WQ0038422_Regional Office Historical File Pre 2018

Water awe
ENVIRONMENTAL. GIJALITY
May 2, 2016
Robert Jensen, Superintendent
Ryan Companies US, Inc,
2324 \founts Road
Indian Trail, NC 28079
PAT MCCRORY
Gwernor
VAN DER VAART
Secretary
S. JAY ZIMMERMAN
Director
Subject: Permit No. WQ0038422
Ryan Companies US, Inc.
2228'founts Road, Indian Trail
Domestic Wastewater Pump & Haul Permit
Union County
Dear Mr, Jensen:
In accordance with your application received (4/21/2016) we are forwarding herewith Permit No.
WQ0038422, dated May 2, 2016, to Ryan Companies US, Inc. for the time -limited operation of a domestic
wastewater pump and haul operation. This permit shall be effective from May 2, 2016, will expire on
June, 17 2016, and shall be subject to the conditions and limitations as specified therein. This cover letter
and supplement shall be considered a part of this permit and are therefore incorporated therein by
reference.
Please pay particular attention to the following conditions contained within this per
Condition 1.1:
The Permittee or its representative shall inspect the permitted pump and haul facilities at
least daily to prevent malfunctions and deterioration, operator errors, and discharges
that may cause or lead to the release of wastes to the environment, a threat to human
health, or a nuisance condition.
Condition I1.1: An accurate record of the pump and haul activities must be maintained by the Perrnittee,.
indicating; Date and time wastewater is removed from the facility; Name of contract
hauler; Name of facility receiving wastewater; & Volume of wastewater removed.
Condition 11.14: This permit shall expire June, 17 2016. Should the pump and haul activities stop prior to
the date of expiration send written notification to the Mooresville Regional Office, Water
Quality Section notifying them of that the permit is no longer required and detailing the
final disposal solution.
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 1506 of North Carolina General
State of Noth Carolina I Envirmtunenta& Quality I Water' Resources
161 i Mail service. Center ,Raleigh, North Carolina 27699-1611
919 $07 6300

Ryan Companies US, Inc.
Permit No WQ0038422
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,
jor S. Jay Zimmerman,
*"..- Director, Division of Water Resources
W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office
Division of Water Resources, NCDEQ
cc: MRO Files
Water Resources Central Files
Attention Diane Rodman
Page 2 of 7

Water Resources
ENVIRONMENTAL QUALITY
DOMESTIC WASTEWATER PUMP & HAUL 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 the
Ryan Companies US, Inc.
for the construction and operation of a domestic wastewater pump and haul operation to serve 2228
Younts Road, consisting of two 1000 gallon tanks with an estimated total storage capacity of 2000 gallons.
The facility from which pumping will occur shall include a minimum 24 hours storage with on -site audible
and visual high water alarms. The anticipated flow for this pump and haul operation is expected to be 250
gallons per day of domestic wastewater, pursuant to the application received April, 21 2016 and in
conformity with 15A NCAC 02T 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 May 22, 2016, will expire on June 17, 2016, and shall be subject to the
conditions and !imitations as specified therein.
orb. Jay Zimmerman, P.G.
Director, Division of Water Resources
By Authority of The Environmental Management Commission
Permit Number: WQ0038422
Permit Issued: May 2, 2016
Page 3 of 7

SUPPLEMENT TO PERMIT COVER SHEET .
Ryan Companies US, Inc. is hereby authorized to:
Construct and operate the aforementioned domestic wastewater pump and haul operation. The
wastewater collected by this system shall be pumped and hauled to Rocky River Wastewater Treatment
Facility (Permit No. NC0036269) for final treatment.
It shall be the Permittee's responsibility 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 facilities,
and/or referral of the North Carolina -licensed Professional Engineer to the licensing board.
Construction and operation is contingent upon compliance with the Standard Conditions and any Special
Conditions identified below.
i. SPECIAL CONDITIONS
1. The Permittee or its representative shall inspect the permitted pump and haul facilities during pump
and haul activities to prevent malfunctions and deterioration, operator errors, and discharges that
may -cause or lead to the release of wastes to the environment, a threat to human health, or a
nuisance condition. The Permittee shall maintain an inspection tog or summary including at least:
a. Date and time of inspection;
b. Observations made;
c. Any maintenance, repairs, or corrective actions taken by the Permittee.
The Permittee shall maintain this log of inspections for as long as the pump and haul activities are
being conducted and shall be made available to the Division or other permitting authority, upon
request. [15A NCAc 02T .0204(d)]
2. The Mooresville Regional Office, must be notified at least 48 hours prior to the commencement of the
pump and haul activities so that a site inspection may be performed. [15A NCAC 02T .0110]
3. This permit shall become voidable unless the agreement between Ryan Companies, Stevens Septic
Services, and the Rocky River WWTP for the collection, transportation, and final treatment of
wastewater is in full force and effect. [15A NCAC 02T.0204(b)]
II. STANDARD CONDITIONS
1. An accurate record of the pump and haul activities must be maintained by the Permittee, indicating:
a. Date and time wastewater is removed from the facility;
b. Name of contract hauler;
Page 4 of 7

