WQ0038501_Regional Office Historical File Pre 2018

Water Resources
ENVIRONMENTAL OUALIiTY
May 31, 2016
A
Mark P. Hahn, Director, Mecklenburg County Asset and Facility Managemen
Mecklenburg County
3205 Freedom Dr., Suite 101
Charlotte, NC 28208
Dear Mr. Hahn:.
T MCCRORY
Goemor
VAN:}DER VAART
Secretary
S. JAY ZIMMERMAN
Subject: Permit No. WQ0038501
Mecklenburg County
Medic Headquarters & Operations Facilities
Wastewater Collection System Extension Permi
Mecklenburg County
In accordance with your application received May 26, 2016, we are forwarding herewith Permit No.
WQ0038501 dated May 31, 2016, to Mecklenburg County (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from the date of issuance until rescinded and shall be subject to the conditions and limitations as specified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 11,1: This permit shall not be automatically transferable; a request must be made and
approved.
Condition 11.4: Requires that the wastewater collection facilities be properly operated and maintained
in accordance with 15A NCAC 2T .0403 or any individual system -wide collection system
permit issued to the Permittee.
It shall be 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.
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 1508 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.
State of North Carolina I Environmental Quality j Water Resources 1 Water Quality Regional Operations
Mooresville Regional Ot7cei 610 East Center Avenue, Suite 301 Mooresville, North Carolina 28115
704 663 1699

If you need additional information concerning this ratter, please contact Barry Love at (704
or via e-mail at [e-mail].
Sincerely,
by W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office
Division of Water Resources, NCDEQ
cc: Wesley Sherrill, P,E, (e-copy)
Barbara Gross (e-copy)
Tommy Rowland (e-copy)
Regional Office Files
Water Resources Central Files
PERCS (e-copy)
2
2143
Page 2 of 8

� � W
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
Mecklenburg County
Mecklenburg. County
for the construction and operation of approximately 245 linear feet of 6-inch gravity sewer and 576 linear
feet of 8-inch gravity sewer to serve as part of the Medic Headquarters & Operations Facilities project,
and no new additional discharge of collected commercial wastewater into the Charlotte Water existing
sewerage system, pursuant to the application received May 26, 2016, and 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 Purnp Stations and Force Mains
adopted June 1, 2000, as applicable; and other supporting data subsequently filed and approved by the
Department of Environmental Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the specified
conditions and limitations contained therein.
by W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office
Division of Water Resources, NCDEQ
Permit Number: WQ0038501
Permit Issued: May 31, 2016
Page 3 of 8

SUPPLEMENT TO PERMIT COVER SHEET
Mecklenburg County is hereby authorized to:
Construct, and then operate upon certification the aforementioned wastewater collection extension. The
sewage and wastewater collected by this system shall be treated in the Charlotte Water McAlpine Creek
Wastewater Treatment Plant in accordance with Permit Number NC0024970.
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
No new additional flow 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.4304(b)]
2. This permit shall become voidable unless the agreement between Mecklenburg County and Charlotte
Water for the collection and final treatment of wastewater is in full force and effect. [15A NCAC
02T.0304(h)]
II. STANDARD CONDITIONS
This permit is not 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. [15A NCAC 02T.0104; G,S 143-215.1(d3)i
2. This permit shall become voidable unitess the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 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 materials unless specifically mentioned herein. [15A NCAC 02T.0110]
This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data. [15A NCAC 02T .0110]
4. The wastewater collection facilities shall be properly maintained and operated at all times. The
Permittee shall maintain compliance with an individual system -wide collection system permit for the
Page4of8

I
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: [15A NCAC 02T .0108(b)]:
a. The sewer system shall be effectively maintained and operated at all times to prevent discharge
to land or surface waters, and to prevent any contravention of groundwater standards or surface
water standards.
b. A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan including pump station inspection frequency, preventative
maintenance schedule, spare parts inventory and overflow response has been developed and
implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every day (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 -months and inspections are
documented.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Overflows and bypasses shall be reported to the appropriate Division regional office in accordance
with 15A NCAC 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,
following the occurrence or first knowledge of the occurrence of either of the following:
Page 5 of 8

a. Any process unit failure, due to known or unknown reasons, that renders the facility incapable
of adequate wastewater transport, such as mechanic& or electrical failures of pumps, line
blockage or breakage, etc.; or
b. Any SSO and/or spill over 1,000 gallons; or
c. Any SSO and/or spill, regardless of volume, that reaches surface water
Voice mail messages or faxed information is permissible, but this shall not be considered as the initial
verbal report. Overflows and spills occurring outside normal business hours may also be reported to
the Division of Emergency Management at telephone number [phone] or [phone].
Persons reporting any of the above occurrences shall file a spill report by completing and submitting
Part I of Form CS-SSO (or the most current Division approved form) within five days following first
knowledge of the occurrence. This report must outline the actions taken or proposed to be taken to
ensure that the problem does not recur. Part II of Form CS-SSO (or the most current Division approved
form) can also be completed to show that the SSO was beyond control. (G.S. 143-215.1C(al))
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. (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:
a. 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 times, 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.
Page 6 of 8

