WQ0039454_Regional Office Historical File Pre 2018

Water Resources
ENVIRONMENTAL QUALITY
September 8, 2017
Mr. John Mullis, Town Administrator
Town of Norwood
116 South Main Street
Norwood, NC 28128
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. JAY ZIMMERMAN
Director
Subject: Permit No. WQ0039454
Town of Norwood
Norwood Fire Department Sewer
Wastewater Collection System Extension Permit
Stanly County
Dear Mr. Mullis:
In accordance with your application received August 30, 2017, we are forwarding herewith Permit No.
WQ0039454 dated September 8, 2017 to the Town of Norwood (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effective from the date of issuance until rescinded and shall be subject to the conditions and limitations as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 II.1: This permit shall not be automatically transferable; a request must be made and approved.
Condition II.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 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.
State of North Carolina 1 Environmental Quality I Water Resources I Water Quality Regional Operations
Mooresville Regional OfEce 1610 East Center Avenue, Suite 301 [ Mooresville, North Carolina 28115
704 663 1699

If you need additional inforrnati©n concerning this matter, please contact Ori Tuvia at [phone] or
via e-mail at ori.tuvia ncdenr.gov.
Sincerely,
by W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
cc: Samuel Smith (RE) (E-copy)
Mooresville Regional Office Files
Water Resources Central Files
PERCS (E-copy)
Page 2 of 8

I
Environmental
Quality
STATE OF NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations, permission is hereby granted to the
Town of Norwood
Stanly County
for the construction and operation of approximately 342.7 linear feet of 8-inch gravity sewer to serve
the Norwood Fire Department Sewer, and the discharge of 0 additional gallons per day of collected
wastewater into the Town of Norwood existing sewerage system, pursuant to the application received
August 30, 2017, and in conformity with 15A NCAC 2T; the Division's Gravity Sewer Minimum
Design Criteria adopted February 12, 1996, as applicable; the Division's 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.
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 ' asinger, Regial Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
By authority of the Environmental Management Commission
Permit Number: WQ0039454
Permit Issued: September 8, 2017
Page 3 of 8

SUPPLEMENT TO PERMIT COVER SHEET
Town of Norwood 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 Town of Norwood Regional
Wastewater Treatment Facility in accordance with Permit Number NC0041628.
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 Desi& Criteria for the Fast -Track Permitting of Pump Stations
and Force Mains adopted June 1, 2000, as applicable, unless specifically mentioned herein. Division
approval is based on acceptance of the certification provided by a North Carolina -licensed Professional
Engineer in the application. It shall be the Permittee's responsibility to ensure that the as -constructed
project meets the appropriate design criteria and rules.
Construction and operation is contingent upon compliance with the Standard Conditions and any Special,
Conditions identified below.
. SPECIAL CONDITIONS
1) No flow in excess of the quantity permitted herein, 0 additional GPD, shall be made tributary to
the subject sewer system until an application for permit modification for an increase in flow has
been submitted to and approved by the Division. [15A NCAC 021.0304 (b)]
II. STANDARD CONDITIONS
2.
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)]
This permit shall become voidable unless the wastewater collection facilities are. constructed in
accordance with the conditions of this permit; 15A NCAC 2T; the Division'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
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.
Page 4 of 8

