WQ0034287_Regional Office Historical File Pre 2018

A7A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor . Director Secretary
August 19, 2009
Mr. V. P. Thompson, President
Thompson Child and Family Focus
6750 Saint Peters Lane
Charlotte, NC 28105
Subject: Permit No. WQ0034287
Thompson Child and Family Focus -
Residential Cottage
Tax Parcel #165-151-05
C-MU Tracking # 600-09-598
Wastewater Collection System Extension
Mecklenburg County, North Carolina
Dear Mr. Thompson:
In accordance with your complete application received on August 18, 2009, we are forwarding
herewith Permit No. WQ0034287, dated August 19, 2009, to Thompson Child and Family Focus for the
construction and operation of the subject wastewater collection system extension. This permit shall be
effective from the date of issuance until rescinded, and shall be subject to the conditions and limitations
as specified therein. This cover letter shall be considered a part of this permit and is therefore
incorporated therein by reference.
Please pay particular attention to Permit Condition 3, which requires that the wastewater
collection facilities be properly operated and maintained in accordance with 15A NCAC 2T .0403 or any
individual system -wide collection system permit issued to the Permittee.
Permitting of this project does not constitute an acceptance of any part of the project that does
not meet 1) 15A NCAC 2T; 2) the Division of Water Quality's (Division) Gravity Sewer Minimum Design
Criteria adopted February 12, 1996, as applicable; 3) and the Division's Minimum Design Criteria for the
Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000, as applicable, unless
specifically mentioned herein. Division approval is based on acceptance of the certification provided by a
North Carolina -licensed Professional Engineer in the application. It shall be the Permittee's responsibility
to ensure that the as -constructed project meets the appropriate design criteria and rules. Failure to
comply may result in penalties in accordance with North Carolina General Statute §143-215.6A through
§143-215.6C, construction of additional or replacement wastewater collection facilities, and/or referral of
the North Carolina -licensed Professional Engineer to the licensing board.
Mooresville Regional Office
Location: 610 East Center Ave., Suite 301 Mooresville, NC 28115
Phone: [phone] \ Fax: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled/10% Post Consumer paper
NorthCarolina
Naturally

Permit No. WQ0034287
August 19, 2009
Owner/WQCS
V. P. Thompson
6750 Saint Peters Lane
Charlotte, NC 28105
PE
Jeffrey Lundy, P.E.
Henson Design, inc.
102.24 Hickorywood Hill Ave., Ste. 101A
Huntersville, NC 28078
WQCS/VVWTP
Barbara Gross
5100 Brookshire Blvd
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 ail
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
111 Partial El Final
, as a duly registered Professional Engineer in the State of North Carolina,
having been authorized to observe ([11 periodically, 11] weekly, El full time) the construction of Thompson
Child and Family Focus - Residential Cottage, 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 NCA.0 2T; the
Division of Water Q,uality's (Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as
applicable, the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force
Mains adopted June 1,. 2000 as applicable, and other supporting materials.
North Carolina Professional Engineer's seal, signature, and date:
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
MOORESVILLE REGIONAL OFFICE
SURFACE WATER PROTECTION
610 EAST CENTER AVENUE, SUITE 301
MOORESVILLE NC 28115
The Permittee is responsible for tracking all partial certifications up until a final certification is received. Any
wastewater flow made tributary to the wastewater collection system extension prior to completion of this
Engineer's Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions.
4

