WQ0034142_Regional Office Historical File Pre 2018

I
Pat McCrory
Governor
North Carolina Department of Environmental Quality
October 15, 2015
William Grant, P.E.
CJP Program Manager
Union County Department of Public Works
500 North Main Street, Suite 500
Monroe, North Carolina 28112
Subject: Rescission of Wastewater Collection System Extension
DWQ Permit No. WQ0034142; Potter Road Subdivision
Union County
Dear Mr. Grant:
Donald R. van der Vaart
Secretary
Reference is made to your request for rescission of the subject Wastewater Collection System
Extension Permit, received by the Division on October 14, 2015. The proposed gravity sewer will
not be constructed. Therefore, in accordance with your request, Wastewater Collection System
Extension Permit No. WQ0034142 dated June 23, 2009 is rescinded, effective immediately.
If in the future, you determine that you need another wastewater collection system extension
permit, you must first apply for and receive a new Wastewater Collection System Extension
permit. Construction and operation of a wastewater collection system without a valid Wastewater
Collection System Extension Permit will subject Union County to a civil penalty of up to $25,000
per day.
If you have any further concerns, please do not hesitate to contact me in the Central Office at 919-
807-6383 or via email [[e-mail]].
Sincerely,
t
Deborah Gore
PERCS Unit Supervisor
cc: Central Files WQ0034142
MRO (electronic copy)
PERCS Permit File
1601 Mail Service Center, Raleigh, North Carolina 27699-1601
Phone: [phone] l Internet www.ncdenr.gov
An Equal opportunity 1Affirmarrve Action Employer— Made in part by recycled paper

UNION COUNTY
DEPARTMENT MENT F^ PUBLIC WORKS rloriEs\PLLE R k t,ta„ t1
500 Nr t.th Tvlatn Street,, Sulk Is me c,
Phone: [phone] • Fax: [phone]
October 7, 2015
NC Dept. of Environment and Natural Resources
Mooresville Regional Office
610 E. Center Avenue
Mooresville, N.C. 28115
Ref: Potter Road Subdivision — Permit # WQ0034142, dated June 23, 2009
To whom it may concern:
Please void permit # WQ0034142, dated June 23, 2009. The proposed
gravity sewermain will not be constructed as approved with this permit. There will
be a new permit with a new layout.
If you have any questions don't hesitate to call me at [phone]. Thank you
for working with us on this matter.
Sincerely,
William Grant, P.E.
GIP Program Manager
WG/pwb

NCDENR
North Carolina Department of Environ ent and Na
Division of Water Quality
Beverly Ewes Perdue Colleen H. Sullins
Governor Difreer for
June 23, 2009
Mr, Mike Garbark, Assistant Director of Public Works
Union County
500 North Main Street, Suite 500
Monroe, NC 28112
Dear Mr. Garbark,
u
Resources
Dee Freeman
Secretary
LoT-
Subject: Permit No. WQ0034142
Potter Road Subdivision
Wastewater Collection System Extension
Union County, North Carolina
In accordance with your complete application received on June 11, 2009, we are forwarding
herewith Permit No, WQ0034142 dated June 23, 2009, 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 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,
Mooresville Region Office
Location: 610 East Center Aire., Suite 301 Mooresv Ve, NC 26115
Phone: [phone] \ Fax_ [phone] `t Customer Service: 1-677-6 3-6748
Yntermet: u�nfw t)covva'er�i uali€,yorg
A.r: Equal Opportunity `. Affirmative Action E.x=�,'t"1°',`...
NorthCaro1inas
eittt'nif/J

t
ivr. Garbark
Page 2
( June 23, 2009
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 for the construction and operation of approximately 11,809 linear feet of 8 inch gravity sewer,
3,680 linear feet of 15-inch gravity sewer, 1,213 linear feet of 16-inch gravity sewer, and the discharge
of 4,845 gallons per day of domestic wastewater into the 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 Twelve Mile Creek
Wastewater Treatment Facility 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 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 Dee Browder at (704)
663-1699.
Sincerely,
for Coleen H. Sullins
cc: Mooresville Regional Office, Collection System Permit Files
Anthony Gaffey, INSITE Engineering & Surveying
Surface Water Protection Central Files
PERCS