I
b. A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan including pump station inspection frequency, preventative
maintenance schedule, spare parts inventory and overflow response has been developed and
implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e. 365
days per year). Pump stations that are connected to a telemetry system shall be inspected at least
once per week.
e. High -priority sewer lines shall be inspected at least once per every six months and inspections
documented.
f. A general observation of the entire sewer system shall be, conducted at least once per year.
g.
Overflows and bypasses shall be reported to the appropriate Division regional office in
accordance with 15A NCAC 2B .0506(a), and public notice shall be provided as required by
North Carolina General Statute §143-215.1C.
h. A Grease Control Program is in place as follows:
1. For public owned collection systems,, the Grease Control Program shall include at least
biannual distribution of educational materials for both commercial and residential users and
the legal means to require grease interceptors at existing establishments. The plan shall also
include legal means for inspections of the grease interceptors, enforcement for violators and
the legal means to control grease entering the system from other public and private satellite
sewer systems.
2. For privately owned collection systems, the Grease Control Program shall include at least bi-
annual distribution of grease education materials to users of the collection system by the
permittee or its representative.
3. Grease education materials shall be distributed more often than required in Parts (1) and (2)
of this Subparagraph if necessary to prevent grease -related sanitary sewer overflows.
i. Right-of-ways and easements shall be maintained in the full easement width for personnel and
equipment accessibility.
j. Documentation shall be kept for Subparagraphs (a) through (i) of this Rule for a minimum of
three years with exception of the map, which shall be maintained for the life of the system.
5. The Permittee shall report by telephone to a water resources staff member at the Mooresville Regional
Office, telephone number [phone], as soon as possible, but in no case more than 24 hours
following the occurrence or first knowledge of the occurrence of either of the following:
a. Any process unit failure, due to known or unknown reasons, that renders the facility
incapable of adequate wastewater transport, such as mechanical or electrical failures of
pumps, line blockage or breakage, etc.; or
b. Any SSO and/or spill over 1,000 gallons; or
c. Any SSO and/or spill, regardless of volume, that reaches surface water
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].
Page 5 of 8

Persons reporting any of the above occurrences shall file a spill report by completing and submitting
Part 1 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-
215.1 C(al)]
6. 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 O2T.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 fled with the applicable County's Register of Deeds office shall be submitted
with the certification.
A complete certification is one where the form is fully executed and the supporting documents are
provided as applicable. Supporting documentation shall include the following:
One copy of the project construction record drawings (plan & profile views of sewer lines &
force mains) of the wastewater collection system extension. Final record drawings should be
clear on the plans or on digital media (CD or DVD disk) and are defined as the design drawings
that are marked up or annotated with after construction information and show required buffers,
separation distances, material changes, etc.
b. One copy of the supporting applicable design calculations including pipe andpump 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.
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): hermit modifications are required for any changes resulting
in non-compliance with this permit (including pipe length increases of 1O% 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
Page 6 of 8

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

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE: TOWN OF NORWOOD
PERMIT #: WQ0039454
PROJECT: NORWOOD FIRE DEPARTMENT SEWER
ISSUE DATE: SEP`1'EMBER 8, 2017
This project shall not be considered complete nor allowed to operate in accordance with standard
Condition 7 of this permit until the Division has received this Certification and all required supporting
documentation. It should be submitted in a manner that documents the Division's receipt. Send the
required documentation to the Regional Supervisor, Water Quality Regional Operations Section at the
address noted in the page footer.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions. The Permittee is responsible for tracking allpartial certifications up
until a final certification is received by the Division. A Final Certification shall be a complete set of
record drawings and design calculations regardless of whether partials have been submitted.
PERMITTEE'S CERTIFICATION
I, the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant to
the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate & maintain the
wastewater collection system permitted herein or portions thereof.
Printed. Name, Title
Signature Date
ENGINEER'S CERTIFICATION
I, as a duly registered Professional En ineer in the State of North Carolina,
having been authorized to observe (© periodically, 0 weekly, full time) the construction of the
project name and location as referenced above for the above Permittee hereby state that, to the best of my
abilities, due care anddiligence was used in the observation of the construction such that the construction
was observed to be built within substantial compliance of this permit; 15A NCAC 02T; the Division of
Water Resources' (Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996,.as
applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and
Force Mains adopted June 1, 2000, as applicable; and other supporting materials..
North Carolina Professional Engineer's Seal w/signature & date:
❑ Final [ Partial (include description)
Certification Comments/Qualifiers (attach it' nee a
NC DWR — Water Quality Regional Operations Section 610 East Center Avenue, Suite 301, Mooresville, NC 28115
Mooresville Regional Office Phone: [phone] FAX: [phone]

