WQ0018708_Sewer Extension_20000810

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B: Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
August 10, 2000
D. S 1bPHEN JONES, PRESIDENT
LAKE CREEK CORPORATION
1000 BAY RIDGE ROAD
HARRELLS, NC 28/111
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NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: Permit No. WQ0018706
Lake Creek Corporation
Bay Tree Lakes, Sections llli, IIC,
and IHD
Wastewater Collection System Extension
Bladen County;
Dear Mr. Jones:
In accordance with your application received June 28, 2000, we are forwarding herewith Permit
,No. WQ0018706, dated August 10, 2000, to Lake Creek Corporation for the construction and operation
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issuance until rescinded and shall be subject to the conditions and limitations as specified therein.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 Permit Condition 2., which requires that the wastewater
collection facilities be properly operated and maintained in accordance with 15A NCAC 2H .0227 or
any individual system -wide collection 'system permit issued to the Permittee. Permit Condition 12.
stipulates that no more than 3,750 gallons per day of collected domestic wastewater may become
_tributary to the current wastewater treatment facility F(�NPDES. Perri it No. NE0036404' until_the
com.letion of the treatment facilities expans1on._PTease noteAer.,mtt Condition13.-which„statesithat,;a
treatment works expansionirha``` sr'n'6't be n
con pleted by the time theflowsereach •20 ,000 gallon per • ay', '
Permitting of this project does not constitute an acceptance of any part of the project that does
not meet 15A NCAC 2H .0200; the Division of Water .Quality's (Divi'sion) Gravity Sewer Minimum
Design Criteria adopted February 12, 1996 as applicable; and the Divisionis 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 iacdeptance 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. Failure to comply may result in penalties in accordance withINorth 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.
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,_perrinSsion is herebgranteo
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative,Action Employer 50% recycled/ 10% post -consumer paper

i
to the Lake:;Creek: Corporation for'the construction and operation of approximately 3,470 linear feet of 8
part of the Bay Tree Lakes, Sections` IIB-,-IIC, and IID project; ands
the ultimate;; discharge off 15,200.gall per day of collected dpinestic Ewastewater into the Lake Creek
LCo ation's existing sewerage system, pursuant to the application_ received June 28, 2000; aid° i
conformity with 15A NCAC 2H .0200; 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 Environmert and Natural Resources and
considered a part of this permit.
The sewage arid wastewater 'collected by ,this system shall be treated in the Lake Creek
Corporation Wastewater Treatment Facility (NPDES Permit No. NC0036404) prior to being discharged
into the receiving stream.
The Operational Agreement between the Perrnittee and the Environmental Management
Corninission is incorporated herein by reference and shall be a conditionlof this permit. Noncompliance
with the terms of the Operational Agreement shall subject the Permittee to all sanctions provided by
North Carolina General Statutes §143-215.6A to §143-215.6C for violation of or failure to act in
accordance with the terms and conditions of this permit.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the
right to request an adjudicator)/ hearing upon written request within 30 days following receipt of this
permit: This request must be in the form of a written petition, conforming to Chapter 150B of North
Carolina General Statutes, and filed With the Office of Administrative Hearings, 6714 Mail Service
Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and binding:
If you need additional information concerning this matter, plea
[phone] extension 524.
Sincer
err T. Stevens
contact Kristin E. Miguez at
cc:. Bladen County Health Departinent
Fayetteville Regional Office, Water Quality Section (WWTF Permit No. NC0036404)
T. Robert Lyons & Associates

