WQ0039438_Regional Office Historical File Pre 2018 (2)

ROY COOPER.
Govemor
M.ICH.AEL S. REGAN
Secre tary
S. JAY ZEV MERMAN
Environmental Quality
August 22, 2017
John Shue, CIP Program Manager
Union County Public. Works
500 North Main Street, Suite 500
Monroe, NC 28112
Subject: Permit No. W00039438
Union County Public Works
Blyth Creek Grinder Pump Eliminations
Wastewater Collection System Extension Permit
Union County
Dear Mr. Shue:
In accordance with your application received August 21, 2017, we are forwarding herewith Permit No.
WQ0039438 dated August 22, 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effective from the date of issuance until rescinded and shall be subject to the conditions and limitations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 perm!
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 1SA 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 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.
"N thing Compares ..
State of North Caaraalaat a ( .r vittxntrtental Quality Water Resources !Water Qau:tRegiopennions
Mooresvil0e Ret;icttt CB ae i Cs1 fast Center Avenue, Suite 30 6 Moaresv°iliie, North Cerolina 328115
704-663-1 t : 9

If you need additional information concerning this matter, please contact Ori Tuvia at [phone]
or via e-mail at ori.tuvia@,ncdenr.gov.
bwW.Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office
Division mfWater Resources, N[DE(l
cc Regional Office Files
Water Resources Central Files
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 171 linearfeet 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 additional
gallons per day of collected domestic wastewater into the Union County existing sewerage system,
pursuant to the application received August 21, 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: WQ0039438
Permit Issued: August 22, 2017

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 this 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 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. [15A NCAC 02T.0304(b)]
II. STANDARD CONDITIONS
1. 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 143-215.1(d3)]
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'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. [1SA 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)1:
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 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.
Documentation shall be kept for Subparagraphs (a) through (i) of this Rule fora 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
hours, 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 SSO and/or spill over 1,000 gallons, or
c. Any SSO 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 l of Form CS-SSO (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 SSO was beyond control. [G.S. 143-215.1C(a1)]
6. 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)1
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:
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 paints in
6

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.
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 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. 115A 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

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE:
PERMIT #:
PROJECT:
ISSUE DATE:
Union County Public Works
WQ0039438
Blyth Creek Grinder Pump Eliminations
August 22, 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
the wastewater collection system permitted herein or portions thereof.
Printed Name, Title
Signature Date
ENGINEER'S CERTIFICATION
1, , as a duly registered Professional En ineer 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 & date:
❑ Final ❑ Partial (include description)
Certification Comments/Qualifiers (attach if necessary):
State of North Carolina I Environmental Quality I Water Resources I Water Quality Regional Operations
Mooresville Reeinnal C}f7icei 610 Fact Center Avenue_ Suite 301 I Mooresville North Camlina 7Ri i i

