WQ0039015_Complete File - Historical_20171231

f
Water Resources
Environmental Quality
February 8, 2017
Crystal 0. Panico, New Development Program Manager
Union County Public Works
500 North Main Street, Suite 400
Monroe, NC 28112
Dear Ms. Panico:
ROY COOPER
• Governor
MICHAEL S. REGAN
Secretary
S. JAY ZIMMERMAN .
Director
Subject: Permit No. WQ0039015
Union County Public Works
Creative Care
Wastewater Collection System Extension Permit
Union County
In accordance with your application received January 30, 2017, we are forwarding herewith Permit No.
WQ0039015 dated February 8, 2017, to Union County Public Works (Permittee) for the construction and
operation upon certification 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effective from the date of issuance until rescinded and shall be subject to the conditions and limitations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 the following conditions contained within this permit:
Condition 11.1: This permit shall not be automatically transferable; a request must be made and
approved.
Condition 11.4:
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.
It shall be the responsibility of the Permittee 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.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing upon written request within 30 days following receipt of this permit. This
request must be in the form of a written petition, conforming to Chapter 150E of North Carolina General
Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC
27699-6714. Unless such demands are made, this permit shall be final and binding.
�� )yothirrg Compares"_:—,,
State of North Carolina I Environmental Quality I Water Resources I Water Quality Regional Operations
Mooresville Regional Office 1610 East Center Avenue, Suite 301 1 Mooresville, North Carolina 28115
704-663-1699

If you need additional information concerning this matter, please contact Barry Love at [phone]
or via e-mail at [e-mail].
bvVKCorey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office
Division of Water Resources, N[DEQ
cc: John H. Ross P.E. /e-copy)
Regional Office Files
Water Resources Central Files
PERCS(e'uopy)
2

Environmental
Quality
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations, permission is hereby granted to
Union County Public Works
Union County
for the construction and operation of approximately 909 linear feet of 8-inch gravity sewer as part of the
Creative Care project, and the discharge of 2,800 gallons per day of collected domestic wastewater into
the Union County existing sewerage system, pursuant to the application received January 30, 2017 , 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 Environmental Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the specified
conditions and limitations contained therein.
by W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office
Division of Water Resources, NCDEQ
Permit Number: WQ0039015
Permit Issued: February 8, 2017
3

SUPPLEMENT TO PERMIT COVER SHEET
Union
County Public
Works is hereby authorized to:
Construct, and then operate upon certification the aforementioned wastewater collection extension. The
sewage and wastewater collected bvthis system shall be treated in the Union County Twelve Mile Creek
Wastewater Treatment Plant in accordance with Permit Number NCO085359.
Permitting of this project does not constitute an acceptance of any part of the project that does not meet
15A NCAC ZT; the Division's Gravity Sewer Minimum Design Criteria adopted February 13, 1996, an
applicable; 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 Permittme's responsibility toensure that the as -constructed project meets
the appropriate design criteria and rules,
Construction and operation bcontingent upon compliance with the Standard Conditions and any Special
Conditions identified below.
W. SPECIAL CONDITIONS
. No flow in excess of the quantity permitted herein, 2,800 GPD shall be made tributary to the subject
sewer system until an application for permit modification for an increase in flow has been submitted
toand approved bvthe Division. [lSAN[AC82T.O304(b)]
|1.STANDARD CONDITIONS
1. This permit isnot transferable. |nthe event there isadesire for the wastewater collection facilities
to change ownership, or there is name change of the Pennittee, afunna| 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 he approved. [15A N[4CO2T.O104; G.S 14]'215.1/d]U
2. This permit shall become voidable unless the wastewater collection 'facilities are constructed in
accordance with the conditions of this permit; 15A NCA[ Zl; the Division's Gravity Sewer Minimum
Design Criteria adopted February lI, 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. [15A NCAC 02T.01101
This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data, [15A NCAC 02T.0110]
4. The wastewater collection facilities shall beproperly maintained and operated atall times. The
Permittee shall maintain compliance with an individual system -wide collection system permit for the
operation and maintenance of these facilities an required by 15A NCAC 2T .0403. If an individual
permit is not required, the following performance criteria shall be met: [15A NCAC 02T.0108(b)]:
4