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 or variances to
the Minimum Design Criteria will 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. 115A NCAC 02T .0116]
10. 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,,
co nstruction 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 may be
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 ENGINEERING CERTIFICATION
Mecklenburg County
VVCU3838501
Medic Headquarters &kOperations Facilities
May 31,2O16
This 'Project shall not be considered complete nor allowed to operate in accordance with Condition 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
the Regional Supervisor, Water Quality Regional Operations Section at the address at the bottom.
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 Pennittae to
appropriate enforcement actions. The Pernmioee is responsible for tracking all partial certifications up
until afinal certification isreceived. AFinal Certification shall beacomplete set ofrecord drawings and
design calculations regardless nfwhether partials have been submitted.
P[mMnTEs'S CERTIFICATION
|, the undersigned agent for the Penmittee hereby state that this project has been constructed pursuant
tothe applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Pernnittee isprepared 1ooperate fkmaintain
the wastewater collection system permitted herein orportions thereof.
Printed Name, Title
Signature Date
ENGINEER'S CERTIFICATION
1, _ , as d registered ProfessionalEngineer in the State ufNo�h Carolina,
having been authorized to observe (| | periodically, ! ] weekly, | | full time) the construction of the
project name and location nsreferenced above for the above Permitteehereby state that, tothe best nf
my abilities, due care and diligence was used in the observation of the construction such that the
construction was observed to he built within substantial compliance of this permit; 15A N[A[OZT; 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/xignatureQ^date:
F Final F] Partial (include description
Certification Comments/Qualifiers if
State Df North Carolina I Environmental Quality I Water Reiouroes I Water Quality Regional Operations
Mooresville Regional OfficeluuEast Center Avenue, Strike 3ox|Moortsville,North Carobam1/5
maw`,AQ*

15A NCAC 02T .0300 — FAST
on of Water II+e ources
State of North Carolina
Department of Environmental Quality
Dvision of Water Resources
ACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Appticatii©n Number:
All items rest be completed or the ap
APPLICANT INFORMATION:
Applicant's name: Mecklenbur Coun y (company, muni
2. Applicant type: ❑ Individual ❑ Corporation
0 Federal. State/County
Signature authority's name: Mark P. Hahn per 5. i i
Title: QirectorMec:klenbur County Assert OctFacility
4. Applicant's mailing address: 3205 Freedom Dr, Suite 101
City: Charlotte State: NC Zip: 28208-
5. Applicant's contact information:
Phone number: (980) 31.44-2520 Email Address: mark.hahnra eclklcnburcoun
eted
tion will be retu
PROJECT INFORMATION:
1. Project name: Medic Headquarters & Operations Faci
Application/Project status:
ed
tpalrty,, t1A, uttttty, etc.)
❑ General Partnership ❑ Privately -Owned Public Utility
El Municipal
tnagement
°posed (New Permit)
❑ Existing Perrtitl'rr.ject
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:: WQO0__
2, County where project is located: Mecklenburg
4, Approximate Coordinates (Deccimal Degrees): Latitude: Longitude:-80.911 T'
5, Parcel ID (if applicable): 1 I5-091-02
(or Parcel 1D to closest downstream sewer)
CONSULTANT INFORMATION:
1, Professional Engineer: Wesley Sherrill LicenseNumber: ,NC E„ 47)
Firm: Alfred Itrteseh & Company
Mailing address:2320 West Morehead St
City: Charlotte State: NC Zip: 28208-
Phone number: (704) 5:21-9880 Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY" (WWTF) iNFORMATION:
1. Facility Name: McAlpine Creek Permit Number: NC0024970
Owner Name: Charlotte Water
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ System Wide Collection System Permit Numbers) (if applicable.):
Owner 'Nanie(s):.r.
QC
FORM: FTA 04-16
Page 1 of 5