State of North Carolina
Department of Environmental. Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: APD361# 3 ' (to be competed by I' WR)
All items must be completed or the application will be returned
APPLICANT INFORMATION:
1. Applicant's name: Union County (company, municipality, HOA, utility, etc.)
Applicant type: Li Individual ❑ Corporation [ General Partnership El Privately -Owned Public Utility
Federal State/County © Municipal Other
3. Sinature authority's y's name; John hutak�PF per 15A NCAC 02 1 .0106(b) S
Title: CIP Program Manager
4, Applicant's mailing address: 500 N. Main Street Suite 500
City: Monroe State: NC Zip: 281 12-
5. Applicant's contact information:
Phone number: [phone] Email Address: John.shutakfteunioncountync.gov
11. PROJECT" INFORMATION:
I . Project name: Blythe Creek Grinder 1'tttrip Eliminations
Application/Project status:
Proposed (New Permit) ❑ Existing. Permit/Project
If a modification, provide the existing permit number: WQ00 and issued date:
anew construction but part ofa master plan, provide the existing permit number: WQ00
3. County where project is located: Union
4, Approximate Coordinates (Decimal Degrees): Latitude: 34.9400' Longitude:-80,7167'
5. Parcel ID (if applicable): 06/14003
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1, Professional. Engineer: Charles E. Shoe 1 is :zase Number: 101.42
Firm: McKim & Creed, Inc,
Mailing address: 8020 Tower Point Drive
City: Charlotte State: NC Zip: 2.8227-
Phone number: [phone] Email Address: cshue,mcki.rncreed.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1, Facility Name: Twelve Mile Creek WRF Permit Number: NC00855359
Owner Name: Union County
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ0021594 Downstream (Receiving) Sewer Size: 18 inch
'System Wide Collection System Permit Numbe (sj (if applrcableJ: WQCS00054
Owner Name(s): Union County
FORM: FTA 04- 1 6 Page 1 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 ONo ( N/A
2, If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agree ment(FORK DEV) been attached?
[❑ Yes ❑No INN/A
If the Applicant is a I-tome/Proerty Owners' Association. has an Operational Agreement (FORM: I1OAA been attached?
❑ Yes ❑No N/A
4. Origin of wastewater: (check al
Residential Owned
Residential Leased
School / preschool / day care
Food and drink facilities
Businesses ! offices / factories
Nature of waste
that apply):
C Retail (stores, centers, malls)
❑ Retail with food preparationiservice
• Medical / dental / veterinary facilities
Church
Nursing Home
ater : 100, % Domestic/Commercial % Commercial
Industrial (See I5A NCAC 02T _0103120))
Is there a Pretreatment Program in effect?
6. Has a flow reduction been approved under I5A NCAC 02T n01 14(? ❑ Yes
if yes, provide a copy of flow reduction approval letter
7, Summarize wastewater generated by project:
❑ Car Wash
❑ Hotel and/or Motels
❑ Swimming Pool /Clubhouse
❑ Swimming Pool/Filter Backwash
❑ Other (Explain in Attachment)
Yes L No
No
Establishment Type (see 02T.0114(1))
Daily Design Flow a°b
gal,'
No. of Units Flow
GPD
gal/
gal/
GPD
GPD
gal/
gall
gal/
GPD
GPD
GPD
Total 0 GPD
a See 15A NCAC 02.f .0114(h), (dl,_[t)(j and (e)(;?) 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 cast of the Atlantic Intracoastal Waterway to be used as vacation rentals
as defined in G.S42A m4).
b Per 15A NCAC 02T .0114(e), design flow rates for establishments not identified [in table 15A NCAC 02"1 01 141 shall
be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 0 GPD (per I SANCACO2T .0I 14)
Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
® Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
® Flow has already been allocated in Permit Number:
® Rehabilitation or replacement ofexisting sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 04-16 Page 2 of 5

'VII. GRAVITY SEWER DESIGN CRITERIA (if Applicable) - 02T .0305 & l'1DC (gravity ewe
Summari e gravity sewer to be permitted:
Size
nehes)
18
Section I1 & Ill of the MDC. for Pe
Length (feet)
171.
5.943
Material
DIP or PVC
DIP or PVC
DIP or PVC
avity Servers contains information related to design cri
Section III. contains information related to rninirnurn slopes for r(s)
Oversizing lines to meet minimum slope requirement is nut allowed and a violation of the MDC
VII'I. PUMP STATION DESIGN CRITERIA (1f Applicable) —02T .0305 & 1IDC (Pump Stations/Force Mta
COMPLETE FOR EACH PUMP STATION INCLUDED iN THIS PROJECT
1. Pump station number or name: ,_.
Approximate Coordinates (Decimal Degrees): latitude: =. _'` Longitude: -
3, Design flown of the pump station: _,
allons per days (tirt:n ca.paciti,=)
4. Operational point(s) of the pumps) gallons per minute at feet total dynamic hr ad (TD1-1)
5. Summarize the force main to be permitted (for this Purnp Station):
inches) I ngth (feet) Material
6. Power reliability itt accordance with IS .,NC A(' 021 03,050)(I):
[] Standby power source or pump with automatic activation and telemetry l SA NCAC 02T .0305(h)(I)(fl
Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
r Must be permanent to facility
Or lithe pump station has an average daily flow less than 15,000 gallons per day:
] Portable power source with manual activation, quick -connection receptacle and telemetry _ 15A NCAC C
,0305(h)(1)(C-)
or
] Portable pumping unit with plugged emergency* pump connection and telemetry _ 15A NCAC 02T ,0305(h)(1 XC):
ft. shall be demonstrated to the I)ivi.sion that the portable source is owned or contracted by the applicant (draft agreement)
and is compatible with the station.
If the portable power source or pump is dedicated to multiple pump stations: an evaluation of all the pump stations'
storage capacities and the rotation schedule oldie portable power source or pump, including travel timeframes, shall be
provided in the case of a multiple station power outage.
'OR: 1 I A 04-16 Page 3 of 5

