WQ0035468_Regional Office Historical File Pre 2018

July 19, 2011
Mr. Mike Garbark, Assistant Director of Public Works
Union County
500 North Main Street, Suite 500
Monroe, NC 28112
Fermi t No. WQ0t < t68
Ald i t ewer Extension
Waste°$rater Collection S4 stem Extension
Union County, North Carolina
Dear Mr, Garbark,
In accordance with your applistron received on July 12, 2011, we are forwarding herewith
Permit No. W00035468 dated July 1y?, 2011 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until rescinded and shall be subject to the conditions and limitations as specified therein.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 Per raait Condition 3 which requires that the wastewater
collection facilities he properly operated and main talned in accordance with 15 'i NCAC 2T .0403 or any
individual system -wide collection system permit issara d to the Permitterr.
Permitting of this project does not constitute an acceptance of any part of the projr of drat rtaes
not meet 1) 15A NCAC 2T. 2) the Division of Water Quality's (Division) Gravity SewerMirrierryaurt
Criteria adopted February 12, 1;0096. as app1ic ats.dr : 3) and the Division's Minimum Design Criteria
the Eaast Track FPermitting of Pomp Stations:; one Forme. Mains adopted June 1. 2000, as applhcaDe:
unless sl.<ecificaHy° mentioned. herein, Divisicic approval :;oval is based on acrvc,.eptance.r of the. certification
provided by a North Carolina -licensed Prof. . i rrt. i nginer e in the application, It shall be the
Permittee`s responsibility to ensure that the as -constructed project meets the appropriate desirlrr r : rrira
and rules, Failure to comply may res(„Ol.t in pena ties irk acc:or air -e wvith North Carolina General St.rtutF,.
§.143 215.,6A through §143-2 1'5.60, construction or sad &rtrr t ai or r tp lace.°er r twastewater collection
fac,ilrt es. an,ilor. referral of the North Carolina -lice seal P utc ,,,r.. o't aI l r i r,ocrt° tr h,o Irc:c.r wring board.
-a ,;--62:a
Internet. _ ..r

Mr, Gorpark,,,
Page 2'
Duty 19, 20'11
In accordance with the provisions of Articliti 2'1 of Chapter 143, General Statutes of North
Carolina as amended:, and other applicable I_ ailVS Rules; anti Rogula.tions, permission is hereby
granted to Union County for the construction and operation of approximately 543 linear feet of 8-inch
vity sewer and the discharge of 365 gallons per day of domestic wastewater into Crooked Creek
WW1P existing sewerage system pursuant to the application received July 12, 2011 and 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 cullected by this system shall be treated in the Crooked Creek
P (NPDES No.NC0069841) 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 sewerflow in order to maintain compliance with the WWTP
permitted limitsand their collection system permit WQCS00054.
If any parts, requirements, or limitations contained in this permitare unacceptable, you have the
right to request an adjudicatory hearing upon written request within 30 days following receipt of this
permit. This re:questmust 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, 6.714 Mail Service
Center, Raleigh, NC 27699-6714, Unless such demands ate made, this permit shall be final and
binding.
If you need additional information concerning this matter, please contact Sarnar Bou-Ghazaie at
[phone].
Sincerely,
for Coleen H. Sullins
cc: Mooresville Regional Offic,e, Collection System Permit Files
Surface Water Protection Central Files

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 §143-215.1 C.

4, Ths �ermitshall not be transferabe. In the event there is a desire for the wastewater collection
change ownership, or there s 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 eirily be appropriate. The approval of this request shali be
considered on its, merits and may .or may not be approved,
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,
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 t e Pern ttee 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 Febittary 12, 1990 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 issuanceof this permit shall not exempt the Permittee from complying with any and ati
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 28 .0200 and 1eA NCAC 2H 0500,
11, Noncompliance Notification:
The Perrnittee shall verbally report to a Division of Water Quality employee at the Mooresville
Regional Office telephone number (704) 66:3-1699, as soon as possible, but in no case more than
24 hours or on the next working day, following the occurrence or frn knowledge, of the occurrence
of either of the following:
a. Any process unit failure, due to known ar unknown reasons, that renders the facility incapable
of adequate wastewater transport such as mecharlical or electrical failures c4 pumps, line
blockage or breakage, etc.; or
b. Any failure of a pumping station or sewer hnu resulting in a by-pass directlyto receiving waters
without treatment of all or any portion of the influent sin station ar 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 1 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 11 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 19th day of July, 2011.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
f
/er.,
77) i) 7------- .
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0035468
3

Fast Track En ineet'➢ Cten
Permit No. %tfCC1C125468
July 19, 2011
Owner/WQCSr, fTP PE
Mark Garbark Robert D. Davis
UInOn Luc;riy RDDav'is t:;crnsr.rL
500 North Main St, Suite 500 I=' O Box 470085
Monroe„ NC 28`112 Charlotte, NC 2824 e -0t
riCETS
Co, iplete 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 co(lectir r'r
system extension
Supporting design calculations fse9ected pumps, system arrive, operating point available storafie if portable
generator(s) or storage greater than longest past three year onstage reliability optiota selected;) t r any pump
stations permitted as part of this project
Changes to the project should be: clearly identified on the record draw
modifications aqurred for any changes result ng in non-compliance
minimum ci i rite a
This project droll not t C',` k. 'a r °5 4+XMr w.. +... w. L.}' tr..'?mot q \,,., k.,t:, t: r.l ld1 ., {,,;i',; s i ,.. it? *tsy this Eri, r v `* S s C".
required ,,eTheref
that this certification be sent 1n a manner that provide~= proof of receipt by the tJivision.
ENGINEER`S CERTIFICATION
❑ Partial
Final
y form
ions or
as a drily registered Professocrral Engineer in the State of North Carolina, having coon
authorized tea observe its periodically., Ii weekly, full timei the construction of Aldii Sewer Extension, 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 constrauctio.n was observed to he built within substantial compliance of
this permit, 15A NCAC 2T, the Division of Water Quality's (Division) Gravity Sewer Minimum De -sign Criteria adopted
February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump
Stations and Force Mains a,dopted June 1, 2000 as applicable',and other supporting materials.
North Caro Finn= Professoonal Engweer°5.
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 Permitter is responsible for truc my all part:ai ee -tit: call
wastewater flow made tributary to the LRe tevvFater CCIIC'ctIen s t s' °1 e tt 6'; i 1P° 1sr C t,a, n rrnplet
Engineers (ertifis:ation shall be corns>sder 0 o violat p;rn of Irlr perm ' artrt sir ill slrtrj :ct the Fern'
enforcement actions

pry
USE THE TAB KEY TO MOVE FROM FIELD TO FIELD!
Owne,r/Permittee:
la. Union Cot.trq, Public Works
Full Legal Name (company, municipality, HOA, utility, etc.)
Application Number:
(to be completed by DWQ)
lb,Mike Garbarfc PE, Assistant Director ynio!-t County Pubiic Works
Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized signing officials!)
lc, The legal entity who will own this system is:
0 Individual Ej Federal 0 Municipality I4 State/County 0 Private Partnership 0 Corporation 0 Other (specify):
500North Man Street, Suite 500
LL. Mailing Address
z
z
0
—J
0.
a.
0
0
z
ai
it, North Carolina
State
1 h 704296-423
Telephone
1 704-296-4232
le, Monroe
City
lg. 28112
Zip Code
1j,
Facsimile E-mail
2. Protect (Facility) Information:
2a, Aldi Sewer extention
2b, Union
Brief Project Name (permit will refei:to this name) County Where Project is Located
3. Contact Person:
3a. Mike Garbark, Assistant Director Union County Public 'Works
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b 704-296-4239 3c. mike_g_arbarkQco.union.n .us
Phone Number E-mail
1. Project is New 0 Modification (of an existing permit) If Modification, Permit No
2. Owner is fi Public (skip to Item B(3)) 0 Private (go to Item 2(a))
2a, If private, applicant will be: 2b. If sold, facilities owned by a (must choose eine)
0 Retaining Ownership (i,estore, church, single office, etc.) or
El Leasing units (lots, townhomes, etc - skip to Item B(3))
El Selling units (lots, townhomes, etc. - go to item B(2b))
0 Public Utility (Instruction C)
El Homeowner Assoc./Developer (Instruction 0)
. Union Coun Public Works __ _.
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
4a, Crooked Creek _ _ _ 4b. NC0069841
Name of WNTF WWTF Permit Na.
5a, _ tJmoncouny 5b, 4" Gravity 5c. NC970 15___ —
Owner of Downstream Sewer ReceivingSewer Size 0 Force Main Permit # of Downstream Sewer Instruction E)
6. The origin of this wastewater is (check all that apply):
0 Residential Subdivision
0 Apartments/Condominiums
El Mobile Home Park
0 School
El Restaurant
0 Office
a Retail (Stores, shopping centers)
0 Institution
0 Hospital
0 Church
El Nursing Home
0 Other (specify):
7 Volume of wastewater to be allocated or permitted for this particular project 365
*Do not include future flows or previously permitted allocations
8, If the permitted flow is zero, indicate why:
A Domestic/Commercial
% Industrial (attach
description.)
(RO„ contact your Regional Office
Pretreatment staff)
% Other (specify),
gallons per day
0 Pump Station, Outlet! 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,
0 Rehabilitation or replacement of existing sewer with no new flow expected (see 15A NCAC 02T ,0303 to determine if a
permit is required)