ion of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
ISAA NCAC 02T .0300 —FAST. TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: 4'if (to becompktedbyllWR)
All items must be comp
d or the anvil eatlon will be returned
APPLICANT INFORMATION:
Applicant's name: Town. of Nor (company, municipality, I-IOA, utility, etc.)
2. Applicanttype: LI Individual [0 Corporation [J General 'Partnership [1 Privately -Owned. Public utility
Other
R ECEIVEDiNROE REAR
0 Federal
[l State/County El Municipal
3. Signature authority's name: John Mullis per 1S: \C :(.,,t)ry I E1, pm0 hj
Title: Town Administrator
4. Applicant's mailing address: 116 South Main Street
City: Norwood State: NC Zip: 28128-_,
Applicant's contact information:
Phone number: (704) 474-34166 Email Address: john.mullin rrwoodgov.com
II. PROJECT INFORMATION:
1. Project name: Norwood Fire Department Sewer
2. Application/'Project status: ® Proposed (Ne
Existing Permit`Project
RERERE
If a modification, provide the existing permit number: WQOO and issued date:
If new construction but part of a master plan, provide the existing permit number; WQOO_
3. County where project is located: Stanly
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.22408' Longitude:-80.11822'
5. Parcel ID (if applicable): 6563-0,2-58.-8481 & 6563-02-:58-757 t & 6563-02-58-6490 & 6563-02- 8 8.1'88.
(or Parcel ID to closest downstream sewer)
CONSULTANT INFORMATION:
1. Professional Engineer: Samuel J. Smith, PE
Firm: Chambers E-ng ineering, PA,
Mailing address: 129 North First
City: Albemarle State: NC
Phone number: [phone] Email Address: ssLrrithtc' s:ce-pa.corn
Zip: 28128-
License Nurnher: 40366
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Town of Norwood WWTF Permit Number: NC0021628
Owner Name: Town of Norwood
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Nurriber(s): WQ Downstream (Receiving) Sewer Size:
System Wide Collection System Permit Numbers) (if applicable): WQCS
Owner Narne(s):
FOPM: FTA 04-16 Page 1 of 5

r' GENERAL REQUIREMENTS
L. If the Applicant is a Privately -Owned Public Utility, has a Certificat
Yes ON o 0]NIA
20 If the Applicant is a Developer of lots to be sold, has a l to vele,rpt,r's (
FORMCHLCKBOX 0 11 Yes
L. If the Applicant is a Hun.i.em)_gtP, ,11Y t)tir l,sl_s.... b ? � tt >t _l� t _lrl. 414.0
0 Yes No ON/A
4. Origin of wastewater: (check all that apply):
0 Residential Owned
0 Residential Leased
0 School / preschool / day care
© Food and drink facilities
Businesses offices / factories
Nature of wastewater : 100
°O© Inch
f Public Convenience and Neces
W tint n ttn ? 1I
No ON/A
Retail (stores, centers, mal.ls'j
0Retail with food preparationlservice
0 Medical / dental / veterinary facilities
0 Church
[, Nursing Horne
is/Commercial
trial (`cfc'._.i= A...
% Commercial
„0193L?Q))
been attached?
) been attached?
be attached?
0 Car Wash
Q Hotel and/or Motels
Swimming Pool /Clubhouse
0 Swimming Pool/Filter Backwash
0 Other (Explain in Attachment)
here a Pretreatment Program in effect? 0 Yes
6. Has a flow reductionbeen approved under
if yes, provide a copy of flow reduction apt rova letter
7. Summarize wastewater generated by project:
blishment Type (see
7,T 0114(t)? El Yes 0 No
0No
Daily Design Flow 'Lb
gal/
gal/
gal
gal/
gal"
gal/
No. of Units
Flow
GPD
GPD
GPD
GPD
GPD
GPD
Total
GPD
a Sce l : (w it 1,.:0 i jr h) , i41, lA j_f l _ wr�](c)(2) for caveats to wastewater design flow rates (i.e„ minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use
areas; and residential property located south or east: of the Atlantic Intracoastal Waterway to be used as vacation rentals
as defined in G.S,4 ,A.-i),
Per 15A NCAC 02T ,.01 14(c), design flow rates for establishments not. identified [in table I ''t t t) 'I i ll L) shall
be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
Wastewater generated by project: 0 GPD (per 1 = i t \Ly_,(11 w4;) t4)
Do not include future flows or previously permitted all.ocation.s
If pe, .,itted flow is zero, indicate why:
E Pump Station or Gravity Sewer where flow will be permitted. in subsequent pertts that connect to this line
0 Flow has already been allocated in Permit Number,
0 Rehabilitation or replacement of existing sewer avith no new flow expected
Other (Explain): Sewer will serve new facility that replaces three old facilities. This sewer extension is part of a project
that will include a new fire department bu%Idin *. This new building will re lace three older buildin s with similar ern to ees.
and use. No additional flow is anticipated as the older buildings will be demolished as part of this project
FORM.: HA 04-L6
Paget of 5

