WQ0038977_Regional Office Historical File Pre 2018

Water Resources
',t; RIVIRONM€'NrAL QUALITY
Steve Peeler, Public Works
City of Lincolnton
128 Motz Avenue
Lincolnton, NC 28092
Dear Mr. Peeler;
u
ity Director
ROY COOPER
Governor
MICHA L S N RRGAN
Secretory
S. JAY ZIMMERMAN
Director
January 23, 201.7
Subject: Permit No. WQ0038977
City of Lincolnton
Palisades at Lincolnton
Wastewater Collection System Extension Permit
Lincoln County
In accordance with your application received January 13, 2017, we are forwarding herewith Permit No,
WQ0038977 dated January 23, 2017 to the City of Lincolnton (Permittee) for the construction and
operation upon certification of the subject wastewater collection system extension. This permit shall be
effective from the date of issuance until rescinded and shall be subject to the conditions and limitations as
specified therein. This cover letter shall be considered a part of this permit and is therefore incorporated
therein by reference.
Please pay particular attention to the following conditions contained within this permit:
Condition ILI: This permit shall not be automatically transferable; a request must be made and approved.
Condition I1.4: Requires that the wastewater collection facilities be properly operated and maintained in
accordance with 15A NCAC 2T .0403 or any individual system -wide collection system
permit issued to the Permittee.
It shall be the responsibility of the Permittee to ensure that the as -constructed project meets the 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.
State of North Carolina I Envirtannxental Quality I Water Resources 1 WaterQuality Regional operations
Mooresville Regional Office 1610 East Center Avenue, Suite 301 Mooresville, North Carolina 28115
704 663 1699

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 Ori Tuvia at [phone] or
via e-mail at [e-mail].
Sincerely,
by W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
cc: Donald Munday (P.E.) (E-copy)
Mooresville Regional Office Files
Water Resources Central Files
PERCS (E-copy)
Page 2 of 8

Environmental
Quality
• STATE OF NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
In accordance .with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations, permission is hereby granted to the
City of Lincolnton
Lincoln County
for the construction and operation of approximately 993 linear feet of 4-inch force main, to serve 216
units as part of the Palisades at Lincolnton development, and the discharge of 0 additional gallons
per day of collected wastewater into the City of Lincolnton existing sewerage system, pursuant to the
application received January 13, 2017, and in conformity with 15A NCAC 2T; the Division's Gravity
Sewer Minimum Design Criteria adopted February 12, 1996, as applicable; the Division's Minim
Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June I /1
as applicable; and other supporting data subsequently filed and approved by the Depart-
Environment and Natural Resources and considered a part of this permit.
Flow Associated with this permit have been allocated under permit WQ0038978 (51, j '
This permit shall be effective from the date of issuance until rescinded and shall be /�
conditions and limitations contained therein.
by W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
By authority of the Environmental Management Com-
Permit Number: WQ0038977
Permit Issued: January 23, 2017
Page 3 of 8

SUPPLEMENT TO PERMIT COVER SHEET
City of Lincointon is hereby authorized to:
Construct, and then operate upon cert.ifacation the aforementioned wastewater collection extension. The
sewage and wastewater collected by this system shall be treated in the City of Lincolnton Wastewater
Treatment Facility in accordance with Permit Number NCO25496.
Permitting of this project does not constitute an acceptance of any part of the project that does not meet
15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996, as
applicable; and the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations
and Force Mains adopted June 1, 2000, as applicable, unless specifically mentioned herein. Division
approval is based on acceptance of the certification provided by a North Carolina -licensed Professional
Engineer in the application. It shall be the Permittee's responsibility to ensure that the as -constructed
project meets the appropriate design criteria and rules.
Construction and operation is contingent upon compliance with the Standard Conditions and any Special
Conditions identified below.
SPECIAL CONDITIONS
1) No flow in excess of the quantity permitted herein, 0 additional GPD, shall be made
tributary to the subject sewer system until an application for permit modification for an.
increase in flow has been submitted to and approved by the Division, [ 15A NCAC 02T.0304
(b)] .
IL STANDARD CONDITIONS
This permit is not transferable. In the event there is a desire for the wastewater collection facilities
change ownership, or there is a name change of the Perrnittee, a formal permit request shall be
submitted to the Division accompanied by documentation from the parties involved, and other
supporting materials as may be appropriate, The approval of this request shall be considered on its
merits and may or may not be approved. [15A NCAC 42T.0104; G.S 143-215.1(d3)]
This permit shall become voidable unless the wastewater collection facilities are constructed in.
accordance with the conditions of this permit; I5A NCAC 2T; the Division's Gravity Sewer
nimum Design Criteria adopted. February 12, 1996, as applicable; the Division's Minimum Design
eria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000, as
icable; and other supporting materials unless specifically mentioned herein. [15A NCAC
a110]
�t shall be effective only with respect to the nature and volume of wastes described ►n the
and other supporting data. [ 15A NCAC 02T .0110]
ater collection facilities shall be properly maintained and operated at all times. The
hall maintain compliance with an individual system -wide collection system permit for the
d maintenance of these facilities as required by 15A NCAC 2T .0403. If an individual
quired, the following performance criteria shall be met: [15A NCAC 02T .0108(b)1;
Page 4 of 8