c. Name of facility receiving wastewater;
d. Volume of wastewater removed.
The Permittee shall maintain this log for as long as the pump and haul activities are being conducted
and shall be made available to the Division or other permitting authority, upon request. [15A NCAC
02T .0108]
2. This permit shall not be transferable. In the event there is a desire for the 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 an application fee, 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)]
3. The Permittee shall provide for the installation and maintenance of an audible and visual high-water
alarm on all storage and pumping facilities associated with this pump and haul operation. [15A NCAC
02T .0204(c)]
4. This permit shall become voidable unless the subject pump and haul activities are carried out in
accordance with the conditions of this permit; 15A NCAC 2T; and other supporting materials unless
specifically mentioned herein. [15A NCAC 02T.0110]
5. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data. No type, kind or quantity of wastewater other than the
pumped and hauled wastewater from the facility shall be included in these pump and haul activities.
[15A NCAC 02T .0110]
6. The wastewater collection facilities shall be properly maintained and operated at all times. Adequate
inspection, maintenance, and cleaning shall be provided by the permittee to insure proper operation
of the subject facilities. [15A NCAC 02T .0403]
7. The Permittee shall report by telephone to a Water Resources staff member at the Mooresville
Regional Water Resources Section, telephone number 704-663-1699, as soon as possible, but in no
case more than 24 hour, following the occurrence or first knowledge of the occurrence of either of
the following:
a. If the flow volume estimated above is exceeded by any amount on any day; or
b. Any process unit failure, due to known or unknown reasons, that renders the facility incapable
of adequate wastewater storage, such as failures of tanks, piping, pumps, aerators,
compressors etc.; or
c. Any failure .of a pumping station, sewer line, etc., resulting in a spill or by-pass directly to
receiving waters without treatment of all or any portion of the influent to such station or
facility; or
d. Any SSO and/or spill over 1,000 gallons; or
e. 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
Page 5 of 7

knowledge ofthe occurrence. This report must outline the actions taken orproposed tobetaken to
ensure that the problem does not recur. Part ||ofForm CS'S8O(or the most current Division approved
forrn)cmna|nubepumnpletedtoshom/thattheS8Owasbeyomdcontmn|.[G.S.143'2l5.1C(al)]
8, Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 02T;and other
supporting materials may subject the Pernn|ttee to an enforcement action by the Division, in
accordance with North Carolina General Statutes 8143'I1S.6/\through §143'215.6[,construction of
additional or replacement wastewater collection facilities, and/or referral of the North Carolina -
licensed
dl 9. In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the Pennit1ee shall cease operation nfall pump and haul activities
and 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 NC4CQ2T
Dl Any duly authorized officer, employee, or representative of the Qk/|yion of Water Resources may,
upon presentation of credentials, enter and inspect any property, premises,orplace onnrrelated to
the pump and haul collection facilities at any reasonable time for the purpose of determining
compliance with the Division's approval; may inspect orcopy any records that must be maintained
under the terms and conditions of this permit; and may obtain samples. [15A NCAC 02T.0110]
11. The issuance of this permit shall not exempt the Renmitteefmmcomplying 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 maybe required
by the Division or any other Federal, State, of Local government agencies. [G.S. 143-215.1(b)]
12. Operation of this permit is based on acceptance of the certification attached to this permit,completed
by the 9enmittee and a North Carolina licensed Professional Engineer. Note that a completed
certification is only required for activities that met the definition of the Practice of Engineering in
accordance with G.S, 89C-3. In some instances this certification may not be required.
1,3. Acopy this permit, and approved plans and specifications (if applicable) shall bemaintained onfile bv
14. This permit shall expire June 17,ZO16. Should the pump and haul activities, stop prior tothe date of
expiration send written notification to the Mooresville Regional office, Water Quality Section
notifying them ofthat the permit isnolonger required and detailing the final disposal solution. [15A
Page 6 of 7

DOMESTIC WASTEWATER PUMP & HAUL ENGINEERING CERTIFICATION
This certification shall be completed and submitted to the appropriate regional office for activities that
result in the Practice of Engineering in accordance with G.S. 89C-3. In some instances this certification
may not be required.
PERM1TTEE:
PERMIT #:
PROJECT:
ISSUE DATE:
RYAN COMPNIES US, INC.
WQ0038422
2228 YOUNTS ROAD, INDIAN TRAIL
May 2, 2016
This project shall not be considered complete nor allowed to operate until the Division has received this
Certification. It should be submitted in a manner that documents the Division's receipt. Send the required
documentation the Regional Supervisor, Water Quality Section at the address at the bottom.
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 pump and haul system permitted herein or portions thereof.
Printed Name, Title
Signature Date
ENGINEER'S CERTIFICATION •
!, , as a duly registered Professional En ineer in the State of North Carolina,
having been authorized to observe (❑ periodically, ❑ weekly, L 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 2T and -
other supporting materials.
North Carolina Professional Engineer's Seal w/signature & date:
Final ❑ Partial (include description)
Certification Comments/Qualifiers (attach if necessary):
NC Division of Water Resources — Water Quality Section - 610 East Center Ave Mooresville, NC 28115
Mooresville Regional Office
Phone: [phone] FAX: [phone]

Central Files: APS _ SWP
5/2/2016
Permit Number WQ0038422 Permit Tracking Slip
Program Category Status Project Type
Non -discharge Active New Project
Permit Type
Wastewater Pump and Haut
Primary Reviewer
orltuvia
Coastal SWRuIe
Permitted Flow
250
Facility
Version Permit Classification
1.00 Individual
Permit Contact Affiliation
Facility Name Major/Minor Region
Ryan Companies Minor Mooresville
Location Address County
2324 Younts Rd Union
Facility Contact Affiliation
Indian Trail NC 28079 Robert Jensen
Owner
2324 Younts Rd
Indian Trail
NC 28079
Owner Name
Robert Jensen
Dates/Events
Owner Type
Individual
Owner Affiliation
Robert Jensen
2324 Younts Rd
Indian Trail
NC 28079
Orig Issue
5/2/2016
App Received Draft Initiated
4/21/2016
Scheduled
Issuance Public Notice Issue Effective Expiration
5/2/2016 5/2/2016 6/17/2016
Regulated Activities Requested /Received Events
Pump and haul
Wastewater collection
Outfali
RO staff report received
RO staff report requested
Additional information requested
Additional information received
4122/16
5/2/16
Waterbody Name
Streamindex Number Current Class Subbasln