9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2T .0114 for
the value in Item B(7) AND/OR the design flow for line or pump station sizing if a reduced or zero flow is being requested in
Item B(7). Values other than that in 15A NCAC 2T .0114 (b) and (c) must be supported with actual water or wastewater use
data in accordance with 15A NCAC 2T .0114 (f).
See attached
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches) Length (feet)
8"
0
W
M Pump Station Location ID (self chosen - as shown on planslmap for reference)
Z-- - - - - - -- T - -- - -
z"" Design Flow Power Reliability Option
(MGD) Operational Point 1 - permanent generator w1ATS; Force Main Size Force Main Length
O GPM ©TDH 2 - portable generator w/MTS
U
Z
O L _ -- -
i- Pump Station Location ID
2 Design Flow
Et 1 (MGD)
O :
LL -- - -
Z
i-•
2
ce 'Pump Station Location ID (self chosen - as shown on planslmap for reference)
a, , Design Flow Power Reliability Option
(MGD) Operational Point 1 - permanent generatorwWATS; Force Main Size Force Main Length
Oi GPM @TDH 2 -portable generatorw/MTS
- - - 543
, New Gravity or Additional
Force Main
Gravity
1. Summary of Pump Stations wl associated Force Mains to be Permitted (attach additional sheets as necessary)
(self chosen - as shown on planslmap for reference)
Operational Point Power Reliability Option
GPM @TDH 1 - permanent generator w1ATS; Force Main Size Force Main Length
2 - portable generatorwlMTS
12. Will the wastewater flow in the proposed sewer lines or pump stations be able to be directed to another treatment facility?
❑ Yes I No If Yes, permit number of 2nd treatment facility
(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 Stations and Force
Mains (latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC Chapter 27 as
applicable?
V4 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

VHave.
the following permits/certifications been submitted for approval for the system or project to be served?
Wetland/Stream Crossings - General Permit or 401 Certification? ❑ Yes D No C' NIA
Sedimentation and Erosion Control Plan?
Stormwater?
❑ Yes ❑ No O. N/A
❑Yes ❑No lNIA
15. Does this project include any high priority lines, [see 15A NCAC 02T .0402 (2)1 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. Owner/Permittee's Certification: (Signature of Signing Official and Project Name)
1, Mike Garbark, PE, attest that this application for the Aldi Sewer extension has been reviewed by me and is accurate
and complete to the best of my knowledge. 1 understand that if all required parts of this application are not completed
and that if all required supporting documentation and attachments are not included, this application package is subject to
being returned as incomplete. Note: In accordance with North Carolina General Statutes 143-215.6A and 143-215.6B,
any person who knowingly makes any false statement, representation, or certification in any application shall be guilty of
a Class 2 misdemeanor, which may include a fine not to exceed $10, 000 as well as civil penalties up to $25, 000 per
violation.
Date
Signing Official Signature
ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY
co TO OTHER UTILITIES, DESIGN CALCULATIONS. ETC. REFER TO 15A NCAC 02T .0305
Z
O • - - - -- --- — -- - --- -- - - - — -- — --- --
I— 2. Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
Cl <
I, Robert D. Davis, P. E., attest that this application for the A1di 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
V- the best of my knowledge. I. further attest that to the best of my knowledge the proposed design has been prepared in
P. accordance with the applicable regulations, Gravity Sewer Minimum Design Criteria for Gravity Sewers adopted February 12,
1JJ 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
ei 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. Robert D. Davis, P. E.
Professional Engineer Name
2b. RDDavis Consulting Engineers—dFGa77Qs ,
Engineering Firm f 4 y
2• c. PO Box470085 1�
Mailing Address
'2d. Charlotte _ 2e. NC 2f. 28247-0085�'•:.61
yQINEE;F'°
C - - , State Zip
2g. 704-651-5752 2h. 704-541-3323 2i. [e-mail]
Telephone
Facsimile E-mail
NC PE Seal, Signature & Date

080' 39' 0.00'' W 080° 38' 0 00" W
Name: MATTHEWS
Date: 2/13/103
Scale: 1 inch equals 2000 feet
Location: 035° 04' 10.3" N 080° 38' 52.4" W
COpyr jh1 (C) 1997,'Maptech, Inc_

Provided to : PT P'
usage:
AV I
CONSULTING ENGINEE S
LAND PLANNERS
o , 0o gal 28 days
4/14/io 4,o gal 32 days
/1/10 2,000 gal 31 days
6/14/10 2,000 gal 28 days
7/14/io 1,00 gal 32 days
8/13/io 2,000gal 31 days
9/1540 1,000 gal 28 days
10/1:4/10 1,00 gal 29 days
11115/to 4,000 gal 31 days
12/1,4/10 4,200 gal 32 days
1./14/to 6,660 gal 29 days
/11 7o50 gal 29 days
4/11, 4970 gal 29 days
Based on the above, the highest month is February 2011 with 705o gallons of usage in
29 days. This represents 243.1 gallons per day. 1 0% of this flow i 364.65 y
365
grad.
Robert D. Da s, PE
P.O. Box 47oo8 Charlotte 28247-0°85
980 21+ - 27 ; Fax 704- 41- , ; rddda s earolinas r.cam

PIIrCITY OF MONROE
P.O. BOX 69
r
CITY MONROE, NC 28111-0069
MONROE [phone]
•+tee"./
For inquires, please call
Phone: [phone]
Office Hours: Mon - Fri 8:00 a.m. - 5:00 p.m.
ssAUTO**SCH 3-DIGIT 280 14 PS3 51827AA15-A-2
3716` 1 AT 0.357 r 1} f p
I,1I1II1u111,11I111IIII111I1lull.Lu 11III111II11Ini1I11111I1
ALDI FOOD STORE, LLC #77
ria ATTN: LORI MCCULLOH
1985 OLD UNION CHURCH RD
SALISBURY NC 28146-7917
'ERVICE PERIOD
EL
EL
FL
GS
WA
SERVICE
02/04/10 - 03/04/10
02/04/10 - 03/04/10 -
02/04/10 - 03/04/10
02/04/10 - 03/04/10
02/04/10 - 03/04/10
EL ELECTRIC TERms
FL FIRE LINE OR pub VA
GS NATURAL GAS
SR SEWER
WA WATER
SU STORMWATER
DAYS METER NUMBER
28 700430900531
28 700430900531
28 600003117852
28 8001 1 12324
• 11 636
,:n=SCRIPTION
3.00% SALES TP94+°6 --rD
413/0
CA,L.L CK:
'PECIAL MESSAGE
(� /U
R 4 a?
ACCOUNT INFORMATION
ACCOUNT:
CYCLE:
SERVICE ADDRESS:
BILL DATE:
CURRENT CHARGES PAST DUE AFTER:
110053-1004548
14-09
1404 W ROOSEVELT BLVD
03/15P2010
04/10/2010
ACCOUNT ACTIVITY
BALANCE FORWARD:
TOTAL PAYMENTS:
TOTAL ADJUSTMENTS:
TOTAL CURRENT CHARGES:
TOTAL DUE UPON RECE1E T
'Your ba • account will be ' : d on 04/O612010""
If your bank draft . : falls on a weak nd or holiday, your bank account
will be drafted on = first business d • after the weekend or holiday.
MULT UNITS L.URRENT PREVIOUS
80.00
8.00
0.10
0.01
10.00
KWH
KW
CGAL
CCF
CGAL
24880.00
10.49
1023.00
785825.00
271.00
-00050a )
41.10
TOTAL CURRENT CHARGES:
BALANCE FORWARD:
TOTAL DUE UPON RECEIPT:
24362.00
10.51
1023.00
748695.00
266.00
0.0o
-4,355.36
0.00
4,093.73
$4,093.73
USAGE
41440.00
83.92
0.00
371.30
50.00
CHARGE
3,070.47
86.55
64.40
92.11
4,093.73
0.00
$4,093.73
Did you know in just 10 minutes, you can make a difference? One • shortest census forms in history, the 2010 Census form asks 10 questions and
takes about 10 minutes to complete. Census forms will be delivered in Mardi. It's fast, it's easy and it's confidential. The 2010 census. it's in our hands.
PLEASE RETURN THIS PORTION ALONG WITH YOUR PAYMENT AND MAKE YOUR CHECK PAYABLE TO THE CITY OF MONROE
CCOUNT INFORMATION
CCOUNT:
_RV10E ADDRESS:
LL DATE:
JRRENT CHARGES PAST DUE AFTER:
DTAL DUE UPON RECEIPT:
DI FOOD STORE, LLC #77
TN: LORI MCCULLOH
85 OLD UNION CHURCH RD
ILISBURY NC 28146-7917
110053-1004548
1404 W ROOSEVELT BLVD
03/15/2010
04/10/2010
$4,093.73
PLEASE INDICATE AMOUNT OF PAYMENT
YES! I want to contribute to the Helping Hands Program.
❑ Attached is my one time contribution in the amount of $
❑ Add $ to my monthly bill.
—"TAN contributions to the Helping Hands Program are tax deductible.)
Il1IIII11I11f1II1lull,IIIIII111II1111II1rI,I1p1I11ISI11I111II
CITY OF MONROE
PO BOX 69
MONROE NC 28111-0069
11111111111111111111E1111111111111311111111111111111111111311111111111111111111111110111111111

