WQ0035251_Permit (Issuance)_20210427

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North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Govemor Director Secretary
April 27, 2011
Henry Braswell, Chairman
Fork Township Sanitary District
PO Box 1515
Goldsboro, NC 27533
Subject Permit No. WQ0035251
Fork Township Sanitary District
O'Reilly Sewer Service Extension Sewer
Wastewater Collection System Extension
Wayne County
Final Engineering Certification - Notice of Receipt
Dear Permittee:
The Division received a final engineering certification for the subject project on April 6, 2011. Enclosed is a copy
of the certification page for your records. A full review of the certification materials may or may not be conducted.
It is' assumed that receipt of this certification indicates compliance with all regulations, design criteria and the
permit. Please be reminded that the Permittee is responsible for keeping a copy of the final record drawings for
the life of the project. If you have not received such copy from your consultant, please contact them immediately
to obtain a copy.
Lastly, you are receiving this letter because the Division has you listed as the responsible party. If this permitted
system is no longer owned by you, please complete Form PNOCF-S as this permit is not automatically
transferable. Form PNOCF-S can be downloaded from http://h2o,enr.state.nc.us/peres
If you have any questions concerning this document or the completion of Form PNOCF-S (if necessary), please
contact Thom Edgerton at [phone] or via E-mail at thom.edoerton(i)ncdenr.gov.
Sincerely,
011CYY\
Thom Edgerton
Environmental Engineer
Cc: vWaR0 / DWQ File (all documents)
Frank Tyndall Lewis, PE (McDavid Assodates, Inc., PO Box 1776, Goldsboro, NC 27533) No enclosures
City of Goldsboro, PO Drawer A, Goldsboro, NC 27533-9701 (copy of certification page)
North Carding Division of Water Qua8ty
943 Washington Square Melt
Wastdrpion, NC 27889
An Equal Opportimity/A rmalve Action Employer — 60%
Internet wvvw.ncwateraualriv.arn
Phone: [phone]
FAX [phone]
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Permit No. WQ0035251
March 1, 2011
ENGIN R'S CERI1HCA11ON
Complete and submit this form to the permit issuing office (address below) with the following:
• One copy of the project record drawings (plan/profile views and detail drawings of sewer lines) of the wastewater
collection system extension. Final record drawings should be clear on the plans. Record drawings should indicate the
design and the marked up changes during construction.
• Supporting design calculations (selected pumps, system curve, operating point, available storage if portable
generator(s) or storage greater than longest past three year outage reliability option selected) for any pump stations
permitted as part of this project
• Changes to the project should be dearly identified on the record drawings or in written summary form. Permit
modifications are required for any changes resulting in non-compliance with this permit, regulations or minimum design
criteria. Modifications should be submitted prior to certification.
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. Therefore, It Is highly recommended that this certification
be sent in a manner that provides proof of receipt by the Division.
ENGINEER'S CERTIHCATION
❑ Partial ® Final
F. Tyndall Lewis , as a duty registered Professional Engineer in the State of North Carolina, having been authorized
to observe (❑ periodically, ❑ weekly, full time) the construction of the O'Reilly Sewer Service Extension Sewer, Wayne
County project, consisting of 177 linear feet of 12-inch gravity sewer, for the 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; 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.
North Carolina Professional Engincor's
seal, signature, and date:
APR 06 2011
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
NORTH CAROLINA DIVISION OF WATER QUALITY
WASHiNGTON REGIONAL OFFICE - SURFACE WATER PROTECTION SECTION
ATTN: REGIONAL SUPERVISOR
943 WASHINGTON SQUARE MALL
WASHINGTON, NC 27889
The Permittee is responsible for tracking all partial certifications up until a final certification is received. Any wastewater flow made tributary
to the wastewater collection system extension prior to completion of this Engineer's Certification shot! be considered a violation of the
permit and shall subject the Permittee to appropriate enforcement actions.
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