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND, NATURAL RESOURCES
i I
RALEIGH
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
� I
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
following specified conditions and limitations:
1. This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2H .0200; the Division of Water
Quality's (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 unless
specifically mentioned herein.
2. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data.
3. The wastewater collection facilities shall be properly maintained and 'operated at all tithes. The
Permittee shall maintain compliance with an individual system -wide collection system permit for the
operation and maintenance of these facilities or with 15A NCAC 2H .0227 as follows:
a. The sewer systemshall be effectively maintained and operated at all times to prevent discharge
to land or surface waters, and any contravention of the groundwater standards in 15A NCAC
2L .0200 or the surface water standards in 15A NCAC 2B .0200.
A "map of the sewer System shall be developed prior to January 1, 2004 and shall be actively
maintained.
An operation and maintenance plan shall be developed and implemented.
I
d. Pump stations 'that are not connected to a telemetry system shallbe inspected at least three
times per week until July 1, 2000; thereafter, pump stations shall be inspected at least daily, as
defined in 15A NCAC 2B .0503(5), until July 1, 2001; and thereafter, pump stations shall be
inspected every day. 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-month period of time.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Inspection and maintenance records shall be maintained for a period of at least three years.
h. 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.

4: This permit shall not be 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.
5. Construction of the gravity sewers 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. - 1
ID Upon completion 'offcconstruction and'prior-to operation of theseese per'"- lt"ted-facihties, a, eertifieation3
a..co of the construcu'on record arawin s;: as well as supporting des .n calculations' fo an um
Py g PP g g
stations permitted as. part- of this project 'shall be received from; a North Carolina licensed
t?Prof� essional Engineer cent fyking that"t"h'e 'facilities ha�'�"ve been nst„ all.ed in�""'"a'c oTdance w�tla,{'thri'sj
permit; the certificate, of coverage; 15A` NCAC 2H .0200; thieTID1 on'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 Main adopted Junes 1, 2000 as applicable; and
other supporting materials. If this project is to be completed in phases and partially certified, you
shall retain the responsibility to track further construction approved under the same permit, and
shall provide a final certificate of completion once the entire project hasjbeen completed. A copy of
the construction record drawings, indicating the facilities constructed in the phase being certified,
shall be submitted with each partial certification. Mail the Engineers Certification, one copy of the
"Construction Record Drawings", and one copy of the supporting design calculations to the Non -
Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-161'7.
�;copy of theconstruction recor, drawings shall be maintained on file�by the Permittee for the lie
of the wastewater collection;faci'hitie
8. Failure to :abide by the conditions and limitations contained in (this permit; the certificate of
coverage; 15A NCAC 2H .0200; 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.
9. 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.
10. 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 other government agencies (local, state and
federal) which have jurisdiction, including but not limited to applicable river buffer rules in 15A
NCAC 2B .0200, erosion and sedimentation control requirements in 15A NCAC Ch. 4 and under
the Division's General Permit NCG0100000, and any requirement's pertaining to wetlands under
15A NCAC 2B .0200 and 15A NCAC 2H .0500.
11. Noncompliance Notification:
The Permittee shall report by telephone to the Fayetteville Regional Office, telephone number (910)
486-1541, as soon as possible, but in no ease more than 24 hours or on the next working day,
following the occurrence or first knowledge of the occurrence of either Of the following:
2

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 failure of a pumping station of sewer lineresulting in .a by-pass directly to receiving waters
,without treatment of all or any portion of the influent to such station or facility.
Persons reporting such occurrences by telephone shall also file a Written report in letter 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..
No more than 3,750 gallons per day of collected domestic wastewater may become tributary to the
current wastewater treatment facility (NPDES Permit No. NC0036404) ,until the completion of the
treatment facilities' expansion.
no -tap moratorium shall be imposed on the project if the treatment
completed by the time the flows reach 20,000 gallon per day.
works expansion has not been
Permit issued this the'enth day of August, 2000
NORTH OLINA E : e ► ' i NTAL MANAGEMENT CONIMISSION
.Kerr T. Stevens, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0018706
3

