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WQ0033158_Regional Office Historical File Pre 2018
o��� w A r�RQG llrl --1 o --c.• June 20, 2008 Mr. Mark Garbark, Asst. Director of Public Works Union County Public Works 500 North Main Street Monroe, NC 28112 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 Subject: Permit No. WQ0033158 School L on Poplin Road Union County Public Works Union County, North Carolina Dear Mr. Garbark, In accordance with your application received on June 17, 2008, we are forwarding herewith Permit No. WQ0033158, dated June 20, 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 This permit shall be effective from the date of issuance until rescinded and shall be subject to the conditions and limitations as specified therein.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 Genera! 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: (704) 663-1699 Fax: (704) 663-6040 Internet: www.ncmwaterquality.org Customer Service: 1-877-623-6748 An Equal Opportunity/Affirmative Action Employer-50% Recycled/10% Post Consumer Paper NNo n hCarolinf aturally Mr. Garbark Page 2 June 20, 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 2,619 linear feet of 8-inch gravity sewer, 3,056 linear feet of 12-inch gravity and the discharge of 0 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. Sincerely, for Coleen H. Sullins cc: Mooresville Regional Office, Collection System Permit Files Benjamin Whaley, YCH Architects, PA Surface Water Protection Central Files PERCS 2 0 LL z Z 0 V a E THE TAB KEY TO MOVE FROM FIELD TO FIELD! Owner/Permittee: i 1 a. Union County Application Number: (to be completed by DWQ) DC033l5 2t Full Legal Name (company, municip_ ality, HOA, utility, etc.) '1 b. Ms. Christie L. Putnam, Director of Public Works Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized signing officials!) I .1c. The legal entity who will own this system is: 0 Individual 0 Federal ❑ Municipality ® State/County ❑ Private Partnership ❑ Corporation 0 Other (specify): 1 - id. 500 N. Main Street, Suite 500 1 e. Monroe Mailing Address 11f. North Carolina State 1 h. 704-296-4212 1 i. 704-296-4232 Telephone Facsimile 2. Project (Facility) Information: '2a. Offsite gravity sewer trunk to serve L School on Poplin Road Brief Project Name (permit will refer to this name) 3. Contact Person: '3a. Benjamin S. Whaley, PE of YCH Architects, PA Name and Affiliation of Someone Who Can Answer Questions 3b. 704-788-2000 Phone Number City 1g. 28112 Zip Code 1 j. E-mail 2b. Union County Where Project is Located About this Application 3c. 704-788-2010 E-mail B. PERMIT 11. Project is ® New ❑ Modification (of an existing permit) If Modification, Permit No.: 2. Owner is ►I Public (skip to Item B(3)) 0 Private (go to item 2(a)) 2a. If private, applicant will be: 2b. single office, etc.) or - skip to Item B(3)) - go to Item B(2b)) If sold, facilities owned by a (must choose one) (Instruction C) Assoc./Developer (Instruction D) • Retaining Ownership (i.e. store, church, )I Public Utility ■ Leasing units (lots, townhomes, etc. 0 Homeowner ❑ Selling units (lots, townhomes, etc. h 3. Union County Public Works Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project 14a. Twelve Mile Creek WWTF 14b. NC 0085359 Name of WWTF WWTF Permit No. 5a. Union Co. Public Works 15b. 12' PVC ® Gravity ❑ Force Main (Stores, shopping Home (specify): 5c. WQ0031192 Owner of Downstream Sewer Receiving 16. The origin of this wastewater is (check Sewer Size all that apply): 0 Retail 0 Institution ❑ Hospital 0 Church ❑ Nursing 0 Other or permitted for Permit # of centers) Downstream Sewer (instruction E) - 100 %Domestic/Commercial % Industrial (attach • Residential Subdivision ❑ Apartments/Condominiums ❑ Mobile Home Park description.) (RO: contact your Regional Office Pretreatment staff) % Other (specify): ►1 School ❑ Restaurant ❑ Office 7. Volume of wastewater to be allocated this particular allocations will be permitted project: 0 gallons per day *Do not include future flows or previously 8. If the permitted flow is zero, indicate permitted why: Line where flow Permit No. - in subsequent . permits that connect to this line NCAC 02T .0303 to determine if a L Pump Station, Outfall or Interceptor 0 Flow has already been allocated in • Rehabilitation or replacement of existing permit is required) sewer with no new flow expected (see 15A . • FTA12/07 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). Trunk line to serve the basin which School L. is located. 10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary) I Size (inches) i Length (feet) - 8" 2619.30 New Gravity 12" } 3056.26 New Gravity t f I New Gravity or Additional Force Main I a 11. Summary. _ _ of Pump Stations w/ associated Force Mains to be Permitted (attach additional sheets as necessary) N/A .