Division of Water Resources
IN
State of North Carolina
Department of Environmental Quality
Division of Water Resources
NCAC 02T tlx,WASTEWATER PUMP AND HAUL SYSTEMS
MKS FOR FO!
01-16 & SUPPORTING DOCUMENTATION
Documents shall be prepared in accordance witfa A �iT .9 °A ART,, 0t, and Division policies. Failure to
submit all required items will necessitate additional processing and review time. For more information, visit the Wastewater
Branch's ttgklist or contact the Regionel eg serving your county.
General — This permit application applies to all pump and haul activities of wastewater under the authority of the Division on Water
Resources. Permit coverage is required for the system producing the wastewater. This permit does not apply to the transport of
animal waste from an animal waste management systems, not the transport of wastewater residuals or biosolids.
NOTE: Pump and haul permits afire rioeptable long term domestic wastewater treatment alternatives and snly be issued
in cases of environmental emergencies, nuisance conditions, health problems, or for unavoidable delays in construction of system
previously permitted by the Division.
The A
n
hall submit Marie on final and
lcaticin and su
A. Pre -submittal Contact & Cover Letter
5) Contact the appropriate Regional Office prior to submittal
0 Submit a cover letter explaining the circumstances associated with this pump and haul per rrrit request
Application Fee (Domestic Wastewater Only)
Submit a check made payable to: North Carolina Department of Fnironn
n
(NCDEQ)
appropriate application fee is: $810,00 for flows < 10,000 GPD and $1,310 for flauvs > 10,000 GPD
C. Wastewater Pump and Haul (FORK: P&H 01-16) Application:
51 Submit the completed and appropriately executed Wastewater Pump and Haul (FORM: P&H 01-1fi) application. Any
unauthorized content changes to this form shall result in the application package being returned. If necessary for clarity or
due to space restrictions, attachments to the application may be made, as long as the attachments are numbered to
correspond to the section and item to which they refer
D. Receiving Fadilty Letter:
,E Submit a letter from the owner/authority of the receiving wastewater treatment facility, as required by 5A NC,AC 02T
,0 ?84 (b), stating that the pumped and hauled wastewater will be accepted and specifying the volume and type of
wastewater that will be accepted. The letter should be signed by an authorized signing official in accordance with 1 A
E. Contract Hauler Letter:
Submit a letter from the hauler stating their capability and
n
rforrn the pump and ha
ter shall include: Owner/Company Name, Contact information, & Hauling Volume of Vehicle(s)
Certifications:
ig The Applicant's Certification on Page 4 of the application shall be signed in accordance with 1.5A NCAC Qa iw. cili)k(b1. Per
`9A NLA P sT 0tc cj an alternate person may be designated as the signing official if a delegation letter is provided from
a person who meets the criteria in 15A NCAC 02T ,0106(b)
© The Professional Engineer's Certification on Page 5 of the application shall be signed, sealed and dated by a lelereh,Lereeleree
d. Pr ofr ion9 rAgl ¢ e!ra (if required)
G. Plans and Specifications (Required for activities that result in the Practice of Engineering per G.S. 89C-3):
In Submit two sets of plans and specifications (signed, sealed and dated by a N (_ lefeneed Peote es peel rtlatil su)
5a Plans must include:
r A general location map
Diagram of the components associated with the pump and haul activity (drains, piping, tanks, pumps, etc)
is Tank Details that indicate high water alarm
Y Other items as required
INSTRUCTIONS FOR APPLICATION P&H Ci-l6
Page 1 of 5

ION PACKAGE INCLDING.ALL SUPPORTING INFORMATION AND MAT
APPROPRIATE REGIONAL OFFICE:
pry
Industrial Pump and Haul Activities
Per I` A NtA( 0 1,....0203(Aj(a' industrial pump and haul activities are deemed permitted provided the following criteria is met:
The facility notifies the appropriate Division regional office in writing advising of the type of operation, type and quantity of
wastewater generated, location, and the receiving wastewater treatment facility„ A letter from the facility accepting the
wastewater (type and quantity) specifically agreeing to accept wastewater from the applicant shall be included.
The wastewater does not contain any human waste.
i The waste is collected and discharged into a sewer or treatment system designed and permitted to accept the type of
wastewater being pumped and hauled,
The pump and haul activity is not to alleviate a failing wastewater system.
The Division regional office concurs in writing that the activity meets the criteria art this Rule.
CONTACT THE REGIONAL OFFICE PRIOR TO INITIATING ANY INDUSTRIAL PUMP AND HAUL ACTIViTES. SUBMITTAL OF THiS
APPLICATION/DOCUMENTS AND WRITTEN APPROVAL IS STILL REQUIRED FOR INDUSTRIAL PUMP AND HAUL ACTIVMES
THE COMPLETED APP
e Regional Office
duality Operations
Fayetteville Regional Office
Water Quaf y Operations
ADDRESS
IALS, SHOULD BE SENT TO THE
2090 US Highway 70
Swannanoa, North Carolina 28778
[phone]
[phone] Fax
225 Green Street Suite 714
Fayetteville, North Carolina 28301
[phone]
[phone] Fax
610 E. Center Avenue
Mooresville, North Carolina 28115
[phone]
(7OI4) 663-6040 Fax
al 1628 Mail Service Center
lity Operaticoros Raleigh, North Carolina 27699-1628
[phone]
[phone] Fax
Regional Office 1943 Washington Square Mari
u:ality Operations E Washington, North Carolina 27889
[phone]
[phone] Fax
on Regional Office
utility Operations
127 Cardinal Drive Extension
mington, North Carolina 28405
796-7215
350-20 y Fa.x.
es Mill Road
uite 300
inston-Salem, North Carolina 27105
)-776-9800
COUNTIES SERVED
Avery, Buncombe, Burke, Caldwell, Cherokee,
Clay, Graham, Haywood, Henderson, Jackson,
Macon, Madison, McDowell, Mitchell, Polk,
Rutherford, Swain, Transylvania, Yancey
den, Cumberland, Harnett, Hoke,
ntgomery, Moore, Robeson, Richmond,
pson, Scotland
Alexander, Cabarrus, Catawba, Cleveland,
Gaston, Iredell, Lincoln, M
Startly, Union
burg, Rowan,
Durham, Edgecombe, Fra
Granville, Halifax, Johnston, Lee, Nash,
Northampton, Orange, Person, Vance, Wake,
Warren, Wilson
Beaufort, Bertie, Camden, Chowan, Craven,
Currituck, Dare, Gates, Greene, Hertford, Hyde,
Jones, Lenoir, Martin, Pamlico, Pasquotank,
Perquimans, Pitt, Tyrrell, Washington, Wayne
Brunswick, Carteret, Columbus, Duplin, New
Hanover, Onslow, Pender
Ae, Alleghany, Ashe, Caswell, Davidson,
Davie, Forsyth, Guilford, Rockingham, Randolph,
Stokes, Surry, Watauga, Wilkes, Yadkin
INSTR TIONS FOR APPL,ICATiON P&H 01-16
Page 2 of 5