arT
c1TY OF MONROE
P.O. BOX 69
MONROE, NC 28111-0069
[phone]
**AUTOAASCH 3-DS6IT 280 14 PS3 60115AA14-A-2
3662 1 AT 0-357
111111111111,11111111111111I11111111111111111111l11011s11 i11111
ALDI FOOD STORE, LLC #77
ATTN: LORI MCCULLOH
1985 OLD UNION CHURCH RD
SALISBURY NC 28146-7917
Office Hours: Mon
For inquires, please call
Phone: [phone]
- Fri 8:00 a.m. - 5:00 p.m.
ACCOUNT INFORMATION
ACCOUNT:
CYCLE:
SERVICE ADDRESS:
BILL DATE:
CURRENT CHARGES PAST DUE AFTER:
110053-1004548
14-09
1404 W ROOSEVELT BLVD
04/14/2010
05110/2010
ACCOUNT ACTIVITY
BALANCE FORWARD:
TOTAL PAYMENTS:
TOTAL ADJUSTMENTS:
TOTAL CURRENT
TOTAL DUE UP
1f your bank
will be draft
REC IPT:
our bank account will
raft date falls on a
on the first busin
0.00
-4,093.73
0.00
3,959.73
$3,959.73
drafted on 05/0612010'"-
kend or holiday, your bank account
day after the weekend or holiday.
.ERVICE PERIOD
DAYS METER NUMBER
MULT UNITS
CURRENT
PREVIOUS USAGE
EL
EL
FL
GS
WA
SERVICE
EL
03/04/10 - 04/05/10
03/04/10 - 04/05/10
03/04/10- 04/05/10
03/04/10 - 04/05/10
03/04/10 - 04/05/10
ELECTRIC
FL F1RE LINE
GS NATURAL GAS
SR SEWER
WA WATER
SU STORMWATER
3.00% SALES TAX
32 700430500531
32 700430900531
32 600003117852
32 800021112324
32 600013004636
DESCRIPTION
80.00
8.00
0.10
0.01
10.00
KWH
KW
CGAL
CCF
CGAL
25472.00
1022
1023.00
796085.00
275.00
y000 3
41.10
TOTAL CURRENT CHARGES:
BALANCE FORWARD:
TOTAL DUE UPON RECEIPT:
24880.00
10.49
1023.00
785825.00
271.00
47360.00
81.76
0.00
102.60
40.00
CHARGE
3,338.86
64.0Q
90.13
84.56
64.44
100.17
3,959.73
0.00
$3,959.73
PECIAL MESSAGE
1 April is Budget Bill sign-up time. If you are an electric and/or gas residential customer and are interested in applying for BudgetBilling, contact Customer
Service at [phone] to see if you quality. Sign up period ends May 7th, 2010.
PLEASE RETURN THIS PORTION ALONG WITH YOUR PAYMENT AND MAKE YOUR CHECK PAYABLE TO THE CITY OF MONROE
• CCOUNT INFORMATION
ACCOUNT:
ERVICE ADDRESS:
ILL DATE:
:URRENT CHARGES PAST DUE AFTER:
'OTAL DUE UPON RECEIPT:
S} P NO —f
'TERMS
LDI FOOD STORE, LLC #77
ITN: LORI MCCULLOH
985 OLD. UNION CHURCH RD
ALISBURY NC 28146-7917
110053-1004548
1404 W ROOSEVELT BLVD
04/14/2010
05/10/2010
61.ela $3,959.73
c/e
PLEASE INDICATE AMOUNT OF PAYMENT
YES! I want to contribute to the Helping Hands Program.
❑ Attached is my one time contribution In the amount of $
❑ Add $ to my monthly bill.
•4s
(All contributions to the Helping Hands Program are tax deductible.)
11111111'II1lIIIIIIh1�IuIII1iii iIi1111.111.11II11uII1111I1I1'!I
CITY OF MONROE
PO BOX 69
MONROE NC 28111-0069
IVo1�u��i�a�e111111MeNamuIuasIIIuom111101111111111111111M1111111111

tm
--1 HROF:
621.
CITY OF MONROE
P.O. BOX 69
• MONROE, NC 28111-0069
[phone]
**AUTO*=SCH 3-DIGIT 280 14 PS3 60311AA14-A-2
3695 1 AT 0-357
rutl111hllmurlluihdl,pII.III1IIIIluuluP11l19uIIIIIIlrl1
ALDI FOOD STORE, LLC #77
ATTN: LORI MCCULLOH
1985 OLD UNION CHURCH RD
SALJSBURY NC 28146-7917
For inquires, please call
Phone: [phone]
Office Hours: Mon - Fri 8:00 a.m. - 5:00 p.m.
ERVICE PERIOD
EL
EL
FL
GS
WA
SERVICE
04/05/10 - 05/06/10
04/05/10 - 05106/10
04/05/10 - 05/06/10
04/05/10 - 05/06/10
04/05/10 - 05/06/10
EL ELECTRIC
FL FIRE LINE
GS NATURAL GAS
SR SEWER
WA WATER
SU STORMWATER
3.00% SALES TAX
PECIAL MESSAGE
DAYS METER NUMBER
31 700430900531
31 700430900531
31 600003117852
31 800021112324
31 600013004636
to=sr:RIPTION
TERM
pa �, •
c�330vo
_o
AUTH.
APPR.
Y
ACCOUNT INFORMATION
ACCOUNT:
CYCLE:
SERVICE ADDRESS:
BILL DATE:
CURRENT CHARGES PAST DUE AFTER:
110053-1004548
14-09
1404 W ROOSEVELT BLVD
05/14/2010
06/10/2010
ACCOUNT ACTIVITY
BALANCE FORWARD:
TOTAL. PAYMENTS:
TOTAL ADJUSTMENTS:
TOTAL CURRENT CHA
TOTAL DUE UPO, -ECEIPT:
If your
will be
,
our bank account will
k draft date falls on a w
rafted on the first business
0.00
-3,959.73
0.00
4,084.33
$4,084.33
drafted on 06106/2010—
end or holiday, your bank account
y after the weekend or holiday.
FAULT UNITS CURRENT PREVIOUS
80.00
8.00
0.10
0.01
10.00
air
b�Sif.3 uc]
KWH
KW
CGAL
CCF
CGAL
26076.00
12.27
1023.00
797460.00
277.00
QTY
41.10
25472.00
1022
1023.00
796085.00
275.00
2,ocolx!
TOTAL CURRENT CHARGES:
BALANCE FORWARD:
OTAL DUE UPON RECEIPT:
USAGE
48320.00
98.16
0.00
13.75
20.00
CHARGE
3,592J,L
1
.15
80.58
164.
107.78
4,084.33
0.00
$4,084.33
,I —The City of Monroe has a Helping Hands Program to assist qualifying City residents with their utility bats. Contributions are tax deductible and the City
will match conhibutions dollar for dollar. You can sign up for a monthly contribution to be added to your utility bill, or you can make a one time donation
to the Program by completing the bottom portion of your bill. If you have questions, please contact Customer Service at [phone].
PLEASE RETURN THIS PORTION ALONG WITH YOUR PAYMENT AND MAKE YOUR CHECK PAYABLE TO THE CITY OF MONROE
• CCOUNT INFORMATION
ACCOUNT:
SERVICE ADDRESS:
SILL DATE:
;URRENT CHARGES PAST DUE AFTER:
'OTAL DUE UPON RECEIPT:
SLDI FOOD STORE, LLC #77
I. -ITN: LORI MCCULLOH
985 OLD UNION CHURCH RD
IALISBURY NC 28146-7917
110053-1004548
1404 W ROOSEVELT BLVD
05114/2010
06/10/2010
$4,084.33
PLEASE INDICATE AMOUNT OF PAYMENT
YES! I want to contribute to the Helping Hands Program.
❑ Attached is my one time contribution in the amount of $
❑ Add $ to my monthly bill.
"'(All contributions to the Helping Hands Program are tax deductible.)
u110111IIIII1hIl16IIIIIIIPrl.luhjiul, IIIIT IIIIIIIIIfil
CITY OF MONROE
PO 80X 69
MONROE NC 28111-0069
11111F a l q®11®a111111111l111111111111111Mifm11112111113HERMIIIM Nitlim