a. The sewer system shall be effectively maintained and operated at all times to prevent discharge
to land or surface waters, and to prevent any contravention of groundwater standards or surface
water standards.
b. A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan including pump station inspection frequency, preventative
maintenance schedule, spare parts inventory and overflow response has been 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 -months and inspections are
documented.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g•
Overflows and bypasses shall be reported to the appropriate Division regional office in accordance
with ISA NCAC 2B .0506(a), and public notice shall be provided as required by North Carolina
General Statute §143-215.1C.
h. A Grease Control Program is in place as follows:
1. For public owned collection systems, the Grease Control Program shall include at least
biannual distribution of educational materials for both commercial and residential users and
the legal means to require grease interceptors at existing establishments. The plan shall also
include legal means for inspections of the grease interceptors, enforcement for violators and
the legal means to control grease entering the system from other public and private satellite
sewer systems.
2. For privately owned collection systems, the Grease Control Program shall include at least bi-
annual distribution of grease education materials to users of the collection system by the
permittee or its representative.
3. Grease education materials shall be distributed more often than required in Parts (1) and (2)
of this Subparagraph if necessary to prevent grease -related sanitary sewer overflows.
i. Right-of-ways and easements shall be maintained in the full easement width for personnel and
equipment accessibility.
j. Documentation shall be kept for Subparagraphs (a) through (i) of this Rule for a minimum of three
years with exception of the map, which shall be maintained for the life of the system.
5. The Permittee shall report by telephone to a water resources staff member at the Mooresville
Regional Office, telephone number [phone], as soon as possible, but in no case more than 24,
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 55© and/or spill over 1,000 gallons; or
c. Any SS© and/or spill, regardless of volume, that reaches surface water
Voice mail messages or faxed information is permissible, but this 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 and submitting
Part I of Form CS-SS0 (or the most current Division approved form) within five days following first
knowledge of the occurrence. This report must outline the actions taken or proposed to be taken 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 SS© was beyond control. [G.S. 143-215.1C(a1)1
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. [15A NCAC 02T.0108(b)j
7. 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. 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,.
If the permit is issued to a private entity with an Operational Agreement, then a copy of the Articles
of Incorporation, Declarations/Covenants/Restrictions, and Bylaws that have been appropriately
filed with the applicable County's Register of Deeds office shall be submitted with the certification.
A complete certification is one where the form is fully executed and the supporting documents are
provided as applicable. Supporting documentation shall include the following:
a. one copy of the project construction record drawings (plan & profile views of sewer lines & force
mains) of the wastewater collection system extension. Final record drawings should be clear on
the plans or on digital media (CD or DVD disk) and are defined as the design drawings that are
marked up or annotated with after construction information and show required buffers,
separation distances, material changes, etc.
b. One copy of the supporting applicable design calculations including pipe and pump sizing,
velocity, pump cycle times, and level control settings, pump station buoyancy, wet well storage,
surge protection, detention time in the wet well, and force main, ability to flush low points in
force mains with a pump cycle, and downstream sewer capacity analysis. If a portable power
source or pump is dedicated to multiple stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, include travel
timeframes, shall be provided.
6

