WQ0034930_Regional Office Historical File Pre 2018

NCDENR •
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
August 13, 2010
Mr. Mike Garbark, Assistant Director of Engineering
Union County
500 North Main Street, Suite 500
Monroe, NC 28112
Subject: Permit No. WQ0034930
Richard Wray Keziah
Wastewater Collection System Extension
Union County, North Carolina
Dear Mr. Garbark,
In accordance with your complete application received on August 9, 2010, we are forwarding
herewith Permit No. WQ0034930 dated August 13, 2010, 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date of issuance until rescinded and shall be subject to the conditions and limitations as specified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.ncwaterqualitv.orq
N°07thCarolina
Naturally

In accordance with the provisions of Article 21 of Chapter 143, General Statr tes of Norh
Carolina as amended, and other applicable Laws, Rules, and Regulations, permission ,s hereby
granted for the construction and operation of approximately 64 linear feet of 8-inch gravity sewer and
the discharge of 285 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
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 V1lorks. Union County must utilize whatever tracking
toots necessary for planning additions of sewer flow in order to maintain compliance with the 'A 'VTR
permitted limits and their collection system permit WQCS00054m
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 shalt be fiinal and
binding,
If you need additional information concernung this matter; please contact Dee Browder at (704)
663 1699.
cc: Mooresville Regional Office, Collection System Pe
Surface Water Protection Central Pipes
Coleen H, Sullins
it Piles

Pr'
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

This pernnit 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 e of be approved.
Construction of the gravity sewers, pump stations, and force mains shall be scheduled sc 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.
Per 15A NCAC 2T 0113, upon completion cf 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.
A ,copy of the construction record drawings shall be n°taintalned on file by the Permittee for the life
of the wastewater collection facilities.
Failure to abide by the conditions and tIimiitations 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 accerdance with North Carolina General Statutes §143-
215.6A through §143-215.6C.
In the event that the wastewater collection facilities fai to perform sat,isfactorlly, i ncludsng the
creation of nuisance conditions, the Permittee shall take immediate corrective action, including
those as may be required by this Divisions such as the construction of additional or replacement
facilities„
The Isance of this permit shall not exempt the Permittee from complying with any and all
statutes, rules, regulation, or ordinances that may be 'imposed by other government agencies
(local, state and federal) which have jurisdiction, including but notlimited 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 2Fl _0500,
Noncompliance Notification:
The Permittee shall verbally report to a Division of Water Quality employee at the Mooresville
Regional Office, telephone number ("0) 663-1699, as soon as possible, bit 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 13th day of August, 2010.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
• for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0034930
1