_
ITY
MTONkUF:
CITY OF MONROE
P.O. BOX 69
• MONROE, NC 28111-0069
[phone]
**AUTO*$ CH 3-DIGIT 200 14 PS3 1.1601AA14-A-2
3b70 1 AT II-357
I'1111I11111II111111111i11I1IIIIIt'11I1811111I1119111III1111I11.
ALDI FOOD STORE, LLC #77
ATTN: LORI MCCULLOH
1985 OLD UNION CHURCH RD
SALISBURY NC 28146-7917
For inquires, please call
Phone: [phone]
Office Hours: Mon - Fri 8:00 a.m. - 5:00 p.m.
ACCOUNT INFORMATION
ACCOUNT:
CYCLE:
SERVICE ADDRESS:
BILL DATE:
CURRENT CHARGES PAST DUE AFTER:
110053-1004548
14-09
1404 W ROOSEVELT BLVD
07/14/2010
0811012010
ACCOUNT ACTIVITY
BALANCE FORWARD:
TOTAL PAYMENTS:
TOTAL ADJUSTMENTS:
TOTAL CURRENT CHARGES:
TOTAL DUE UPON ' T:
If your bank
will be dra
'"`Y r bank account will be
raft date fads on a week
d on the first business d.
0.00
-3,949.45
0.00
4,98029
S4,980.29
rafted on 08106/2010""
nd or holiday, your bank accoun
after the weekend or holiday.
SERVICE PERIOD
DAYS METER NUMBER
MULT UNITS
CURRENT PREVIOUS
USAG:
' EL
EL
FL
GS
WA
06/03/10 - 07/05/10
06/03/10 - 07/05/10
06/03/10 - 07/05/10
06/03/10 - 07/05/10
06/03/10 - 07/05/10
EL ELECTRIC
FL FIRE LINE
GS NATURAL GAS
SR SEWER
SU STORMWATER
WA WATER
3.00% SALES TAX
32 700430900531
32 700430900531
32 600003117852
32 800021112324
32 600013004636
alp. O 1-to
QR Du l3CsU {JEi-►L�'t'•�
(72:3
ALC CI
80.00
8.00
0.10
0.01
10.00
KWH
KW
CGAL
CCF
CGAL
27394.00
13.53
1023.00
797535.00
280.00
41.10
fop
•�� TOTAL CURRENT CHARGES:
afp BALANCE FORWARD:
"'TOTAL DUE UPON RECEIPT:
LIM
26654.00
12.19
1023.00
797535.00
279.00
59200.00
10824
0.0C
o.oc
10.0C
4,479.81
.8
164,4(
134.31
4,980.2f
0.0(
S4.980.2.
PLEASE RETURN THIS PORTION ALONG WITH YOUR PAYMENT ANb MAKE YOUR CHECK PAYABLE TO THE CITY OF MONROE
ACCOUNT INFORMATION
4CCOUNT:
SERVICE ADDRESS:
SILL DATE:
:URRENT CHARGES PAST DUE AFTER:
TOTAL DUE UPON RECEIPT:
tLDI FOOD STORE, LLC #77
MN: LORI MCCULLOH
:985 OW UNION CHURCH RD
;AIJSBURY NC 28146-7917
110053-1004548
1404 W ROOSEVELT BLVD
07/14/2010
08/10/2010
$4,980.29
PLEASE INDICATE AMOUNT OF PAYMENT
YES! I want to contribute to the Helping Hands Program.
O Attached is my one time contribution in the amount of $
❑ Add $ to my monthly bill.
—(All Contributions to the Helping Hands Program are tax deductible.)
lirdlislul.11n,r! 11,�11!l111'111t1i"111'illll"Illlllrlllllll
CriY OF MONROE
PO BOX 69
MONROE NC 28111-0069
iiE1111>311111dml1111111BB11p1C111i8111011MHl11111Y111012

Pr"'
CITY OF MONROE
P.O. BOX 69
MONROE, NC 28111-0069
• [phone]
*IAUTO**SCH 3-DIGIT 260 14 PS3 62291AA13-A-2
3645 1 AT 0.357
nrlrllduP111111II'IIIII11111h1I"1'11111111n iu1111111N,1Ii6
ALDI FOOD STORE, LLC #77
ATTN: LORI MCCULLOH
1985 OLD UNION CHURCH RD
SALISBURY NC 28146-7917
For inquires, please call
Phone: [phone]-
Office Hours: Mon - Fri 8:00 a.m. - 5:00 p.m.
ERVICE PERIOD
EL
EL
FL.
GS
WA
SERVICE
ACCOUNT INFORMATION
ACCOUNT:
CYCLE:
SERVICE ADDRESS:
BILL DATE:
CURRENT CHARGES PAST DUE AFTER:
110053-1004548
14-09
1404 W ROOSEVELT BLVD
08/13/2010
09/1012010
ACCOUNT ACTIVITY
BALANCE FORWARD:
TOTAL PAYMENTS:
TOTAL ADJUSTMENTS:
TOTAL CURRENT CHARGES:
TOTAL DUE UPO ECEIT:
If your bank
will be drafte
ur bank accou
raft date falls o
on the first
0.00
-4,98029
0.00
4,933.67
$4,933.67
t will be drafted on 0910612010*"'
a weekend or holiday, your bank accoun
ness day after the weekend or holiday.
07/05/10 - 08/05/10
07/05/10 - 08/05/10
07/05/10 - 08/05/10
07/05/10 - 08/05/10
07/05/10 - 08/05/10
EL ELECTRIC
FL FIRE LINE
GS NATURAL GAS
SR SEWER
SU STORMWATER
WA WATER
3.00% SALES TAX
PECIAL MESSAGE
DAYS METER NUMBER
31 700430900531
31 700430900531
31 600003117852
31 800021112324
31 600013004636
DESCRIPTION
I. 1:
MULT UNITS CURRENT
80.00
8.00
0.10
0.01
10.00
TERMS D
• - • 5 n ivrt
� 7 G 193064
yy
3 ab &AVu�--- F
AU
KWH
KW
CGAL
CCF
CGAL
28118.00
13.69
1023.00
797535.00
282.00
QTY
41.10
PREVIOUS USAG
27394.00
13.53
1023.00
797535.00
280.00
izoviolcd
33. --- TOTAL CURRENT CHARGES:
= ALANCE FORWARD:
DUE UPON RECEIPT:
57920.00
109.52
0.00
0.00
20.00
CHARG
a
4,429.50
20
87.93
164.40
84 1
132.88
4,933.67
0.00
$4,933.67
The City of Monroe has a Helping Hands Program to assist qualifying City re -' ents with their utility bills. Contributions are tax deductible and the City
will match contributions dollar for dollar. You can sign up for a monthly contribution to be added to your utility bill, or you can make a one time donation
to the Program by completing the bottom portion of your bill. If you have questions, please contact Customer Service at [phone].
The City of Monroe's 2010 Wastewater System Report can be found on our website at www.monroenc.org.
PLEASE RETURN THIS PORTION ALONG WITH YOUR PAYMENT AND MAKE YOUR CHECK PAYABLE TO THE CITY OF MONROE
• CCOUNT INFORMATION
►CCOUNT:
ERVICE ADDRESS:
ILL DATE:
URRENT CHARGES PAST DUE AFTER:
OTAL DUE UPON RECEIPT:
LDI FOOD STORE, LLC #77
TIN: LORI MCCULLOH
185 OLD UNION CHURCH RD
4LISRURY NC 28146-7917
110053-1004548
1404 W ROOSEVELT BLVD
08/13/2010
09/10/2010
$4,933.67
PLEASE INDICATE AMOUNT OF PAYMENT
YES! I want to contribute to the Hering Hands Program.
❑ Attached is my one time contribution in the amount of $
❑ Add $ to my monthly bill.
**-{A11 contributions to the Helping Hands Program am tax deductible.)
'IIIII'I'IIIIIII'I11illiilIIIIIIsi.IIIIII�Iji!IIIIIIIIIII1111'Ir
CITY OF MONROE
PO BOX 69
MONROE NC 28111-0069

