WQ0022610_Regional Office Historical File Pre 2018

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Rpsources
Alan W. Klimek, P.E., Director
Division of Water Quality
May 19, 2003
Mr. Jon Dyer, Public Works Director
Union County
400 N. Church Street
Monroe, North Carolina 28112
Subject: Permit No. WQ0022610
Union County
Holly Park -Phase 4
Wastewater Collection System Extension
Union County
Dear Mr. Dyer:
In accordance with your application received on April 30, 2003, we are forwarding herewith
Permit No. WQ0022610, dated May 19, 2003, to Union County 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issuance until rescinded, and shall be subject to the conditions and limitations as specified therein.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 Pemnittee'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
919 N. Main Street, Mooresville, NC 28115
Internet http:/ h2o.enr.state.nc.usl
Telephone [phone] Fax [phone]
NCDt�NR
DENR Customer Service Center
Telephone [phone]

Mr. Jon Dyer
Page 2
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 Union County for the construction and operation of approximately 4792.86 linear feet of 8-
inch gravity sewer to serve 131 homes as part of the Holly Park -Phase 4 project, and the discharge of
47,160 gallons per day of collected domestic wastewater into Union County's Twelve Mile Creek
WWTP (NPDES No. NC0085359) existing sewerage system, pursuant to the application received April
30, 2003 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.
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: Union County Health Department
Mooresville Regional Office, Water Quality Section (VVWTF Permit No. NC0085359)
Mr. Norman Mathisen, The Mathisen Company
Water Quality Central Files
NDPU Files

I
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 prior to January 1, 2004 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 §143-215.1C.

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. Upon completion of construction and prior to operation of these permitted facilities, a certification, a
copy of the construction record drawings, as well as supporting design calculations for any pump
stations permitted as part of this project shall be received from a North Carolina -licensed
Professional Engineer certifying that the facilities have been installed in accordance with 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 Main adopted June 1, 2000 as applicable; and other supporting materials. If this
project is to be completed in phases and partially certified, you shall retain the responsibility to
track further construction approved under the same permit, and shall provide a final certificate of
completion once the entire project has been completed. A copy of the construction record
drawings, indicating the facilities constructed in the phase being certified, shall be submitted with
each partial certification. Mail the Engineer's Certification, one copy of the "Construction Record
Drawings," and one copy of the supporting design calculations to the Non -Discharge Permitting
Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617.
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.

1 . Noncompliance Notification:
1:
The Permittee shall report by telephone to the Mooresville Regional Office, telephone number
[phone], as soon as possible, but in no case more than 24 hours or on the next working
day, following the occurrence or first knowledge of the occurrence of either of the following:
a. Any process unit failure, due to known or unknown reasons, that renders the facility incapable
of adequate wastewater transport, such as mechanical or electrical failures of pumps, line
blockage or breakage, etc.; or
b. Any failure of a pumping station or sewer line resulting in a by-pass directly to receiving waters
without treatment of all or any portion of the influent to such station or facility.
Persons reporting such occurrences by telephone shall also file a written report in letter 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.
Permit issued this the 19th day of May, 2003.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
/2.
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0022610

Fast Track Enr•,Qn_,srinq Certification
Permit No. W000226:v
May 19, 2003
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
1, , as a duly registered Professional Engineer in the State of North Carolina, having
been authorized to observe (❑ periodically, ❑ weekly, ❑ full time) the construction of Holly Park-Phase.4,
Union 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
919 N. MAIN STREET
MOORESVILLE NC 28115
The Pennittee 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.

05/15)03
Permit Number WQ0022610
Permit Tracking Shp
Program Category
Non -discharge
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer
Extensions
Primary Reviewer
dee.browder
Permitted Flow
47160
Facility
Fast Track
Status Protect Type
In review New Project
Version Permit Classification
Individual
Permit Contact Affiliation
Po21,-4 l'1- issoun. Ji a 120o-5
Facility Name
Holly Park Phase 4
Location Address
Owner
Major/Minor
Minor
Region
Mooresville
County
Union
Facility Contact Affiliation
Owner Name
Union County
Dates/Events
Owner Type
Government - County
Owner Affiliation
Jon Dyer
400 North Church Street
Monroe
NC 28112
Scheduled
Orig Issue App Received Draft Initiated issuance
04/30/03
Regulated Activities
Public Notice Issue Effective
Subdivision
Outfall NULL
Requested/Received Events
Additional information requested
Additional information received
Expiration
Waterbody Name
Stream Index Number Current Class
Subbasin

