WQ0028605_Owner (Name Change)_20231002

CSD
ENGINEERING vED
RECE
September 29, 2023 3J 2 523
NCOECIAMRI PDES
Michael Montebello, Engineering Supervisor I
North Carolina Department of
Environmental Quality
Division of Water Resources
512 N. Salisbury St. Suite 925
Raleigh, North Carolina 27604
Re: Montclair Subdivision (Formerly Plant Court)
Project Name Change (WQ0028605)
k.
Pender County
CSD Project No. 04-0026
Dear Mr. Montebello:
We recently submitted a permit modification package to the Wilmington Regional Office as related to updated
construction plans for this project. The project was issued a public sewer permit in 2005 in the name of the City of
Wilmington but was never constructed. Upon creation of the Cape Fear Public Utility Authority(CFPUA),the permit
would have been administratively transferred to CFPUA. During the review for the permit modification, it was noted
that there was a new name for the project. As a result,the reviewer requested that we either keep the old name or
submit a name change application so the modified permit can be issued with the new name of the development. The
new public sewer main will be constructed within a public right-of-way. Enclosed for your review and approval please
find the following items:
- Original and one (1) copy of the completed and executed Ownership/Name Change Form (PNOCF 01-16)
- Two (2) copies of the current permit (WQ0028605)
If you have any questions or comments, please feel free to contact us. Please copy Tyler Benson in the Wilmington
Regional Office when the name change is issued. Thank you for your assistance.
Sincerely,
1,
e5
Mike Broyhill
Engineering Technician
Encl.: As noted above
Cc: Cape Fear Public Utility Authority;Tyler Benson (NCDEQ)
3805 Cherry Avenue-Wilmington, NC 28403-910 791 4441-www.csd-engineering.com—License#C-2710 GSD
ENGINEERING

--mmummin
State of North Carolina
DWR
EGE vED Department of Environmental Quality
Division of Water Resources
OCT 0 2 Zozn SEWER SYSTEM PERMIT OWNERSHIP/NAME CHANGE
Division of Water Resources INSTRUCTIONS FOR FORM: PNOCF 01-16
P ID �INPDES
This form is for ownership changes or na PI DV*of a sewer system permit. Please note that"Permittee" references the
existing permit holder,and that"Applicant" references the entity applying for the ownership/name change.
Sewer permits start with a WQ or WQCS and contain the terms sewer extension or collection system in the subject field. This
form should not be used for permits with NC,NCG,SW or other types of non-sewer permits beginning with WQ.
For more information, visit the Division's Water Quality Permitting's website:
A. Sewer System Permit Ownership/Name Change(FORM: PNOCF 01-16)Application(All Applications):
® Submit an original completed and appropriately executed application(PNOCF 01-16).
• The Existing Permittee's Certification shall be signed in accordance with 15A NCAC 02T .0106(b). Per 15A NCAC 02T
.0106(c), 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).
El The Applicant's Certification shall be signed in accordance with 15A NCAC 02T .0106(b). Per 15A NCAC 02T .0106(c),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).
B. Existing Permit(All Applications):
El Submit a copy of the most recently issued permit and certification.
C. Property Ownership Documentation(All Applications):
➢ The Applicant shall demonstrate they are the owner of all property containing the sewer system facilities:
❑ Legal documentation of ownership(i.e.,GIS,deed,article of incorporation,or contract),or
D Written notarized intent to purchase agreement signed by both parties with a plat or survey map,or
❑ Approved board minutes
D. Certificate of Public Convenience and Necessity(All Applications where the Applicant is a Privately-Owned Public Utility):
❑ Per 15A NCAC 02T .0115(a)(1), provide one copy of the Certificate of Public Convenience and Necessity from the North
Carolina Utilities Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served
by the non-discharge system.
E. Operational Agreements(Applications where the Applicant is a Home/Property Owners'Association or Developer of lots to be
sold):
➢ Home/Property Owners' Associations
❑ Per 15A NCAC 02T .0115(c),submit an original properly executed Operational Agreement(FORM: HOA).
❑ Per 15A NCAC 02T .0115(c), submit an original proposed or approved Articles of Incorporation, Declarations and By-
laws that contain the language required by the Operational Agreement.
➢ Developers of lots to be sold
❑ Per 15A NCAC 02T .0115(b),submit an original of the properly executed Operational Agreement(FORM: DEV).
F. Package Submitted in Duplicate
® Submit a copy of all required documents in Instructions A-E as required
THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION SHALL BE SUBMITTED IN DUPLICATE
TO:
NCDEQ-DWR
Water Quality Permitting Section
PERCS Unit
By U.S.Postal Service: By Courier/Special Delivery:
1617 MAIL SERVICE CENTER 512 N.SALISBURY ST.
RALEIGH,NORTH CAROLINA 27699-1636 SUITE 925
RALEIGH,NORTH CAROLINA 27604
TELEPHONE NUMBER: [phone]
INSTRUCTIONS FOR APPLICATION PNOCF 01-16 Page 1 of 1