VII. GRAVITY SEWER DESIGN CRITERIA
I. Summarize gravity sewer to be permitted:
Size (inches)
Applicable) - 02T .0305 & Mt)( ( ra
Length (feet)
4 FORMTEXT 322.73 PVC
20 DIP
• Section Il & Ill of the MDC tor .Perrtutting of Gravity Sewers contains information related to design criteria
• Section III contains information related to minimum slopes for gravity sewer(s)
▪ Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
PUMP STATION DESIGN CRITERIA (If Applicable) -02't wt.305 & i431)C {Punier Statio istForce Mains
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
II. Pump station number or name:.
2. Approximate Coordinates (Decimal Degrees): Latitude: er 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 f©rce main to be permitted (for this .Pump Station):
Size (inches) Length (feet)
Material
6. Power reliability in accordance with
[ Standby power source or pump with automatic activation and telemetry - 15A .NCAC 02T .0:30500(1;0)
Y Required for all pump stations with an average daily flow greater than or equal to 1.5,000 gallons per day
� Must be perrnan.ent to facility
:age daily flow less than 15,000 gallons per day:
El Portable power source with ntanuai acttvat_iion, quick -connection receptacle and telemetry - 15A NCAC 02T
.0 305(h)(1)(C)
or
E' Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(i;XC):
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
and is compatible with the station.
» If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations'
storage capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be
provided in the case of a multiple station power outage.
FORM: ETA 04-16 Page 4 of 5

PIPFr* SETBACKS & SEPARATIONS — (02B .0200 & ISA NCAC 02T .0305(f):
1. Does the project comply with all separations found in I S,\ NC y:' U. 1 ),) t) tll ni t)
sewr s +
Sty NCAC t} C 2T.03C15(f) contains minimum separations that shall he provided for esteins;._
and other ut
'ater mains (vertical -water ove
Wa
ains (horizontal)
etlack Paratnetet
t listed below (vettical)
ewer including in bend
S
claimed water lines (verticalreclaimed over se
-
Reclaimed water lines (horizontal - reclaimed over sewer)
**Any private or public water supply source, including any wells, WS-1 waters of Class 1 o
Class II impounded reservoirs used as to source of drinkingv ate
*Waters classified WS (except WS-1 or WS-V), B, SA, ORW, HQW, or SB from normal
water (or tide elevation) and wetlands see item IX.2
Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
An
An t
To s
Drain e sv
Any swimrning,poo,ls
Final earth :trade vertica
build' rp foundation
basemen
to of embankment or cuts of 2 feetor more vertical height
stems and intercepttar drains
contains alternatives where separations in (1
›. **Stream classifications can be identified using the Division's NC .Sur
p Ifnoncompliance with 021 t1 $1f,) Or (rg), see Section X of this application.
Yes 0 No
Se'+aration Required
24 inches
18 inches
8 inches
2 feet
00 feet
50 feet
10 feet
5 feet
10 feet
10 feet
10 feet
36 inches
of be achieved.
ssitur„atioi s
Does the project comply with separation requirements for wetlands? (50 feet of separation)
See the Division's draft separation requirements for situations where separation cannot be meet
No variance is required if the alternative design criteria specified is utilized in design and construction
• As built documents should reference the location of areas effected
Does the project comply with all setbacks' found in the raver ba in rules per ai
This would include Trout Buffered Streams per s .. t r s kl tl tt
4. Does the project comply with an individual 404 Permit or any 401. Certifications?
No
Yes E. No
Yes ©No
Y Wetland -related permits shall be requested, obtained, and adhered to for projects that impact wetlands or surface waters
infortnation can be obtained from the 4(0 k...t silo rP rnilttoD 13str:0
Does project comply with 1,5
fit'[ 0 I . ' ) (additional perm atsf'certifications)?
Yes El No
Per I ' (,A1 0, l (t1r1 tiej(t?&, directly relatedenvironmental 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.).
Does this project include any sewer collection lines that are deemed "high -priority?"
Per I 5 \ NCAC€s'1 (I4t(2, "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.
5 FORMCHECKBOX 7 IJ Yes No
• If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shall be inspected by the permittee or its representative at least once every six -months and
Inspections documented per 15A NCAC 02T.O403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: FTA 04-16
Page 5 of 5

