WQ0039438_Regional Office Historical File Pre 2018

7V '1
ROY COOPER
Governor
MICHAEL S. REGAN
Secretory
LINDA CULPEPPER
Interim Director
Water Resources
Environmental Quality
March 12, 2018
John Shutak, CIP Program Manager
Union County Public Works
500 North Main Street, Suite 500
Monroe, NC 28112
Subject: Permit No. WQ0039438 MODIFICATION
Union County Public Works
Blyth Creek Grinder Pump Eliminations
Wastewater Collection System Extension Permit
Union County...,;,,,.
Dear Mr. Shutak:
This permit will nullify all previous versions of permit no. WQ0039438.
In accordance with your application received March 9, 2018, we are forwarding herewith Permit No.
WQ0039438 MODIFICATION dated March 12, 2018, 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permit shall be effective from the date of issuance until rescinded and shall be subject to the conditions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.
Permit No. WQ0039438 was originally issued on August 22, 2017. Modification is needed due to the
resizing of the piping. This modification to Permit No. WQ0039438 is issued March 12, 2018. The
Modified permit voids all previous versions of Permit No. WQ0039438.
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.
r ' `Nc thing Compares`w��--.
State of North Carolina I Environmental Quality 1 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 any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing upon written request within 30 days following receipt of this permit. This
request must be in the form of a written petition, conforming to Chapter 150B of North Carolina General
Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC
27699-6714. Unless such demands are made, this permit shall be final and binding.
If you need additional information concerning this matter, please contact Ori Tuvia
or via e-mail at [e-mail],
Sincerely,
by W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office
Division of Water Resources, NCDEQ
cc: Regional Office Files
Water Resources Central Files
Charles Shue P.E (E-copy)
PERCS (e-copy)
7
04
235-2190

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 5,500 linear feet of 18-inch Gravity sewer, 3,200
linear feet of 12-inch gravity sewer, 8,900 linear feet of 8-inch gravity sewer, 0 additional feet of 6-inch
force main (840 linear feet previously permitted), as part of the Blyth Creek Grinder Pump Eliminations
project, and the discharge of 0 additional gallons per day of collected domestic wastewater into the Union
County existing sewerage system, pursuant to the application received March 9, 2018 , 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.
Permit No. WQ0039438 was originally issued on August 22, 2017, for construction and operation of 171
linear feet of 18-inch Gravity sewer, 5,943 linear feet of 12-inch gravity sewer, 11,120 linear feet of 8-inch
gravity sewer, 840 linear feet of 6-inch force main; as part of the Blyth Creek Grinder Pump Eliminations
project, and the discharge of 0 gallons per day of collected domestic wastewater into the Union County
existing sewerage system.
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:
Permit Issued:
WQ0039438 MODIFICATION
March 12, 2018

