
CC
2. Project (Facility) Information:
2a. McLean - South Shore Phase 1 - Gravity System
Brief Project Name (permit will refer to this name)
▪ 3. Contact Person:
3a. Joel Madden, PE Merrick & Com
Name and Affiliation of Someone
3b, 704-529-6500
Phone Number
Facsimile
City
ig. 28012
Zip Code
1j. bwebb
E-mail
Corporation El Other (specify):
2? 0
ont.org
2b. Gaston
County here Prole
ho Can Answer Questions About this Application
3c. joel,madden
E-mail
1, Project is 0 New 10 Modification (of an existing permit) If Modification, Permit No.:
2. Owner is 0 Public (skip to Item B(3))
z
i 4a, Cityef Belmont WWTP 4b. NC0021181
< Name of WWTF WWTF Permit No.
25a. City of Belmont 5b. 10' Z Gravity 5c,
cc Owner of Downstream Sewer :Receiving Sewer Size ir] Force Main Permit # of Downstream Sewer (Instruction F)
0
un 6. The origin of this wastewater is (check all that apply):
0 Private (go to Item 2(a))
is Located
errick.com
2b. If sold, facilities owned by a (must choose one)
0 Public Utility (Instruction D)
0 Homeowner Assoc./Developer (Instruction E)
2a. If private, applicant will be:
El Retaining Ownership (Le, store, church, single office, etc.) or
0 Leasing units (lots, townhomes, etc - skip to Item B(3))
0 Selling units (Rots, townhomes, etc. - go to Item B(2b))
3, City of Belmont
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
Residential Subdivision
El] Apartments/Condominiums
El Mobile Home Park
O School
0 Restaurant
0 Office
O Retail (Stores, shopping centers)
O Institution
O Hospital
O Church
El Nursing Home
El Other (specify):...,.....,,,,
100% Domestic/Commercial
% Industrial
(Attach Description)
Other
(Attach Description)
7Volume of wastewater to be allocated or permitted for this particular project: gallons per day
*Do not include future flows or previously permitted allocations
8 If the permitted flow is zero, indicate why:
0 Pump Station, Outfall or Interceptor Line where flow will be permitted in subsequent permits that connect to this line
El Flow has already been allocated in Permit No, WQ 0037537
0 Rehabilitation or replacement of existing sewer with no new flow expected
(see 15A NCAC 02T :0303 to determine if a permit is required)
PTA 08- 13 APPLICATION Page 4 of 6

9. Provide the wastewater flow calculations used in determining the permitted How 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).
McLean - South Shore Phase 1 = 19 dweling units x 4 bedrooms x 120 gallons per day) + (2600 gallons per day for
Amenity area) = 11,720 gallons per day
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches) Length (feet)
10 1,078
8 1,396
16 Manholes
z
New Gravity or Additional
Force Main
New Gravity
New Gravity
11. Summary of Pump Stations w/ associated Force Mains to be Permitted (attach additional sheets as necessary)
z
0 Pump Station Location ID: (self chosen - as shown on plans/map for reference)
Q
Longitude: Latitude:
z
0
Design Flow
Operational Point Power Reliability Option
otC (MGD)
GPM TDH 1 - permanent generator w/ATS; Force Main Size Force Main Length
2 - portable generator w/MTS
CC
0
LI
Pump Station Location ID: (self chosen - as shown on plans/map for reference)
Longitude: Latitude:
UJ Design Flow Power Reliability Option
Operational Point
(MGD) 1 - permanent generator w/ATS; Force Main Size Force Main Length
GPM '-eTDH
2 - portable generator w/MTS
12. Will the wastewater flow in the proposed sewer lines or pump stations be able to be directed to another treatment facility?
El Yes El No if Yes, permit number of 2nd treatment facility:
(RO — if "yes" to 8,12 please contact the Central Office PERCS Unit)
13, Does the sewer system comply with the Minimum Qesiqh Criteria for the Permittingot PumpStations and Force Mains
(latest version), the Gravity_Sewer Minimum Design Criteria (latest version) and 15A NCAC,Chapter 2T as applicable?
El Yes El 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
FTA - 3 APPL CATION Page 5 of 6