IieCeiVen:
011(TUE) 11:27 CUSTOMER SERVICE
11111111111r
City of Monroe
Account number 110053--1004548 • •
Location address: 1404 W ROOSEVELT BLVD NC
MONROE
•
Customer name ALDI FOOD STORE, LLC #77'
Mailing address : ATTN: LORI MCCULLOH .
1985 OLD 'ANION 'CHURCH RD.
City /State /Zip: SALISBURY • NC
Bill date: . 9/15/10 Due date: 10/10/10
Balance forward
Payments / adj.
Current charges
Bill amauft •
Service •Read Date
. EL 9/02/10
Fti 9/02./10
GS • • • 9/02/10 .
WA ' 9/'02/10
•
•
9298.03
9298.03-•
4514.03
4514.03
Type. .
Adjusted
'Adjusted
Adjusted
Adjusted
Billing Statement
(FRX)70a 282 11735
281467917-
Reading Information
'Meter nuinber pays
700430900531 28
'.600003117852 28 '
R00021112324 ;28
'60001.3004636 28
•
• enirent charge Det .i
. • -Code Desctriptian .. .
EL . . ELECTRIC • ' ••
• ' •Fli . •FIRB LINE -
G5 .. NATURAL' GA"..•
• • SR ' .SEWER - •' .
. SKI -STORE4IWATER • .•
• • WATBR
• • • TAXES
•
Total Actual:Charges
Actual
P. OU3IUU4
Page: i
. Deed
• Consumption
51, 200.. 00
_00
.00
10.00
105.76
• .00
..90
• • 00
/MO doi.
Amount
•4,027..13
•14.75
20.00
84.81.
164.40
82.13"
' 120.81
4,514.03
Balance:
3759.22 as of 5/03/11

CITY OF MONROE
P.O. BOX 69
• MONROE, NC 28111-0069
[phone]
s*AUT4s*SCH 3-DIGIT 2150 19 PS3 632S2AA14-A-2
3611 1 AT 0.357
11hlIII11`1"'1*'IIIIIIIIII11111 " II`IIIII1I1nItI+mhIIh11111
ALDI FOOD STORE, LLC #77
ATTN: LORI MCCULLOH
1985 OLD UNION CHURCH RD
SALISBURY NC 28146-7917
For inquires, please call
Phone: [phone]
Office Hours: Mon - Fri 8:00 a.m. - 5:00 p.m.
SERVICE PERIOD
EL
EL
FL
GS
WA
SERVICE
09/02/10 -10/04/10
09/02/10 - 10/04/10
09/02110 -10/04/10
09/02/10 -10/04/10
09102110-10/04110
EL ELECTRIC
FL FIRE LINE
GS NATURAL GAS
SR SEWER
SU STORMWATER
WA WATER
3.00% SALES TAX
ACCOUNT INFORMATION
ACCOUNT:
CYCLE:
SERVICE ADDRESS:
BILL DATE:
CURRENT CHARGES PAST DUE AFTER:
110053-1004548
14-09
1404 W ROOSEVELT BLVD
10/14/2010
11 /101201 C
ACCOUNT ACTIVITY
BALANCE FORWARD:
TOTAL PAYMENTS:
TOTAL ADJUSTMENTS:
TOTAL CURRENT CHARGES:
CREDIT BALANCE - 00 NOT PAY
""Your bank account will be drafted on
If your bank draft date falls on a weekend or hol
will be drafted on the first business day after the
-4,784.00
-9,298.03
0.0C
4,631.94
-6152.0E
106t2010""
ay, your bank
DAYS METER NUMBER MULT UNITS CURRENT PREVIOUS
32 700430900531
32 700430900531
32 640003117852
32 800021112324
32 600013004636
DESCRIPTION
RENEWABLE ENERGY CHARGE
PLEASE RETURN THIS PORTION ALONG W1TH YOUR PAYMEN
ACCOUNT INFORMATION
ACCOUNT:
SERVICE ADDRESS:
BILL DATE:
CURRENT CHARGES PAST DUE AFTER:
CREDIT BALANCE - DO NOT PAY
4LDI FOOD STORE, LLC #77
4TTN: LORI MCCULLOH
1985 OLD UNION CHURCH RD
3ALISBURY NC 28146-7917
80.00
8.00
0.10
0.01
10.00
KWH
KW
CGAL
CCF
CGAL
29429.00
13.05
1023.00
797535.00
284.00
.4000
41.10
TOTAL CURRENT CHARGES:
BALANCE FORWARD:
CREDIT BALANCE - DO NOT PAY
UI. NO.rsaUy �
MS. �i..
OF nt r
92 4-0
C LC
I.9y
■ - r
PLEASE INDICATE A,;IOJN f OF PAYMENT
13.22
28758.00
1023.00
797535.00
283.00
110053-1004548
1404 W ROOSEVELT BLVD
10/14/2010
11/1012010
-$ 152.06
coui
USAG
53680.0t
104.41
0.01
0.0(
10.0(
CHARG
4,139.3!
2.2
rE0.01
84.8'
164.41
82.1
1242
4,631.9.
-4,784.0
152.0
CHECK PAYABLE TO TH CITY OF MONROE
YES! 1 want to contribute to the Helping Hands Program.
❑ Attached is my one time contribution in the amount of $
❑ Add $ to my monthly bill.
"'(All contributions to the Helping Hands Program are tax deductible.)
II'III'1111111111111111=lllllti1111r'll1'1111111rltiu1IIIP111r'i
CITY OF MONROE
POBOX 69
MONROE NC 28111-0069
Ii EE1 1111111111®111f111gii1111/1131®91➢1)Il11En®11i11111111fi111®13111Uia131111 111

ACCOUNT INFORMATION
CITY OF MONROE
CRTP.O. BOX 69
for. MONROE, NC 28111-0069
[phone]
+*ALTO**SCH 3-DIGIT 280 14 PS3 63841AA15-A-2
3589 1 AT 11-357
14�I1IIrIIIII��I.�;��.IIIIII�iI�IIrIII,u�I1lrrIrl�I ItIIIII IIrI�r
ALDI FOOD STORE, LLC #77
ATM: LORI MCCULLOH
1985 OLD UNION CHURCH RD
SALISBURY NC 28146-7917
For inquires, please call
Phone: [phone]
Office Hours: Mon - Fri 8:00 a.m. - 5:00 p.m.
ACCOUNT:
CYCLE:
SERVICE ADDRESS:
BILL DATE:
CURRENT CHARGES PAST DUE AFTER:
110053-100454
14-C
1404 W ROOSEVELT BLV
11/15/201
12/10/201
ACCOUNT ACTIVITY
BALANCE FORWARD:
TOTAL PAYMENTS:
TOTAL ADJUSTMENTS:
TOTAL CURRENT CHARGES:
TOTAL DUE UPON REC PT:
-152.0
O.0
o.c
4,209.3
$4,057.2
****Your . nk account will • drafted on 12/06/2010-
If your bank dra • ate falls on a • end or holiday, your bank accou
will be drafted o the first business . ay after the weekend or holiday.
SERVICE PERIOD
DAYS METER NUMBER
MULT UNITS CURRENT PREVIOUS
USA
EL
EL
FL
GS
WA
SERVICE
10/04/10-11/04/10
10/04/10-11104/10
10/04/10 -11/04/10
10/04/10 - 11104110
10/04/10- 11/04/10
EL ELECTRIC
FL FIRE LINE
GS NATURAL GAS
SR SEWER
SU STORMWATER
WA WATER
3.00% SALES TAX
31 700430900531
31 700430900531
31 600003117852
31 800021112324
31 600013004636
DESCRIPTION
RENEWABLE ENERGY CHAR
80.00
8.00
0.10
0.01
10.00
KWH
KW
CGAL
CCF
CGAL
30007.00
12.70
1023.00
797705.00
288.00
is al. If 3oa °��-rP .s3
41.10 I
31 11
29429.00
13.05
1023.00
797535.00
284.00
TOTAL CURRENT CHARGES:
BALANCE FORWARD:
TOTAL DUE UPON RECEIPT:
46240.0
101.6
0.0
1.7
40.0
CHARD
3,711c
2.2
4477
22.1
94.1
164.4
111.4
4,209.3
-152.0
$4,057.2
Did you know? Leaves can be raked to the edge of the street for collection from November to the following March each year. The City of Monroe will
begin its annual leaf collection service this year on October 18th. Accumulation during the remaining months must be in dear plastic bags and placed al
the curb.
All City residential customers are required to have one garbage cart, unless a dumpster Is provided. If you have more than one cart, please call
Customer Service as there is an additional charge. Recycling is encouraged but not required. if you would like a recycle bin, please call Customer
Service at [phone].
PLEASE RETURN THIS PORTION ALONG WITH YOUR PAYMENT AND MAKE YOUR CHECK PAYABLE TO T•
HE CITY OF MONROE
ACCOUNT INFORMATION
ACCOUNT:
SERVICE ADDRESS:
BILL DATE:
CURRENT CHARGES PAST DUE AFTER:
TOTAL DUE UPON RECEIPT:
ALDI FOOD STORE, LLC #77
ATTN: LORI MCCULLOH
1985 OLD UNION CHURCH RD
SALISBURY NC 28146-7917
110053-1004548
1404 W ROOSEVELT BLVD
/LU�{ .. -,,,,D Add $ to my monthly bill.
._..,ti 0/0-(All contributions to the Helping Hands !'����� ��,��,�� - - F� 9 Program am tax deductrhte.)
PLEASE INDICATE AMOUNT OF PAYMENT
1111512010 YES! I want to contribute to the Helping Hands Program.
$4,057.28 El Attached is my one time contribution in the amount of $
12/10/2010
GU-v%.
c6--i3tiv-cr
AUD I
INEMI
IIIIUh1uIIIIIIIIIIII IIIIIIiIIIuII,III.4lrllllhhjfl Ilrll.11l
CITY OF MONROE
PO BOX 69
MONROE NC 28111-0069