2
USE THE TAB KEY TO MOVE FROM FIELD TO FIELD
Owner/Permittee:j...
la, Thompson Child and Family Focus
Fult Name (c ompany, municipatity, HOA, utility, etc.
1 b.
Official Nye and Title'"{Please revie
1 c. The legal entity who will own this system is:
Individual U Federal 0 Municipality ❑
ld. 6750 Saint Peters Lane
Mailing Address
1f, NC
State
1h,
Application Number:
(to be completed by DWQ)
A NCAC 2T ,0106 (b) for authod`zed signing officials!)
tate/C©unty Private Partnership © Corporation 0 Other (specify):
1 e. Charlotte
City
lg. 28105
Zip Code
Telephone Facsimile
2, Project (Facility) information::
2a. Thompson Child and Family Focus: Residential Cottage
Brief Project Name (permit will refer to this name)
Contact Person:
Jeff Lundy, P,E,
Name and Affiliation of Someone Who Can Answer tbluestions About this Application
E-mail
2b. Mecklenbu
County Who`re Project is Located
3b, 704-875-1615
Phone Number
Project is New Modification (t f an existing permit) If Modification, Permi.
Owner is 0 Public (skip to Item B(3))
2a, If private, applicant will be:
3c. Jeffhe @ nsandesigninc,cam
E-mail
® Private (go to Item 2(a))
2b. If sold, facilities owned by a (must choose one)
Retaining Ownership (i.e, store, church, single office, etc.) or
0 Leasing units (lots, townhomes, etc - skip to item B(3))
© Selling units (lots, townhomes, etc, - go to item B(2b))
0 Public Utility (Instruction C)
0 Homeowner Assoc./Developer (Instruction D)
3, Charlotte Mecklenburg Utilities
Owner of Wastewater Treatment Facility (WWWTF) Treating Wastewater From This Project
McAlpine Creek Irwin Creek, Sy_gar Creek 4b NC 0024970, NC0024945, NC0024937
WWTF Permit No, ~m^
Name of WWVTF
es5b. 8°' Gravity
Owner of Downstream Sewer Receiving Sewer Size 0 Force Main
The origin of this wastewater is (check all that apply):
El Residential Subdivision
Ej Apartments/Condominiums
Ej Mobile Home Park
© School
O Restaurant
O Office
Permit # of Downstrea
• Retail (Stores, shopping centers)
(l Institution
Ej Hospital
© Church
© Nursing Home
0 Other (specify):
ion E)
Domestic/Commercial
% Industrial (attach
description.)
(RO: contact your Regional Office
Pretreatment staff)
100 % Other (specify): INST
Volume of wastewater to be allocatedsr permitted for this particular project: 1000 gallons per day
"Do not include future flows or previously permitted allocations
If the permitted flow is zero, indicate why:
El Pump Stations Outfall or Interceptor Line where flow will be permitted in subsequent permits that connect to this line
O Flow has already been allocated in Permit No,
0 Rehabilitation or replacement of existing sewer with no new flow expected (see 15A NCAC 02T .0303 to determine if a
permit is required)
l" TA12/07

3. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 1 5A NCAC 2T.01 14
for the value inItem 13(7) AND/OR the design flow for line or pump station sizing if a reduced or zero flow is being
requested inItem B(7) Values other than that in 15A NCAC 2T.01 14 (b) and (G) must be supported with actual water or
wastewater use data inaccordance with 1aANCACoT.o114(f).
Total Sewage F|ow= 3'1n6gallons per day
Total Fbw~[10cottage units x1eogpd/unit;Day Care (4Sstudents & staff) x25gpd/pomon]
r------ ---'-----'------------'--------- ------ --
10. Summary ofSewer Lines mboPermitted (attach additional sheets ifnecessary)
Size (inches)
New Gravity orAdditional
Length (feet) Force Main
81,
771 i New Gravity
�
11.3umma�oPumpS,a|nnsu�asson��dPnr�e�a�mmbmPenm�nd�uuohadd�onaohe
0U
M
- -'-- - - ----- ----'- ----------' -
Pump Station Location ID (se Kchose n'aumhown onp/mnahnopfo,ref emnno)
Z
Design Flow Operational Point
<KK�o) GPM @ToH
Power ReUabU|tyC)p8nn
1'permanent generator v1ATS;
o'portable generator wVMT@
Force Main Size
Force Main Length
B. PERMIT INFORMATION
Pump Station Location ID (self chosen -
as shown on plans/map
for reference)
Design Flow Power Reiiability Option
, Operational Point
(MGD) GPM(PTDH I -permanent generator w/ATS;!
ForceMainSize
Force Main Length
PumpStation Location (D (self chosen 'oashown onplans/map for reference)
Design Flow
(»«
i
Operational Point Power RoUabi|byOpbon
GPM 0�TDM � 1 ' permanent gonemto,wwYTS/
� 2'portable generator wIMlS
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?
0Yes (K No |iYes, permit number o/2'"' treatment facility
(RO-|f^y,s" to8'1uplease contact the Central Office PERCOUnit)
... .............. ........ ..... ........ -_-____-_-_-___-... ..... -_-_... ___-_-__--_-_-___--_-_-_______-_-____-_-__-____-
13. Does the sewer system complywith 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 [I 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 roTHE VARIANCE WITH YOUR APPLICATION
FTAl207

