WQ0037096_Regional Office Historical File Pre 2018

.11
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 19, 2014
Thompson G. Daniel III, Member/Manager
Westport Lakeside No. 3 LLC
P.O. Box 9007
Greensboro, NC 27429-0007
Subject: Permit No. WQ0037096
Westport Lakeside No. 3
Wastewater Collection System Extension
Lincoln County
Dear Mr. Daniel:
In accordance with your application received April 15, 2014, and additional information received on June
17, 2014 we are forwarding herewith Permit No. •WQ0037096, dated June 19, 2014, to Westport
Lakeside No. 3 LLC for the construction andoperation 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 This permit shall be effective from the date of issuance until rescinded and shall be subject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 and supplement shall be
considered a part of this permit and are therefore incorporated therein by reference.
Please pay particular attention to the following conditions contained within this permit:
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 responsibility of the Westport Lakeside No. 3 LLC 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.
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 fled 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..
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Phone: [phone] Internet: www.ncwaterqualiiy.org
An Equal opportunity 1 Affirmative Action Empbyer — Made in part by recycled paper

Westport Lakeside No. 3 LLC
Westport Lakeside No. 3
WQ0037096
If you need additional information concerning this matter, please contact Sarah Bass at [phone]
or via e-mail at Sarah.Bass@ncdenr:gov.
Sincerely,
for Thomas A. Reeder
Division of Water Resources
by Deborah Gore, Supervisor
Pretreatment, Emergency Response, Collection System Unit
enclosure: Operational Agreement
cc: Larissa M. Coles, P.E. (electronic copy)
Mooresville Regional Office, Water Quality Section Regional Operations (electronic copy)
Don Chamblee, Public Works Director; East Lincoln County Sewer District (electronic copy)
Water Resources Central Files: WQ0037096
PERCS (electronic copy)

AWA
NCDENR
STATE OF NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION'
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
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 the
Westport Lakeside No. 3 LLC
Lincoln County
for the construction and operation of approximately 852 linear feet of 2-inch pressure sewer;
approximately 1,337 linear feet of 2.5-inch pressure sewer; approximately 660 linear feet of 4-inch
pressure sewer as well as 39 simplex grinder pump stations with on -site audible and visual high water
alarms, to serve 39 single family residences (all three -bedroom homes) as part of the Westport Lakeside
No. 3 project, and the discharge of 9,360 gallons per day of collected domestic wastewater into the East
Lincoln County Sewer District's existing sewerage system, pursuant to the application received April 15,
2014, and additional information received on June 17, 2014 and in conformity with the project plans,
specifications, and other supporting data subsequently filed and approved by the Department of
Environment and Natural Resources 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.
Permit issued this the 19th day of the June, 2014.
for Thomas A. Reeder
Division of Water Resources
By Authority of The Environmental Management Commission
Permit Number: WQ0037096
8

SUPPLEMENT TO PERMIT COVER SHEET
Westport Lakeside No. 3 LLC 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 East Lincoln County Sewer
District's Wastewater Treatment Facility (NC0088722) prior to being discharged into the receiving
stream.
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, MOO 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.
I. SPECIAL CONDITIONS
1. The Operational Agreement between the Permittee and the Environmental Management
Commission is incorporated herein by reference and shall be a condition of this permit.
Noncompliance with the terms of the Operational Agreement shall subject the Permittee to.all
sanctions provided by North Carolina General Statutes §143-215.6A to §1.43-215.6C for violation of
or failure to act in accordance with the terms and conditions of this permit. A copy of the Articles of
Incorporation, Declarations, and Bylaws that have been properly filed shall be submitted with
certification prior to operation.
Page 2 of 5

II. STANDARD CONDITIONS
1. 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.
• 2. This permit shall become voidable unless the wastewater collection facilities are constructed in accordance
with the conditions of this permit, the approved plans and specifications, and other supporting data.
3. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data.
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 theoperation 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 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 (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 -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 213 .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.
Page 3 of 5

