WQ0032963_Regional Office Historical File Pre 2018

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
October 31, 2008
Mr. Mike Garbark, Assistant Director of Public Works
Union County Public Works
500 North Main Street
Monroe, NC 28112
Subject: Permit No. WQ0032963 Modification
Brookhaven Phase 4
Union County Public Works
Union County, North Carolina
Dear Mr. Garbark,
In accordance with your application received on October 23, 2008, we are forwarding herewith
Permit No. WQ0032963, dated October 31, 2008, to the Union County Public Works 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effective from the date of issuance until rescinded and shall be subject to the conditions and limitations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 2T .0403 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 2T; 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.
One
Nor hCarolina
1atura!!ij
Mooresville Regional Office 610 East Center Ave., Suite 301 Mooresville, NC 28115
Internet: www.ncmwaterquality.org Customer Service: d-877-623-6748
An Equal Opportunity/Affirmative Action Employer-50% Recycled/10% Post Consumer Paper
Phone: [phone] Fax: [phone]

Mr. Garbark
Page 2
October 31, 2008
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 Public Works for the construction and operation of approximately 1,634 linear
feet of 8-inch gravity sewer and the discharge of 3,990 gallons per day of collected domestic
wastewater into the Union County existing sewerage system 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.
The sewage and wastewater collected by this system shall be treated in the Union County's 12
Mile Creek WWTP (NPDES No. NC0085359) prior to being discharged into the receiving stream.
Assessing subsequent impacts to the downstream collection system and treatment facility is the
complete responsibility of Union County Public Works. Union County must utilize whatever tracking
tools necessary for planning additions of sewer flow in order to maintain compliance with the WWTP
permitted limits and their collection system permit WQCS00054.
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 150E 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.
Sin�rE ely,
11)
for Coleen H. Sullins
cc: Mooresville Regional Office, Collection System Permit Files
Danis Simmons, ESP Associates, PA
Surface Water Protection Central Files
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 2T; 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 2T .0403. If an individual
permit is not required, the following performance criteria shall be met as provided in 15A NCAC 2T
.0403:
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 §143-215.1C.
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 2T .0116, 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 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.
9. In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall take immediate corrective action, including
those as may be required by this Division, such as the construction of additional or replacement
facilities.
10. The issuance of this permit shall not exempt the Permittee from complying with any and all
statutes, rules, regulations, or ordinances that may be imposed by other government agencies
(local, state and federal) which have jurisdiction, including but not limited to applicable river buffer
rules in 15A NCAC 2B .0200, erosion and sedimentation control requirements in 15A NCAC Ch. 4
and under the Division's General Permit NCG010000, and any requirements pertaining to wetlands
under 15A NCAC 2B .0200 and 15A NCAC 2H .0500.
11. 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.

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 31st day of October 2008.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0032963 Modification

Fast Track Engineering Certification
Permit No. W00032963 Modification
October 31, 2008
OwneriWVVfPNVQCS
Mike Garbark
Union County Public Works
400 North Church Street
Monroe, NC 28112
PE
Danis Simmons
ESP Associates, PA
PO Box 7030
Charlotte, NC 28241
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 dearly 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.
ENGINEERS CERTIFICATION
❑ Partial ❑ Final
, as a duly registered Professional Engineer in the State of North Carolina, having been
authorized to observe (❑ periodically, ❑ weekly, ❑ full time) the construction of Brookhaven Phase 4, a 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 2T; the Division of Water Quality's (Division) Gravity Sewer Minimum Design Criteria adopted
February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump
Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting materials.
North Carolina Professional Engineer's
seal, signature, and date:
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
MOORESVILLE REGIONAL OFFICE
SURFACE WATER PROTECTION
610 EAST CENTER AVENUE, SUITE 301
MOORESVILLE NC 28115
The Permittee is responsible for tracking all partial certifications up until a final certification is received. Any
wastewater flow made tributary to the wastewater collection system extension prior to completion of this
Engineer's Certification shall be considered a violation of the permit and shall subject the Permittee to appropriate
enforcement actions.

