WQ0039119_Regional Office Historical File Pre 2018

Water Resources
Environmental Quality
April 3, 2017
Larry Pressley, City Manager
City of Statesville
P.O. Box 1111
Statesville, NC 28687-1111
ROY COOPER
Governor
MTCHAEL S. REGAN
Secretary
S. JAY ZIMMERMAN
Director
Subject: Permit No. WQ0039119
City of Statesville
Larkin MF Development
Wastewater Collection System Extension Permit
Iredell County
Dear Mr. Pressley:
In accordance with your application received March 27, 2017, we are forwarding herewith Permit No.
WQ0039119 dated April 3, 2017, to City of Statesville (Permittee).for the construction and operation upon
certification 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the date of issuance until rescinded and shall be subject to the conditions and limitations as specified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 the following conditions contained within this permit:
Condition 11.1: This permit shall not be automatically transferable; a request must be made and
approved.
Condition 11.4: Requires that the wastewater collection facilities be properly operated and maintained
in accordance with 15A NCAC 2T .0403 or any individual system -wide collection system
permit issued to the Permittee.
It shall be the responsibility of the Permittee to ensure that the as -constructed project meets the
appropriatedesign 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.
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.
�`r'Nothing Compares`,,
State of North Carolina 1 Environmental Quality I Water Resources I Water Quality Regional Operations
Mooresville Regional Office 1610 East Center Avenue, Suite 301 I Mooresville, North Carolina 28115
704-663-1699

If you need additional information concerning this matter, please contact Barry Love at [phone]
or via e-mall at [e-mail].
Sincerely,
by W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office
Division of Water Resources, NCDEQ
cc: Patrick Murphy, P.E. (e-copy)
Regional Office Files
Water Resources Central Files
PERCS (e-copy)
2

Environmental
Quality
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
City of Statesville
Iredell County
for the construction and operation of approximately 925 linear feet(If) of 8-inch gravity sewer to serve as
part of the Larkin MF Development project, and the discharge of 6,960 gallons per day of collected
domestic wastewaterinto the City of Statesville existing sewerage system, .pursuant to the application
received March 27, 2017 , and in conformity with 15A NCAC 2T; 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 Environmental Quality 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 specified
conditions and limitations contained therein.
by W. Corey"Rasinger, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office
Division of Water Resources, NCDEQ
Permit Number: WQ0039119
Permit Issued: April 3, 2017
3

SUPPLEMENT TO PERMIT COVER SHEET
City of Statesville 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 Statesville Third Creek
Wastewater Treatment Plant in accordance with Permit Number NC0020591.
Permitting of this project does not constitute an acceptance of any part of the project that does not meet
15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996, as
applicable; 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.
Construction and operation is contingent upon compliance with the Standard Conditions and any Special
Conditions identified below.
SPECIAL CONDITIONS
No flow in excess of the quantity permitted herein, 6,960 GPD shall be made tributary to the subject
sewer system until an application for permit modification for an increase in flow has been submitted
to and approved by the Division. [15A NCAC 02T.0304(b)]
II. STANDARD CONDITIONS
1. This permit is not 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. [15A NCAC 02T.0104; G.S 143-215.1(d3)1
2. This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2T; 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 materials unless specifically mentioned herein. [15A NCAC 02T.0110]
This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data. [15A NCAC 02T .01101
4. 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 2T .0403. If an individual
permit is not required, the following performance criteria shall be met: [15A NCAC 02T .0108(b)1:
4

