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WQ0024092_Regional Office Historical File_20171231
r i - Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources Alan W. Klimek, P.E., Director Division of Water Quality Coleen H. Sullins, Deputy Director Division of Water Quality July 6, 2004 Mr. Richard McLean, Town Manager Town of Mooresville 201 C North Church Street Mooresville, North Carolina 28115 Subject: Permit No. W00024092 Town of Mooresville Proposed 8-Inch Sanitary Sewer to Serve the New Intermediate School Wastewater Collection System Extension Iredell County, North Carolina Dear Mr. McLean: In accordance with your application received on June 23, 2004, we are forwarding herewith Permit No. WQ0024092, dated July 6, 2004, to the Town of Mooresville 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 This permit shall be effective from the date of issuance until rescinded, and shall be subject to the conditions and limitations as specified therein.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 2H .0227 or any individual system -wide collection system permit issued to the Permittee. Permitting of this project does not constitute an acceptance of any part of the project that does not meet 1)15A NCAC 2H .0200; 2) the Division of Water Quality's (Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996, as applicable; 3) and the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000, as applicable, unless specifically mentioned herein. Division approval is based on acceptance of the certification provided by a North Carolina -licensed Professional Engineer in the application. It shall be the Permittee's responsibility to ensure that the as -constructed project meets the appropriate design criteria and rules. Failure to comply may result in penalties in accordance with North Carolina General Statute §143-215.6A through §143-215.6C, construction of additional or replacement wastewater collection facilities, and/or referral of the North Carolina -licensed Professional Engineer to the licensing board. Mooresville Regional Office 919 N. Main Street, Mooresville, NC 28115 Internet http://h2o.enr.state.nc.us/ Telephone (704) 663-1699 Fax (704) 663-6040 NCDENR DENR Customer Service Center Telephone 1 877 623-6748 Mr. Richard McLean Page 2 July 6, 2004 1n 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 Town of Mooresville for the construction and operation of approximately 6,720 linear feet of 8-inch gravity sewer to serve 950 students and faculty as part of the Proposed 8-Inch Sanitary Sewer to Serve the New Intermediate School project, and the discharge of 11,400 gallons per day of collected domestic wastewater into the Town of Mooresville's existing sewerage system, pursuant to the application received June 23, 2004, and in conformity with 15A NCAC 2H .0200; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996, as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000, as applicable; and other supporting data subsequently filed and approved by the Department of Environment and Natural Resources and considered a part of this permit. The sewage and wastewater collected by this system shall be treated in the Town of Mooresville's Rocky River WWTP (NPDES No. NC0046728) prior to being discharged into the receiving stream. If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to request an adjudicatory hearing upon written request within 30 days following receipt of this permit. This request must be in the form of a written petition, conforming to Chapter 150B of North Carolina General Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and binding. If you need additional information concerning this matter, please contact Sonja Williams at (704) 663-1699. Sincerely, 4 ,7.�, for Alan W. Klimek, P.E. cc: Iredell County Health Department Mooresville Regional Office, Water Quality Section (WWTF Permit No. NC0046728) George Lowder, WK Dickson & Co., Inc. Water Quality Central Files NDPU Files NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES RALEIGH WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT This permit shall be effective from the date of issuance until rescinded and shall be subject to the following specified conditions and limitations: 1. This permit shall become voidable unless the wastewater collection facilities are constructed in accordance with the conditions of this permit; 15A NCAC 2H .0200; the Division of Water Quality's (Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996, as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000, as applicable; and other supporting materials unless specifically mentioned herein. 2. This permit shall be effective only with respect to the nature and volume of wastes described in the application and other supporting data. 3. The wastewater collection facilities shall be properly maintained and operated at all times. The Permittee shall maintain compliance with an individual system -wide collection system permit for the operation and maintenance of these facilities as required by 15A NCAC 2H .0227. If an individual permit is not required, the following performance criteria shall be met as provided in 15A NCAC 2H .0227: a. The sewer system shall be effectively maintained and operated at all times to prevent discharge to land or surface waters, and any contravention of the groundwater standards in 15A NCAC 2L .0200 or the surface water standards in 15A NCAC 2B .0200. b. A map of the sewer system shall be developed and shall be actively maintained. c. An operation and maintenance plan shall be developed and implemented. d. Pump stations that are not connected to a telemetry system shall be inspected every day (Le. 