State of North Carolina
Departrnent of Environment and Natural Resources
Division of Water Quality
FAST -TRACK APPLICATION
(FTA 12/07 )
ar GRAVITY SEVERS, PUMP STATIONS, AND FORCE MAINS
uree & Vacuum sewer systems are not to be included as part of this application package)
( ' � e Water Pro, an
INSTRUCTIDWS: 1ndicaTe that you have included/addressed the following last of required application package items by
checking the space provided next to each applicable item. Failure to submit all required items will lead to your application
being returned as incomplete. Forms are available from the web site or by calling the Regional Office serving your county.
http://h2o. enr. state. nc. us/peres/C©lle ction % 2©Systems/CollectionSystemApplications. html
A. Application Form - Submit one original and one copy of the completed and appropriately executed application
form. The application should include a project narrative describing the final build -out design (i.e. system and/or
pump station to ultimately serve 500 homes, but flow for only 100 homes being requested now). For modifications,
clearly explain the reason for the modification (i.e. adding another phase, changing line size/length, etc.). Only
include the modified information in this permit application - do not duplicate project information that has already
been included in the original permit.
Any changes to this form will result in the application being returned. The Division of Water Quality (Division) will
only accept application packages that have been fully completed with all applicable items addressed. You do not
need to submit detailed plans and specifications unless you respond NO to Item B,(13).
Se orate a lications should be made for non-contiguous sewer systems,
Z B. Application Fee - Submit a check in the amount of $480 made payable to; North Carolina Department of
Environment and Natural Resources (NCDENR), Checks shall be dated within 90 days of application submittal.
Certificates of Public Convenience and Necessity — If the application is being submitted in the name of a
privately -owned public utility, submit two copies of the Certificate of Public Convenience and Necessity (CPCN)
which demonstrates that the public utility is authorized to hold the utility franchise for the area to be served by the
sewer extension. If a CPCN has not been issued, provide two copies of a letter from the North Carolina Utilities
Commission's Public Staff that states that an application for a franchise has been received, that the service area
is contiguous to an existing franchised area, and/or that franchise approval is expected. The project name in the
CPCN or letter must match that provided in Item A(2)a of this application.
11 D. Operational Agreements — Submit one original and two copies of a properly executed operational agreement, as
per 15A NCAC 02T .0115, if the application is submitted by a private applicant and will be serving residential or
commercial lots (e.g., houses, condominiums, townhomes, outparcels, etc.) that will be sold to another entity. If
the applicant is a home or property owner's association, use Form HOA 02/03. If the applicant is a developer,
use Form DEV 02/03. EVEN IF THE PROJECT MAY BE TURNED OVER TO A MUNICIPALITY UPON
COMPLETION, FORM DEV 02/03 IS REQUIRED,
® E. Downstream Sewer, WWTF Capacity and Flow Tracking/Acceptance — FORM FTSE 10/07 (Flow
Tracking/Acceptance for Sewer Extension Permit Applications) is required with every application. The applicant
(and owners of downstream sewers, pump stations and/or treatment facilities submitting FORM FTSE-10/07)
certifies that the addition of the volume of wastewater to be permitted in this project has been evaluated along the
route to the receiving treatment plant, and that the flow from this project will not cause capacity related sanitary
sewer overflows or overburden any downstream pump station en route to the receiving wastewater treatment
plant. Where the applicant is not the owner of the downstream sewer, submit two copies of FORM FTSE 10/07
from the owner of the downstream sewer and owner of the WWTF, if different. The flow acceptance indicated in
FORM FTSE-10/07 must not expire prior to permit issuance and must be dated less than one year prior to the
application date. Submittal of this application and FORM FTSE-10/07 indicates that owner has adequate
capacity and will not violate G.S. 143-215.67(a). Intergovernmental agreements or other contracts will not be
accepted in lieu of project specific FTSE 10/07.
N F Map — Submit an 8.5-inch by 11-inch COLOR copy of a USGS Topographic Map of sufficient scale to identify the
entire project area and the closest surface waters, Each map or maps must show the location of the sewer line
and pump stations and be of reproducible quality. Include a street level map showing the downstream connection
point, and the permit number for the downstream sewer, if known.
FTA 12 07