WILD Fu
AwA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
June 23, 2009
Mr. Mike Garbark, Assistant Director of Public Works
Union County
500 North Main Street, Suite 500
Monroe, NC 28112
Subject: Permit No. WQ0034142
Potter Road Subdivision
Wastewater Collection System Extension
Union County, North Carolina
Dear Mr. Garbark,
In accordance with your complete application received on June 11, 2009, we are forwarding
herewith Permit No. WQ0034142 dated June 23, 2009, 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 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.
Mooresville Regional Office
Location: 610 East Center Ave., Suite 301 Mooresville, NC 28115
Phone: [phone] Fax: [phone] \Customer Service: 1-877-623-6748
Internet: www_ncwatertivalitv.orq
NorthCarolina
dvrrtumllg

M. Garbark
Page 2
June 23, 2009
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 for the construction and operation of approximately 6,350 linear feet of 8 inch gravity sewer and
the discharge of 0 gallons per day of domestic wastewater into the 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 Twelve Mile Creek
Wastewater Treatment Facility 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 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 Browder at (704)
663-1699,
5 ncerely,
Coleen H. Sullins
cc: Mooresville Regional Office, Collection System Permit Files
Anthony Gaffey, NSITE Engineering & Surveying
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 perrnt 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 21, 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
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 l 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 23rd day of June, 2009.
N ,FRTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0034142
3

EastTrack Enqineerinq
Permit No VVQ0034142
June 23, 2009
OwnerNVQCS
Mark Garbark
Union County
500 North Main Si Suite 500
Monroe, NC 28112
Certification
PE
Anthony R. Gaffey
INSITE Engineering & Surveying
8041 Corporate Center Drive, Ste 200
Charlotte, NC 28226
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 re u d chan es result' in non-com hence with this e e ulations 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 b,y 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
LI Partial Final
, as a duly registered Professional Engineer in the State Of North Carolina, having been
authorized to observe (0 periodically, LI weekly, El full time) the construction of Potter Road Subdivision, a Union
County project for the Permitted, 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.

USE THE TAB KEY TO MOVE FROM FIELD TO FIELD!
Owner/Permittee:
1a_ Union County
Full Legal Name (company, municipality, HOA, utility, etc,)
0 1b. a Michael Garbark, P.E, Assistant Public Works Director
Signing Official Name and Title (Please review 15A NCAC 2T
z
The legal ent
© individual 0 Federal 0 Municipality State/County 0 Priv
Application. Number:
(to be completed by DWQ)
106 (b) fear authorize
who will own this system is:
1d, 500 North Main Street, Suite 500
Mailing Address
NC
State
"th. 704-296-4239
Telephone
. 704-296-4232
Facsimile
2. Proiect (Facility) Irrfarmat(c t°e
2a. Potter Road Subdivision
Brief Project Name (permit will refer to this name
3. Contact Person:
Mich
ael Garbark, P.E, Assistant Public Works Director
e Partnership 0
e. Monroe
City
g. 28112
Zip Code
mikecearbark
E-mail
2b. Union
County
0
inning offici
0
tion 0 Other (specify):
co,union.nc.us
here Project is Located
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b, 704-296-4239
Phone Number
Project is New 0 Modification (of an existing permit)
2. Owner is Public (skip to Item 8(3))
2a. If private, applicant will be:
0 Retaining Ownership (i.e. store, church, single office, etc.)
Leasing units (lots, townhomes, etc. - skip to Item B(3))
Selling units (lots, townhomes, etc. - go to item 8(21a))
•
Union County_PubRc Works
Owner of Wastewater Treatment Facility (WWTF) Treating
4a, 12 Mile Crk Waste Water Treatment Plant
Name of WWTF
5a, Union County Public Works 5b, 24"'
Owner of Downstream Sewer Receiving Sewer Six
The origin of this wastewater is (check all that apply):
►ter Residential Subdivision
0 Apartments/Condominiums
0 Mobile Home Park
0 School
0 Restaurant
❑ Office
3c. mikegarbark@a co.union.nc.us
E-mail
ion, Permit No.:
0 Private (rto to Item 2(a))
2b. If sold, facilities owned by a (must ch
0 Public Utility (Instruction C)
0 Homeowner Assoc./Developer (Instruction D)
ewater From This Project
4b. NC0085359
.�
WWTF Permit No,
WQ0014152
Permit # of Downstream Sewer (tnstru
0 Retail (Stores, shopping centers
Institution
0 Hospital
© Church
0 Nursing Home
❑ Other (specify):
Volume of wastewater tube allocated or permitted for this particular project: 4,845
*Do not include future flows or previously permitted allocations
If the permitted flow is zero, indicate why:
% Domestic/Commercial
Industrial (attach
description.)
(RO: contact your Regional Office
Pretreatment staff)
% Other (specify).
gallons per day
0 Pump Station, Outfall or interceptor Line where flow will 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 deterrnine if a
permit is required)
FTAt2/07 ver2

