WQ0039557_Regional Office Historical File Pre 2018

Water Resources
ENVIRONMENTAL DUALITY
FILE
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Interim Director
April 12, 2018
Mr. Ronald Morgan, Manager
James River Equipment
2112 Morgan Mill Road
Monroe, NC 28110
Subject: Permit No. WQ0039557 MODIFICATION
James River Equipment
James River Equipment - Monroe
Wastewater Collection System Extension Permit
Union County
Dear Mr. Morgan:
This permit will nullify all previous versions of permit no. WQ0039557.
In accordance with your application received April 9, 2018 we are forwarding herewith Permit No.
WQ0039557 MODIFICATION dated April 12, 2018, to James River Equipment (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permit shall be effective from the date of issuance until rescinded and shall be subject to the conditions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. WQ0039557 was originally issued on October 24, 2017. Due to the construction of a new
truck wash facility and an increased flow of 450 GPD the permit is being modified. This modification to
Permit No. WQ0039557 is issued April 12, 2018. The Modified permit voids all previous versions of
Permit No. WQ0039557.
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.
State of North Carolina I Environmental Quality I Water Resources I Water Quality Regional Operations
Mooresville Regional Office' 610 East Center Avenut, Suite 301 I Mooresville, North Carolina 28115
704 663 1699
," . � 1 '

If any parts, requirements, or Iimitations 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 1508 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 at [phone] or
via e-mail at [e-mail],
Sincerely,
DocuSigned by:
A14CC681 AF27425.,.
by W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office
Division of Water Resources, NCDEQ,
cc: John Ross, P.E. (e-copy)
Regional Office Files, Water Resources Central Files, PERCS (Laserfiche)
Page 2 of 8

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
James River Equipment
Union County
for the additional flow of 450 gallons per day , as part of the James River Equipment - Monroe
project collected wastewater into the City of Monroe existing sewerage system pursuant to the
application received April 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. WQ0039557 was originally issued on October 24, 2017, for 539 linear feet of 8-inch
gravity sewer, and the discharge of 1,875 gallons per day of collected domestic wastewater into
the City of Monroe 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.
--DocuSigned by:
t A14CC681AF27425.
by W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office
Division of Water Resources, NCDEQ
Permit Number:
Permit Issued:
WQ0039557 MODIFICATION
April 12, 2018
Page 3 of 8

SUPPLEMENT TO PERMIT COVER SHEET
James River Equipment is hereby authorized to:
Construct, and then operate upon certification the aforementioned vvugemmter collection extension,
The sewage and wastewater collected by this o/gLemn shall be treated in the City of Monroe Regional
Wastewater Treatment Facility in accordance with Permit Number NC0024333.
Permitting of this project does not constitute an acceptance of any part of the project that does not meet
15A N[ACIT the Division's Gravity Sewer Minimum Design Criteria adopted February lZ, 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,
1. SPECIAL CONDITIONS
1. No Mow in excess ofthe quantity permitted herein, 450 GPQ (1,875 previously permitted flow, 2,325
GPD total 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. [15A NCAC
02l[0304(b)]
11. STANDARD CONDITIONS
l. This permit isnot transferable, |nthe event there isadesire 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 ocher
supporting materials as may be appropriate. The approval of this request shall be considered on its
merits and may u/may not beapproved. [15AN[A[OIT.O184;G'5l4]'2I5A(d3)]
2. This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A N[AC 2T| the Division's Gravity 6evvar Minimum
Design Criteria adopted February 12, 1995, as applicable; the Division's Minimum Design Criteria for
the Fast -Track Permitting o/Pump Stations and Force Mains adopted June 1, lOUO, as applicable; and
other supporting materials unIess specifically mentioned herein. [16AN[ACO2T.01181
3. This permit shall beeffective only with respect to the nature and volume nfwostes described in the
application and other supporting data, (15A NCAC 02T 0110,1
4. The wastewater collection facilities shall be prope#y 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 N[A[ 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.
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:
Page 5of8

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 I 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)]
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.
Page 6 of 8

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. [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)]
Page 7 of 8