I
a. The sewer system shall be effectively maintained and operated at all times to prevent discharge
- to land or 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 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 -months and inspections are
documented.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. '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.
h. A Grease Control Program is in place as follows:
1. 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 of the grease interceptors, enforcement for violators and
the legal means to control' 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
permittee or its representative.
3. Grease education materials shall be distributed more often than required in Parts (1) and (2)
of this Subparagraph if necessary to prevent grease -related sanitary sewer overflows.
i. Right-of-ways and easements shall be maintained in the full easement width for personnel and
equipment accessibility.
j., 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 Perrnittee'shall report by telephone to a water resources staff member at,the Mooresville
Regional Office, telephone number [phone], as soon as possible, but in no case more than 24,
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 SSO and/or spill over 1,000 gallons; or
c, Any SSO and/or spill, regardless of volume, 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 [phone] or [phone].
Persons reporting any of the above occurrences shall file a spill report by completing and submitting
Part I of Form CS-SSO (or the most current Division approved form) within five days following first
knowledge of the occurrence. This report must outline the actions taken or proposed to be taken 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. [G.S. 143-215.1C(a1)]
6. 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. [15A NCAC 02T.0108(b))
7. Upon completion of construction and prior to operation of these permitted facilities, the completed
Engineering Certification foram 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. 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.
If the permit is issued to a private entity with an Operational Agreement, then a copy of the 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 fully executed and the supporting documents are
provided as applicable. Supporting documentation shall include the following:
One copy of the project construction record drawings (plan & profile views of sewer lines & force
mains) of the wastewater collection system extension. Final record drawings should be clear on
the plans or on digital media (CD or DVD disk) 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,
surge protection, detention time in the wet well, and force main, ability to flush low points in
force mains with a pump cycle, and downstream sewer capacity analysis. If a 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
timeframes, shall be provided.
6

I
c. Changes to the project that do not result in non-compliance with this permit, regulations, or the
Minimum Design Criteria should be clearly identified on the record drawings, on the certification
in the space provided, or in written summary form.
Prior to Certification (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 5% 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 basis and each on its own merit.
Please note that variances to the 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 to certification &
activation. [15A NCAC 02T .0116]
8. Gravity sewers installed greater than ten percent below the minimum required slope per the Division's
Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be certified until
corrected. If there is an unforeseen obstacle in the field where all viable solutions have been
examined, a slope variance can be requested 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. [ 15A NCAC 02T.0105(n)]
9. A copy of the construction record drawings shall be maintained on file by the Permittee for the life of
the wastewater collection facilities. [15A NCAC 02T .0116]
10. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2T; 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,
construction of additional or replacement wastewater collection facilities, and/or referral of the North
Carolina -licensed Professional Engineer to the licensing board. 115A NCAC 02T .0104; 15A NCAC 02T
.0108( b-c)]
11. 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.
[15A NCAC 02T .0110; 15A NCAC 02T .0108(b)]
12. 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 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. 143-
215.1(b)]

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE:
PERMIT#:
PROJECT:
ISSUE DATE:
City ofStatesville
VVQ00391l9
Larkin K4FDevelopment
April 3,2O17
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 9ennh1ee to
appropriate enforcement actions, The Permittee is responsible for tracking all partial certifications up
until afinal certification is received. AFinal Certification shall beacomplete set ofrecord drawings and
design calculations regardless ofwhether partials have been submitted.
PERMOTEE'$CERTF|CATuJN
|, the undersigned agenth7r1hePermittee,herebvstaketha1thisprnjecthasbeemcnnx1,wc1edpur»uont
to the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information tothe Permittee, and the Perrnittee is prepared tooperate O^ maintain
the wastewater collection system permitted herein urportions thereof.
Printed Name, Title
Signature Date
ENGINEER'S CERTIF11CATION
|, ,usaduly registered Professional Engineer inthe3tateofNurth[andioa,
having been authorized to observe (R periodically, R 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; 1SA NCACO2T) 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 1,200O aoapplicable; and other supporting materials.
North Carolina Professional Engineer's Seal m/signatune&date:
Final Partial (include description
Certification Comments/Qualifiers (o%tachifnecessary):
xw""/wormCarolina } Environmental o=uty|Watcrnes.urce°|Water u"mtyo"&naloreT*u"