"Pr.
PRESUBMITTAL INFORMATION:
1. Contacted representative from regional office (Pre -submittal)?: " Yes Q No
2. Contact name (For Regional Office): QA T"UW A
1I. APPLICANT INFORMATION:
1. Applicant's name (Municipality, Individual orporatio, etc): kJ
2. Applicant type: Municipal State Privately -Owned Public Utility
Q County J Other. D
Origin of Wastewater
© Residential Subdivision Retail (Stores, Shopping Centers) Domestic:
0 Apartments/Condominiums D Institution Commercial:
Q Mobile Horne Park D Hospital Industrial:
Q School E Church Other
© Restaurant Ej Nursing Home
© Office Other (spec
4. Signature authority's name: per ISA NC' ' 02... .,m0;
Title: r71)'PG. fi
S. Applicant's mailing address: '114 YOU k-a`T
State: Zip: - Di`
6, Applicant's contact informati
Phone number:
IIL CONTACT/CONSULTANT INFORMATION:
1. Contact name: R.C'(?.7-" 3[ r\..'CC )
Title/Affiliation: State t~J
2. Contact's inforn1atQn:
Phone number: ( ) _ Email:.
Ernai
iv. RECEIVING FACILITY INFORMATION:
If more than 1 facility has agreed to accept the wastewater, please
numbers as a separate attachment)
1. Owner: *arms
2. Facility name: Rocky River Waste ' ter Treatment Plant
3. Facility permit number: NC 036269
4. WWTF permit number: NC 269
5,. WWTF contact name; Beverly Meteal.
Title/Affiliation: Environmental EFIS.Complianc finer
6. WWTF contact information:
Phone number: [phone]
extension 1 1 2
the owners
acili
100 %
names, and permit
APPLICATION P ;H 01-16 Page 3 of 5

. PROJECT INFORMATION:
1. Location of Project (physical address):
Younts Road, Indian Trail NC
Approximate Coordinates (Decimal Degrees): Latitude: . o Longitude: -
2. Duration of Pump and Haul Request (Six Months Typical): X
3. Has a prior permit been issued? E New El Prior Pump & H u Permit
Permit No.:
4. Perrnanent Method of Wastewater Disposal: Waste Treatment Plant
S. Date Permanent Disposal will be available: 4.14,U /
6. Have permits / approvals for permanent disposal been obtained?
D Yes E No Permit Number:
7. Is there a Pretreatment Program in effect? Yes j No
8. Describe any pretreatment prior to pumping and hauling:
9. Volume of Wastewater Generated: I 0 c7,,, Gallons per Day
10. Explain how the wastewater flow was determined: El 'LSI\ INcAcfl2Tp:L14 or [1 Representative Data
If representative data, describe:
11. Describe Tank / Container wastewater will be pumped from (attach description if necessary):
2 ,:q•-);:, 6 L.Lc» Tt'L} 1.4 .c,"-;
12. Is Tank / Container in place or will it be installed (attach description if necessary):
L-11 PLAccs: sE ATT.4.C.1--kE
11 What type of high water alarm does the container have (and/or):
NAudible and Visual Ej Telemetry (Auto Dialer / SCADA)
VI. CERTIFICATION:
Applicant's Certification: (Signature of Signing Official and Project Name)
kec.',A0C-/Pr'iss/
1, rl--0134:(2=i-J&iSGW , attest that this application for (2,l4)--1 c,,yr,,p,tspv-2-: has been reviewed by me and
is accurate and complete to the best of my knowledge, 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 issuance of a permit will require pump and haul facilities or
activities to be inspected at least daily by me or a designated representative. Note: In accordance with North Carolina
General Statutes 143-45,6,,k and 1: .21.5,6B, any person who knowingly makes any false statement, representation, or
certification in any application shall be guilty of a Class 2 rnisdemeanoe, which may include a fine not to exceed $10,000 as
well as civil penalties up to $25,000 per violation.
ENGINEERING DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL
ACTIVITIES SHALL BE INSPECTED AT LEAST DAILY BY THE PERMITTEE OR IT'S REPRESENTATIVE PER ISA.
APPLICATION P&H 01-16
Page 4 of 5

..L,) ppHEor ;--,t);
ENGINEEki—CEFITFIeATIOI81 IS REQUIRED FOR ACTIVITIES THAT RESULT IN THE PRACTICE OF ENGINEERINGPERG.—S.BBC-3.
ENGINEERING DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL IF CERTIFICATION BY AND ENGINEER IS REQUIRED,
THIS PAGE IS NOT NECESSARY.
2. Professional Engineer's Certification: {Signature of Design Engineer and Project Name)
d.
,attest that this application for has been reviewed by me and
is accurate, complete and consistent with the information in the engineering plans, calculations, and all other supporting
documentation to the best of my knowledge. 1 further attest that to the best of my knowledge the proposed design has
been prepared in accordance with all the applicable regulations. 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 NC General Statutes
145 and ).<E3 21,5„0, any person who knowingly makes any false statement, representation, or certification in any
application shalt be guilty of a Class 2 misdemeanor which may include a fine not to exceed S10,000 as well as civil penalties
up to $25,000 per violation.,
Professional Engineer Name
Engineering Firm
ailing Address
City
2g. 2h„
Telephone Facsimile
2e, 2f,
State Zip
2i.
E-mail NC PE Seal, Signature & Date
APPLICATION P&I-I 01-16
Page 5 of 5