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 by this system shall be treated in the Union County Twelve Mile Creek
Wastewater Treatment Plant in accordance with Permit Number NC0085359.
Permitting of thus project does not constitute an acceptance of any part of the project that does not meet
15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996, as
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 Permittee's responsibility to ensure that the as -constructed project meets
the appropriate design criteria and rules.
Construction and operation is contingent upon compliance with the Standard Conditions and any Special
Conditions identified below.
SPECIAL CONDITIONS
No flow in excess of the quantity permitted herein, 0 GPD (no previously permitted flow, and no
additional flow) shall be made tributary to the subject sewer system until an application for permit
modification for an increase in flow has been submitted to and approved by the Division. (1.5A NCAC
02T.0304(b)]
II. STANDARD CONDITIONS
This permit is not transferable. In the event there is a desire for the wastewater collection facilities
to change ownership, or there is a name change of the Permittee, a formal permit request shall be
submitted to the Division accompanied by documentation from the parties involved, and other
supporting materials as may be appropriate. The approval of this request shall be considered on its
merits and may or may not be approved, [15A NCAC 02T.0104; G,S 1.43-215.1(d3)]
2. This permit shall become voidable unless the wastewater collection facilities ,are constructed in
accordance with the conditions of this permit; 15A NCAC2T;lhe 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 materials unless specifically mentioned herein. [15A NCAC 02T.0110)
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 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: [15A NCAC 02T .0108(b)]:
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 (Le. 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 15A 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 Pemnittee 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
hours, following the occurrence or first knowledge of the occurrence of either of the following:
a. Any process unit failure, due toknown orunknown reasons, that renders the facility incapable
of adequate wastewater transport, such as mechanical or electrical failures of pumps, line
blockage nrbreakage, etc.; or
b. Any S5Oand/or spill over 1'0OGgallons; or
c. Any SS(Jand/or spill, regardless ofvolume, 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 bereported to
the Division of Emergency Management at telephone nunnber(8OO) 858'0368nr (919) 733'3300.
Persons reporting any of the above occurrences shall file a spill report by completing and submitting
Part | of Form CI'5SO (or the most current Division approved form) within five days following first
knowledge ofthe occurrence. This report must outline the actions taken orproposed tobetaken to
ensure that the problem does not recur. Part ||ofForm CS-S5Q(or the most current Division approved
form) can also becompleted to show that the SSO was beyond control, [G.S. 143'215.1C(a1)]
G^ Construction of the gravity sewers, pump stations, and force mains shall be scheduled uz as not to
interrupt service by the existing utilities nor result in an overflow or bypass discharge of wastewater
tmthe surface waters ofthe State. [15AN[4COZT.8l08(b)]
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 tothe address provided onthe form. Acomplete certification isone where the form is
fully executed and the supporting documents are provided axapplicable. 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 Perrnittee to
appropriate enforcement actions,
If the permit is issued to a private entity with an Operational Agreement, then a copy of the Articles
mfincorporation, Dmdarat|mns/Cmwenants/mestrictions, and Bylaws that have been appropriately
filed with the applicable Cmwnty'sRegister ofDeeds office shall besubmitted with the certification.
Acomplete certification is one where the form isfully executed and the supporting documents are
provided asapplicable. 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 asthe 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 |nvv points in
force mains with a pump cycle, and downstream sewer capacity analysis. If portable power

r
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.
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 greater than 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 027.0105(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
Union County Public Works
VVQ0039438 MODIFICATION
8|yth[neek Grinder Pump Eliminations
March 1J,ZU18
This project shall not beconsidered complete nor allowed tPoperate inaccordance with Condition 7of
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 Permhtee to
appropriate enforcement actions. The Perrnktee is responsible for tracking all partial certifications up
until afinal certification isreceived. AFinal Certification skmUbeacomplete set mfrecord drawings and
design calculations regardless mfwhether partials have been submitted.
P6RMITTEE^S CERTIFICATION,
|, the undersigned agent for the Pernmittee 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
the vxastew/ete,co||ect|on system permitted herein or portions thereof.
Printed Name, Title
~-----
Signature
ENGINEER'S CsnTr|cArom
L _ _ __ _ ,asa duly registered Professional Engineer in the State Carolina,h Carolina,
having been authorized to observe (I periodically, __,; vveekly, 1 | full time) the construction of the
project name and location as referenced above for the above Pennittee 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 N[ACQZl;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 Maims adopted ]uma 1, 2000, as applicable; and other supporting materials.
North Carolina Professional Engineer's Seal w/signature & dater
Rma| RPartial (include description)
Certification Comments/Qualifiers (mttmchif :
State ofwvithcar^m"c"°".m~w" Quality =uierResources ' Water V"*i(yxt�gio"*op=w"~