CRY OF MONROE
, P.O. BOX 69
,�K. MONROE, NC 28111-0069
ON
Irrir-
."`^'- [phone]
xxAUTDs.SCH 3-DIGIT 260 14 PS3 I4141AA14-A-2
3591 1 AT 0-357
'1'11I11iiIp1Irlr111aI1I'1111I111,Ir1'l1ll1I"'1lfi1111111'Ir01
ALDI FOOD STORE, LLC #77
ATTN: LORI MCCULLOH
1985 OLD UNION CHURCH RD
SALISBURY NC 28146-7917
For inquires, please call
Phone: [phone]
Office Hours: Mon - Fri 8:00 a.m. - 5:00 p.m.
win/
If your bank
will be drafte
ACCOUNT INFORMATION
ACCOUNT:
CYCLE:
SERVICE ADDRESS:
BILL DATE:
CURRENT CHARGES PAST DUE AFTER:
110053-100454E
14-DE
1404 W ROOSEVELT BLVD
12114/201 C
01110/2011
ACCOUNT ACTIVITY
BALANCE FORWARD:
TOTAL PAYMENTS:
TOTAL ADJUSTMENTS:
TOTAL CURRENT C
TOTAL DUE UPON
H ES:
ECEtPT:
r bank account will be dra
date falls on a weeken
on the first business da
0.0C
-4,057.2E
o.00
4,108.1E
$4,108.19
an 01106/2011-""
or holiday, your bank accour
er the weekend or holiday.
'ERVICE PERIOD
EL
EL
FL
GS
WA
WA
SERVICE
11/04/10 - 12/06/10
11/04/10 -12/06/10
11/04/10 -12/06/10
11/04/10 -12/06/10
11/04/10 -11/10/10
11/10/10 -12/06/10
EL ELECTRIC
FL FIRE LINE
GS NATURAL GAS
SR SEWER
SU STORMWATER
WA WATER
3.00% SALES TAX
DAYS METER NUMBER
32 700430900531
32 700430900531
32 600003117852
32 800021112324
6 600013004636
26 600010001296
DESCRIPTION
MULT UNITS CURRENT PREVIOUS
80.00
8.00
0.10
0.01
10.00
0.10
KWH
KW
CGAL
CCF
CGAL
CGAL
30559.00
10.70
1023.00
815900.00
289.00
424.00
30007.00
12.70
1023.00
797705.00
288.00
4.00
RENEWABLE ENERWAIWE 104 c ► L 2cO rTERMS AYYS �/
LTA DUE DATE //CV/ r �
4(3cw-°'i,"-" 4> y93 ,'�10
w
0-01e) . TOT I/ RT CHARGES:
CAi_iM.. K
CE FORWARD:
Foil RECEIPT:
USAG
.nir
CHARG
44160.0(
85.6(
0.0(
181.9:
10.0(
42.0(
3,391.8:
14
244.41
s7.9•
64.41
4n R•
101.8:
4,108.1!
0.01
$4,108.11
IPlease be aware that Utility Public Service Vehicles have been added to the "Move Over Lav'. Under the "M: : Over" law, motorists are required to
move over one lane, If possible, or reduce speed for stopped emergency vehicles with flashing fights on the shoulder of the highway, including public
service vehicles with amber lights. Violating the law could result In a $500 fine.
PLEASE RETURN THIS PORTION ALONG WITH YOUR PAYMENT AND MAKE YOUR CHECK PAYABLE TO THE CITY OF MONROE
ACCOUNT INFORMATION
ACCOUNT:
SERVICE ADDRESS:
BILL DATE:
CURRENT CHARGES PAST DUE AFTER:
TOTAL DUE UPON RECEIPT:
ALDI FOOD STORE, LLC #77
ATTN: LORI MCCULLOH
1985 OLD UNION CHURCH RD
SALISBURY NC 28146-7917
110053-1004548
1404 W ROOSEVELT BLVD
12/14/2010
01/10/2011
$4,108.19
PLEASE INDICATE AMOUNT OF PAYMENT
YES! I want to contribute to the Helping Hands Program.
❑ Attached is my one time contribution in the amount of $
❑ Add $ to my monthly bill.
-"-(A/1 contributions to the Helping Hands Program are tax deductible.)
'l'i11'lldll14111lll'Iillllllillllylbllllllr6r(Illl8111.1 liil
CITY OF MONROE
PO BOX 69
MONROE NC 28111-0069

ACCOUNT INFORMATION
CITY OF MONROE
- P.O. BOX 69
CRY
sg MONROE, NC 26111-0069
MONROE
"` •'^� [phone]
s;AUTOs*SCH 3-DIGIT 280 14 PS3 64595AA14-A-2
3630 1 AT 0.357
'1rII11111111r11rr111d11611111'Ir111r" hrill,II1flr111I11uIr
ALDI FOOD STORE, LLC #77
ATTN: LORI MCCULLOH
1985 OLD UNION CHURCH RD
SALISBURY NC 28146-7917
For inquires, please call
Phone: [phone]
Office Hours: Mon - Fri 8:00 a.m. - 5:00 p.m.
ACCOUNT:
CYCLE:
SERVICE ADDRESS:
SILL DATE:
CURRENT CHARGES PAST DUE AFTER:
110053-1004548
14-09
1404 W ROOSEVELT BLVD
01114/2011
02/1012011
ACCOUNT ACTIVITY
BALANCE FORWARD:
TOTAL PAYMENTS:
TOTAL ADJUSTMENTS:
TOTAL CURRENT CHARGES:
TOTAL DUE UPO . RECEIPT:
1f your ba
will be dra
0.0C
-4,108.19
0.0c
4,190.9t?
$4,190.98
our bank acco t will be drafted on 0210612011'Th
draft date falls n a weekend or holiday, your bank accour
d on the first b , Iness day after the weekend or holiday.
.ERVICE PERIOD
DAYS METER NUMBER MULT UNITS CURRENT PREVIOUS
USAG;
EL
EL
FL
GS
WA
SERVICE
12/06/10- 01/04/11
12/06/10- 01/04/11
12/06/10 - 01104/11
12/06/10 - 01(04111
12/06/10 - 01/04/11
EL ELECTRIC
FL FIRE LINE
GS NATURAL GAS
SR SEWER
SU STORMWATER
WA WATER
3.00% SALES TAX
29 700430900531
29 700430900531
29 600003117852
29 800021112324
29 600010001296
DESCRIPTION
RENEWABLE ENERGY CHARGE
80.00
8.00
0.10
0.01
0.10
KWH
KW
CGAL
CCF
CGAL
31042.00
10.51
1023.00
867210.00
1090.00
41.10
a60
TOTAL CURRENT CHARGES:
BALANCE FORWARD:
TOTAL DUE UPON RECEIPT:
30559.00
10.70
1023.00
815900.00
424.00
A
38640.0C
84.0f
0.0(
513.11
66.6(
CHARG
3,081.91
0
92.5:
4,190.9;
0.0
$4,190.91
.PECIAL MESSAGE
The Engineering Department would like to remind residents and businesses NOT to rake or dump leaves into storm drains, street gutters or ditches.
Leaves should be placed at edge of the street or back of curb line where leaf vacuums can reach them. Bagged or loose leaves should not be placed
onto the pavement, curb line or into drainage ditches. They can block drainage paths which can cause localized flooding and decay in the water,
Impacting aquatic life in nearby lakes and streams.
CONTINUED ON NEXT PAG.
PLEASE RETURN THIS PORTION ALONG WITH YOUR PAYMENT AND MAKE YOUR CHECK PAYABLE TO THE CITY OF MONROE
ACCOUNT INFORMATION
ICCOUNT:
'SERVICE ADDRESS:
ILL DATE:
;URRENT CHARGES PAST DUE
TOTAL DUE UPON RECEI
U.Di FOOD STORE, LLC #77
ITTN: LORI MCCULLOH
1985 OLD UNION CHURCH RD
1AIJSBURY NC 28146-7917
SUP.NO.
0
r s ESA �LJ4. 4,190.98
300-0 3
4430cp—olhN trOli
CAL
AUTH.
APPR.
110053-1004548
ROOSEVELT BLVD
r1
2011
PLEASE INDICATE AMOUNT OF PAYMENT
YES! 1 want to contribute to the Helping Hands Program.
❑ Attached is my one time contribution in the amount of $
0 Add $ to my monthly bill.
***(All contributions to the Helping Hands Program are tax deductible.)
111"llllll'llllll�l'�111'11111111illlil'illlliillrllll,lrllillll
CITY OF MONROE
PO BOX 69
MONROE NC 28111-0069
II1QII@11I11111Lft 11I 111111HURIQ IftUU l LI111amll10111B i1111 1LIfA1B11l1M113111