FAST TRACK SEWER ENGINEERING CERTIFICATION
PEMMI7TEE: James River Equipment
PERMIT #: VVQ0089557 MODIFICATION
PROJECT: James River Equipment -Monroe
ISSUE DATE: Apri|I2,2Ol8
This project shall not be considered complete nor allowed tooperate in accordance 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 1u the wastewater collection system extension prior to completion
of this, Certification shall be considered a w^o|aban of the permit and shall subject the Permitteeto
appropriate enforcement actions. The Pernnhtteo is responsible for tracking a|Y partial certifications up
until a final certification is received. A Final Certification shall be a complete set of record drawings and
design calculations regardless ofwhether partials have been submitted,
pERMn7rEE'S CERTIFICATION
1, 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 appNcab|e
design/construction information tothe Permittee'and the Pernnittee is prepared tmoperate &nnainta|n
the wastewater collection system permitted herein orportions thereof.
Printed Name, Title
Signature Date
ENmmpcnsCcnnFxoAnom
� as a duly registered ProfessionaI E r in the State of North Carolina,
having been authorized to observe (| periodically,! t weekly, [_� fulltirne) 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 cane 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 NC4[ UZT; the
Division of Water Resources' (Division) Gravity Sewer Minimum Design [,heda adopted February 12'
1996's»applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations
and Force Mains adopted June I,2OOO'aseppiicab|e-, and other supporting materials.
North Carolina Professional Engineer's Seal w/signature & date:
F� Final [] Partial (include description
Certification Comments/Qualifiers (attach ifnecessary):
m.°~v_f 9
State of'n"rthc="lfft°Q"afir� Water nm"mce^/Water oWiryaV°"uc�"ram"
m"=`m^leRegional uace!,^/oEasur"iterA==*skine 30//w"q)rq,/le,xw^c=a" 281/5

Central Files: APS SWP _
4/12/2018
Permit Number WQ0039557 Permit Tracking Slip
Program Category Status Protect Type
Non -discharge Active Major modification
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
ori.tuvia
Coastal SWRuIe
Permitted Flow
2,325
Facility
Version Permit Classification
1.10 Individual
Permit Contact Affiliation
Facility Name
James River Equipment
Location Address
Owner
Major/Minor Region
Minor Mooresville
Facility Contact Affiliation
County
Union
Owner Nang
James River Equipment
Dates/Events
Owner Type
Non-Govemment
Owner Affiliation
Ronald Morgan
2112 Morgan Mill Rd
Unionville
NC 28110
Orig Issue
10/24/2017
App Received Draft Initiated
4/9/2018
Scheduled
Issuance Public Notice Issue Effective
4/12/2018 4/12/2018
Regulated Activities Requested /Received Events
Expiration
Retail Additional information requested
Wastewater collection
Outfall
Additional information received
Waterbody Name Streamindex Number Current Class Subbasin

20f3-A Van Buren Avenue
Indian. Trail, NC 28079
[phone] phone/[phone] tax
www.eagleon 1 inemet
Letter of Transmittal
iota: State of NC Department of Water Resources
610 E. Center Avenue
Prints
Plans
Mooresville, NC. 28115
Attu: On Tuvia
the toIIuvoi
r
AtOPOS
Date: 04-06-18
Job Nrdt ber: 5466
Re: James River Equipment - WQ0030557
Offsite Sewer Extension Permit Revision
Deliyered by: }land El UPS [ [Mail El Fedex
Copy of Letter
Shop Drawings
Specifications Application 1 1 Mylars
Calculations El As F3uilts Check
Q Other
Date
Copies
s to be Transmitted
04-06-18
Cover Letter
2
04-0
2
Fast Track Application (1 Original)
3
4-C16-t8
2
4
04-06-18
Full Size Site Plan
Application fee ($480.00)
These are transmitted as e heek d below:
I1
For Approval 17 For Review n Approved as Subinitted.
For Your Use 1 I Corrected Prints I__.1 Approved as Noted
As Requested P1 Copies for Distribution Copies for Approval
Remarks:
If you have any questions please contact our office.
-
Note: Unless revision block states e� c leased I or C"r r sta r r° ion "', all plans enclosed are to l c e nsidered
"PreJia 'nary" and "No ' a7 ", and are provided for f errtititting, information and b'idditi ; use only.
Cc: File
Signed:
Steven Prophet