200'5 De
AFF,i
I
GENERAL NOTES:
Design specifications conform to latest ASTM C1227 specifications Precast Concrete OUTLET
Water and Wastewater Structures"
Concrete compressive strength 4,000 psi minimum,
Steel reinforcing design to conform to the requirements of ASTM C890 specifications for
"Structural Design Loading for Water and Wastewater Structures" and shall utilize grade
60 re -bars conforming to the requirements of ASTM A615 or WWF conforming to the
requirements of ASTM A185 or both, Place Additional reinforcing at all openings.
Optional Cast Iron casting with 24" dia, access in top section per NCDOT standards or
optional 20" round EZ set lid or as otherwise specified. Supplied by either Dellinger Precas
or customer. To be field adjusted using approved methods by contractor.
Pipe penetration locations as per job requirements. Pipe inlet and outlet locations to
have PSX Direct Drive boots or equal. Pipe Inlet locaions (typical 3 sides) to be knock
out pannels. Effluent Filter supplied by Dellinger, Inlet Tee & Pipe supplied by contractor
Joints to be sealed with ConSeal CS102. butyl rubber joint sealant or
equal, Sealant meets or exceeds the requirements of latest federal
specification SS-S-0021(210-A). AASHTO M-'198B,
and ASTM C-990-91,
Lift Insert / Lift Eye Pin by M,A Industries or equal,
Cast -in by Dellinger Precast. Lifts meet or exceed
OSHA requirements.
Method of namufacture is Wet Cast.
Sections are monolithic, Weights:
Top Section 4,271 t lbs.
Base Section 4,426 ± lbs.
I.D. = Inside dimension
0,D. = Outside dimension
L = Length
W = Width
H = Height
NOTES 3 & 4
IMPRINT:
STB-79
1000 Gal,
4" OUTLET
EFFLUENT
FILTER
NOTES3&5
is
30% LIQUID
DEPTH FROM
TTOM, BOTH
ES, NOTE 10
4" WIDE
SLOT
3" THICK
WALLS TYP,
ELEVATION -
OPTIONAL
a
NOTE 3
4" THICK BAFFLE
@ BASE & TOP
1,000 Gallon (Mid Seam)
SEPTIC TANK
North wy 'ii1 - Denver, N.C. 28037 " Phone:
704-48-28+68 " Fax:[phone]
ROUND LID
22" DIA
TOP &
BOTTOM
DIM'S
4 KO INLET
(TYP. 3 SIDE)
TEE - SEE
NOTES 3 & 5
446.
2"x61/2"
VENT AT TOP
OF BAFFLE
TOP
SECTION
MID SEAM
DIM'S
NOTE 6
BASE
SECTION
Scale:
Not To Scale
Rvlion Date:
February 2008
II#
Si`-1.t1

by AFPIts
appianen
GENERAL NOTES:
Design specifications conform to latest. ASTM C1227 specifications "Precast Concrete OUTL
Water and Wastewater Structures"
Concrete compressive strength 4,000 psi minimum,
Steel reinforcing design to conform to the requirements of ASTM C890 specifications for Q
"Structural Design Loading for Water and Wastewater Structures" and shall utilize grade
60 re -bars conforming to the requirements of ASTM A615 or WAIF conforming to the
requirements of ASTM A185 or both, Place Additional reinforcing at all openings.
Optional riser or optional 24" round EZ set lid, Supplied by either Dellinger Precast or
customer. To be field adjusted using approved methods by contractor.
Pipe penetration locations as per job requirements, Pipe inlet and outlet locations to
have PSX Direct Drive boots or equal. Pipe Inlet locaions (typical 3 sides) to be knock
out pannels. Effluent Filter supplied by Dellinger. Pipe supplied & installed by contractor.
Joints to be sealed with ConSeal CS102. butyl rubber joint sealant or equal: Sealant
meets or exceeds the requirements of latest federal specification SS-S-0021(210-A),,
AASHTO M-198B, and ASTM C-990-91.
Lift Insert 1 Lift Eye Pin by M.A industries or equal, tl•
Cast -in by Dellinger Precast, Lifts meet or exceed
OSHA requirements,
Method of namufacture is Wet Cast,
Sections are monolithic, Weights:.
Top Slab 1,712 t lbs.
Base Section 5,865 ± lbs.
0, I.D. = Inside dimension
O.D. = Outside dimension
L = Length
W = Width NOTES
H=Height 3&4
OPTIONAL
RISER DETAIL;
NOTE 6—
OPTIONAL
ROUND LID
26" DIA
3" THICK
WALLS TYP,
ri
IMPRINT:.
PT-283
1,000 Gal,
4" OUTLET
NOTES
3 & 5
1,000 Gallon (Top Slab)
PUMP TANK
ELEVATION
NOTES 3 & 4
TOP
SLAB
NOTE 3
TOP DIM'S
4" KO INLET
(TYP. 3 SIDE)
SEE NOTES
3&5
NOTE 6
NOTE 3
3" THICK.
WALLS TYP.
BOTTOM DIM'S
BASE
SECTION
Not To S
vision Date:
February 2008
Detail #
45 1 No ftt f iw1 16 • Denver, N.C. 28037 • Phone: [phone]i6 72ii68 • Fax83-2363 PT- t ,(','tit -TS