Fast Track Engineering C
Permit No. WQ0034930
August 13, 2010
OwneriWQCSNW TP
Mark Garbark
Union County
500 North Main St, Suite 500
Monroe, NC 28112
ertification
PE
Clinton Lawrence
Lawrence Associates, PA
PO Box 1014.
Monroe, NC 28111
Complete and submit this form to the permit issuing regional office with the following:
• One copy of the project record drawings (plan & profile views of sewer lines) of the wastewater collection
system extension
• Supporting design calculations (selected pumps, system curve, operating point, available storage if portable
generator(s) or storage greater than longest past three year outage reliability option selected) for any pump
stations permitted as part of this project
• Changes to the project should be clearly identified on the record drawings or in written summary form. Permit
modifications are required for any changes resulting in non-compliance with this permit, regulations or
minimum design criteria.
This project shall not be considered complete nor allowed to operate until this Engineer's Certification and all
required supporting documentation have been received by the Division. Therefore, it is highly recommended
that this certification be sent in a manner that provides proof of receipt by the Division.
ENGINEER'S CERTIFICATION
❑ Partial ❑ Final
1, , as a duly registered Professional Engineer in the State of North Carolina, having been
authorized to observe (❑ periodically, ❑ weekly, ❑ full time) the construction of Richard Wray Keziah, 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:
a. Union County Public Works
Full. Legal Name (company, municipality, HOA, utility, etc)
. _ Mike Garbark (Assistanttor of Enr ineerrn9 .._ _...
b. G�rbark.. Director n
Signing Official Name and Title (Please review 15A NCAC 2T ,0106 (b) for authorizedsigning officials!)
The legal entity who will own this system is,
❑ Individual ❑ Federal ❑ Municipality E State/County ❑ Private Partnership ❑ Corporaton ❑ Other (specify),
Application Number:
(to be completed by DWQ)
d. 500 N. Main Street, Suite 500
Mailing Address
NC
State
1h, 7a_4-296-421t�
Telephone
Project (Fa, )ll,) lnforma
Richard Wray Keziah Sanitary Sewer Extension
Brief Project Name (permit will refer to this name
Contact Person:
Mike Garbark, PE
Name and Affiliation of Someone Who Can Answer Questions About this Application
b. 704-296 4239
Phone Number
704-296-4232
Facsimile��
1e, Monroe
City
28112
Zip Code
E-mail
2b. Union
County Where Projec
3c. [e-mail]
E-mai
New ❑ Modification (of an existing permit) tf Modification, Pemnit No.:
Public (skip to item B(3)) ❑ Private (go to
if private, applicant will be:
❑ Retaining Ownership (Le, store„ church, single office, etc.) or
© Leasing units (lots, townhomes, etc, - skip to item 8(3))
Selling units (lots, townhomes„ etc. - go to Item B(2b))
Union County
Owner of Wastewater Treatment Facility
a. Twelve Nye Creek
-....
eek
Name of WWTF .,a ..
Union County 5b.
Owner of Downstream Sewer Receiving Sewer Sze
The crrgin of this wastewater is (check all that apply):
tem 2(a))
If sold, facilities owned by a (mu
❑ Public Utility (Instruction C)
❑ Homeowner AssocJDeveloper (instruction D)
eating Wastewater From This Projec
4b, NC 0085359
❑ Residential Subdivision
Ei Apartments/Condominiums
❑ Mobile Home Park
❑ School
❑ Restaurant
❑ Office
WWTF Permit No.
vity 5c WQ0012167 , w....y�_
Force Main Permit # of Downstrea
❑ Retail (Stores, shopping centers)
❑ Institution
❑ Hospital
❑ Church
Ej Nursing Home
El Other (specify); Residence
house
ton E)
% Domestic//Commercial
% Industrial (attach
description,)
(RO: contact your Regional Office
Pretreatment staff)
% Other (specify'):
Volume of wastewater to be allocated or permitted for this particular project: 285 gallons per day
*Do not include future flows or previously permitted allocations
If the permitted flow is zero, indicate why
Pump Station, Outfall or Interceptor Line where flow will be permitted in subsequent permits that connect to this line
El Flow has already been allocated in Permit No,
❑ Rehabilitation or replacement of existing sewer with no new flow expected (see 15A NCAC 02T .6303 to determine if a
permit is required)
FTA i' 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 B(7) AND/OR the design flow for line or pump station sizing if a reduced or zero flow is being requested in
Item 6(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).
10 Summary of Sewer Lines to be Permitted (attach additional' sheets if necessary)
Size (inches)
8
Length (feet)
63.65 _.
.........................
New Gravity or Additional
Force Main
Summary of Pump Stations w/ associated Force Mains to be Permitted (attach additional sheets as necessary)
Pump Station Location ID
Design Flow
(MGD)
Operational Poln
GPM @TDH
If chosen - as shown on plans/map for reference)
Power Reliability Option
- permanent generator MATS;
2 - portable generator w/MTS
Force Main Size Force Main Length;
p Station Location ID (self chosen - as shown on plan
Design Flow
(MGD)
Operational Point Power Reliability Option
GPM @TDH - permanent generator w/ATS; ' Force Main Size Force Main Length
2 - portable generator w/MTS
map
dr reference
p Station Location ll l (self chosen - as shown on plant
Design Flow Power Reliability Option
(MGD) Operational Point; 1 - permanent generator w/ATS; Force Main Size
GPM @TDH 2 - portable generator w/MTS
p for
Force Main Length;
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 2`i° treatment facility
i(RO — if eyes" to 6,12 please contact the Central Office PERCS Unit)
3. 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?
E Yes No If No, please reference the pertinent minimum design crrteria 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

