WQ0033954_Regional Office Historical File Pre 2018

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N�K�m�����"���North Carolina Department of Environment and Natural Resources
Pat McCrory John E. SkV8[8.iU
Governor Secretary
Teresa Watson, Vice President
Carolinas Healthcare System
P0Box 677
Unoo|ntnn,N[28O93
Subject: Change ofName Approval
Permit No. \N00339S4
[Kn[ Lincoln
Lincoln County
Dear Ms. Watson:
Division personnel have reviewed and approved your permit modification request for pennb No,
8VO0033954. This modification is a name of ownership change from the CIVIC Lincoln to the Carolinas
Healthcare System -Lincoln. Our database has been revised tureflect the ownership change,
This approval letter shall be considered part of the permit and is therefore incorporated by reference.
Other than the name change, this modification includes no changes to the originally issued permit, effective
April 22, 2009 and is subject to the conditions and limitations specified therein,
The Mermittee shuUnmaintain compliance with the performance criteria as required by 15A NCA[2TIN03.
If you have any other questions regarding this matter please contact Michael Leggett at [phone]
[email: [e-mail]).
Sincerely,
Michael Leggett, PE
Division of Water Resources, NCQEmR
enclosures: VVQ0033954
cc: �K�o��8e���|O�m���r8oa|���nx|0��tm��c�~Water Resources Central Files — WQ0033954
1617 Mail Service Center, Raleigh, Noah Carolina 27G081817
Phone: 918�807-630W\Internet: nv°ouwaterqualityorg,

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor .Director Secretary
MrJack Chamblee, Vice President
Charlotte Mecklenburg Hospital Authority
A828 Airport Center Parkway, Bldg E
Charlotte, NC 28208
April 22.. 2009
Subject: Permit No. WQ0033954
CMC Lincoln
Wastewater Collection System Extension
Lincoln County, North Carolina
Dear Mr. Chamblee,
In accordance with your application received on April 6, 2009, we are forwarding herewith
Permit No. WQ0033954 dated April 22, 2009, to Charlotte Mecklenburg Hospital Authority 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effective from the date of issuance until rescinded and shall be subject to the conditions and limitations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 2T.,0403 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 f) 15A NCAC 2 % 2) the Division of Water Quality's (Di„ssion) Gravity Sever Minimum Design
Criteria :adopted February 12, 1996, as applicable; 3) and the Diviszon'sMinimum Design Criteria for
the Fest-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
Location: 610 East Center Ave.. Suite 301 Mooresville. NC 28115
Phone: [phone]Fax; (704) 663-60401 Customer Service: 1.877-523.6748
Internet: www.ncwaterauatitv.orq
An Equal Osoorteri ty 1 Af&malwe Action Employer — 50% Recyc ed/10 % Post Consumer Raper
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen N. Sullins Dee Freeman
Governor Director Secretary
Mr, Jack Chamblee, Vice President
Charlotte Mecklenburg Hospital Authority
4828 Airport Center Parkway, Bldg E
Charlotte, NC 28208
April 22, 2009
Subject: Permit No. WQ0033954
CMC Lincoln
Wastewater Collection System Extension
Lincoln County, North Carolina
Dear Mr. Chamblee,
In accordance with your application received on April 6, 2009, we are forwarding herewith
Permit No. WQ0033954 dated April 22, 2009, to Charlotte Mecklenburg Hospital Authority 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 2T .0403 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 2T; 2) the Divisioin pfWater 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
Location: 610 East Center Ave.. Suite 301 Mooresville. NC 28115
Phone: [phone]Fax: [phone] Cu Monier Service: 1.677.623.674E
Internet: www.ncwatergvalilv.orq
An Eon! Opportunity). Affirmative Action Employer -- 5094 Recycle l/)a% Post Consumer paper
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April 21, 2009
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 for the
construction -and operation of approximately 1,600 linear feet of 4-inch force main, a 125 gallon per
minute pump stations (withduplex pumps, on -site audible and visual high water alarm, and a
permanent on -site generator with automatic transfer switch), and the discharge of 65,700 gallons per
day of domestic wastewater 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 Environment and Natural
Resources and considered a part of this permit.
The sewage and wastewater collected by this system shall be treated in the City of Lincointon
WWTP (NPDES No. NC0025496) prior, to being discharged into the receiving stream.
Assessing subsequent impacts to the downstream collection system and treatment
facility Is the complete responsibility of the City of Lincolnton. Lincolnton must utilize whatever
tracking tools necessary for planning additions of sewer flow in order to maintain compliance
with the WWTP permitted limits and the WQCS00040 permit.
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.
1f you need additional information concerning this matter, please contact Dee Browder at (704)
663-1699..
Sincerely,
171- ,/,
for Coleen H. Sullins
cc: Mooresville Regional Office, Collection System Hermit Files
Curtis Ingram, Ingram Civil Engineering Group
Steve Peeler, Lincolnton
Surface Water Protection Central Fifes
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 2T; 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 these facilities as required by 15A NCAC 2T .0403. If an individual
permit is not required, the following perfonnance criteria shall be met as provided in 15A NCAC 27
.0403:
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.
a. 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 feast 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 28 .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 2T .0116. 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'toythe 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 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.
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 21-I .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 file 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 22nd day of April, 2009.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0033954
3