G
ENGINEEERLING
1414 lefr
James River Equipment Sewer Extension
Revised Fast Track Application Cover Letter — Permit #WQ0039557
Package Includes:
• Fast Track Application (one original, one copy)
• Application Fee ($480.00)
• Full Size Construction Drawings (two copies)
Narrative:
• This package is a revision to the previously submitted James River Equipment Sewer Extension
Fast Track Application on October 23, 2017. The application had been approved and permits
provided (WQ0039577) as of October 24, 2017. The purpose of the revision is to add a truck
wash facility on site which will now also utilize the previously approved sewer extension. No
changes to the new sewer itself are being proposed; only additional flow is being added to
account for the truck wash facility as described on the application and in the calculations below.
A revised site plan is being included to show the new truck wash facility on site and to show that
no changes to the sewer main are being proposed with this revision. All other previously
submitted exhibits and documentation still apply for this revision.
• Flow is calculated as follows:
(Showroom: 125gpd/Fixture x 15 Fixtures) = 1,875 gpd
(Truck Wash: 450g d x 1 facility) = 450 gpd
Total = 2,325 gpd

of Water Resources
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:Air _ completed by MR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
I, Applicant's name: James River Equipment (company, municipality, HOA, utility, etc.)
2. Applicant type: 1ndividual Corporation 0 General Partnership 0 Privately -Owned Public Utility
0 Federal 0 Statc/County 0 Municipal 0 Other
3. Signature authority'.s name: Ronald Morgan per 1 S ANCAC 02T .0106:1Lq
Title: Manager
4. Applicant's mailing address: 2112 Morgan :Mill Road w OROS
m OOP REGIONAL OF F ;CS.
City: Monroe State: NC Zip: 281 0-
5, Applicant's contact information:
Phone number: [phone] Email Address: :[e-mail]
II. PROJECT 'INFORMATION:
I., Project name: Lames River Equipment
2. Application/Project status: Ej Proposed (New Permit) Existing Permit/Project
If a modification, provide the existing permit. number: WQ0039557 and issued date: 10-24-17
If new construction but part of a master plan, provide the existing permit number: :WQ00
3: County where project is located: Union
4, Approximate Coordinates (Decimal Degrees): Latitude: N.34:988Longitude: -W.80.523°
Parcel ID (if applicable): Q9147007
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
Professional Engineer John H Ross License Numher 14959
Firrn: EageI Engineering
Mailing .address: 2013A Van .Buren Avenu
City: IndianTrail State: NC Zip: 28079-
Phone number: [phone] Email Address: jross@eagleon inc.net
IV. %VASTEWATER TREATMENT 'FACILITY (WWII) INFORMATION:
1. Facility NallIC: City of Monroe WWTP Permit Number NC0024333
Owner Name: City of Monroe
V. RECEIVING DOWNSTREAM SEWER INFORMATION (ifdifferent than WWII-2):
1. Permit Number(s): WQNC0024333 Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Pcsmit Number(s) (if applieabli: WQCSNC002433:
Owner Name(s); City of Monroe
FORM: .FTA 04-16 Page 1 of 5