. 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).
(3 bedroom) (05gpd) x 17 Lots = 4,845 gallons per day
10. Summary of Sewer Lines to be Permitted (attach additional sheets If necessary)
i
Size (inches) I
_ ..:.---.._—_._..._.., ,---.....
gth (feet) . � _�—_--^
t
--
New Gravity or Additional
Force Main
8 PVC
11,809
New Gravity
15 PVC _ 3680
New Gravity
16 DIP 1213
New Gravity
CI
11. Summary of Pump Stations wl associated Force Mains to be Permitted (attach additional sheets as necessary)
Pump Station Location ID (self chosen - as shown on planslmap for reference)
z
F
z
0
Design Flow Operational Point
(MGD)
GPM @TDH
Power Reliability Option
1 - permanent generator w/ATS;
2 - portable generator wlMTS
Force Main Size
Force Main Length l
L
C)
---
r
0
�____.._.._.._.
1-_,
_._..--..._._.--..---.--._....___-.
Pump Station Location ID
__._
(self chosen -
as shown on plans/map
for reference)
(r
O
u..
Design Flow 1 Operational Point
(MGD) GPM @TDH
Power Reliability Option
1 - permanent generatorw/ATS;
2 - portable generator w/MTS
Force Main Size
Force Main Length
1-
2
Pump Station Location ID (self chosen - as shown on plans/map for reference)
CLDesign
an
Flow i E Operational Point
(MGD) € GPM @TDH
GPM
Power Reliability Option
1 - permanent generator w/ATS;
- portable generator w!MTS
Force Main Size
Force Main Length
12. Will the wastewater Clow in the proposed sewer lines or pump stations be able to be directed to another treatment facility?
• Yes ►i1 No If Yes, permit number of 2nd treatment facility
(RO — if "yes" to B,12 please contact the Central Office PERCS Unit)
I13. 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?
►ii 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_ver2