pliplI
Classifications — Watershed Classification Attachment (Form WSCAS-12/07) If any portion of the
wer system project is within 100 feet of any surface water or wetlands, the Watershed Classification Attachment
may need to be completed. A variance must be requested for encroachment within required setbacks or buffers
pursuant to 2T .0305 (f) and be indicated in Item B-13 with supporting documentation/justification provided.
❑ H Environmental Assessments — If this project is subject to an Environmental Assessment (EA) [15A NCAC
01CI, this application cannot be used. Send the project application on the most current version of Form
PSFMGSA to the Design Management Unit, 1633 Mail Service Center, Raleigh, NC 27699-1633. Applications
cannot be accepted until a Finding of No Significant Impact (FONSI) or Environmental Impact Statement (EIS)
has been issued. A copy is to be submitted with that permit application.
❑ I. Flow Direction — Many wastewater treatment systems are entering into agreements for regionalization efforts
and emergency treatment capacity. Parts of the system are installed so that the wastewater flow can be directed
to more than one treatment facility. If this is the case with this project, please indicate in B(12) and give the permit
number of the second treatment facility.
▪ J. Certifications — Section C
The application must be certified by both the applicant and the design engineer who is a North Carolina
Registered Professional Engineer (PE). The applicant signature must match the signing official listed in Item
A(1 b). The PE should NOT certify the application if he/she is unfamiliar with 15A NCAC Chapter 2T, the Gravity
Sewer Minimum Design Criteria (most recent version) and the Minimum Design Criteria for the Fast -Track
Permitting of Pump Stations and Force Mains (most recent version), as applicable to the project.
THE COMPLETED FTA 12/07 APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
DOCUMENTS AND $480 FEE, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
2090 US Highway 70
Swannanoa, North Carolina 28778
[phone]
[phone] Fax
Avery, Buncombe, Burke, Caldwell, Cherokee,
Clay, Graham, Haywood, Henderson, Jackson,
Macon, Madison, McDowell, Mitchell, Polk,
Rutherford, Swain, Transylvania, Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Fayetteville, North Carolina 28301-5094
[phone]
[phone] Fax
Anson, Bladen, Cumberland, Harnett, Hoke,
Montgomery, Moore, Robeson, Richmond,
Sampson, Scotland
Mooresville Regional Office
610 E. Center Avenue
Mooresville, North Carolina 28115
[phone]
[phone] Fax
Alexander, Cabarrus, Catawba, Cleveland,
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
Stanly, Union
Raleigh Regional Office
1628 Mail Service Center
Raleigh, North Carolina 27699-1628
[phone]
[phone] Fax
Chatham, Durham, Edgecombe, Franklin,
Granville, Halifax, Johnston, Lee, Nash,
Northampton, Orange, Person, Vance, Wake,
Warren, Wilson
Washington Regional Office
943 Washington Square Mall
Washington, North Carolina 27889
[phone]
[phone] Fax
Beaufort, Bertle, Camden, Chowan, Craven,
Currituck, Dare, Gates, Greene, Hertford, Hyde,
Jones, Lenoir, Martin, Pamlico, Pasquotank,
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
[phone] Fax
Brunswick, Carteret, Columbus, Duplin, New
Hanover, Onslow, Fender
Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, North Carolina 27107
[phone]
[phone] Fax
Alamance, Allegheny, Ashe, Caswell, Davidson,
Davie, Forsyth, Guilford, Rockingham, Randolph,
Stokes, Surry, Watauga, Wilkes, Yadkin
For more information, please visit our web site at: htfp://www.nccgl.net/Engineerin_q/Sewer%20Permits.html
or contact the Regional Office serving your county.
FTA 12/07

USE THE TAB KEY TO MOVE FROM FIELD TO FIELD!
OwnerlPermittee:
�__t arks Union County Public
Full Legal Name (company, municipality„ HOA, utility, etc,
1b. Mike Garbark , Assistant Director
Signing Official Name and Title (Please review 15A NCAC 2T ,0106 (b) for authorized signing officials!)
The legal entity who will own this system is
Individual ❑ Federal ❑ Municipality
Application Number:
(to be completed by DWQ)
1d, 500 North Main Street Suite 500
Mailing Address
North Carolina
State
1 h.. 704-296-4239
Telephone
State/County ❑ Private Partnership El Corporation ❑ Other (specify):
le, Monroe
City
lg, 28112
704-296-422
Facsimile
2. Project (Facility) Information:
2a, Brookhaven Phase 4
Brief Project Name (pe
3. Contact Person:
3a. Mike Garbark , Assistant Director
ter to this name)
Zip Code
[e-mail]
E-mail
2b. Union
County Where Project is Lo
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b, 704-296-4239
Phone Number
Project is ❑ N
Modification
2. Owner is © Public (skip to Item B(3))
2a. If private, applicant will be:
3c. US
E-mail
dification, Permit No,: WQ 0032963
❑ Private (go to Item 2(a))
2b, tf sold, facilities owned by a (must choose one
El Retaining Ownership (i.e. store, church, single office, etc.) or
0 Leasing units (lots, townhomes, etc„ - skip to Item B(3))
0 Selling units (lots, townhomes, etc. - go to Item B(2b))
Union County Public Works
El Public Utility (Instruction C)
❑ Homeowner Assoc./Developer (Instruction D)
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
4a, Twelve Mile Creek WWTP
Name of WWTF
4b. NC0085359
WWTF Permit No.
5a. Union County Public Works 5b. 8-inch =® Gravity 5c, WQ0022651
Owner of Downstream Sewer ;Receiving Sewer Size l0 Force Main Permit # of Downstream Sewer (Instruction E)
The origin of this wastewater is (check all that apply):
Residential Subdivision
0 Apartments/Condominiums
El Mobile Home Park
0 School
❑ Restaurant
❑ Office
0 Retail (Stores, shopping centers)
❑ Institution
❑ Hospital
❑ Church
❑ Nursing Home
❑ Other (specify):
Domestic/Commercial
% Industrial (attach
description.)
(RO: contact your Regiona8 Office
Pretreatment staff)
Other (specify):
Volume of wastewater to be allocated or permitted for this particular project: 2565 gallons per day
*Do not include future flows or previously permitted allocations
If the permitted flow is zero, indicate why:
0 Pump Station, Outfall or Interceptor Line where flow will be permitted in 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 (see 15A NCAC 02T .0303 to determine if a
permit is required)
F'TA I '2/07