Have the following permits certifications been submitted for approval for the system or project to be served?
Wetland/Stream Crossings - General Permit or 401 Certification? n Yes Z No Q N/A
Sedimentation and Erosion Control Plan? • Yes No © N/A
Stormwater2 El Yes ® No 'Li[ N/A
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
Owner/Permittee°s Cectifi
nature of Signing Official and Project Name)
I, Mike Garber* , attest that this application for Richard Wray Keziah Sanitary Sewer Extr ion 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 w 11 as civil penalties up to$25,000 per violation.
Signing
ignature
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
Date
Professional Engineer's Certification; (Signature of Design Engineer and Project Name)
I, Clinton D, Lawrence attest that this application for Richard Wray Keziah Sanitary Sewer Extension 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. I further attest that to the best of my knowledge the proposed
design has been prepared in accordance with the applicable regulations, Gravity Sewer Minimum Design Critena 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 $10,000 as well as civil penalties up to $25,000 per violation.
a. Clinton D. Lawrence
Professional Engineer Na
ence .Associates, PA
Engineering Finn
2c, PAD. Box 1014
Mailing Address
d, Monroe 2e.. NC
City�.. _.��..._e�e..._�..�_... State
2f. 28111
Zip
704.289-1013 2h, 704-283-9035 2i clint'c@�lavrrencesurveyin€ ,com
Telephone Facsimile E-mail
NC PE Seal sjgnature ©ate
FTA12 07

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State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
Flow Tracking/Acceptance for Sewer Extension Permit ,A‘riplications
(FTSF, 10/07)
Project Applicant Name: Union County
Project Name for which Ilow is being requested: Richard Wray Keziah Sanitary Sewer f:xtension
fore than one FTSE-10'07 ThJ f required for 4, single prOjeCI 1/ the OlVtler o/ the WIFTP is nor responsible tor all
primp siations along the r(inte thC propoced W,.:ISIcWaler flow
I. Complete this section only itvOU are the owner of the Wastewater treatment plant,
a. WWII) Facility Name: Twelve Mile Creek
h. ww-rp Facility Permit #: NC00853.59
c. WWII) facility"s permitted flow
All tlow,s are in IVIGD
6,0000
d. Estimated obligated flow not et tributary to the W 1.56
e. WWII) facility's actual avg, How
17. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
3,55
0.0003
5,
85.17
IL Complete this section for each pump station goatare responsible for along the route of this
proposed wastewater flow.
List pump stations located betv,.'een the project connection point and the W-WIP
Pump Station Name
None
.Approx. Capacity, NIGL) Approx. Current Avg.
(Firm/Design) Daily Flow. MGD
III. Certification Statement:
1, Mike Garbark eertifY that, to the best of my knowledge, the addition of the volume of
wtistewater 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 1,0 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, 'Fhis certification applies to those items listed above
in Sections I and 11 tOr which I am the responsible party, Signature of this form indicates acceptance of
this atei n v
reial Sigattu

UNION COUNTY PUBLIC ORKS
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 Richard Wray Keziah Sanitary Sewer Extension
We are sending you: r Copy of letter 1 Plans Prints Shop Drawings
frA
Other
Date: 8/6/10
Copies Date
No.
Description
1
7/29/10
--------
Non-Discahrge Permit Application
1
1
7/29/10
Copy of Non -Discharge Permit Application
8/5/1 0
Sewer Flow Tracking Form
7/28/10
10 11
$480,00 Check (Application Fee)
These are transmitted as checked below:
For approval
Remarks:
Signed:
For your use As requested
For review and comments
Received by: Date:

