WQ0032919_Regional Office Historical File Pre 2018

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April 29, 2008
Mr. Tony Ansaldo, Dir. of Architecture
Charlotte -Mecklenburg Schools
3301 Stafford Dr.
Charlotte, NC 28208
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
Subject: Permit No. WQ0032919
Hamilton Smith Elementary School
Wastewater Collection System Extension
Mecklenburg County, North Carolina
Dear Mr. Ansaldo,
In accordance with your application received on April 10, 2008, we are forwarding herewith
Permit No. WQ0032919, dated April 29, 2008, to Charlotte -Mecklenburg Schools 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the date of issuance until rescinded, and shall be subject to the conditions and limitations as specified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 Perri -lit 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 610 East Center Ave., Suite 301 Mooresville, NC 28115 Phone: [phone] Fax: [phone]
Internet: www,ncmwaterquality.org Customer Service: 1-877-623-6748
An Equal Opportunity/Affirmative Action Employer— 50% Recycledll0% Post Consumer Paper
None Carolina
?Q turalirlf

Mr. Ansaldo
Page 2
April 29, 2008
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 817 linear feet of 8-inch gravity sewer and
the discharge of 14,400 gallons per day of collected domestic wastewater into the Charlotte
Mecklenburg Utilities existing sewerage system 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 Charlotte
Mecklenburg Utilities WWTP (McAlpine Creek NPDES No. NC0024970) prior to being discharged into
the receiving stream.
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 §143-215.6C for violation of or failure to 'act in
accordance with the terms and conditions of this permit.
Assessing subsequent impacts to the downstream collection system and treatment facility is
the complete responsibility of Charlotte Mecklenburg Utilities. Charlotte Mecklenburg Utilities must
utilize whatever tracking tools necessary for planning additions of sewer flow in order to maintain
compliance with the WWTP permitted limits and the WQCS00001 permit requirements.
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,
for Coleen H. Sullins
cc: Mecklenburg County Land Use and Environmental Services Agency (LUESA)
Steve Miller, CMU
Philip Edward, Mecklenburg County
Mooresville Regional Office, Collection System Permit File
Jeffrey Page, Turnbull Sigmon Design
Surface Water Protection Central Files
PERCS

ti
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 (Le.
365 days per year). Pump stations that are connected to a telemetry system shall be
inspected at least once per week.
e. High -priority sewer lines shall be inspected at least once per every six-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 2B .0506(a), and public notice shall be provided as required by
North Carolina General Statute §143-215.1C.
I

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 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.
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 2H .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 tile 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 29th day of April, 2008.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0032919
3

Fast Track Engineering Certification
Permit No. W90032919
April 29, 2008
Owner/WQCS PE WQCSNVWTP
Tony Ansaldo, Dir of Architecture Jeffrey Page Steven Miller
Charlotte -Mecklenburg Schools Turnbull Sigmon Design Charlotte Mecklenburg Utilities
3301 Stafford Drive 1001 Morehead Square Dr., Suite 530 5100 Brookshire Blvd.
Charlotte, NC 28208 Charlotte, NC 28203 Charlotte, NC 28216
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
❑ Partial ❑ Final
I, , as a duly registered Professional Engineer in the State of North Carolina, having been
authorized to observe (❑ periodically, LI weekly, ❑ full time) the construction of Hamilton Smith Elementary School,
a Mecklenburg 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
riteria 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.