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. Noncompliance Notification:
The Permittee shall report by telephone to a water resources staff member at the Mooresville Regional Office,
telephone number 704-663-1599, 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 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.
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.
7. Per 15A NCAC 27.0116, upon completion of construction and prior to operation of these permitted facilities,
the completed Engineering Certification form attached to this permit shall be submitted certifying that the
permitted facility has been installed in accordance with this permit, the approved plans and specifications, and
other supporting materials. If this project is to be completed in phases and partially certified, you shall retain
the responsibility to track further construction approved under the same permit, and shall provide a final
certificate of completion once the entire project has been completed.
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.
Permit modifications are required prior to certification (Final or Partial) and are required for any changes
resulting in non-compliance with this permit (including but no Iimitied to 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), or regulations. After -construction requests are discouraged by the Division and
may not be approved, thus requiring replacement or repair prior to certification & activation.
8. A copy of the construction record drawings shall be maintained on file by the Permittee for the life of the
wastewater collection facilities.
9. Failure to abide by the conditions and limitations contained in this permit 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.
Page4of5

10. 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.
11. 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 28 .0200, erosion and
sedimentation control requirements in 15A NCAC Ch. 4 and under the Division's General Permit NCG010000,
and any requirements pertaining to wetlands under 15A NCAC 2B .0200 and 15A NCAC 2H .0500.
12. The Permittee shall provide for the pump station and force main the following items:
a. Pump Station Reliability:
1. Pump stations, except when exempted by Subparagraph (j)(2) of 15A NCAC 02T.0305, shall be
designed with multiple pumps such that peak flow can be pumped with the largest pump out of
service.
2. A standby power source or pump is required at ail pump stations except for those pump stations
subject to Subparagraph (j)(2) of 15A NCAC 027.0305. Controls shall be provided to
automatically activate the standby source and signal an alarm condition.
3. As an alternative to Part (c) for pump stations with an average daily design flow less than 15,000
gallons per day as calculated using 15A NCAC 02T.0114, a portable power source or pumping
capability may be utilized. It shall be demonstrated to the Division that the portable source is
owned or contracted by the permittee 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.
4. As an alternative to Part (ii) for pump or vacuum stations connecting a single building to an
alternative sewer system, wet well storage requirements shall be documented to provide 24-
hours worth of wastewater storage or, exceed the greatest power outage over the last three
years or the documented response time to replace a failed pump, whichever is greater.
Documentation shall be required pursuant to the permit application.
b. All pump stations designed for two pumps or more shall have a telemetry system to provide remote
notification of a problem condition to include power failure and high water alarm.
c. High water audio and visual alarm.
d. Pump stations shall have a permanent weatherproof sign stating the pump station identifier, 24-hour
emergency number and instructions to call in case of emergency. Simplex pump or vacuum stations
serving a single-family residence shall have a placard or sticker placed inside the control panel with a 24-
hour emergency contact number.
e. Screened vents for all wet wells.
f. The public shall be restricted access to the site and equipment.
g•
Air relief valves shall be provided at all high points along force mains where the vertical distance exceeds
ten feet.
13. The Permittee shall maintain on hand for immediate installation an adequate supply of spare, fully operational
pump units of each type used in the system.
Page 5 of 5