GENERAL REQUIRE E NTS
I. If the.Applicant is a Privately -Owned Public Utility,
© Yes
If the Applicant is a Developer" of Bats to he sold, has a Dcvc
❑ Yes
If the Applicant is a llama to/Prig?er
4. C)ragin o'l` watStevvatte (check all that apply):
© Residential Owned.
❑ Residential Leased
❑ School / preschool ./ day care
❑ Food and drink facilities
❑ Businesses / offices. / factories
Retail (stores, centers, malls)
Retail with food preparation/service
El Medical / dental / veterinary facilities
El Church
❑ Nursing Home
Nature of wastewater : 100 "✓s Domestic:/Commercial (/ Commercial
{% Industrial (See 15A NCAC 02"T' .(0l0 (2.01)
> Is there a'Pre:treatment Program in effect?
Certificate of Public Convenience and Necessity been attached?
ed?
nt. (FORM: it), been attached`?
© Car Wash
Hotel and/or Motels
❑ Swimming Pool /Clubhouse
0 Swimming Pool/Filter Backwash
© Other (Explain in Attachment)
Yes ( I No
b. Has a flow reduction heen approved under I7A NCAC 02T „()1.140.)? 0 Yes No
r If yes, provide, a copy of flow redncti©n approval letter
7. Summarize wastewatergenerated by project:
Establishment Type (see 02T,01.14(0)
Showroom
h Rack
Daily Design Ftow LI'
1'5 gal/day/Fixture
450 gal/clay
No.. of Units
1.5
1875 GPD
450 GPD
GPD
GPI)
GPD
GPD
See iSA NCAC (12"I .t)l l4(h),. (d e ' I mm11 C fear cavea
2325 GPI)
dwelling; proposed unknown non-residential clevc:lolrrrrc,rrtt uses: public access facilities 1cae.atecl near hula public use
areas; and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals
as defined in C.S. 42A-4).
Per I5A NCAC 02T .01 14(c), design flow rsrtes for es tahlishment.s not
be determined using available flow data, water using fixtures, occupancy or operation patterns, and otlaea fist asured data,
4 atste.water generated by project: 2325 GPD (per 15,�i NC°At' (,l:
Do not include future flows or previously permitted allocati
If penis
indicate why:
4)
milled [in table41 shall
© Pump Station or Gravity ;ewer where flow will be permitted in subsequent porn
El Flow has already been allocated in Permit. Number:
❑ Rehabilitation or replacement of i..ng sewer with no new flow expected
❑ Other (Explain):
"A ()4 16
Page

GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02"I' .I1;05 & \IDC (Gravity Sewers),:
I. Summarize gravrty sewer to be permitted:
Size (inches)
Length (feet) Material
539 PVC
Section 11 11.1 of the MDC for P'erntitting itfirttvity Sewers contains information related to design
Section 111 contains information related to iinimum slopes for gravity sewcr(s)
Oversizing. lines to meet minimum slope requirement is not allowed and a violation of the MDC
VIII. PUMP' STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC;Pump Stations/Fot~'ce Mainsl:
COMPLETE FOR EACH PUMP STk 'ON INCLUDED IN THIS PROJECT
Pump station number or name:
2. Approximate Coordinates (Decimal Degrees
3. Design flow of the punip station:
gallons per day (ti
Longitude; -
capac
d'. Operational point(s) of the pump(s): gallons perminute at feet total dynamic head (T1)U)
5. Summarize the force main to be permitted (for this Pump Station):
Power reliability in accordance with I A NCAC 02
© Standby power source or pump with automatic a
1.5A NCAC 02T" .0305(h)(I)(13):
Y Required for all pump stations with an average daily flow greater than or equal to 15.000 gallons per day
Must he permanent to facility
()r if the pump station has an average daily flow less than 1.5,000 gallons per day:
❑ Portable power source
.0305(h)(1)(C)
or
aivation, quick -connection receptacle and telemetry - I5A NCAC 021
❑ Portable pumping unit with plugged emergency pump connection and telemetry - l5A NCAC 02T .0305(h)(1'
It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
and is cortipatihle with the station,
I'f 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 of the portable power source or pump, including travel tirneframes, shall he
provided in the case of a multiple station power outage.
FORM: FFA 04-16
Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 1.5A NCAC 02T .0305(0):
„ Does the project comply with all separations found in I 5A NCAC 021 {5&jj
&
115.A NCAC 021„0305(1) contains minimum separations that shall he provided -for sewer Aems:
Setback, Parameter*
Storm sewers and .other utilities not listed below (vertical)
Water mains (vertical -water over sewer including in benched trenches)
Water mains (horizontal)
'Reclaimed water ed over sewer)
Reclaimed water lines (horizontal - reclaimed over sewer)
s
**Any private or public water supply source, including tiny wells, WS-1 waters of Class 1 or
Class impounded reservoirs used as asource of drinking water
**Waters classified. WS (except WS-1 or WS-V), B., SA, ORW, HQW, or SB front normal
high water (or tide elevation) arid wetlands (see item IX.2)
**Any other stream, take, impoundment, or ground -water lowering and surface drainage
ditches
Any building fou
Any basement
Top slope of embankment or cuts of 2 feet
Drainage systems and interceptor drains
Any swimming pools
Final earth grade (vertical)
Separation Re uircd
24 inches
18 inches
10 feet
8 inches
2 feet
100 feet
50 feet
36 inches
I 5A CAC' 02T„03051g) contains alternatives where separations in 02T.0305(j) cannot be achieved.
-• **Stream classifications can he identified using the Division's NC Surface Water Classifications webpage
If noncompliance with 0T,0305(1 or,,(g), see Section X of this application
No
2„ Does the project comply with separation requirements for wetlands? (50 feet. of separation) Yes No EJ N/A
See the Di:vision's draft separation requirements for situations where separation cannot he 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
3. Does the project comply with setbacks found in the river basin rules per t 5A NCAC 021 No LJ N/A
"r This would include Trout Buffered Streams per 1.52,1 NCAC 21“1202
4, Does the project require coverage/authorization under a 404 Nationwide or [J Yes No
individual permits or 401 Water Quality (ertifications?
• Information can he obtained from the 4(1_4",Ve.- Buffer PerinittineBranch
5, Does project comply with I5A NC.AC, 02T„0105(c),(_()) (additional, permits/certifications)? Yes LJ No
Per 15A NCAC 02-10105"e 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, stormwater management plans, ete.),
6, :Does this project include any sewer collection lines that arc deemed "high -priority'?"
Per 15A NCAC 02T0402, "high -priority sewer" means 'any aerial sewer, sewer contacting surface waters, siphon, or sewer
positionedparaliel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
n Yes No 0 N/A
• If yes. include an attachment with details for each line, including type (aerial line, size, niatei 1111, and location),
High priority lines shall be inspected by the permittee or its representative al least once every six -months and
inspections documented per 15A NCAC 021'.0403(a)(5) or the permitees individual System -Wide Collection permit
FORM: FIA 04-16
Page, 4 of 5

