WQ0030122_Regional Office Historical File Pre 2018

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
April 13, 2006
Mr. H. Matthias Bernhardt, Assistant City Manager for Utilities
City of Salisbury
PO Box 479
Salisbury, NC 28145
Subject: Permit No. WQ0030122
Settler's Grove
City of Salisbury
Wastewater Collection System Extension
Rowan County, North Carolina
Dear Mr. Bernhardt:
In accordance with your application received on March 22, 2006, we are forwarding herewith
Permit No. WQ0030122, dated April 13, 2006, to the -City of Salisbury 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date of issuance until rescinded, and shall be subject to the conditions and limitations as specified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 2H .0227 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 2H .0200; 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]
tntemet: www.ncwaterquality.org Customer Service: 1-877-623-6748
An Equal Opportunity/Affirmative Action Employer--50% Recycled/10% Post Consumer Paper
Nne
or hCarolina
Vaturallj

Mr. Bernhardt
Page 2
April 13, 2006
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North
Carolina as amended, and other applicable Laws, Rules, and Regulations, permission is hereby
granted to the City of Salisbury for the construction and operation of approximately 3,794 linear feet of
8-inch gravity sewer and 1,469 linear feet of 12-inch gravity sewer to serve the Settler's Grove project,
and the discharge of 0 gallons per day of collected domestic wastewater into the City of Salisbury's
existing sewerage system, pursuant to the application received March 22, 2006, and in conformity with
15A NCAC 2H .0200; 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 City of Salisbury
WWTP (Yadkin River Regional/Town Creek Train WWTP NPDES No. NC0023884) prior to being
discharged into the receiving stream.
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 Alan W. Klimek, P.E.
cc: Mooresville Regional Office, Surface Water Protection (WWTP Permit No. NC0023884)
Robert Bernhard, Pease Associates
Surface Water Protection Central Files
Marie Doklovic, PERCS

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 2H .0200; 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 2H .0227. If an individual
permit is not required, the following performance criteria shall be met as provided in 15A NCAC 2H
.0227:
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 (i.e.
365 days per year). Pump stations that are connected to a telemetry system shall be
inspected at least once per week.
e. High -priority sewer lines shall be inspected at least once per every six-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 §143-215.1 C.
1

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 2H .0220, 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 2H .0200; 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. The waters which may be impacted in the event of a power failure at the pump stations permitted
herein are classified as C waters. In accordance with 15ANCAC 2H .0219 (h) (3), a letter of power
reliability for the subject area has been provided from the local power distributor authority, and
included in the application package. Additionally it has been shown that the pump station will
provide a minimum of 4 hours storage in the event of a power failure.
12. 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
2

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.
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 file 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 13th day of April. 2006.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for Alan W. Klimek, P.E , Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0030122
3

Fast Track Engineering Certification
Permit No. WQ0030122
April 13, 2006
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, ❑ weekly, ❑ full time) the construction of the Settler's Grove, a
Rowan 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 2H .0200; 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:
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.

Pease
Archilects--EngIneers
Crifice Bo '187'25
2925 East radependence
Charlotte, NC 28218
Phone [phone]
Fox 704 332-6177
March 20, 2006
NCDENR - Division of Water Qua
Mooresville:Regional Office
919 N. Main Street
Mooresville, North Carolina 28115
Reference: City of Salisbury'
Settler's Grove Gravity Sewer Extension
:Pease Commission Number: 2005036,00
Subject: Application for Gravity Sewers, Pump Stations, and Force Main -
Please find attached the following information for the above referenced project:
JUR
MAR
1, Cover Letter (Document in hand - 2 pages)
2 Item 1 - Application Form ETA 02/03 - Fast -Track Application for Gravity Sewers, Pump
Stations, and Force Mains copies with 5 pages/each)
3, Item 11- Application Fee for $400.00
4. Item III- Certificates of Public Convenience and Necessity (NA)
5, Item IV - Operational Agreements (NA)
6. Item V - Flow Acceptance Letters (NA)
7. Item VI - Required USGS Mapping (2 copies attached, 1 page each)
8. Itern VII - Stream Classifications, Section C of Application Completed
9. Item Vit 1 - Environmental Assessment (NA)
1.0„ Item IX - Certifications, Section D of Application Completed
11.. :Full size project plans (1 set)
Copy of Correspondence to NCDENR, DLR documenting submittal of Erosion and
Sedimentation Control Plan (2 page cover letter only, attachments not included)
Please advise 1,1,,S of any modifications or clarifications needed prior to approval by your office. Thank
you for your time and please do not hesitate to call with any questions or comments regarding the
attached plans, application, or the 'project in general. (Direct line: 704-941-2113, Email:
robert.bernardgirippase,com) We look forward to your comments and subsequent ..11:-,provals.
Over 60 years of architectural and , glneering design excellence

