WQ0030200_Regional Office Historical File Pre 2018

Michael F. Easle, Governor
Willia
Olt.„.e4,1
Secretary
North Carolina Department of —Environment and Natural Resources
Alan V. .Klimek, P.E„ Director
Division o( Water Quality
May 4, 2006
Mr. James Justice, Town Manager
Town of Mooresville
P 0 Box 878
Mooresville, North Carolina 28115
Subject: Permit No. VVQ0030200
Wellesley East Subdivision
Town of Mooreaville
VNiastewater Collection System Extension
Iredell County, North Carolina
Dear Mr, Justice:
In accordance with your application received on April 10, 2006, we are forwarding herewith
Permit No, WQ0030200 dated May 4, 2006, 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date of issuance until rescinded, and shall be subject to the conditions and limitations as specified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 6 0 EastCenter Ave „ Suite 301. Mooresville, NC 28115
Internet.: wvvw.ncwaterquality.ong Customer Se.rviee: I -S.77-62.34,74/
An Equal Opportunity/Affirmative Action Employer —50% RecycledilV'n Post Consumer Paper
Phone) (704) 66,3-169.9 Fax: [phone]
Onc
NorthCarolina
,Vaturally

Mr. James Justice
Page 2
May 4, 2006
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 Town of Mooresville for the construction and operation of approximately 6,123 linear feet
of 8-inch gravity sewer as part of the Wellesley East Subdivision project, and the discharge of 42,240
gallons per day of collected domestic wastewater into the Town of Mooresville's existing sewerage
system, pursuant to the application received April 10, 2006, 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 -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 150E 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 Dee Browder at (704)
663-1699.
•
Sincerely,
9. /2
for Alan W. Klimek, P.E.
cc: Mooresville Regional Office, Surface Water Protection (WWTP Permit No. NC0046728)
Joel Madden, INSITE Engineering & Surveying
Surface Water Protection Central Files
Marie Doklovic, PERCS

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 thesefacilities 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 (i.e.
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 §143-215.1C.

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. Per 15A NCAC 2H .0220, 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 to the address provided on the form. A complete
certification is one where the form is fully executed and the supporting documents are provided as
applicable.
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 government 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.
11. Noncompliance Notification:
The Permittee shall verbally report to a Division of Water Quality employee at the Mooresville
Regional. Office, telephone number [phone], 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.
2

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 [phone] or
[phone]. Persons reporting any of the above occurrences shall the 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 4th day of May 2006.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for Alan W. Klimek,P:E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0030200
3

. • P
Fast Track Engineering Certification
Permit No. WQ0030200
May 4, 2006
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 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 ❑ Final
I, , 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 Wellesley East
Subdivision, an lredell 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
SURFACE WATER PROTECTION
610 EAST CENTER AVENUE, SUITE 301
• 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.

APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 3
USE THE TAB KEY TO MOVE FROM FIELD TO FIELD!
Application Number: ' Q��c3 ZOO
(to be completed by DWQ) V
1. Owner:-
1 a. Town of Mooresville
0
Full Legal Name (company, municipality, HOA, utility, etc.)
1 b. James E. Justice, Town Manager
H
Signing Official Name and Title (Please review 15A NCAC 2H .0206(b) for authorized signing officials!)
CC
1 c.
The legal entity who will own this system
• Individual • Federal X Municipality
is:
• State/County
■ Private Partnership ❑ Corporation
• Other (specify):
O
td.
P.O. Box 878 le. Mooresville
LL •
Z
Mailing Address City
—
1f.
North Carolina lg. 28115
Z
1 h.
State
704-799-8017
Zip Code
1 1. 704-662-6298 i1j.
H
a
Telephone
Facsimile
E-mail
0
2.
Project (Facility) Information:
2a.
Wellesley East Subdivision
2b. Iredell
CL
Q
3_
Brief Project Name (permit will refer to this name)
Contact Person:
County Where Project is Located
Q3a.
Joel Madden (Engineer of Record)
Name and Affiliation of Someone Who Can Answer Questions About
this Application
3b.
704-540-4706 x 104
3c. [e-mail]
Phone Number
E-mail
1.
Project is X New ❑ Modification (of an existing permit) If Modification, Permit No.:
For
phase,
duplicate
modifications, attach a separate sheet clearly explaining the reason for the modification (i.e. adding another
changing line size/length, etc.). Only include the modified information in this permit application - do not
project information in B(7) and B(10-11) that has already been included in the original permit.
2.
Owner is X Public (skip to item B(3)) ❑ Private (go to Item 2(a))
2a.
If private, applicant will be:
2b. If sold, facilities owned by a (must choose one)
Z
0
•
•
❑
Retaining Ownership (i.e. store, church, single office, etc.) or
Leasing units (lots, townhomes, etc. - skip to Item B(3))
Selling units (lots, townhomes, etc. - go to Item B(2b))
■ Public Utility (Instruction 1II)
El Homeowner Assoc./Developer (instruction IV)
Q3.
Town of Mooresville
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
<
4a. Town of Mooresville's Rocky River WWTP 4b. NC0046728
1e
0 Name of WWTF
WWTF Permit No.
LL 5a. Town of Mooresville
5b. 8"
X Gravity
5c.
Z ` Owner of Downstream Sewer Receiving Sewer Size
❑ Force Main
Permit Number of Downstream Sewer (if known)
H 6. The origin of this wastewater is (check all that apply):
2
IY
X Residential Subdivision
■ Apartments/Condominiums
0 Car Wash
• institution i % Domestic/Commercial
W
a
0 Mobile Home Park
■ School
• Hospital
0 Church % Industrial
Im
❑ Restaurant
■ Nursing Home
% Other (specify):
• Office
■ Other (specify):
7. Volume of wastewater to be allocated for this particular project: 42.240 gallons per day
*Do not include previously permitted allocations
8.
If the permitted flow is zero, indicate why:
• Interceptor Line - Flow will be permitted in subsequent permits that connect to this line
■ Flow has already been allocated in Permit No.
❑ Rehabilitation or replacement of existing sewer with no new flow expected
FTA 02/03 - Rev. 3 04/05

K APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
PAGE 4
°
❑
W
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O
V
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9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2H
.0219(1) 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(I)(1-2) must be supported with actual water or wastewater use data in accordance with 15A
NCAC 2H .0219(1)(3).
120 gal/day x 4 bedrooms x 88 single family homes = 42,240 gal/day
10. Summary of Sewer Lines to be Permitted (attach
Size (inches)Length(feet)Gravity
additional sheets if necessary)
or Force Main
(use the pull down menu)
8"
6,123
Gravity
ENTER TOTAL LINE LENGTH IN MILES
1.16
11. Summary of Pump Stations to be Permitted (attach additional sheets as necessary)
Location ID
(self
plans for cross-reference)
DesignFlow
(MGD)
; Power Reliability Option
n Point (1- dual line feed; 2- permanent generator
Operational
well lr
GPM @ TDHportable gene generator wlteemtry; 4-wet storage)
(12. Does the sewer system comply
Mains (latest version), the
El Yes ❑ No If no, please
1 variance
PERTINENT
lywith the Minimum
p y
Gravity Sewer
reference
is requested.
TO THE VARIANCE
ce
Design Criteria for the Fast Trackg...oPS.......ions.__n.- Force
Permitting of Pump Stations and Force
Minimum Design Criteria (latest version) and 15A NCAC 2H .0200 as applicable?
the pertinent minimum design criteria or regulation and indicate why a
SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS
WITH YOUR APPLICATION
j13. Have the following permits/certifications been
1
a
Wetland/Stream Crossings - General Permit
Sedimentation and Erosion Control Plan?
Stormwater?
submitted for approval?
or 401 Certification? X Yes ❑ No
• NIA
X Yes ■ No • N/A
X Yes ❑ No
• NIA
14. Does this project involve aerial lines or siphons?
;these lines.wiil..be_.considered.hiatt priority and...must.be..checked,
15. Does this project have gravity sewer lines designed
I Be aware that the Division will not accept installed lines more
1 corrected prior to submitting the final engineering certification..
Check if yes: ❑
once everv.six..months
at minimum slopes? •
than 10% flatter than the minimum slope. Lines installed outside this tolerance should be
FTA 02/03 - Rev. 3 04/05