V. PRt ll CT N ORMATlON:
1, Loeatii n of Project (physical address):
3.
Approximate Coordinates (Decimal Degrees): Latitude:
Duration of Pump and Haul Request (Six Months Typical) k
2 New
Has a prior permit been issued?
0P
Permit No..
Permanent Method of Wastewater Disposal. a4 T : t e t l,ant
5. Date Permanent Disposal will be available:
6. Have permits / approvals for permanent disposal been obtained?
Yes Ei No Permit Number .,,.'" + 7?�
7„ Is there a Pretreatment Program in effect? Yes
8. Describe any pretreatment prior to pumping and hauling:
9„ volume of Wastewater Generated 45 4:7a Gallons per Day
10.. Explain how the wastewater flow was determine.,A,.;
If representative data, describe Ft
11. Describe Tank / Container wastewater will be pumped from (
Th
12. Is Tank / Container in dace or
be installed (attac
at. type of high water alarrrw ds'the container
Audible and Visual Telemetry (Atata Dialer/ SCADA)
Longitude:°
0
Representative Data
description if necessary):
ption if nec
Applicant"s Certification: (Signature of` Signing Official and Project Name)
test that this application for LL:- has been reviewed by me and
my knowiedge 6 understand that if aft retired parts of this application are not
orti:ng documentation and attachments are not incit€ded, this application package is
subject U a ttetrg retwai°tm as incomplete. I understand that issuance of a permit will require pump and haul facilities or
activities to be inspected at least daily by me or a designat: l representative, Note: In accordance with North Carolina
General Statutes .43µ2,1„,s w aatl ``sus r t any person who kraowingty makes any false statement, representation, or
certification in any application shall be guilty of a Class 2 misdemeanor,, which may include a fine not to exceed $1O r:ll as
wwe3l as civil penalties up to $2S OOo per violation.
ENGINEERING DOCU El Mtr T CofillPtE^
PECTED AT LEAST DAILY YPERlytft"TEE OR
t CA'TI ON P&l^d d 1 mm 1 Cm
Rttti2ft'tt; USNlt"fTA
REIf R!SEN rATt "E l
Pager 4 of 5

Project !physical acid
Yawns 1 acL <Tr c
Apprc irnateCoordinates (Decimal Degrees): Latitude; 0 longitude:
2; Ouratirre of Pump and Haul Request ('Six Months Typical): X
3. Hasa lam permit been iced? New Q Prior frump i& Haul Peri
Putt No.;
4, Pernaethod of Wa
Tay
lent
S. Date Permanent Disposal will be available: f) t L
6. Have permits / approvals for permanent disposal been obtained?
Yes 0 No Permit Number 0 L L
7. is there a Pretreatment Program in effect? El Yes No
8, Describe any pretreatment prior to pumping and hauling;
9. Volume of Wastewater Generated: -16 Gallons per Day
10. Explain haw the wastewater flow was determined: 0 A i2T ...Q.t,14 or 0
If representative data, describe; P4 6-
. Oe r be Tank / Container wastewater wit i be pumped from ati descriptors if
y Is Tank / Container in place or will it be installed (attach description if nasal:
C)L,L,C ._ ` 47": 4 C i4z-t
. what type of high water alarm dos the container have (arid/air):
[52Audilole and Visual
APAi.lCATION P&Ii 01-16
0 Telemetry (Auto Dialer / S A A)
Data
Page 4af5

Stevens Septic Services
3317 New Salem Road
Monroe, NC 28110
[phone]
Contractors Permit NC # 00939
Maintenance Agreement for Pump and Haul
State of: N. L Qa
County: Union
This agreement is made and entered in this _.e day of rfl, 2016, by and
between 80114P CIL !r LEO O penr ' - ' , e S_; S outh ern
illinneapo 3m2.11.12 and Terry Stevens with Stevens
Septic Service.
The owners own the property at Traiis QynaALAd
Indian Trail, North Carolina.
trasztors Qbligtion
• The contractor shall perform pump services when need at the above
address.
• The contractor should keep a log of when the system is being pumped.
• The Septic Tanks are a Total of 2000 gallon capacity.
54att19Jt
• The owner shall pay $450.00 each visit. We will invoice and email or mail
invoice once the performed pump service is completed. All payments are
due within 30 days.
• The owner shall provide the contractor with such access to system as is
reasonably necessary for the contractor to comply with the terms of this
agreement.

The Parties represent to each other that each has the power, authority and legal
right to enter into and perform its obligations as set forth in this Agreement.
IN TESTIMONY WHEREOF, the Parties hereto have executed this Agreement in
duplicate originals, one of which is retained by each of the Parties, the day and
year first above written.
Witness:

.ATSACC
ISO 940M:2004 + NC Star Public Sector
April 20, 2016
Bob Jensen, Superintendent
Ryan Companies US, Inc.
50 South Tenth Street, Suite 300
Minneapolis, MN 55403-2012
SUBJECT: AUTHORIZATION TO DISCHARGE
Dear Mr. Jensen:
WATER &SEWER AUTHORITY
OF CABARRUS COUNTY
Office: 2a2 Davidson Hwy,
Concord, NC 28027
Mail to: P.O. Box 428
Concord, NC 28026-0428
704,786,1783 # 704.705.1564 Fax
www.wsacc.org
The Water and Sewer Authority of Cabarrus County hereby approve Stevens Septic
Services to discharge domestic wastewater pumped from Trails Dynasty, located at 2228 Younts
Road, Indian Trail, North Carolina to the Rocky River Regional Wastewater Treatment Plant in
accordance with their Contract Septage Hauler Discharge Permit #SP118.
If you have any questions or need further assistance, please contact me at (704) 788-
4164, ext. 112 or email [e-mail].
wsacc.org.
Sincerely,
Beverly K. Metcalf
Environmental Health & Safety
Compliance Manager
BKM
cc: Stevens Septic Services

