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WQ0033291_Regional Office Historical File Pre 2018
ROB° CE ICHAE L S. RE AN LINDA CULE EPPER December 18, 2018 Crystal Pa.nico, New Development Program Manager Union County Public Works 500. N. Main Street, Suite 400 Monroe, NC 28112 Subject: Permit No. WQ003329 Union County Public Works Longford Village Wastewater Collection System Extension Permit Union County Dear Ms. Par In accordance with your letter dated December 11, 2018, by which .Permit No, WQ0033291, issued to the Union County Public Works Permit No. W00033291 is now rescinded. u reouested recession of ,e reby notify you .that 11°you need additional information concerning this matter please contact Ori "Fuvia at (704) 235- 2190 or via e-mail at ori.turtia a node nr rr#do e. Sincerely, DocuSigned by: A4CC681AF27425... la Culpepper Director, Division of er Resources Corey Basinger, Regional Supervisor utility Regional Operations. Section. i-ion of Water Resources, NCDEQ cc: Mooresville Regional Office Files (Laserfiche) Water Resources Central Files (Laserfiche) PERCS (Lasert3che) Union County Public Works 500 North Main Street Suite #400 Monroe, NC 28112 T. 704,298.4210 www.unioncountync.gov December 11, 2018 NC Dept. of Environmental Quality Division of Water Resources Mooresville Regional Office 610 E. Center Avenue Mooresville, N C, 28115 Ref, Longford Village — Permit # WQ0O33291, dated February 14, 2012 To whom it may concern: Please void permit # WQ0033291, dated February 14, 2012. The proposed gravity se main will not be constructed as approved with this permit. There will be a new permit with new flow and a different engineer, If you have any questions don't hesitate to call me at (704) 296-4239. Thank you for working with us on this matter. Sin,91rely, // rystai Q. Panico, P.E. New Development Program Manager COP/pwb or Are NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P. E. Governor Director February 14, 2012 Union. County Public Works Mr. Mike Garbark, P.E., Assistant Director of Public Works 500 N. Main Street, Suite 500 Monroe, North Carolina 28112 Dear Mr. Garbark: Dee Freeman Secretary Subject: Permit No, WQ0033291 (Modification) Longford Village Subdivision Wastewater Collection System Extension. Union County, North Carolina In accordance with your application received on February 8„ 2012, we are forwarding herewith Permit No.WQ0033291, dated February 14, 2012,.to 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 he 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, 1.996, as applicable; 3) and the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted lune 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, andlor referral of the North Carolina -licensed Professional Engineer to the licensing board. One No Carolina Vatarallj 5.4iooresville Regional Office 610 East Center Ave:, Suite 301. Mooresville, NC 28115 Phone: 4) 663-1639 Fax: (704) 663-6040 interne: www.ncmwaterquality.org C:ustorner Service: 1-877-623-6748 An Equal OpporlunitylAffirmative Action Employer — 50% RecycleW10%.Post Consumer Paper A Mr, Garbark Page 2 February 14, 2012 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 UnionCounty Public Works for the construction and operation of approximately 110 linear feet of 8- inch gravity sewer and approximately 2,742 linear feet of 12-inch gravity sewer and the discharge of 4,275 gallons per day of collected domestic wastewater (previous permit was issued on August 8, 2008 for approximately 4,485 linear feet and the discharge of 9,120 gallons per day) into Twelve Mile Creek existing sewerage system, pursuant to the application received on February 8, 201.2, and in conformity with 1.5A 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 Pum.p Stations and Force Mains adopted June 1, '2.0'00, 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. Assessing subsequent impacts to the downstream collection system and treatment facility is the complete responsibility of Union County Public Works. Union County Public Works must utilize whatever tracking tools necessary for planning additions of sewer flow in order to maintain compliance with the WWTP permitted limits and the WQCS00054 permit requirements. The sewage and wastewater collected by this system shall be treated in Twelve Mile Creek Wastewater Treatment plant 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 adjudicator)/ 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 Samar Bou-Ghazale at (704) 663-1699. Sincerely, for Charles Wakild, P.E. cc: Mooresville Regional Office, Collection System Permit File Surface Water Protection Central Files PERCS NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES RALEIGH WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT (MODIFICATION) 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. 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 28 ,0200, erosion and sedimentation control requirements in 15A NCAC Ch. 4 and under the Division's General Permit NCGO10000, 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 (704) 663-1699, 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 (800) 858-0368 or (919) 733-3300. 