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ntr`'r?.xitj,o",T Ili dt t'
nature of Signing Official and Pro ec,t Nansek
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ENGINEERING DESIGN DOC.:L tTwME,.NTti Mfu%T` BE CC P . °T.E PP :T .. S ,E R ITT AL. OFT *t
.APPLICATION. THESE ( CU ENTS MiJ IT INC.I kt E Pi.*TN AND PRO-tl E
Tt OTHFB 1 TR[ 1*IFS, DESIGN C"Ai. °Lrt AT I x)tdE FTC -El ter:;= rtrA NCAC , a T
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(Signature of Design Engineer and Protect Marne)
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9

State of Nortih Carolina
Department of Environment and Natural. Resources
Division of Water Quality
FAST -TRACK APPLICATION
(FTA 12/07 )
for GRAYITY SEWERS, PUMP STATIONS, AND FORCE MAINS
(Pressure & Vacuum sewer systems are not to he included as part ol`this application package)
INSTRUCTIONS: indicate that you have included/addressed the following list of required application package items by
checking the space provided next to each a ,+liable item Failure to submit all required items will lead to your application
being returned as incomplete, Forms a from the web sire or by cafli g the Regional' Office serving your county.`
http://h2o.enrstate,nc.us✓peres/Collection 2 Systems% 'ofeetto iS tmmAppli6trons.html
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 (Le. 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 plans and specifications unless you respond NO to Item B(13J.
Separate applications should be made for non-contiguous sewer systems.
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.
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.
ll'w' 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 MUNICIPALITY UPON
COMPLETION, FORM DEV 02/03 IS REQUIRED.
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.
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.
FTA 12107

G. Stream Classifications — Watershed Classification Attachment (Form WSACAS-12/07) If any portion of the
sewer system project boundary -is within 100 feet of any surface water or wetlands, the Watershed Classification
Attachment m-ust-may need to be completed, A variance must be re ueste.dfoLflroaChrnent within re uired
setbacks or buffers ursuant to 2T ,0305 3 with su
documentation/justification provided
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.
. Row 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,
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(1b), 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 12/07 APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
DOCUMENTS AND $480 FEE, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
Asheville Regional Office
Fayetteville Regional Offlce
ooresvi le RegionalOffice
Raleigh Regional 0
hington Regional Office
ington Regional 0ffice
inston-Salem Regional Office
ADDRESS
2090 US Highway 70
Swannanoa, North Carolina 28778
[phone]
[phone] Fax
225 Green Street Suite 714
Fayetteville, North Carolina 28301-5094
[phone]
[phone] Fax
610 E. Center Avenue
Mooresville, North Carolina 28115
[phone]
[phone] Fax
1628 Mail Service Center
Raleigh, North Carolina 27699-1628
[phone]
[phone] Fax
943 Washington Square
Washington, North Carolina 27 89
[phone]
[phone] Fax
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
[phone] Fax
585 Waughtown Street
Winston-Salem, North Carolina 27107
[phone]
[phone] Fax
http:/Avw
COUNTIES SERVED
Avery, Buncombe, Burke, Caldwell, Cherokee,
Clay, Graham, Haywood, Henderson, Jackson,
Macon, Madison, McDowell, Mitchell, Polk,
Rutherford, Swain, Transylvania, Yancey
Anson, Bladen, Cumberland, Harnett, Hoke,
Montgomery, Moore, Robeson, Richmond,
Sampson, Scotland
Alexander, Cabarrus, Catawba, Cleveland,
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
Stanly, Union
Chatham, Durham, Edgecombe, Franklin,
Granville, Halifax, Johnston, Lee, Nash,
Northampton, Orange, Person, Vance, Wake,
Warren, Wilson
Beaufort, Bertie, Camden, Chowan, Craven,
Currituck, Dare, Gates, Greene, Hertford, Hyde,
Jones, Lenoir, Martin, Pamlico, Pasquotank,
Perquimans, Pitt, Tyrrell, Washington, Wayne
Brunswick, Carteret, Columbus, Dublin, New
Hanover, Onslow, Fender
Alamance, Allegheny, Ashe, Caswell, Davidson,
Davie, Forsyth, Guilford, Rockingham, Randolph,
Stokes, Surry, Watauga, Wilkes, Yadkin
For more information, please visit our web site at:
ccql.net/Engineering/Sewer%20Permits.html
FTA12/07