Permit No. WQ0018706
August 10, 2000
ENGINEER'S CERTIFICATION
Partial Final
I, .as •a duly "registered Professional Eng neer.in the State of North
Carolina; having been authorized to observe (periodically, weekly, full time) the construction of'the
project, for the
Project Name Location at d County
Permittee hereby state that, to the best of my abilities, duecare 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; the certificate of coverage; 15A NCAC 2H..0200; the Division of Water Quality's (Division)
Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as applicable; the Division's
Minimum Design Criteria for the Fast -Track Per hitting of Pump Stations and Force Mains adopted June
1, 2000 as applicable; and other supporting materials..
North Carolina Professional Engineer's seal, signature, and date:
The above Engineer's Certification shall be completed and submitted to the address below with one
copy of the "Construction Record Drawings" of the wastewater collection system extension as well as
supporting design calculations for any pump'stations permitted as part of this project. This project shall
not be considered complete nor allowed to operate until this Engineer's Certification and all required
supporting documentation have been received by the Division. 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.
NORTH CAROLINA DIVISION OF WATER QUALITY
WATER QUALITY SECTION
NON -DISCHARGE PERMITTING UNIT
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617

STATE OF NORTH CAROLA
COUNTY OF .Bladen ... -
114;47pc8., v _
Ju o.,SEC176N Y OD 1
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No oj Pem
OPRgTIO'vAL '�tE
AGREENT �ha,ve
nit/
This AGREEMENT made pursuant tb G.S. 143215.1 (di) and entered ;into this'1,3;., • day of
{ July ,19:98 , by and between the NorthCarolina .Environmental Management
Commusion,.an agency of the State of North Carolina, hereinafter kn n as, the CON,LtiIISSION; and
Lake Creek _ Corporation _. , 4 corporation/general partnership registered/licensed to do
business in the State of North Carolina, hereinafter lcriown as the DEVELOPER .
{ WITNESSET is
The DEVELOPER is the owner of the certain lands lying in B l d en County; upon
which it is ercc.ti.rig and will erect dwelling units and other improvements, said development to be lcown as
Bay Tree Lakes -. (het els-1 ftcr the Development).
•
• The DEVELOPER desires, to' construct a V.•astewater`collectiort system with pur*ips, wastewater treattent
works and/or disposal facilities (hereinafter Disposal System) to provide sanitary sewage disposal 'to serve
the Development on said lands.
The DEVELOPER has applied to the CONS`iISSION for the issuarrce'of a permit pursuant to G.S. 143-
215..1 to construct; 'maintain, and operate the Disposal System.
The DEVELOPER has created or shall create unit ownership in said dwellings units, other1mproy•dents
and lands through filing of a Declaradon of Unit Ownership (hereinafter Declaration);'pursuant to Chap:er
47C of the North Carolina General Statutes:
The DEVELOPER has caused to be formed or will -cause to be fortaed at the time of filing of the De 1aradon;
the (Unit Owners .Ass c.irYon) Lake. Creek._Corpor.at-ion , (hereinafter
Association) a non-profit corporation organized and existing Under:and by the virtue of the law s of the State
of North Carolina, for the purpose, among others, of handluig.theproperty, affairs and:business of the
Development; of operating, maintaining, re -constructing and repairing the common elements of the -lands
and tmpmvetnents subject to unit ownership, including the Disposal System; and of collecting dues and
assesstnents.tp provide funds for such operation, maintenance,. re construction and repair. The CONMSS'ION desires to assure that the Disposal Systcrn of the Developrnentis.properly constructed;
maintained and operated in accordance with law and permit provisions in order to protect the quality of the
waters of the State and the public interest therein.
NOW, THEREFORE, in conside Edon of the promises and the benefits; to be derived by each of the pa.ies-
hereto, the COMMISSION and DEVELOPER do:hereby mutually -agree as follows:
-1. The DEVELOPER shall construct the Disposal System orda tce;with the permit and plans and
specificadons hereafter issued and approved" by the COviMISSION; and shall thereafter properly operate
and maintain such systems and facilities in accordance with applicable permit provisions and law.
2. The DEVELOPER shall not transfer ownership and/or control of the Disposal System, to the Associadori
until construction has been completed in accordance with the per•rriit and approved plans, and the staff of the
Division of Environmental Management has'inspecteo and approved of the facilities. In order to change the
name 'of the permit holder, the DEVELOPER Must request.that the permit be reissued to the Association.
The request must include a copy of the Association Bylaws and Declaration. '
3. The DEVELOPER shall not u-ansfer, convey, assignor otherwise relinquish or release its esporsi' :Ltv for
the operation and maintenance of its Disposal System undl a -permit has been reissued to the DEVELOPER`
successor.