NCDENR — DWQ
Mooresville Regional0
March 20, 2006
Page 2
Robert L. Bernard, P.E.
Associate Vice President
RLB:rlb
Enclosures
Cc: Jeffrey Jones, P.E., Utilities Engineer,
Salisbury -Rowan Utilities
N:12005036-00\CFO ca\'.p} rove \2OO5O3 OO5O ODWQPermotCover0316O6rf c

PPI,IC.A.T1ON for GRAVITY SEWERS,. PI wTP STA I IONS, AND FORCE MAINS
PAGE 3
USE THE TAB KEY TO MOVE FROM FIELD TO FIE
Owner:
la, City of Salisbury
Full Legal Name (company, municipality, HOA, utility, etc.
Application Number;
(to be completed by DWQ)
lb Hhias Bernhardt. Assistant City Managerfor Utilities . . fvtatt ..m..
0 Signing Official Name and Title (Please review 15A NCAC 2H .0206(b) for authorized signing officials!
z
z
1 c. The legal entity who will own this system is:
❑ Individual ❑ Federal Municipality ❑ StatelCounty ❑ Private Partnership ❑ Corporation ❑ Other (specify):
ld. 215 S Main Street
Street Address
NC
State
lh. 704-638-5270 1 i.
Telephone
2. Project (Facility) Infortrtation.:
2a. Settler's Grove
Brief Project Name (pen
3. Contact Person:
3a. Robert Bernard,P,E.
Name and Affiliation of Someone Who Can Answer
704-638-8470
Facsimile
ill referto this name)
Pease Associates
3b. 704-941-2113
Phone Number
1. Project is New ❑Modification (ea
2. Owner is [9 Public (skip to Item B(3))
2a. if private, applicant will be:
Salisbury
City
28144
Zip Code
mbern a salisburygc. ov
E-mail
2b. Rowan
County Where Project is Located
questions About this Application
3c, rob.bernard n ese.co
E-mail
limit) If Modification, Permit No.:
Private (go to Item 2(a))
2b. If sold, facilities owned by a (must choose on
❑ Retaining Ownership (i.e. store, church, single office, etc.) or
El Leasing units (lots, townhomes, etc. - skip to Item B(3))
❑ Selling units (lots, townhomes, etc. - go to item B(2b))
3. City of Salisbda
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
❑ Public Utility (Instruction III)
Homeowner Assoc./Developer (Instruction IV)
4a. Salsibury-Rowan WWTP - Town Creek Train
Name of WWTF
City of Salisbury
Owner of Downstream Sewer
4b. NC0023884_
WWTF Permit No.
5b. 8 5c.
Receiving Sewer Size Permit Number of Downstream
The origin of this wastewater is (check all that apply).
Residential Subdivision
0 Apartments/Condominiums
O Mobile Home Park
0 School
Restaurant
El Office
Ej Car Wash
0 Institution
O Hospital
O Church
❑ Nursing Home
❑ Other (specify);
Volume of wastewater to, bepermitted in this project: 0 gallons per day
if the permitted flow is zero, indicate whys
❑ interceptor Line - Flow will be permitted is subsequent permits
How has already been allocated in Permit No. W00024161,
❑ Rehabilitation or replacement of existing sewer with no new flo
x
(if known
100 % Domestic/Commercial
% Industrial
_ % Other (specify):
onnect to this line
ed
I" 0210

FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
PAGE 4
B. PERMIT INFORMATION (CONTINUED)
9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2H
.0219(1) for Item B(7) or the design flow for line or pump station sizing if zero flow in the space below. Values other than
that in 15A NCAC 2H .0219(1)(1-2) must be approved prior to submittal of this application. Submit a separate request to
the Division of Water Quality, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617 in
accordance with 15A NCAC 2H .0219(1)(3).
10. Summary of Sewer
Lines to be Permitted (attach additional sheets if necessary)
Size (inches)
Length (feet)
Gravity or Force Main
(pull down menu)
8
3794
Gravity
12
1469
Gravity
ENTER TOTAL LINE LENGTH IN MILES 0.994
11. Summary of Pump
Location ID
shown on plans)
Stations to be Permitted
Design Flow
(MGD)
(attach additional sheets as necessary)
I Power Reliability Option
Operational Point I (dual line feed, permanent generator wIATS,
GPM @ TDH ' portable generator wltelemetjry, wet well storage)
_las
1
12. 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 2H .0200 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
13. Have the following permits/certifications been
Wetland/Stream Crossings - General Permit
Sedimentation and Erosion Control Plan?
Stormwater?
submitted for approval?
® N/A
or 401 Certification? • Yes • No
►1 Yes • No • N/A
• Yes • No ►< N/A
FTA 02/03

C.r.I4H 2006 11:59Am peas ?„
FAST -TRACK APPliCATION for GRvrry SFWETLS, P
53
NS, AND FORCE MAINS PAGE 5
. Use the Division's guidance document entitled, "DETERMINING STREAM CLASS F1CATIONS FOR FORM FTA 02/03
(FAST -TRACK SEWER SYSTEMS)." to collect and record the stream classification d€iti bolow (attach additional sheets as
necessary). This document is available from our web site or by contacting the appropriate Division of Water Quality
regional office (see instructions for addresses) OR indicate the following:
LJ A Stream Classification is not needed because ail parts of the project are ot leas( 100 feet away from any down slope
waterbody; AND,
0 A Stream CIO5SifiCatiOn is not noodcd because the design does not depend on wet well storage 418 power reliability
option for any pump station near a Class C down slope waterbody.
Location ID Name of
on Map Waterbody County
1 Crane Creek Rowan
(Hannvc gikeo
2 UT to Cane Creek Rowan
- • -
Waterbody Stream Waterbody
River Basin Index Classification
Yadkin 12-115-(1)
Yadkin N/A
Submit the 0.5" x 11" topographic rnap as required in Instruction VI regardless of whether a classification is provided!
1. Applicants Certification:
1 a.
I, ft, Matthias Bernhardt, attest that this application for Settler's Grove Gravity Sewer Ex/et/slam
has been reviewed by me and is accurate and complete to the best of my knowledge, 1 understand that if ail required
parts of this application are not completed and that if all required supporting documentation and attachments am not
included, this application package is subject to being returned as incomplete Note. ln accordance with North Camllna
General Statutes 143-215,6A and 143-215,68, any person who knowingly makes any false statement, representation, or
certification in any application shall be #ity of a Class 2 misdemeanor which may include a fine not to exceed $10,000
as well as civil up to r viola on.
Professional Engineer's Certification:
attest that this application for Sotticris Grove Gravity Sower Extension has been
reviewed by me and is accurate, complete and consistent with the information in the engineering plans, calculations, and
all other supporting documentation to the best of my knowledge. 1 further attest that to the best of my knowledge the
proposed design has been prepared in accordance with the applicable regulations, Gravity Sower Minimum 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 accordantwith Division guidance,
•
Although certain portions of this submittal package may have been developed by other professionals, inclusion of those
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 NC Gonoral Statutes 143.215.6A and 143.215.6B, any person who
knowingly makes any false statement, representation, or certification in any application shall be guilty of a Class 2
misdemeanor which may include a fine not to exceed $/0,000 as well as civil penalties up to $25,000 per violation,.
ard, P E.
fesslonat Engineer Narne
_ .
b. Pease Associates
Engineering Firm
i2. 2925 East independence alvd,
Address
Charlotte NC 2f. 28205
CityZip
704-376-6423 ,21'i. 704r 32-6177 2i. rob.bernardginpeaso,Gorn
Telephone
Facsimile E-mail
Soal, sSit,patkire