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 §143-215.1 C. 1 4. This permit shall not be transferable. In the event there is a desire for the wastewater collection facilities to change ownership, or there is a name change of the Permittee, a formal permit request shall be submitted to the Division accompanied by documentation from the parties involved, and other supporting materials as may be appropriate. The approval of this request shall be considered on its merits and may or may not be approved. 5. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to interrupt service by the existing utilities nor result in an overflow or bypass discharge of wastewater to the surface waters of the State. 6. Upon completion of construction and prior to operation of these permitted facilities, a certification, a copy of the construction record drawings, as well as supporting design calculations for any pump stations permitted as part of this project shall be received from a North Carolina -licensed Professional Engineer certifying that the facilities have been installed in accordance with this permit; 15A NCAC 2H .0200; the Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Station and Force Main adopted June 1, 2000 as applicable; and other supporting materials. If this project is to be completed in phases and partially certified, you shall retain the responsibility to track further construction approved under the same permit, and shall provide a final certificate of completion once the entire project has been completed. A copy of the construction record drawings, indicating the facilities constructed in the phase being certified, shall be submitted with each partial certification. Mail the Engineer's Certification, one copy of the "Construction Record Drawings," and one copy of the supporting design calculations to the Department of Environment and Natural Resources, Water Quality, 919 N. Main Street, Mooresville, NC 28115. 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 2H .0200; the Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Station and Force Mains adopted June 1, 2000 as applicable; and other supporting materials may subject the Permittee to an enforcement action by the Division, in accordance with North Carolina General Statutes §143- 215.6A through §143-215.6C. 9. In the event that the wastewater collection facilities fail to perform satisfactorily, including the creation of nuisance conditions, the Permittee shall take immediate corrective action, including those as may be required by this Division, such as the construction of additional or replacement facilities. 10. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes, rules, regulations, or ordinances that may be imposed by other govemment 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. 2 11. Noncompliance Notification: The Permittee shall verbally report to a Division of Water Quality employee at the Mooresville Regional Office, telephone number (704) 663-1699, 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) 858-0368 or (919) 733- 3300. Persons reporting any of the above occurrences shall file a spill report by completing Part I of Form CS-SSO (or the most current Division 'approved form), within five days following first knowledge of the occurrence. This report shall outline the actions taken or proposed to ensure that the problem does•not recur. Part II of Form CS-SSO (or the most current Division approved form) can also be completed to show that the SSO was beyond control. Permit issued this the 6th day of July, 2004. NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION for Alan W. Klimef , P.E., Director Division of Water Quality By Authority of the Environmental Management Commission Permit Number WQ0024092 3 Fast Track Engineering Certification Permit No. WQ0024092 July 6, 2004 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 anv changes resulting in non-compliance with this permit, regulations or minimum design criteria. This project shall not be considered complete nor allowed to operate until this Engineer's Certification and all required supporting documentation have been received by the Division. Therefore, it is highly recommended that this certification be sent in a manner that provides proof of receipt by the Division. ENGINEER'S CERTIFICATION ❑ Partial ❑ Final 1, , as a duly registered Professional Engineer in the State of North Carolina, having been authorized to observe (❑ periodically, ❑ weekly, ❑ full time) the construction of the Proposed 8-lnch Sanitary Sewer to Serve the New Intermediate School, Iredell County project for the Permittee hereby state that, to the best of my abilities, due care and diligence was used in the observation of the construction such that the construction was observed to be built within substantial compliance of this permit; 15A NCAC 2H .0200; the Division of Water Quality's (Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting materials. North Carolina Professional Engineer's seal, signature, and date: SEND THIS FORM & SUPPORTING DOCUMENTATION WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS MOORESVILLE REGIONAL OFFICE WATER QUALITY 919 N. MAIN STREET 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. -TRACK APP1 1('A"I'IO i frrr CRAV IT'tr' SEWERS, PIMP STATIONS, A.NI) FORGE MAINS PA(.:.F> 3 USE THE TAB KEY TO MOVE FROM FIELD TO FIELD! 