Permit Number WQ0034930
Central Files: APS SWP_
08/16/10
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 Permit Contact Affiliation
dee.browder
Coastal SW Rule
Permitted Flow
286
Facility
Facility Name
Richard Wray Keziah Sanitary Sewer Extension
Location Address
Owner
Major/Minor Region
Minor Mooresville
County
Union
Facility Contact Affiliation
Owner Name Owner Type
Union County Public Works Government - County
Dates/Events
Orig Issue App Received Draft Initiated
08/13/10 08/09/10
Scheduled
Issuance
Owner Affiliation
Mark Eugene Tye
500 N Church St Ste 500
Monroe
Public Notice Issue
08/13/10
NC 281124730
Effective Expiration
08/13/10
Regulated Activities Re • uested!Received Events
Private residence, single family Additional information requested
Wastewater collection Additional information received
Outfall NULL
Waterbody Name
Stream Index Number Current Class Subbasin

Fast Track Engneerin Ce
Permit No. WQ0 34 3
sAugust. 13; 2010
Owneril Wi 0S3W/TP
Mark Garbork
Union County
5U0 North Mo r St; Sustw 5 C
Monroe., NC 2tt "I 1
cation
PE
Clinton Lawrence
Lawrence Asr,cciates, PA
PO kscx 101 ,,
Monroe; NC 28 ? 1 1
Crurnoplete and subm0 ,his fora to the per* ilr sung
One copy of the project retort drawings (plans
system extension
Supporting design calculations ed pumps, syst
generators) or storage greater' than rgest past t.hre
stations permitted as part of this pray
Changes to the project should be clearly Identified on t
modrfycat)t rrs are required for anLchanges resultiugiri
inrpum desgr ciao ta,
,al office with the following
views •
sev'r lines
m curve, operating point, available storage if portable
year outage reliability option selected) for .any pump
record drawings or in written summary form, Fermis
n_cpm,Zliance vit this _permit, re3ulations or
This pro cot shall not be considered co nplete 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,
authcrlred to observe d p
County project for the Perm
observation of the constructi
this permit; 15A NCAC 2T; the
February 12i, 1996 as applic,abie,
Stations and Force Mains adopte
North Carolina Professional Er
seal, signature, and date.
ENGINEER'S CERTIFICATION
Li Partial Vrnal
as a duly r egistered Profes
iodically, L } nerekly; [1 full tir
d, hereby state that, to the ces
h that the construction was
Engineer in the 4ta'le of North Carolina, having been
the construction of Richard Wray Kezi ah, a Union
my abilities, due care and diligence was used in the
bserved to be built within substantial compliance of
Water Quality's (Division) Gravity Sewer Minimum Design Criteria adopted
Division's Minimum Design Criteria for the Fast -Track Permitting of Pump
ne 1, 2000 as applicable; and other supporting materials.
eer`ss
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
Tne Permittee Is responsible for tracking all parts; eertifr,,ations up until a final certification is erei °
wastewater flow made tributary- to the water collection systcio extensi ail prior to completion sn
Engineer's Certification shall be considered a violation of the permit and shall subject the Perm€ttee
enforcement actions.
d_ Any
this
to appro

UNION COUNTY PUBLIC WORKS
500 N. Main Street, Suite 500
Monroe, NC 28112
704/296-4210
Fax [phone]
To: NC Department of Environment & Natural Resources
Mooresville Regional Office
610 East Center Avenue, Suite 301
Mooresville, NC 28115
OFFICE
TRANSMITTAL
Attention: Dee Browder
Regarding: Engineer's Certification for Richard Keziah - Sewer Extension
We are sending you: Q Copy of letter
Other
Date
No, [ Description
Plans
E Record Drawings
Engineer's Certification for Sewe
3nl/cva
li a ,,
n
A
Date: 12/2 /10
Prints [1 Shop Drawings
These are transmitted as checked below:
D For approval
Remarks:
Signed:
Received by:
Permit # WQ0034930
For your use 0 As requested 0 For review and comments
Date: