WQ0011095_Regional Office Historical File Pre 2018 (4)

Division of Water Resources
State of North Carolina
I)epartrnent of Environmental Quality
Division of Water Resources
ISA NCAC 021T .03(I(I — I",3,ST - 'RACK SEWER SYSTEM M EXTENSION APPLICATION
F'TA t)=1-16 & SI!IPP()RTING DOCUIVIENTATI()N
APPLICANT INFORNIATI(:
I . Applicant's teen
Applicant type:
Sig) at t'trc authority s ntt
Title: Director of Public
4. Applicant"s m
City: Linclolntort State NC
Applicant's contact information:
Phone number: (7041 73)- 4r)'1 Email Address: dc.h<amhlec.(tt
m�us
nun .y (company, inun
ittal [� C:orporati
State/Cou
V1
ion
ip*tlity, HOA, u¢ility, .k.l
L] General Partnership
Municipal
PROJECT INFORMATION:
1. Projrct tla tie Hwv.._.16 GraVit:
Application/Project gatus':
II a unodi(icatinn, provide the
1f t1L,GV i OI1 (IUclitT11 hcrt part oL
3. Count:){ where prc
Tex I
(New Permit)
4. F±pproximate Coordinates (Decima1 De1zrees): 1. tati.
Parcel II) (1t':a1aalteahlc a: 46013 ')<17
(or Parcel IIO tca c`lo st tltivta Ire atn vcr8
111. CONSULTANT INFORMATION:
Pr0fessional
Mai aciclres
City: liu >tcrsy
Phoncnumber: t7(
16
"QUlf 11 )95 and i¢
Perm
existing permit number: WQ(1C)
35517
L . W ilter> f icc.nse Number: 1.8581
1l f1._Ncntltct�cr�, Dime
SLalk!!: 1
Email .AtIcIrcys
'd
E.] Other
7
I,ongitudt al (tll `
Zip: 2807S-
)kPlr{1t1 cflLlncr.( I1)
IV. WAS'TI:WATER TREATMENT FACILITY (41/WTF) INFORMATION:
1, Ia:aci1it r Name: Killian Creek WWI"P Pcrtnit Number tiC11088722
:)w ict' Nanae, 1incoln C'ouraty
RECEIVING DOWNSTREAM SEWER IN. T RMA'TI0N (if different than 11''\VTFi:
I, Permit Nunlher(s): WC)001 It1)5
's t .tn \ title 18� t1,)s7 5.y>t�nt l"t
Owner Nanle(s): Lincoltt.('ount�
Downstream (Relic i ^isa �) Sewcr Srtre.
WQCSO()14)

VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
D Yes ❑No ®N/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Aqreetnent (FORM: DEV) been attached?
❑ Yes ❑No ®NIA
3. If the Applicant is a Home/Property Owners' Association, has an Operational Agreement (FORM: HOA) been attached?
❑ Yes ENo ®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
❑ Retail (stores, centers, malls)
❑ Retail with food preparation/service
❑ Medical 1 dental / veterinary facilities
❑ Church
❑ 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
6. Has a flow reduction been approved under 15A NCAC 02T .01 14(n? ❑ Yes ® No
r If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
❑ No
Establishment Type (see 02T.0114(f))
Daily Design Flow ',b
No. of Units
Flow
gall
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
GPD
a See ISA NCAC 02T .0114(h). (d). (e)(I) 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 1 SA NCAC 02T .01 14(c), design flow rates for establishments not identified [in table 15A NCAC 02T.0 1 141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
S. Wastewater generated by project: 0 GPD (per I5A NCAC 02T .0114)
'r Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
® Pump Station or Gravity Sewer where Clow 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
❑ Other (Explain):
FORM: FTA 04-16
Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet) Material
12
496 PVC
Y Section 11 & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
^r Section III contains information related to minimum slopes for gravity sewer(s)
Y 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: . 0Longitude: - °
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(h1(J:
❑ Standby power source or pump with automatic activation and telemetry - 15A 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 - 15A NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - I5A NCAC 02T .0305(h)(1)(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.
r 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 puinp, including travel timeframes, shall be provided
in the case of a multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