1. Owner: la. Town of Mooresville Full Legal Name (company, municipality, HOA, ity, etc.) z► lb. Richard A. . McLean, Town Manager Q lc. The legal entity who will own this system is: Q Individual Q Federal Municipality Q StatefCounty 0 Private Partnership Q Corporation Q Other (specify): ce ld, 201 C North Curch Street 0 Street Address LL Application Number: 1w (to be completed by OWQ) V Vf [2 Signing Official Name and Title (Please review 15A NCAC 2H .0206(b) for authorized signing otfi if. North Carolina Z State 0 lh. 704-662-7040 1 i. 704-662-7039 Telephone Facsimile 2. Project (Facility) Information: 2a. Proposed 8" Sanitary Sewer To Serve the New Intermediate School Brief Project Name (permit will refer to this name) Contact Person: 1e. Mooresville City lg. 28115 Zip Code E-mail 2b. Iredell County Where Project is Located Michael Wolfe Name and Affiliation of Someone Who Can Answer Questions About this Application 3b. 704-334-5348 Phone Number 1. Project is ® New Modification (of an existing per 3c. mvvolfe c@wkdickson.corn E-mail odification,, 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 protect 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)) Ej Private (go to item 2(a)) 2a. If private, applicant will be: 2b. If sold, facilities awned by a (must choose one Q Retaining Ownership (i.e. store, church, single office, etc.) or © Leasing units (lots, townhomes, etc. - skip to item 8(3)) Q Selling units (lots, townhomes, etc. - go to Item B(2b)) Town of Mooresville Owner of Wastewater Treatment Facility ( 4a. Rocky River Wastewater Treatment Plant Name of WWTF a, Town of Mooresville 5b. 8" Owner of Downstream Sewer Receiving Sewer Size The origin of this wastewater is (check all that apply): Public Utility (Instruction III) Q Homeowner Assoc./Developer (Instruction IV) F) Treating Wastewater From This Project 4b, NC0046728 WWTF Permit No.Y Q Residential Subdivision ❑ Apartments/Condominiums Q Mobile Home Park School Q Restaurant Q Office Permit Number of Downstream Sewer (if known Q Car Wash Q institution Q Hospital Q Church Q Nursing Home QOther (specify): 7 Volume of wastewater to be permitted in this project: 11,400 gallons per day 100 % DomesticfCommercial % Industrial % Other (specify): 8. If the permitted flow is zero, indicate why: Q Interceptor Line - Flow will be permitted is subsequent perr sits that connect to this line Q Flow has already been allocated in Permit No, Q Rehabilitation or replacement of existing sewer with no new flow expected -TRACK APPLIC:°A:'I'ION for GRAVITY SEWERS, PUMP STATICINS, AND ECIRMAINS PAGE 4 z 0 Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2H .0219(I) for Item B(7) or the design flow for line or pump station sizing if zero flow in the space below, Values other than that in 15A NCAC 2H .0219(1)(1-2) must be approved prior to submittal of this application. Submit a separate request to the Division of Water Quality, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617 in accordance with 15A NCAC 2H ,0219(1)(3), 950 students & faculty * 12 gal/day/pop = 11,400 gal/day 10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary) Size (inches) Length (feet) 8 6,720 ENTER TOTAL LINE LENGTH IN MILES 1.3 11. Summary of Pump Stations to be Permitted (attach additional sheets as necessary Gravity or Force Main (use the pull down menu) rev; fi Location ID Power Reliability Option (self chosen - as shown on Design Flow Operational Point (1- dual line feed; 2- permanent generator w/ATS; 3- plans for cross-reference) (MGD) GPM @ TDH portable generator w/telemetry; 4-wet well storage) 12. Does the sewer system comply with the Minimum Design Criteria for the Fast Track Permitting of Pump Stations and Force, Mains (latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC 2H ,0200 as applicable? 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 t3. Have the following permits/certifications been submitted for approval? Wetland/Strearn Crossings - General Permit or 401 Certification? AEI Yes ❑ No ❑ N/A Sedimentation and Erosion Control Plan? Yes ❑ No ❑ N/A. Stormwater? Yes ❑No NIA "FTRA APPLICA"T1OlV for RAVIT""t`' SEWERS, P IP STA'1"1t NSY AND FORCE A AJ S PAGE 5 z 0 Use the Division's guidance document entitled, "DETERMINING STREAM CLASSIFICATIONS FOR FORM FTA 02/03 (FAST -TRACK SEWER SYSTEMS)" to collect and record the stream classification data below (attach additional sheets as necessary). This document is available from our web site or by contacting the appropriate Division of Water Quality regional office (see instructions for addresses) OR indicate the following: 0 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 map for cross-reference) 35080-E7-TF-024 35080-E7-TF-024 Name of Waterbody County Back Creek Iredell UT of Back Creek Iredell River Basin Yadkin Yadkin Waterbody Stream Waterbody index Classification 12-1O8-20-4-2 C 12-108-20-4-2 C Submit the 8.5" x 11" COLOR topographic map as required in Instruction VI regardless of whether a classification is provided! Applicant's Certification: 1, Richard A, McLean, attest that this application for Proposed 8" Sanitary Sewer to Serve the New Intermediate School 