IX. SETBACKS & SEPARATIONS _. ('02B .0200 & 15A 'NCAC 02T .0305(0):
es the project comply with all separations found in 15,A NCAC
I5A NCAC 02 T.0305(t) contains rstinimurn separations that shall be provided
Setback Parameter*
Storn servers and other utititie not listed below (vertical)
ter mains (vertical -water aline, in benched tren
ins (horizontal)
Reclaimed water lines (vertical - reclaimed over sewer)
( iiont - reclaimed wr sewer)
Reclaimedwater lines horrronta rcelatmed over
*Any private or public water supply source, including any wells, WS-1 waters of Class i or
Class II impounded reservoirs used as a source ofdrinking ssatcr
**Waters classified WS (except WS-1 or WS-V), B, SA, ORW, HOW, or SB from normal
-high wafer (or tide elevation) and wetlands (
IX.2)
**Any other stream, lake, impoundment, or grc tat id water lowering and surface drainage.
ditches
Any building foundation
Any basement
Top slope of embankment or cuts of 2 fi
Drainage systems and interceptor drains
1 Any swimming pools
Final earth tirade (vertical)
ertical height
.0305(0&_.(gj ( Yes LJ No
systems
Separation Required
24 inches
18 inchies
10 feet
18 inches
2 feet
100 fee
50 feet
5 feet
10 feet
10 feet
10 feet
36 inches
1SA NCIC...021 ?,@S(e contains alternatives where separations in Q21 0 305(i) cannot be achieved.
**Stream classifications can be identified using the Division's NC Surlace Water CIasstflcittaolr� ^_s hpat,ge
r If -noncompliance with 021e0305(f) fir (g),. see Section X of this application
Does the project comply with separation requirements for wetlands? (50 feet of separation) Ej Yes No N/A
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 constriction
As built documents should reference the location of areas effected
Does the project comply with setbacks found in the riser basin rules per l SA NCAC 02l3 0200?? El] Yes E] No N/A
Y This would include Trout Buffered Streams per ➢ 5,A NC A(:2k3.0202
4. Does the project require coveragcr'autho
individual permits or 401 Water Quality (:,mitigations`'
Information can be obtained from the 401 & Buffer
Does project rcanmply with I_A VC,._MC (1'.(..it)_tS c C)) (additio
n under a 404 Nationwide or
g_Braich
Z Yes E No
perrrtitsleertiticaticins);' Yes LJ No
Per 15ANCAC 0210l0 (c)(66), directly related environmental pem
been applied for, or have been obtained. issuance of this permit is c
sedimentation control plans, stomtwater management plans, etc,).
is or certification applications are 'being prepared, have
ntingent on issuance of dependent permits (erosion and
6. Does this project include any :sewer coltection lines that are deemed °°high -priority_
Per 15ANCAC o i 040?' "high -priority° sewer'" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to strearnbanks that is subject to erosion that undermines or deteriorates the sewer.
( Yes No [J N/A
nt with details for each line, including type (aerial Inci„ size, material. and location),
r lfv°es. in
High priority lines shall be inspected by the permittee or its representative at least once every six -months and
inspections documented per 'i.SA NCAC 02T.0403(a)(5).or the permitee's individual System -Wide Collection permit.
I''C)R.lv1'.: '1° 1"A 04- 16
Page 4 of 5

' CERTI.FICA`f IC.)
Dogs the submitted system comply. w
NCAC: 02"1. the Minima
and Force Mains (ltacst yersi©n), and the ray�tySe er M lt2lrlt t Des
Yes
If No, complete and submit the Variancc: 'Alternative Ii
for review. A
documents,
Professional Engineer's Ccrtificauon:
rewired
No
Design C:
a Criteria.
Per
appli
Request. application (VADC 14) and supporting documents
ubmittal of tltt Fast Trael+ Aptalicataon and n trtt!
s name from Applicat
application for
has been reviewed by me and is accurate, complete and consistent. with the information supplied in the plans, specifications,
engineering calculations, and all other supporting documentation to the best, of my knowledge. 1 further attest that to the best
of my knowledge the proposed design has been prepared in accordance with the a:pplica'ble 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.
NC)"FE - In accordance with General Statutes 143-215_6A and 143-215.6B, any person who knowing
statement, representation, or certification in any application package shall be guilty of a Class 2 islet
include a fine not to exceed S 10,000, as well as civil penalties up to S2.5,000 per violation.
North Carolina Professional Engineer's seal, signature, and date:
Applicant's C°e
ation per 15A NCAC 02"1' .(11.06(h):
Signature Authority's name true from Application 11
attest that t
tmake any false
anor,, which may
application for
has been reviewed by me and is accurate and complete to the best of rny° knowledge. I 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, I 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. 1 will make no claim against the Division of Water Resources :should a
condition of this permit he violated. I also understand that if all required parts of this application package are not completed
and that if all required supporting inf"orrrtation and attachments are not included, this application package will be returned to
me as incomplete.
(VOTE In accordance +.with General Statutes �43� 1.+ and 1„) 2 I ti 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 line not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature:
FORM.: 1°`1'A 04-16
Page 5 of 5