GENERAL REQUIREMENTS
I. If the Applicant is a Privately -Owned Public Utility, has a Ce
❑ Yes ❑No
2_ If the Applicant is a Developer of lots to be sold, has aDevelopers
Yes No N,'A
2. If the Applicant is a ({otne ProperlyOwner° y so ataaatha rri )pe?ational Agreement,
❑ Yes ❑No LEIN`A
4. Origin of wastewater: (check all that apply):
® Residential Owned
0 Residential Leased
School t' preschool I day care
Food and drink facilities
Businesses / offices .> factories
© Retail (stores, centers, malls)
© Retail with food preparation,r'service
Medical ,, dental t' veterinary facilities
El Church
Nursing Home
Nature of wastewater : ,4 Domestic
%% Industrial
nmercial 100 `?ro Commercial
NC,1t. 021',1) I03a()))
Is there a Pretreatment Program in effect?
of Public Convenience and Necessity been attached?
N/A
nt l Ag e n) tlyt:)RM [ E v'.) been attached?
been
c
d?
Car Wash
❑ Hotel and/or Motels
—1 Swimming Pool /Clubhouse
❑ Swimming Pool/Filter Backwash
© Other (Explain in Attachment)
Yes
6, llas a flow reduction been approved under 1 5,A NCAC 02,T 01 1. le))`' ❑ Yes ❑ No
➢ yes provide a copy of flow reduction approval letter
7n Summarize wastewater generated by project:
1
Establishment F Type
T e see 02TC. f14(f)) 1 Daily Design Flow s.b
Replacement sewer
gall
gall
No. of Units
Flow
0 GPD
GPI)
gal/
gall
GPD
GPD
GPD
GPD
Tola
0 G, P D
a See f SA n(n AU 02f 01 1 4L11 _(d),(c)(1) arrc v) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling: proposed unknown non-re,idcnti<al development uses; public access facilities located near high public use areas:
and residential property located south or east of the Atlantic tat Waterway to be used as vacation rentals as defined
in
b Per 15A NCAC 02T .01 14(c), design flow rates for establishments not identified [in table,) f N, iCr 2`I".01E41 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data,
Wastewater generated by project: t) GPD (per 1 >A NLAc,93 1 ,01 1=T)
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 connect to this 'line
❑ Flow has already been allocated in Permit Number„
Rehabilitation or replacement of existing sewer with no new flow expected
El Other (Explain):
FORM: FTA 04-16
Page 2 of 5

GRAVITY SEWER DESIGN CRITERIA (11' Applicable) - 02T .0 05 MDC
Summarize gravity sewer to be permitted:
Size (inches)
6
8
Length (feet)
245
576
PVC
PVC
Section I1 & 111 ofthe MDC. for Permitting of Gravity Sewers contains information related to design criteria
Section III contains information related to minimum slopes for gravity sewer(s)
Oversizin.g lines to meet minimum slope requirement is not allowed and a violation of the MDC
Vlll. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T ,0305 & M,DC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1, Pump station number or name:
Approximate Coordinates (Decimal Degrees). Latitude:
Longitude: -
3. Design flow of the pump station: millions gallons per day ("firm capacity)
4. Operational point(s) of the pump(s): gallons per minute at feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet)
Material
6. Power reliability itt accordance with I v t y i 2. F..030 h)l.
© Standby power source or pump with automatic activation and telemetry - I5A NCAC 021' ,0305(h)(I)(B)„
Required fttr 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:
LJ Portable power source with manual activation, quick -connection receptacle and telemetry - 1.5A NCAC 02T
.0305(h)(1)(C)
or
D Portable pumping unit with plugged emergency pump connection and telemetry - 15 A NCAC 02T .0305(h)(1)(C):
Y It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreetnent)
and is compatible with the station,
Ifthe portable power source or pump is dedicated to multiple pump stations, an evaluation o'fail 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: FTA 04-1.6
Page 3 of 5