UNION COUNTY PUBLIC WORKS
400 N. Church Street
Monroe, NC 28112-4804
704/296-4210
Fax [phone]
To: NC Department of Environment and Natural Resources
Mooresville Regional Office
919 North Main Street
Mooresville, N.C. 28115
TRANSMITTAL
Attention:
Regarding: Sanitary Sewer to serve Holly Park, Phase 4 Subdivision
We are sending you: 0 Copy of letter n Plans © Prints 0 Shop Drawings
Other
Date
4/17/03
Description
Original Non Discharge Permit Application
Copy of Non Discharge Permit Application a`
Check for $400 00 (Application Fee
These are transmitted as checked belo
For approval l For your use
Remarks:
Signed:
Received by:
Date: 4/28/03
As requested I ) For review and comments
Date:

-TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
PAGE 3
USE THE TAB KEY TO MOVE FROM FIELD TO FIELD! Application Number:
(to be completed by DWQ) vJ (2 002 2..7 I 0
A. APPLICATION INFORMATION
1. Owner.
1 a.
Full Legal Name (company, municipality, HOA, utility, etc.) Union County
1 b.
Signing Official Name and Title (Please review 15A NCAC 2H .0206(b) for authorized signing othcialsl)
John;r;C-: Dyer , Director of Public Works
lc. The legal entity who will own this system is:
Individual Federal Municipality State/County Private Partnership Corporation Other (specify):
ld.
Street Address
400 N. Church Street
le.
City
Monroe
if.
State
NC
lg.
Zip Code
28112-4804
1 h.
704e[296-4210
li.
Facsimile
1j.
E-mail
2. Project (Facility) Information:
,2a.
Brief Project Name (permit will refer to this name)
Holly Park, Phase 4
2b.
County Where Project is Located
Union
`3. Contact Person:
3a.
Name and Affiliation of Someone Who Can Answer Questions About this Application
Pamela Mathisen, The Mathisen Com y
3b.
Phone Number
704/882-1193
3c.
E-mail
B. PERMIT INFORMATION
1. Project is NewX Modification (of an existing permit) If Modification, Permit No.:
2. Owner is Public (skip to Item B(3)) X Private (go to Item 2(a))
2a. if private, applicant will be:
Retaining Ownership (Le. store, church, single office, etc.) or
Leasing units (lots, townhomes, etc. - skip to Item B(3))
Selling units (lots, townhomes, etc. - go to Item B(2b))
2b. If sold, facilities owned by a (must choose one)
Public Utility (Instruction ill)
Homeowner Assoc./Developer (Instruction IV)
3.
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
Union County
4a.
Name of WWTF Twelve Mile Creek
4b.
WWTF Permit No. NC0085359
5a. 5b.
Owner of Downstream Sewer ;E Receiving Sewer Size
Union County l 8"
5c.
Permit Number of Downstream Sewer (if known)
WQ00i496.5
6. The origin of this wastewater is (check all that apply):
X Residential Subdivision
Apartments/Condominiums
Mobile Home Park
School
Restaurant
Office
•
( Car Wash
institution
Hospital
Church
Nursing Home
Other (specify):
% Domestic/Commercial
% Industrial
% Other (specify):
7. Volume of wastewater to be permitted in this project: gallons
per day
47,160
8. If the permitted flow is zero, indicate why:
Interceptor Line - Flow will be permitted is subsequent permits that connect to this line
Flow has already been allocated in Permit No.
Rehabilitation or replacement of existing sewer with no new flow expected
FTA 02/03

ppp-TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
PAGE 5
]
1
w
Z
z
Z
0
H
2
0
LL
Z
H
E
W
O.
m
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(I)(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).
131 units x 3 bedroom x 120 gallons
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches)
Length (feet)
Gravity or Force Main
(pull down menu)
Eight (8)
4792.86
Gravity
i
ENTER TOTAL LINE LENGTH IN MILES
11. Summary of Pump Stations to be Permitted (attach additional sheets as necessary)
Location 1D , Design Flow
1 (as shown on plans) (MGD)
Operational Point
GPM @ TDH
Power Reliability Option
(dual line feed, permanent generator wIATS,
portable generator w/telemetry, wet well storage)
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
a..licable?
40 No If no, please reference the pertinent minimum design criteria or regulation and indicate why a
variance is requested:
`Sl1RMLT_TW[l Cf]PIF_S_CIP PL.AIA_: SPF-GI1=1Cd'r1ONS_BR..C_A1_CIILATICINS_PFRTlM1=N7 7II Tl•1P VARIANCE WLTHLYC LIR_APPl_ICOTIOAL
13. Have the following permits/certifications been submitted for approval?
Wetland/Stream Crossings - General Permit or 401 Certification? Yes No lap
Sedimentation and Erosion Control Plan? No N/A
Stormwater? 44 No N/A
FTA 02/03

