WQ0035749_Engineering Certification_20230721

Initial Review
Reviewer
nathaniel.thornburg
Is this submittal an application? (Excluding additional information.) *
Yes No
If not an application what is the submittal type?* Annual Report
Residual Annual Report
Additional Information
Other Engineering Certification
Permit Number (IR) * W00035749
Applicant/Permittee North Carolina Department of Transportation
Email Notifications
Does this need review by the hydrogeologist? * Yes No
Regional Office
CO Reviewer
Admin Reviewer

Submittal Form
Project Contact Information
Please provide information on the person to be contacted by NDB Staff regarding electronic submittal, confirmation of receipt, and other correspondence.
Name* Justin Johnson
Email Address*
[e-mail]
Project Information
.........................
Application/Document Type*
New (Fee Required)
Modification - Major (Fee Required)
Renewal with Major Modification (Fee
Required)
Annual Report
Additional Information
Other
Engineering Certification
Phone Number*
704-380-6050
Modification - Minor
Renewal
GW-59, NDMR, NDMLR, NDAR-1,
N DAR-2
Residual Annual Report
Change of Ownership
We no longer accept these monitoring reports through this portal. Please click on the link below and it will take you to the correct form.
https:Hedocs.deq.nc.gov/Forms/NonDischarge Monitori ng_Report
Permit Type:* Wastewater Irrigation High -Rate Infiltration
Other Wastewater Reclaimed Water
Closed -Loop Recycle Residuals
Single -Family Residence Wastewater Other
Irrigation
Permit Number:* WQ0035749
Has Current Existing permit number
Applicant/Permittee Address* 1536 Mail Service Center, Raleigh NC, 27601
Facility Name* NCDOT DGS and HOS Class A Residuals Program
Please provide comments/notes on your current submittal below.
This submittal is for the additional information of the engineering certification and as built plans for Statewide Permit Number W00035749 for
operations along 1-40 in Iredell County.
At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg
at [e-mail].
Please attach all information required or requested for this submittal to be reviewed here.
(Application Form, Engineering Plans, Specifications, Calculations, Etc.)
Engineer Certification Asbuilt Plan 7.19.23.pdf 8.11 MB
Upload only 1 PDF document (less than 250 MB). Multiple documents must be combined into one PDF file unless file is larger
than upload limit.
* By checking this box, I acknowledge that I understand the application will not be accepted for pre -review until the fee (if required) has
been received by the Non -Discharge Branch. Application fees must be submitted by check or money order and made payable to the
North Carolina Department of Environmental Quality (NCDEQ). I also confirm that the uploaded document is a single PDF with all parts
of the application in correct order (as specified by the application).
Mail payment to:
NCDEQ — Division of Water Resources
Attn: Non -Discharge Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Signature
OIL"* 0194'"AIW
Submission Date 7/21/2023

ATTACHMENT B — APPROVED TEMPORARY STORAGE STRUCTURES
North Carolina Department of Transportation Permit Number: WQ0035749
Certification Date: July 13, 2023 Version: 2.2
ENGINEERING CERTIFICATION
❑ Partial N Final
1 Casey P. Hurley , as a duly licensed North Carolina Professional
Engineer, having ❑X periodically / ❑ fully observed the construction of the permitted modifications, do
hereby state to the best of my abilities that the facility was constructed in compliance with G.S. 143-215.1,
Administrative Code Title 15A Subchapter 02T, this permit, and the Division -approved plans and
specifications.
Documentation of any variation to this permit, and the Division -approved plans and specifications, is in the
attached as -built drawings.
Description of variations:
Revisions are noted on the attached.
(70
Casey P. Hurley
Professional Engineer's Name
The Lane Construction Corp. N/A
Firm Name Film No.
1203 Free Nancy Ave
Address
Statesville
City
919-279-7264
Telephone
NC
State
28677
Zip Code
[e-mail]
Email
CARO
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Seal, Signature, and Date
THE PERMITTEE SHALL SUBMIT THE COMPLETED ENGINEERING CERTIFICATION, INCLUDING
ALL SUPPORTING DOCUMENTATION, VIA THE NON -DISCHARGE ONLINE PORTAL.
WQ0035749 Version 2.2 Attachment B Page 3 of 3

PUMP
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REVISIONS:
1) A CHAIN LINK FENCE HAS
BEEN ADDED AROUND THE
CONTAINMENT BASINS.
2) THE USE OF COIR FIBER
BAFFLES IN THE
CONTAINMENT BASIN IS AN
APPROVED OPTION PROVIDED
THEY ARE DRAPED FROM
ABOVE.
3) A DEPTH GAUGE WILL BE
PAINTED ON THE WALLS OF
EACH OF THE BASINS TO
MONITOR FREEBOARD.
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Cb
W
iu cox r BASINaDB1
MAIN CONTAINMENT BASIN:
DESIGN DIMENSIONS ACTUAL (AS -BUILT DIMENSIONS)
BOTTOM: 194' LONG X 49' WIDE 188.5' LONG X 44.4' WIDE
9' TO 1 V DEPTH WITH 2:1 SIDE SLOPES 8.9' TO 1 V DEPTH
TOP: 230' LONG X 85' WIDE 229' LONG X 85.1' WIDE
VOLUME: 4,771 CY (963,482 GAL) < 5,133 CY (1,036,726 GAL)
TWIN EVAPORATION BASINS:
DESIGN DIMENSIONS (TYPICAL) EVAPORATION BASIN #1 (AS -BUILT DIMENSIONS) EVAPORATION BASIN #2 (AS -BUILT DIMENSIONS) — - - -
BOTTOM: 38' LONG X 13' WIDE 29.6' LONG X 4.9' WIDE 32.9' LONG X 8.1' WIDE
3' DEPTH WITH 2:1 SIDE SLOPES 4.2' DEPTH 4.2' DEPTH
TOP: 50' LONG X 25' WIDE 49.7' LONG X 24.5' WIDE / \ 48.9' LONG X 24.6' WIDE
VOLUME: 94 CY (19,029 GAL) <_ 106 CY (21,407 GAL) ✓ �o°` % 114 CY (23,083 GAL) ✓ JD
F
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0304
4'
NCDENR Application No.:
WQ0035749
As -Built Dimensions of DIGS
Calculated By:
Date:
Drawn By:
.i
LANE ol�
NCDOT Contract No.: C204163
Management System
Date:
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NCDOTTIP No.: 1-3819B, U-6039
Checked By:
NCDOT Resident Engineer
Submitted To:
Date:
Statesville, Iredell County, NC
Revision No.:
124 Prison Cam P Rd, Statesville, NC 28625

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