R. J e Ha is Associates, c.
March 20, 2017
North Carolina DEQ
Mooresville (MR0)
Division of Water Quality
610 E. Center Avenue
Mooresville, North Carolina 28'115
Re: Larkin Multi -Family Development
Sewer Application for Approval — 1st Submittal
RJR Project No.. 2382
To Whom It May Concern:
We have enclosed the following items fore the State's review and approval for the above
referenced project.
1. 1 original & 1 copy of the completed Fast Track Sewer Application — dated 31116/17
2. 1 copy of the completed Flow Track Sewer Application — dated 3/16/17
3 1 set of water & sewer plans for Larkin Mulit-Family Development — dated
4. 1 check for the application fee in the amount of '$480 made payable to NCDEQ
5_ 1 Project Summary for Larkin Multi -Family Development
If you should have any questions or require any additional informati an,, please feel free to contact
me at [phone] or via email at pmurphy rioeharris r om.
Sincerely,
R. JOE HARRIS & ASSOCIATES, INC
Patrick Murphy, P E.
Engineering Director

ton of Water Resources
State of North Carolina
Depart Tlent of Environmental Quality
l i ision of Water Resources
l ;?. NCAC 02T , .(I 00— FAST TRACK SEWER S'YSTE.M EXTENSION APPLICATION
ETA 04-16 & SUPPORTING DOCUMENTATION
APPLICANT INFORMATION:
Applicant's name: City ofStatesv'ill
?. Applicant type: lndiividual
J Federal
Signature authotity'
1"itle: Gatti NIAtiner
Applicant's mailing address: P t�
City: Statesville State„ NC.
Applicant's contact information:
Phone number (704;
autrYber
be
ni.ipality, UOA. ut
'porat
'County
1 arry,_I'retitilty; per 15.`\ NC AC 02' , .
878-35
II. PROJECT INFORMATION:
I. Project name Larkin M l` Dev els)pment
?. Application/Project status: I'rt)ptased (New Permi
If a niodilication. provide the eyis ing pern).i't numhe0
co pplaed by !)14`It)
ip [ Privately -Owned Public Utility
Other
ued date_
11 new construction but part of a master plan, provide the existing permit number: WQ00_._
3. County where project is located: Iredel
4. Approximate Coordinates (Decimal Degrees): latitude:
5, Parcel ID (if applicable): 4742596862.000
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
I. Professional E;ngineerr. Patrick Mtirph} license
Firm: R.. Joe Harris & Associates,
Mailing address: „127 Rett.Case F Drive,Sin lt)1
City: Fort Mill State: SC Zip: 29708-
Phone number: [phone]
Nuinher; 0 368 .16
it Address: pn)urp)hyrir_
IV. WASTEWATER TREATMENT FACILITY" (WWTF) INFORMATION:
I. Facility Name: Third Creek \
C`)wt)er Name: Ire,dell "purity
Perinit Number: N( (10205e)1
RECEIVING DOWNSTREAM SEWER INFORMATION (if tiitl rent than
1. Permit Numbers}° Vu(�) Downstream (Receiving,) �ae��fery
System Wide Collection System Permit Ntttarher(s) (if applicable(:
Owner Name(s):
FORM: ETA 04-16
Page, 1 of

ENERAL REQUIREMENTS
r. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑No ®N/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEV) been attached?
❑ Yes ❑No ®N/A
3. If the Applicant is a 'lame/Property Owners' Association, has an Operational Agreement (FORM: HOA) been attached?
❑ Yes ❑No ®N/A
4. Origin of wastewater: (check all that apply):
® Residential Owned
❑ Residential Leased
❑ School / preschool / day care
❑ Food and drink facilities
❑ Businesses / offices / factories
El Retail (stores, centers, malls)
❑ Retail with food preparation/service
❑ Medical / dental / veterinary facilities
['Church
El Nursing Home
❑ Car Wash
❑ Hotel and/or Motels
❑ Swimming Pool /Clubhouse
❑ Swimming Pool/Filter Backwash
❑ Other (Explain in Attachment)
5. Nature of wastewater : 100 % Domestic/Commercial % Commercial
% Industrial (See 15A NCAC 02T .0103(20))
�Is there a Pretreatment Program in effect? ❑ Yes El No
6. Has a flow reduction been approved under 15A NCAC 02T.0114(f)? ❑ Yes ® No
➢ If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow °'b
No. of Units
Flow
Multi -family dwelling unit
240 gal/day
29
6,960 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
6,960 GPD
a See 15A NCAC 02T .01 14(b), (d), (e)(l) and (e)(2) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use
areas; and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals
as defined in G.S. 42A-4).
b Per I5A NCAC 02T .01 14(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01141 shall
be determined using available flow data, water using fixtures, occupancy or operation patterns, and other treasured data.
8. Wastewater generated by project: 6960 GPD (per 15A NCAC 02T .0114)
> Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
❑ Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit Number:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
El Other (Explain):
FORM: FTA 04- 16
Page 2 of 5