Tie DEVELOPER shall I. , videin the Declaration and Associatior, ,a flaws that the Disposal system and
• purtenances thereto • rated in conformity law:and thof the e provisions of theti elements and
Shall
rmit for � properly >naineaind and
ty permit r construction, operation, repair, and
maintenance of the `system and facilides, The Declaration and Bylaws shall identify the entire wastewater
treatment, collection and titsposarisy cil.l receive the highest priority
stem as a common elet�ent whi ,h�
expenditures by the Association except for Federal, State and Local taxes, and -insurance.
The DEVELOPER shall provide in the Declaration and Associationtylaws that the Disposal Systeta`will be
maintained out of the common expenses. In order to assure thatthere. shall be funds readily available to
repair, maintain or construct the.Disposal System; beyond the routine 'operation and maintenance expenses,
the Declaration and Association Bylaws shall provide that a fund be created out of the common expenses.
Such fund shall be separate from the routine maintenanceallocated for the facility and shall be part of the
yearly budget.
• In the event the common expense allocation and separate fund are mot'adequate for the construction, repair;
and maintenance of the Disposal System, the Declaration arid Association Bylaws shall provide for' special
assessments to cover such necessary' costs. • There shall be no limitjon the amount of such assessments, and
the Declaration and Bylaws shall pro'ide that such special assessments can be made as necessary at any
time.
If a wastewater collection system and wastewater treatment and/or disposal facilicy providedby any city,
town, village, county, water and "sewer authorities, or other unit .of government shall hereinafter becotoe
available to serve the Development; the DEVELOPER shall take such action as is necessary to cause the
existing and future wastewater of the Development CO be accepted and discharged into said governmental
system; and shall convey or transfer as much of the Disposal System, and such necessary easements as the
governmental unit may require as condition of accepting the Development's wastewater.
Recognizing that it would be contrary to the public interest and to the public health, safety and welfare for
the Association to enter -'into voluntary dissolution without having trade adequate provision for the continue
proper maintenance, repair and operation of its Disposal System; the DEVELOPER shall provide in the
Association Bylaws that the Association shall not enter into voluntary dissolution without first havth
transferred its said systern and facilities to sortie person, corporation or other entity acceptable to and
approved by the COMMISSION by the_issuarrce of a permit.
. The a„a•ectnentsset forth in nuttibered paragraphs 1, 2, 3;.4; 5, 6, 7, and 8 above shall be condidons of any
Permit issued by the CO`LviISSION to the DEVELOPER for the construction; Maintenance, repair and
operation of the Disposal System. ' - �'.
10. A copy of this ageernent shall filed at the Register of Deeds' in the ,County(ies) where the Declaration is filer
and in the offices of the Secretary of State of`North Carolina with the Articles of Incorporation of the
Association..
LtiT V'TI YES S WHEREOF, this agreement was executed in duplicate oriiginals by the duly authorized
tepresentadve of the parties hereto on the day and year written as indicate by each of the parries named below:.
Lake Creek Corporation
Name of D'evelo • r/Comp ... y
A. Preston I Io... drd, .L. P.L., Director Kerr T. Sie-vr-rn s Signature
Division of E nvirrti
tat Marra anent W r aUcdriy
78'- ot,
(Da::e) .
2.
Steve j;,ones, Presiden
Print Name and Tide
August'24, 1998
(Date