on of Water tesources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15.A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FE`A 04-16 & SUPPORTING DOCUMENTATION
Application Number _ ts¢
mpleLLed by
All it must be completed or the application will be returned
APPLICANT INFORMATION:
1, Applicant's name: Union, County
2e Applicant type„ ❑ Individual
❑ Federal
Si nature authority's name: Joan_
Title: C,IP Pro0 am Manager
4. Applicant's mailing address: 50(
City: Monroe State: NC
Applicant's contact information:
Phone number: (704) 283 365,i
(company, municipality, ECC)A, utility, etc.)
Q Corporation ❑ General Partnership
State/County ❑ Municipal
Shuta>r PE per 15A NCAC AC 021T Pj M(h )
`n Street Suite. Tiff
dip: 2811
Address: jphn.shuta)
tuna
PROJECT INFORMATION:
1'. Project name: E31_y°the Creek Crrtnder Punip Eiiminaticrt
2. Application. Project status: ❑ Proposed (New mit)
rtct]untvnc_.�
vately-Owned Public
Permit P'rojec't
If modification, provide the existing permit number: WQ001943 "and issued date: *August, 2 2017
If new construction but part of a piaster plan, provide the existing permit number: WOW__
3. County where project is located: union
4. Approximate Coordinates (Decimal Degrees): Latitude: 34,9400' Longitude: 80:7167'
5. Parcel ID (if applicable): 061 14003
(or Parcel ID to closest downstream sewer)
CONSULTANT INFORMATION:
1. Professional Engineer: Charles hi: Shue License Number: 122
Firm: McKim & Creedjnc.
Mailing address:8
020 Tower Point Drive
City: Charlotte State: NC
Phone number: [phone]
Zip: 282Z2.- ....._
Email Address: cshut z? lckimcreed eom
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: TvwelveMile Creek WRY' Permit Number: NC00855,359
Owner Name: Union County
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1a Permit Nurnber(s): WQf7021594 Downstream (Receiving) Sewer Size: 1,8 inch
System 4titde Collection System Permit umber(s) appiic it )e3: WQCS00054
Owner Name(s): Union County
—A 04-16 Page I of 5

VI. GENERAL, REQUIREMENTS
1, If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached??'
] Yes
N/A
If the Applicant is a Developer of lots to be sold, has a Develope_rrs Qperationa
Yes :No N/A
If the Applicant is a porno/PropertyOwners' Association, has an Operational Agreement (FORM: HOA) b
LI Yes ]No N/A
4. Origin of wastewater: (check all that apply);
Residential Owned [ Retail (stores, centers, malls)
11, Residential Leased ] Retail with food preparationlservice
School / preschool / day care ] Medical / dental / veterinary facilities
] Food and drink facilities ® Church
0 Businesses / offices / factories ] Nursing Horne
Nature of wastewater : 100 °/4 Domestic/Commercial
Commercial
Industrial (See 15A NCAC 02T ,0103 2p))
1 tr Is there a Pretreatment Program in effect?
6. I-Ias a flow reduction been approved under 15A NCAC 02T .01 14(f)?
It° es, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.I1114(
Daily Design Flow
gall
gall
gal/
gall
A reement_(FORM: DI V) been attached?
n attached?
Car Wash
] Hotel and/or Motels
] Swimming Pool /Clubhouse
[ Swimming Pool/Filter Backwash
❑ Other (Explain in Attachment)
Yes
N
No
No, of Units
Flow
GPD
GPD
GPD
GPD
GPD
GPD
0 GPD
a See 15A NCAC 02T .01 14(b), (d), (ej(.C,Zand (e)(2) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling, proposed unknown non-residential development uses; public access facilities located near high public use
areas; and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals
as defined in. GS.42A-4),
b Per 15A NCAC 02T ,01 I4(c), design flow rates for establishments not identified [in table '15A NCAC 02T.0I 14] shall
be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
Wastewater generated by project: 0 GPD (per 15A NCAC 02T,mm01 14)
y Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
Purnp Station or Gravity Sewer where flow will be permitted in subsequent per rtiits that connect to this line
Flow has already been allocated in Permit Number:
Rehabilitation or replacement of existing sewer with no new flow expected
LI Other (Explain):
FORM: FTA €14- 16
Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) _ 02T.0305
I. Summarize gravity sewer to be permitted:
Size (inches)
18
12
gth (feet)
5,500
3,200
8 .900
(Gravity Sewers
Material
DIP or PVC
DIP or PVC
DIP or }'VC
Y Section II & In of the MDC to Permitting of Gravity Sewers contains information related to design criteria
Section II1 contains information related to minimum. slopes for gravity sewer(s)
Oversizing lines to meet minimum slope requirement is not allowed and a vit'rla,tion of the MDC
VIIL PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Fore
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
Pump station number or name: _ _e
Approximate Coordinates (Decimal Degrees): l,atitud.e: Longitude: - ...
3. Design flow of the pump station:_....._____. millions gallons per day (firm capacity)
4. Operational point(s) of the pu.mp(s) gallons per minute at feet total dynamic head ("'1DH)
5. Summarize the force main to be permitted (for this Pump Station):
Length (feet)
840
Power reliability` in accordance with I SA...NCAC ,..021 ,03050)( d„):
El Standby power source or pump with automatic
DIP or PVC
and telemetry - 1S.A NCAC 02'1 .0305(h)(I)(f3):
(Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
., Must be permanent to facility
Or if the pump station has an average daily flow less than 1. 5,00© gallons per day.
El Portable power source with manttal activation, quick -connection receptacle and telemetry - 1 aA NCAC 02T
.0305(h)(.1)(C )
or
�''. Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 021` ..0305(h)(1)(C):
It shall be demonstrated to the Division that the portable source
and is compatible with the station.
Tied or contracted by the applicant (draft agreement)
If the portable power source or pump is dedicated tomultiple pump stations, an evaluation of all the ptt ap stations'
storage capacities and the rotation schedule of the portable power source or pump, including travel titnefra.mes, shall be
provided in the case of a multiple station power outage.
FORM: 1-`LA 04-Ib Page of 5