IX, SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(f) & (g)
:- 15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer system
® Yes ❑ No
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
24 inches
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
• 15A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305(f) cannot be achieved.
• **Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
• If noncompliance with 02T.0305(f) or (c)t see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes ❑ No ® N/A
Y 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 setbacks found in the river basin rules per I SA NCAC 02B .0200? ❑ Yes ❑ No ® N/A
> This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project require coverage/authorization under a 404 Nationwide or
individual permits or 401 Water Quality Certifications?
Information can be obtained from the 401 & Buffer Permiuinc Branch
❑ Yes ® No
5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per l5A 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 ❑ NIA
> If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shall 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-I6 Page 4 of 5

r „
X. CERTIFICATIONS:
Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains (latest version). and the Gravity Sewer Minimum Design Criteria (latest version) as applicable?
Yes ❑ No
If No, complete and submit the Variance/Alternative Design Request application (VADC 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:
I James L. Walters, P.E. attest that this application for
(Professional Engineer's name from Application Item IIL 1.)
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans, specifications,
engineering 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 (latest version), and the Minimum Design Criteria for the Fast -Track Permitting
of Pump Stations and Force Mains (latest version). Although other professionals may have developed certain portions of this
submittal package, 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 General Statutes I43-215.6A 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 fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
i, c JA415 Ctr/M �4�� f pr,�gt-te Wo( - e c1-13Sttest that this application for
(Signature Authority's name & title from Application Item 1.3.)
has been reviewed by me and is accurate and complete to the best of my knowledge. I 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. I understand that any discharge of wastewater 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, and/or criminal prosecution. I will make no claim against the Division of Water Resources should a condition
of this permit be violated. I also understand that if all required parts of this application package are not completed and that if
all required supporting information and attachments are not included, this application package will be returned to me as
incomplete.
NOTE — In accordance with General Statutes 143-215.6A 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 fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature:
Date: 4212P/
FORM: FTA 04-16 Page 5 of 5

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Lincoln County
Project Name for which flow is being requested: Hwy. 16 Gravity Sewer Extension
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all pump
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: KiIlan Creek WWTP
b. WWTP Facility Permit #: NC0088722
All flows are in MGD
c. WWTP facility's permitted flow 3.35
d. Estimated obligated flow not yet tributary to the WWTP 1.603
e. WWTP facility's actual avg. flow 1.255
£ Total flow for this specific request 0.000
g. Total actual and obligated flows to the facility 2.862
h. Percent of permitted flow used 85.43
II. 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
Average Approx. Obligated, Total
Pump Pump Daily Current Not Yet Current
Station Station Firm Flow** Avg. Daily Tributary Flow Plus
(Name or Permit Capacity, * (Firm / pf), Flow, Daily Flow, Obligated Available
Number) No. MGD MGD MGD MGD Flow Capacity***
12 WQ0011095 1.584 0.633 0.307 0.188 0.496 0.137
15B WQ0032852M 1.856 0.742 0.321 0.000 0.321 0.421
* The Firm Capacity (design flow) 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, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** 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 < 0.
Downstream Facility Name (Sewer): Lincoln County Sewer System
Downstream Permit Number: WQCS00149
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I Donald V. Chamblee 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 certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
-lbt\•N
5117 (2o 1
Signing Official Signature Date
‘)'
Title of Signing Official
Page 2 of 6
FTSE 10-18

Proposed 2"' low pressure
sewer on the Grande Lake
Crossing property
Grande Lake Crossing
Commercial Subdivision)
I0
Proposed 12" gravity exten-
sion to the Grande Lake
Crossing property
Existing Lincoln Co. PW
Gravity SS line
WCS00149 to
Killian Creek NC0088722