V111•
.
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
documented.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g.
Overflows and bypasses shall be reported to the appropriate Division regional office in
accordance with 15A NCAC 2B .0506(a), and public notice shall be provided as required. by
North Carolina General Statute § 143-215.1C.
h. A Grease Control Program is in place as follows:
1. For public owned collection systems, the Grease Control Program shall include at least
biannual distribution of educational materials for both commercial and residential users and
the legal means to require grease interceptors at existing establishments. The plan shall also
include legal means for inspections of the grease interceptors, enforcement for violators and
the legal means to control grease entering the system from other public and private satellite
sewer systems.
2. For privately owned collection systems, the Grease Control Program shall include at least bi-
annual distribution of grease education materials to users of the collection system by the
permittee or its representative.
3. Grease education materials shall be distributed more often than required in Parts (1) and (2)
of this Subparagraph if necessary to prevent grease -related sanitary sewer overflows.
i. Right-of-ways and easements shall be maintained in the full easement width for personnel and
equipment accessibility.
j. Documentation shall be kept for Subparagraphs (a) through (i) of this Rule for a minimum of
three years with exception of the map, which shall be maintained for the life of the system.
5. The Permittee shall report by telephone to a water resources staff member at the Mooresville Regional
Office, telephone number [phone], as soon as possible, but in no case more than 24 hours
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
Page 5 of 8

Voice mail messages or faxed information is permissible, but this shall not be considered as the initial
verbal report, Overflows and spills occurring outside normal business hours may also be reported to
the Division of Emergency Management at telephone number [phone] or [phone].
Persons reporting any of the above occurrences shall file a spill report by completing and submitting
Part I of Form CS-SSO (or the most current Division approved form) within five days following first
knowledge of the occurrence. This report must outline the actions taken or proposed to be taken to
ensure that the problem does not recur. Part II of Form CS-SSO (or the most current Division
approved form) can also be completed to show that the SSO was beyond control. [G.S. 143-
215.IC(al)]
6. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to
intemipt service by the existing utilities nor result in an overflow or bypass discharge of wastewater
to the surface waters of the State, [15A NCAC 02T,0108(b)]
7, Upon completion of construction and prior to operation of these permitted facilities, the completed
Engineering Certification 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. Any wastewater flow made
tributary to the wastewater collection system extension prior to completion of this Engineer's
Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions.
If the permit is issued to a private entity with an Operational Agreement, then a copy of the
Articles of Incorporation, Declarations/Covenants/Restrictions, and Bylaws that have been
appropriately filed with the applicable County's Register of Deeds office shall be submitted
with the certification.
A complete certification is one where the form is fully executed and the supporting documents are
provided as applicable. Supporting documentation shall include the following;
One copy of the project construction record drawings (plan & profile views of sewer lines &
force mains) of the wastewater collection system extension. Final record drawings should be
clear on the plans or on digital media (CD or DVD disk) and are defined as the design drawings
that are marked up or annotated with after construction information and show required buffers,
separation distances, material changes, etc.
b. One copy of the supporting applicable design calculations including pipe and pump sizing,
velocity, pump cycle tithes, and level control settings, pump station buoyancy, wet well storage,
surge protection, detention time in the wet well, and force main, ability to flush low points in
force mains with a pump cycle, and downstream sewer capacity analysis. If a portable power
source or pump is dedicated to multiple stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, include travel
timeframes, shall be provided.
c. Changes to the project that do not result in non-compliance with this permit, regulations, or the
Minimum Design Criteria should be clearly identified on the record drawings, on the certification
in the space provided, or in written summary form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting
in non-compliance with this permit (including pipe length increases of 10%© or greater, increased
flow, pump station design capacity design increases of 5% or greater, and increases in the
number/type of connections), regulations, or the Minimum Design Criteria. Requested modifications
Page 6 of 8

Prr
or variances to the Minimum Design Criteriawill be reviewed on a case -by -case basis and each on
its own merit. Please note that variances to the Minimum Design Criteria should be requested and
approved during the permitting process prior to construction. After -construction requests are
discouraged by the Division and may not be approved, thus requiring replacement or repair prior to
certification & activation. [15A NCAC 02T .0116]
8. Gravity sewers installed greater than ten percent below the minimum required slope per the Division's
Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be certified until
corrected. If there is an unforeseen obstacle in the field where all viable solutions have been
examined, a slope variance can be requested from the Division with firm supporting documentation.
This shall be done through a permit modification with fee. Such variance requests will be evaluated
on a case -by -case basis. Resolution of such request shall be evident prior to completing and
submitting the construction certification. [ 15A NCAC 02T.0105(n)]
9. A copy of the construction record drawings shall be maintained on file by the Permittee for the life
of the wastewater collection facilities. [15A NCAC 02T .0116]
10. Failure to abide by the conditions and (imitations 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 §143-2.15.6C, construction of additional or replacement wastewater collection facilities,
and/or referral of the North Carolina -licensed Professional Engineer to the licensing board. [15A
NCAC 02T .0104; 15A NCAC 02T .0108(b-c)]
11. In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall take immediate corrective action, including those
as may be required by this Division, such as the construction of additional or replacement facilities.
[15A NCAC 02T .0110; 15A NCAC 02T .0108(b)]
12. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances that may be imposed by the Division any other Federal, State, or
Local government agencies which have jurisdiction or obtaining other permits which maybe required
by the Division or any other Federal, State, of Local government agencies. [G.S. 143-215.1(b)]
Page 7 of 8

FAST TRACK SEWER ENGINEER NG CERTIFICATION
PERMITTEE: CITY OF LINCOLNTON
PERMIT #: WQ0038977
PROJECT: PALISADES AT LINCOLNTON
ISSUE DATE: JANUARY 23, 2017
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.
PERMITTEE'S CERTIFICATION
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
ENGINEER'S CERTIFICATION
Date
1, , as a duly registered Professional Eineer in the State of North Carolina,
having been authorized to observe (L periodically, Li weekly, Li ftdi 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:
LJ Final LI Partial (include description)
Certification Comments/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: [phone]

3, Signature authority's name: Steve Peeler per 15A NCAC orr .0106(L)
Title: Public Works & Utility Director
4. Applicant's mailing address: 128 Motz Avenue.
City: Lincolnton State: NC Zip: 28092-
5, Applicant's contact information:
Phone number: [phone] Email Address: stevepeelerAcifincolnton.ne.us
Div Ion of Wtter F4esourccs
State of North Carolina
Departrnent of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: A./00b3Sj (to be completed by DWR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
1, Applicant's name: City, of Lincolnton, (company, municipality, HOA, utility, etc.)
2. Applicant type: Individual Corporation General Partnership Privately -Owned Public Utility
Federal El State/County Municipal 0 Other
RECEVEDNCDENRDWR
WORM
I4OQR.Eit:1‘P tt. (2 (OW tONAt OF Hoe
II. PROJECT INFORMATION:
1. Project name: Palisades at Lincolnton
2, Application/Project status: Proposed (New Permit) Ej Existing Permit/Project
If a modification, provide the existing permit number: WQ00 _ and issued date:
If new construction but part of a master plan, provide the existing permit number: WQOO
3. County where project is located: Lincoln
4, Approximate Coordinates (Decimal Degrees): Latitude: 35.4904° Longitude: -81.2076°
5. Parcel ID (if applicable): 3644-10-9991
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Donald L. IVIunday, PE
Firm: Piedmont Design Assocs.,1nc.
Mailing address: 125 East Plaza Drive, Suite 101
City: Mooresville State: NC Zip: 28115-
Phone number: 04) 664-7888 Email Address: d da cD da a,co
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: City Lincolnton Pen -nit Number: NC 00-254-96
Owner Name: City of Lincoluton
Y. RECEIVING DOWNSTREAM SEWER INFORMATION (if differei
License Number: 17327
TF):
1. Permit Number(s): WQCS 00040 Downstream (Receiving) Sewer Size: 32 inch
System Wide Collection Syswin Permit -Number(s) (if applicable): WQCS00040
Owner Name(s): City of Lincolnton
FORM: FTA 04-16 Page 1 of 5

VI. GENERAL REQUIREMENTS
I. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity bern attached?
El Yes EiNo N/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Overational Aereemenc(EORM: DRY been attached?
0 Yes ON° N/A
3. Utile Applicant is a le/Prcnerty_Owners' Association has an Operational. Agreement IFORM: I-10A) been attached?
Ej Yes DNo N/A
4. Origin of wastewater: (check all that apply):
Ej Residential Owned
Residential Leased
School / preschool / day care
D Food and drink facilities
0 Businesses / offices / factories
D Retail (stores, centers, malls)
0 Retail with food preparation/service
El Medical / dental / veterinary facilities
0 Church
Nursing Home
0 Car Wash
0 Hotel and/or Motels
fl Swimming Pool /Clubhouse
Swimming PoolfFilter Backwash
0 Other (Explain in Attachment)
5, Nature of wastewater .100% Domestic/Commercial % Commercial
% industrial (Sec 1.5.A NCAC 02T ,0 I.03(2.0))
there a Pretreatment Program in effect? El Yes
6. Has a flow reduction been approved under 1 5A. NCAC' 02T .0114_(0? 1:3 Yes No
lives, provide a copy of :flow reduction approval letter
7. Suinmarize wastewater generated by project
Establishment Type 14(11
Daily Design Flow
No. of Units
Flow
I, 2 & 3 Bedroom Apartments
240 gal/day/unit
216
0 GPD
al
gal/
GPD
gal/
gal/
gal/
GPD
GPD
GPD
GPD
Total
GPI)
a See I5A NCAC 02T ,0 (OTT) and LOP) 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
b Per ISA NCAC 02T ,0114(c), .design flow rates. for establishments not identified in. table l„.ANC..',AC.„.0,71.101141 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 021 ,0 1 14)
Do not include future flows or previously permitted allocations
If permitted .flow is zero, indicate why:
Pump Station or Gravity ,Sewer where flow will be permitted in subsequent permits that coniiect to this line
0 Flow has already bccn allocated in Permit Number:
,Rehabilitation or replacement of existing sewer with no new flow expected
D Other (Explain):
FORM: ETA 04-16
Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T 0305 &
I. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
> Section II & Ill of the MDC for Permitting of Gravity Sewers contains information related to design criteria
> Section III contains information related to minimum slopes for gravity sewer(s)
• Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC fru inp Stations(Fa tlains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): ]Latitude: . ,Longitude:
3,
4,
Design flow of the pump station: millions gallons per day (firm capacity)
Operational point(s) of the pump(s): gallons per minute at feet total dynamic head (TD1.1)
5. Summarize the force main to be permitted (for this Pump Station):
6. Power reliability in accordance with 15A NCAC 02T .03050)11):
Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(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:
D 'Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0305(h)(1)(C)
or
.Pottable puitiping unit with plugged emergency pump connection and telemetry - 15A 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.
> If the ,portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations'
storage capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be
provided in the case of a multiple station power outage.
FORM: HA 04-16
Page 3. of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & ISA. NCAC 02T .03050:
1. Does the project comply with all separations found in 15 NCAC 02'T „030.5it)
15A NCAC 02T.0305
Yes 1 INo
contains minimum separations that shall be provided for sewer systems:
Setback Parameter*
Storm sewers and other utilities not listed below (vertical)
Water mains (vertical -water over sewer including in benched trenches)
Water mains (horizontal)
Separation Required
24 inches
18 inches
10 feet
Reclaimed water lines (vertical - reclaimed over sewer) 1 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
lass II impounded reservoirs used as a source of drinking water 100 feet
*Waters classified WS (except WS-I or WS-V), B, SA, ORW, HOW, or SB from normal
'Ugh 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
Any basement
To slooe ofemba
2 feet or more vertical height
Drainage systems and interceptor drains
Any swimming pools
Final earth grade (vertical)
5 feet
10 feet
10 feet
feet
10 feet
36 inches
.)0 1..5A Ne.AC 021.03051g) contains alternatives Where separations in o2T.J030.51,0 cannot be achieved.
). **Stream classifications can be identified using the Division's NC Surface Water Classifications webpue
If noncompliance with 021 .030.5(1) °rig), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation)
> See the Division's draft separation requirements for situations where separation cannot be meet
» No variance is required if the alternative design criteria specified is utilized in design and construction
• As built documents should reference the location of areas effected
3. Does the project comply with all setbacks found in the river basin rules per I 5A NCAC 0213 0200!
▪ This would include Trout Buffered Streams per 1.5A. N(.:AC 21,1,0202
Yes El No
Yes D No
4. Does the project comply with an individual 404 Permit or any 401 Certifications? Yes, El No
▪ Wetland -related permits shall be requested, obtained,and adhered to for projects that impact wetlands or surface waters
)- Information can be obtained from the 401 & Buffer Perrnittintatranch
5, Does project comply with I 5A NA( 011.0 I 05(c)(0) (additional permitsicert cations)? Yes [] No
Per 15A„.NcA.C.„.02J,910.51,01.0, 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 "hig.h-priority?"
Per I 5A ,NCAC 02'1.0402, "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.
LI Yes El No
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 04-16 Page 4 of 5

CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minirmun Desien Criteria for the Pettnittirof PumpStations
and Force Mains fi:alest version), and the Gravity Sewer ;Minimum Design Criterhqtatest version) as applicable?
Yes LiNo
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-1.4) and supporting documents
for review. Apprpval of the requestisrectuired prior to submittal of the Fast Track Application. and sup ocrting
documents,
2, Professional Engineer's Certification:
Donald L. Monday, PE attest that this application for
(Professional Engineer's name from Application Item 111.1.)
has been reviewed by rne 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 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 misderneanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation.
111111//
North Carolina Professional Engineer's seal, signature, and date j‘v"
fl7327
0 Q1.4‘'."
Isik\N
'ii/11111%‘‘‘
3. Applicant's Certification per I5A NCAC 02T .0106(b):
oito 4zt4:c 64)00,4,. 7c.,4;
1, Sn:fidilZrzt/ /44z4t,' 442- 'Cot .44/0"--- attest that this application for
(Signature Authority's name & title from Application Item I 3„)
has been reviewed by me and is accurate and cotnplete to the best ofmy knowledge. 1 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 irnrnediate 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, .t 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 I43-215,6A and 143-215,613, any person who knowingly makes any false
'ollili statement, representation, or certificatt .. ..ny a• .. : 'pkage shall be guilty of a Class 2 misdetneanor, which may
include a fine not to exceed $10 al f'i1p1ities up '.o $25,000 per violation,
Date: AtvozYz
FORM: FTA 04-16
Page 5 of 5

Letter o
Transm
al
Piedmont Design Associates, P.A.
125 East Plaza Drive, Suite 101
Mooresville, NC 28115
[phone]
Fax: [phone]
Email: [e-mail]
To:
NCDEQ
Department of Environmental Quality
Division of Water Resources
610 E. Center Avenue
Mooresville, NC 28115
919-803-6313
Att: Mr. Ori Tuvia
DATE
Jan 13, 2017
Job Number: 2015-01-11
Palisades at Lincolnton
1st SUBMITTAL
(SEWER APPLICATIONS)
WOR OS
COPIES
NO.
2
2
2
app
app
calcs.
2
app
DESCRIPTION
NCDEQ Fast Track. Sewer System Extension Application (PUBLIC)
NCDEQ Fast Track Sewer System Extension Application (PRIVATE)
Station #1 Pump Data
Flow Acceptance Form FTSE04-16
2
2
orm
opy
Developers Operational Agreement Form
NC Dept. of Sect. of State Registered Corporation Confirmation
These are transmitted
For approval
For your use
As requested
For review & comment
FOR BIOS DUE:
RE
0
A
maps
checks
Vicinity Map (" x 11"), USGS Map, USGS Map (Enlarged)
$480 review checks (One for`Public)(One for Private)
Approved as submitted
Approved as noted
Returned for
Resubmit
Submit
Return
E] copies for app.
0 copies for dist.
Li corrected prints
This is one(1) project with two(2) sewer applications (Public & Private). The onsite sanitary sewer gravity
lines and Lift Station #1. and will be privately maintained. The remaining 4" Force from the Lift Station #1
will be public and ends in a public gravity manhole. This project will provide a permanent portable generator
for the Lift Station #1. Please review and if you have any questions, give myself or Donald L. Munday of our
office a call.
Signed:
cc:

Central Files: APS _ SWP _
. 1/23/2017
Permit Number WQ0038977 Permit Tracking Slip
Program Category Status Project Type.
Non -discharge Active New Project
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
ori.tuvia
Coastal SWRule
Permitted Row
0
Facility
Version
1.00
Permit Classification
Individual
Permit Contact Affiliation
Facility Name
Palisades at Lincolnton
Location Address
Owner
Major/Minor Region
Minor Mooresville
County
Lincoln
Facility Contact Affiliation
Owner Name
City of Lincolnton
Dates/Events
Owner Type
Govemment - Municipal
Owner Affiliation
Steve Zickefoose
City Manager
128 Motz Ave
Lincolnton
NC 28092
Orig issue
1/23/2017
Scheduled
App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
1/13/2017 1/23/2017 1/23/2017
Regulated Activities Requested /Received Events
Apartment complex Additional information requested 1/18/17
Condominium . Additional information received 1/23/17
Wastewater collection
Outfall
Waterbody Name Streamlndex Number Current Class Subbasin

Water Resources
ENVIRONMENTAL QUAL ITY
June 19, 2018
Steve Peeler, Public Works & utility Director
City of Lincolnton
128 Matz Avenue
Lincolnton, NC 28092
SUBJECT: Final Engineering Certification Acl+nowledgement
Palisades at Lincolnton
Permit No, WQO038977
Permitee: City of Li.ncolnton
County: Lincoln
Dear Mr. Peeler:
COOPER,
Governor
REGAN
S'ecreu xry
LINDA CI LPEPPER
!mown Director
The Division of Water Resource's Mooresville Regional Office received the Final engineering
certification with record drawings for the subject sewer extension project on 6/ 19/2018, Enclosed
is a certification page for your records. A full review of the certification materials may or may not
be conducted. It is assumed that receipt of this certification indicates compliance with all
regulations, design criteria and the permit. However, if a full technical review is conducted, you
will be notified of any items of non-compliance.
Please be reminded that the Permittee is responsible for keeping a copy of the final record drawings
for the life ofthe project. If you have not received such copy from your consultant, please contact
them immediately to obtain a copy.
Lastly, you are receiving this letter because the Division has you listed as the respons.ibl party, if
this permitted system is no longer owned by you or your company, please complete Form PN©CF
since the permit is not automatically transferable... Form. PNOCF can be downloaded from
http://port.l.ncdenr.org°web/vtq/swp/ps/cs/pnoc from the Collection Systems Applications page.
Should you have any questions, please do not hesitate to contact Ori Tuvia at [phone], or at
orio tuvial`incdenr.gov.
cc: Donald Munday, PE (E-Copy)
Central. Files, MRO (Laserfiche)
Sincerely,
Ori. Tuvia, Environmental Engineer
Mooresville Regional Office
Division of Water Resources, DEQ
r.
Resources

FAST TRACK SEWER, ENGINEERING CERTIFICATION
PERMITTEE: CITY OF LINCOLNTON
PERMIT #t WQ0038977
PROJECT: PALISADES AT LINCOLNTON
ISSUE DATE: JANUARY 23, 2017
RECEtVEO1NCOENR#DWR
WQROS
This project shall not be considered complete nor"t wea to operate i i acca d nce wt `'tit
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 Tooter.
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 foal 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.
PERMITLEE'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 her ' or portions;�ereof.
Robert Pearson
Printed Name, Title
gna
5/24/18
Date
ENG1NEF,R'S CERTIFICATION
I, Donald L. Munday, PE , ns a duly registered Professional En iineer in the State of North Carolina,
having been authorized to observe (j periodically, weekly, D fall 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 ofthe construction such that the construction.
was observed to be built within substantial compliance of this permit; I5A 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 wlsignature & date:
Final Partial (include description)
Certifiieatlon Comments/Qualifiers (attach if necessary):
NC DWR Water Quality Regional operations Section 610 East Center Avenue, Suite 301, Mooresville, NC 28115
Phone: [phone] FAX: (7tl4)-633-6040
Mooresville Regional Office