State of North Carolina
Department of Environmental Quality
Division of Water Resources
DW R SEWER SYSTEM PERMIT OWNERSHIP/NAME CHANGE
Division of Water Resources INSTRUCTIONS FOR FORM: PNOCF 01-16
I. EXISTING PERMITTEE INFORMATION:
1. Permittee's name:Cape Fear Public Utility Authority
2. Signature authority's name:Jeff Theberge,PE per 15A NCAC 02T .0106(b)
3. Signature authority's title:Engineering Manager
4. Permittee's mailing address: 235 Government Center Drive
City:Wilmington State:NC Zip:28403-
5. Permittee's contact information: Phone number:[phone] Fax Number( )
Email Address:[e-mail]
II. APPLICANT INFORMATION:
1. Applicant's name: Cape Fear Public Utility Authority
2. Signature authority's name:Jeff Theberge,PE per 15A NCAC 02T .0106(b)
3. Signature authority's title:Engineering Manager
4. Applicant's mailing address:235 Government Center Drive
City:Wilmington State:NC Zip:28403-
5. Applicant's contact information: Phone number:[phone] Fax Number( )_-
Email Address:jeff.theberge()cfpua.org
6. Representative's name: CSD Engineering-Howard Resnik,PE
7. Representative's title: Principal
8. Representative's contact information Phone number:[phone] Fax Number(910)791-1501
Email Address: [e-mail]
III. PERMIT INFORMATION:
1. Existing permit number:WQ0028605 and most recent issuance date:April 29,2005
2. Reason for the permit application:Name Change If other, attach detailed explanation
3. Has the facility been constructed? ❑Yes or®No
4. Has the facility been certified per 15A NCAC 02T.0116? ❑Yes or®No
FORM: PNOCF 01-16 Page 1 of 2

IV. CERTIFICATIONS:
Existing Permittee's Certification per 15A NCAC 02T.0106(b):
I,Jeff Theberge,PE,Engineering Manager attest that this application
(Signature Authority's name&title from Application Item I.2&3)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that prior to reissuance of the permit
into the Applicant's name, I will continue to be responsible for compliance with the current permit and any discharge of wastewater
from this system to surface waters or the land may result in an enforcement action that may include civil penalties, injunctive relief,
and/or criminal prosecution. I will also make no claim against the Division of Water Resources should a condition of the existing permit
be violated. I also understand that if all required parts of this application are note completed and that if all required supporting
information and attachments are not included,this application will be returned to me as incomplete.
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 fme not to
exceed$10,000 as well as civil penalties up to$25,000 per violation.
Signature: ?41
/ II log!_ Date: 9/2 9)2?
Applicant's Certification per 15A NCAC 02T.0106(b):
I,Jeff Theberge,PE,Engineering Manager attest that this application
(Signature Authority's name&title from Application Item II.2&3.)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that after issuance of the permit into
the Applicant's name, I will be responsible for compliance with the issued permit and any discharge of wastewater from this non-
discharge system to surface waters or the land may result in an 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 143-215.6B, 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 fme not to
exceed$10,000 as well as civil penalties up to$25,000 per violation.
Signature: N Il1(iA t Date: V2.1 2,3
FORM: PNOCF O1-16 Page 2 of 2

