WQ0039207_Signature Authority_20210624

STATE 0;
ROY COOPER ~'
Governor ir\ C:'
DIONNE DELLI-GATTI y`
JUN 2
Secretary RECEIVED S.DANIEL SMITH NORTH CAROLINA
Director Environmental Quality
2021
June 15,2021
Wayne Holt NCDEQIDWR/Np4DES
Reward Builders Inc
PO Box 910
Holly Springs, NC 27540
Subject: Engineering Certification Request
Reward Builders Inc
Wake County
Dear Permittee:
Based on a review of our records for permits issued during the period of 2016 through 2017, it appears that
the Division of Water Resources (Division) has not yet received a final engineering certification in accordance
with 15A NCAC 02T.0116,as well as the standard conditions of the permit,for the Wastewater Collection
System Extension Permit(s) listed below.
• Permit No. WQ0039207: 209 S Dixon Ave. issued on 5/10/2017
If the permitted facility,or any portion of the facility, has been constructed and is in operation, a complete
engineering certification is required to be submitted prior to placing the system into service. It should be
noted that failure to certify a sewer extension permit appropriately in accordance with the provisions of 15A
NCAC 02T.0116 may result in enforcement action. A complete certification is one that includes a copy of
the construction record drawings (plan and profile views of all sewer lines), pump station design
calculations (if applicable), and the certification form as provided with the original permit. Please note
that the Division may not acknowledge the receipt of certifications, however, the status can be viewed
at any time using our online Sewer Extension Permit Tracker located on the Municipal Permitting Unit
website.
If the permitted facility has not been constructed and will not be constructed,the Permittee may request
to have the permit rescinded by returning the attached Status Update form. If the Permittee no longer
owns the facility or the Permittee's name has changed, please return the attached Status Update requesting
information for ownership/name change. Please note that Permits are not automatically transferable in the
event the project site is now owned by others.
The Division requests a response from the Permittee by July 14, 2021.
The Status Update form on the back of this letter should be completed and included with all submittals.
If you have any questions regarding this outreach program, please contact Collin Geersen via e-mail at
[e-mail]. Alternatively,voice mail messages can be left at [phone].
Sincerely,
Christyn L. Fertenbaugh, P.E., Environmental Engineer
Municipal Permitting Unit, Division of Water Resources
cc: Raleigh Regional Office,Water Quality Section Regional Operations [electronic]
Municipal Permitting Unit [electronic copy]
North Carolina Department of Environmental Quality I Divlslon of Water Resources
512 North Salisbury Street 1 1617 Mail Service Center I Raleigh,North Carolina 27699-1617
"�"'.r.� ` +■++o+e� /'� 919.707.9000

Request for Engineering Certification Date of Letter: June 15,2021
Sewer Extension Permit Status Update
Please complete the applicable portion of this form for each permit and return this form and supporting documents by July 14,2021
to the attention of Collin Geersen at the Division's Municipal Permitting Unit by the delivery method below:
NCDEQ/DWR
WQPS—Municipal Permitting Unit
By U.S. Postal Service: By Courier/Special Delivery: By Email:
1617 Mail Service Center 512 N.Salisbury St.Suite 925 Collin Geersen
Raleigh, NC 27699-1617 Raleigh, NC 27604 [e-mail]
Permit No.:WQ0039207 Permittee: Reward Builders Inc
Project Name: 209 S Dixon Ave.
Project Status (Complete Signature&Date section below. Check appropriate box 14to indicate Permittee's response.)
Name&Title(print): B 14/A9N 1/o/f r &O
Signature: Date: to-L I-2 / >
Comments: 0614 1H ri, wa tI o �c G�fifrr,N d,&/ 1Ij[vd 6ui
D Ljiff/at• 4.1hurt 04.641 fL 1[,w 6-/ Mak
SEWER NOT YET CONSTRUCTED
❑ The Permittee certifies that the permitted project has not been constructed but shall be constructed in the future in conformity
with the approved Permit,project plans,specifications,and supporting documents.The Permittee understands that the
appropriate certification documents will need to be forwarded to the Division prior to operation. Subject permit shall be
maintained in Active status.NOTE: If sewer will never be built,please complete Permit Rescission Request section below.
SE/ER HAS BEEN CONSTRUCTED
rEngineer's Certification: The Permitted project has been constructed and the required Certification page and supporting
documents are being submitted to the Division with this form.
OWNERSHIP/NAME CHANGE
II3 The Permittee requests information to apply for ownership or name change. Please provide email and phone number below for
follow-up.
Permit Rescission Request
The Permittee requests that the subject permit be rescinded and certifies that the permitted sewer system has not been and shall
not be constructed nor made operational. By signing below,we acknowledge that should we wish to operate a non-discharge sewer
system in the future,we shall apply for and receive a new Wastewater Collection System Permit.
Name&Title(Print):
Signature: Date:
Comments:
Contact Information Updates for Permittee
Updated Contact Person&Title(Print):
Updated Mailing Address:
Updated Email:war eli?li 6(Ad .(iv-Updated Phone:' 15 -62 5 -.4 1 l