ATION for GRAN'
, PUMP STATIONS, AND FORCE MAINS PAGE 5
1 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
necess ry). 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 Si eim Classification is not needed because all parts of the project are at least 100 feet away from any down slope
waterbocly, AND,
0 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.
(4 Location ID on Map
(self chosen - as shown on
Name of Waterbody Stream Waterbody
map for cross-reference) Waterbody County River Basin Index Classification
1 Back Creek Iredell Yadkin 12-108-20-4-2
2
Submit the 8.5" x 11" COLOR topographic map as required in Instruction VI
regardless *, whether a classification is provided!
z
0
ci
1. Applicant's Certification:
,7-orne E
1, SIGNING SIGNING OFFICIAL NAME, est that this application for Wellesiey East Subdivision has been reviewed by me and is
accurate and complete to the best of my knowledge, 1 understand that if required parts of this appfication are not
completed and that if all required supporting documentation and fachments am not included, this application package
is subject to being returned as incomplete_ Note: In accordance with North Carolina Genera/ Statutes 143-215.6A and
143-215 68, any person who knowingly makes any false statement, representation, or certification in any application
sh be guilty of a Class 2 misdemeanor Mich may include a 'Vie not to exceed $10, 000 as weft as civil penalties up to
$25,000 per violation.
3 (7:96
Date
2. Professional Engin C rtifi n:
attest that this appftcv ion for Wellesley East Subdivision has been reviewed by me and is accurate, complete and
consistent Oh the irrformdion in the engine 'ering plans, cattilations, and other supporting documentation to the best of
my knov4edge 1 further attest that to the best of my knowledge the proposed design has been prepared in accordance
with the applicable regulations, Grady Sewer 'Minimum Design Criteria for Grawty Sewers adopted February 12, 1996,
and the Minimum Design Criteria for the Fast -Track Perinitteig of Pump Stations and Force Mains adopted June 1, 2000
and the watershed dassalcation in acoondanee with Division guidance, Afthough ostrtain portions of this submittal
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 143-2/5,68, any person who knowingly makes any false statement, representation, or
certification in any application shaft be guifty of a Class 2 misdemeanor which may include a fine not to exceed $10,000 es
well as chid penalties up to $25,000 per violation.
a Joel L Madden, RE,
Professional Engineer Name
2b, INSITE Engineering & Surveying
Engineering Firm
2e, 8041 Corporate Center Drive, Suite 200
Mailing Address
211, Charlotte 2e. NC
City State Zip
2g. 704-5404706 2h. 704-S4O.47C8 21, jlrninsieengneeng.com
Telephone Facsimile E-mail
2 5957
seal, Signature a Date

Topographic Map Page 1 of 1
0 0.3 0.6 0.9 1.2 1.5 km
0 0.1 0.2 0.3 0.4 0.5 m i
Map center is UTM 17 519015E 3940054N (WGS84/NAD83)
Mooresville quadrangle
Projection is UTM Zone 17 NAD83 Datum
http://www.topozone.corn/print.asp7z=17&n=3940454.041109436&e=519 04.999999999&s=48&size=s,.. 3/27/2006