SETBACKS'& SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations found in 15A NCAC 02T ,0305() & (g,)
A NCAC 02T,0305(f) contains minimum separations that shall be provided ° s s s:
S o
Setback Parame
ers and other es not 's d below (vertica
Yes INo
Separation Required
24 inches
a
ain ve ater over sewer including in benched trenche
/ater mains horizonta
18 inches
10 fee
aimed water lines (vertical - reclaimed over sewe
ches
Reclaimed water lines (horizontal -
aimed over sewer)
2
**Any private or public water supply source, including any wells, WS-I waters of Class 1 or
Class impounded reservoirs used as a source of drinking water
rs classified WS (except WS- or WS-V), B. SA, ORW, HQW, or SB from normal
ter (or tide elevation) and wetlands (see item 1X,2)
100 Feet
50 fee
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
dltches
Any building oundation
An
basemen
10 feet
Top slope of embankment or cuts of 2 feet or more verticalheigh
Drainage systems and interceptor drains
10 feet
10 fee
5 feet
Any swimming pools 10 feet
Final earth grade (vertical) 36 inches
• 15A NCAC 02T 0305(g) contains alternatives where separations in 0213. ow cannot be achieved,
• **Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
• lf noncompliance with 02 1'.0305(f) or (g), see Section X of this application
. 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 he 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
Yes 1 INo
3. Does the project comply with all setbacks found in the river basin rules per .I 5A.. NO( QZILONO? Yes E1 No.
• This would include Trout Buffered Streams per 1 5AKAC,1B0:202
4. Does the project comply V./ iih an individual 404 Permit or any 401 Certifications? Yes LJ 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 & Iluffer PertpittingBranch
5. Does project comply with 15A NCAC 0ITA:1105(46) (additional permitslcertifications)? Z Yes Z No
Per 15kNGAK...QZ1-,9 05_(cL: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 "high -priority'?"
Per V 5A NCAC 021- 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,
LjIJYes VANo
!ryes, include an attachment with details for each line, including type (aerial inc.lsize, 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.9403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: FTA 04-16 Page 4 015

CERTIFICATIONS:
Does the submitted system comply with 15A NCAC Q21, the Ilvlipimum t)esign C r t ritathr the Pertttitt
and Force Mains (latest version), and the jra,vity Sewer Minimuln Design Criteria (latest version) as applicable?
Yes 0 No
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents for
review. Approval of the request is required prior to submittal of the Fast Track Apnikat:on and supporting documents.
0
2. Professional Engineer's Certification:
1 �yT.,... W +t SmzeRi % attest that this application for
(Professional Engineer's name from Application Item IILI.)
has been reviewed by me 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 1 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 misdemeanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation.
North Carolina Professional Engineer seal, signature, and date:
Applicant's Certification per 15A NCAC 02T .0106(b):
"'Alt K ' —,p, Mg-X..1.14111314ZG Ca 4sr ` F eu
(Signature Authority's name & title from Application Item 1.3.)
application for
has been reviewed by me andis accurate and complete to the best of my knowledge. 1 understand that if all required parts of
this application are not completed and that if ail 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 immediate 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. I 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 143-215.6A and 143-215. iF3, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation,
Date:
FORM: ETA 04-16 Page 5 of 5

May 9, 2016
CHARLOTTE
W
Mr. Wesley Sherrill
Alfred Benesch & Company
2320 W Morehead St
Charlotte, NC 28208
TER
SUBJECT: WATER AND SEWER FLOW ACCEPTANCE
MEDIC HEADQUARTERS & OPERATIONS FACILITY
4425 WILKINSON BOULEVARD, CHARLOTTE NC
CLTWATER TRACKING# 2016419
A flow acceptance study of the subject site has been completed and the following has been determined:
Charlotte Water (CLTWater) agrees to accept the gravity sewage flow of 0 gallons per day (no additional
flow) from this project for transmission to the McAlpine Creek Wastewater Treatment Plant; NPDES
permit number NC0024970, for treatment. This acceptance of flow is based upon the existing capacity of
the designated publicly owned treatments works. Please see attached NC DEQ FTSE form,
Charlotte Water (CLTWater) 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, PWS ID # 0160010 on file with the Public Water Supply Section of NCDEQ. However,
CLTWater cannot guarantee a constant pressure or quality of flow.
The applicant should understand that due to the involvement of other agencies and continuing growth of
the water system, the ability to provide service for future projects cannot be guaranteed nor reserved.
Connection to the CLTWater system is accepted on a first come, first served basis.
The applicant should understand that this letter is not authorization to construct private water systems, as
the appropriate local or State permits are required prior to construction. If the appropriate authorization to
construct ermits am not obtained construction has not started within one 1 ear of issuance of this flow
acceptance, and payment for any service connections have not been received within (1) year of issuance
of this flow acceptance letter, this flow acceptance approval shall be rescinded and a new flow
acceptance request must be made. If you have any questions, please do not hesitate to contact me at
[phone].
Sincerely,
Barbara Gross
Engineering Assistant
Charlotte Water 5100 Br ookshi
Hv .,i�hgirt:
21
t' Operated by the Crty f Chad t