Vensen
From: Bob Jensen
Sent Tuesday, March 22, 2016 4:44 PM
To: Tuvia, Ori A
Subject RE: Union Prep. Union-2'016-034
Attachments: Pages from 5498 lmdian Trail Charter School - Signed 2016-02-19,pdf
Please find attached applicable Civil drawings showing location of septic field with respect to erosion control and
utilities. As you will see the septic field/drain line is in the same area as utility work, temporary and permanent erosion
ponds, and the parking I,ot, which involves substantial grading and storm sewer work. The permanent sewer is
scheduled to be complete and connected to the adjoining property by May 15. There really is no way to build
everything that goes into this area without removing the system for a period of time to allow other storm, water and
sanitary work. Also I am concerned that if the system got compromised or damaged that any leakage would run off into
the erosion basin due to the current grades and erosion control design. As I said the system is volume is low, there are
two 1000 gallon tanks which need to be pumped and hauled 2 to 3 times per month. The tanks are on/and serving the
adjacent property so they can be maintained undisturbed as it is outside of our work iimits.
Let me know your thoughts or if you need more information..
Thanks
Bob Dense `I Supe3
bob.jenserj@ryancor
RYAN
anies,cona
From: Allocco, Marcia [mailto:marcia.do
Sent: Tuesday, March 22, 2016 2:28 PM
To: Bob Jensen
Cc: Tuvia, Ori A
Subject: RE: Union Prep. Union-2016-034
Mr. Jensen,
I have attached a factsheet regarding the pump and haul permit Issued by staff with the Water Quality Regional
Operations Section of the Division of Water Resources in our Mooresville regional office. The links in the factsheet
refer back to the legacy version of the DEQ website that was recently relaunched so it is not up-to-date. Therefore,
you will need to speak with Ori Tuvia (permitting engineer for DWR) to discuss your need for the permit and to
obtain the necessary application paperwork. I have copied Uri on this e-mail and he can also be reached at (704)
235-2190.
Please let me know if you need any additional assistance,

0
DEMOLITION PLAN
r4wortor
CAC
CleiXELaY
131.10
64.43
INMAN TRAIL CARTER K-8
Indian Trail, UnicCounfy,NC
Ryan Campanili US, Inc.
101 E Kennedy Erfk, Suite 2450
Tampa, FL 33502

prw..ww gV ar•ffw.-r+aerwWM.ti Gr.. mi.,. sa• w... w♦ Ay d,
•
.12:1M•9.
660
. NOwN •
SITE PLAN
▪ ., ec
°m ruw
a.�.mw wq
AY WY.
♦
INDIAN TRAIL C94RTER K-8
Indian Tmlf, Unia County,NC
Ryan Company US, Inc.
101 E Kennedy Bit, Suite 2450
Tempa,'FL 33602
•
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ROME RR Mt MONACO /p 0111.4 1.10.12011,,1001%. MAMA, 111.11.
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EROSION CONTROL NOTES •
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CaisniuccoN NOTES d. SECILIENCE:
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• Ptak jai or
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� •. ra.r
o. ipo orgsropTcA PROP. OPEN SPACE/
1.0 caner alpha A TREE GAVE AREA - •.
LCeav o too NAL sl
PROP. TDIP
OLT ME dwa
Paw lop OMAN pDIM
A COMET eIPASS °Al
au-anm nm+mry a A.so la Rao
rI ROMAX O P•1
•
PROP, OPEN SPACE/ ^.-
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rrlEr. maw momollOi �
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•
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PROP. OPEN SPACE
PROP; OPEN SRAOE/
TREE SAVE AREA
MAN
Disturbed Area: 10.48 AC.
N11orlan.ribelow.
Call boon yoump.
CAll16146114L7ORIli
1mmattoaG
rrsym n
GENERAL NOTES:
I. or a van. meet POMMY r.6NmO NOv.ayl lmeeya iY
a PM .Pw as •. VI/i Mal e - -O eAMfG3 0 WCImrC
11.2.30
l ▪ oe mommom ' of AP Mr Naar. IX..P Ra O., Ma WMr oaa.
mon swo.>.1 Uwe ram vECP.p. �^-.w.fo. Mr Pa
LPIPI x...a mnm.. aosur wr w.ve..a.a.zw.ra.aa
ri aP...a al.me+.csn. Moanal..rOut ulna!as w..vv
r<lwor r.al r ammo ro .. uaw c.moor.
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ma w paw w apmrmK .fir m orwv�pl
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ra.Puolm nor +Rra..wm. •TavucrT wrr vwaa o.w®
41.MIL=MLIC �.0 V< [MDR rAm a.'. .n =KO .....m\"AA.e.e o�Saa
w t:nax+a. R. PC. OWN, OIRa.ar.oao.
.Ir.aelai mu RA Yr nm•a r,pmmovm. MT
noana. ieer por loam.
ac. ,L92 n m a PRANG o-..W..
ER051ON CONTROL NOTES
ALL RAM
mam rum awl or mover=. Rmr �m.mmi mm'� MP
nw...ci.am.
a =RN MX= ri woe..l.+ar. aea.n.i P%t sans
� ▪ Ebrowt. rn meows Es ma.= evernmEa nu Raw=our
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•
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sam°�
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a au awl
.PPIPPMIII `xasmbr.P.P.P°m .'v a M01121`.:rr mmo.w awn.
CONSTRUCTION NOTES MIMIC .0 PIM ve. a.wwa
u+su ermuo c�maw..ir.�o Mar
m>o a male..'( "w
own.00lRyl.O. mN.wptIul store Wow® o OW v.maamw-0
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▪ v �wfmaiow e o
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▪ ... sr, mamaea: arvk eseEte Rae o.ma.naILE▪ X MD f•Wr t YAM
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a.. sodr�f°w"'. r.:�srwo..mr u: P.M ""io. ONPI'PPP mom a. a
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Wee
-•mace.[ maw.. Rupp;
�[.— NOr0110 ed.r[w I NUL aan T lOOt
pm, EtW34 rat b' >a01 PIPENNE, lag
ma wUna vmaea.lca .Nor® rev UN CLUMP lore
0 1.......nems,..L I XwonraNON
- l0OTO. 6m. .caao roe
GPAPNJC SCALE
I. )
a
4
g
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vb 'Rd v4 '_* 1A Y.4d'e`um'G'6ERtFiF �Rb x,{: WiU ui AA
APANS SU". Rvl4V 'a W A RA.A ,RAM VAt A.M. i It. 1 nk. mArm
S,,,P6A-AAA. AKA °R ^NJ4'ht
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- 6*t M`,tOA h aS'M e rPo
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Know whirrs beIQw.
Ca wan you dig,
CALL I-W 124W ilR A11
NC CNECALL CENTER
1714NE 4ANN