• •
State of North Carolina
Department Of. Environment,. health and Natural Resources
Division of Environmental Management
NON -DISCHARGE PERMIT. APPLICATION
GRAVITY SEWER COLLECTION SYSTEMS
This form may be photocopied for use as an original. Pump Stations, force mains and low pressure sewers
• (including S.T.E.P. systems) are not to be included as part of thisapplication package.
Any changes made to the content of this form shall not be allowed and will result in the
application being returned.
This application will not be accepted by DEM unless all of the applicable items are included
with the submittal. • — •
. -
I. REQUIRED ITEMS CHECKLIST:
Please indicate that you have read the f011owing list of application requiternaits by signing your initials in the space provided
next to each item.
1. One original and one copy of the completed and prOperly executed applicallonIforni.
2. The appropriate permit processing fee, in accordance with 15A NCAC 2H .0205(c)(5). The fee for
sewer extensions is $400. The fee for sewer extensions by partially delegated municipalities
(applies only to those governmental jurisdictions that hive specific delegation review authority,
as granted by the Division of Environmental Management) is $200.
3. If the owner/authority of the wastewater treatinent facility (WWIT) and/or collection system that will be
accepting the wastewater flow from this project is different from the applicant of the project, then a letter(s)
must be provided from the owner/autherity of the WWTF and/or collection system specifying the
volume of flow that will be accepted. The letter(s) should be recent (within one [1] year)and should'
refer to the project by the seine name as that identified on the application andihe Owis/specificatiOns. N/A
4. If the application is being submitted in the name of a privately owned public utillty, written
documentation must be submitted from the Utilities Commission which demonstrates that the utility
is authorized to hold the franchise for the area lobe served. In the case of contiguous service areas,
written documentation Must be proVided frcith the Utilities Commission acknowledging these arras
are covered under an existing franchise.
. • •
•
5. One original and two copies of a piciPerly:eitecuted Operational Agreement must be submitted if the
•• sewer extension will be serving single fainily residences, condominiums, or townhouses AND Utile
Subject sewer extension is owned by the individual residents, a hoineownets association, or a developer.
11.
• VA.D-Db k7
i• 1. Application Number (will be completed by DEM): _
2. Specify whether project is: X _ new modification:
4 •
PERMIT INFORMATION: •SOC Project:
. • existing permit number
4. Specify whether the applicant is: public x private. • •
5.[ Appliciiiitirc Da*-,K11,-.. 918 6. Fee Suomitt.ed: $ 400 . .00
,2
7. Cotuity(ies) where project is located: - - B1 a d en C ma n tli i _ _
' I
8. Applicant's Name (Pleasespecify the name of -the Municipality, cOrporation individual, etc.):
3. " If this application is being submitted as a result of a modification to an existingperrnit, please complete:
and permit issue datel
. i
. Lake Creek -Corporat-ion . ,-.
1
4
I ..
:-...
FORM: GSPA 02/96
Page 1. of 4 •
- -
1,400 copies of this docurnent were printed at a cog WI. 0117YR: es[17284. pVeo
N n.14(11:t. )p:Cto.;01,0