NORTH CAROLINA
ITY OF ecklenhurg Permit No,
DEV E1. C)PI R'S OPFRATIONAI. AGRk: E;MI<l
This ACiREEMFN`f nr.ade pursuant to G.S. 143-215.1 (di) and entered into this 26th. day of
March (03 ,
nd between. the North Carolina Environmental Management Commission, an
agency of the State of North Carolina, hereinafter known as the COMMISSION and "ly lotte-,,Mecldenburg
Schhool.s , a corporationF"general partnership registered/licensed to do business in the State of North Carolina,
hereinafter known as the DFVELOPER..
WITNFS _ ETH:
1. The .DEVELOPER.. is the owner of the certain lands lying it Mecklenburg County, upon which it is
erecting and w°ill ere t tlwFeiling units and other improvement
said development to he known
as Hamilton Smith Elementary School (hereinafter the Development).
he DEVELOPER. desires, to construct a wastewater collection system with pumps, wV"
works, and/or disposal facilities (he.reinal1er Disposal System) to provide sanitary sewage. disposa
the Development on said lands,
The DFVIIOPI R has applied to the COMMISSION for the issuance of a permit pursuant to G S. 143-
2I 5.1 to construct, maintain, and operate the Disposal. System.
The DEVELOPER has created or shall create unit ownership in said dwellirrtgs units, trther improvements
and lands through filing of a. Declaration of -Unit Ownership (hereinafter 1eclaration.), pursuant to Chapter
47C or 4717 of the North Carolina General Statutes.
The ITy)FVELOPER has caused to be formed or will cause to he formed at the time of tiling ofthe
Declaration, the NIA (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.
,I.hc COMMISSION desires to assure that the Disposal System. of the Development is properly
constructed, maintained and operated in accordance with laNY and permit provisions in order io protect the
quality of the waters of the State and the public interest therein.
Nt") V THFRlEEl'(i)RF. in consideration of the promises and the benefits to be derived. 'by each ofth.e. parties
here the COM1\11SS1(:)N and DEVELOPER do hereby mutually acre
`fhe 1_)I'ry"l:'I.,0 ER. shall construct t:he Disposal System in. accordance with the permrrrit cruel plans and
speciticat.iotns 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.
DEVELOPER shall not transfer ownership andf/or control of the Disposal System to the Association
has been completed in accordance w°itlr the permit and approved plans, and the staff of
the I)i isierrt of Water Quality has inspected and approved ni the facilities. In order to change the name of
the perrrrit ire lder, the 1)FVFI.()PER must request that the permit be reissued to the „Association. "1"he
request trust include a copy of they ,A\.ssociation Bylaws and Declaration.
'1`he 1)1 11:..()PI-R. shall not transler. c nv£ey, assign or other isc rclitzcl tlsh or rcle.asc its rest nsihilit
operation and maintenance of its Disposal. System until a permit has been reissued to
.()PFR.'s successor.
1 construe:
P0R1\1: DIV 02/03

'EVELOPER 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 entirG- wastewater
treatment, collection and disposal sys.temas a common element which will receive the highest priority for
expenditures by 'the Association except for Federal, State, and local taxes and insurance..
'l'he DEVELO.PER shall provide in the :Declaration and Association. Bylaws that the Disposal System will
bemaintained 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 fund shall be separate from the routine maintenance funds allocated for th.e facility and
shall be partof the yearly budget.
In the event the com.mon 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 he made as
necessary al any time.
7. :IT 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 gov.ernment 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 Developments 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 penult.
Trhe agreements set forth in numbered paragraphs I, 2, 3, 4, 5, 6, 7, and 8 above shall he 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 Cowity(iest here the Declaration is
filed and in the offices of the Secretary of State of North Carolina ‘vith the Articles of Incorporation of the
.Association
IN WITNESS WHEREOF, this ,agreement was executed in duplicate by the duly authorized
representative of the parties hereto on the day' and year NNTittenas indicated. by each of the parties name(
FOR 1 IlL ENVIRONMENTAL
MANAGEMENT COMMISSION
Director
ision of Water Quality
(Date)
CharlotteTMecklenbutig Scijs
Name of DEVELOPEI
Bvi
(Signature')
Tonv Ansaldo, Di rector ol rehitecture
Print Name and Title
bel 1,\A;.
FORMi DFV 02/03
Page 2 of 2