LATHAM-WALTERS ENGINEERING, INC.
16507-A Northcross Drive
Huntersville, North Carolina 28078
Ph [phone] Fax [phone]
meredith@Iwengineer,com
NCDES? ._I.
Mooresvi 11
Address: 610 1W
,Moores
via.
The
cdith llammi
2019
d Lake Cross
ending you:
shop drawings
_specifications
LETTER OF TRANSMITTAL
f' Water Resources
Off
TII SE ARE TRANSMI F it
For approval
0 For your use
o As requested
For review and comment
arks:
County is reyu
avity sanitary scv
Job No.:
.permit
cd
under separate cover
ittts plans
copy of Icttcr
©cscri tion
A.pplieatton
application fee check pa ahlc to NC I
_ from. Lincoln Co. Public Works
color 7.5 min, USG 1"ot-)o \with site: and waterbodies
map
01 1095 (Modi
INCROS
EIONAL OFFICE
package
ieckcd below:
dif;ication to perm
ke Crossing property awned by 1
ws wilk be allocated on that perm'
ulder t"lkwy. 1 and will be tre-atc
by Lincoln C°aunty.
Approved as st.tlsnaittecl
o Approved as noted
o Returned as corrections
Forms fer signatures cZ..
01 1095 to
6 Gravity Sewer I;xtei
tcd at this time) to allow public '
(The flirande Lake project w
additional .i 496
perm ittce name is l.�incol71
ity$ sewer to reach the
a lots pressure s.s.
gravity sewer extension is located in Lincoln Co. along
WTI". This line will he owned,. operated, and
have any questions please do not 1iesitate to call, [phone] - Meredith I la.nimi'll

Bluestone Land Manager
ii"7
470 N. Broad Street, Suite A
Mooresville, NC 28115
[phone]
February t9, 2°19
Certification comments:
Pernlittee: East Lincoln Sewer District
Permit #: WQootto95 MODIFICATION
Project: Contract #5, Pump Station #ii
Yssued Date: March 31, 2017
nt, PLLC
Mailing Address:
115 Au.ttemn Frost. Avenue.
Statesville, NC 28677
We will certify pump station *tit has a fioof 469 gpm.
The permit was issued for flora gpnn. The new 6o hp pumps are producing flows of 469 gprn and
Sot gpm during the most recent testing.
Please find attached the certified curve from the
TDH.
Sincerely,
Bluestone d Management, PLLC
Jonathan A. Carter. RE
g 425 g
at 2t6

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE: East Lincoln Sewer District
PERMIT #: WQ0011095 MODIFICATION
PROJECT: Contract #5, Pump Station #11
ISSUE DATE: March 31, 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 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.
Printed Name, Title
Signature
225?or
Date
ENGINEERS CERTIFICATION
[, JoJffl74 , as a duly gistered Professional En ineer in the State of North Carolina,
having been authorized to observe ('periodically, El weekly, LI 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:
yKiI III. IFtir,
4 t" 4IP '.f
Final ❑ Partial (include description)
Certification Comments/Qualifiers (attach if necessary):
State or North Carolina 1 Environmental Quality I Water Resources i Water QualityRegonal Operations
Mooresville Regional Olnccl 610 East Center Avenue, Suite 301 1 Monresvilk, North Carolina 28115
704 661 1699

Myers Certified Curve
Customer- PREFERRED SOURCES
Wee Order: 61291934
Serle1l No,: 10492416
C.O.8.
425.3PM al
Modal No.: 4RC60DM2.4
Motor N.P.: 60
460 Volta
218 Ft
60 Hz. 3 Ph.
Impeller Dia.: 8
300
250
200
150
100
50
0
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----- all MMIN Ell — MINI NMI—MIMMw--------MMM--MM—III
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0-
100
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80
70
60
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100
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CAPACITY - GPM
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CAPACITY - GPM
Myers®
Certified Curve
Certified by:
51291934.xiex
600
800
100
00
80
70
60
60 4
40
30
20
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600
Date: 2 /6/—/7
Page 1