•
II. GENERAL INFORMATION:
•
3.
.:Iv. .INF
In
3.
4.
5.
6.
7.
`FOR•M:
Print Owners or Signing Official's•natne and title (the -person who is legally
Mr.Steve Joliet, President
responsible
for the facility and its compliance):
.. '
Mailing address: , 1000 Bay Ridge Road -,Bay Tree Lakes
'
City: .•Harrela ;" State: N_• C:., ._..
Zip, 444
• 28_...
Telephone Number. ( 910 __: " , _ _ ) - 5 8, 8 - 4 4 3 2
project plans,specificatio s,-eaters ofdflow anccepctance or establishment. Pro'e" t Name leases
the t name on -p Operational
Bay Tree Lakes, Sections.IIB,, IIC, - IID
The name should be consistent with
Agreements, etc.):
ORMATION ON WASTEWATER:
%
Industrial
1Vawie of Wasiswater r1. 0se, .. . R'o•DofnesticjCoiiicaeicial _ _ _ _..,.--
._.%Other
,
gallons per day.
Volume of wastewater generated liy this- ''pio}ect:. 154i,2 0 0" _ - ...
Explanation of how wastewater volume was determined:.: _ ... _.
3.8. ;u rr• ... 4 0 O ,loll, Air4 7. d'a v _._ :
Name -of wastewater treatment facility receiving wastewater. - ` Bay T r,
e e
Lakes
Owner of wastewater tteax ment facility: ._ - Lake Creek Corporation
; .
Facility Permit Number. NCO° :... •3.6 4 0 4 or
WQ
norinal
_ . _ _ : _ ._
Indicate any parameters (and their concentrations) which will be greater than
domestic levels:._ N/A . , ...... .
If wastewater is not domestic in nature. what level of pretreatment has been
wastewater treatment facility? - . . •_ _ _._ .- - - • ' _ ._ . ' - _;.... _...-._
provided
to' ensure protection of the receiving
.. _ .. - ...
.
If a pretreattnent pennit is required, has one been issued? Yes
No. If Yes, please Iigch a copy of
thepretreatinent peanut. If No, when will tine be issued?. -
age 2 of 4

#4
IE
NA,!, DESIGN INFORMATION:
it;
!f!
t�
•
1. Summary of GRAVITY SEWER to be permitted, by diameter and length:
Diameter (inches)
8
Length(linearfeet)
3, 470..
2. Are there any sections of the Gravity Sewer Minimum Design Criteria or 15A NCAC 2H .0200 with which the subject
wastewater collection system will not be able to comply? Yes X ! No. If Yes, please identify and explain:
IMPORTANT:
If you responded Yes to question V.2 above, the completed application package,
0'• including two (2) copies.. of plans. specifications. supporting information and
any other materials, should be submitted for an ,iindividual permit.
it
i,.
FORM: GSPA 02/96
Page 3 of 4
;;i

VI. CERTIFICATIONS:
iNameand Complete Address of Engineering Film: . T . Robert Lyons and
1125 East _ Morehead Street, Suite 210..._
My: .. Charlotte
Telephone Number. ( 7 0 4
i. .
Professional Engineer's Certification:
•i' T, Rabert`Lzon's
Jigo
Stater..
358-8024_
N.
•
As
, attest that this application for
sociates
Zip:.. 2 8 204
Sewer
Extensions, Bay Tree Lakes
Chas been reviewed by me and is accurate and complete. I further attest the proposed design has been prepared in accordance with the
'applicable regulations and the North Carolina Gravity Sewer Minimum Design Criteria adopted February 12,1996. Although certain
portions
d seal of
gnif es than I have reviewed this material and have judged it to be onsistent with lotion of these design.
under my signature
package may developed by J professionals,
th the proposed design..
North Carolina Professional Engineer's Seal, Signature, and Date: .otottii:a; 74;
i•
Applicant's Certification:.
Steve Jones
a -
•_.,attest that this application for
i- ._.Bay Tree _Lakes _ .._ _ _ '•
g
ttasapplicationp requ pporun infonnation and attachm I is not i that id,a this required d pants of this
been reviewed by me and is accurate and complete to the best of my knowledge.
are notcom leted and that if all � Supporting attachments are not included, application package
will be returned to me as incomplete Upon 'al) oval and completed construction, I will operate this system in accordance with the
Notch .. • wecti . f rmit . etnents.
Sewer Extensions, -
gnatare
�:. THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULDBE SENT TO THE -FOLLOWING ADDRESS:
NORTH CAROLINA DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER . QUALITY SECTION •
PERMITS AND ENGINEERING UNIT
POST OFFICE BOX 29535 1/ RF
RALEIGH, NORTH -CAROLINA 27626-053k%�
TELEPHONE NUMBER: (919) 733-508342�s o
�T.
sORM GSPA 02/96
Page 4 Of 4