WQ0024446_Regional Office Historical File Pre 2018

Michael F. Easley. Governor
William G. Ross Jr„ Secretary
North Carolina Department of Environment and Natural Resources
Alan W: Klimek, P.E. Director
Division of Water Quality
October 12, 2004
Mr. Jon. Dyer, Public Works Director
Union County
400 North Church Street
Monroe, North Carolina 28112
Subject: Permit No. WQ0024446
Union County
Oak Hill Subdivision Sanitary Sewer
Extension
Wastewater Collection System Extension
Union County, North Carolina
Dear Mr. Dyer:
In accordance with your application received on October 8, 2004, we are forwarding herewith
Permit No. WQ0024446, dated October 12, 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issuance until rescinded, and shall be subject to the conditions and limitations as specified therein.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. .
Mooresville Regional Office 610 East Center Ave., Suite 301 Mooresville, NC 28115 Phone: [phone] Fax: [phone]
Internet h2o.enr.state.nc.us Customer Service: 1-877-623-6748
An Equal Opportunity/Affirmative Action Employer— 50% Recycled110% Post Consumer Paper
NorthCarolini
Naturally

Mr. Jon Dyer
Page 2
October 12, 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 1,076 linear feet of 8-inch
gravity sewer to serve 6 single family residences as part of the Oak Hill Subdivision Sanitary Sewer
Extension project, and the discharge of 2,160 gallons per day of collected domestic wastewater into
Union County's existing sewerage system, pursuant to the application received October 8, 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.
The sewage and wastewater collected by this system shall be treated in the Union County
Twelve Mile Creek WWTP (NPDES No. NC0085359) prior to being discharged into the receiving
stream.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the
right to request an adjudicatory hearing upon written request within 30 days following receipt of this
permit. This request must be in the form of a written petition, conforming to Chapter 150B of North
Carolina General Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service
Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and
binding.
If you need additional information concerning this matter, please contact Sonja Basinger at
[phone].
Sincerely,
for Alan W. Klimek, P.E.
cc: Union County Health Department
Mooresville Regional Office, Water Quality Section (WVVf F Permit No. NC0085359)
Clinton Lawrence, Lawrence & Associates
Water Quality Central Files
Marie Doklovic, PERCS

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
following specified conditions and limitations:
1. This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2H .0200; the Division of Water Quality's
(Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996, as applicable; the
Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force
Mains adopted June 1, 2000, as applicable; and other supporting materials unless specifically
mentioned herein.
2. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data.
3. The wastewater collection facilities shall be properly maintained and operated at all times. The
Permittee shall maintain compliance with an individual system wide collection system permit for the
operation and maintenance of these facilities as required by 15A NCAC 2H .0227. If an individual
permit is not required, the following performance criteria shall be met as provided in 15A NCAC 2H
.0227:
a. The sewer system shall be effectively maintained and operated at all times to prevent
discharge to land or surface waters, and any contravention of the groundwater standards in
15A NCAC 2L .0200 or the surface water standards in 15A NCAC 2B .0200.
b. A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan shall be developed and implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e.
365 days per year). Pump stations that are connected to a telemetry system shall be
inspected at least once per week.
e. High -priority sewer lines shall be inspected at least once per every six-month period of time.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Inspection and maintenance records shall be maintained for a period of at least three years.
h. Overflows and bypasses shall be reported to the appropriate Division regional office in
accordance with 15A NCAC 2B .0506(a), and public notice shall be provided as required by
North Carolina General Statute §143-215.1 C.
1