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 1I 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 14th day of February, 2012. NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION for Charles Wakild, P.E., Director Division of Water Quality By Authority of the Environmental Management Commission Permit Number WQ0033291 (Modification) 3 Fast Track Engineering Certification Permit No. WQ0033291 (Modification) February 14, 2012 Owner/WVVTPNVQCS Wayne M. Harris, PE Union County Public Works Hams Engineering Longford Village 1325 Harding Place 500 N. Main St Suite 500 Charlotte, NC 28204 Monroe, NC 28112 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. Per t modifications are required for any changes resulting in non-compliance with thisslermit, regulations or minimum design criteria 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. ENGINEER'S CERTIFICATION Partial Final as a duly registered Professional Engineer in the State of North Carolina, having been authorized to observe (E1 periodically, Ei weekly, 11 full time) the construction of Longford Village, 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 Engineers 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 ail 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 VIFF7SE E TAB KEY TO MOVE FROM FIELD TO FIELD! 1. Owner1Perrnittee: 1 a Union CountvPublic FullName (company, mu cipality, HOA, utility, etc.) Application Number: vv (to be completed by DWQ) O 1 b. Mike P.E. Ass r Union Coun Pubik Works Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized signin officials! 5 lc. The legal entity who will own this system is: 0 Individual 0 Federal 0 Municipality P State/County 0 Private Partnership 0 Corporation D Other (specify): IX O Id. 500 N. Main Street, Suite 500 Mailing Address • if. NC Stat O in. 1704) 296-4239 1i. 1704) 296-42 2 Telephone Facsimile 2. Proiect (Facility) Information: 2a. Longford Village Subdivision Brief Project Name (permit will refer to this name 3. contact Person: le. Monroe City g. 28112 Zip Code j. mikegarbark@co.union.nc.us E-mail 2b, Union County Project is Located ▪ 3a, Mike Garbark P.E, Asst. Director Union Cou Public Works Name and Affiliation of Someone Who Can Answer Questions About this Application 3b. (704) 296-4239 3c. mike a co.urtion. Phone Number E-ma 1. Project is 0 New Modification (of ng permit) If Modification, Permit WQ0033291 2. Owner is Public (skip to item 8( 2a. If private, applicant will be: El Private (go to Item 2(a)) 2b. If sold, facilities owned by a (must choose one) o Retaining Ownership (i.e. store, church, single office, etc.) or 0 Leasing units (lots, townhomes, etc. - skip to item B(3)) o Selling units (lots, townhomes, etc, - go to Item B(2b)) 3, Union Coun Public Works Z Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project g. 4a. Twelve Mile Creek WWTP 4b. NC0085359 I— Name of WWTF WWTF Permit No. icC z 5a. Union County Public Works 5b. 24" Gravity 5c. WQ0019128 IX Owner of Downstream Sewer Receiving Sewer Size 0 Force Main Permit # of Downstream Sewer (Instruction E) O 6' The origin of this wastewater is (check all that apply): LL Z D Public Utility (Instruction C) 0 Homeowner Assoc./Developer (Instruction D) a Residential Subdivision o Apartments/Condominiums O Mobile Home Park o School 0 Restaurant 0 Office o Retail (Stores, shopping centers) 0 Institution 0 Hospital o Church 0 Nursing Home o Other (specify): 100 % Domestic/Commercial % Industrial (attach description.) (RO: contact your Regional Office Pretreatment staff) % Other (specify): 7. Volume of wastewater to be allocated or permitted for this particular project: -4,845 gallons per day `Do not include future flows or previously permitted allocations 8. 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 0 Flow has already been allocated in Permit No. 0 Rehabilitation or replacement of existing sewer with no new flow expected (see 15A NCAC 02T .0303 to determine if a permit is required) FT A 1 2/07 9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2T .0114 for' the value in Item 8(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). Reduction of 17 single-family lots at 285 gpd/unit = -4,845 gpd. (NOTE: 32 lots (9,120 gpd). This application removes 17 permitted lots... 9,120 gpd — 4,845 gpd 10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary) Size (inches) 8.0 12" Length (feet) 1,743 — 1,633 = 110 2,742 — 0 = 2,742 New Gravity or Additional Force Main Gravity Gravity C3 11. Summary of Pump Stations w/ associated Force Mains to be Permitted (attach additional sheets as necessary) w n Pump Station Location ID N/A (self chosen - as shown on plans/map for reference) Z Design Flow Operational Point Power Reliability Option Z (MGD) .,e GPM TDH 1 - permanent generator %WATS; Force Main Size Force Main Length O 2 - portable generator w/MTS (...) Z 0 ▪ Pump Station Location ID N/A (self chosen - as shown on plans/map for refarence) Design Flow Operational Point GPM TDH Power Reliability Option .