IX. SETBACKS & SEPARATIONS -- (02B .0200 & 15A NCAC. 02T .11305(,i)):
I. Does the project comply with all separations found in I5A NCA ; 02,1 ,0305(1)_&: jig)
15A NCAC 02"1 0305(f) contains ntintrnum separations that shall be provided for sewer s stem
Setback Parameter*
ater mans(vertical-water utilities
over s not listed below ncluding in benched trenches) 18 (vertical)inches 24 inches
sewer i
Storm sewersandother a : — — -
mains (horizontal) I 10 feet
-__ ... sm.�
aimed water lines (vcrtical reclaimed over ' ewer) E 8 inches
lines (horizontal reclainaaed over sewers 2 feet
Reclaimed water
**Any private or public water supply source, including any wells,, WS-1 w'a
Class it impounded reservoirs used as a source of dr€nking water
**Waters classified. WS (except WS-I or WS-V), 13, SA, ORW, -IOW, orS.B from normal
high water (or tide elevation) and wetlands see item IX,2)
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
Yes 1 1 No
Separation Required
Any building foundation
Anv basement
T .slope of embankment or cuts of 2 feet or more
l:yrainage systems and interceptor drains
swimmingpools
Anv _
Final earth grade (vertical)
C'la
50 feet
10 feet
10 feet
5 feet
14A NCAC 021 0305 (t> contains alternatives where separations in 021 0305(.1) cannot be achieved,
• **Stream classifications can be identified using the Division's NCSurfaceWater Classiificationswehpage
• If -noncompliance with 02'T.030S0) or ';gZ,see'Section X of this application
hoes the project comply with separation requirements for wetlands? (50 feet of separation) Yes
See the Division's draft separation requirements for situations where separation cannot be meet
• No variance is required if the alternative design criteria specified is utilized in design and construction
As built documents should reference the location of areas effected
Does the project comply with setbacks found in the riv°er basin rules per I 5A NCAC0 0200.1'
This would include Trout.
4. Does the project require covera
individual permits or 401 Water C,uality Certifications?
• Information can be obtained from the 401 &Buffer Perm
lfered Streams per I5A NCAC 2B0202
ion under a 404 Nationwide or
inlet Branch
Yes
N/A
NIA
Does project comply with i 5A NCA( 02 " 0105,(c.){ ) (additional permits certitications);? Yes No
Per I5A NCAC 02T tfl05(c)(6i), directly related environmental permits or certification applications are being prepared, have
been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion and
sedimentation control plans, storrnwater management plans, etc.).
fr. Does this project include any sewer collection lines that are deemed high-priorit';`°'
PerISA NCAC 02.1 0402, "high -priority sewer' means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
El Yes No NIA
It yes, include an attachment with details tar each fine, including type (aerial line, size, material, and location) -
high priority lines shall toe inspected by the permittee or Its representative at least once every six -months and
inspections documented per 15A NCAC 02T.0403(a)(5) or the perrnitee's individual System -Wide Coll lion permit.
FORM: FTA 04-16
Pace 4 of 5