CERTIFICATIONS:
1. Does the submitted system comply with [ 5,-
�slc9,_,Force ry iin,.Listest t: ii nj, and the ,Gra
um De M tl Criteria fin- tic F rrttstt r uf Puna_ :19115
ign C riteri ,l1 itcstver asto-n as applicable?
® Yes No
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents
for review. Approval of the re ' nest is required prior to submittal of the Fast Track Application and supporting
documents.
Professional Engineer's Certification:
I,
5i1Mu et. -.3-
(Professional Engineer's name from Application Re
attest that this application for
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 I have reviewed this
material and have judged it to be consistent with the proposed design.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 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's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
313 °1'4 .I S
(Signature Authority's name & title from Application Item I.
attest that
s application for
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of
this application are not completed and that if all required supporting documentation and attachments are not included, this
application package is subject to being returned as incomplete, 1 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 � 4 ti "' (ry .fA and I 1 NN 5 6JJ', 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,
Signature;
Date; 6 ' "
FORM: FTA 04-1.6
Page 6 of 5

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Town of Norwood
Project Name for which flow is being requested: Norwood Fire Department Sewer
More than one FTSE mcty be required for a single project f 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: Town of Norwood Wastewater Treatment Plant
b. WWTP Facility Perin it # : NC0021628
c, WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the
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
0.750
TP 0.158
0.213
0
0.371
49.4%
II. Complete this section for each pump station you areresponsible 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, * (Firrn / 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 fi+ory 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 < 4.
Downstream Facility Name (Sewer):
Downstream Permit, Number:
Page 1of6
04,.16

cation Statement:
M U L- 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 1I
plus all attached planning assessment addendums for which I am the responsible party.
Signature of this form indicates acceptance of this wastewater flow.
Signing Dc ia`Signature Date
Page 2 of 6

PLANNING ASSESSMENT ADDENDUM (PAA)
Submit a planning assessment addendum for each pump station listed in Section II where Available
Capacity is 0.
Pump Station
anie or Number):
Given that:.
a. The proportion and amount of Obligated, Not Yet Tributary Daily Flow (C) accounts for
% and MGD of the Available Capacity (E) in Pump Station
; and that
b. The rate of activation of this obligated, not yet tributary capacity is currently approximately
MGD per year; and that
c. A funded Capital Project that will provide the required planned capacity, namely
is in design or under construction with.
; and/or
planned completion
d. The following applies:
Therefore:
Given reasonably expected conditions and planning information, there is sufficient justification
to allow this flow to be permitted, without a significant likelihood of over -allocating capacity in
the system infrastructure.
1 understand that this does not relieve the collection system owner from complying with G.S.
143-215.67(a) which prohibits the introduction of any waste in excess of the capacity of the
waste disposal system.
Signing ()jficial Signature Date
rtm
Page 3 of 6
FTSE 04-