47A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
April 22, 2009
Mr. Jack Chamblee, Vice President
Charlotte Mecklenburg Hospital Authority
4828 Airport Center Parkway, Bldg E
Charlotte, NC 28208
- Subject: Permit No. WQ0033954
CMC Lincoln
Wastewater Collection System Extension
Lincoln County, North Carolina
Dear Mr. Chamblee,
In accordance with your application received on April 6, 2009, we are forwarding herewith
Permit No. WQ0033954 dated April 22, 2009, to Charlotte Mecklenburg Hospital Authority 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 2T .0403 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 2T; 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
Location: 610 East Center Ave., Suite 301 Mooresville, NC 28115
• Phone: [phone] Fax: [phone] \ Customer Service: 1-877-623-6748
Internet: www.ncwaterouality.org
One
NortfiCarolina
Nat1U71flf

Mr. Chamblee
Page 2
April 21, 2009
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 for the
construction and operation of approximately 1,600 linear feet of 4-inch force main, a 125 gallon per
minute pump stations (with duplex pumps, on -site audible and visual high water alarm, and a
permanent on -site generator with automatic transfer switch), and the discharge of 65,700 gallons per
day of domestic wastewater 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 Environment and Natural
Resources and considered a part of this permit,
The sewage and wastewater collected by this system shall be treated in the City of Lincolnton
WWTP (NPDES No, NC0025496) prior to being discharged into the receiving stream.
Assessing subsequent impacts to the downstream collection system and treatment
facility is the complete responsibility of the City of Lincolnton. Lincolnton must utilize whatever
tracking tools necessary for planning additions of sewer flow in order to maintain compliance
with the WWTP permitted limits and the WQCS00040 permit.
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 150B 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,
Coleen H. Sullins
cc: Mooresville Regional Office, Collection System Permit Files
Curtis Ingram, Ingram Civil Engineering Group
Steve Peeler, Lincolnton
Surface Water Protection Central Files
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 2T; 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 these facilities as required by 15A NCAC 2T .0403. If an individual
permit is not required, the following performance criteria shall be met as provided in 15A NCAC 2T
.0403:
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 !east 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.
1

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
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.
Per 15A NCAC 2T ,0116, 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 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.
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 NCG910000, and any requirements pertaining to wetlands
under 15A NCAC 2B .0200 and 15A NCAC 2H .0504.
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 faciity 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.

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 fife 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 i1 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 22nd day of April, 2009.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0033954
3

Fast Track Engineering Certification
Permit No. WQ0033954
April 22, 2009
Owner iQCS
Jack Chamblee, Vice President
Charlotte Mecklenburg Hospital Authority
4828 Airport Center Parkway, Bldg E
Charlotte. NC 28208
VVWT P,NVQ C S
Stephen Peeler
Lincolnton.
PO Box 617
Lincolnton, NC 28093
PE
Curtis Ingram
Ingram Civil Engineering Group
116 Wilson Pike Circle, St 100
Brentwood, TN 37027
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 dra
gs or in written summary form, Permit
modifications are re uired for an chap es resultin in non -corn Hance with this ermit, re ulations or
minimum dsignriteria.
This project shall not be considered complete nor allowed to operate until this Engineer's Certification and all
required supporting document ation 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
, as a duly registered Professional Engineer in the State of North Carolina, having been
authorized to observe (LI periodically, [] weekly, © full time) the construction of CMC Lincoln, a Lincoln 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 2TT, 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.