X. 'CERTIFICATIONS:
1, Does the submitted. system comply with I5A (. t l}2l, the M,niir!urn Desig
and Force Mains Latest version), and the firavit arwerMtntrt crrr Design rite
Yes
L'No
he Perniittirt&2f
ton) as applicable"
If No, complete and submit the Variance/Alternative Design Request application (VA DC 10-1.4) and supporting documents
for review, Approval. of the request is required prior to submittal of the Fast Track Application and supporting
documents.
Professional Engineer's Certification:
I, _ a __ L S
(Professional try:atgineer's name
Application
his application for
has been. reviewed by me and is accurate, complete and consistent with the information supplied in the plans, specifications,
engineering calculations, and allother supporting documentation to the best of my knowledge. I further attest that to the 'hest
of my knowledge the proposed design has been prepared in accordance with the applicable regulations, Gravity Sewer
Minimum Design Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria for the Fast -Track
Permitting of Pump Stations and Force Mains (latest version). Although other professionals may have developed certain
portions of this submittal package, inclusion of these materials under my signature and seal signifies that i have reviewed this
material and have judged it to be consistent with the proposed design.
NOTE. In accordance with General Statutes 143 -215,6A and 143-21.5,6B, any person who kne wingly makes any false
statement, representation, or certification in any application package shall he guilty of a Class 2 misderraeanor, which may
include a fine not to exceed $1.0,000, as well as civil penalties up to $25,000 per violation.
North Carolina Professional {Engineer's seal, ;signature, and date:
Applicant's Certification per 15A NCAC 02`f .0I015(b):
ignature Authority's name &
Application It
st that this application ftu
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, 1 understand that any discharge of 'wastewater from this non -
discharge system to surface waters or the land will result in an immediate enforcement action that may include civil penalties,
injunctive relief, andlor criminal prosecution. I will make no claim against the Division of Water Resources should a.
condition of this permit be violated. I also understand that if all required parts of this application package are not completed
and that if all required supporting information and attachments are not included, this application package will be returned to
me as incomplete,
NOTE: In accordance with General Statutes I43 ? 15 6A and 1 11 ? i 5.6B. any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class '2 misdemeanor, which may
include a fine not to exceed S 1.0,000 as well as civil penalties up to $25,000 per violation,
Signature:
Date:
FORM: PTA 04-1.6
Page 5 of.5