— _ ..__........__ ._.._ -- ----- w M IPump Station Location ID (self chosen - as shown on plans/map for reference) Design Flow I Power Reliability Option F. . (MGD) Operational Point 1 _ permanent generator w/ATS; Z: GPM @TDH 2 - portable generator w/MTS o-i N ;Pump Station Location ID Design Flow C (MGD) 0 IiL - Force Main Size ! Force Main Length (self chosen - as shown on plans/map for reference) 2- c 'Pump Station Location ID W! a m , Design Flow (MGD) Operational Point 1 - GPM @TDH 12 Power Reliability Option permanent generator w/ATS; - portable generator w/MTS Force Main Size Force Main Length (self chosen - as shown on plans/map for reference) + Power Reliability Option Operational Pointj 1 - permanent generator w/ATS; I Force Main Size Force Main Length GPM @TDH 2 - portable generator w/MTS i 12. Will the wastewater flow in the proposed sewer lines or pump stations be able to be directed to another treatment facility? iD Yes g. No If Yes, permit number of 2nd treatment facility i(RO -- if "yes" to B,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 Stationsand Force Mains (latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC Chapter 2T as applicable? ® Yes 0 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 FrAl2/07 e following permits/certifications been submitted for approval for the system or project to be served? etland/Stream Crossings - General Permit or 401 Certification? Sedimentation and Erosion Control Plan? Stormwater? ®Yes No ❑NIA ® Yes ❑ No ❑ N/A ❑ Yes ❑ No ® N/A 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 No Check if Yes: ❑ and provide details l i . 1 a. Owner/Permittee's Certification: (Signature of Signing Official and Project Name) 1, Ms. Christie L. Putnam. Director of Public Works. attest that this application for Sewer Trunk to Serve L School 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 cent' c tion in any application . •all be guilty of a Class 2 misdemeanor, which may include a fine not to exceed $10,000 a wel j civil penalti up5,000 per violation_ Signing Official atur Date ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY co 7O OTHER UTILITIES, DESIGN CALCULATIONS. ETC. REFER TO 15A NCAC 02T .0305 Z 0 Q 2. Professional Engineer's Certification: (Signature of Design Engineer and Project Name) ✓ 1, Benlamin S. Whaley. PE, attest that this application for Sewer Trunk to Serve L School has been reviewed by me and is 1L ! accurate, complete and consistent with the information in the engineering plans, calculations, and all other supporting H . documentation to the best of my knowledge. i further attest that to the best of my knowledge the proposed design has CC.. i 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 C.) ' 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 V 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. Benjamin S. Whaley, PE Professional Engineer Name f2b. YCH Architects, PA Engineering Firm 2c. 145 Union Street, S. Mailing Address 12d. Concord 2e. NC 2f. 28025 City State Zip 2g. 704-788-2000 `2h. 704-788-2010 21. stevew@ycharch.com Telephone Facsimile E-mail NC PE Seal, Signature & Date FTA12/07 nage Courtesy of the USGS r 4 fj f ! Page 1 of 1 Send To Printer Back To TerraServer Change to 11x17 Print Size Show Grid Lines Change to Landscape ZUSG5 27 km SE of Charlotte, North Carolina, United States 01 Jul 1991 • •. 1 F7 . rx�, ,, • l l5 • .1tir , •z . f f t. r �= P_•-", 4 •1 f r , Li ^"r -• r a }r 5of �7:: rl , -- 4 r•. • r. 0' °eta- • '. 5Kr1n r' f -l. 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Terms of Use Privacy Statement httn•!/tarracarm.r_nca rnm/D,nfT.,r.a..n ocr,.,_'7Q, �1 )P.7J1?P,V-4'71 RV_AOC'] 0.177- 1 0__ tc t'nno Permit Number W00033158 Central Files: APS_ SWP_ 06/19/08 Permit Tracking Slip Program Category Non -discharge Permit Type Fast Track Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions Primary Reviewer dee.browder Permitted Flow 0 Facility ._Facility Name Offiste gravity sewer trunk to serve L school on Poplin road Location Address Owner Status Project Type In review New Project Version A Permit Classification Individual Permit Contact Affiliation MajorlMinor Minor Region Mooresville County Union Facility Contact Affiliation Christie Putnam, Director Public Works 500 N Main St StA00 Monroe NC 281124730 Owner Name Union County Public Works Dates/Events Owner Type Government - County Owner Affiliation Christie Putnam, Director Public Works of 500 N Main St Ste 500 Monroe NC 281124730 Scheduled Orlg Issue App Received Draft Initiated Issuance 06/20/08 06/17/08 Regulated Activities School Wastewater collection Outfall NULL