USE THE TAB KEY TO MOVE FROM FIELD TO FIELD! Application Number:
(to be completed by DWQ)
Owner/Permittee:
la, The Charlotte Mecklenburg Hospital Authority
Full Legal Name (company, municipality, HOA, utility, etc.)
O lb, Mr. Jack Chamblee, Vice President
Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b)
< lc,
ld:
0
LL
• lf,
uthorized signing officials!)
The legal entity who will own this system is:
El Individual El Federal 0 Municipality 0 State/County El Private Partnership
4828 Airport Center Parkway, Bldg E
Mailing Address
NC
State
lh, 704-512-7314
1 7041-512-7300
Telephone Facsimile
2, Project (Facility) Information:
2a. CMC Lincoln
Brief Project Name (permit will refer to this name)
3. Contact Person:
3a Matt T n m Civil En in ering Group
le: Charlotte
City
lg. 28208
Zip Code
li
E-mail
2b, Lincoln
Corporation 0 Other (specify):
County Where Project is Located
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b. 615-370-7964 x107
3c. mtays@ingramcivil,com
Phone Number E-mail
1 Project is New 0 Modification (of an existing permit) If Modification, Permit No.:
2. Owner is 0 Public (skip to item B(3)) Private (go to /tern 2(a))
2a. If private, applicant will be; 2b. If sold, facilities owned by a (must choose one)
Retaining Ownership (Lestore, church, single office, etc) or
0 Leasing units (lots, townhomes, etc. - skip to Item B(3))
0 Selling units (lots, townhomes, etc, - go to item B(2b))
3. City of Lincolnton
El Public Utility (Instruction C)
El Homeowner Assoc./Developer (Instruction D)
Z Owner of Wastewater Treatment Facility (VVVVTF) Treating Wastewater From This Project
O 4a, City of Lincolnton Wastewater Treatment Plant 4b NC 0025496
Name of VVVVTF WWTF Permit No.
City of Lincolnton 5b. 8-inch I Gravity
WQ00337800
C4 Owner of Downstream Sewer 'IReceiving Sewer Sizel0 Force Main1 Permit # of Downstream Sewer (Instruction E)
0
LL.
M 5a
The origin of this wastewater is (check all that apply):
Residential Subdivision
0 Apartments/Condominiums
El Mobile Home Park
0 School
El Restaurant
0 Office
0 Retail (Stores, shopping centers)
El Institution
El Hospital
0 Church
0 Nursing Home
0 Other (specify);
100 % Domestic/Commercial
% Industrial (attach
description.)
(RO: contact your Regional Office
Pretreatment staff)
% Other (specify):
7, Volume of wastewater to be allocated or permitted for this particular project: 65,700 gallons per day
*Do not include future flows or previously permitted allocations
8, If the permitted flow is zero, indicate why:
El Pump Station, Outfall or Interceptor Line where flow will be permitted in subsequent permits that connect to this line
0 Flow has already been allocated in Permit No.
0 Rehabilitation or replacement of existing sewer with no new flow expected (see 15A NCAC 02T .0303 to determine if a
permit is required)
FTA12/07

Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2T .0114 for
the value in Item B(7) ANDIOR the design flow for line or pump station sizing if a reduced or zero flow is being requested in
Item B(7). Values other than that in 15A NCAC 2T .0114 (b) and (c) must be supported with actual water or wastewater use
data in accordance with 15A NCAC 2T .0114 (f). Calculated per NCAC 2T.0114 criteria Table 3 for hospitals -medical and
medical office buildings. See Attached.
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches)
4
Cl
W
Pump Station Location 1D
Z
Design Flow
Z (MGD)
0
U
..r
Length (feet)
1600
New Gravity or Additional
Force_Main
Force Main
11. Summary of Pump Stations wl associated Force Mains to be Permitted (attach additional sheets as necessary)
0.164256
Z
0
Q'Pump Station Location ID
Design Flow
(MGD)
0
!L
Z I
Pump Station Location ID
Design Flow
(MGD)
Carolinas Medical Center Pump Station if chosen - as shown on
— T -
Power Reliability Option
1 - permanent generator w/ATS; I Force Main
2 - portable generator w!MTS
125 GPM@59 1-Permanent Generator 1 4-inch
Operational Point
GPM @TDH
plans/map for reference)
Size ; Force Main Length
1600
(self chosen - as shown on plans/map for reference)
Operational Point; Power Reliability Option
GPM @TDH , 1 - permanent generator w/ATS;
2 - portable generator w/MTS
Force Main Size
4
Force Main Length
(self chosen - as shown on plans/map for reference)
Operational Point Power Reliability Option
GPM @TDH I 1 - permanent generator MATS; Force Main Size
2 - portable generator wIMTS
Force Main Length
'12. Will the wastewater flow in the proposed sewer lines or pump stations be able to be directed to another treatment facility?
❑ Yes ® No If Yes, permit number of 2nd treatment facility
(RO - if "yes" to 6,12 please contact the Central Office PERCS Unit)
L- — - -- _ _ _ ___ _ —
13. Does the sewer system comply with the Minimum Design Criteria for the Fast Track Permitting of Pump Stations and Force
Mains (latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC Chapter 2T as
applicable?
® Yes ❑ No If No, please reference the pertinent minimum design criteria or regulation and indicate why a
variance is requested. SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS
PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
FTA12/07