Transmittal
DATE: April 7, 2006
TO:
Dee Browder
NCDENR
Division of Water Quality
610 East Center Ave. Suite 301
Mooresville, NC 28115
FROM: Scott Doerr
RE:
APR 1
ATER QU
Wellesley East Subdivision —Sewer service application
ITEM # OF SETS # OF StIEETS l►ESCRIPTION
2 2
6
NOTES:
METHOD OF DELIVERY
Li MAIL
Ll COURIER
EI FED -EX
EI OTHER
Fast Track Application
$400 Sewer Fee
Flow Acceptance Letter
G:1pr©ject2lStLawrence\CHERRY GROVE PH21Admin\TRANS 2006-04-06 NCDENR water and sewer application.doc

prippr44 rkiuCl-
TOWN OF
MOORESVILLE
PLANNING &
ENGINEERING
DEPARTMENT
March 24, 2006
In Site Engineering
Mr. Scott Doerr
8041 Corporate Dr.
Suite 200
Charlotte, NC 28228
Re: Wellesley East Subd Flow Acceptance Letter (Revised) -Hwy 150
Mr. Doerr.
1 G4J now./IOYJS r-gla
Derek Slocum, El
Civil Engineer
Town of Mooresville
P. O. Box 878
Mooresville, NC 28115
[phone]
Fax [phone]
The Mooresville Town Board had previously approved the above -referenced protect and agreed to
provide potable water service to and accept the sewer flow from the proposed residential project.
The Town of Mooresville's Water System Management Plan submitted approximately July 30,
2000, was approved and assigned WSMP No. 00-01958. Mooresville's Water Filter Plant PWS
ID# is 01-49-015. Both water and sewer systems are owned and maintained by the Town of
Mooresville. Wastewater will be treated by the Town of Mooresville's Rocky River W Wf P, NPDES
Permit No_ NC0048728. This project's expected input into the WWTP Is 42,240 gpd.
It is your responsibility, as the engineer of record, to certify to the State that construction has been
completed in accordance with the approved plans and specs. The Town will conduct periodic
inspections during construction and will hold a final inspecton prior to accepting the watorOnes and
sanitary sewer system into the Town's system. Two reproducible (mylar) copies of the "As -Built'
drawings, an CD (compact disc) format, along with your engineer's certification are required to be
submitted to this office prior to acceptance by the Town Of Mooresville.
We look forward to working with you on this project. Call me at VO4)799-8017 if you have
questions.
Since
Derek Slocum, El
Civil Engineer

prIPPIPP-.& t
Central Files: APS SWP
05/04/06
Permit Number WQ0030200 Permit Tracking Slip
Program Category Status Project Type
Non -discharge In review New Project
Permit Type Fast Track Version Permit Classification
Gravity Sewer Extension, Pump Stations, & Pressure Sewer A Individual
Extensions
Primary Reviewer Permit Contact Affiliation
dee.browder
Permitted Flow
42240
Facility
Facility Name
Wellesley East Subdivision
Location Address
Owner
Major/Minor Region
Minor Mooresville
County
Iredell
Facility Contact Affiliation
Owner Name Owner Type
Town of Mooresville Government - Municipal
Owner Affiliation
James Justice, Manager Town
PO Box 878
Mooresville
Dates/Events
NC 281150878
Or1g Issue
App Received Draft Initiated
04/10/06
Scheduled
issuance
Public Notice Issue
Effective Expiration
Regulated Activities Requested/Received Events
Subdivision
Wastewater collection
Dutfall NULL
Additional information requested
Additional information received
Waterbody Name Stream Index Number Current Class Subbasin

T
Fast Track Engineering Certification
Permit No. W00030200
May 4, 2006
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 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 fgrFinal
1,-J L ' - `J , as a duly registered Professional Engineer in the State of North Carolina, having
been authorized to observe (1$ periodically, ❑ weekly, ❑ full time) the construction of the Wellesley East
Subdivision, an 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:
rti
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
MOORESVILLE REGIONAL OFFICE
SURFACE WATER PROTECTION
610 EAST CENTER AVENUE, SUITE 301
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.