FAST-T
K APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE
State of North Carolina
Department of Environment and ,Natural Resources
Division of 1Vater Quality
FAST -TRACK APPLICATION
for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
(Pressure sewers systems are not la be included as ,part of this applicalion package)
INSTRUCTIONS: Indicate that you have included the following list of required application package items by checking the
space provided next to each item, Failure to submit all required items will lead to your application being returned as
incomplete or additional processing and review time, This form may be photocopied for use as an original.
I. Application Form - Submit one original and one copy of the completed and appropriately executed application
form. 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 $(12).
Application Fee - Submit a check in the amount of $400 made payable to: North Carolina Department of
Environment and Natural Resources (NCDENR).
El Ill. 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(2a) of this application.
El IV. Operational Agreements — Submit one original and two copies of a properly executed operational agreement if
the sewer extension is permitted 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
homeowners' association, use Form HOA 02/03. If the applicant is a developer, use Form DEV 02/03. EVEN IF
THE PROJECT WILL BE TURNED OVER TO A MUNICIPALITY, FORM DEV 02/03 IS REQUIRED,
[C] V. Flow Acceptance Letters — If the owner of the downstream sewers and/or WWTF is different from the applicant,
submit two copies of a flow acceptance letter from the owner of the downstream sewers and WWTF, if different,
Flow acceptance letters must contain the following minimum information: applicant and project name, amount of
flow accepted, and name and permit number of the receiving sewers/WWTF. The flow acceptance must not
expire prior to permit issuance and must be dated less than a year prior to the application date.
Intergovernmental agreements or other contracts will not be accepted in lieu of a project -specific flow acceptance
letter.
VI Map — Submit an 8.5-inch by 11-inch copy of the portion of a 7.5-minute USGS Topographic Map along with this
form, The map should identify the entire project area location as well as the closest downslope surface waters as
clearly as possible. Each map portion must be labeled with the map name and number, the identified location,
and be of clear and reproducible quality, For instance, if the project involves 4 miles of interceptor sewer that
traverses over or near several different waterbodies (or counties, basins, etc.), the map should have location ID's
for each different waterbody (where the sewer line is within 100 feet of such waterbody - see Instruction VII),
El VII. Stream Classifications — Section C
If any portion of the project is within 100 feet of any down slope surface water, Section C must be completed
for the pertinent sections,
• If the entire project area is a minimum of 100 feet away from any down slope surface waters BUT there is a
pump station involved where a history of power outage is to be used to provide adequate design storage
instead of dual feed or permanent or portable generator, Section C must be completed to demonstrate that
the closest down slope surface water is Class C (see 15A NCAC 2H .0219(h)(3)(D)).
Use the guidance document entitled, "Determining Watershed Classifications for Form FTA 02/03 (Fast -Track
Sewer Systems)" available from http://h2o.enr.state,nc,usindpu or by contacting the appropriate regional
office.
12TA 02/03