!•
CERTIFICATION
Permittee: Westport Lakeside No. 3 LLC
Project: Westport Lakeside No.3
Permit No. WQ0037096
Issue Date: June 19, 2014
This project shall not be considered complete nor allowed to operate until the Division has received this Engineer's Certification
and all required supporting documentation. Therefore. it is highly recommended that this certification be sent in a manner that
provides proof of receipt by the Division.
NOTE: 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 Countv's Register of
Deeds office shall be submitted with the certification.
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
Date
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.
ENGINEER'S CERTIFICATION
Partial ❑ Final
1, , as a duly registered Professional Engineer in the State of North Carolina, having been
authorized to observe (❑ periodically, ❑ weekly, ❑ full time) the construction of the subject project for the Permittee,
hereby state that to the best of my abilities, due care and diligence was used in the observation of the following
construction: approximately 852 linear feet of 2-inch pressure sewer; approximately 1,337 linear feet of 2.5-inch pressure
sewer; approximately 660 linear feet of 4-inch pressure sewer as well as 39 simplex grinder pump stations with on -site
audible and visual high water alarms, to serve 39 single family residences (all three -bedroom homes) as part of the
Westport Lakeside No. 3 project, and In conformity with the project plans, specifications, and other supporting documents
subsequently filed and approved. 1 certify that the construction of the above referenced project was observed to be built
within substantial compliance and intent of the approved plans and specifications.
North Carolina Professional Engineer's
Seal, signature, and date:
SEND THIS FORM & SUPPORTING DOCUMENTATION
TO THE FOLLOWING ADDRESS
NCDENR / DWR / Water Quality Permitting Section
Wastewater Branch — PERCS Unit
1617 Mali Service Center
Raleigh,NC 27699
DWR Use Only:
Flow from this project is tributary to: NC0088722

•
STATE OF NORTH CAROLINA
COUNTY OF Lincoln
Permit No. i Q t:]C- 3- 0 9 L
DEVELOPER'S OPERATIONAL AGREEMENT
This AGREEMENT made pursuant to G.S. 143-215.1 (di) and entered into this sth day of
April, 2014 , by and between the North Carolina Environmental Management
Commission, an agency of the State of North Carolina, hereinafter known as the COMMISSION; and
Westport Lakeside No. 3 LLC , a corporation/general partnership registered/licensed to do
business in the State of North Carolina, hereinafter known as the DEVELOPER.
WITNES SETH:
1. The DEVELOPER is the owner of the certain lands lying in Lincoln County, upon
which it is erecting and will erect dwelling units and other improvements, said development to be known
as Westport Lakeside No. 3 Single Family (hereinafter the Development).
2. The DEVELOPER desires, to construct a wastewater collection system with pumps, wastewater treatment
works, and/or disposal facilities (hereinafter Disposal System) to provide sanitary sewage disposal to serve
the Development on said lands.
3. The DEVELOPER has applied to the COMMISSION for the issuance of a permit pursuant to G.S. 143-
215.1 to construct, maintain, and operate the Disposal System.
4. The DEVELOPER has created or shall create unit ownership in said dwellings units, other improvements
and lands through filing of a Declaration of Unit Ownership (hereinafter Declaration), pursuant to Chapter
47C or 47F ofthe North Carolina General Statutes.
5. The DEVELOPER has caused to be formed or will cause to be formed at the time of filing of the
Declaration, the (Unit Owners' Association) Westport Lakeside Home Owner's Association (hereinafter
Association), a non-profit corporation organized and existing under and by the virtue of the laws of the
State of North Carolina, for the purpose, among others, of handling the property, affairs and business of
the Development; of operating, maintaining, re -constructing and repairing the common elements of the
lands and improvements subject to unit ownership, including the Disposal System; and of collecting dues
and assessments to provide funds for such operation, maintenance, re -construction and repair.
6. The COMMISSION desires to assure that the Disposal System of the Development is properly
constructed, maintained and operated in accordance with law and permit provisions in order to protect the
quality ofthe waters of the State and the public interest therein.
NOW, THEREFORE, in consideration of the promises and the benefits to be derived by each of the parties
hereto, the COMMISSION and DEVELOPER do hereby mutually agree as follows:
1. The DEVELOPER shall construct the Disposal System in accordance with the permit and plans and
specifications hereafter issued and approved by the COMMISSION, and shall thereafter properly operate
and maintain such systems and facilities in accordance with applicable permit provisions and law.
2. The DEVELOPER shall not transfer ownership and/or control of the Disposal System to the Association
until construction has been completed in accordance with the permit and approved plans, and the staff of
the Division of Water Resources has inspected and approved of the facilities. In order to change the name
of the permit holder, the DEVELOPER must request that the permit be reissued to the Association. The
request must include a copy of the Association Bylaws and Declaration.
3. The DEVELOPER shall not transfer, convey, assign or otherwise relinquish or release its responsibility
for the operation and maintenance of its Disposal System until a permit has been reissued to the
DEVELOPERRs successor.
FORM: DEV 08-13 Page I of 2