4. This permit shall not be transferable. In the event there is a desire for the wastewater collection
facilities to change ownership, or there is a name change of the Permittee, a formal permit request
shall be submitted to the Division accompanied by documentation from the parties involved, and
other supporting materials as may be appropriate. The approval of this request shall be
considered on its merits and may or may not be approved.
5. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to
interrupt service by the existing utilities nor result in an overflow or bypass discharge of wastewater
to the surface waters of the State.
6. Per 15A NCAC 2H .0220, upon completion of construction and prior to operation of these
permitted facilities, the completed Engineering Certification form attached to this permit shall be
submitted with the required supporting documents to the address provided on the form. A complete
certification is one where the form is fully executed and the supporting documents are provided as
applicable.
7. A copy of the construction record drawings shall be maintained on file by the Permittee for the life
of the wastewater collection facilities.
8. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2H .0200; the
Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's
Minimum Design Criteria for the Fast -Track Permitting of Pump Station and Force Mains adopted
June 1, 2000 as applicable; and other supporting materials may subject the Permittee to an
enforcement action by the Division, in accordance with North Carolina General Statutes §143-
215.6A through §143-215.6C.
9. In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall take immediate corrective action, including
those as may be required by this Division, such as the construction of additional or replacement
facilities.
10. The issuance of this permit shall not exempt the Permittee from complying with any and al!
statutes, rules, regulations, or ordinances that may be imposed by other govemment agencies
(local, state and federal) which have jurisdiction, including but not limited to applicable river buffer
rules in 15A NCAC 2B .0200, erosion and sedimentation control requirements in 15A NCAC Ch. 4
and under the Division's General Permit NCG010000, and any requirements pertaining to wetlands
under 15A NCAC 2B .0200 and 15A NCAC 2H .0500.
11. 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 facility.
2

Voice mail messages or faxed information is permissible, but shall not be considered as the
initial verbal report. Overflows and spills occurring outside normal business hours may also be
reported to the Division of Emergency Management at telephone number [phone] or
[phone]. Persons reporting any of the above occurrences shall file a spill report by •
completing Part I of Form CS-SSO (or the most current Division approved form), within five days
following first knowledge of the occurrence. This report shall outline the actions taken or
proposed to ensure that the problem does not recur. Part II of Form CS-SSO (or the most
current Division approved form) can also be completed to show that the, SSO was beyond
control.
Permit issued this the 12th day of October, 2004. •
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for Alan Klimek/ ., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0024446
3

Fast Track Engineering Certification
Permit No. WQ0024446
October 12, 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
[, , as a duly registered Professional Engineer in the State of North Carolina, having
been authorized to observe (❑ periodically, 0 weekly, ❑ full time) the construction of the Oak Hill Subdivision
Sanitary Sewer Extension, 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
610 EAST CENTER AVENUE, SUITE 301
MOORESVILLE NC 28115
ATTN: DEE BROWDER
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.

10/12/04
Permit Number WQ0024446
Permit Tracking Slip
Program Category
Non -discharge
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer
Extensions
Primary Reviewer
sonja.williams
Permitted Flow
2160
Facility
Fast Track
Status Project Type
In review New Project
Version Permit Classification
Individual -
Permit Contact Affiliation
Facility Name
Oak Hill Subdivision Sanitary Sewer Extension
Location Address
Owner
Major/Minor
Minor
Region
Mooresville
County
Union
Facility Contact Affiliation
Owner Name
Union County
Dates/Events
Owner Type
Govemment - County
Owner Affiliation
John Dyer
400 N Church St
Monroe
NC 28111
Scheduled
Orig Issue App Received Draft Initiated Issuance
10/08/04
Regulated Activities
Public Notice Issue Effective
,p/l-2lb4-
Requested/Received Events
Subdivision
Wastewater collection
Outfall NULL
Expiration
Additional information requested
Additional information received
Waterbody Name
Stream index Number Current Class Subbasin