State of North Carolina
DWR Department of Environmental Quality
Division of Water Resources
SEWER SYSTEM PERMIT OWNERSHIP/NAME CHANGE
Division of Water Resources INSTRUCTIONS FOR FORM:PNOCF 01-16
This form is for ownership changes or name changes of a sewer system permit. Please note that"Permittee" references the
existing permit holder,and that"Applicant" references the entity applying for the ownership/name change.
Sewer permits start with a WQ or WQCS and contain the terms sewer extension or collection system in the subject field. This
form should not be used for permits with NC,NCG,SW or other types of non-sewer permits beginning with WQ.
For more information, visit the Division's Water Quality Permitting's website:
A. Sewer System Permit Ownership/Name Change(FORM: PNOCF 01-16)Application(All Applications):
® Submit an original completed and appropriately executed application(PNOCF 01-16).
® The Existing Permittee's Certification shall be signed in accordance with 15A NCAC 02T .0106(b). Per 15A NCAC 02T
.0106(c), 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 Applicant's Certification shall be signed in accordance with 15A NCAC 02T .0106(b). Per 15A NCAC 02T .0106(c),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).
B. Existing Permit(All Applications):
® Submit a copy of the most recently issued permit and certification.
C. Property Ownership Documentation(All Applications):
➢ The Applicant shall demonstrate they are the owner of all property containing the sewer system facilities:
Legal documentation of ownership(i.e.,GIS,deed,article of incorporation,or contract),or
❑ Written notarized intent to purchase agreement signed by both parties with a plat or survey map,or
❑ Approved board minutes
D. Certificate of Public Convenience and Necessity(All Applications where the Applicant is a Privately-Owned Public Utility):
❑ Per I 5A NCAC 02T .0115(a)(1), provide one copy of the Certificate of Public Convenience and Necessity from the North
Carolina Utilities Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served
by the non-discharge system.
E. Operational Agreements(Applications where the Applicant is a Home/Property Owners'Association or Developer of lots to be
sold):
➢ Home/Property Owners' Associations
❑ Per 15A NCAC 02T .0115(c),submit an original properly executed Operational Agreement(FORM:HOA).
❑ Per 15A NCAC 02T .0115(c), submit an original proposed or approved Articles of Incorporation,Declarations and By-
laws that contain the language required by the Operational Agreement.
➢ Developers of lots to be sold
❑ Per 15A NCAC 02T.0115(b),submit an original of the properly executed Operational Agreement(FORM:DEV).
F. Package Submitted in Duplicate
® Submit a copy of all required documents in Instructions A-E as required
THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION SHALL BE SUBMITTED IN DUPLICATE
TO:
NCDEQ-DWR
Water Quality Permitting Section
PERCS Unit
By U.S.Postal Service: By Courier/Special Delivery:
1617 MAIL SERVICE CENTER 512 N.SALISBURY ST.
RALEIGH,NORTH CAROLINA 27699-1636 SUITE 925
RALEIGH,NORTH CAROLINA 27604
TELEPHONE NUMBER: [phone]
INSTRUCTIONS FOR APPLICATION PNOCF 01-16 Page 1 of 1