Instructions for Flow 'Cracking/Acceptance form (FTSE) and Planning Assessment Addendum (PAA)
Section I
a, WWTP Facility Name: Enter the name of the WWTP that will receive the wastewater flow.
b. WWII' Facility Permit : Enter the NPDES or Non -Discharge number for the WWTP receiving the
wastewater flow.
WWTP fa
perritted, flow, MGD: From WWTP owner's NPDES or Non -Discharge permit,
d. Estimated obligatedflow not yet tr buta to the WWTP MGD: This includes {lows allocated to
other constrbiction projects not yet contributing flow to the collection system. Flows allocated through
interlocal agreements or other contracts not yet contributing flow to the collection system are also
included. For POTWs that implement a pretreatment program, include flows allocated to industrial
users who may not be using all of their flow allocation. Please contact your Pretreatment Coordinator
for information on industrial flow tributary to your WWTP.
As of January 15, 2008 the POTW should have reviewed flow allocations made over the last two
years and reconciled. their flow records, to the best of their ability, so it is known how much flow has
been obligated and is not yet been made tributary to the WWTP, in accordance with local policies and
procedures employed by the reporting entity.
e. WWTP fact! (iy'sa
flow, MGD: Previous 12 month average.
f. Total flow for this specific request., MGD: Enter the requested flow volume.
g. Total actual and obligated flows to the facility, MGD Equals [d f e + 11
h. Percent of perminedvflor used: Equals [(g / c)* 100]
For example:
Can January 15 a POTW with a permitted flow of 6.0 MGD, reported to the Regional Office that there
is 0.5 MGD of flow that is obligated but not yet tributary. 'The annual average flow for 2007 is 2,7
MGD. There is a proposed flow expansion of 0.015 MGD.
The first Form FTSE submitted after January 15, 2008 may have numbers like this:
c. = 6.C1 MGD
d. = 0.5 MGD
e. = 2.7 MGD
= 0,015 MGD
g. = 3.215 MGD
h.=53.6%
The next Form FTSE may be updated like this with a proposed flow expansion of 0.102 MGD:
c. 6.0 MGD
d. = 0.515 MGD
e, m 2.73 MGD
f. 0.102 MGD
g. = 3.349 MGD
h.=55.8%0
Each subsequent FTSE form will be updated in the same manner.
Page 4 of 6
w04-16,

Section
List the pump station name or number and approximate pump station. firm capacity, approximate design
average daily flow (A) approximate current average daily flow (13), and the obligated, not yet tributary
flow through the pump station (C) for each pump station that will be impacted by the proposed sewer
extension project. Calculate the total current flow plus obligated flow (D=B+C) and the available
capacity (E=A-D). Include the proposed flow for this project with other obligated flows that have been
approved for the pump station but are not yet tributary (C).
Firm capacity is the maximum pumped flow that can be achieved with the . largest pump out of service as
per the Minimum Design Criteria.
Design Average Daily Flow is the firm capacity
not less than 2.5.
If the available capacity (E) for any pump station
station if the system has future specific plans
pet -tinning process.
(A)
Design
Firm Average
Pump Station Capacity Daily Flow.
(Name or Number) MGD (Firm / pf)
Kaw Creek PS 0.800 0.320
Valley Road PS
1.895 0.758
of the pump station divided by a peaking factor (pf) of
is 0, then prepare a planning assessment for that pump
related to capacity that should be considered in the
(B)
Approx.
Current Avg.
Daily 'Flow,
MGD
0.25
0.472
(C) (D)=(13+C) (E)=(A-D)
Obligated,.
Not Yet
Tributary
Daily Flow,
MGD
Total Current
Flow Plus
Obligated
Flow
0,080 0.332
0.135 0.607
Available
Capacity*
-0,012
0.151
Page 5 of 6
rrsE (4-

Planning Assessment Addendum Intr°uctions
Submit aplanning assessment addendum for each pump station listed in Section Il where available
capacity is K 0.
A planning assessment for Ka Creek PS (see example data above) may be performed to evaluate
whether there is significant Likelihood that needed improvements or reductions in obligated flows will be
in place prior to activating the flows from the proposed sewer extension project.
If the system decides to accept the flow based on a planning assessment addendum, it is responsible to
manage the flow without capacity related sanitary overflows and must take all steps necessary to
complete the project or control the rate of flow to prevent sanitary sewer overflows.
The planning assessment may identify a funded project currently in design or construction, or a planned
project in the future not yet funded but in a formalplan adopted by the system. The system, should
carefully weigh the certainty of successful timely project completion for any expansion, flow
management diversion or infiltration, and inflow elimination projects that are the foundation of a planned
solution to capacity tracking and acceptance compliance.
For example:
Given that:
a. The proportion and atnount of obligated., not yet tributary flow accounts for 24 % and 0,080
MGD of the committed flow in Pump Station I(aw Creek; and that
b. The rate of activation of this obligated, not yet tributary capacity is currently approximately 0.01
MGD per year; and that
c. A funded capital project that will provide the required planned capacity, namely
is in design or under construction with
planned completion in ; and/or
d. The following applies:
The master plan and ten year capital plan contain recommended scope and funding for a capital project
entitled KawCreek Pump Station upgrade with funding planned in July 2014. This protect is trlanned to
add 0.100 MGD to the firm capacity of the pump station by October 2015. Inclusion of this proposed
capital project as a condition of this Flow Tracking/Acceptance for Sewer Extension Permit Application
elevates this ro'ect's riori ° for funding and construction to be implemented ahead of the activation of
obligated, not yet tributary flows in amounts that exceed the firnx imp station capacities identified in
Section. II above.
Therefore:
Given reasonably expected conditions and planning information, there is sufficient justification to allow
this flow to be permitted, without a significant likelihood of over -allocating capacity in the system
infrastructure..
Page 6 of 6