ACCOUNT INFORMATION
01/04/11 - 02102/11
01/04/11 - 02/02/11
01/04/11- 02/02/11
01104/11 - 02/02111
01/04/11- 02/02/11
1 FOF
t
CITY OF MONROE
, P.O. BOX 69
MONROE, NC 28111-0069
[phone]
:*A0T0.*SCH 3-DIGIT 280 14 PS3 66504AA14-A-2
3620 1 AT 0.357
IuI11I'111'I11I"I""II'III11I111III(11lll1llllllllllllllllllll
ALD1 FOOD STORE, LLC #77
ATTN: LORI MCCULLOH
1985 OLD UNION CHURCH RD
SALISBURY NC 28146-7917
For inquires, please call
Phone: [phone]
Office Hours: Mon - Fri 8:00 a.m. - 5:00 p.m.
ACCOUNT:
CYCLE:
SERVICE ADDRESS:
BILL DATE:
CURRENT CHARGES PAST DUE AFTER:
110053-1004548
14-09
1404 W ROOSEVELT BLVD
. 02/14/2011
03110/2011
ACCOUNT ACTIVITY
BALANCE FORWARD:
TOTAL PAYMENTS:
TOTAL ADJUSTMENT
TOTAL CURRE HARGES:
TOTAL DUE ON RECEIPT:
If your
will b
0.00
-4,190.98
0.00
3,898.46
$3,898.46
`""Your bank acc unt will be drafted on 0310612011"""
ank draft date fal . on a weekend or holiday, your bank account
drafted on the firs . usiness day after the weekend or holiday.
.ERVICE PERIOD
DAYS METER NUMBER MULT UNITS CURRENT PREVIOUS
USAGE
EL
EL
FL
GS
WA
SERVICE
EL ELECTRIC
FL FIRE LINE
29 700430900531
29 700430900531
29 600003117852
29 800021112324
29 600010001296
DESCRIPTION
REN WABLE ENERGY CHARGE
GS NATURAL UP NO. 1(O Y
SR SEWER TERMS AY 14
SU STORMWAT(� DUE DATE, Ca !J
WA WATER - [[��
3.00% SALES TA I3d 7 ba D f J
80.00
8.00
0.10
0.01
0.10
KWH
KW
CGAL
CCF
CGAL
31518.00
9.59
1023.00
902730.00
1795.00
41.10
31042.00
10.51
1023.00
867210.00
1090.00
70sysr
TOTAL CURRENT CHARGES;
BALANCE FORWARD:
TOTAL DUE UPON RECEIPT:
Air
CHARGE
38080.00
76.72
0.00
35520
70.50
2,955.58
221
147
474.39
03.69
164A0
.71
88.73
3,898.46
0.00
$3,898.46
The City of Monroe a men is in ' e p . ' updating our electric mapping system. This process will require a field audit of ail
poles, transformers, : t rs located in and around the City. All Davey Resource Staff conducting this audit will be carrying identification badges and
a letter of authority. Should you have any questions, please direct them to the City of Monroe's Operation Center Staff Qa 704-282-4600.
PLEASE RETURN THIS PORTION ALONG WITH YOUR PAYMENT AND MAKE YOUR CHECK PAYABLE TO THE CITY OF MONROE
CCOUNT INFORMATION
CCOUNT:
ERVICE ADDRESS:
LL DATE:
JRRENT CHARGES PAST DUE AFTER:
DIAL DUE UPON RECEIPT:
.DI FOOD STORE, LLC #77
rTN: LORI MCCULLOH
185 OLD UNION CHURCH RD
kLISBURY NC 28146-7917
110053-1004548
1404 W ROOSEVELT BLVD
02/14/2011
03/10/2011
$3,898.46
PLEASE INDICATE AMOUNT OF PAYMENT
YES! I want to contribute to the Helping Hands Program.
O Attached is my one time contribution in the amount of $
Li Add $ to my monthly bill.
***(All contributions to the Helping Hands Program are tax deductible.)
il'll`'ll'll`I"III'I'IIIIIIIhl61ipliIiil1I'1'IIIIIIIIItIr"`i
CITY OF MONROE
PO BOX 69
MONROE NC 28111-0069
1111111101111]11111110111I II D11111Ill11111IIl10111111111111I1111131111111111IQI111111111111Il0111l

ACCOUNT INFORMATION
MONROE
CITY OF MONROE
P.O. BOX 69
MONROE, NC 28111-0069
[phone]
t*AUTOs*S(H 3-DIGIT 2E0 14 PS3 67168AA14-A-1
3621. 1 AT 0.357
III111111111111101111111111111IIII111I11111I1111i1111111111111
ALDI FOOD STORE, LLC #77
ATTN: LORI MCCULLOH
1985 OLD UNION CHURCH. RD
SALISBURY NC 28146-7917
For inquires, please call
Phone: [phone]
Office Hours: Mon - Fri 8:00 a.m. - 5:00 p.m.
ACCOUNT:
CYCLE:
SERVICE ADDRESS:
BILL DATE:
CURRENT CHARGES PAST DUE AFTER:
110053-1004548
14-09
1404 W ROOSEVELT BLVD
03/14/2011
04/10/2011
ACCOUNT ACTIVITY
BALANCE FORWARD:
TOTAL PAYMENTS:
TOTAL ADJUSTMENTS:
TOTAL CURRENT CHARGES:
TOTAL DUE UPON RECEI
"'*Your
if your bank draft
will be drafted on
account will be drafted on
to Falls on a weekend or
e first business day afte
0.00
-3,898.46
0.00
3,604.44
53,604.44
06/2011"*'
iday, your bank account
e weekend or holiday.
.ERVICE PERIOD
DAYS METER NUMBER
MULT UNITS CURRENT PREVIOUS USAGE
EL
EL
FL
GS
WA
SERVICE
02102111- 03/03/11
02/02/11 - 03/03/11
02102/11 - 03/03111
02/02/11 - 03/03111
02/02/11- 03/03/11
EL ELECTRIC
RENEWABLE ENERGYUP.NO.
FL FIRE LINE
GS
SR
SU
WA
NATURAL GAS
SEWER
STORMWATER
WATER
3.00% SALES TAX
29 700430900531
29 700430900531
29 600003117852
29 800021112324
29 600010001296
DESCRIPTION
TERMS
QQR'' DUE DAT
L300_U
"1.3
DAYS
17t /13
41/0-9/` 17S
CALc
80.00
8.00
0.10
0.01
0.10
KWH
KW
CGAL
CCF
CGAL
32000.00
9.77
1023.00
912365.00
2292.00
y97° 3
41.10
TOTAL CURRENT CHARGES:
BALANCE FORWARD:
DUE UPON RECEIPT:
31518.00
9.59
1023.00
902730.00
1795.00
2.21
38560.00
78.16
0.00
96.35
49.70
CHARGE
3,001.97
20
164.40
90.39
90.06
3,604.44
0.00
53,604.44
The City of Monroe's Energy Services Department is in the process of upda[IFrg our electric mapping system. This process will require a field audit of all
poles, transformers, and meters located in and around the City. All Davey Resource Staff conducting this audit will be carrying identification badges and
a letter of authority. Should you have any questions, please direct them 10 the City of Monroe's Operation Center Stab @ 704-282-4600.
The City of Monroe, Union County, and Master Gardeners present DOWN TO EARTH DAY FESTIVAL 2011 AND 5K RACE to be held on Saturday Apn'!
16th in Downtown Monroe, Main Street Plaza. Race: 8am-10am and Festival : 10am-2pm. Opportunities for large item recycling, music, food, crafts.
face painting, and demonstrations --family event! Please call Mandy Vari with any questions [phone] or [e-mail]. Visit
httpJ/www.co.union.nc.us/PropertyServiceslPubticWorks/EarthDay.aspx.
PLEASE RETURN THIS PORTION ALONG WITH YOUR PAYMENT AND MAKE YOUR CHECK PAYABLE TO THE CITY OF MONROE
•CCOUNT INFORMATION
'MOUNT:
ERVICE ADDRESS:
ILL DATE:
URRENT CHARGES PAST DUE AFTER:
'OTAL DUE UPON RECEIPT:
LD1 FOOD STORE, LLC #77
TTN: LORI MCCULLOH
985 OLD UNION CHURCH RD
AUSBURY NC 28146-7917
110053-1004548
1404 W ROOSEVELT BLVD
03/14/2011
04/10/2011
$3,604.44
PLEASE INDICATE AMOUNT OF PAYMENT
YES! 1 want to contribute to the Helping Hands Program.
Cl Attached is my one time contribution in the amount of $
❑ Add $ to my monthly bill.
***'All contributions to the Helping Hands Program am tax deductible.)
11119 1111tul#h11111dltld,l,Lsirp,Ilpllily111111 ,ltlrl
CITY OF MONROE
PO BOX 69
MONROE NC 28111-0069
11111I1QI11®VIIIIIIetf111111lIIII1131n111111 BRIH11 p1 a11111111f1faa91111Q1111111111111®IfI1i111