PPIIV-
9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2T .0114 for
the value in Item B(7) AND/OR the design flow for line or pump station sizing if a reduced or zero flow is being requested in
Item B(7). Values other than that in 15A NCAC 2T .0114 (b) and (c) must be supported with actual water or wastewater use
data in accordance with 15A NCAC 2T .0114 (f).
9 LOTS x AVG. 3 BEDROOMS PER LOT @ 95 GALIDAY/BEDROOM = 2,565 GPD
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches)
Length (feet)
New Gravity or Additional
Force Main
p11.
Summary of Pump Stations wl associated Force Mains to be Permitted (attach additional sheets as necessary)
W
M
Pump Station Location 1D (self chosen - as shown on planslmap for reference)
Z
z
0
Design Flow
(MGD) i Operational Point GPM @TDH
I
Power Reliability Option
1 - permanent generator w/ATS; Force Main Size
2 - portable generator w1MTS
Force Main Length
0
Z
0
I—
Pump Station Location ID
(self chosen - as shown on plans/map
for reference)
B. PERMIT INFORMA
Design Flow
(MGD)
Operational Point
GPM @TDH
Power Reliability Option
1 - permanent generator w!ATS;
2 - portable generator wIMTS
Force Main Size
Force Main Length
Pump Station Location ID (self chosen - as shown on plans/map for reference)
Design Flow
(MGD)
Operational Point
GPM @TDH
Power Reliability Option
1 - permanent generator wFATS; ; Force Main Size
2 - portable generator w/MTS
Force Main Length
12.
■
Will the wastewater flow in the proposed sewer lines or pump stations be able to be directed to another treatment facility?
Yes ® No If Yes, permit number of 2nd treatment facility
(RO — if "yes" to 6,12 please contact the Central Office PERCS Unit)
13. 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 Chapter 2T as
applicable?
j2. 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
FTA12/07

�F(ave the following permits/certifications been submitted for approval for the system or project to be served?
Wetland/Stream Crossings - General Permit or 401 Certification? ❑ Yes ❑ No ® NIA
Sedimentation and Erosion Control Plan? ® Yes ❑ No ❑ N/A
Stormwater?
® Yes
❑ No ❑ NIA
15. Does this project include any high priority lines, [see 15A NCAC 02T .0402 (2)] involve aerial lines, siphons, or interference
manholes)? These lines will be considered high priority and must be checked once every six months
Check if Yes: ❑ and provide details
V)
Z
0
Q2.
V
LL
H
W
(..)
V
1. Owner/Permittee's Certification: (Signature of Signing Official and Project Name)
1, Mike Garbark , attest that this application for Brookhaven Phase 4
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 143-215.6B, 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.
l
l a. \ \ %\__ 1 "\- "e
Signing Official Signature Date
ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THiS
APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY
TO OTHER UTILITIES, DESIGN CALCULATIONS. ETC. REFER TO 15A NCAC 02T .0305
Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
1, Danis Simmons , attest that this application for Brookhaven Phase 4
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 other professionals may have developed certain portions of this submittal package, 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. Danis Simmons, P.E.
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NC PE Seal, Signature Date
Professional Engineer Name
2b. ESP Associates, P.A.
Engineering Firm
2c. Po Box 7030
Mailing Address
2d. Charlotte 2e. NC 12f. 28241
City State Zip i
2g. 803-802-2440 2h. 803-802-2515 21. dsimmonsftespassociates.com
Telephone 1 Facsimile E-mail
FTA 12/07