CK APPLICATION for GRAVY
SEWERS, PUMP STATIONS, AND FORCE MAINS
PAGE 3
USE THE TAB"
KEY TO MOVE FROM FIELD TO FIELD. Application Number �^(to be completed by DWCI).._\ e,
bt
Owner
la. Union County Public Works
Full Legal Name (company, municipal'
y 0
Z
© ,, 1 h. 704-296-4210
on C. Byer (Director of Public Works)
HOA, utility, etc.)
ning Official Name and Title (Please revi
The legal entity who will own this system is:
0 Individual 0' Federal 0 Municipality * f
1d. 400 N. Church Street
Street Address
5A NCAC 2H ,02Q5(b) for autho
d signing officials'
County 0 Private Partnership 0 Corporation 0 Other (specify):
le, Monroe ..
City
Telephone
2. Project (Facility) information:
2a, Oak Hill Subdivision Sanitary Sewer` Ext. 2b. Union
Brief Project Name (permit will refer to this name)
3, Contact Person:
Charles P. O'Cain De u Director of Public Wo
Name and Affiliation of Someone Who Can Answe
3b, 704-296-4214
Phone Number
County Where Project is Locat
uestions About this Application
3c, o'Cain co.univn.nc.us
E-mail
Project is i►' New 0 Modification (of an existing permit) If Modification, Permit No.:
For modifications, attach a separate sheet clearly explaining the reason for the modification (Le. adding another
phase, changing line size/length, etc.). Only include the modified information in this pennit application - do not
duplicate project information in B(7) and B(14-11) that has to Item B(3))already been included in the original permit.
2, Owner is ►�i Public ©m.____w._....�
(skip Private (go to Item 2(a))
2a, If private, applicant will be: 2b. If sold, facilities owned by a
0 Retaining Ownership (i.e. store, church, single office, etc.) or
0 Leasing units (lots, townhomes, etc. - skip to Item 8(3))
0 Selling units (lots, townhomes, etc. - go to Item B(2b))
Union Counts
Owner of Wastewater T
4a. Twelve Mile Creek
Name of WWTF
5a, Union County _5b. 24"
Owner of Downstream Sewer Receiving Sewer
The origin
...�
in of this wastewater is (check all that apply):
must choose on
0 Public Utility (Instruction III)
0 Homeowner Assoc./Developer (Instruction IV)
Facility (WWTF) Treating Wastewater From This Project
�9 4b. NC 008535mm. .__
Residential Subdivision
0 Apartments/Condominiums
CI Mobile Home Park
0 School
0 Restaurant
0 Office
WWTF Permit No,
5c. WQ0014152
ize Permit Number of Downstream Sewer
0 Car Wash
0 Institution
0 Hospital
0 Church
0 Nursing Home
0 Other (specify):
Volume of wastewater to be permitted in this project: 2160 gallons per day
known
1QQ % Domestic/Commercial
% 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
0 Flow has already been allocated in Permit No,
0 Rehabilitation or replacement of existing sewer with no new flow expected

ATION for GRAi, ITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 4
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 purnp 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)(6 Lots) 2160' GPD
10. Summary of Sewer Lines to be Permitted (attar additional sheets if necessary)
Size (inches) Length (feet)
8" 1076
ENTER TOTAL
NE LENGTH IN MILES
0,20 miles
ummary of Pump Stations to be Permitted (attach additional sheets as necessary)
Location ID Power Reliability Option
(self chosen - as shown on Design Flow Operational Point (1- dual line feed; 2- permanent generator w/ATS; 3-
plans for cross-reference) (MGD) GPM TDH portable generator wlltelemetry; 4-wet well storage)
Gravity or Force Main
use the pull down menu)
Gravity
NIA
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 0 No If no, please reference the pertinent minimum design criteria or regulation and iindicate why a
variance is requested:
SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCUt..ATiONS PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
13. Have the following pemaits/certifications been submitted for approval?
Wetland/Stream Crossings - General Permit or 401 Certification? Yes 0 No 0 N/A
Sedimentation and Erosion Control Plan? Yes 0 No 0 N/A
Stormwater? 0 Yes 0 No ► i N/A