c. Changes to the project that do not result in non-compliance with this permit, regulations, or the
Minimum Design Criteria should be clearly identified on the record drawings, on the certification
in the space provided, or in written summary form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting in
non-compliance with this permit (including pipe length increases of 10% or greater, increased flow,
pump station design capacity design increases of 5% or greater, and increases in the number/type of
connections), regulations, or the Minimum Design Criteria. Requested modifications or variances to
the Minimum Design Criteria will be reviewed on a case -by -case basis and each on its own merit.
Please note that variances to the Minimum Design Criteria should be requested and approved during
the permitting process prior to construction. After -construction requests are discouraged by the
Division and may not be approved, thus requiring replacement or repair prior to certification &
activation. [15A NCAC 02T .0116]
8. Gravity sewers installed greaterthan ten percent below the minimum required slope per the Division's
Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be certified until
corrected. if there is an unforeseen obstacle in the field where all viable solutions have been
examined, a slope variance can be requested from the Division with firm supporting documentation.
This shall be done through a permit modification with fee. Such variance requests will be evaluated
on a case -by -case basis. Resolution of such request shall be evident prior to completing and submitting
the construction certification. [ 15A NCAC 02T.0105(n)]
9. A copy of the construction record drawings shall be maintained on file by the Permittee for the life of
the wastewater collection facilities. [15A NCAC 02T .0116]
10. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2T; the Division's
Gravity Sewer Design Criteria adopted February 12, 1996, as applicable; the Division's Minimum
Design Criteria for the Fast -Track Permitting of Pump Station and Force Mains adopted June 1, 2000,
as applicable; and other supporting materials may subject the Permittee to an enforcement action by
the Division, in accordance with North Carolina General Statutes §143-215.6A through §143-215.6C,
construction of additional or replacement wastewater collection facilities, and/or referral of the North
Carolina -licensed Professional Engineer to the licensing board. [15A NCAC 02T .0104; 15A NCAC 02T
.0108(b-c)]
11. 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.
[15A NCAC 02T .0110; 15A NCAC 02T .0108(b)]
12. 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 the Division any other Federal, State, or
Local government agencies which have jurisdiction or obtaining other permits which may be
required by the Division or any other Federal, State, of Local government agencies. [G.S. 143-
215.1(b)]

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERAn[r7EE*
PERMIT #-
PROJECT;
ISSUE DATE:
Union County Public Works
VVQ8O3981S
Creative Care
February f\Z817
This project shaAnotbecondderedcomp}etenoraUowedtooperateinaccnnjancpwith[onditiom7uf
this permit until the Division has received this Certification and all required supporting documentation. It
should besubmitted inamanner that documents the Division's receipt, Send the required documentation
the Regional Supervisor, Water Quality Regional Operations Section at the address at the bottom.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Perm|ttee to
appropriate enforcement actions. The Pcrmktee is responsible for tracking all partial certifications up
until a finax certification is received. A Final Certification shall be a complete set of record drawings and
design calculations regarffleo ofwhether partials have been submitted,
PERmnTEE'sCEmTp|cAT0m
Lthe undersigned agemtforthePemnittee,henrhystatethatthisprojecthasbeenconstructed pursuant
to the applicable standards8, requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee and the Permitteeioprepared to operate &mainta|n
the wastewater collection system permitted herein or portions thereof.
Printed Name, Title
Signature Date
ENGINEER'S CERTIFICATION
,osa duly registeredPn)feosiona| Engineer m the State of North Carolina,
having been authorized to observe (| | periodically, __ weekly, full time) the construction of the
project name and location as referenced above for the above Permittee hereby state that, tothe best of
my abilities, due care and diligence was used in the observation of the construct�mn such that the
construction was observed to be built within substantial compliance of this permit; I5A N[AC 02T; the
Division of Water Resources' (Division) Gravity Sewer Minimum Design Criteria adopted February 12,
1996,asapplicable; the Division's Minimum Design Criteria for the Fast -Track Permitting ofPump Stations
and Force Mains adopted June 1, 2000, as applicable; and other supporting materials.
North Carolina Professional Engineer's Seal w/signature & date:
Final
Partial (include description)
Certification Comments/Qualifiers if necessary):
otaxof North c°w"°/En"i,ro"~=talo"*vv'Water Resources |Water Vua«annpa" on"atiom