CHARLOTTE.
CHARLOTTE-MECKLENBURG
UTILITIES
July 21, 2009
Mr, Ken Harrill
Henson Design, Inc.
10224 Hickorywood Hill Avenue
Suite 101A
Huntersville, NC 28078
SUBJECT: WATER AND SEWER FLOW ACCEPTANCE
THOMPSON CHILD & FAMILY FOCUS — ST PETER'S LANE
TAX PARCEL# 165-151-05
C-MU TRACKING# 600-09-598
In response to your request, a flow acceptance study ofthe ubject site has been completed and the
following has been determined:
Charlotte -Mecklenburg Utilities agrees to accept the gravity sewage flow of 3,125 gallons per day [10
cottage units x 190 gpd/unit; Day Care (49 students & staff) x 25 gpd/person] from this project for
transmission to the McAlpine Creek Wastewater Treatment Plant; NPDES permit number NC0024970, for
treatment. This acceptance of flow is based on the existing capacity of the designated publicly owned
treatments works. Please see attached basin map and flow tracking form
Charlotte -Mecklenburg Utilities agrees to furnish water to the subject project. The water quality to the
subject project is regulated by the State Drinking Water Act Amendments of 1986, and The Water Supply
Management Plan, dated October 2005, (WSMP # 05-01702 & PWS ID # 0160010), on file with the
Public Water Supply Section of NCDENR, However, Charlotte -Mecklenburg Utilities cannot guarantee a
constant pressure or quality of flow.
Due to the involvement of other agencies and continuing growth of the water and sewer system, the
ability to provide service for future projects cannot be guaranteed nor reserved, Connection to the
Charlotte -Mecklenburg Utilities system is accepted on a first come, first served basis.
The applicant should understand that this letter is not authorization to construct private water or sewer
systems, as the appropriate local or State permits are required prior to construction. If the appropriate
authorization to construct ermits are not obtained and construction has not started within one I ear of
issuance of this flow acceptance, and payment for service connection(s) has not been received
ear of the issuance of this flow acceptance, this flow acce tance a royal shall be rescinded and a ne
flow acceptance request must be made, If you have any questions, you may contact me at (704) 391-
5129,
Barbara Gross
Engineering Assistant
New Services Section
CHARLOTTE-MECKLENBURG UTILITIES
Customer Service Division New Services Section
www,cmutilities.com
5100 Brookshire Boulevard
Charlotte, NC 28216
Ph: 704/399-2221
Fax: [phone]