, FAST -TRACK. APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 2
El VIII. Environmental Assessments — If this project is subject to an Environmental Assessment (EA) [15A NCAC
01C .0500], this application can not be used. Send the project application on Form PSFMGSA 10/99 to the
Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. Applications can not be
processed 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.
® IX. Certifications — Section D
The application must be certified by both the applicant and 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 2H .0200, 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. Certification by a PE who is unfamiliar with these documents
is subject to NC Board referral.
THE COMPLETED FTA 02/03 APPLICATION PACKAGE, INCLUDING ALL SUPPORTING DOCUMENTS AND $400
FEE, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
59 Woodfin Place
Asheville, North Carolina 28801
[phone]
[phone] Fax
Avery, Buncombe, Burke, Caldwell,
Cherokee, Clay, Graham, Haywood,
Henderson, Jackson, Macon,
Madison, McDowell, Mitchell, Polk,
Rutherford, Swain, Transylvania,
Yancey
Fayetteville Regional Office
•
225 Green Street Suite 714
Fayetteville, North Carolina 28301
[phone]
[phone] Fax
Anson, Bladen, Cumberland, Harnett,
Hoke, Montgomery, Moore, Robeson,
Richmond, Sampson, Scotland
Mooresville Regional Office
919 N Main Street
Mooresville, North Carolina 28115
[phone]
[phone] Fax
Alexander, Cabarrus, Catawba,
Cleveland, Gaston, lredell, Lincoln,
Mecklenburg, Rowan, Stanly, Union
Raleigh Regional Office
1628 Mail 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, visit our web site at: http://h2o.enr.sfate.nc.us/ndpu/
FTA 02/03

FflST-TRACK AMA 'I'1ON for GRAVITY St ERS, PUN! S".FATIONS, AND FORCE AINS
PAGE 3
USE THE TAB KEY TO MOVE FRO FIELD TO FIEL
Owner:
City of Salisbury
Full Legal Name (company, municipality, HOA, utility, etc.)
1 b. H. Matthias Bernhardt, Assistant Cit ry Manager for Utilities
Signing Official Name and Title (Please review 15A NCAC 2H .0266(b) for authorized signing officials!)
1c. The legal entity who will own this system is:
Individual ❑ Federal Municipality ❑ State/County ❑ Private Partnership ❑ Corporation ❑ Other (specify):
Application Number:
(to be completed by [MO)
0 1 d. 215 S Main mStreet
U..Street Address
z
NC
State
t h. 704-638-5270 1 i. 704-638-8470
Telephone Facsimile
Project (Facility) Information:
Settler's Grove Gravity
Brief Project Name (pe
"....... ."
Contact Person:
• Extension
refer to this name)
Salisbury
City
g. 28144
Zip Code
mbern_asaI sburrync o
E-mail
2b, Rowan
County Where Projec
3a. Robert Bernard, P.E. Pease Associates
Name and Affiliation of Someone Who ..�.. iCan Answer Questions te... _.. s About this Application
3b. 704-941 -2113
Phone Number
[e-mail]
E-mai
Project is Z New ❑ Modification (of an existing permit) If Modification, Permit No.:
2. Owner is Public (skip to Item B(3)) ❑ Private (go to Item 2(a))
2a. if private, applicant will be:
Retaining Ownership (i.e. store, church, single office, etc.
❑ Leasing units (lots, townhomes, etc, - skip to Item B(3))
Selling units (lots, townhomes, etc. - go to Item B(2b))
City of Salisbury_
Owner of Wastewater Treatment IFacilit (WWTF)Treating i ✓ y Wastewater From This Project.
4b. NC002.3884_
WWTF Permit No.
Salsibuty Rowan WWTP Town Creek Train
Name of WWTF
5a. City of Salisbury
Owner of Downstream Sewer
The origin of this wastewater i
L Residential Subdivision
❑ Apartments/Condominiums
❑ Mobile Home Park
❑ School
❑ Restaurant
❑ Office
5b. 8
Receiving Sewer Size
heck all that apply)
2b, if sold, facilities owned by a (
Public Utility (Instruction Ill)
El Homeowner Assoc./Developer (Instruction IV)
❑ Car Wash
institution
❑ Hospital
❑ Church
• Nursing Home
❑ Other (specify):
Permit Number of Downstream Sewer if known
Volume of wastewater to be permitted in this project: 0 gallons per day
If the permitted flow is zero, indicate why:
0 interceptor Line - Flow will be permitted is subsequent permits that connect to this
Flow has already been allocated in Permit No, W0g024161.
Rehabilitation or replacement of existing sewer with no new flow expected
166 % Domestic/Commercial
% industrial
% Other (specify):
FTA.t02 03

FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
PAGE 4
B. PERMIT INFORMATION (CONTINUED)
9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2H
.0219(1) for Item B(7) or the design flow for line or pump station sizing if zero flow in the space below. Values other than
that in 15A NCAC 2H .0219(1)(1-2) must be approved prior to submittal of this application. Submit a separate request to
the Division of Water Quality, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617 in
accordance with 15A NCAC 2H .0219(I)(3).
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches)
Length (feet)
Gravity or Force Main
(pull down menu)
8
3794
Gravity
12
1469
Gravity
ENTER TOTAL LINE LENGTH IN MILES
0.994
11. Summary of Pump Stations to be Permitted (attach additional sheets as necessary)
Location ID
(as shown on plans)
Design Flow
(MGD)
Operational Point
GPM @ TDH
Power Reliability Option
(dual line feed, permanent generator w/ATS,
portable generator w/telemetry, wet well storage)
12. Does the sewer system
Mains (latest version),
comply with the Minimum Design Criteria for the Fast Track Permitting of Pump Stations and Force
the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC 2H .0200 as applicable?
no, please reference the pertinent minimum design criteria or regulation and indicate why a
is requested:
PLANS, SPECIFICATIONS OR CALCULATIONS PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
0 Yes • No If
variance
SUBMIT TWO COPIES OF
13. Have the following permits/certifications been submitted for approval?
Wetland/Stream Crossings - General Permit or 401 Certification?
Sedimentation and Erosion Control Plan?
Stormwater?
® N/A
❑ N/A
• Yes ■ No
►/ Yes ❑ No
['Yes • No l: N/A
FTA 02/03

FAST -TRACK APPLICATION for GRA
TIER,, PI) 'IP STATttt)NS, AND FORCE MAINS
PAGE
z
Q
Use the Divisions roidanc�e document er fitted, 'DETER ttN1NG STR Atttt CLASSIFICATIONS - _ FORM . ._
9 +' ��_� yEtC,4T161NS FOR FTA 02/03
(FAST -•TRACK SEWER SYSTEMS)" to colBect and record the stream classification data below (attach additional sheets as
necessary). This document is available from our web site or by contacting the appropriate Division of Water Quality
regional office (see instructions for addresses) OR indicate the following:
LJ A Stream Classification is not needed because all parts of the project are at least 100 feet away from any down scope
waterbody; AND
A Stream Classification is not noodcd hocausc the design does net depend on wet well storage as a power relict lity
option for any pump station near a Class C down slope waterbody.
Wl�od County River Basin Index Clefs rl
on Maater
Loc
ation 1D...................... Name ©fY Waterbody Stream Watlfie dy
no
patln
1 Crane Creek Rowan Yadkin 12-115=(1) B
(Hannve I mkal
2 UT to Cane Creek i Rowan Yadkin N/A C
Submit the 8.5" x 11" topographic map as required in Instruction VI regardless of whether a
t, Applicant's Certification:
t, Matthias Bernhardt, attest that this application fo Settler`s Grrave Gravity Sewer Extension
has been reviewed by me and is accurate and complete ttr the best of my knowledge. 1 undet`stand that if all requi
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 Carotin
General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement, representation,
certification in any application shall be malty of Class 2 misd'emeanor which may include ai fine not to exceed $10,000
es well as crv1l n rip to S25 Q r yr la on.
Pro
g Official
onal en in
tio
ion is providedl
` 744
Date
! attest that this application for Settler+s Grove Gravity Sower Extension has been
reviewed by me and is accurate, complete and consistent with the information in the engineering plans, 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 boon prepared in accordance with the applicable regulations, Gravity Sewor Minimum Design Criteria
for Gravity Sewers adapted 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 certain portions of this submittal package may have boon deve/oped by ether professionals, inclusion of these
material~ 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 NC Gonoral Statutes 143-215,66A and 143-215.6B, any person who
knowingly makes any false statement, representation, or certification in any application shall be guilty of a Class 2
misdemeannr which may include a line not to exceed $10,000 as well as civil penalties up to $25;000 par vifllation,.
Robert. Bernard
Professiona
Pease Associates
Enginooring Firer
925 East Indcpcndcncc Blvd.
Address
d. Charlotte
City
704- 376-6423 '2h, 7Q<
Telephone j Fac
rob.bernardi jnpoaso.com
E-mail
rnTn'rna