1\1,tA:!
�, 1\'
1,1 Division of osier Eenources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Union County
Project Name for which flow is being requested: Blythe Creek Grinder•Pump Eliminations
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Twelve Mile Creek WRF
b. WWTP Facility Permit I : NC00855359
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
All flows are in MGD
6.0 (does not include 3.0
MGD diversion to Six Mile
Creek Pump Station)
1.6042 MGD
3.87 MGD
0
5.5078 MGD
91.80%
II. Complete this section for each pump station you are responsible for along the route of this
proposed wastewater flow.
List pump stations located between the project connection point and the WWTP:
Pump
Station
(Name or
Number)
N/A
Firm
Capacity, *
MGD
(A)
Design
Average Daily
Flow**
(Firm / p0,
MGD
Approx.
Current Avg.
Daily Flow,
MGD
(B) (C) (D)=(B+C) (F,)=(A-D)
Obligated,
Not Yet Total Current
Tributary Flow Plus
Daily Flow, Obligated Available
MGD Flow Capacity***
* The Firm Capacity of any pump station is defined as the maximum pumped flow that
can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking
factor (pf) not less than 2.5.
*** A Planning Assessment Addendum shall he attached for each pump station Iocated
between the project connection point and the WWTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer): Blythe Creek Outfall
Page 1 of 6
FTSE 04-16

Downstream Permit Number: WQ0O2 i s94
1t1, Certification. Statement;
1 t urA& 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 1 and 11
plus all attached planning assessment addendums for which l am. the responsible party.
Signature of this form indicates acceptance of this wastewater flow.
nfri tia trrrztrrr ate

t
_L ? i .c.
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Union County
Project Name for which flow is being requested: Blythe Creek Grinder Pump Eliminations
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flow.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Twelve Mile Creek WRF
b. WWTP Facility Permit #: NC00855359
c. WWTP facility's permitted flow
All flows are in MGD
6.0 (does not include 3.0
MGD diversion to Six Mile
Creek Pump Station)
d. Estimated obligated flow not yet tributary to the WWTP 1.6042 MGD
e. WWTP facility's actual avg. flow 3.87 MGD
f. Total flow for this specific request
Total actual and obligated flows to the facility
h. Percent of permitted flow used
g•
0
5.5078 MGD
91.80%
11. Complete this section for each pump station you are responsible for along the route of this
proposed wastewater flow.
List pump stations located between the project connection point and the WWTP:
Pump
Station
(Name or
Number)
N/A
Firm
Capacity, *
MGD
(A)
Design
Average Daily
Flow**
(Firm / pf),
MGD
Approx.
Current Avg.
Daily Flow,
MGD
(B) (C) (D)=(B+C) (F)=(A-D)
Obligated,
Not Yet Total Current
Tributary Flow Plus
Daily Flow, Obligated
MGD Flow
Available
Capacity* **
* The Firm Capacity of any pump station is defined as the maximum pumped flow that
can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking
factor (pt) not less than 2.5.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer): Blythe Creek Outfall
Page 1 of 6
FTSE 04-16

Downstream Permit Number:
III. Certification Statement:
f i4 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 1 and II
plus all attached planning assessment addendum for which I am the responsible party.
Signature of this form indicates acceptance of this wastewater flow.
Page 2 of 6

February 1,9, 2.018 007710032 (40)
NC Department of Environmental Quality.
Division of Water Resources
Water Quality Section
610 E. Center Avenue, Suite 301
Mooresville, NC 28E15
Attention: Mr, Ori Tuvia
RE: Modified Application for Permit .FTA 04-16
Existing Permit No. WQ0039438
Blythe Creek Grinder Pump Eliminations
Union County
Dear Water Quality Reviel/ver:
On behalf of Union County Public Works we are submitting a Fast Track
Sewer System Extension Application (FTA 04-16) for modification to Existing
Permit #WQ0039438 - Blythe Creek Grinder Pump Eliminations project.
Union County Public Works decided to revise the design tosomeday
accommodate existing flow from an existing wastewater pump station,
currently discharging to a different location. As a result, the lengths of the
various diameter gravity sewers have changed as shown below:
hes) Permitted Length feet) Revised Lenth(
171 1 550
kbo
69ob
We are including the following:
1) Original and one copy of the application form FTA 04-16
2) $480.00 application fee
3) A copy of Flow irackingjAcceptance for Sewer Extension, :Permit
Applications (FTSE 04-16) submitted with the original application.