Public Notice Issue 06/20/08 Effective Expiration 06/20/08 ReauestedfReceived Events Additional information requested Additional information received Waterbody Name Stream Index Number Current Class Subbasin ri WA%QG Q -c April 8, 2009 Beverly Eaves Perdue, Governor Dee Freeman, Secretary North Carolina Department of Environment and Natural Resources Coleen Sullins, Director Division of Water Quality Union County Public Works 500 North Main Street Suite 500 Monroe, North Carolina 28112 SUBJECT: School ! on Poplin Road Permit No. WQ0033158 Wastewater Collection System Extension Final Engineering Certification Dear Permittee: The Division received a final engineering certification for the subject project on March 20, 2009. A full review of the certification materials may or may not be conducted. It is assumed that receipt of this certification indicates compliance with all regulations, design criteria and the permit. Please be reminded that the Permittee is responsible for keeping a copy of the final record drawings for the life of the project. If you have not received a copy, please contact your consultant immediately to obtain a copy. You are receiving this letter because the Division has you listed as the responsible party. If this permitted system is no longer owned by you, please complete Form PNOCF-S as this permit is not automatically transferable. Form PNOCF-S can be downloaded from http://h2o.enr.state.nc.us/ndpu/ndpuapps.html#Sewer. If you have any questions concerning this document or the completion of Form PNOCF-S (if necessary), please contact Ms. Dee Browder at the letterhead address or via E-mail at dee.browder@ncmail.net. Sincerely, cr 12oberf Krebs Surface Water Protection Regional Supervisor Enclosure Cc: Surface Water Protection Section Central Files (certificotion page only) Benjamin Whaley, YCH Architects One Pretreatment, Emergency Response and Collection Systems Unit Internet http:1Jh2o.enr.nc.state.us/ndpu NorthCarolina 1617 Mail Service Center, Raleigh, NC 27699-1617 An Equal Opportunity Action Employer Naturally Telephone (919) 733-5083 Fax (919) 733-0059 50% recycled/10% post -consumer paper Fast Track Engineering Certification Permit No W00C133158 June 20, 2008 QwnerlWWTPI VOCS Mike Garbark Union County Public Works 500 North Main Street, Suite 500 Monroe, NC 28112 PE Benjamin Whaley YCH Architects, PA 145 Union Street. S. Concord, NC 28025 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 tines) of the wastewater collection system extension • Supporting design calculations (selected pumps. system curve. operating point, available storage if portable generators) or storage greater than longest past three year outage reliability option selected) for any pump stations permitted as part of this project • Chances 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 I. 616N3AY l t. f. , as a duly registered Professional Engineer in the State of North Carolina, having been authorized to observe (filk periodically ❑ weekly, ❑ full lime) the construction of School L on Poplin Road, 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 tvtinimum 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 seat. signature, and date ft • �tH CAPio i00, •, iFESSi.•,'L ••°0 [iv 'fly 9 SEAL F = 22937 • - SeWl•le • dr- sjill I iSsei$09g I Col 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 Perrnittee 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 Pe rmittee to appropriate enforcement actions. UNION COUNTY PUBLIC WORKS 500 N. Main Street, Suite 500 Monroe, NC 28112 7041296-4210 Fax 704/296-4232 To: NC Department of Environment & Natural Resources Mooresville Regional Office 610 East Center Avenue, Suite 301 Mooresville, NC 28115 TRANSMITTAL Attention: Dee Browder Regarding: Engineer's Certification for School L on Poplin Road (Offsite Sewer) We are sending you: [ Copy of letter Z Other Copies Date 2/ 9 12/09 No. Description Plans Record Drawings Date: 3119/09 Prints L] Shop Drawings Engineers Certification for Sewer (Permit 003'l68) These are transmitted as checked below: © For approval Remarks: Signed: For your use '[1 As requested T For review and comments Received by: Date: R�VI WSCAS-12/07 WATERSHED CLASSI FOR SEWER SYSTEMS 7ATION ATTACHMENT Union County Professional Engineer Name Benjamin S. Whaley, PE Location ID Name of Waterbody' Project Name Gravity Sewer to Serve School (Public Q1tSi En Firm Name YCI-I Architect, PA 145 Union Street, S Concord, NC 28025 County North Fork of Crooked Creek Union River Waterbody Stream Waterbody Basin Index No. Classification Yadkin 18-17-20-1 nnarned, indicate "unnamed tributary to X'', where Xis the named waterbody to which the unnamed tributary yoin.s, l certify that as a Registered Professional Engineer in the State of North Carolina that l 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 (1'ORM WS(AS-12/07 *** F()ltivt: WSC AS i"?