8O3CY
35 97'3O'[
394
3,94
UNITED STATES
DEPARTMENT OF THE INTERIOR
GEOLOGICAL SURVEY
546' # , ,a 27'3

Y�
5
e
Architects —Engineers
Pease Associates
Post Office Box 18725
2925 East Independence Blvd,
Charlotte, NC 28218
Phone [phone]
Fax [phone]
March 20, 2006
Mr. Ed Robinette
North Carolina Department of Environment and Natural Resources
Mooresville Regional Office
610 East Center Avenue, Suite 301
Mooresville, NC 28115
Reference: City of Salisbury
Settler's Grove Gravity Sewer Extension
Pease Commission Number: 2005036.00
Subject: Erosion and Sedimentation Control Plan
Dear Mr. Robinette:
Please find attached the following information for the above referenced project:
1) Erosion and Sedimentation Control Plan Checklist (1 page)
2) Technical Specifications for Erosion Control (4 pages)
3) Technical Specifications for Seeding of Lawns (4 pages)
4) Technical Specifications for Clearing and Grubbing (1 page)
5) Full size project plans (1 set)
6) Financial Responsibility/Ownership Form and attachments (3 pages)
7) Drainage Basin Flow Study Calculations (9 pages)
8) Drainage Basin Flow Study Area Maps (2 pages)
9) Fee Assessment (Check for $250.00)
Recommended temporary easements for construction and recommended permanent utility easements
are indicated on the project plans. Upon final acquisition of needed easements by the City, plans will
be updated and Part A, Item 9 of the financial responsibility form will be updated.
Please also note that access to the construction site will be via the existing Settler's Grove subdivision
project site. The subdivision project site is highlighted on the attached Drainage Area Mapping (Area
No. 2,3) The subdivision is presently unpaved and there is a temporary construction entrance into the
Over 60 years of architectural and engineering design excellence

•
.-
Mr. Ed Robinette
March 20, 2006
Page 2
subdivision site from Old Concord Road. As such, the sedimentation and erosion control plan being
submitted for the sewer line does not indicate a temporary construction entrance.
Thank you for your time and please do not hesitate to call with any questions or comments regarding
the attached plans or the project in general. (Direct line: 704-941-2113, Email:
[e-mail]) We look forward to your comments and subsequent approvals.
Sincerely,
Robert L. Bernard, P.E.
Associate Vice President
RLB:krg
Enclosures
Cc: Jeffrey Jones, P.E., Utilities Engineer,
Salisbury -Rowan Utilities
N: \ 2005036-00\ CFile \ Ph5\ Review -Approve \2005036005011NCDENRRobinette030206krg. doc

Permit Number WQ0030122
Central Files: APS SWP
04/12/06
Permit Tracking Slip
Program Category Status Project Type
Non -discharge In review New Project
Permit Type Version Permit Classification
Gravity Sewer Extension, Pump Stations, & Pressure Sewer A Individual
Extensions
Primary Reviewer Permit Contact Affiliation
dee.browder
Permitted Flow
0
Facility
Facility Name
Settler's Grove
Location Address
Owner
MajorlMinor Region
Minor Mooresville
County
Rowan
Facility Contact Affiliation
Owner Name Owner Type
City of Salisbury Government - Municipal
Owner Affiliation
David `creme, City Manager
PO Box 479
Salisbury
Dates/Events
NC 28145
Or1g Issue
App Received
03/22/06
Draft Initiated
Scheduled
Issuance
Public Notice Issue Effective Expiration
Regulated Activities Requested/Received Events
Subdivision Additional information requested
Wastewater collection Additional information received
Outfall NULL •
Waterbody Name Stream Index Number Current Class Subbasin