- (MGD) 1permanent generator w/ATS; Force Main Size Force Main Length O @ 2 - portable generator INNIS 1:t Pump Station Location ID N/A (self chosen - as shown on plans/map for reference) 1.1.1 Q Design Flow Operational Point Power Reliability Option (MGD) GPM TDH 1 - permanent generator w/ATS; Force Main Size Force Main Length @ 2 - portable generator w/MTS 12. Will the wastewater flow in the proposed sewer lines or pump stations be able to be directed to another treatment facility? El Yes f4 No If Yes, perrnit number of 2nd treatment facility (RO — if"yes* to 8,12 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? Yes EI 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 PER11NENT TO THE VARIANCE WITH YOUR APPLICATION FTA 1 2/07 Have the following permits/certifications been submitted for approval for the system or project to be served? Wetland/Stream Crossings - General Permit or 401Certification? Sedimentation and Erosion Control Plan? Stonrnwater? Yes El No El NA Yes 0 No El N/A Yes DNo Ej 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: El and provide details 1. la. Owner/Permittee's Certification: (Signature of Signing Official and Project Name) 1, Mike Garbark, P.E. Asst. Director Union County Public Works attest that this application for Log,gford Village Subdivision 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 include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation, Signing Officia 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 TO OTHER UTILITIES, DESIGN CALCULATIONS. ETC. REFER TO 15A NCAC 02T .0305 z 2. Professional Engineers Certification: (Signature of Design Engineer and Project Name) 1, Wayne M. Harris,: , attest that this application for Longford Village Subdivision 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 I 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 143-215,68, any person who knowingly makes any false statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed $/0,000 as well as civil penalties up to $25,000 per violation. 2a. Wayne At Harris, P.E. Professional Engineer Name 2b. Harris Engineering 2c. Engineering Firm 25 Hardin Place ding Address 2d, Charlotte City 2g. (704) 334-1325 2h, Telephone (704)334-1330 Facsimile 2e. MC 2f. 28204 State Zip 2i. wharris©harris-engr. com E-mail NC PE SeaN, Signature & Date FrA 2/07 LONGFt RD VILLAGE SUBDIV SION AREA MAP #1 OF 1 (EXCERPT FROM USES QUAD MAP "MATTHEWS") A Flow Trac State of North Carolina partntent of Environment and Natural Resources Division of Water Quality eptance for Sewer E w:tension Permit Applications (FTSE--10/07) Pr ect Applicant Name: Union County Project Name for which flow is being requested: Afore than one FTSE-10/07 mrt) d od.ifacation' a si, gle project if e owner La tta kt't°VIP is not r x°puns! pump stations along the route o the proposed wastewater flow I. Complete this section only if a. 'WWTP Facility Name: b. WWTP facility Permit #; lie owner of the wastewater treatment plant. l"vele Mile Creek NC00853 All flows are in f4T,GD 's permitted flow 6.0000 c. WWTP facility d. Estimated obligated flow not yet tributary tct the WW"CP 1..5797 e. WW- P facility's actual avg. flow f. Total flow for this specific request g. Total actual and obligated flows to the facilitye h. Percent of permitted flow used 3.56 -0.0048 5.1349 85.58 ll, Complete this section for each pump station you are responsible for alcttg the route of this proposed wastewva,ter flow. List pump stations located between the proje Pump Station Name Approx. None ntpoint and the WWTP llfCiE) Approx. Current Avg. ign) Daily How, MGI) fill. Certification Statement: f., Mike Garbark- , certif that, tag the best ofi iy, knowledge, the addition 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 receivingtreatment 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 iistd above in Sections I and 11 for which I am the responsible party. Signature of this fora indicates acceptance of this wastewater flow. 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 Natural Resources Mooresville Regional Office 610 East Center Avenue Mooresville, N.C. 28115 Attention: Regarding: Sanitary Sewer to serve Longford Village We are sending you: Copy of letter Other Copies Date No. Description C Plans P TRANSMITTAL Date: 2/6/12 nts 0 Shop Drawings Non -Discharge Permit Application Copy of Non -Discharge Permit Application Flow Tracking Form 00322350 ! $480.00 Check (Application Fee) These are transmitted as checked below: For approval 0 For your use D As requested 0 For review and comments Remarks: Signed: Received by: Date: Permit Number WQ0033291 Central Files: APS SWP 02/14/12 Permit Tracking Slip Program Category Status Non -discharge Active Project Type Major modification Permit Type Version Permit Classification Gravity Sewer Extension, Pump Stations, & Pressure Sewer 1.10 Individual Extensions Primary Reviewer Permit Contact Affiliation samar.bou-ghazale Coastal SW Rule Permitted Flow 4275 Facility Facility Name Longford Village Subdivision Location Address Owner Major/Minor Region Minor Mooresville County Union Facility Contact Affiliation Owner Name Owner Type Union County Public Works Govemment - County Dates/Events Owner Affiliation Mark Eugene Tye 500 N Church St Ste 500 Monroe NC 281124730 Orig issue App Received 08/08/08 02/08/12 Regulated Activities Subdivision Wastewater collection Outfall NULL Draft Initiated Scheduled Issuance Public Notice Issue Effective Expiration 02/14/12 02/14/12 Requested/Received Events Additional information requested Additional information received Waterbody Name Stream Index Number Current Class Subbasin