of Water Resourees
State of North Carolina
Department of Environmental Quality
Division of Water Resources
1.5A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
App
ion Nunt
to be ec •1I leied by t: WR)
All iterns must be cctrnlsl+ red or the application
APPLICANT INF`OR';G'IATION:
1. Applicant's nrune: L :puny./ (company, trHOA,
2. Applicant type: Inclisidual LJ Corp(rratican General f'<artncrship
I°°edera.i State .cauttty 0 Mwucipal
Sigtaatt€na. autfrcarity"s rrwetrte.: t "ry t s1 t. Pain
Title: New :Develop I rt I€ M rn» er
4, Applicant's mailingaaJdress: 500 !N. Main Street, Suite 400
City: Monroe State: NC
Applicants contact informatior
Phone number: [phone]
per 1,5A NC;AC O2"f 0106(h
lip:`81'12-..
ail Address: cat tl.l atatr:.ea(ii unioncoun1ync cr
ed
II. PROJECT INFORMATION:.
1, Project name: Creative Care
2. Application/Project status: .Propo,„ed (New Permit,) Q Existing Pen-nit/Project
If a modification, provide the exacting permit number: WQO() and issued date:
If new construction but parr, of a master plan, provide the existing permit rttttaAter: WQ00_
3. County where project is leac
4. Approximate Coordinates i;
5. t'atrc,el ID (if applicable."): 0 -3+ t i)l7A
(ot` Pareel ID to closest downstream sewer
Union
titudc: H63682
III. CONSULTANT INFORMATION:
1. Professional Engineer: John H. Rossi P 1 . License Number: 14959
Firm:E:r l�In nc3rrn PI
Mailing address: 201 i A Vein Ilure.tt ay e
t.aty: Indatin Trail State: NU Gila:
Phone number: (704) sflL- 222
IV. WASTEWATER TREATMENT FACILITY {WWTF) INFOR.,MA'FION:
1. I^°aeilaty Name: f eNe Mile Permit Number: NC0085359_
Owner Name: Union County
V. RECEIVING DOWNSTREAM SEWER INFO .MAT ION (ifdiffer•ent
1: Permit Nunnher(s):, WQ00092.30 Do
^ste€n Wide Collection System Permit Numhcr(s) Id applicable ): WQCS
Owner N'aine(s): Union County
rr
(Receiving/ Sewer Si-c: X inch
ned Public. Utility
FORM: FTA 04-16

'G .
N
RAI. REQUIREMENTS
lithe Applicant is a Privately -Owned Public litilit
Tithe Applican
If the Applica.
4. C'3ril;in of wastewater. (chock all tha
0 Residential Owned
0 .Residential Leased.
School / preschool /flay' cart.
ood and drink' facilities
Nat.0
7. Surnma
of Public Convenience and Necessity been ttL ehcd':'
Yetis
has a
0 Yes DNo
apply):
0 Retail (stores, censors, malls'
El Retail with food preparation Js 't vice
0 Medical / dental / veterinary
El (hunch
Nursing Home
nal Iligtei
Agree rile L
water , II00 rr Domestic/Commercial —_ % Coma
(1'1,, industrial (Scale )_A NCAC 021 .010(2()))
�ls that: as I*retre.attate:ttt 1'rogram in effe
u t,ron Iac,e n approve 1 under 1.5A NC r C () ?`I
vide a copy of flow reduction approval letter
ahlishment Type (;see 02T.tiil 4(
100 Students &.. 12 Employees = 112
is
Daily Des
,al/Person
I* i l c n attta laed?
0 Car Wash
© Hoteland/or Motel
© Swimming Pool /Clubhouse
© Swimming Pool/Filter Backwash
© Other IF?vplain in Attachment)
Yes No
No. of Units
GPI)
GPD
GPD
Total
?.y ,NCAC 1)21' :(' 1 t 4(;I?) a tt I ) a and wastewater design flow :rate
proposed unknown non-residential development uses; public access foci
residentiaI property located south or east of the Atlantic Intracoastal Watc,rwav° t.o he used as vacation rentals
42A-4).
1 aA NCAC 02T .01 14(e ), dcsi
tcrtrtMed using available- flow
Wastewater
Do not
IC(
Ej Pump Station or Gra
arks, occupant
ncraared by project: '?,$(X) GPI) (per II5A NCAC 1)2'I t)1 14)
ltrolc future flows or previously permitted allocations
sw= is crc:s, indicate why:
Sewer where flow will be permitted in. ,subsequent permits that c
located 'near high public use.
tdcntdied Mtn tabu: ISA N(17AC, 02I t)11 IJ shall
tar aataa:t atic ra t�aatterns, :and other mcaisured data,
© How has already been alit
d in Permit Number:
El Rehabilitation or replacement of
• Other (Explain):
expected
FORM; I=rA 04 l6