9 FM
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„PR,904 MCR
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VOX.X. ,100,110

County
84
Public Works
4600 Galdmine Rd
Monroe NC 28110
7, 704-289-1434
wvirw.unioncountync, ov
NC Department of Environmental Quality
Division of Water Resources
Water Quality Section
610 E. Center Street
Mooresville, NC 276916'l 7
Blythe Creek Grinder Pump Elitnintions Uni on County
Dear Sir,
This purpose of this letter is to provide written confirmation in accordance wit
North Carolina Department of Environmental Quality
(Administrative Code Section: l5,A. NCAC 02T M305 (i) "Design Criteria) to the foliovwin :
e requirements of the
The Water and Wastewater Division of Union County PublicWorks has the capability to perform
routine cleaning and maintenance on the sewer at the specified manhole separations of up to 500
feet, as shown on the plans prepared by McKirn & Creed, Inc. for the Blythe Creek Grinder Pump
Eliminations project.
Should you have any questions you may contact me at 704-289-3274.
cerely,
Josh Brooks, ORC
Field Services Superintendent.
. 11n..11 .1 _

Flow Tra
Depart
State of North Carolina
nt of Environmental Quality
Division of Water Resources
otwer Extension Applications
(FTSE, 04-16)
Entity Requesting Allocation: Union County'
Project Marne for which floe is being requested:
fore than one F",rSf Inc r :t/aarrc is f .r a s rr / larr c c t
srratit)ns° along the route o/ tla prrrnr, Seal .tevt°r,rt
Complete this se
a. WW1? Facility
h. WWTP Faci
only if you r
c. WW1" P facility's permuted
aged obligated floe not yet t
P facility's actual avg. flow
.al floe for this specific request
al actual and obligated flows to the facility
Percent of permitted flow used
/the Creek (
of the
WRF°
utary to the W
nder Pump FFirrwinations
N'O�w`11' is not respirrrsth/eJor ul/ pur p
stevvater treattnent plant.
f1 fforwws are in, MGD
6.0 (does not include 3,0
MGD diversion to Six M
Creek Pump Station)
"fP 1.6042 MGD
3.87 MGD
0
5.5078 MGD
91.80%
Complete this section for each pump sta
proposed wastewater flow.
n you are responsible fbr along the route of this
pt,tmp stations located between the project conne
Pump
Station
(Name or
Number)
l�,rFr"1
1'irn
Capacity. *
bt C t)
(A)
(B)
Approx.
rent Avg.
'low,
io
point and the W I P,
(C)
Obligated,
Not Yet
Tributary
Daily Flow,
MGD
4)
Total Current
Flow Plus
Obligated
ra lnw
A va6
Capac
able
ty**
* The Firm Capacity oaf 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 be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity t
Dovw-nstrearn 1°acilit ° Name (Sewer ): Blythe Creek Outfall.
Page of 6
.FTSE°: 04-

IJownstrearn Permit Number: WQOO21594
III. Certification Statement:
I . i9f-(w uT— certify to the best crf 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 1 am the responsible party.
Signature of this form indicates acceptance of this wastewater flow.
Signing, t)p iei r ignature ' Date
Page 2 of 6

PLANNING ASSESSMENT ADDENDUM (1'AA)
Submit a planning assessment addendum for each pump station listed in Section It where Available
Capacity is < O.
Pump Station (Name or Number):
Given that:
a. The proportion and amount of Obligated, Not Yet Tributary
% and MGD of the Available Cap
and that
b. the at of activation of this obligated, not yet tributary capacity is currerttly approximately
MGD per year; and that
A funded Capital Project that will provide the required planned capacity, namely
is in design or under construction with
p completion in ; and/or
fanned c.or
d. The following applies:
accounts for
Pump Station
Therefore:
Given reasonably expected conditions and planning information., there is sufficient justification
to allow this flow to be permitted, without a significant likelihood of over -allocating capacity in
the system infrastructure.
I understand that this does not relieve the collection system owner from complying with G.S.
143-215.67(a) which prohibits the introduction of any waste in excess of the capacity of the
waste disposal system,
Dote
Page 3 of 6
4R16