FAST TRACK SEWER I E ER ENGINEERING CERTIFICATION
O
PERMITTEE: Reward Builders,Inc.
PERMIT#: WQ0039207
PROJECT: 209 S. Dixon Avenue
ISSUE DATE: May 11,2017
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 supporting documentation. It
should be submitted in a manner that documents the Division's receipt. Send the required documentation
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.
PERMITTEE'S CERTIFICATION
I, the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant
to the applicable standards & requirements, the Professio al Engineer below has provided applicable
design/construction information to the Permittee, and t • Permittee is prepared to operate & maintain
the wastewater
lcollection system
permitted herei or ••rtions thereof.
�,'1�A.(N C it b I I ,Prc'S;Gt,� dor-Aor April 13,2018
Printed Fiame,Title S':1�ature Date
ENGINEER'S CERTIFICATION
C.Ross Massey , as a duly registered Professional Engineer in the State of North Carolina,
having been authorized to observe(Ex periodically,❑weekly,❑full 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 substantial compliance of this permit;15A NCAC 02T;the Division of Water
Resources' (Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996 and updated
March 2008,as applicable; the Division's Minimum Design Criteria for the Fast-Track Permitting of Pump
Stations and Force Mains adopted June 1, 2000 and updated March 2008, as applicable; and other
supporting materials.
North Carolina Professional Engineer's Seal w/signature&date: ,,,,,,,,,,,,,,,
0_1 N CAR
E Final ❑ Partial(include description) ;QQ'
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ram. . • � n
Certification Comments/Qualifiers(attach if necessary): •t►
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Di%irilln of Water Resources.Raleigh Regional t)flicc.11'ater Quality Q erltiuns Section www.ncwater uali .or
6 Q ) f' 9 rY E
1625 Mail Service Center.Raleigh.NC 27699.162I I'hone:1919)791-I200
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CURVE TABLE
CURVE LENGTH RADIUS CHORD BEARING CHORD
SETBACKS; FROM RECORDED MAP 2017 PG 86: C1 92.27 419.53 N26.00'45'E 9214
ROADWAY SETBACK - 10' WITHOUT PARKING/
18' WITH PARKING ALONG R/W
SIDE SETBACK AGGREGATE - 16'
SIDE SETBACK MINIMUM - 0' OR 3'
REAR SETBACK - 10' NOTES,
NOT FOR RECORDATION, CONVEYANCES, OR SALE.
PROPERTY SUBJECT TO ANY EASEMENTS OF RECORD.
LEGENQ; FIELD CLOSURE > 1/10000,
R/W- RIGHT OF WAY DRIVE NOT IN AT TIME OF SURVEY.
CA = CENTER LINE
EIP - EXISTING IRON PIPE
- FIELD MEASUREMENTS
▪ GAS PIPEUNE MARKER
- WATER METER
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THIS PROPERTY 4S NO LOCATED IN AN AREA DESIGNATED AS HAVING SPECIAL FLOOD HAZARDS ACCORDING TO
FLOOD INSURANCE RA MAP #3720076400 J . EFFECTIVE DATE: MAY 2, 2006.
LOTPARCE11 BLOCK SECTION FO U\�ATI O\
SUBDIVISION 323 W. PARK STREET (MONTCLAIR SUBDIVISION) sAw/Mw
RECORDED IN BOOK OF MAPS 2017 PAGE 86 WAKE COUNTY REGISTRY 2016240
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DATE: 06/07/17 LAND SURVEYING & PLANNING
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