•
4. The DEVELOPER shall provide in the Declaration and Association Bylaws that the Disposal System and
appurtenances thereto are part of the common elements and shall thereafter be properly maintained and
operated in conformity with law and the provisions of the permit for construction, operation, repair, and
maintenance of the system and facilities. The Declaration and Bylaws shall identify the entire wastewater'
treatment, collection and disposal system as a common element which will receive the highest priority for
expenditures by the Association except for Federal, State, and local taxes and insurance,
5. The DEVELOPER shall provide in the Declaration and Association Bylaws that the Disposal System will
be maintained out of the common expenses. In order to assure that there shall be funds readily available to
repair, maintain or construct the Disposal System, beyond the routine operation and maintenance
expenses, the Declaration and Association Bylaws shall provide that a fund be created out of the common
expenses. Such Rind shall be separate from the routine maintenance funds allocated for the facility and
shall be part of the yearly budget.
6. In the event the common expense allocation and separate fund are not adequate for the construction,
repair, and maintenance of the Disposal System, the Declaration and Association Bylaws shall provide for
special assessments to cover such necessary costs. There shall be no limit on the amount of such
assessments, and the Declaration and Bylaws shall provide that such special assessments can be made as
necessary at any time.
7. If a wastewater collection system and wastewater treatment and/or disposal facility provided by any city,
town, village, county, water and sewer authorities, or other unit of government shall hereinafter become
available to serve the Development, the DEVELOPER shall take such action as is necessary to cause the
existing and future wastewater of the Development to be accepted and discharged into said governmental
system, and shall convey or transfer as much of the Disposal System and such necessary easements as the
governmental unit may require as condition of accepting the Development's wastewater.
8. Recognizing that it would be contrary to the public interest and to the public health, safety and welfare for
the Association to enter into voluntary dissolution without having made adequate provision for the
continued proper maintenance, repair and operation of its Disposal System, the DEVELOPER shall
provide in the Association Bylaws that the Association shall not enter into voluntary dissolution without
first having transferred its said system and facilities to some person, corporation or other entity acceptable
to and approved by the COMMISSION by the issuance of a permit.
9. The agreements set forth in numbered paragraphs 1, 2, 3, 4, 5, 6, 7, and 8 above shall be conditions of any
permit issued by the COMMISSION to the DEVELOPER for the construction, maintenance, repair and
operation of the Disposal System.
10. A copy of this agreement shall be filed at the Register of Deeds in the County(ies) where the Declaration is
filed and in the offices of the Secretary of State of North Carolina with the Articles of Incorporation of the
Association.
IN WITNESS WHEREOF, this agreement was executed in duplicate originals by. the duly authorized
representative of the parties hereto on the day and year written as indicated by each of the parties named below:
FOR THE ENVIRONMENTAL
MAMENT COMM ISSIO 1��
Thomas A. Reeder, Director
Division of Water Resources
LP k.0J-2,o tA
(Date)
Westport Lakeside No, 3 LW
Name of DEVELOPER
By:
(Signature)
Thompson G. Daniel ill, Manager
Print Name and Title
419113
• (Date)
FORM: DEV 08-13 Page 2 of