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
FAST -TRACK APPLICATION
(HA 1207) /
DENR iiTy SEWERS, PUMP STATIONS, AND FORCE MAINS
ressurVacuum sewer systems arc not to be included as part of this application package)
WCISUrfcc/r:;„ Wator 4o oh
INSTRUCTIONS: Indicate that you have included/addressed the following list of required application package items by
checking the space provided next to each applicable item, Failure to submit all required items will lead to your application
being returned as incomplete, Forms are available from the web site or by calling the Regional Office serving your county:
http://h2o.enrstate.nous/percs/Collection%20Systems/CollectionSystemApplications.html
fj A. Application Form - Submit one original and one copy of the completed and appropriately executed application
form. The application should include a project narrative describing the final build -out design (i.e, system and/or
pump station to ultimately serve 500 homes, but flow for only 100 homes being requested now). For modifications,
clearly explain the reason for the modification (i.e. adding another phase, changing line size/length, etc.). Only
include the modified information in this permit application - do not duplicate project information that has already
been included in the original permit.
Any changes to this form will result in the application being returned* The Division of Water Quality (Division) will
only accept application packages that have been fully completed with all applicable items addressed. You do not
need to submit detailed lans and s ecifications unless you respond NO to, Item B(13).
Separate applications shouicf be made for non-coptiguous sewer systems.
L B. Application Fee - Submit a check in the amount of $480 made payable to, North Carolina Department of
Environment and Natural Resources (NCDENR)* Checks shall be dated within 90 days of application submittal.
IJ C. Certificates of Public Convenience and Necessity — If the application is being submitted in the name of a
privately -owned public utility, submit two copies of the Certificate of Public Convenience and Necessity (CPCN)
which demonstrates that the public utility is authorized to hold the utility franchise for the area to be served by the
sewer extension, If a CPCN has not been issued, provide two copies of a letter from the North Carolina Utilities
Commission's Public Staff that states that an application for a franchise has been received, that the service area
is contiguous to an existing franchised area, and/or that franchise approval is expected* The project name in the
CPCN or letter must match that provided in Item A(2)a of this application.
NI D. Operational Agreements — Submit one original and two copies of a properly executed operational agreement, as
per 15A NCAC 02T .0115, if the application is submitted by a private applicant and will be serving residential or
commercial lots (e.g,, houses, condominiums, townhomes, outparcels, etc.) that will be sold to another entity. If
the applicant is a home or property owner's association, use Form HOA 02/03* if the applicant is a developer,
use Form DEV 02/03* EVEN IF THE PROJECT MAY BE TURNED OVER TO A MUNICIPAUTY UPON
COMPLETION, FORM DEV 02/03 IS REQUIRED,
Z E. Downstream Sewer, WWTF Capacity and Flow Tracking/Acceptance — FORM FTSE 10/07 (Flow
Tracking/Acceptance for Sewer Extension Permit Applications) is required with every application. The applicant
(and owners of downstream sewers, pump stations and/or treatment facilities submitting FORM FTSE-10/07)
certifies that the addition of the volume of wastewater to be permitted in this project has been evaluated along the
route to the receiving treatment plant, and that the flow from this project will not cause capacity related sanitary
sewer overflows or overburden any downstream pump station en route to the receiving wastewater treatment
plant. Where the applicant is not the owner of the downstream sewer, submit two copies of FORM FTSE 10/07
from the owner of the downstream sewer and owner of the WWTF, if different, The flow acceptance indicated in
FORM FTSE-10/07 must not expire prior to permit issuance and must be dated less than one year prior to the
application date. Submittal of this application and FORM FTSE-10/07 indicates that owner has adequate
capacity and will not violate G,S. 143-215.67(a). Intergovernmental agreements or other contracts will not be
accepted in lieu of project -specific FTSE 10/07,
F
Map — Submit an 8.5-inch by 11-inch COLOR copy of a USGS Topographic Map of sufficient scale to identify the
entire project area and the closest surface waters, Each map or maps must show the location of the sewer line
and pump stations and be of reproducible quality. Include a street level map showing the downstream connection
point, and the permit number for the downstream sewer, if known,
rfA12107