z
0
14, Have the following permits/certifications been submitted for approval for the system or project t'
Wetland/Stream Crossings - General Permit or 401 Certification? ® Yes ❑ No ❑ NIA
Sedimentation and Erosion Control Plan? Yes ❑ No ❑ N/A
Trout Buffer Waiver? ❑ Yes ❑ No ® NIA
Stormwater? LI Yes ❑ No ❑ N/A
be served?
15. Does this project include any high priority lines (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: ❑ and provide details:
has been reviewed
by me and is accurate and complete to the best of my knowledge, 1 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 143-215,68, 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 civil penalties up to
$25,000 per violation,
OwnerdPermittee°s Certification: (Signature of Signing Official and Project N
1, ri 440 , attest that this appfication for 11c-Le.4-
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)
1, Joel Madden ,attest that this application for McLean -South Shore 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. 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 I have reviewed this material and have judged it to be consistent
with the proposed design. Note: In accordance with NC General Statutes 143-2t5.6A 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 civil penalties up to $25„000 per violation.
2a. Joel Madden
Professional Engineer Name
2b, Merrick & Company
Engineering Firm
2c. 1001 Morehead Square Dr. Suite 530
Mailing Address
2d. Charlotte
2e. NC 2f. 28203
City State Zip
2g. 704-529-6500 2h. 704-522-082
Telephone Facsimile
2i, joel.madden©merrick.com
E-mail
NC PE Seal, Signature & Date
PTA 08-13 APPLICATION
Pa c6of6

MERRICK'
&COMPANY
Merrick & Company
1001 Morehead Square Dra, Suite 530
Charlotte, NC 28203
Tel; [phone]
Fax: [phone]
www.merrick.com
McLean South Shore Phase 1
NCDENR — DWR Fast Track Application for Gravity Sewers, Pump Stations, and Force Mains
Project Narrative:
This application is to cover the gravity sewer as part of the McLean South Shore Phase 1 single family subdivision
located in the City of Belmont, Gaston County, NC. The entire phase included 171 single family residential homes
and one amenity center, but this permit will only cover the flow for 19 homes and the amenity center.
The gravity system permitted will include 1,078 linear feet of 10" sanitary sewer, 1,369 linear feet of 8" sanitary
sewer, and 16 manholes.
urveyin Plann n

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 08-13)
Project Applicant Name: City of Belmont
Project Name for which flow is being requested: McLean - South Shore Phase 1. Gravity
Fiore than one [-ISE may be required,for ci sing -le projeci. if the (nine • I ? VIVIP is not responszhlef(
stations along the route of the proposed wastewater liot,t%
pump
Complete this section only if you are the owner of the wastewater nt plant.
a. WWTP Facility Name: City of Belmont .WWTP
b. WWTP Facility Permit #: NC0021181
A liflows are in 411GD
c. WWTP facility's permitted flow 5.000
d. Estimated obligated flow not yet tributary to the WWTP 0.9816
e. WWTP facility's actual avg. flow 1.4000 (2014 average)
f. Total flow for this specific request 0.01172
g. Total actual and obligated flows to the facility 2,39332
h. Percent of permitted flow used 48°/6
11. Complete this section for each pump station you are responsible for along the route of this
proposed wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A) (B.) (C) (D)=(B+C) (E)=(A-D)
Design. Obligated.,
Pump Average Daily Approx. Not Yet Total Current
Station Firm How** Current. Avg. Tributary Flow Plus
(Name or Capacity,* (Firm / p0, Daily Flow, Daily Flow, Obligated Available
Number) MGD MGD MGD MGD How Capacity***
M c Lan
Offsite 0.9360 0.3744 0.0000 0.0117 0.0117 0.9243
'kerQ0037537
PuniRs to
Morgans
Branch 1.7280 0.691.2 0.0566 0.2127 0.2694 1,4586
WQ0037000
* The Firm Capacity of any pump station is defined as the maximum pumped flow that
can be achieved with the largest pump taken out of service.
** Design Average Daily How is the firm capacity of the pump station divided by a peaking
factor (pf) not less than 2.5.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection .point and the WWTP where the Available Capacity is < O.
Page 1 of 6
FIST 08-13

r
111. Certification Statement:
1 Barry L. Webb, City Manager certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the
receiving Wastewater treatment facility and that the flow from this project is not anticipated to
cause any rapacity related sanitary sewer overflow's or overburden any downstream pump station
en route to the receiving treatment plant under normal circumstances, given the implementation
of the planned improvements identified in the planning assessment Where applicable. This
analysis has been per:fanned in accordance with Meal established policies and procedures using
the best available data. This certification applies to those items listed above in Sections 1 and Il
plus all attached planning assessment addendums for which I am the responsible party.
Signature of this form indicates acceptance of this wastewater flow.
Signing Otfic i0,1 gnanire
Date
Page 2 of 6