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - )2 j, . 1) I4II) (Crruvity a
Suntntaric. <ora
permitted:
ce (inches)
8 909
• Section II & ,lli of the. MI:)C foi
Section III contains information
Oversizing lines to meet minimum slope requirement is not allu rrerl ant! a *violation of the \IDC
PvC P
Fd to desig
VIII, PI MP STATION DESIGN CRITERIA (If Applicable) — ll2T .0.305 " UC (Pump Stations/Force
COMPLETE FOR EACH PUMP STATION INCLU
p . Pump sstat.itrn number or name.
Approximate. Coordinates (Decimal Degrees). latitude; I. i
3. Design flow of (he pump station:
4, Operational point(s) of the pump('s):
5. Summarize the force main to to perms ted (tirr thcs Pump Station):
LJ Standby power scffttrca
• Required for all punt!
• Must. he permanent to facility°
C)r if the pump- station has art a' crage daily flaw less than't 15„(
Portable powers source with manual activation quiela-tonne
,03O5(h)(1)(C)
limns gaall ns per day (fist
gallons per minute at
or
g
and is compatible
If the portable power source tar pump i.s dedicated to multiple pump stations, atn esaaluation of all tire. Ia'um;
storage capacities and the rotation schedule of the portables power source or pump, including ,-
provided in the- case of a multiple station power outage,
r pump with automat
.nit with plugged emerge
ited to the Division that
apa
DIN TUIS PROJECT
dynamic he td ("IM
and telemetry - 1.5A NCAC 023' .0305(
ns per day:
day
15 A. NCAC 02T
ry w 15A NCAC 02"T .0305(h0( I)(C):
caned or contracted by the applicant (drat
gre
FORM - 'A O4 16