. Stream Classifications — Watershed Classification Attachment (Form WACAS-12/07) If any portion of the
project boundary is within 100 feet of any surface water or wetlands, the Watershed Classification Attachment
must be completed.
❑ H Environmental Assessments — If this project is subject to an Environmental Assessment (EA) [15A NCAC
01C], this application cannot be used. Send the project application on the most current version of Form
PSFMGSA to the Design Management Unit, 1633 Mail Service Center, Raleigh, NC 27699-1633. Applications
cannot be accepted until a Finding of No Significant Impact (FONSI) or Environmental Impact Statement (EIS)
has been issued. A copy is to be submitted with that permit application.
Flow Direction — Many wastewater treatment systems are entering into agreements for regionalization efforts
and emergency treatment capacity. Parts of the system are installed so that the wastewater flow can be directed
to more than one treatment facility. If this is the case with this project, please indicate in B(12) and give the permit
number of the second treatment facility.
® J. Certifications — Section C
The application must be certified by both the applicant and the design engineer who is a North Carolina
Registered Professional Engineer (PE). The applicant signature must match the signing official listed in Item
A(1 b). The PE should NOT certify the application if he/she is unfamiliar with 15A NCAC Chapter 2T, the Gravity
Sewer Minimum Design Criteria (most recent version) and the Minimum Design Criteria for the Fast -Track
Permitting of Pump Stations and Force Mains (most recent version), as applicable to the project.
THE COMPLETED FTA 12107 APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
DOCUMENTS AND $480 FEE, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
® I.
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
2090 US Highway 70
Swannanoa, North Carolina 28778
[phone]
[phone] Fax
Avery, Buncombe, Burke, Caldwell, Cherokee,
Clay, Graham, Haywood, Henderson, Jackson,
Macon, Madison, McDowell, Mitchell, Palk,
Rutherford, Swain, Transylvania, Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Fayetteville, North Carolina 28301-5094
[phone]
[phone] Fax
Anson, Bladen, Cumberland, Harnett, Hoke,
Montgomery, Moore, Robeson, Richmond,
Sampson, Scotland
Mooresville Regional Office
610 E. Center Avenue
Mooresville, North Carolina 28115
[phone]
[phone] Fax
Alexander, Cabarrus, Catawba, Cleveland,
Gaston, rredell, Lincoln, Mecklenburg, Rowan,
Stanly, Union
Raleigh Regional Office
1628 Mali Service Center
Raleigh, North Carolina 27699-1628
[phone]
[phone] Fax
Chatham, Durham, Edgecombe, Franklin,
Granville, Halifax, Johnston, Lee, Nash,
Northampton, Orange, Person, Vance, Wake,
Warren, Wilson
Washington Regional Office
943 Washington Square Mall
Washington, North Carolina 27889
[phone]
[phone] Fax
Beaufort, Bertie, Camden, Chowan, Craven,
Currituck, Dare, Gates, Greene, Hertford, Hyde,
Jones, Lenoir, Martin, Pamlico, Pasquotank,
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
[phone] Fax
Brunswick, Carteret, Columbus, Duplin, New
Hanover, Onslow, Pender
Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, North Carolina 27107
[phone]
[phone] Fax
Alamance, Allegheny, Ashe, Caswell, Davidson,
Davie, Forsyth, Guilford, Rockingham, Randolph,
Stokes, Surry, Watauga, Wilkes, Yadkin
For more information, please visit our web site at: http://h2o.enr.stafe.nc.us/peres/
or contact the Regional Office serving your county.
FTA t 2/07