pr
GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet) Material
8
925
PVC
➢ Section II & Ill of the MDC for Permitting of Gravity Sewers contains information related to design criteria
> Section III contains information related to minimum slopes for gravity sewer(s)
> Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: . Longitude: - °
3. Design flow of the pump station: millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): gallons per minute at
5. Summarize the force main to be permitted (for this Pump Station):
feet total dynamic head (TDH)
Size (inches)
Length (feet)
Material
6. Power reliability in accordance with 15A NCAC 02T .0305(10(1):
❑ Standby power source or pump with automatic activation and telemetry - I5A NCAC 02T .0305(h)(I)(B)_
> Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
> Must be permanent to facility
Or if the pump station has an average daily flow less than 15,000 gallons per day:
❑ Portable power source with manual activation, quick -connection receptacle and telemetry - I5A NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - I5A NCAC 02T .0305(h)(I)(C):
> It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
and is compatible with the station.
➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations'
storage capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be
provided in the case of a multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

ETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
Does the project comply with all separations found in 15A NCAC 02T .0305(0 & (e)
➢ 15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
® Yes ❑ No
Setback Parameter*
Separation Required
24 inches
Storm sewers and other utilities not listed below (vertical)
Water mains (vertical -water over sewer including in benched trenches)
18 inches
Water mains (horizontal)
10 feet
Reclaimed water lines (vertical - reclaimed over sewer)
18 inches
Reclaimed water lines (horizontal - reclaimed over sewer)
2 feet
**Any private or public water supply source, including any wells, WS-I waters of Class I or
Class II impounded reservoirs used as a source of drinking water
100 feet
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, HQW, or SB from normal
high water (or tide elevation) and wetlands (see item IX.2)
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
Any building foundation
5 feet
Any basement
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
➢ I5A NCAC 02T.0305(e) contains alternatives where separations in 02T.0305(I) cannot be achieved.
D. **Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
➢ If noncompliance with 02T.0305(f) or (Q). see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes ❑ No
➢ See the Division's draft separation requirements for situations where separation cannot be meet
➢ No variance is required if the alternative design criteria specified is utilized in design and construction
➢ As built documents should reference the location of areas effected
3. Does the project comply with all setbacks found in the river basin rules per 15A NCAC 02B .0200? ® Yes ❑ No
➢ This would include Trout Buffered Streams per I5A NCAC 213.0202
4. Does the project comply with an individual 404 Permit or any 401 Certifications? ® Yes ❑ No
➢ Wetland -related permits shall be requested, obtained, and adhered to for projects that impact wetlands or surface waters
➢ Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with I5A NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105(c)(6), directly related environmental permits or certification applications are being prepared, have
been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion and
sedimentation control plans, stormwater management plans, etc.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per 15A NCAC 02T.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
❑ Yes ®No
D. If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shaII be inspected by the permittee or its representative at least once every six -months and
inspections documented per 15A NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