ravethe following permits/certifications been submitted for approval for the system or project to be served?
Wetland/Stream Crossings - General Permit or 401 Certification? Z Yes ❑ No ❑ N/A
Sedimentation and Erosion Control Plan? ® Yes ❑ No ❑ N/A
Stormwater? ® 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
,Check if Yes: Eland provide details
1 a.
Owner/Permittee's Certification: (Signature of Signing Official and Project Name)
1, N. Michael Garbark, P.E., attest that this application for Potter Road Subdivision has been reviewed by me and is
accurate and complete to the best of my knowledge. ! 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 Official Signature
CQ-ck-lA
Date
C. CERTIFICATIONS
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
12. Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
I, Anthony R. Gaffey, P.E., attest that this application for Potter Road 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. ! 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. Anthony R. Gaffey, P.E.
Professional Engineer Name
2b. INSITE Engineering & Surveying
Engineering Firm
2c. 8041 Corporate Center Drive, Site 200
Mailing Address
2d. Charlotte 2e. NC l
City
`2f. 28226
State
Zip
2g. 704-540-4706 2h. 704-540-4708 [e-mail]
Telephone Facsimile E-mail
rQQP '•
�JIL
R. G'6\%%%
.411$412
Seal Si nature &
PE
NC - _ Signature Date
FTA12/07_ver2

8041 CO
SITE
En&
Swaying
RI'©RATE CENTER DRIVE
SUITE 200
CHARLO 1 'i E, NC 28226
704-540-4706
POTTER ROAD SUBDIVISION
USGS TOFO MAP
WAXHAW QUADRANGLE
SCALE: 1 "-2000'

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 Resources
Mooresville Regional Office
610 East Center Avenue
Mooresville, N.C. 28115
Attention:
Regarding: Sanitary Sewer to serve Potter Road Subdivision
TRANSTRANSM ITAL
Date: 6/10/09
We are sending you: 0 Copy of letter [T Plans D Prints Shop Drawings
Other
Copies Date
1 5/4/09
5/4/09
1 5/12/09
6/9/09
No. Description
Original Non -Discharge Permit Application
261
Copy of Non -Discharge Permit Application
Check for $480.00 (Application Fe
Flow Tracking Form
These are transmitted as checked belo
Z For approval For your use
Remarks:
Signed:
Received by:
[� As requested For review and comments
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: Union County
Project Name for which flow is being requested: Potter Road Subdivision
fore than one FTSE-10/07 may be required Jar a single prqiect tithe owner of the WWTP is no: -esp
pump stations along the route of the proposed wastewater flow
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: _Twelve Mile Creek
b. WWII) Facility Permit #: 'NC0085359
e. WWI'? facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
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 MGD
6.0000
1.4976
2.740833
0.0048
4.2432
70.72
II.. Complete this section for each pump station you are responsible for along the route of this
proposed wastewater flow.
List pump stations located. between the project connection point and the WWTP
Purnp Station Name Approx. Capacity, MGD Approx. Current Avg.
(Firm/Design) Daily Flow, MGD
None
III. Certification Statement:
I, Mike Garbark ,eertify that, to the best (Amy 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
policies and procedures using the best available data. This certification applies to those items listed above
in Sections land 11 for which I am the responsible party, Signature of this form indicates acceptance of
thiswtstewate flo
Signing ,ignez. Date

Permit Number WQ0034142
Central Files: APS SWP
06/22/09
Permit Tracking Slip
Program Category Status Project Type
Non -discharge Active New Project
Permit Type Fast Track Version Permit Classification
Gravity Sewer Extension, Pump Stations, & Pressure Sewer 1.00 Individual
Extensions
Primary Reviewer
dee.browder
Coastal SW Rule
Permitted Flow
4845
Facility
Facility Name
Potter Road Subdivision
Location Address
Owner
Permit Contact Affiliation
MajorlMinor Region
Minor Mooresville
County
Union
Facility Contact Affiliation
Owner Name Owner Type
Union County Public Works Government - County
Owner Affiliation
Mark Eugene Tye
500 N Church St Ste 500
Monroe NC 281124730
Dates/Events
Orlg Issue App Received Draft Initiated
06/22/09 06/11/09
Scheduled
Issuance
Public Notice Issue Effective Expiration
06/22/09 06/22/09
Regulated Activities Requested/Received Events
Subdivision
Outfali NULL
Additional information requested
Additional information received
Waterbody Name Stream Index Number
Current Class Subbasin