IX. ".SETBACKS & SEPARATIONS — (0211.0200 & I5A NCAC 02T.0305(0)t
4.
Does the project comply w
A NCAC 02T 0305(0 conta
and other
ns found in 15A NM":
prrirti
-ding in benched trenches)
Rtx1 r ned wtrtc:.r lines ( eflictal t°c iainied t� ter sew r)
Re.clainacd ww ater firac.s (horixswttttal rc:clttittac.d over seweFt )
*Any pnsupply source, inc1udinz we
Clas ll irra eaunricedrerairs used as a source of drinkira wit
*i tatr.rs ela' iliecl S (ewcclat 'S i ttt " "
lritala wwat+ r fear tide clew,rtatie?n) atnd wctltrncls tsc:.o ite.rn IX.2)
be provided for sewer sy;tcn}ti:
**Any otlrct strtarn, lake irnpotrzadrnent., oa t round water lowering and surfae
ditches
An r lattilclita icaurtdtrtie
An ?.a'e rtcnt
o slo ac of etaabankrn
Any sw
:and interct aterr drains.
ing pools
.grade (vetbical)
15A NCAC 0217.0.3054) contains alternatives where separations in
**Stream classifications can he idcning the Division's NC S
If noncompliance with 021",()3tt5 f e?r see Section. X of this ;,rpplictrtit'tn
of Class I or
eannc
e:r Cl is
he
El Yes
}?ttraticrta Re(
24 itic°he
ed,
No,
s else project carnaply with separation rtclttircntctads fiat' wetlaatads°? (50 -feet of separation') N Yes No
Set. the Divisieart's drafi separation requirements for situatit'tns wvhetc separation cannot he meet
No variance is required if the alternative design criteria specified is utili?ed in design and construction
r As built documents should re -hence the location of areas effected
Does th° prerjc:e t c.cam
1 his wrattlrl irtcludc. l're>ut Buffered Stretuns per
e t hae: ks
:t comply with an inciiw3
ltrted permits shall
n can he obtained from
l N "At" ():?:I. t
Per 15A. NCAC
been applied for, rm.
:.cditntminion control
sin rules per I5A Nt : 021
04 Permit ear -tray 401 Cern
ed, arrc
Does this project includ. any sewer collectican lines ilaat.
Per f5A NCCa1C Q21 0402, "high -priority sewer" means
pc siti()ned parallel to streambanks that is subject to erosi
If yes, inelu
details
ch lin
r deaterior
Yes l l No
Yes No
hat itripact wetland or surface water:
High priority lines; shall be inspected by the per ittee or its representative a
inspections documented per 15A NCAC 02T.04103(a)(5) or the pernutee's individua
N1 Yes
No
siphon, or sewer
t.i0n),
once every sracttnaant
m-Wide Collection pe
and.
F[A 04 16

' CERTIFICATIONS:
Does the submitted system cumply with l 5A NCAC 02` . the I4 iry nsum Ilea
and Force Mains
nd the Gravity Sewer • n
® 'Yes
© No
If No, complete and submit the Variaunce/Alternative°e lam=si rt Request ,.rt lieaticn 0/ADC, 10-i
for review. Approval of the rrwataret reunited prior to subrnittatl of flue Fast Track /
documents.
name fron'r .Application Ite
has been reviewed by :rite atnel is accurate., ee nitplcte and consistent with the in
engineering calcula¢icrns, <und full other supporting documentation to the hest of rrty knowledge. 1 further attest that to the. best
of my knowledge the proposed design has been prepared in accordance with the, applicable regulations, Gravity Sewer
Minimum Design Criteria for Gravity Scwtrs (latest. version), and the. Minimum Design Criteria for the. Fast -Trick
Permitting of Pump Suctions and Force Mains (latest. version). Although other prcrlcssionals ma.y have dcvekip d cert.un
portions of this submittal package, inclusion of these materials under my signature and seal signifies that l have reviewed this
material and have judged it to he consistent with the proposed design.
:.able
id support
icat.ion trr
:tat this appli.
NOTE — In accordance witfr General Statutes 143-215.6A and 143-215.6B, any person who knowingly n't<tkes r,ny° lake
statement., representation. or certitica(ic n in any application package shall he guilty of a Class 2 misdemeanor, which may
include a tine not to exceed $10,000, as well as civil penalties up to $25,000 per violation,
North Carolina Profe.s iorral Engineer's seatl, signature, and date:
Applicants Certification per 15A NC'AC'.02T.O106(h):
R C'R L Z P . P4 /4 /G...c�++r �l P VE 4 P ,►+e Wit' ft— , ►«
(;Signature Authority's name e . tale. front Applie.ation Itcan I.:3.)
,A test that this applie
has been reviewed by ... and is ace taa°ate and complete Io the best ot" my knowlcdgc. l understand that if all r'ec
this apphc anon a.re not completed and that it` all required supporting documentation and attachments arc
application package is subject to heir ig retitrnec:l as irrcc>aruplete. 1 understand that A.any discharge of w.estewater t
discharge system to surface waters or the lartd wall rr.sult in an intme'hate enforcement action thief ntay it:elude c
in unctivc relief, and/or criminal prosecution. l will make no elttittt tilttin t flit t..?ivi warn crl' lrv"aicr Resource,
certtahticrn of this permit he vicilatcd. I also understand that if all required .parts of this atlaplie°atic n package 'are not et
and that i.f ,all required supporting information and attachments are not included, this application pa kt fe will be returned to
me as incomplete.
NOTE .-- In accordance with General Statutes 1.43-21.tr and 14; 15,61t, any person who knowingly snake:
statement, representation, or certification tat tiny application package shall he guilty of a Cass 2 misdctxte,aatt(rt'a
include. a tine not to exceed 1+10,0(10 as well as e:tvtl penalties up to $25,(}01) per violation.
Signa
la(yR