/07 Page 1 of 1 Name of Stream Description Curr. Class + J Date Basin Stream Index # Clear Creek From source to Rocky C 07/01/73 Yadkin 13-17-17 River Long Branch From source to Clear C 07/01/73 Yadkin 13-17-17-3 Creek Goose Creek From source to Rocky C 07/01/73 Yadkin 13-17-1B River Paddle Branch From source to Goose C 07/01/73 Yadkin 13-17-1B-2 Creek Duck Creek From source to Goose C 09/01/74 Yadkin 13-17-18-3 Creek Crooked Creek From source to Rocky C 07/01/73 Yadkin 13-17-20 River North Fork From source to Crooked C 09/01/74 Yadkin 13-17-20-1 .--- Crooked Creek Creek South Fork From source to Crooked C 09/01/74 Yadkin 13-17-20-2 Crooked Creek Creek Grassy Branch From source to Crooked C 07/01/73 Yadkin 13-17-20-3 Creek Grassy Creek From source to Rocky C 09/01/74 Yadkin 13-17-23 River Reason Branch From source to Rocky C 08/03/92 Yadkin 13-17-25 River Bull Branch From source to Reason C 08/03/92 Yadkin 13-17-25-1 Branch Crisco Branch From source to Rocky C 08/03/92 Yadkin 13-17-27 River Richardson Creek From source to a point WS-IV 08/03/92 Yadkin 13-17-36-(1) 0.2 mile downstream of mouth of Beaverdam Cr, Richardson Creek From a point 0.2 mile WS-IV;CA (Lake Lee) downstream of mouth of Beaverdam Creek to Monroe Water supply Dam 08/03/92 Yadkin 13-17-36-(3.5) Richardson Creek From Monroe Water C 09/01/74 Yadkin 13-17-36-(5) Supply Dam (Lake Lee) to Rocky River Mill Creek From source to C 09/01/74 Yadkin 13-17-36-ID Richardson Creek Little Mill Creek From source to Mill C 09/01/74 Yadkin 13-17-36-10-1 Creek Meadow Branch From source to C 09/01/74 Yadkin 13-17-36-11 Richardson Creek Spring Branch From source to Meadow C 09/01/74 Yadkin 13-17-36-11-1 Branch Bull Branch From source to C 09/01/74 Yadkin 13-17-36-12 Richardson Creek Watson Creek From source to C 09/01/74 Yadkin 13-17-36-13 Richardson Creek Haw Branch From source to Watson C 09/01/74 Yadkin 13-17-36-13-1 Creek Gold Branch From source to C 09/01/74 Yadkin 13-17-35-14 Richardson Creek Page 3 of 7 UNION COUNTY PUBLIC WORKS 500 N. Main Street, Suite 500 Monroe, NC 28112 704/296-4210 Fax 704/296-4232 To: NC Department of Environment and Natura Resources Mooresville Regional Office 610 East Center Avenue Suite 301 Mooresville, N.C. 28115 Attention: Regarding: Sanitary Sewer to serve L School on Poplin Road We are sending you: Copy of letter Other Date No. Description 6/9108 6/9/08 6/10/08 6/9/08 NC DENR MRO DWQ urfOCe Water Protection Date: 6/13/08 Plans fl Prin Original Non -Discharge Permit Application 1 Copy of Non -Discharge Permit Application 12999 E Check for $480.00 (Application Fee } Flow Tracking Form Stream Classification Form These are transmitted as checked below: hop Drawings For approval El For your use E As requested __.. For review and cornrnents Remarks: Signed: Received by: Date: State of North Carolina Department of Environment and Natural Resources Division of Water Quality Flow Tracking/Acceptance for Sewer Extension Permit Applications (FTSE —10/07) Project Applicant Name: ountv Project Nane for which flow is being reques %lore than one pump stations al d: tityF Sewer Trunk to serve School o Poplin Road If the owner er of the {{%I°6°`` II' is not r T. Complete this section e nl a. WWTP Facility Name: b. WWII' Facility Permit 4: u are the owner of e NCB➢085359 he wast ek water treatment plan' c. WWTP facility's permitted flew d. Estimated obligated flow not yet tributary to tl 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 TP All flows are in MCI:) 6,000 000 2,740„833 0 4,191,16E 69.85 ll, Complete this 5 proposed wastewat for each pump station you are responsible for along the route now List pump stations located between the project connection point ate td the WWTP Pump Station Name Poplin Road Approx. Capacity, MGD (Firm/Design) Creed / 3.16 Fieldstone Farms Stttntee. C:"ransulting ,r''l,9 Approx. Current Avg. Daily Flow, MGD 0.69 0 this ii.cation Statement: :e L. Putnam ertif` <x that:, to the best of nav knowledge, the addition of the volume of wastewater to be permitted in this project has been evaluated along the route to the receiving wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity related. sanitary sewer overflows or overburden any downstream pump station en route to the receiving treatment plant under normal circumstances. This analysis has been performed in accordance with local established pcalicnd procedures using the best available data. This certification applies to those items listed above in 1 and 11 for which a the responsible party, Signature of this form indicates acceptance of Date