Stevens Septic Services
3317 New Salem Road
Monroe, NC 28110
[phone]
Contractors Permit NC # 00939
Maintenance Agreement for Pump and Haul
State of: liortbSearan
County:n
This agreement is made and a din this
between
Street Suitt 300, n inne�s�yG► ,.
Septic Service.
The owners own the property at Traits ■ ynasty
Indian Trail, North Carolina.
nte
day ofAga 2016,byand
1c.d�de0igTenth
and Terr r Stevens with Stevens
• The contractor shall perform pump services when need at the above
address.
• The contractor should keep a log of when the system is being pumped.
• The Septic Tanks are a Total of 2000 gallon capacity.
owner s _Obligation
• The owner shall pay $450.00 each visit. We will invoice and email or mat
invoice once the performed pump service is completed. All payments are
due within 30 days.
• The owner shall provide the contractor with such access to system as Is
reasonably necessary for the contractor to comply with the terms of this
agreement.

e resentatiorls
The Parties represent to each other that each has the power, authority and legal
right to enter into and perform its obligations as set forth in this Agreement.
IN TESTIMONY WHEREOF, the Parties hereto have executed this Agreement in
duplicate originals, one of which is retained by each of the Parties, the day and
year first above written.
(Owner)
Witness:
(Conlritetor
Witness:

VWSACC
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ISO 14001:2004 a NC Star Public Sector
April 20, 2016
Bob Jensen, Superintendent
Ryan Companies US, Inc.
50 South Tenth Street, Suite 300
Minneapolis, MN 55403-2012
SUBJECT: AUTHORIZATION TO DISCHARGE
Dear Mr. Jensen:
WATER & SEWER AUTHORITY
OF CABARRUS COUNTY
Office: 232 Davidson Hwy.
Concord, NO 28027
Mail to: P.O. Box 428
Concord, NC 28028-0428
704.786.1783 i 704.795.1564 Fax
VATAW acc.org
The Water and Sewer Authority of Cabanas County hereby approve Stevens Septic
Services to discharge domestic wastewater pumped from Trails Dynasty, located at 2228 Younts
Road, Indian Trail, North Carolina to the Rocky River Regional Wastewater Treatment Plant in
accordance with their Contract Septage Hauler Discharge Permit #SP118.
If you have any questions or need further assistance, please contact me at (704) 788-
4164, ext. 112 or email BMetcalf(wsacc.org.
Sincerely,
Bevrly K. Metcalf
Environmental Health & Safety
Compliance Manager
BKM
cc: Stevens Septic Services

Bob Jensen
From: Bob Jensen
Sent Tuesday, March 22, 2016 4:44 PM
To: Tuvia, Ori A
Subject RE: Union Prep. Union-2016-034
Attachments: Pages from 5498 Imdian Trail Charter School - Signed 2016-02-19.pdf
Ori,
Please find attached applicable Civil drawings showing location of septic field with respect to erosion control and
utilities. As you will see the septic field/drain line is in the same area as utility work, temporary and permanent erosion
ponds, and the parking lot, which involves substantial grading and storm sewer work. The permanent sewer is
scheduled to be complete and connected to the adjoining property by May 15. There really is no way to build
everything that goes into this area without removing the system for a period of time to allow other storm, water and
sanitary work. Also I am concerned that if the system got compromised or damaged that any leakage would run off into
the erosion basin due to the current grades and erosion control design. As I said the system is volume is low, there are
two 1000 gallon tanks which need to be pumped and hauled 2 to 3 times per month. The tanks are on/and serving the
adjacent property so they can be maintained undisturbed as it is outside of our work limits.
Let me know your thoughts or if you need more information.
Thanks
Bob Jensen I Superintendent
Ryan Companies US, Inc. 1 50 South Tenth Street, Suite 300, Minneapolis, MN 55403-2012
651-955-1738 mobile [phone] fax
bob.iensenO,rvancompanies.com
YAN
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From: Allocco, Marcia [maiIto: marcia.allocco atncdenr.aov]
Sent: Tuesday, March 22, 2016 2:28 PM
To: Bob Jensen
Cc: Tuvia, Ori A
Subject: RE: Union Prep. Union-2016-034
Mr. Jensen,
I have attached a factsheet regarding the pump and haul permit issued by staff with the Water Quality Regional
Operations Section of the Division of Water Resources in our Mooresville regional office. The links in the factsheet
refer back to the legacy version of the DEQ website that was recently relaunched so it is not up-to-date. Therefore,
you will need to speak with Ori Tuvia (permitting engineer for DWR) to discuss your need for the permit and to
obtain the necessary application paperwork. I have copied Ori on this e-mail and he can also be reached at (704)
235-2190.
Please let me know if you need any additional assistance.
1

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TRANSMITTAL
ORSBORN ENGINEERING GROUP
610 EAST MOREHEAD STREET, SUITE 106 Project: 15034
Concord Airport Business Park Phase
CHARLOTTE. NORTH CAROLINA 28202
PHONE 704.749,1432
FAX [phone]
To: NCDENR Date: 04,22.2016
Fast Track Per 'fitting
610 East Center Ave, Suite 301 Sent Via: FedEx
Mooresville, NC 28115
Date Description
® For Approval
For Your Use
As Requested
Fast Track Certification
As-Builts
Q For Review and Comment
D Approved as Submitted
Approved as Noted
Call if you need anything else.
Copied To: Signed:
Returned for Corrections
[1 Returned After Review
Resubmit for Approval

CrOV177DIN ODE NRIDWR
R 0 S
MOO R E SVf L E EG *NAL OFFIC E

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