FAST TRACK SEWER ENC$INEERINt CERTIFICATION
RECEivED
PERMITTEE: EAST LINCOLN SEWER DISTRICT
PERMIT #: WQOO11095 MODIFICATION
PROJECT: CONTRACT #5, HIGHWAY 16 GRAVITY EXTENSION
(ISSUE DATE: TUNE 11, 2019
WQHOS
AA 0 OR F \P LL F" .:G 0 NAL 0 t' E
This project shall not be considered complete nor allowed to operate in accordance with standard
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 to the Regional Supervisor, Water Quality Regional Operations Section at the
address noted in the page footer.
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 by the Division. A Final Certification shall be a complete set of
record drawings and design calculations regardless of whether partials have been submitted.
PERMIU'EE'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 Fermittee, and the Permittee is prepared to operate & maintain the
wastewater collection system permitted hefein of ortions thereof
Printed Name, Title
ttie
ENGI EER'S CF.RT 1F IC ATION
James L m Walters , as a duly registered Professional En ineer in the State of North Carolina,
I, as
having been authorized to o (N periodically, fl weekly, En
full timed 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 following construction:
496 linear feet of 12-inch gravity sewer; 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.
Date ..______
North Carolina Professional Engineer's Seal w/signature & date::
® Final El Partial (include description)
Certification Comtttettts/Qualifiers (attach if necessary):
NC DWR -- Water Quality Regional Operations Section 610 East Center Avenue, Suite 301, Mooresville, NC 28115
Mooresville Regional Office Phone: [phone] FAX; (704)-633-6040

CLTRI ICATION CHECK ST
To be completed by the certifying engineer prior to operation of the permitted sewers, per 1.5A NCAC n2T.O116.
Certifying Engineer:
James L. Walters, P . E . �tEt i�tFrvC a.1�>`x h,„
Certification Review ate:
June 11 2019
Project Name: Contract *5
Highway 16 Gravity Extension
wctoo 11095
Project. County: Lincoln
1) Has pentittee information changed since the permit was issued (or last modified): change of ntailing a
change of ownership, transfer from developer to 1IOA/POA, etc, © Yes " No
• If yes, please provide tither a change of ownership fonn or new contact information. Note that transfer of
permits from the developer to the 1 OA/POA must occur with the first certification,
2) Have the as -built drawings have been signed, sealed, and dated by an N.C.. PE? Yes EJ No
3) Final Engineering certification? 'U' Yes No
• If Partial Engineering certification, provide detailed narrative including what is being certified in fire current
phase, what was previously certified (if applicable), and what is left to be certified.
Adequate information related to sewer lines:: Yes 0 No N/A
• Three feet minimum cover has been provided for all sewers unless ferrous pipe was irnta,lled.
• Minimum diameters for gravity sewers are 8-inches for public lines and 6-inches for private lines.
• Manholes have been installed: At the end of each line, at all changes in grade, size, or alignment, at all
intersections, and at distances not greater than 425 feet; minimum diameter shall be 4 feet (48-inches).
5) Adequate information related to puma stations: fl Yes J No N/A
• Ensure power reliability option was selected per : °Its" iir WOO
6) Was project construction completed in accordance with all of the flawing
15A .CAS'C 0
III C.i fear the P ti
ntnum Design Criteria CY DC) for the perrti tips?
ref Puemp Stations and (;o;,c t 14 n (Tates
If not, a variance approval is required in accordance w
operation.
• Contact the Central Office to diseuss the vanance to determine a course of action.
• Applicant must submit two copies of the variance request form, plans, specifications, calculations, and any other
pertinent information to the Central Office (one hard copy, one digital copy).
• The central office will review the variance request, and if approvable„ specific language regarding the variance
will be incorporated into the permit, either via a special condition or a supplementary letter. A copy of the
reissued permit with variance language or the variance letter must be maintained with the original documents.
7) Does the project contains high priority lines (,15 1 NCAL 13%) t tt')op? D Yes No
• If yes, ensure that the permit already contains the necessary condition related to high priority lines 15A NCAC
02T.0403 (a)(5). lithe pernt does not include this language, the Fast Track reviewer will reissue the permit with
the appropriate language.
g) Are Permit rn€xiificutions arc required for any changes resulting in non-compliance with this permit (including but not
linrtited to pipe length changes of l.U% or greater, change in flow, pump station design capacity design change of 5% or
greater, and/or change in the number/type of connections)? 0 Yes [ No
• if yes, a permit modification request must be submitted to the appropriate Regional Office,. and a modified
permit with revised certification must be issued prior to certification and operation.
fel 0 OR €:
t`;
prior to certification and
NC DWR — Water quality Regional Operations Section 610 East Center Avenue, Suite 301, Mooresville, NC 28115
Phone: [phone] FAX: [phone]
Mooresville Regional Office