State of North Carolina
Department of Environmental Quality
DW RDivision of Water Resources
SEWER SYSTEM PERMIT OWNERSHIP/NAME CHANGE
INSTRUCTIONS FOR FORM:PNOCF 01-16
Division of Water Resources
I. EXISTING PERMITTEE INFORMATION:
1. Permittee's name: Cape Fear Public Utility Authority
2. Signature authority's name:Jeff Theberge,PE per 15A NCAC 02T.0106(b)
3. Signature authority's title:Engineering Manager
4. Permittee's mailing address:235 Government Center Drive
City:Wilmington State:NC Zip: 28403-
5. Permittee's contact information: Phone number: [phone] Fax Number( )
Email Address:jeff.theberge(a cfpua.org
H. APPLICANT INFORMATION:
1. Applicant's name:Cape Fear Public Utility Authority
2. Signature authority's name:Jeff Theberge,PE per 15A NCAC 02T.0106(b)
3. Signature authority's title: Engineering Manager
4. Applicant's mailing address: 235 Government Center Drive
City:Wilmington State:NC Zip:28403-
5. Applicant's contact information: Phone number: [phone] Fax Number( )
Email Address:[e-mail]
6. Representative's name: CSD Engineering-Howard Resnik,PE
7. Representative's title: Principal
8. Representative's contact information Phone number: [phone] Fax Number(910)791-1501
Email Address: howard(a csd-engineering.com
III. PERMIT INFORMATION:
1. Existing permit number:W00028605 and most recent issuance date:April 29,2005
2. Reason for the permit application:Name Change If other, attach detailed explanation
3. Has the facility been constructed? ❑Yes or®No
4. Has the facility been certified per 15A NCAC 02T.0116? ❑Yes or®No
FORM:PNOCF 01-16 Page 1 of 2

IV. CERTIFICATIONS:
Existing Permittee's Certification per 15A NCAC 02T.0106(b):
I,Jeff Theberge,PE,Engineering Manager attest that this application
(Signature Authority's name&title from Application Item I.2&3)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that prior to reissuance of the permit
into the Applicant's name, I will continue to be responsible for compliance with the current permit and any discharge of wastewater
from this system to surface waters or the land may result in an enforcement action that may include civil penalties, injunctive relief,
and/or criminal prosecution. I will also make no claim against the Division of Water Resources should a condition of the existing permit
be violated. I also understand that if all required parts of this application are note completed and that if all required supporting
information and attachments are not included,this application will be returned to me as incomplete.
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. �,
Signature: ? /I //1.41 Y/G Date: Q1 Z
Applicant's Certification per 15A NCAC 02T.0106(b):
I,Jeff Theberge,PE,Engineering Manager attest that this application
(Signature Authority's name&title from Application Item II.2&3.)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that after issuance of the permit into
the Applicant's name, I will be responsible for compliance with the issued permit and any discharge of wastewater from this non-
discharge system to surface waters or the land may result in an 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 143-215.6B, 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 ascivil penalties up to$25,000 per violation.
94/Signature: 1/'1(j((A9P Date: Q/212,3
FORM: PNOCF 01-16 Page 2 of 2

North Carolina Department of Environment and Natural Resources
Division of Water Quality
`ao� W A r��QG
>
o -<
Michael F. Easley, Governor William G. Ross,Jr., Secretary
Alan W. Klimek,P.E., Director
April 29, 2005
Sterling B. Cheatham, City Manager
City of Wilmington
P.O. Box 1810
Wilmington, NC 28402
Subject: Permit No. WQ0028605
City of Wilmington
Plant Court Subdivision Sewer
Wastewater Collection System Extension
New Hanover County
Dear Mr. Cheatham:
In accordance with your application received March 22, 2005 we are forwarding herewith Permit
No. WQ0028605, dated April 29, 2005, to the City of Wilmington for the constructio
n 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 3, 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. Furthermore, note the
updated Permit Condition 11 regarding Division notification should the system fail to operate including
the loss of wastewater from the collection system. In addition, note Permit Condition 12 regarding the
posting of pump stations with emergency contact information
By copy of this permit, the New Hanover County Building Inspections Department is hereby notified that
building or occupancy permits shall only be issued for the 6 three-bedroom residences as part of the
Plant Court Subdivision Sewer project until a modified permit is issued by the Division indicating
additional connections. IN ADDITION, NO CERTIFICATES OF OCCUPANCY ARE TO BE GRANTED PRIOR TO THE
SUBMITTAL OF A SEALED ENGINEER'S CERTIFICATION PER CONDITION 6 OF THIS PERMIT.
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 (Division) Gravity Sewer Minimum
Design Criteria adopted February 12, 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 the North Carolina-licensed Professional Engineer named in the application. It shall be the
Permittee's responsibility to ensure that the as-constructed project meets the appropriate design criteria
Wilmington Regional Office
127 Cardinal Drive Extension Wilmington, NC 28405 One
Phone: [phone]/FAX: [phone] NorthCarolina
Internet: h2o.enr.state.nc.us Naturally
An Equal Opportunity/Affirmative Action Employer—50%0 Recycled/10% Post Consumer Paper