14.. Have the following permits/certifications been submitted for approval for the system or project to be served?
Welland/Stream Crossings - General Permit or 401Certification?
Sedimentation and Erosion Control Plan?
Stormwater?
Yes 11 No
Yes LJNo
Yes El No
N/A
E.] N/A
El N/A
15. Does this project include any high priority lines, [see 15A NCAC 02T 0402 (2)] involve aerial lines, siphons, or interference
manholes)? These lines will be considered high priority and must be checked once every six months
Check if Yes: El and provide details
1. Owner/Permittee's Certification: (Signature of Signing Official and Project Name)
1 a.
ignfflcaI Sig
1, Jack Chamblee , attest that this application for CMC Lincoln Medical Center 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 am not included, this
application package is subject to being returned as incomplete, Note: In accordance with North Camlina General
Statutes 143-215,6A and 143-215.6B, any person who knowingly makes any false statement, representation, or
certification in any application 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.
tf>71
1
ate
ENGINEERING DESIO DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY
CO TO OTHER UTILITIES, DESIGN CALCULATIONS. ETC. REFER TO 15A NCAC 02T .0305
0
2. Pro e sional EngineersCertification: (Signature of Design Engineer and Project Name)
1,
, attest that this application for CMC Lincoln Medical Center has been
reviewed by me d is accurate, complete and consistent with the information in the engineering plans, calculations, and
all other suppo ing documentation to the best of my knowledge. 1 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 adopted February 12, 1996, and the Minimum Design Criteria for the Fast -Track Permitting of Pump
Stations and Force Mains adopted June 1, 2000 and the watershed classification in accordance with Division guidance.
Although other pmfessionals 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 NC General Statutes 143-215.6A and 143-215.68, any person who knowingly
makes any false statement, representation, or certification in any application 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.
2 . Curtis P. Ingram, Jr.
Professional Engineer Name
2b, Ingram Civil Engineering Group
Engineering Firm
2c, 116 Wilson Pike Circle, Suite 10
Mailing Address
2d. Brentwood
City
2g. 6.15-370-7964 2h. 615-370-1273
2e. TN 2f, 37027
State Zip
2i. [e-mail]
Telephone Facsimile E-mail
NC PE Seal, Signature & Date
FTA 2/07

fl-4, State of North Carolina
4C.- Department of Environment and Natural Resources
7 Division of Water Quality
`c• Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE --10/07)
Project Applicant Name: Carolinas Medical Center
Project Name for which flow is being requested: CMC Lincoln
More than one FTSE-IO/07 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.
L Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: City of Lincolnton Wastewater Treatment Plant
b. WWTP Facility Permit #: NC 0025496
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. TotaI flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
All flows are in MGD
6.00
1.78
2.78
0.00
4.61
77.00%
11. 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
Pump Station Name Approx. Capacity, MGD Approx. Current Avg.
(Firm/Design) Daily Flow, MGD
Betty Ross Park 5.0 1.4
III. icatt
, certify that, to the best of my knowledge, the addition of the
volume of was ewater 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. This analysis has been
performed in accordance with Local established policies and procedures using the best available
data. This ce icatio,n� li ttrthQse items listed above in Sections I and II for which 1 am the
resppnsib �r �i e of this fo m indicates acceptance of this wastewater flow.
tiA/P,"