State of North Carolina
Department of EnEnvironment and Natural Resources
Division of Water Qualit}
Flow Trac ing/Accu ptance for Sewer Extension Permit Applications
(FTSE -10/07)
Prt ect Applicant Name:
Project Name for which flow is being
More than c ng
pump stations
-in County".
equest;ed: A
'°7SL• f0'07 may he re°elta re.eliar a sar lc project r
li ng the route of the proposed ucaste.7at r low,
en
TP is not responsible 'or
1. Complete this section o
a, WWTP Facility* Name:
b. 'WW'TP Facilit"` Permit
are the owner of the wastewater treatment plant.
Crooked Creek
NC0069841.
c. `VW"rl' facility's permitted flow
d. Estimated obligated flow not yet tributary 1
e. \VWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the faci
h. Percent of permitted flow used
o the WA'
Al! flows are in MGD
1.90
0,2825
0.98
0.0004
12629
66.47
II. Complete this section for each pump station you are responsible for alon, the route of this
proposed wastewater flow.
List pump stations located between the project connection point tnd the WW1P
Pump Station Name
None
Approx. Capacity, MGD
(Firm./Design)
Approx. Current Avg.
llaily Flow, ,MGD
III. Certification Statement:
I, _ ,Mike iarbark , cert
wastewater to be permitted in this p
treatment facility and that the flow from
that, t:o the hest of my knowledge, the additioncwf the w°olurne of
as been evaluated along the rc t.tte to the rec eivin w°astew°ater
project is not anticipated to cause any capa
sanitary sewer overflows or overburden any downstream pump station en route to the rcce
plant. under normal circumstances. This analysis has been performed in accordance with local established
policies and procedures using the hest available data. This certification applies to those items listed above
in Sections I and II for which I ant the responsible party. Signature of this form indicates acceptance of
this wastewater flow.
Signing f ffield/ t rrt tlttre Date

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 Aldi Sewer Extension
We are sending you: E Copy of letter Plans 0 Prints n Shop Drawings
Other
TRANSMITTAL
Copies Date
No. Description
7/1 Non -Discharge Permit Application
Date: 7/11/11
1 7/11/11 Copy of Non -Discharge Permit Application
1 7/11/11 Flow Tracking Form
1 7/6/11 064691 $480.00 Check (Application Fee)
These are transmitted as checked below:
For approval 0 For your use 'P1 As requested
Remarks:
Signed:
Received by:
L For review and comments
Date:

Central Files: APS_ SWPr
07/19/11
Permit Number WQ0035468
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
samar.bou-ghazale
Coastal SW Rule
Permitted Flow
365
Facility
Facility Name
Aldi Sewer Extension
Location Address
Owner
Major/Minor Region
Minor Mooresville
County
Union
Facility Contact Affiliation
Owner Name Owner Type
Government - County
Union County Public Works
Dates/Events
Orig Issue
07/19/11
App Received Draft Initiated
07/12/11
Scheduled
Issuance
Owner Affiliation
Mark Eugene Tye
500 N Church St Ste 500
Monroe
Public Notice Issue
NC 281124730
Effective Expiration
07/19/11 07/19/11
Regulated Activities Re i uestedlReceived Events
Retail Additional information requested
Wastewater collection
Additional information received
Outfall NULL
Waterbody Name Stream Index Number Current Class Subbasin

East Track Engine
Permit No. WQ0035468
July '19, 2011
Owner/WQC AWVTI
Mark Garbark
Union County
500 North Main
Monroe" NC '20t112
ring Certiff tfion
F' I=
Robert Davis
RDDavis Consulting rar it
P 0 Bu,x 470085
C:3h°iarlotte, Nc 4 7 -0I)f3!'t
Complete. and submit this form to the permit is.suingr g c>naR fling with the forte
One copy of the project record drawings (Wan ,8,
system extension
Supporting design calculations, ten pt,imps, system curve, 1pe '
generator(s) or storage greater ttlarl longest past throe year rantat e r
stations permitted as part of this prcloct.
Changes to the project should be clearly rrieratrfiet6 or
modifications are required for any,, €tdnge a resuh'ting,
mintrnurrl dgogct r rit> rng
authorized to observe
county project for the f
observation of the t.onstrurt%on such tha
hb permit. 15A NCAC 2f the Division r
February 12, 1996 as applicablee; the give
3ttations and Force Mains adopted June 1. 2000 as appiu;abde,
news of sewer fines) of th
ztNEER'S CERTIFICATION
as a dui%
pe r'i oc.
T9itti'Lt, hereb
North Carolina Professil Engineers
seal, Ignature, and da
Peekly.1 fr
tte that, to tt
construction was obse
CJU3IIty'
n"s IVlenimun)
water rollertton
ng point, available storage of portable
lability option selected) for any pump
ntte r scar as -nary form. Per
>rrr st sea ulat';'iuns or,
a, having been
ion, a Union
e arc c6r9rgenc;e was used. in the
ithin substantl compliance of
nrrnum Design Criteria adopted
Faisk Permitting of Pump
Tipportinq materials,
NvrE: k/5T artH 7-0 tvN t Caivrcfzn'lS l STArE
5 rA+o'c44IDD5 )JEA/ CAccat. re 3 F-2,007 F4C4 aF 17H
7) ;t'q OF "nN SEF a7- eA' c 7-
GI titr+a
'slit 10 itiue
od to be taus
SEND THIS FORM
UPPOF:TING DOCUMENTATION
WITH RFC 'RED AT ACHMFN"FS To THE FOLLOWING ADDRESS
MOORESVILLE REGIONAL OFFICE
SURFACE WATER PROTECTION
610 EAST CENTER AVENUE, SUITE 301
MOORESVILLE NC 28115
The Permuttee is usesporasible for tracking all partial certifir"r troras n i received. Any
wastewater flow made tnbutary to the cva:tewater collect rio y'atr@17 extension ; riL r t'r cf0mplefton ,;if tirr
Engineer's Certification shall be considered a violation of t''irr permit and shall srinpe;t the Permitte€.> tr appropriate
enforcement actions,

UNION COUNTY PUBLIC WORKS
506 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: Ms. Dee Browder
Regarding: Engineer"s Certification for Nesbit Oil Company
We are sending you: E Copy of letter E Plans
Other
opies Date No.
TRANSMITTAL
Date: 11i22/11
Prints 1-1 Shop Drawings
Description
Record Drawings
Engineer's Certification for Sewer (Permit W'Q0635468)
These are transmitted as checked below:
Q For approval For your use 1 1 As requested 0 For review and comments
Remarks:.
Signed:
Received by:
Date: