WQ0023981_Regional Office Historical File Pre 2018

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�o WArF�,Q Michael F. Easley, Govemor
O G William G. Ross Jr., Secretary
rr I llr1 r- North Carolina Department of Environment and Natural Resources
`i Alan W. Klimek, P.E., Director
Division of Water Quality
Coleen H. Sullins, Deputy Director
Division of Water Quality
Mr. Jon Dyer, Director of Public Works
Union County
400 North Church Street
Monroe, North Carolina 28112
June 3, 2004
Subject: Permit No. WQ0023981
Union County
The Summit at Taylor Glenn (Taylor Glenn
Phase 5)
Wastewater Collection System Extension
Union County, North Carolina
Dear Mr. Dyer:
In accordance with your application received on May 25, 2004, we are forwarding herewith
Permit No. W00023981, dated June 3, 2004, 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until rescinded, and shall be subject to the conditions and limitations as specified therein.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 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.
rA
Mooresville Regional Office Internet http:l/h2o.enr.state.nc.us/
919 N. Main Street, Mooresville, NC 28115 Telephone [phone] Fax [phone]
DENR Customer Service Center Telephone [phone]

Mr. Jon Dyer
Page 2
June 3, 2004
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 3,451 linear feet of 8-inch
gravity sewer to serve 58 three -bedroom residences as part of The Summit at Taylor Glenn (Taylor
Glenn Phase 5) project, and the discharge of 20,880 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 May 25, 2004, 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 Sonja Williams at (704)
663-1699.
Sincerely,
for Alan W. Klimek, P.E.
cc: Union County Health Department
Mooresville Regional Office, Water Quality Section (WWTF Permit No. NC0085359)
Kevin Herring, Frontier Land Surveying
Water Quality Central Files
NDPU Files

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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 contraventiorn 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. 1n 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
trackfurther 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 Department of Environment
and Natural Resources, Water Quality, 919 N. Main Street, Mooresville, NC 28115.
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.
2 •

11. 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
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 faciIity.
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 (919) 733-
3300. Persons reporting any of the above occurrences shall file a spill report by completing Part
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 forrn)
can also be completed to show that the SSO was beyond control.
Permit issued this the 3rd day of June, 2004.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for Alan W. Klinik!P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0023981
3

Fast Track Engineering Certification
Permit No. WQ0023981
June 3, 2004
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 The Summit at Taylor
Glenn (Taylor Glenn Phase 5), 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
WATER QUALITY
919 N. MAIN STREET
MOORESVILLE NC 28115
The Permiftee isresponsible 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.

APPLICATION for GRAVITY SEWJZBS, PUMP STATIONS, AND FORCE MAINS PAGE 1
Owner:
Union County Public Work
Full Legal Name (company, munic
1b, Jon C. Dyer PE, Director
Signing Official Name and Title (Please review
The legal entity who will own this system is:
© Individual 0 Federal [J Municipality ► Sty
ld, 400 N. Church Street
Street Address
NC
State
1 h. 7104-296-4210 1 is 704-296-4232
A NCA
i ed signing officials!)
ounty CJ Private Partnership © Corporation 0 Other (specify):
Telephone Facsimile
2. Project (Facility) Inforrraation
2a= The Summit at Ta for Glenn r iDgCzccitJN if'
Name (permit will refer to this name)'
3. `+fact Person:
3a. Cho .es P. O`Caint De gat Directo
lime and Affiliation of Someone Who Can Answer
3b, ([phone]
Phone Number
2, Owner is
2a. -if private, applicant WiH be:
an existing permit}
E1 Privet
El Retaining Ownership (i.e. store, church, single
Q Leasing units (lots, townhomes, etc. - skip to ttot
❑ Selling units (lots, townhomes, etc. - go to Bien
O 3. Union County Public Works
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
4a. Twelve Mile Creek
le. Monroe
City
1g. 28112
Zip Code
E-mail
2b. Union
County Where Project is Located
E-
If Modification, Permit No._
m 2(a))
2b, if sold, facilities awned by a (mu
© Public Utility (instruction IIi)
© Homeowner Assoc,/Developer (Instruction IV)
Name of WWTF
O 5a. UCPW
LL
Owner of Downstream Sewer
The origin of this wastewater is (ch
Residential Subdivision
0 Apartments/Condominiums
El Mobile Home Park
Q School
Q Restaurant
0 Office
© Car Wash
0 Institution
0 Hospital
0 Church
0 Nursing Home
© Other (specify;
4b. NC 0085359
WWTF Permit
5c. WQ0019511 & WQ0022940
Permit Number of Downstream Sewer
7. Volume of wastewater to be permitted in this project: 20,880 gallons per day
100
Industrial
% Other (specify}:
If the permitted flow is zero, indicate why:
0 Interceptor Line - Flow will be permitted is subsequent permits that connect to this line
© Flow has already been allocated in Permit No.
0 Rehabilitation or replacement of existing sewer with no new flow expected
ercial

APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
PAGE 2
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).
(3 Bedrooms)('120 GPD)(58 Lots)= 20,880 GPD
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" 3,451
Gravity
Gravity
6.
Gravity
W
Gravity
Z
H
1
Gravity
Z
Gravity
0
I
1
Gravity
Z
ENTER TOTAL LINE LENGTH IN MILES 0.65
17,
11. Summary of Pump Stations to be Permitted (attach additional sheets as necessary)
2
re
0
j j
Location 1D ? Design Flow ! Operational Point
(as shown on plans) I (MGD) GPM @ TDH
Power Reliability Option
(dual line feed, permanent generator w1ATS,
portable generator w/autodialer, wet well storage)
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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 submitted for approval?
Wetland/Stream Crossings - General Permit or 401 Certification?
Sedimentation and Erosion Control Plan?
Stormwater?
•
®
Yes
Yes
® Yes
❑
•
No
No
0 No
@
■
NIA
•
N/A
N/A

APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
PAGE 3
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1. Use the Division's
(FAST TRACK
necessary). This
regional office (see
guidance document entitled, "DETERMINING STREAM CLASSIFICATIONS FOR FORM FTA 02f03
SEWER SYSTEMS)" to collect and record the stream classification data below (attach additional sheets as
document is available from our web site or by contacting the appropriate Division of Water Quality
instructions for addresses) OR indicate the following:
Classification is not needed because all parts of the project are at least 100 feet away from any down
AND,
• A Watershed
slope waterbody;
0 A Watershed 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
on Map
Name of
Waterbody
County
River Basin
Waterbody Stream
Index
Waterbody
Classification
1
UT to Price Mill Crk
Union
Catawba
11-138-2-2
C
UT to E. Fork of
Twoluomilo fair
Union
Catawba
11-138-2
C
Submit the 8.5" x 11" topographic map as required in Instruction VI regardless of whether a classification is provided!
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1. Applicant's Certification:
1 attest that this application for The Summit at Taylor Glenn 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. Note: In accordance with North Carolina General Statutes 143-
215.6A and 143-215.6B, any person who knowingly makes any false statement, representation, or certification in any
- . • ication shall be guilty of a Class 2 misd m nor which may include a fine not to exceed $10, 000 as well as civil
- • - ties up to $25,000 . er violation.
ll 2t-Yi
1 . , ` r/ 6
r /
gning Official Sign : Date
2. Professional Engin= ertification:
1 attest that this application for The Summit at Taylor Glenn 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 Sewer 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 accordance with Division guidance.
Although certain portions of this submittal package may have been developed by other professionals, inclusion of these
materials under my signature and seal signifies that 1 have reviewed this material and have judged it to be consistent with
the proposed design. Note: In accordance with NC General 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 $10,000 as well as civil penalties up to $25,000 per violation.
2a. Kevin E. Herring PE
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dSeal, 5 tatuJte ....t,
Professional Engineer Name
2b. Frontier Land Surveying
Engineering Firm
2c. 1394-B Walkup Ave.
Address
2d. Monroe e. NC 2f. 28110
City State Zip
r
2g. 704 283-9726 2h. 704-238-8561 Qi.
Telephone 1 Facsimile E-mail

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3-D TopeQuads Copyright CI 1993 DeLorme Yarmouth, HE D4D95 Source Data: USGS I- 1950 ft Scale: 1 : 24,000 Detail: 13-1 Datum: liAD21
•
622

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
Attention:
TRANSMITTAL
V
MAY 2 5 2004
E
NC DEPT. OF ENVVRONLI e\ 5/21 /04
AND NATURAL REsouR
MOORESVILLE REGIONAL OFFICE
Regarding: Sanitary Sewer to serve The Summit at Taylor Glenn (Taylor Glenn, Phase 5) Subdivision
We are sending you: ❑ Copy of letter ❑ Plans ❑ Prints ❑ Shop Drawings
11 Other
Copies
Date
No.
Description
1
5/14104
Original Non Discharge Permit Application
1
5/14/04
Copy of Non Discharge Permit Application
1
5/14/04
4985
Check for $400.00 (Application Fee)
These are transmitted as checked below:
® For approval ❑ For your use ❑ As requested ❑ For review and comments
Remarks:
Signed: en) .
Received by: Date:

06/02/04
,Permit Number WQ0023981 Permit Tracking Slip
Program Category
Non -discharge
Status Project Type
In review New Project
Permit Type Fast Track Version Permit Classification
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Individual
Extensions
Primary Reviewer Permit Contact Affiliation
sonja.williams
Permitted Flow
20880
Facility
Facility Name MajorlMinor Region
The Summit at Taylor Glenn (Taylor Glenn Phase Minor Mooresville
5)
Location Address County
Union
Facility Contact Affiliation
Owner
Owner Name
Union County
Dates/Events
Owner Type
Government - County
Owner Affiliation
John Dyer
400 N Church St
Monroe NC 28111
Scheduled
Orig Issue App Received Draft Initiated Issuance
05/25/04
Public Notice Issue Effective
Regulated Activities Requested/Received Events
Subdivision Additional information requested
Wastewater collection Additional information received
Outfall NULL
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: Mooresville Regional Office
Water Quality
610 East Center Ave. Suite 301
Mooresville NC 28115
Attention:
ff?ANSMITTAL
Date: 11/29/04
Regarding: Record Drawings and Engineer's Certification for The Summit at Taylor Glenn (Taylor
Glenn Phase 5) (Partial Certification)
We are sending you:
0 Copy of letter i Plans ❑ Prints Shop Drawings
► Other
Description
Record Drawings
Engineer's Certification for Sewer
These are transmitted as checked below:
For approval 1 For your use [1 As requested [ For review and comments
Remarks:
Signed:
Received by:
Date:

Track En • ineerir q Certification
Permit N
June 3, 20
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 anychanges 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
II Partial Lj Final (lots 1-17 / tiH' s 1- 5 )
Kevin E , Herring , as a duly registered Professional Engineer in the State of North Carolina, having
been authorized to observe ([0 periodically, Li weekly, I full time) the construction of The Summit at Taylor
10.oGlenn (Taylor Glenn Phase 5), ,,. x.mttysO 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 .02.00; 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, 200,0 as applicable;;; and other supporting materials.
North Carolina Professional Engineer's
seal, signature, and date:
‘11r1IHi,t14
CARP,
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
MOORESVILLE REGIONAL OFFICE
WATER QUALITY
919 N. MAIN STREET
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.