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
Flow Tracking/Acceptance
or Sewer Extension Permit Applications
(FTSE -10/07)
Project Applicant `a ame: on
Project Name f
More than one EJS1 l0/07 may be required tar ;t ,+'itt le l
pump stations along the route Of the proposed wavtew ate,
which flow is being requested:: B
okhaven, Phase 4
er «J'the WPFTP is not rentpoilsrhle. fir all
1. Complete this section only if yo
a.WWTP Facility Name:
b. WWTP Facility Permit #:
the owner of the wastewater treatment
Twelve Mile Creek
ant.
NC0085359
c. WWTP facility"s permitted flow
d. tirnated obligated flow not yet tributary to t1 e '.I,P
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. M:GT)
6.0000
1.4600
2.740833
0.0026
4.21
70.17
1I. Complete this section for each
proposed wastewater flow.
T.isf pump stations located betwee
Pump Station Nance
Brookhaven
pump station you are responsible for along the route of this
n the project connection point and the WWTP
.Approx. Capacity, MGD Approx. Current Avg.
{firm/Design) Daily Flow, MGD
McKim & Creed .Engineers
1,726.560 MGD . 343 MGD
1I1. Certification
1, Mike iia'rbark... ,certify that, to flue best of knowledge, the addition of the volume o1"
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 a.n.y downstream pump station en route to the receiving treatment
plant under normal circumstances. 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 1 and 11 for which 1 am the responsible party. Signature of this form irtdica:tes acceptance of
Date

FORM WSCAS-12/07
WATERSHED CLASSIFICATION ATTACHMENT
FOR SEWER SYSTEMS
Applicant Name
Project Name
Union County Public Works
Brookhaven Phase 4
Professional Engineer Name
Engineering Firm Name
Danis E. Simmons, P.E.
ESP Associates, P.A.
Location
ID
Name of Waterbody' _
County
River
Basin
Waterbody Stream
Index No.
Waterbody
Classification
1
W. Fork Trib. 12 Mile Creek
Union
Catawba
11-138-1
C
1 If unnamed, indicate "unnamed tributary to X", where Xis the named waterbody to which the unnamed tributary joins.
1 certify that as a Registered Professional Engineer in the State of
North Carolina that 1 have diligently followed the Division's instructions
for classifying waterbodies and that the above classifications are
inclusive of the stated project, complete and correct to the best of my
knowledge and belief.
PE Seal, Signature and Date
*** END OF FORM WSCAS-12/07 ***
II
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FORM: WSCAS-12/07
Page 1 of 1

2000'
Matthews
7.5 Minute Serie
Topographic USGS Map

UNION COUNTY PUBLIC WORKS
500 N. Main Street, Suite 500
Monroe, NC 28112
704/296-4210
Fax [phone]
To: NC Department of Environment and Natural Resource
Mooresville Regional Office
610 East Center Avenue
Suite 301
Mooresville, N:C. 28115
Attention:
Regarding: Sanitary Sewer to serve Brookhaven, Phase 4
We are sending you: [1 Copy of letter Q Plans Prints Shop Drawings
Other
opies
1
Date
10/17/08
10/17/08
10/15/08
No.
90204
D Q-ll � n
Date: 10/21/08
Description
Original Non -Discharge Permit Application
Copy of Non -Discharge Permit Application
Check for $480 00 (Application Fee)
Flow Tracking Form
Stream Classification Form w/Topo Map
These are transmitted as checked below:
For approval Q For your use >$' As requested P For review and comments
Remarks.:
Signed:
Received by: Date:

`,!hermit Number WQ0032963
Central Files: APS SWP
10/30/08
Permit Tracking Slip
Program Category Status
Non -discharge Active
Project Type
Major modification
Permit Type Fast Track Version Permit Classification
Gravity Sewer Extension, Pump Stations, & Pressure Sewer 1.10 Individual
Extensions
Primary Reviewer
dee.browder
Permitted Flow
3990
Facility
Permit Contact Affiliation
"'Facility Name
Brookhaven Phase 4
Location Address
Owner
Major/Minor Region
Minor Mooresville
County
Union
Facility Contact Affiliation
Owner Name Owner Type
Union County Public Works Government - County
Owner Affiliation
Matthew Delk, Director Interim Public
Works of
Dates/Events
Scheduled
Orig Issue App Received Draft Initiated Issuance
05/21/08 10/30/08
Regulated Activities
Subdivision
1:
• Wastewater collection
Outfail NULL
Public Notice Issue Effective Expiration
10/30/08 10/30/08
Reauested/Received Events
Additional information requested
Additional information received
Waterbody Name Stream Index Number
Current Class Subbasin