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0
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USE THE TAB KEY TO MOVE FROM FIELD TO FIELD! Application Number:
(to be completed by OW())
/ Owner/Permittpe:
1 a Charlotte -Mecklenburg School
Full Legal Name (company, municipality, HOA, utility, e
1 b Tony Ansaldo, Director of Archi cture
Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized signing offici
lc, The legal entity who will own this system is:
0 Individual D Federal E] Municipality
ld. 3301 Stafford Dr.
Mailing Address
if North Carolina
State
lh 980-343-6050 li 980-343 6047
Telephone Facsimile
2, Project (Facility) Information:
State/County 0 Private Partnership 0 Corporation 0 Other (specify):
le. Charlotte
City
1 g. _ 28208
Zip Code
j, [e-mail]
E-mail
2a. Hamilton Smith Elementary School
Brief Project Name (permit will refer to this name)
3, Contact Person:
3a, Jeffrey Page, RE. - Turnbull Sigmon Desian
Name and Affiliation of Someone Who Can Answer Questions About his Application
2b Mecklenburg
County Where Project is Located
3b„ 704-529-6500 x 108 3c. jpaat@ujnbull§Arnon„com
Phone Number E-mail
1 Project is New Ej Modification (of an existing permit) If Modification, Permit No.:
2. Owner is Public (skip to Item 8(3)) El Private go to Item 2(a))
2a„ If private, applicant will be: 2b, If sold, facilities owned by a (must choos
El] Retaining Ownership (i e store, church, single office, etc ) or
0 Leasing units (lots, townhomes, etc, - skip to Item B(3))
El Selling units (lots, townhomes, etc. - go to Item B(2b))
3. Charlotte-Mecklenbur Utilities
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
n
Li Public Utility (Instruction C)
LI Homeowner Assoc./Developer (Instruction D)
4a, McAlpine Cree Wastewater Treatment Plan 4b, NC0024970
Name of WWTF WWTF Permit No,
i
5a, Charlotte -Mecklenburg 151), 12" i Gravity
Utilities :Receiving Sewer Sizel0 Force Main 15c.
Owner of Downstream Sewer : I
. The origin of this wastewater is (check all that apply):
Li Residential Subdivision
Ell Apartments/Condominiums
Mobile Home Park
School
E Restaurant
0 Office
300-99-694
Permit # of Downstream Sewer (tnstru ion E)
Eli Retail (Stores, shopping centers)
LI Institution
0 Hospital
0 Church
0 Nursing Home
Lil Other (specify):
7 Volume of wastewater to be allocated or permitted for this particular project:
"Do not include future flows or previously permitted allocations
8. If the permitted flow is zero, indicate why:
0 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
fl Rehabilitation or replacement of existing sewer with no new flow expected (see 15A NCAC 02T .0303 to determine if a
permit is required)
100 % Domestic/Commercial
% Industrial (attach
description.)
(RO: contact your Regional Office
Pretreatment staff)
% Other (specify)„
14,400 gallons per day
FTA12107

B. PERMIT
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) AND/OR 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).
1,200 Students x 12 gpd/student (with cafeteria)
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches)
8
Length (feet)
817.37
New Gravity or Additional
Force Main
Gravity
11. Summary of Pump Stations wl associated Force Mains to be Permitted (attach additional sheets as necessary)
Pump Station Location ID (self chosen - as shown on planslmap for reference)
Design Flow
(MGD)
Operational Point, Power Reliability Option
GPM @TDH , 1 - permanent generator w/ATS;
2 - portable generator wIMTS
fi.
Force Main Size ; Force Main Length
Pump Station Location ID
Design Flow
(MGD)
(self chosen - as shown on plans/map for reference)
Operational Point
GPM @TDH
Power Reliability Option
1 - permanent generator w/ATS;
2 - portable generator w/MTS
Force Main Size ; Force Main Length
;Pump Station Location ID
Design Flow
(MGD)
Operational Point
GPM @TDH
(self chosen -
i
Power Reliability Option
1 - permanent generator w/ATS;
2 - portable generator wIMTS
as shown on plans/map for reference)
Force Main Size
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 2"d treatment facility
(RO — if "yes" to B,12 please contact the Central Office PERCS Unit)
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
FTA 12/07

14. Have the following permits/certifications been submitted for approval for the system or project to be served?
Wetland/Stream Crossings - General Permit or 401Certification? ID Yes • No Z N/A
Sedimentation and Erosion Control Plan? El Yes [1] No Z N/A
Stormwater? Yes LI No E 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)
la,
1, Tony Ansaldo , attest that this application for Hamilton Smith Elementary Sch has been
reviewed by me and is accurate and complete to the best of my knowledge. I understand that if allrequired 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. Note: In accordance with North Carolina General
Statutes 143-215,6A and 143-215.6B, any person who knowingly makes any false statement, representation, or
ceilification in any application shall be guilty of a Class 2 misde anor, which may include a fine no/to exceed $10,000
as well as civil penalties up to $25, 000 per violation.
ninq Official Si nature
ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY
TO OTHER UTILITIES, DESIGN CALCULATIONS, ETC. REFER TO 15A NCAC 02T .0305
Z
2, Professional Engineer's Certification r (Signature of Design Engineer and Project Name)
.14
HF
0
_Jeffrey T Page, P.E. , attest that this application for Hamilton Smith Elementary School has been
reviewed by me and is accurate, complete and consistent with the information in the engineering plans, c culations, 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 SewerMinimum 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 professionals may have deve/oped certain portions of this submittal package, inclusion of these materials
under my signature and seal signifies thatl 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 143-215.6B, any person who knowingly:
makes any false statement, representation, or certification in any application shalt 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.
2a. Jeffrey T Paje P,E,
Professional Engineer Name
2b, Turnbull Sigmonpesi n
Engineering Firm
2c, 1001 Morehead Square Dr., Suite530
Mailing Address
2d, Charlotte 2e NC
2f 28203
City State Zip
29, 704-529-6500 2h, 704-522-0882 2i, ipaat@furnbullsigmon,com
Telephone Facsimile E-mail
NC PE Seal, Signature & Date
'TA12/07