CERTIFICATION
Permittee: Westport Lakeside No. 3 LLC
Project: Westport Lakeside No. 3
RECEiVEDIDENRIDWR
MAR ¶020M
Water Quality
Permitting Section
Permit No. WQ0037096
issue Date: June 19, 2014
This project shall not be considered complete nor allowed to operate until the Division has received this Engineer's Certification
and all required supporting documentation. Therefore. it is highly recommended that this certification be sent_in a manner that
providesjiroof of receipt by the Division.
NOTE: 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.
PERMrTTEE'S CreriFiCAT1oN
i, % on,ysi•,kl 6. 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 Permlttee, and the Permittee is prepared to operate & maintain the wastewater
collection system permitted herein or portions thereof.
Printecf Name, Title /'j.,yll—' /1247. Signature
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.
.3-i31
Date
ENGINEER'S CERTIFICATION
1i [Partial ❑ Final
1, 1_14)—.1 6P� M. t _Ot.- is , as a duly registered Professional Engineer in the State of North Carolina, having been
authorized to observe (periodically, ❑ weekly, ❑ full time) the construction of the subject project for the Permittee,
hereby state that to the best of my abilities, due care and diligence was used in the observation of the following
construction: approximately 852 linear feet of 2-inch pressure sewer; approximately 1,337 linear feet of 2.5-inch pressure
sewer; approximately 660 linear feet of 4-inch pressure sewer as well as 39 simplex grinder pump stations with on -site
audible and visual high water alarms, to serve 39 single family residences (all three -bedroom homes) as part of the
Westport Lakeside No. 3 project, and in conformity with the project plans, specifications, and other supporting documents
subsequently filed and approved. I certify that the construction of the above referenced project was observed to be built
within substantial compliance and intent of the approved plans and specifications.
North Carolina Professional Engineer's
Seal, signatureogkd> ,,,
al
A x
S Y ii
g
1111/1Nliilllilltii�\\
SEND THIS FORM & SUPPORTING DOCUMENTATION
TO THE FOLLOWING ADDRESS
NCDENR / DWR / Water Quality Permitting Section
Wastewater Branch— PERCS Unit
1617 Mail Service Center
Raleigh, NC 27699
DWR Use Only:
Flow from this project is tributary to: NC0088722
a

2" SDR-21
RIYATE LOW
-E SEWERLINE
Larissa M. Coles, PE
1701-1 Burke Road
Shelby, North Carolina 28152
PUONE: 704482-7883
MOBILE: [phone]
FAX: [phone]
EMAIL: kolea(aymcgianiscole .corn
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description
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WESTPORT LAKESIDE
NO. 3, LLC
3.38 N. ELM. ST., SUITE 320
GREENSB©R©, N.C.27405
[phone]
aWner
2/13/4
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7/3/14
11/7/14
03/05/15
date
WESTPORT
LAKESIDE NO. 3A
SINGLE FAMILY
project title
WATER AND SEWER
AS —BUILT PLAN
1311-4
project no
11/07/14
date
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Larissa M. Coles, PE
1701-1 Burke Road
Shelby, North Cava[ina 28152
PHONE: [phone]
MOBILE: [phone]
FAX: [phone]
EMAIL: [e-mail]
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Revisions
WESTPORT LAKESIDE
NO.3, LLC
338 N. ELM STD SUITE 320
CREENSBORO, N.0 27405
[phone]
oViner
WESTPORT
LAKESIDE NO. 3A
SINGLE FAMILY
project title
WATER AND SEWER
AS -BUILT ELAN
sheet title
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project no
11/07/14
date
C-16
sheet no.15 of 20

Sifford, Barbara
From: Bass, Sarah
Sent: Tuesday, March 31, 2015 12:21 PM
To: Sifford, Barbara; Love, Barry F
Subject: Partial Certification of WQ0037096
Attachments: Partial Certification.pdf
Attached is the partial certification for WQ0037096 (Westport Lakeside No. 3) of approximately 660 linear feet of 4-inch
pressure sewer (total permitted) and approximately 447 linear feet of 2-inch pressure sewer (of 852 linear feet
permitted) as well as 8 simplex grinder pump stations with on -site audible and visual high water alarms, to serve 8 single
family residences (all -three bedroom homes) of the 39 single family homes originally permitted.
Thanks,
Sarah Morrison Bass
N.C. Dept. of Environment and Natural Resources
Division of Water Resources
Pretreatment, Emergency Response and Collection Systems Unit (PERCS)
1617 Mail Service Center, Raleigh, NC 27699-1617
[phone]; fax [phone]
httk://portat ncdenr. org/veb/wq/swp/ps/pret
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