X. CERTIFICATIONS
1. Does the submitted system comply with 15A.:NCAC 02T, the Iirairntn Design Criteria for the Permitting of Pump Stations
and Force Mains (latest version). and the Gravity Sewer Minirrurta Design Criteria (latest version) as applicable?
Yes ONc
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-1.4) and supporting documents
for review. Approval of the request is required prior to submit s( rf the Fast Track Application and supporting
locum eats.
Professional Engineer's Certification:
(Professional. Engineer's ttarrte tom Application Item III.I.)
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 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 143-215.6B, 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 $10,000, as well as civil penalties up to $25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date:
Applicant's Certificati
1 SA NCAC 02T .0106(b):
Authority's na
e from Application Item
that this application for
that
tl
application for
has been reviewed by the and is accurate and complete to the best of my knowledge. I understand that if all required parts of
this application are not completed and that if all required supporting documentation and attachments arc 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, and/or 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 143-215.6A and 143-215.63, any person who knowingly
statement, representation, or certification in any application package shall be guilty of a Class 2 misdeme,
include a fine not to exceed $I0,000 as well as civil penalties up to $25,000 per violation.
Date:
es any false
which may
FORM: ETA 04-16
Page 5of5

r,-+
f j •ri
r
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: City of Monroe
Project Name for which flow is being requested: James River Equipment
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: City of Monroe WWTP
b. WWTP Facility Permit #: NC 0024333
c. WWTP facility's permitted flow
All flows are in MGD
10.4
d. Estimated obligated flow not yet tributary to the WWTP 0.55
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility 6.69
h. Percent of permitted flow used
6.138
0.002
64.0%
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)
Firm
Capacity, *
MGD
(A)
Design
Average Daily
Flow**
(Firm / pf),
MGD
(B) (C) (D)=(B+C) (E)=(A-D)
Obligated,
Approx. Not Yet Total Current
Current Avg. Tributary Flow Plus
Daily Flow, Daily Flow, Obligated Available
MGD 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 FIow is the firm capacity of the pump station divided by a peaking
factor (pi) not less than 2.5.
*** A Planning Assessment Addendum shall be attached for each pump station Iocated
between the project connection point and the WWTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer): Monroe WWTP
Downstream Permit Number: NC0024333
Page 1 of 6
FTSE 04-16

III. Certification Statement:
I Richard Riser 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,a astewater flow.
d7"
Signinf Officia'igndi e — Date
Page 2 of 6
FTSE 04-16