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 143-215.6B, any person who knowingly makes any false statement, representation, of cerrfication in any application shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed $10,006 as civil penalties up to $25,©0© per violation. Signing Official Signature 2. Professional Engineer's Certification: I attest that this application for Proposed 8" Sanitary Sewer to Serve the New Intermediate School 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 143-215.68, any person who knowingly makes any false statement, representation, or cerlification 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. George T. Lowder, PE. Professional Engineer Name 2b. WK Dickson & Co., Inc. Engineering Firm 2c. 616 Colonnade Drive Address 2d. Charlotte City 2g, 704-334-5348 Telephone 2h. 704-334-0078 2e. NC 2f. 28205 State Zip 2i. tlowderttawkdickson.com Facsimile E-mail Seal, Signature Date 07/02/04 Permit Number WQ0024092 Program Category Non -discharge Permit Tracking Slip Status Project Type In review New Project Permit Type`_! 1r`'ck Version Permit Classification Gravity Sewer Extension, Pump Stations, & Pressure Sewer Individual Extensions Primary Reviewer Permit Contact Affiliation sonja.williams Permitted Flow 11400 Facility Facility Name Major/Minor Region Proposed 8" Sanitary Sewer to Serve the New Minor Mooresville Intermediate School Location Address County Iredell Facility Contact Affiliation Owner Owner Name Owner Type Town of Mooresville Government - Municipal Owner Affiliation Richard McLean, Manager Town Post Office Box 878 Mooresville NC 28115 Dates/Events Scheduled Orig Issue App Received Draft initiated Issuance Public Notice Issue Effective 06/23/04 Mlle> # Regulated Activities Regiuested/Received Events School Additional information requested Wastewater collection Additional information received Outfall NULL Expiration Waterbody Name Stream Index Number Current Class Subbasin community mu pity in t tr ctu ce nsult n 1 2004 fCI ENR / WQ Division Mooresville Regional Office on -Discharge Permitting Unit 919 Main Street Moores\fiil l , North Car Vi,n i 28115 Re: Sewer SysteSystem lrraproveta ents f©r the Town o1 ooresvlle ;o resyslle, NC. t^" KD # 30129.10.Clal We are st k n ittin , on the beha It rat the Town cat Moor rifle, th 1= st-Tr c . Application for the referenced project. Fncicase is the executers applicahon Corm, Forr V\E , 10/99 and a plic tion tee. Please cant act cstir office it there are any guesticara Sit. a rly, V. K. Dickson & Co., 4,1 Ryan . Hage E E.ncicasUre tr, C ere Ica :rrm— lr raresr �l ''CDE v 2 app ¢:0h00 Itr 4-04 doc LETTER OF TRANSMITTAL YY K DICKSON community infrastructure consultants 616 Colonnade Drive Charlotte, North Carolina 28205 TO: NCDENR 919 N. Main Street Mooreville, NC 28115 ATTENTION: Water Quality We are sending via: Overnight Q Regular Magi Thefollowing items: [j Correspondence Plans COPIES ©ATE NO. 704.334,5348 tel. 704.334.0078 fax. ©ATE: October 13, 2005 RE: Water and Sewer Syustem ovet ents Town of Mooresville WKD #30129.10.CL - I fp Sp k-up Ej Hand Delivered ec ifiations Other as listed below: DESCRlPTI Engineer's Certification 1 Sealed Record Drawin THESE ARE TRANSMITTED as checked below: © For Approval As Requested AT T URAL R. © Approved as Submitted LJ Returned for Corrections For Your Use El For Review and Comment © Approved as Noted © Forward to Subcontractor REMARKS: COPY TO: Mr, D ooresv i SIGNED ike L. Wolfe Fast Track Engineering Certification Permit No. WQ0024092 July 6, 2004 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 ��JJ system extension • supporting design calculations (selected pumps, system curve, operating point, available storage if portable generator(s) or storage greater than longest past three year outage reliability option selected) for any pump stations permitted as part of this project • Changes to the project should be clearly identified on the record drawings or in written summary form. Permit modifications are required for any changes resulting in non-compliance with this permit, regulations or minimum design criteria. This project shall not be considered complete nor allowed to operate until this Engineer's Certification and all required supporting documentation have been received by the Division. Therefore, it is highly recommended that this certification be sent in a manner that provides proof of receipt by the Division. ENGINEER'S CERTIFICATION ❑ Partial tIzEinal I, (1.---rip,‘' LoLoc as a duly registered Professional Engineer in the State of North Carolina, having been authorized to observe periodically, D weekly, ['full time) the construction of the Proposed 8-Inch Sanitary Sewer to Serve the New Intermediate School, iredell County project for the Permittee hereby state that, to the best of my abilities, due care and diligence was used in the observation of the construction such that the construction was observed to be built within substantial compliance of this permit; 15A NCAC 2H .0200; the Division of Water Quality's (Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting materials. North Carolina Professional Engineer's seal, signature, and date: SEND THIS FORM & SUPPORTING DOCUMENTATION WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS MOORESVILLE REGIONAL OFFICE WATER QUALITY 919 N. MAIN STREET MOORESVILLE NC 28115 1o(I,3foS 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.