CTAT FICAT 1 ONS:
Does the submitted .system comply with I5,A. 02.1-.. the Minimum Desio,Criteria for the Per minirtgail Pump Stations
and Force Mains (latest versionj, uid the Gravity Sewer Minimum ltesign Criteria (latest version) as applicable?
es El No
If No, complete and submit the Variance/Alternative Design Request application (VA DC 10-14) and supporting documents
for review. Approval of the request is required prior to submittal of the Fast Track Application and supporting
documents..
2, Professional Engineer's Certification,
1. •
AiAr-p
(Protessii nal Engineer's name from Application Item IlL .)
attest that this application 'for
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans, specifications,
engineering calculations, and iI 1 other supporting documentation to the best of my knowledge, 1 further attest that to the best
of rny k.nowledge the proposed design has been prepared in accordance with the applicable regulations, Gravity Sewer
Minimum Design Criteria for Gravity Sewers (latest version), and the Minimum :Design Criteria for the Fast - Track
Permitting, of Pump Stations. and Force Mains (latest version). Althoughother professionals may have developed certain
portions of this submittal package, inclusion of these materials under my signature and seal signifies that have reviewed this
material and have judged it to he consistent %vith the proposed design,
NOTE In accordance with General Statutes I43-215.6,A. and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a 'line not to exceed $10,000, as well as civil penalties up to S25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date:
\'‘Ii"6"41ile
SEAL
-4168
3. Applicant's Certification per 15A NCiNC. o2T 106.(1):
t, Lfj24t, Ple,a7.5.4t7.1/ C
(Signature Anthorify'sfiame & title from Application Item 1. .1
a
this application for
has been reviewed by me and k iecurate and complete to the best of iny knowledge, I understand that if all required parts of
this application are not. completed and that if all required supporting documentation i'ind attachments are not included, this
application package is subject. to being returned as incomplete. l understand that any discharge of Wastt-Av.,iter from this non -
discharge system to surface waters or the land will result in an immediate enforcement action that may include civil penalties,
injunctive relief,. andlor criminal prosecution, 1 will make no claim against the Division of Water Resources should a
condition of this permit be violated, 1 also understand that if all required parts of this application package are not completed
and that Wall required supporting in thrmation and attachments are not included, this application packa.ge will be returned to
me as incomplete,
NOTE In accordance with General Statutes 143-215,6A and 143-715.6k, any person who knowin.gly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to ci; •ced 0,000 as well as civil penalties up to .S25,000 per violation,
Signature:
Date:
FORM: FTA 04-16 Page 5 of5

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: City of Statesville
Project Name for which flow is being requested: Larkin Multi -Family Development
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all punip
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Third Creek WWTP
b. WWTP Facility Permit #: NC0020591
All flows are in MGD
c. WWTP facility's permitted flow 6.0
d. Estimated obligated flow not yet tributary to the WWTP 0.6918
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
0.84
0.00696
1.539
25.65%
E. 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 Flow** Current Avg. Tributary Flow Plus
(Name or Capacity, * (Firm / pf), Daily Flow, Daily Flow, Obligated Available
Number) MGD MGD MGD MGD Flow Capacity***
* 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 Flow 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.
Downstream Facility Name (Sewer):
Downstream Permit Number:
Page 1 of 6
FTSE 04-16

III. Certification Statement:
i Larry Pressley, 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 capacity related sanitary sewer overflows 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 performed in accordance with local established policies and procedures using
the best available data. This certification applies to those items listed above in Sections I and II
plus all attached planning assessment addendums for which I am the responsible party.
Signature of this form indicates/ cceptance of this wastewater flow.
Signing Official Signature
3//6/7„.
Page 2 of 6
FTSE 04-16

VICINITY MAP - N. T.S.

Central Files: APS _ SVVP
4/3/2017
Permit Number WQ0039119 Permit Tracking Slip
Program Category Status Project Type
Non -discharge Active New Project
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
barry.love
Coastal SWRu!e
Permitted Flow
6,960
Facility
Version Permit Classification
1.00 Individual
Permit Contact Affiliation
Facility Name
Larkin MF Development
Location Address
Owner
MajoriMinor Region
Minor Mooresville
County
Iredell
Facility Contact Affiliation
Owner Name
City of Statesville
Dates/Events
Owner Type
Government - Municipal
Owner Affiliation
Larry P. Pressley
PE
City Of Statesville
Statesville
NC 28687111
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
4/3/2017 3/27/2017 4/3/2017 4/312017
Regulated Activities Requested 'Received Events
Subdivision Additional information requested
Wastewater collection
Outfa II
Additional information received
Waterbody Name Streamlndex Number Current Class Subbasin