Instructions for Flow Tracking/Acceptance form (FTSE) and Planning Assessment Addendum (PAA)
Section I
a. WWTP Facility Name: Enter the name of the WWTP that will receive the wastewater flow.
b. WWTP Facility Permit #: Enter the NPDES or Non -Discharge number for the WWTP receiving the
wastewater flow.
c. WWTP facility's permitted flow, MGD: From WWTP owner's NPDES or Non -Discharge permit.
d. Estimated obligated flow not yet tributary to the WWTP, MGD: This includes flows allocated to
other construction projects not yet contributing flow to the collection system. Flows allocated through
interlocal agreements or other contracts not yet contributing flow to the collection system are also
included. For POTWs that implement a pretreatment program, include flows allocated to industrial
users who may not be using all of their flow allocation. Please contact your Pretreatment Coordinator
for information on industrial flow tributary to your WWTP.
As of January 15, 2008 the POTW should have reviewed flow allocations made over the last two
years and reconciled their flow records, to the best of their ability, so it is known how much flow has
been obligated and is not yet been made tributary to the WWTP, in accordance with local policies and
procedures employed by the reporting entity.
e. WWTP facility's actual avg. flow, MGD: Previous 12 month average.
f. Total flow for this specific request, MGD: Enter the requested flow volume.
g. Total actual and obligated flows to the facility, MGD Equals [d + e + f]
h. Percent of permitted flow used: Equals [(g / c)* 100]
For example:
On January 15 a POTW with a permitted flow of 6.0 MGD, reported to the Regional Office that there
is 0.5 MGD of flow that is obligated but not yet tributary. The annual average flow for 2007 is 2.7
MGD. There is a proposed flow expansion of 0.015 MGD.
The first Form FTSE submitted after January 15, 2008 may have numbers like this:
c. = 6.0 MGD
d. = 0.5 MGD
e. = 2.7 MGD
f.=0.015MGD
g. = 3.215 MGD
h. = 53.6%
The next Form FTSE may be updated like this with a proposed flow expansion of 0.102 MGD:
c. = 6.0 MGD
d. = 0.5I5 MGD
e. = 2.73 MGD
f. = 0.102 MGD
g. = 3.349 MGD
h.=55.8%
Each subsequent FTSE form will be updated in the same manner.
Page4of6
FTSE 04-16

Section II
List the pump station name or number and approximate pump station firm capacity, approximate design
average daily flow (A) approximate current average daily flow (B), and the obligated, not yet tributary
flow through the pump station (C) for each pump station that will be impacted by the proposed sewer
extension project. Calculate the total current flow plus obligated flow (D=B+C) and the available
capacity (E=A-D). Include the proposed flow for this project with other obligated flows that have been
approved for the pump station but are not yet tributary (C).
Firm capacity is the maximum pumped flow that can be achieved with the largest pump out of service as
per the Minimum Design Criteria.
Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor (pf) of
not Tess than 2.5.
If the available capacity (E) for any pump station is < 0, then prepare a planning assessment for that pump
station if the system has future specific plans related to capacity that should be considered in the
permitting process.
(A) (B)
Design
Firm Average
Pump Station Capacity Daily Flow
(Name or Number) MGD (Firm / pf)
Kaw Creek PS
Valley Road PS
0.800 0.320
Approx.
Current Avg.
Daily FIow,
MGD
(C) (D)=(B+C) (E)=(A-D)
Obligated,
Not Yet Total Current
Tributary Flow Plus
Daily Flow, Obligated Available
MGD FIow Capacity*
0.252 0.080 0.332 -0.012
1.895 0.758 0.472
0.135 0.607 0.151
Page 5 of 6
FTSE 04-16

