WQ0038720_Sewer Extension Permit Status Update_20210628

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 Collin.Geersen(aa ncdenr.gov
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Permit No.:WQ0038720 Permittee: Brunswick Regional Water and Sewer H2go
Project Name:Southview Park Subdivision Sewer
Project Status (Complete Signature&Date section below. Check appropriate box'to indicate Permittee's response.)
Name&Title(print): V 5co-' _w i.r /=n_;_ J7;tv}or
Signature: n Date: (42_2. 12)
Comments: /4 L Ite) E ee..c C.2,4 /i`c«kojj
SEWER NOT YET CONSTRUCTED
0 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.
SEWER HAS BEEN CONSTRUCTED
ngineer'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
❑ 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The Permittee requests that the subject permit be rescinded and certifies that the permitted sewer system has not been and shall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 ope to a non-discharge sewer
system in the future,we shall apply for and receive a new Wastewater Collection System Permit. EC E I !/ E D
Name&Title(Print):_ JN 2.5 2021
Signature: Date: NCDEQ/DWR/NPDES
Comments:
Contact Information Updates for Permittee
Updated Contact Person&Title(Print):
Updated Mailing Address:
Updated Email: Updated Phone:

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FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMI I t EE: Brunswick Regional Water&Sewer H2G0
PERMIT h': WQ0033720
PROJECT: Southview Park Subdivision
ISSUE DATE: October 13,2016
COUNTY: Brunswick
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.
Consequently. it should be submitted in a manner that documents the Division's receipt. Send the
required documentation to the Wilmington Regional Supervisor,Water Quality 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 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 herein or portions thereof.
bt WrJ ken, - i•re-c..l off' --��f t'•(� '�`� '��0 /
Printed Name,Title Signature Date
ENGINEERS CERTIFICATION
I, ��=FP fderi , as a dui registered Professional Engineer in the State of North Carolina,
having been authorized to observe (periodically, n weekly, i ; 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 2T; the
Division of Water Resources'(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 materi i.ot"A0808p"%k.,
North Carolina Professional Engineer's Seal w/signature&date h.`be«�®Q.® /°1q ��'4�
•- SEAL.
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Final fl Partial 02iS5�
;ate, ®t.� z
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Certification Comments/Qualifiers:
.
NC DWR—Water Quality Regional Operations Section 127 Cardinal Drive Extension Wilmington,NC 28405
Wilmington Regional Office Phone: [phone]S FAX:[phone]

mot STATE
ROY COOPER p
Governor +.
DIONNE DELLI-GATTI -oza in
Secretary ,`91.S.DANIEL SMITH NORTH CAROLINA
Director Environmental Quality
June 15, 2021
Robert Walker
Brunswick Regional Water and Sewer H2go
PO Box 2230
Leland, NC 28451-2230
Subject: Engineering Certification Request
Brunswick Regional Water and Sewer H2go
Brunswick 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.
0 Permit No. WQ0038720:Southview Park Subdivision Sewer issued on 10/13/2016
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(919)707-3608.
Sincerely,
CiriCfs
Christyn L. Fertenbaugh, P.E., Environmental Engineer
Municipal Permitting Unit, Division of Water Resources
cc: Wilmington Regional Office,Water Quality Section Regional Operations [electronic]
Municipal Permitting Unit[electronic copy]
s\
-ry North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street I 1617 Mail Service Center Raleigh,North Carolina 27699 1617
NORTH CAROLINA
Department al Emlmnm ntJ Qtalv 919.707.9000