Charlotte -Mecklenburg Utilites
�P Service Areas with Basins

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE —1 n/a7)
Project Applicant Name: Henson Design Inc,
Project Name for which flow is being requested: Thompson Child & Family Focus - St Peters Lane
More than one FTSE- 10/07 may he required fhr a single project if the owner of the WWTP is' not responsible for all
pump stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant..
a. WWTP Facility Name: McAlpine Creek, ircvirz Creek, Sugar Creek WWTP
b. WWTP Facility Permit #:
N00024970,N00024945, NC0024937
All flows are in MGI)
c. WWTP facility's permitted flow 99.0
d. Estimated obligated flow not yet tributary to the WWTP 10.655
e. WWTP facility's actual avg. flow 66.8
f. Total flow for this specific request 0.003125
g. Total actual and obligated flows to the facility 77.781
h. Percent of permitted flow used 78.6
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 Approx. Capacity, MGD Approx. Current Avg.
(Firm/Design) Daily Flow, IMGD
ification Statement:
r ey S k ea f . 4, , certify that, to the best ©f 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 normal 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 1 and 11 for which 1 am the responsible party, Signature of this form indicates
acceptance of this was ewater flow,
7'h'i3 /a,
Signing 00 itt' Signature Date

North Carolina Secretary of State Page 1 of 1
North Carolina
Elaine F. Marshall DEPARTMENT OF THE
Secretary SECRETARY OF STATE
PO Box 29622 Raleigh, NC 27626-0622 [phone]
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Date: 8/14/2009
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Corporation Names
Name
NC Thompson Child &
Family Focus.
NC Thompson Child &
Family Focus
NC Thompson Children' s
Home, Inc.
NC Thompson Orphanage
and Training Institute
NC The Thompson
Orphanage and Training
Institution
Name Type
Legal
CSL Legal
Prev Legal
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Non -Profit Corporation Information
SOSID:
Status:
Date Formed:
Citizenship:
State of Inc.:
Duration:
Registered Agent
0150635
Current -Active
3/7/1887
Domestic
NC
Perpetual
Agent Name:
Registered Office
Address:
Registered Mailing
Address:
Principal Office Address:
Principal Mailing
Address:
Amendum, Virginia R.
6800 Saint Peter's Lane
Matthews NC 28105
6800 Saint Peter's Lane
Matthews NC 28105
No Address
6801 St Peter's Ln
Charlotte NC 28229
http://www.secretary.state.nc.us/corporations/Corp.aspx?PitemId-4882193 8/14/2009

Subject:
Dea
Michael F. Easley, Governor
William G. Russ Jr., Secretay
ntof[vliviranrerta d_TNaturaiResources
Co]een V], Sullins, Director
Division of Water Quality
2009
Fast Track Application Return
Project Name: 17)
- County, North al
The Div'isi n o . Water Quality, Mooresville Regional Office received your Fast Track sewer
application on 1 il During an initial review of your application, your application was d.eterrnined. to
be incomplete. 'Therefore, your application is being returned. (Please include a copy of this Letter with
your resubrnittal), For a listing of the correct forms and instructions please visit:
ht1:p://h2o.enr.state.nc.uslperes!ColleationSyst:erns/CoI'IectionSystemAppliicatir;s�s.ht�,
Please complete/correct: the folio vFing deficiencies:
Application submitted on wrong or outdated forms. Form(s):
Application was submitted without a processing fee or with an incorrect processing fee.
Application did not contain a Flow Tracking Form (FTSE 10/07),
Application did not contain the Developer's/Homeowner's Operational Agreen.ent,
Application did not contain the correct number of copies.
Application failed to include project map.
Application (line A.1 b) was not signed by an authorized representative in accordance with 15A
N .AC 2T .0] 06(b). (see htt a712o.err.state.nc,usladrnin/rule-slcodes stattrtes,htr)
Following submission of a complete application, the Mooresville Regional Office will begin a
technical review of your application. If your application is technically deficient additional information m
be required or the package may be returned again.
Enclosure: Fa
Sincerely,
6.4-
Robert B. Krebs
Supervisor, Mooresville Regional Office
,rack Sewer Extension Application
cc: RO File
610 East Center Ave. Suite 300 Mooresville, NC 28115 704-663-1699 (Telephone)