l�CK APPLICATION for GRAVITY SE P1?CS, PUMP STATIONS, AND FORCE 14 AINS PAGE 5
1. Use the Division's 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:
El 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 on Map
(self chosen - as shown on
map for cross-reference)
Waxhaw Quad
Name of
Waterbody
East Fork
Tutc+l"ec+m,[le, Cie
County
Union
River Basin
Catawba
rtaody Stream
Index
11-138-2
Submit tl 8F5" x 11 " COLOR topographic trap as required in Instruction VI
regardless of whether a classification is provided!
Applicant's Certification:
Waterbody
Classification
C
1, Jon C. Dyer, attest that this application for Oak Hill S`u',division Sanitary Sewer Extension 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
application shall be guilty of a Class 2 misdemeanor which may in rde a fine not to exceed $10,000 as well as civil
enalties up to $25,000 per violation.
ning Of icial Signature
Professional Engineer's Certification:
Date
I attest that this application for Oak Hill Subdivision Sanitary Sewer Extension has been reviewed by me and is accurate,
complete and consistent with the information in the engineering plans, calculations, arid all other supporting documentations
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 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 I have reviewed this materialand 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 $10,0O0 as well as civil penalties up to $25,000 per violation,
2a. Clinton D Lawrence, PE
Professional Engineer Name
2b. Lawrence & Associates
Engineering Firm
2c. P© Box 1014
Address
2d, Monroe
2g, 71-289-101
Telephone
2h, 704-283
Facsimil
035
2e. NC 2f. 28111
State Zip
2i, ciint@a larncesurveyinr ,corn
E-mail
Seal
e

Name: WAXHAW
Date: 8/12/2004
Scale: 1 inch equals 2000 feet
Location; 034° 58' 217" N 080° 41' 10 8" W
Caption: Oak Hill Estates Drainage Map
997, Maptect)„ Inc.

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
Date: 10/6/04
Regarding: Sanitary Sewer to serve Oak Hill Subdivision Sanitary Sewer Extension
We are sending you: ❑ Copy of letter ❑ Plans ❑ Prints ❑ Shop Drawings
Other
Copies
Date
No.
Description
1
10/6/04
Original Non Discharge Permit Application
1
10/6/04
Copy of Non Discharge Permit Application
1
7/7/04
0233
Check for $400.00 (Application Fee) CEPT. O E ROSMtpidT.\
'
unploo. . ;"• :. - !AL OFFICE
OCT 0 R 2004
These are transmitted as checked below:
WATER a ; T1 SECTION
® For approval ❑ For your use ❑ As requested ❑ For review and comments
Remarks:
Signed: /�� GPI ,
Received by: Date:

Town of Marshville Sewer Extension Permits
Permit
Project
Flow
11123
Mill Tree Apartments
250' 8-inch line
Not stated
13722
EPA Sewer Rehab
0
14283
Allen Drive
868' 8-inch line
Not stated
15191
EPA Sewer Rehab
0
16219
CDBG Project - Rehabilitiated Housing Area
3,400' 8-inch line
Not stated
WQ0000201
Peachland Street
Not stated
WQ0001683
Ford Dealership
Not stated
WQ0001689
Hallman Drive
12,500
WQ0005665
Austin Street
4,200
WQ0010649
Municipal Park
5,320
WQ0011770
Bakery Feeds
2,010
WQ0013716
Mill Creek Extension
1,800
WQ0018227
Carolina Place
6,840
WQ0022142
East Pointe Subdivision
6,120
WQ0022326
Traywick Road
150
Total Known
38,940
Older permits did not allocate a number in the permit. The applications are in archives and difficult to
retrieve. For unlisted flows, estimations can be made using the flow rates in 15A NCAC 2H .0219(1) and
the estimated number of units (apartments, homes, etc.) and their number of bedrooms each.

FastTrack Engineering Certification
Permit No. WQ0024446
October 12, 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 rec
modifications are re uired for,an chap es resultingin non-com fiance with this ermit r uI t6 ns or
minimum design criteria,
d drawings or in written summ
ry form. Perrn
This project shall not be considered complete nor allowed to operate until this Engineers 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.
a
ENGINEER'S CERTIFICATION
L Partial '' irsaV
as a duly registered Professional Engineer in the State of North Carolina, having
been authorized to observe periodically, © weekly, 0 full time) the construction of the Oak Hill Subdivision
Sanitary Sewer Extension, 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 .0260; 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
610 EAST CENTER AVENUE, SUITE 301
MOORESVILLE NC 28116
ATTN: DEE BROWDER
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.