C ll�De enest
ift Sterne
Shaping the Environment
{iealizing the Possihilitres
Lan>:i Planning;
Landscape Architecture
Civi) 51a4neering
Urban Design
200 Sauih Tryo,i Street. Suite 1400 Charlotte, NC 28202
704 376 1555 =.. 704 376 7851 . ww .°.colcjencststanc.crm
37913-CMC Lincoln Medical Center
Total Flow Calculations:
Chitriattc
Raicigh
;idilmirn��rr
Proposed Hospital Building:
105 total beds
Assume: 300 gal/bed/day
• [105 beds x 300 gal/bed] per day = 31,500 gallday
Future Hospital Expansion (2 new floors — Anticipated Construction 2019):
64 total beds (32 beds per floor of expansion)
Assume: 300 gal/bed/day
[64 beds x 300 gal/bed] per day = 19,200 gallday
Proposed Medical Office Building:
40,000 sf gross floor area --15 Practitioners per shift, 2 shifts per day
Assume: 250 gal/practitioner/shift
[250 gal/pract./shift] x [15 practishift/day] x [2 shifts/day] = 7,500 ctallday
Future Medical Office Building (Anticipated Construction 2014)
40,000 sf gross floor area — 15 Practitioners per shift, 2 shifts per day
Assume: 250 gal/practitioner/shift
[250 gallpract.lshift] x [15 pract./shift/day] x [2 shifts/day] = 7,500 gal/day
Total Flow:
(7,500 gpd x 2) + 31,500 gpd + 19,200 gpd =
Total Peak Flow Increase Utilizing 2.5 Peak Factor
[65,700 gpd / 24 hpd] x (2.5) = 6,844 qph
65,700 gpd

TOTAL DYNAMIC HEAD (SYSTEM CURVE)
Wet Well Min. WSEL (Pump Ofl) = 971,50 ft
Wet Weil Max. WSEL (Lead Pump On). 974.00 ft
Bottom Wet Weil Elev. = 969.00 ft
Discharge Elevatlon= 913.60ft
Lowest Invert= '876.1 ft
Pump Off and Alt. _
Lead Pump On =
Lag Pump/A/arm =
High Water Alamt=
'2,5,ft above bottom
5,0 It above bottom
6.0.ft above bottom
-_,6.Olft above bottom
Total Static Discharge Head
Total Dynamic Head (TDH) (ft)
Friction Loss (ft) (ft) Min. Wet Weil Max Wet Well
Assumed Pump Pert.
Flow Min. Wet Well Max. Wet Well Evaluation
lft-!s) GPM CValue = 100 140 C=100 Coi40 C.100 C.140
0 66.92
0.123 55 6.907 3.688 42.10 39.6 49.01 45.99 46.51 43.49 64.7 50 65
0.145 65 9.422 5.309 42.10 39.8 51.52 47.41 49.02 44.91 63.9 75 63.3
0.167 75 12.293 8.934 42.10 39.6 54.39 49.03 51.89 46.53 632 100 61.5
0.189 65 15.513 8.758 42.10 39.6 57.61 50.86 55.11 48.36 62.5 125 59.5
0.212 95 19.077 10.779 42.10 39.6 61.18 52.68 58.68 50.38 61.7 150 57.7
0.234 105 22.978 12.992 42.10 39.6 65.08 55.09 62.58 52.59 61.0
0.256 115 27.213 15.397 42.10 39.6 89.31 57.50 68.81 55.00 60.3
0.278 125 31.777 17.990 42.10 39.6 73.88 60.09 71.38 57.59 59.6
0.301 135 36.668 20.770 42.10 39.6 76.77 62.87 76.27 60,37 58.8
0.323 145 41.878 23.734 42.10 39.6 83.58 65.83 81.48 63.33 58.1
0.345 155 47.408 26.882 42.10 39.6 89.51 68.98 87.01 68.48 57.4
0.368 165 53.254 30.211 42.10 39.6 95.35 72.31 92.65 69.81 56.6
0.390 175 59.413 33.720 42.10 39.6 101.51 75.82 99.01 73.32 55.8
0.412 185 65.882 37.408 42.10 39.6 107.98 79.51 105.48 77.01 55.2
Hydrama5c 4' model S4N submersible Sewage Pump- 7.5 BHP
Pump quoted - Data points for pump curve
Head gpm cfs
57.7 100 022
54.7 200 0.45
49.9 300 0.07
45.4 400 0.89
40.7 500 1.11
35.5 600 1.34
Lag PumplAlamt; 975.0
Lead Pump On: 974.00
Design Static 971.50
Pumps Off. 971.50
Lower Water Alarm 971.00
High Water Alarm: 975.00
90
85
80
75
70
v
65
a 60
55
50
45
40
Lincolnton System Curve
55 65 75 85 95 105 115 125 135 145 155 165 175 185
Pumping Rate (gpm)
-tit-Min. Well C=140
-9E-Max. Well C=140
-91-Pump Curve
'• Intersection o! Pump Curve and System Cure Is the operating point