M

Armstrong NO
Ivaffit; tlit;yclmq "Ferr0ire 5¢sirrahutearhy
data d921F 14 C axle 1000 Fh

To: Dee Browder
NCDENR — Water Quality Section
610 E. Center Avenue
Mooresville, NC 28115
704-663-1699
TRANSMITTAL
Date: February 18, 2015
Document: Application for Approval
Ref.: McLean South Shore — Phase 1
Job #: 7825-01
Sent Via: FedEx
Quantity Description
1 Application for Approval
1 Cover Letter
1 Flow tracking acceptance form (FTSE 08-13)
1 Application fee of $480, check #1327
1 USGS topo map
1 Street level map
Remarks
Dee,
Attached is our permit application for McLean South Shore Phase 1 - Gravity Sewer. Please let
know if you have any questions.
Respectfully submitted,
Merrick & Company
By:
Project Manager— Merrick & Company
Received by
Date: Time:
Merrick & Company — Charlotte
1001 Morehead Square Drive
Charlotte, NC 28203
704-529-6500

Central Files- APS SWP
2/25/2015
Permit. Number WQ0037612 Permit Tracking Slip
Program Category Status Project Type
Non -discharge Active New Project
Permit Type Version Permit Classification
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions 1,00 Individual
Primary Reviewer
banylove
Coastal SWRule
Perinitteci Flow
0
Facility
Permit Contact Affiliation
Facil4 Name
McLean - South Shore Phase 1 - Gravity System
Location Address
Owner
Major:Minor Region
Mooresville
County
Gaston
Facility Contact Affiliation
Owner Name
sty of Belmont
Dates Events
Oweer Type
Government - Municipal
Owner Affiliation
Barry Li Webb
city manager
PO Box, 431
Belmont
NC 28012043
Ong Issue
2125/2015
App Received Draft Initiated
2120/2015
Regulated !Activities
Subdivision
Wastewater collection
Outran
Scheduled
issuance Public Notice issue Effective Expiration
212512015 2125/2015
Requested /Received Events
Additional information requested
Additional information received
VVaterbody Name
Streamindex Number Current Class Subbas 11

Water Resources
ENVIRONMENTAL QUALITY
July 25, 2016.
Mr. Adrian T. Miller, City Manager
City of Belmont
P.O. Box 431
Belmont, NC 28012
DONALD R. VAN DER VAART
SUBJECT: Final Engineering Certification Acknowledgement
McLean — South Shore Phase 1 — Gravity System
Permit No. WQ0037612
Permittee: City of Belmont
County: Gaston
Dear Mr, Miller:
Secretary
S. JAY ZIMMERMAN
Director
The Division of Water Resource's Mooresville Regional. Office received the final engineering
certification with record drawings for the subject sewer extension project on July 22, 2016.
Enclosed is a certification page for your records. 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. However, if a full technical review is conducted,
you will be notified of any items of non-compliance.
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 such copy from your consultant, please contact
them immediately to obtain a copy.
Lastly, you are receiving this letter because the Division has you Listed as the responsible party. If
this pellilitted system is no longer owned by you or your company, please complete Form PNOCF
since the permit is not automatically transferable. Form PNOCF can be downloaded from
http://portal.nc:dennr.orgiweblwq/swp/ps/es/pnoc from the Collection Systems Applications page.
Should you have any questions, please do not hesitate to contact me at [phone].
cc; Bryan Clark, L!errick Company
Central Files
MRO
Sincerely,
Barry Love
Environmental Specialist
State of North Carolina 1 Enviroemct
Mooresville Regional Office) 610 E
sty I Water Resources ' Water Quality Regional Operations
r Avenue, Suite 301 N Mooresville, North Carolina 28115
70d 663 1699