hat - u st ara r need additional lrr r r t , please feel to
t 70 4- - 5 or by ma 1 S milt nur ` `J:..,...
forward to your prompt review and appro of this application.
Chart . Syron Pft
Senior pro' la anger
c: a n but
Vaal a ldw
Cf
E. 1(

Central Files: APS _ SWP _
3/12/2018
Permit Number WQ0039438 Permit Tracking Slip
Program Category Status Project Type
Non -discharge Active Major modification
Permit Type Version Permit Classification
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions 1.10 Individual
Primary Reviewer
ori.tuvia
Coastal SWRuIe
Permitted Flow
0
Facility
Permit Contact Affiliation
Facility Name
Blythe Creek Grinder Pump Eliminations
Location Address
500 N Main St
Monroe
Owner
NC 28112
Major/Minor Region
Minor Mooresville
County
Union
Facility Contact Affiliation
Owner Name
Union County
Dates/Events
Owner Type
Govemment - County
Owner Affiliation
Cindy Coto
500 N Main St
Monroe
NC 28112
Orig Issue
8/22/2017
App Received Oraft Initiated
3/9/2018
Regulated Activities
Scheduled
Issuance Public Notice Issue Effective
3/12/2018 3/12/2018
Subdivision
Wastewater collection
Outfall
Requested !Received Events
Expiration
Additional information requested
Additional information received
Waterbody Name
Streamindex Number Current Class Subbasin

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ACOTincs
FAST TRACK SE 4IER ENGINEERING CERTIFICATICIN
PERMITTEE: Union County Public Works
PERMIT #: WQ,0039438 MQDIF@CATiON
PROJECT: f3lyth Creek Grinder Pump Eliminations
ISSUE DATE: March 1,2, 2018
This project shall r:ot be considerecl nmplete noe al#'awed to operate In accordance with Condition 7 of
this permit until' the Division has received this Cert'ificatlen and all required supporting documentation, it
should b:e submitted in a mannerthat documents the Division's receipt. Send the required documentation
the Regional Supervisor,, `Hater Quality Regional Operations Section at the address at the 'bottom.
Any wastewaterde tributary to the. wastewater collection system extension prior to com,pletson
of this Certification shall be considered a violation or the permit and shall subject the Permittee to
appropriate enforcement actions, The Permittee is responsible for tracking a=i partial certifications up
until a fira,aI certification is received. A Final Certification shall be a complete set of record drawings and
aicula �tinns regardless of whether partials have been submitted.
PERMI"iTEE'5 CERTIFiCATION
1, the undersigned agartt for the Perniiftee, hereby state that this project ha been constructed pursuant
to the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction informat,°en to the Permittee and the Permittee is prepared to operate & maintain
the wastewater collection system permitted herein, portions tI ieof.
Printed V as e. Tit
Signature
ENGINEER'S CERTIFICATION
Date
I, ly° registered Prtfessional Engineer in the State of North Carolina,
richaving been iuthorized to o'tserve { periodically, €. weekly, full time.) the construction of the
project name and location as referenced above for the above Permittee hereby state that, to the hest of
my abiPities, 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; S5A NCAC 021, the
Division of Water Resources' (Division) Gravity Sewer Minimum Design Criteria adopted February 1.2„
1996, as appliea.bl'e; the Division's Minimum Design Criteria fur the Fast -Track Permitting of Pump Stations
and Force Mains adapted June 1, 2000, as applicable; and other supporting materials.
North Carolina Professional Engineer's Seal w/signati.ire & date:
lt<Final
Parti
Certifictrc n Comments/
include description)
e
ch if necessary):
Stan! or North Carolina 1 ErlAit0a' entail aaaas ! 4Vst e Ffi
;°^itstrrvNor/ c Remittal O'Scot 610 Ear,. Conn < roe,atbe. S,