MINOR LOSSES
Proposed Fora Main= i 4.00' inches
Proposed For Main ra 0.33 f
Area • 0.087 IP
Assumed Flow
0.123 fl'!s
).-55, osm
Assumred Flow
0.145 ft'Is
F-""'esgpm
Item Valves. fittings, and Specials In Numbers Velocity Velocity
No. 92 cm Dla. Force Main Provided K Value Ws) Head Loss (f) (Ns)
Assumed Flow
0.368 es
�W W.165 gpm
Assumed Flow Assumed Flow
0.390 ft'!s 0.412 9'1s
l-'-""7175 opm I-1as-gpm
Head Loss Velocity Head Loss Velocity Head Loss Velocity Hoad Loss
(fl1 (Ns) (9) (Ws) (ft( (Mrs) (H)
1 90 Stem 2 0.30 1.40 0.060 1.66
2 45 Efaew 0 020 1.40 0.000 1.66
3 22.5 Elbow 2 0.15 1.4D 0.030 1.66
5 Wye Branch 1 6.00 1.40 0.100 1.66
6 PIA Valve 1 1.00 1.40 0.100 1.66
7 Outlet (Velocity Head) 1 1.00 1.40 0.100 1.68
Subtotal (Minor Losses) 0.392
FRICTION LOSSES
Pipe Length =("1800 ft
Head losses In 4 Inch force main,
8 (length.16009)
0.478 421 0.543 4.47 0.610 4.72 0,682
0.000 421 0.000 4.47 0.000 4.72 0.000
0239 421 0271 4.47 0.305 4.72 0.341
0.798 421 0.904 4.47 1817 4.72 1.137
0.798 421 0.904 4.47 1.017 4.72 1.137
0.798 4.21 0.904 4.47 1.017 4.72 1.137
3.113 3.527 3.968 4.414
Assumed stow Assumed Flew
0.123 es 0.145 Ms
55 gpm 65 See+
Head Loss Head Loss Kead Loss
(ft) Head Less (9) (8) 01)
C Value a¢t ..100 f413 1 1' 100 140,_
6.515 3.496 6.674
Assumed Flaw Assumed Flow Assrar:d Flaw
0.368 1Y78 0.390 'Ds 0.412 11'rs
165 gym 175 gpm 16s gem
Hmd toss Hmd loss Head Lass Head Lass Head Loss Head Loss
(8) (9r (11) (gl (gl (14
140, - 1 1 ..�100 v.` ,140. 1 1. - 160E i40, _. 9
23.769 49.728 26.684 55.445 29.753 61.46 32.974
Tctal
6.907 3.888 9.422
"Generate System Head Curve with 10 plVds from 50% to 150% of the design flow
Design Flaw = 1 1g gpm
50%Flow • 62.5 gpm
150% Flaw • 167.5 gpm
26.802 53254 30111 59.413 33.720 65.1382 37.406

WET WELL SIZING
Ref. "Design of Wastewater and Stormwater Pump Stations" Water Pollution Control. Federation,
Manual of Practice No. FD-4, 1981, p. 18
Project: ILincoln Medical Center
V = draw down volume, gal
q = pump discharge rate, gpm
Q = inflow rate into wet well, gpm
t = minimum time of one pumping cycle in minutes, start to start
t = (time to fill) + (run time)
Q = 114 gpm
q = 228 gpm
try t = 8 minutes
V = 456 gallons
V
t x q
4
ft. diameter wet well 211.5 gal/ft
456 gal. = 2.156 feet needed between lead pump on all pumps off
Use �„ 2751feet @ 528.80 gallons = 4.64 minute run time
time to fill = 4.64 minutes
Cycle time = 9.28 minutes
Pumps should cycle no more than 10 to 12 cycles per hour
10 cycles/hour = 1 cycle/ 6 minutes
12 cycles/hour 1 cycle/ 5 minutes
1 cycle / 9.28 min. = 6.47 cycles/hour < 10 cycles/hour OK]