4
IM,Ision
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(ENE, 04-16)
EntAllocation: 1 [Mon Countv
Project Name for which flow is being requested:
reatl\n Care
/Vlore than rinc I:7SE me.iquire/)pre?iect if the 041'iler Of the 11/11/77) raft reSpOnSINC,fi;," Ci
,SlatirMS (.1(91V the OlUtc" (71thc? prOp(„)SOCI IrraSti:IVakT17011%
Complete this section onl:k' if you itre the on.'i ol 111C WaSICWater treatment plant,
a, WW IP Facility Name: [welvcMile Creek WWII'
h. WWII' Facility Permit 4: NC0085359
A //flows are in IlIGD
c. WWIP facility's permitted flow 6,0 * Does not include
3MGD diversion to 6 Mile
d Estimated obligated flow not yet tributary to the WW FP 1,6640
C. WWTP facilitv's actual a\ flow 4.05
f 1 otal flow or this specific request 0.0028
g. 'Fowl actual and obligated flov,s to the taeility 5.7 I 68
h. Percent of permitted flow used 95.28
IL Complete this section tOr each pump station you are responsible for along the route of this
proposed wastewater now,
Fist pump stations located bet \iN,ecit the project connection point and the WWIP:
WO (13) (C) (D)=(B-+-C) (E)=(-1))
l').e.sign (lbligated,
Average Daily Approx- Not Yet Total Current
Purnp Station Firm Flow" CLirrent. Avg,. Tributary Flow Plus
(Name or Capacity 4' (I7' i nu ! pi),„ 1.„)aily Flow, Daily Flow. Obligated Available
Number) NIGID l\-1.(1) l\--10.D NiCiD rIeNti, Capacity***
Sandalwood 0,264 0,1 05 0,039 0,00 0,039 0,066
* The Finn Capacity of an pump station is defined as the maximum pumped flow that
can be achieved with the largest pump taken out of service.
** Design Average :Daily How is the firm capacity of the pump station divided by a peaking
factor (pf) not less than '2..5.
*** A Planning Assessment Addendum shalt be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < O.
Downstream Facility Name (Sewer): ['Wel ve Mile Creek WWTP
Downstream Permit Number: WQ0009230
of 6
E 04- I 6

III. Certification Statement:
I Crystal O. Panico certify to the best of my knowledge that 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, given the implementation
of the planned improvements identified in the planning assessment where applicable. 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 I and II
plus all attached planning assessment addendums for which I am the responsible party.
Signature of this form indicates acceptance of this wastewater flow.
Signi g O fici t% Signature Date
Page2of6
FTSE 04-16

! EXHIBIT "A"
CREATIVE CARE
PROJECT AREA - 8.88 ACRES
PARCEL: 09-396-017A
OLD CHARLOTTE HIGHWAY (S.R. 1009)
I1r
L
FAIRCROFT WAY (S.R. 2588)

2013 Van Buren Ave., Suite A
Indian Trail, NC 28079
[phone]
www.eagleanIine.neL
A PORTION OF USGS TOPOGRAPHIC MAP
SCALE: f "=50©'
JOB NAME CREATIVE CARE
CLIENT: CREATIVE CARE LOCATION: OLD CHARL0I I HWY,
JOB NUMBER: N/A
INDIAN TRAIL, NC