Henson Desi
-
1,02'24 Hiekoryrs°o r l Hill Avenue Ro
Huniersvillc, North Carolina 28078
70=4-87.5-I(,l5 ph. 701-875-0959lx.
We are sending you: attache
_ Shop drawings _ Prints
_ Copy of letter _ Chang
Copies Date Number
7/24/09
7/24/09
d as checked below
approved as subnmttc 1
_ ,lpprovcd h noted
Returned. for corrections
Fein rl°,vioa and (1,111 11CM
Remarks:
Fee
- of Transmi
Description
_ Resubmit
_ Submit.
Return
keatnedt:Harrill

pprr
Permit Number WQ0034287
Central Files: APS_ SWP_
08/19/09
Permit Tracking Slip
Program Category Status Project Type
Non -discharge Active New Project
Permit Type Fast Track Version Permit Classification
Gravity Sewer Extension, Pump Stations, & Pressure Sewer 1.00 Individual
Extensions
Primary Reviewer Permit Contact Affiliation
michael.parker
Coastal SW Rule
Permitted Flow
3125.
Facility
Facility Name Major/Minor Region
Thompson Child and Family Focus Residential Minor Mooresville
Cottage
Location Address County
Mecklenburg
Facility Contact Affiliation
Owner
Owner Name
Thompson Child and Family Focus
Dates/Events
Owner Type
Non -Government
Owner Affiliation
Danny Whitley
6750 Saint Peters Ln
Matthews
NC 28105
Orig Issue
08/19/09
App Received
08/13/09
Draft Initiated
Scheduled
Issuance
Public Notice Issue
08/19/09
Regulated Activities ReciuestedlReceived Events
Institution, other
Wastewater collection
Outfall NULL
Additional information requested
Additional information received
Effective Expiration
08/19/09
08/18/09
08/18/09
Waterbody Name Stream Index Number Current Class Subbasin

He
son l)esi l
Tim Foley
10224 Hickorywood Hill Avenue, Suite 101A
Huntersville, North Carolina 28078
704-875-1615 ph. 704-875-0959 fx.
ooresville Regional Office
Dept: Su
Phone:
Le
ran iattal
Protection Re: Thompson Child & Family Focus
We are sending you: x Attached _ Under separate cover via
_ Prints _ Plans _ Samples _ Specifications
_ Change Order _
_ Shop drawings
Copy of letter
Copies
1
1
Pages
Sewer certification
Sewer asbuilt certification
These are transmitted as checked below:
Description
_ For approval _ Approved as submitted _ Resubmit copies for approval
For your use _ Approved as noted —, Submit copies for distribution
_ As requested _ Returned for corrections _ Return corrected prints
For review and comment
Remarks:
Signed:

Permit No. WQ0034287
August 19, 2009
Owner)WQCS
V. P. Thompson
6750 Saint Peters Lane
Charlotte, NC 28105
PE
Jcffrcy Lundy, P.E. Timothy Foley, P.E.
Henson Design, Inc.
10224 Hickorywood Hill Ave., Ste. 101A
Huntersville, NC 28078
WQCSJWWTP
Barbara Gross
CMU
5100 Brookshire Blvd
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 paint, 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
1, Timothy Foley, P.E. , as a duly registered Professional Engineer in the State of North Carolina,
having been authorized to observe (® periodically, ❑ weekly, D full time) the construction of Thompson
Child and Family Focus - Residential Cottage, 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 Criteria adopted February 12, 1996 as
applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force
Mains adopted June 1, 2000 as applicable; and other supporting materials.
North Carolina Professional Engineer's seal, signature, and date:
�\ \'Oa°eceaio /
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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 Perrnittee to
appropriate enforcement actions.
4