DETERMINE FORCE MAIN SIZE
Ref. Wastewater Collection System Modeling and Design
Project:ILincoin Medical Center
Qin (inflow)
QD (design flow) =
V (desired velocity)
gpm
gpm
ft/s
k = 0.64 US Units
k = 35.7 SI Units
Diameter = 4.13 inches
Use 4" diameter force main
D = k 11Q
V

BUOYANCY CALCULATIONS
Lincolnton Medical Center - Wet Well
Lincolnton, NC
Input Parameters
dTs = 72 in, or 6.00 ft (outside diameter of top stab)
dAo = 30 in, or 2.50 . ft (diameter of access opening)
dBs = 84 in, or 7.00 ft (outside diameter of base slab)
tTs = 12 in, or 1.00 ft (thickness of top slab)
tBs = 12 in, or 1.00 ft (thickness of base slab)
tRw = 7 in, or 0.58 ft (thickness of riser wall)
hR = 126 in, or 10.50 ft (height of riser)
These calculations assume the water table is at the top of the riser (at grade)
Upward Force, F,l
Volume of Displaced Water, V iv
Vw = PI / 4 * [dTs` * (trs + hR)] + ids` * (tBs)]
Vw = 363.64 cf
Buoyant Force, F B
Fu = FB = 62.4 * Vw
Fu = 22,691 lbs
Downward Force, F rt
Volume of Concrete, V c
Top Slab
Vc1 = PI / 4 * (dTs` - dAo`)* tTs
VC1 = 23.4 cf
Riser
Vey = PI / 4 * [dTs` - (dTs - 2 * tRw)`] * hR
Vey = 104.2 cf
Base Slab
Ve3 = PI / 4 * dBs` * tBS
Va = 38.5 cf
Total
Vc = Sum Vc;
Vc = 166.1 cf
Weight of Concrete, W c
We = 150 * Vc
= 24,912 lbs
Volume of Soil, W s
Vs = PI / 4 * Idns` - dTs`] * (2hR + tBS + tTs)
= 117.4 lbs
Weight of Soil, W s
Ws = 110 * Vs
= 12,916 lbs
Total Downward Force, F D
FD= WC+Ws
= 37,828 lbs
Safety Factor, SF
SF = FD / FU
= 1.67
acceptable if great than 1.0

nd.P

UNITED STATES
EPARTMENT OF THE INTERIOR
GEOLOGICAL SURVEY
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEAL1
AND NATURAL RESOURCES
RALEIGH, NORTH CAROLINA
G 755 JP SW
4Yifi t f i0" (MA!DEW I x

GROUP
TO:
Ingram C:iiivil Engineering Group, LLC
1 6 W L„ ELI 0
E3 NTWOOD, TN 3 '"? 2 '7
NCDENR
Mooresville Regional Office
610 E. Center Avenue
Mooresville, NC 28115
704.663.1699
DATE: April 3, 2009
ATTN: Division of Water Quality - Dee Browder
RE: Lincoln Medical Center Lincolnton, NC
DINC1-.5
WE ARE SENDING YOU THE FOLLOWING ITEMS VIA: Fed -Ex
fo- 9 WdiEr:'
DATE NUMBER DESCRIPTION
2
1
1
FTSE 10/07 Application
Project Narrative
City of Lincolnton Sewer Availability Letter
Fee for $480
2 ETA 12/07 (1 original engineer's stamp and 1 copy)
1
1
USGS Topographic Map COLOR
Flow Calculations
Pump Station Design Calculations
Street Level Map
THESE ARE TRANSMITTED AS CHECKED BELOW:
'OR APPROVAL
FOR YOUR USE
AS REQUESTED
R REVIEW AND COMMENT
APPROVED AS SUBMITTED
APPROVED AS NOTED
RETURNED FOR CORRECTIONS
'REJECTED
REMARKS:
Please find the above referenced material enclosed. Please call if you have any
questions. Thanks.
Matt Tays, PE

Pump Station and Force Main Project Narrative
for
CMC LINCOLN MEDICAL CENTER
Lincolnton, NC
by
Ingram Civil Engineering Group
ICEG Project #: 71509
April 2009
GROUP