i-TRACK APPLICATION for GRAVITY SE
PUMP STATIONS, AND FORCE MAINS
PAGE 6
Use the Divisions guidance document entitled, °'DETERMINING STREAM CLASSIFICATIONS FOR FORM FTA 02/03
(FAST -TRACK SEWER SYSTEMS" to collect 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:
A Stream Classification is not needed because all parts of the project are at least 100 feet away from any down slope
waterbody; AND,
A Stream Classification is not needed because the design does not depend on wet well storage as a power reliability
option for any pump station near a Class C down slope waterbody.
Location iD Name of County River Basin
on Map Waterbody
Submit the 8.5" x 11" topographic map as required in Instruction VI regardless of whether a classification is provided!
Applicant's C"efti cation:
1, , attest that tlal application, for has been reviewed by me and is 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 all required supporting documentation and attachments are not included; this application package is subject to
being returned as incomplete. Note: In accordance with North Carolina General Statutes 143-215.6A and 143-215, 68,
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 $10, 000 as well as ,civil penalties up to $25, 000 per
violation,
Signing Official Signature
Professional Engineer's C'ertiticalion.
1 attest that rhos applica'tson,
consistent with t information in
knowledge. flied
applicable regulations,
Design Criteria for the, Fa
classification in accordance
by other pro
rnat set me of
vity Sewer
Track Perri
on
judged it to be ,consistent with th
person who knowingly makes any
Date 4:77-S
has been reviewed viewed hyt nae and is accurate, complete and
eering plans, c l °atlattcans urad all other supporting oeumentation to the best of my
sv knoyarledg€ tiw proposed design laces ba^c rr,arepared in accordance with the
for Grcnai'iv Sewers adopted Fe I2, 1996, and the Minimum
moms adopted June 1, 2t)llft and the watershed
submittal package may /une been developed
e materials under my signature and seal s1 nifies tYsair I have reviewed this material and have
d design, Vote: In accordance with NC C a raer7i,titataet'ts 143-21 5.6A and 143- 215_6B, any
enaent, representation, or certification in any application shall he guilty of t.'lixss.2
misdemeanor which may include a, fine not to exceed $10,000 as well as civil penalties up to S25, 000 per violation,
2a,
Professional Engineer Name
Norman A. Mathisen
2b.
Engineering Firrn
2c..
Address
The
Mathisen Company
6208 Creft Circle,
2d,
City Indian Trail
4 704/882-1193 2h, 704/882-1195
Telephone Facsimile
Suite 230
2e,
NC State
2i,
E-mai
2f.
Zip 28079
Seal, Signature & Dale
FTA 02/03

N. A.
3901 Lai PARK ROAD •
'N
RK, N 8079
December 9, 2003
Mr. Charles ()'Cain
Union County Public Works Department
400 North Church Street
Monroe NC 28112
Subj : Ho
Perrni
Dated May I9,
Certification for Map 1, BLOCK "A" Lots 1 thru 3;
35 and 36; Lots 45 thru 51;
Dear Mr, O'Cain
,Park Sanita
Sewe
:T,ollectio System
:s 19 thru
ENGINEV S CERTIFICATION (SEWER)
1, N. A. Mathisen, as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to periodically observe the construction of the subject
project near Indian Trail, North Carolina for the Penn ittee, 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 and intent of this permit„
the approved plans and specifications, and other supporting materials.
Cop y to:
SWR .ER°T12090:3
Sincerely,
N. A. Mathisen
P.L. No. 6411
"n rnathisencti e ,l't

UNION COUNTY PUBLIC WORKS
400 N. Church Street
Monroe, NC 28112-4804
704/296-4210
Fax [phone]
To: NC Division of Water Quality
Water Quality Section
Permits and Engineering Unit
1617 Mail Service Center
Raleigh, N.C. 27699-1617
Attention:
TRANSMITTAL
Date: 12/22/03
Regarding: Record Drawings and Engineer's Certification for Hotly Park, Phase 4, Map 1 (Lots 1-3,
19-25, 35-36 & 45-51)
We are sending you:
Date
0 Copy of letter Z Plans Prints 0 Shop Drawings
Other
No,
Description
Record Drawings
2/9/03 Engineer's Certification for Sewer (Permit Q0022610)
These are transmitted as checked below:
For approval < For your use As requested 0 For review and comments
Remarks:
Signed:
Received by:
Date:

Fast 'bra
Pe
May 19,
k En ne '11 Cert
ion
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 re aired for an Chan es resultin in non -coat fiance with this omit r Motions or
minimum design criteria.
This project shalt 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 CER11FICA171ON
Partial al Final
sen , as a duly registered Professional Engineer in the State of North Carolina, having
erve (bil periodically, 0 weekly, [ full time) the construction of Holly Park -Phase 4,
the Permittee hereby state that, to the bestof my abilities, due care and diligence was
n 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,
I, N. A, Mat
been authorized
used
North Carolina Professional Engineer's
seal, signature, and date:
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRE© ATTACHMENTS TO THE FOLLOWING ADDRESS
MOORESVILLE REGIONAL OFFICE
919 N. MAIN STREET
MOORESVILLE NC 28115
The Permittee i.s 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.