TURNBULL • SIGMON DESIGN
TO:
Mooresville Regional ©ffce
Attn: Dee Browder
610 E. Center Avenue
Mooresville, NC 28115
TEL:
DATE:
REFERENCE:
704.663.1699
April 8, 2008
07-069-Hamilton Smith
Elementary School
TRANSMITTED VIA:
COURIER
❑ MAIL
OVERNIGHT
BY HAND
ACTION:
FOR APPROVAL
El FOR FOUR USE
❑ AS REQUESTED
❑ FOR REVIEW AND COMMENT
❑ APPROVED PPROV'E'D AS SUBMITTED
❑ APPROVED AS NOTED
❑ RETURNED FOR CORRECTIONS
CC:
Lane!
Deradopment
Design Services
WE ARE SENDING:
® ATTACHED
1TE
❑ UNDER SEPARATE COVER
DATE DESCRIPTION
3/28/08
4/1/8
3/26/08
4/8/08
k #6151 for 480.00
FTA 12/07 Gravit-v Sewer A
Color Site Map
Division of Water Quality .FTSE-10/07 .Flow
Tracking/Aceeptan.ce for Sewer Extension Permit
Applications
Developers Operational Apreem
Watershed Classification. Attachment
8.5 X 11 SEWER PLAN
catio
COMMENTS:
Dee,
Attached you wi11 find the required documentation 1, fees, and application
for a private sewer at the proposed Hamilton Smith Elementary School. I
attached a Watershed Classification Attachment, however I don't believe it
is necessary, as the proposed sewer is not within 100` of a wetland, or
stream. The site is, just not the sewer. If you don't need it, please just toss
it. Please call should you have any questions or need to discuss. Thank
you.
Thank you,
Jeffrey Page, P.E.
.1 1 Morehead Square Drive: Phone:
Stole J30 Pox: 70 522 •0882.
Cherfotte, NC 28203 ¢ttrnhtd(sgmon.t<rIII
NC DENR MR0
DWQ-Surface Water Protection
TRANSMITTAL

'Fort Mill; SC,NC'; Scale: 1'" = 0.300Mi 483Mt '1,584Ft,

FORM WSCAS-12/07
WATERSHED 'CLASSIFICATION ATTACHMENT
FOR SEWER SYSTEMS
A lieant Name Pry"ect Na r ae
Charlotte -Mecklenburg School Hamilton Smith Elementary School
Professional En ner Name En ineering Firm Name
Jeffrey T. Page, P.E. Turnbull Sigmon Design
Location
ID Name of Waterbod County
1 Vllalker Branch Mecklenburg
River
Basin
Waterbody Stream
Index No.
Catawba
11-137-10-1
Waterbody
Classification.
If unnamed, indacate "unnamed tributary to X", where X is the named waterbody to which the unnamed tributary joins.
1 certify that as a Registered Professional Engineer in the State of
North Carolina that I have diligently followed the Division's instructions
for classifying waterbodies and that the above classifications are
inclusive of the stated project, complete and correct to the best of my
knowledge and belief
PE Seal, Signature and Date
*** END OF FORM WSCAS-12/07 ***
FORM: WSCAS-12/07
Page 1 of 1