Introduction
Following is a narrative of the private sanitary sewer facilities to be constructed for the
Carolinas Medical Center in Lincolnton, NC. The owner of the facility and applicant is
the Charlotte Mecklenburg Hospital Authority located at 4828 Airport Center Parkway,
Bldg E, Charlotte, NC 28208. The proposed hospital building is 105 beds and the
proposed medical office building is approximately 40,000 sf gross floor area. The future
hospital expansion is to consist of two new floors with a total of 64 beds and the
anticipated construction for the hospital expansion is 2019. The future medical office
building is approximately 40,000 sf gross floor area and its anticipated construction is
2014.
Location:
The Carolinas Medical Center is located north of the Buffalo Shoals Road and McAlister
Road split. This site is bound by McAlister Road to the southwest, Buffalo Shoals Road
to the west, and subdivisions to the north.
Utilities:
The gravity sewer lines for this project have previously been approved under a separate
permit (WQ00337870). These lines consist of 8 and 10 inch gravity sewer lines. The
lines tie into the proposed duplex private sewage lift station located on site. The pump
station will consist of two (2) 7.5 horse power submersible pumps. The gravity flow to
the pump station is 65,700 GPD. The peak inflow rate with a 2.5 peak factor is 114
GPM. The discharge force main will be approximately 1600 feet of 4" SDR-21 PVC.
The two submersible pumps are designed to alternate every pump cycle and pump at a
rate of 125 GPM at 59 feet TDH. The pump chamber is to be a 6 foot diameter manhole
with a capacity of 211 Gal/Ft.
Please refer to the attached calculations for pipe and pump sizing, velocity, pump cycle
times, level control settings, pump station buoyancy, system curve and pump curve, and
system head losses. Also included is a copy of the sewer availability letter provided by
the City of Lincolnton and forms FTSE 10/07 and FTA 12/07.

704 736 9959
CITY OF LINCOLNTON
04:01:40 p.m.
12-05-2008 2 74
CITY OF LINCOLNTON
PUBLIC WORKS & UTILITIES
P.O. BOX 617 • 128 MOTZ AVENUE • TELEPHONE [phone] • FACSIMILE 736-8959
LINCOLNTON, NORTH CAROLINA 28093-0617
CofeJenest & Stone
Attn: Larry Lockhart, Jr. P.E.
200 South Tryon Street
Suite 1400
Charlotte, North Carolina 28202
Subject: CMC Lincoln Medical Center
Mr. Lockhart:
I am in receipt of your December 1, 2008 correspondence concerning CMC
Lincoln Medical Center- Hospital Site Construction Documents. Please be
advised the City of Lincolnton Water Treatment Plant (PWSID # 01-55-010), and
the City of'Lincolnton Wastewater Treatment Plant (NPDES # NC 0025496) have
the capacity to provide services to the site per the Documents as submitted.
I would however call you attention to my attached correspondence of November
20, 2008 referencing the Construction Notes on Ihe'Site Plan.
Sincerel
St-ve Peeler, Director
Public Works & Utilities
cmc.consl-docum.accept-ltr.12-05-08
From the Office of the Director
RECEIVED 12-05-'08 :15:40 FROM- ?047368959 TO- ColeJenest & Stone F002/004

Permit Number WQ0033954
Central Files: APS SWP
04/21 /09
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
65700
Facility
Facility Name Major!Minor Region
CMC Lincoln Minor Mooresville
Location Address
Owner
County
Lincoln
Facility Contact Affiliation
Owner Name Owner Type
The Charlotte Mecklenburg Hospital Authority Non -Government
Owner Affiliation
Jack Chamblee
4828 Airport Center Pkwy
Charlotte NC 28208
Dates/Events
Orig Issue App Received
04/22/09 04/06/09
Draft Initiated
Scheduled
Issuance
Public Notice Issue Effective Expiration
04/22/09 04/22/09
Regulated Activities Rea uested/Received Events
Hospital
Wastewater collection
Outfail NULL
Additional information requested
Additional information received
Waterbody Name Stream Index Number Current Class Subbasin

❑ Partial
rPerm
Fast Track Engineering Certification
Permit No. WQ0033954
April 22, 2009
OwnerNVQCS
Jack Chamblee, Vice President
Charlotte Mecklenburg Hospital Authority
4828 Airport Center Parkway, Bldg E
Charlotte, NC 28208
WWTPNVQCS
Stephen Peeler
Lincolnton
PO Box 617
Lincolnton, NC 28093
PE
Curtis Ingram
Ingram Civil Engineering Group
116 Wilson Pike Circle, St 100
Brentwood, TN 37027
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
7'Final
1, tigers S =NCCAP% as a duly registered Professional Engineer in the State of North Carolina, having been
authorized to observe ( periodically, ❑ weekly, ['full time) the construction of CMC Lincoln, a Lincoln 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 2T; 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:
10
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.