ater Res a urces
Environmental Quality
December 6, 2017
Larry Pressley, City Manager
City of Statesville
P.O. Box 1111
Statesville, NC 28687
SUBJECT: Final Engineering Certification Acknowledgement
Project: Larkin MF Development
Permit No. WQ04391.19
Permittee: City of Statesville
County: Iredell
Dear Mr. Pressley:
`ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Interim 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 December 6, 2017.
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 permitted 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.ncdenr.orgfweb/wq/swp/ps/cs/pnoc from the Collection Systems Applications page.
Should you have any questions, please do not hesitate to contact me at [phone].
Sincerely,
Barry Love
Environmental Specialist
Patrick Murphy, P.E., (R. Joe Harris & Associates, Inc., 127 Ben Casey Drive, Suite 101,
Fort. Mill, SC 29708)
Central Files
MRO
State of North Carolina j Environmental Qualit G Water Resuur us water t uslity Regional Operations
Mooresville Regional Office 1 610 East Center Avenue, Suite 369 tw[uore„sville, North Carolina 281 15
704-6634699

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE:
PERMIT #:
PROJECT:
ISSUE DATE:
City of Statesville
WQ0039119
Larkin MT Development
April 3, 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.
PER Er'S CERTI VCATION
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.
5cHrrU, p —01016-ora
Printed Name, Title C-t-r'1
Signature
ENGINEER'S CERTIFICATION
Date
,.Patrick Mur P.E. , as a duly registered Professional En eer in the State of North Carolina,
having been authorized to observe (5(1 periodically, 11 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, 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):
Slalc of North (:.`gollina Oizality i Ri'SotHee5 Vimer Qua4ty Rcg.f (mat ()unitors
Mooreyolk Itoporthl Office 610 Fos,: ceaccr A vvnie Sw1c MooroviU, Nosh Cmoitim Si

RO C:DOPER
MICHAI'1., S. REGAN
I.INDA UIILPP'PFR
hitoria, og,P,6"d°.t,
As built check list (re `ere cc 2T .0300)
Reviewed By: Barry Love
Review Date: 12/06/2017
Project Name: Larkin MF Development
WQ#: WQ00391.1.9
County: Iredell
1) As -built has been signed, sealed, and dated hit an N.C. PE Yes No
2) Adequate inlortnation related to sewer lines
Note that per the 2T and M.I:)C, there is a minimum 8" for public gravity or nniwmum 6" for
private gravity, Three (3) feet_ minimum cover shall be provided for all sewers unless ferrous
material. pipe is specified. Manholes shall be installed: at the end of each line, at all changes itt
grade, sire, or alignment, at: all intersections, and at distances not greater than 425 feet, minimum.
diameter ofmanholes shall be 4 feet (48 inches), Yes I 1 No 1 N/A
Adequate information related. to pump stations:
Ensure power reliability' option is selected (1.5A NCAC 02T.0305(h)). Yes '
s Project design in accordance witlh (see section B.13 of ETA 12-12)
15A NCAC 02T Gravity Sewer Minimum Design. Criteria (latest version
Criteria for Permitting of Pump Stations and Force Mains (latest version)
Design.
NoflN`A
If no, a variance approval is required per the requirements of 15A NCAC 02"I.0105(b)
Applicant roust submit TWO copies of the plans, specifications, and calculations
Contact the Central Office to discuss the variance request to determine a course of action,
The central office will review the variance request, and if approvable, specific language
regarding the variance will be forwarded to the Regional Office reviewer to incorporate into the
permit. A copy of the variance letter (or email correspondence) should be kept with the
application file.
5) Project contains high priority lines (15A NCAC 02T .0402(2)) LI Yes No
If Yes, insure that the permit contains the necessary condition related to high priority lines 15A
NCAC 02T.0403 (a)(5)
6) is the Sewer As -built length within 10°ra of the fast track applied Length?
( Original length of pipe --- As built length J Original length) < 10%. X Yes No
if no application needs to be modified.
1 Cores tI Ro„saassta
II I kt. North
7)i15