Planning Assessment Addendum Instructions
Submit a planning assessment addendum for each pump station listed in Section II where available
capacity is < 0.
A planning assessment for Kaw Creek PS (see example data above) may be performed to evaluate
whether there is significant likelihood that needed improvements or reductions in obligated flows will be
in place prior to activating the flows from the proposed sewer extension project.
If the system decides to accept the flow based on a planning assessment addendum, it is responsible to
manage the flow without capacity related sanitary overflows and must take all steps necessary to
complete the project or control the rate of flow to prevent sanitary sewer overflows.
The planning assessment may identify a funded project currently in design or construction, or a planned
project in the future not yet funded but in a formal plan adopted by the system. The system should
carefully weigh the certainty of successful timely project completion for any expansion, flow
management diversion or infiltration and inflow elimination projects that are the foundation of a planned
solution to capacity tracking and acceptance compliance.
For example:
Given that:
a. The proportion and amount of obligated, not yet tributary flow accounts for 24 % and 0.080
MGD of the committed flow in Pump Station Kaw Creek; and that
b. The rate of activation of this obligated, not yet tributary capacity is currently approximately 0A1
MGD per year; and that
c. A funded capital project that will provide the required planned capacity, namely
is in design or under construction with
planned completion in ; and/or
d. The following applies:
The master plan and ten year capital plan contain recommended scope and funding for a capital project
entitled Kaw Creek Pump Station upgrade with funding planned in July 2014. This project is planned to
add 0.100 MGD to the firm capacity of the pump station by October 2015. Inclusion of this proposed
capital project as a condition of this Flow Tracking/Acceptance for Sewer Extension Permit Application
elevates this project's priority for funding and construction to be implemented ahead of the activation of
obligated, not yet tributary flows in amounts that exceed the firm pump station capacities identified in
Section II above.
Therefore:
Given reasonably expected conditions and planning information, there is sufficient justification to allow
this flow to be permitted, without a significant likelihood of over -allocating capacity in the system
infrastructure.
Page 6 of 6
FTSE 04-I6

NNERS
August 18, 2017.
NC Department of Environmental Quality
Division of Water Resources
Water Quality Section
610 E. Center Avenue, Suite 501
Mooresville, NC 28115
Attention: Water Quality Regional Operations
RE: Application for Permit FTA 04-16
Blythe Creek Grinder Pump Eliminations
Union County
Dear Water Quality Reviewer:
0077100d2 (40)
On behalf of Union County Public Works we are submitting a Fast Track
Sewer System Extension. Application (FTA 04-16) and other supporting
documentation for construction of the Blythe Creek Grinder Pump
Eliminations project for review and approval. The project consists of
approximately 17,200 linear feet (LE) of 8-inch to 18-inch trunk and collection
sewers to provide gravity sewer service to two areas in Waxh.a.w, NC
currently served by local grinder pump. stations. The proposed sewers will
eliminate the need for the existing grinder pump stations. The project also
includes extending approximately 840 IF of 6-inch force main from the
current discharge location to the new gravity system. No new or modified
pump stations are included in the project.
The two service areas include the neighborhood north of Waxhaw Highway
(NC:: 75) generally draining north towards Blythe Creek Tributary #4, and the
Wysacky Park neighborhood located off Old Waxhaw Monroe Road (SR
111.1) on Yamasee Road. The existing 6-inch force main serving the )AARS,
Inc. campus, approximately 5 miles south of the Wysacky Park subdivision,
will be extended to discharge into the proposed Wysacky Park/ Yamasee
Road gravity sewer systean.

chiding the f all s ing
Original and one copy of the applicatican f rrn ETA 04-1
tten documentation Union County Public lic 'G Larks has the
capability to perform routine cleaning and maintenance on the
at the specified manhole separation exceeding 425 feet.
$480.00 application fee
C. ri final and one copy of Flow Tracking/acceptance for Server
Extension Permit applications (F'FSF 04-16
Site maps
o f have questions or need additional fcarrnatian, please feel free to
contact me at 704-84I- SS or by e-mail at CShuearricktincreed,co
and to your prompt review and approval of this application..
espectfully;
vIcKIM & CREED,Inc.
Charles
Senicar I roj;
E. Shoe, PE
anger
John Shutak, PE UCP
Michael Caldwell, PE, UCPW

Central Files: APS ___ SWP
8/22/2017
Permit Number WQ0039438 Permit Tracking Slip
Program Category Status Project Type
Non -discharge Active New Project
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
oriluvia
Coastal SWRu1e
Permitted Flow
0
Facility
Version
1.00
Permit Classification
Individual
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
Government - County
Owner Affiliation
Cindy Coto
500 N Main St
Monroe
NC 28112
Orig Issue App Received Draft Initiated
8/22/2017 8/21/2017
Scheduled
Issuance Public Notice Issue Effective Expiration
8/22/2017 8/22/2017
Regulated Activities Requested /Received Events
Subdivision Additional information requested
Wastewater collection
Outfall
Additional information received
Waterbody Name Streamlndex Number Current Class Subbasin