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 08-13)
Project Applicant Name: Alfred Benesci-z & Company
Project Name for which flow is being requested:
Medic Headquarters & Operations Facilities
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: McAlpine Creek, Irwin Creek, Sugar Creek WWTP
b. WWTP FaC111ty Permit 1: NC0024970, NC0024945, N00024937
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. 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
All flows are in MGD
99.4
10_516
70 670
n.00 (No aridi tional Flow)
81.196
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:
(A) (B) (C) (D)=(B+C) (E)=(A-D)
Design Obligated,
Pump Average Daily Approx. Not Yet Total Current
Station Firm Flow** Current Avg. Tributary Flow Plus
(Name or Capacity,* (Firm / pf), Daily Flow, Daily Flow, Obligated Available
Number) MGD MGD MGD MGD Flow Capacity***
* The Firm Capacity of any pump station is defined as the maximum pumped flow that
can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking
factor (pf) not less than 2.5.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is <0.
Page 1 of 6
FTSE 08-13

III. Certification Statement:
Carl Wilson certify to the best of my knowledge that 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, given the implementation
of the planned improvements identified in the planning assessment where applicable. 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
plus all attached p : fining assessment addendums for which I am the responsible party.
Signature of this '. indicate acceptance of this wastewater flow.
Signing Ofjicii j is at re
Page 2 of 6
DOe9 Date
FUSE 08-13

Carolina Golf Course
Clikt LOi11C,

feet
meters,
I II
1 I ,10
3

r?
Mecklenburg County Medic Headquarters and Operations Facilities
Cover Letter
May25,2016
The proposed Medic facility is located within the city limits of Charlotte, NC. The site presently
has 2 abandoned warehouse/industrial buildings and 2 warehouse/industrial building that are
being used to a limited degree. The proposed project will involve renovating one of the large
warehouses and demolishing the other 3. Medic vehicles will be parked in the renovated
building. A new office support building will be constructed next to the renovated warehouse. A
vehicle service building will be constructed on the property. It is not anticipated this facility will
generate wastewater flow greater than the flow from the original 4 buildings.

Central Files: APS _ SNP -
5131/2016
Permit Number WQ0038501 Permit Tracking Slip
Program Category Status Project Type
Nan -discharge Active New Project
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
barry.iove
Coastal SWRute
Permitted Flow'
0
Facility
Version Permit Classification
1.00 individual
Permit Contact Affiliation
Facility Name
Medic Headquarters & Operations Facilities
Location Address
Owner
MajorlMinor Region
Minor Mooresville
County
Mecklenburg
Facility Contact Affiliation
Owner Name Owner Type
Mecklenburg County Government - County
Owner Affiliation
Mark P. Hahn
3205 Freedom Dr
Dates/Events Charlotte
NC 28208
Orig Issue
5131/2016
App Received Draft Initiated
5126/2016
Scheduled
issuance Public Notice Issue Effective
5/31/2016 5/31/2016
Regulated Activities Requested /Received Events
Car wash facility
Office
Wastewater collection
Outfali
Expiration
Additional information requested
Additional information received
Waterbody Name Streamindex Number Current Class Subbasin

benesch
Transmittal Form
To:
Mail
ooresville Regional Office
ater Quality Section
610 East Center Ave. Suite 301
Mooresville, NC 28115
I
Messenger
WE ARE SENDING YOU:
COPIE
AU(red 8enesc;h & Company
Wet Morehead 5tre t
Charlotte, , NC 282
www_benescKcom
704-521-9880
704 521 .3'955
Date: ©5.25.16 1 .. __ .. _._.. _Ae� Job No. 17{�OQ(i39 Cl1
ubject: Mecklenburg County
Medic Headquarters
Fast Track Sewer Extension Permit Application 151 Submi
® Next Day Delivery Q UPS Ground
Attached
DATE DESCRIPTION
Under separate cover:
2
4.25.16
Fast Track Sewer
ysteal Extension Application
Other:
5.25.16
Cover Letter
1 4.21.1.6
2 5.9,16
Check No. 22622
Flow Accep
for $480.00 application review fee
ce Letter and FSTE 08 1.3 Fo
2
USGS Topo Map
Street Level Map
THESE ARE TRANSMITTED as checked below:
For approval
For your use
As requested
For review and comment
fl Approved as submitted _Resubmit copies for approval
Approved as noted FISubmit copies for distribution
Returned for corrections Return corrected prints
Remarks: Enclosed are the sewer permit application documents for the above referenced project. Please
us know if you need anything else for your review and/or approval.
cc: File
Signature: Wesley E. Sherrill, PE LEED AP
PS01-0998-06 form