pier ,
PERMITTEE:
PERMIT #:
PROJECT:
ISSUE DATE:
FAST TRACK BEEPER ENGINEERING CERT
City of Belmont
WQ©037612
McLean - South Shore Phase 1 - Gravity System
February 26, 2015
CAT ON
This project shall not be considered complete nor allowed to operate in accordance with Condition 7 of
this permit until the Division has received this Certification and all required
q i edrsupporting
ng Send umeequ ron.
tit should be submitted in a manner that documents the
documentation to the Regional Supervisor, Water Quality Regional Operations Section at the address at
the bottom.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions* The Permittee is responsible for tracking all partial certifications up
until a final certification is received. A Final Certification shall be a complete set of record drawings and
design calculations regardless of whether partials have been submitted.
PERMI ITEE`S CERTIFICATION
1, the undersigned agent for the Permittee, 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 Permittee is prepared to operate & maintain
the wastewater collection system permitted hrn or portions thereof.
.- f i c4 -o..-
Printed Name, Ti e Signature
EN
IVEER'S CERTIFI AT
Date
1, Joel L Madden, PE _ as a duly registered Professional En ineer in the State of North Caro
g lina
havin been authorized to observe ( periodically, 0 weekly, D full time) construction
the best of the
project name and location as referenced above for the above Permittee hereby state
f
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 inirmrlplrn Design Cnce of rs iteria eeia adopted February 20,
2T; the
Division of Water Resources' (Division) Gravity Sew
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 w/sigl`rature & date:
j Final Partial ('include de cription)
Certification Comments/Qualifiers (attach if necessary):
NC DWR — Water QualityRegional Operations Section 610 EasPCenCenter
(AvAn A6venue,
Site
0
1 Mooresville, NC 28115
8 (704)-633-6040
MnnrPsville Regional Office

SEWER MANHOLE VACUUM TEST RESULTS
Job Name: Stowe - South Shore
Contractor: Osborne Utility
MH
5
7
10
12
13
14 J
5
16
*******'*****VACUUM TES
STARTING ENDING
VACUUM VACUUM
In Hg In Hg
10.t,0
10.00
10.00
10.00
10.00
0.00
Witnessed By: Bryan Clark (Merrick ) Gar G. (Belmont)
Date: 9/14/2015 (BC) . 9/23/2015 (JM) , 10/6/2015 (BM) . 10/2C
VACUUM PASS
DROP DATE
In Hg
'0.0 0.00 �., a 9/24/2015
0,0 0.00 91'24/2015
10.0
0.00
10/20/2015
10.0 0.00r 10/6/2015
10.0 0.00 9/24/2015
10.0 0.00 9/24/2015
10.00
10.00
10,00
10.0 0.00
10.0
id.0
4/201
0.00 9/1412
0.00 9/14/2015
10.00
10.00
10.0
10.0
0.00
0,00
016i2015
10/6/2015
10.00
10.0
10/20/2015
10.00
10.0
0.00
/20/2015
10,00
10.00
10.00
10.0
0.00 5/24/2016
9.5 0,50 5/24/2016
0.1014/2015
COMMENTS

Job Name: South Shore Phase 1
FROM TO PIPE LENGTH PVC
MH MH SIZE OR
DIY
11
11
235.7
10
133.3
10
10
10
10 111
PVC
PVC
PVC
PVC
PVC
PVC
2 10 98,2
14
10 153.5
229.3
68.3
217
PVC
PVC
PVC
' Low Pressure testing was held at. 4 psi for 5 minutes
W1t nasaed By: Bryan Clark IMo rI6cL Gary Ga:Ia@her (B41,11003)
Da1e: 9.1.2015, 10/6/2015
""LOW PRESSURE AIR TES I ce. a _..
STARTING ENDING PRESSURE AIR PASS
PRESSURE PRESSURE DROP DATE
Pa19 pa19 Ps19
4.0 4.0 0.0
40 4
MANDREL COMMENTS
PASSING DATE
9I1 2015
9/112015
9/1/2015
9e1,/2015
9/1/2015
10/6/'2015
9 1f2015
9/1/2015
911/2015

o°© M E R R I C K. q.
000 & COMPANY
To: NC DWR m Water Quality Section
Mooresville Regional Office
610 East Center Avenue, Suite 30
Mooresville, NC 28115
Quantity
1
TRANSMITTAL
Date: 21 July 2016
Document: Gravity Sewer Cert
Ref.: McLean — South Shore
Job #: 65117825-04
Sent Via: FedEx
ation Package
Description
30x42 Set of As -built Drawing
Gravity Sewer Engineering Certification
Gravity Sewer Testing Reports (Low Pressure Air Test/Mandrel and Vacuum)
Remarks
Attached for your review is the certification package for Lean Gravity Sanitary Sewer.
Let me know if you have any question at Bryan.Clark@'merrick.coiu
Respectfully submitted,
Merrick & Company
By:
an Ck, E,l. - Merrick & Company
Received by
Date: Time:
Merrick & Company — Charlotte
1001 Morehead Square Drive
Charlotte, NC 28203
704-529-6500