Creative Care
Protect Narrative
The proposed project is a sanitary sewer main extension to serve an existing day care
facility. Proposed sanitary sewer extension is designed to convey domestic sanitary
sewer from an existing day care facility to an existing Union County Public Works 8"
sanitary sewer main within the right of way of Faircroft Way (SR 2588) in the Town of
Indian Trail, NC.
Flow s calculated as follows:
Proposed Flows
100 Students n 25 GPD = 2,500 GPD
12 Employees '4 25 GPD = 300 GPD
Total Proposed Flow = 2,800 GPD

Date: 1/25/17
Shop Drawings
UNION COUNTY PUBLIC WORKS
500 N. Main Street, Suite 500
Monroe, NC 28112
704/296-4210
Fax [phone]
To: NC Department of Environmental Quality
Division of Water Resources
Mooresville Regional Office
610 East Center Avenue
Mooresville, N.C. 28115
Attention:
Regarding: Sanitary Sewer to serve Creative Care
We are sending you:
Copies Date
1
/25/17
1/25/17
1/25/17
Copy of letter
Other
No, Description
Cover Letter
Fast Track Application
Copy of Fast Track Application
Plans
TRANSMITTAL
Prints
Flow Tracking Form
003691 i $480 00 Check (Application Fee
These are transmitted as checked below:.
Z For approval For your use L As requested [1 For review and comments
Remarks:
Signed: �� (.,).
Received by: Date:

Central Files: APS ^ SWP
2/8/2017
Permit Number WQ0039015 Permit Tracking SIip
Program Category Status Project Type
Non -discharge Active New Project.
Permit Type Version
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
barry.love
Coastal SWRuIe
Permitted Flow
2,800
Facility
Permit Classification
1.00 Individual
Permit Contact Affiliation
Facility Name Major/Minor Region
Creative Care Minor Mooresville
Location Address County
Union
Facility Contact Affiliation
Owner
Owner Name
Union County
Dates/Events
Owner Type
Government - County
Owner Affiliation
Cindy Coto
500 N Main St
Monroe
NC 28112
Orig Issue
217/2017
Scheduled
App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
1/30/2017 2/8/2017 2/8/2017
Regulated Activities Requested /Received Events
School
Wastewater collection
Outfall
Additional information requested
Additional information received
Waterbody Name Streamlndex Number Current Class Subbasin

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE:
PERMIT If:
PROJECT:
ISSUE DATE:
Union County Public Works
WQQO39©15
Creative Care
February 8, 2017
This project shall not be considered complete nor allowed to operate in accordance with Condition 7 of
this permit until the Division has received this Certification and all required supporting documentation. It
should be submitted in a manner that documents the Division's receipt, Send the required documentation
the Regional Supervisor, Water Quality Regional Operations Section at the address at the bottom,.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions. The Permittee is responsible for tracking all partial certifications up
until a final certification is received. A Final Certification shall be a complete set of record drawings and
design calculations regardless of whether partials have been submitted.
PERMITTEE'S CERTIFICATION
I, the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant
to the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate & maintain
astwaer ion systee i :rmitted he or portions the
Printed Name5'ritle
ENGINEER'S CERTIFICATION
1, Johnny H. Ross, P.E. , as a dui registered Professional En inter in the State of North Carolina,
having been authorized to observe ()periodically, weekly, full time) the construction of the
project name and location as referenced above for the above Permittee hereby state that,to the best of
my abilities, due care and diligence was used in the observation of the construction such that the
construction was observed to be built within substantial compliance of this permit; 15A NCAC 02T; the
Division of Water Resources' (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 w/signature & d
Ixl
Final Q Partial (include description
909 LF of 8" SEWER
MH1, MHZ, MH3
1 SERVICE
Certification Comments/Qualifiers (attach if necessary):
State of North Carolina I' Environmental Quality I water Resources .I 4W'atcr Quality Regional ©peration
Mooresville Regional Ofiicel 610 East Center Avenue, Suite 30l I Mooresville, North Carolina 28115