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
Flow Tracking/Acceptance for Sewer Extension. Permit Applications
(FTSE -10/07)
Project Applicant Name: — Turnbull Sigmon Design
Project Name for which flow is being requested: Hamilton Smi.tb. Elementary School
More than one FTSE-.I0/07 may be required for a single project if the owner of the WW7l' is not responsible for all
pump stations along the route of the proposed wastewater flo v.
I. Complete this section only if you are the owner ofthe wastewater treatment plant.
a. WWTP Facility Name: McAlpine Creek, Irwin Creek, Sugar Creek WWTP
b. WWTP Facility Permit #: NC0024970, NCo024945, NC0024937
All flows are in MGD
c. WWTP facility's peiu,iitted flow
d. Estimated obligated flow not yet tributary to the WWTP
WWTP facility's actual avg. flow
f Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
12.8
8
0.014
79.7
80.5'
II. Complete this section for each pump station you are responsible for along the route of this
proposed wastewater flow.
List pump stations located between the project connection point and the WWTP
Pump Station Name
Steele Creek
Approx. Capacity, MGD Approx. Current Avg.
(Finn/Design) Daily Flow, MGD
7.52 3,76
Certification Statement:
cif ry 5 k,e_ar, v , certify that, to the best of my knowledge, the addition of the
volume of wastewater to be permitted in this project has been evaluated along the route to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity
related sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant under norrnal circumstances. This analysis has been performed in accordance with local
established policies and procedures using the best available data. This certification applies to those items
listed above in Sections I and II for which I am the responsible party, Signature of this form indicates
acceptance of this wastewater flow.
3/Z2/8
Signing OfJkial Signature Date

, , ge...-- .1., # ilf i -. . . . . _._, „__:___,.,„
srg. .1
411 1 ( \ „...\-5• ‘ \ -.N.
01
' rr�' ▪ ;its, � �` ��,\ `POINT O- F CONNECTION TO EXISTING SEWER
w�4 w C�fi_ SOB # 300-99-694
\ .r
//
1 i r!/ i/ // d ""—
} 11 /f r r /..-- --- •,— _`�^
I f I 1 / / r' ▪ 'yam `
1 /l II
I f f f
,l,/1 I t
.1/1 I /
• S1GMON
DESIGN
Turnbull Sigmon Design
IDOT Morehead Square
Drive, Suite 530
Charlotte, NC 28203
Phone: [phone]
Fax: [phone]
LAND DEVELOPMENT
DESIGN SERVICES
- Charlotte
Mecklenburg
Schools
3301 STAFFORD DR.
CHARLOTTE, NC 28208
Hamilton
Smith
Elementary
15340 SMITH RD.
CHARLOTTE, NC
- Sewer Plan
PROJECT NUMBER: 07-069
ISSUE DATE: 4/8/08
DESIGNED BY: JTP
NO. DATE: BY: REVISIONS:
1
SHEET NO
1
OF

irP.r
Central Files: APS SWP
04/28/08
Permit Number W00032919 Permit Tracking Slip
Program Category Status Project Type
Non -discharge In review New Project
Permit Type Fast Track Version
Gravity Sewer Extension, Pump Stations, & Pressure Sewer A
Extensions
Primary Reviewer
dee.browder
Permitted Flow
14400
Facility
...Facility Name
Hamilton Smith Elementary School
Permit Classification
Individual
Permit Contact Affiliation
Major/Minor Region
Minor Mooresville
Location Address County
Mecklenburg
Facility Contact Affiliation
Owner
Owner Name
Charlotte -Mecklenburg Schools
116
Dates/Events
Owner Type
Government - County
Owner Affiliation
Anthony Ansaldo
3301 Stafford Dr
Charlotte
NC 28208
Orig Issue App Received
04/29/08 04/10/08
Scheduled
Draft Initiated Issuance
Public Notice Issue
Effective Expiration
04/29/08 04/29/08
Regulated Activities Re . uested/Received Events
School Additional information requested
Wastewater collection
Outfall NULL
Additional information received
Waterbody Name
Stream Index Number Current Class Subbasin

Beverly Eaves Perdue, Govemor
Dee Freeman, Secretary
North Carolina Department of Environment and Natural Resources
Coleen Sullins, Director
Division of Water Quality
March 30, 2009
Charlotte -Mecklenburg Schools
3301 Stafford Drive
Charlotte, North Carolina 28202
Attn: Tony Ansaldo. Director of Architect
SUBJECT: Hamilton Smith Elementary School
Permit No. WQ0032919
Wastewater Collection System Extension
Final Engineering Certification
Dear Permittee:
The Division received a final engineering certification for the subject project on March 25, 2009. 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. Please be
reminded that the Permittee is responsible for keeping a copy of the final record drawings for the
life of the project. If you have not received a copy, please contact your consultant immediately to
obtain a copy.
You are receiving this letter because the Division has you listed as the responsible party. If this
permitted system is no longer owned by you, please complete Form PNOCF-S as this permit is not
automatically transferable. Form PNOCF-S can be downloaded from
http://h2o.enr.state.nc.us/ndpu/ndpuapps.html#Sewer.
If you have any questions concerning this document or the completion of Form PNOCF-S (if
necessary), please contact Ms. Dee Browder at the letterhead address or via E-mail at
[e-mail].
6?-,S)
tRobert Krebs
urface Water Protection Regional Supervisor
Enclosure
Cc: Surface Water Protection Section Central Files (certification page only)
Jeffrey Page, Sigmon Design
Qne.
NorthCarolina
Naturally
Pretreatment, Emergency Response and Collection Systems Unit Internet http://h2o.enr.nc.state.ustndpu
1617 Mail Service Center, Raleigh, NC 27699-1617 An Equal Opportunity Action Employer
Telephone [phone] Fax [phone]% recyced/10% post -consumer paper

elk
Fast Track Engineering Certification
Permit No. W00032919
April 29, 2008
Owner/WQCS PE WQCS/WWTP
Tony Ansaldo, Dir of Architecture Jeffrey Page Steven Miller
Charlotte -Mecklenburg Schools Turnbull Sigmon Design Charlotte Mecklenburg Utilities
3301 Stafford Drive 1001 Morehead Square Dr., Suite 530 5100 Brookshire Blvd.
Charlotte, NC 28208 Charlotte, NC 28203 Charlotte, NC 28216
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
o Changes to the project should be clearly identified on the record drawings or in written summary form. Permit
modifications are regOired 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.
14L.t4 0GO 114—(H34?› GEoutIP W0444
ENGINEER'S CERTIFICATION !.V Ca V 116,61 ►'[AILS(
❑ Partial XFinal
IEVn PhLie , as a duly registered Professional Engineer in.the State of North Carolina, having been
authorized to observe !':periodically, ❑ weekly, L] full time) the construction of Hamilton Smith Elementary School,
a Mecklenburg Count 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.
r
North Carolina Professional Engineer's
seal, signature, and date:
a�- SEAL
33230
//i 'EY
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 28 1 15
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.

TURNBULL • SIGMON DESIGN
TO: Dee Browder
Mooresville Regional Office
Surface Water Protection
610 East Center Avenue, Suite 301
Mooresville, NC 28115
TEL: [phone]
DATE: March 20, 2009
REFERENCE: 07-069 Hamilton -Smith ES
TRANSMITTED VIA:
COURIER
❑MAIL
OVERNIGHT
❑ BY HAND
ACTION:
FOR APPROVAL
❑ FOR YOUR USE
ED AS REQUESTED
❑ FOR REVIEW AND COMMENT
❑ APPROVED AS SUBMITTED
0 APPROVED AS NOTED
❑ RETURNED FOR CORREL"TIaNS
cc:
Jeff Page, PE - TSD
DWQ-
Land
Development
Design, Services
WE ARE SENDING:
ATTACHED
❑ UNDER SEPARATE COVER
ITEM
DATE DESCRIPTION
3.20.09 Sanitary Sewer As -Built
3.20.09 Engineer's Final Cert
ation
COMMENTS:
Attached you will find our Engineer's Final Certification, and As -built
Survey for the gravity sewer system constructed under the permit
WQ0032919 Modification Dated April 29, 2008.
Please let rase know if there is further information needed for the final
approval of this system.
ou
Chip Fuquay, CA
lone Morehead Square Drive Phone: 7o4-529-G5oo
Fax: 7O4-522-0882
NQ282o3 turnhollsipmom.com
Chu
TRANSMITTAL