I `a
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
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 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 NCAC 2H .0227. If an individual
permit is not required, the following performance criteria shall be met as provided in 15A NCAC 2H
.0227:
a. The sewer system shall 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.
b. A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan shall be developed and implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e.
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-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.
1

Persons reporting any of the above occurrences shall file a spill report by completing Part I of Form
CS-SSO (or the most current Division approved form), within five days following first knowledge of
the occurrence. This report shall outline the actions taken or proposed to ensure that the problem
does not recur. Part 11 of Form CS-SSO (or the most current Division approved form) can also be
completed to show that the SSO was beyond control.
12. Each pump station including simplex stations shall be clearly and conspicuously posted with the
telephone number and name of the owner/operator of the sewer system and instructions to call the
number in the event of alarm activation.
Permit issued this the 29th Day of April, 2005
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
VS) 46e/4--
for Alan . Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0028605
3
L

North Carolina Department of Environment and Natural Resou ��IED
Division of Water Quality R
o�oF WA r6-63 0 2 2023
"7, NCDEQIDWRINPDES
o
Michael F. Easley, Governor William G. Ross, Jr., Secretary
Alan W. Klimek, P.E., Director
April 29, 2005
Sterling B. Cheatham, City Manager
City of Wilmington
P.O. Box 1810
Wilmington, NC 28402
Subject: Permit No. WQ0028605
City of Wilmington
Plant Court Subdivision Sewer
Wastewater Collection System Extension
New Hanover County
Dear Mr. Cheatham:
In accordance with your application received March 22, 2005 we are forwarding herewith Permit
No. W00028605, dated April 29, 2005, to the City of Wilmington 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 3, 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. Furthermore, note the
updated Permit Condition 11 regarding Division notification should the system fail to operate including
the loss of wastewater from the collection system. In addition, note Permit Condition 12 regarding the
posting of pump stations with emergency contact information
By copy of this permit, the New Hanover County Building Inspections Department is hereby notified that
building or occupancy permits shall only be issued for the 6 three-bedroom residences as part of the
Plant Court Subdivision Sewer project until a modified permit is issued by the Division indicating
additional connections. IN ADDITION, NO CERTIFICATES OF OCCUPANCY ARE TO BE GRANTED PRIOR TO THE
SUBMITTAL OF A SEALED ENGINEER'S CERTIFICATION PER CONDITION 6 OF THIS PERMIT.
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 (Division) Gravity Sewer Minimum
Design Criteria adopted February 12, 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 the North Carolina-licensed Professional Engineer named in the application. It shall be the
Permittee's responsibility to ensure that the as-constructed project meets the appropriate design criteria
Wilmington Regional Office
127 Cardinal Drive Extension Wilmington, NC 28405 One
Phone: [phone]/FAX: [phone] NorthCarolina
Internet: h2o.enr.state.nc.us Nati/radii
An Equal Opportunity/Affirmative Action Employer-50% Recycled/10% Post Consumer Paper

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
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 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 NCAC 2H .0227. If an individual
permit is not required, the following performance criteria shall be met as provided in 15A NCAC 2H
.0227:
a. The sewer system shall 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 28 .0200.
b. A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan shall be developed and implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e.
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-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.
1

l
Persons reporting any of the above occurrences shall file a spill report by completing Part I of Form
CS-SSO (or the most current Division approved form), within five days following first knowledge of
the occurrence. This report shall outline the actions taken or proposed to ensure that the problem
does not recur. Part 11 of Form CS-SSO (or the most current Division approved form) can also be
completed to show that the SSO was beyond control.
12. Each pump station including simplex stations shall be clearly and conspicuously posted with the
telephone number and name of the owner/operator of the sewer system and instructions to call the
number in the event of alarm activation.
Permit issued this the 29th Day of April, 2005
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for Alan Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0028605
3