/4/t
M, Donna Hood
Environmental Senior Specialist
NCG ECI—Mooresvi le Regional Office
610 E. Center Avenue
Mooresville, , NC 28301
R.
Town of Norway d
Norwood FireDepartr
Dear Ms. Hood,
ewer
n behalf of the Town of Norwood, please find attacheda East Track Sewer System Extension application and
supporting documents for the above referenced project. This project will servr a new facility currently served by
public sewer, this .surer extension is part of a project that will include a new Fire Department building. This new
building will replace three older buildings with similar employees and use. No additional flow is anticipated as the
older buildings will be demolishes 85 part of this project. The items included with this submittal package are;
Cover Letter FTSE 04-1
Check Payable to NCE ECi (4 Jl,) tJS S Topographic Map
FTA 04-16 Street Level Map
If any additional inforrnat'ion is needed, please direct these repraests to our office to ensure a timely rosponse.
Thank you for your time and efforts on this project,
Sincerely,
Attach: Shown above (Original and Duplicate)
Cc John Mullis, Trwn of Norwood
F�:t. Box 1 7 l3 129 N. t let t .iemarle; NC 291 _ 704 r 4

DRAWN BY HJT
DATE: 08/17
DWG, NO: USGS CUT
SCALE: NOT TO SCALE
CF�amb�rsl�gir7+rir1g, PA
12� Nornh First St , Al4emarho, NC 26001 704.9846427
NC61 LS Firm Ucnnse No C-16€0
Central Rural Fire Department & Alley
USGS Cut Sheet 1 1 of 1

Central Files: APS , SWP
9/8/2017
Permit Number WQ0039454 Permit Tracking Slip
Program Category Status Project Type
Non -discharge Active New Project
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
ort.tuvia
Coastal SWRule
Permitted Flow
0
Facility
Version Permit Classification
1.00 Individual
Permit Contact Affiliation
Facility Name
Norwood Fire Department Sewer
Location Address
Owner
MajorlMinor Region
Minor Mooresville
County
Stanly
Facility Contact Affiliation
Owner Name
Town of Norwood
Dates/Events
Owner Type
Govemment - Municipal
Owner Affiliation
W Dwight Smith
Administrator Town
PO Box 697
Norwood
NC 28128
Orig Issue
9/8/2017
Scheduled
App Received Draft Initiated Issuance Public Notice issue Effective Expiration
8/30/2017 9/8/2017 9/8/2017
Regulated Activities Requested /Received Events
Office . Additional information requested 8/31/17
Wastewater collection Additional information received 917117
Outfall
Waterbody Name Streamlndex Number Current Class 5ubbasin

Tuvia, Ori A.
From: Sam Smith <[e-mail]>
Sent Thursday, September 07, 2017 12:57 PM
To: Tuvia, Ori A
Subject: Norwood Fire Deparment Sewer
Follow Up Flag:.
Flag Status:
Ori,
Follow up
Flagged
Thanks fir the follow up call. Per our conversation, the net sewer l to v for the subject referenced project is
calculated below:
3 Buildings Removed:
General Business - 4 employees (g. 25 gpd = 100 gpd.
General Business - 2 employees c 25 gpd = 50 gpd
General. Business - 2 employees C $. 25 gpd = 50 gpd
Total Removed 200 gpd
1 New Building Added:
Volunteer Fire Department - 8 staff members (no on -site staff25 gpd 200 gpd
Total Addition = 200 gpd
Net Flow = 200 gpd - 200 gpd = 0 gpd
Let us know if you need any additional information.
Thanks,
Sam Smith, PE
chambers
Eft,: engineering, pa
129 North First Street
Albemarle, NC 28001
704..984,6427 ph
704,288,3932 direct
www.ce-pa.corn
WO . psi;:.