NC0077763_Permit Modification_19971006

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
October 6, 1997
Mr. Mitchell Moore
City of Belmont
P0Box 431
Belmont, North Carolina 28012
Subject: Permit Modification -Name and
Ownership Change
City of Belmont
(formerly Belmont Converting Co. WTP)
Permit No. NCO077763
Gaston County
Dear Mr. Moore:
In accordance with your request received August 25, 1997, the Division is forwarding the subject permit.
The only change in this permit regards name and ownership. All other terms and conditions in the original
permit remain unchanged and in full effect. This permit modification is issued pursuant to the requirements of
North Carolina General Statute 143-215.1 and the Memorandum of Agreement between North Carolina and
the U.S. Environmental Protection Agency dated December 6, 1983.
This permit does not affect the legal requirement to obtain other permits which may be required by the
Division of Water Quality or permits required by the Division of Land Resources, Coastal Area Management
Act, or any other Federal or Local government permit that may be required.
If you have any questions concerning this permit, please contact Steve Coerper at [phone],
extension 361.
SV'cerely,
%f��rr- A. Preston Howard, Jr., P.E.
cc: Central Files
Mooresville Regional Office, Water Quality Section
NPDES Unit
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

Permit No. NCO077763
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1,
other lawful standards and regulations promulgated and adopted by the North Carolina
Environmental Management Commission, and the Federal Water Pollution Control Act, as
amended,
City of Belmont
is hereby authorized to discharge wastewater from a facility located at
301 North Tenth Street
Belmont
Gaston County
to receiving waters designated as the Catawba River in the Catawba River Basin
in accordance with effluent limitations, monitoring requirements, and other conditions set forth in
Parts I, H, III, and IV hereof.
This permit shall become effective October 6, 1997.
This permit and authorization to discharge shall expire at midnight on August 31, 2001.
Signed this 6th day of October, 1997.
4'L'A. Preston Howard Jr. P.E. Director
Division of Water Quality
By Authority of the Environmental Management Commission

Permit No. NCO077763
SUPPLEMENT TO PERMIT COVER SHEET
City of Belmont
is hereby authorized to:
1. Continue to operate a water treatment plant that discharges supernatant from thickener and
filter backwash from a facility located at Belmont Converting Company Water Plant, 301
North Tenth Street, Belmont, Gaston County (See Part III of this Permit), and
2. Discharge from said treatment works at the location specified on the attached map into the
Catawba River which is classified Class WS-III and B waters in the Yadkin Pee -Dee River
Basin.

6ri�Gi✓' iid11� `J4'� '.h i '.r.,.... air a..
*•• Department of Environment,
Health and Natural Resources
Division of Environmental Management
.lames B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
Nc 77b3
.A& y.r�� ��� 13 (v 3y
�HN �i�o'�
WATER QUALITY SECTION
PERMIT NAME/OWNERSHIP CHANGE FOR
Permit umber: N C 10 10 7 716 3
;. Permit holdeesname: Belmont Converting Co., WTP
2. Permit's signing official's name and title: Mitchell Moore
(Person legally responsible for permit)
City Manager
(Title) ,
3. Mailing address•
PO Box 431 City: Belmont
State-, NC Zip C 28019Phone: L 704 1 825-5586
II. NEW OWNERLISAME INFORMATION
1. This request for a name change is a result of:
_X_a. Change in ownership of property/company
_b. Name change only
c. Other (please explain):
2. New owner's name (name to be put on permit): City of Belmont
3. New owner's or signing official's name and title:
Mitchell Moore
(Person legally responsible for permit)
City Manager
(Title)
4. Mailing address.- PO Box 431 City:
Belmont
State- NC Zip Code: 28012 Phone: [phone]

HE DIVISION
. PACKAGE WILL NOT BE ACCEPTED BY T ITEMS
ENVIRONMENTAL MANAGEMENF
E TS APPLICATION PAC
T UNLESS ALL O ITT L APPLICABLE
LISTED BELOW ARE INCLUDED WITH THE SUB
REQUIRED ITEMS:
1. This completed application
2. processing fee of $100.00 (Checks to be made payable to DEHNR)
ocumentation of the transfer of ownership (such as a contract, deed'
3. If an ownership change, legal d
articles of incorporation)
COMPLETED AND SIGNED B ' �H THE CURRENT
CERTIFICATION MV�T— HE NEW APPLICANT IN THE CASE OF CHANGE OF
PERMIT HOLDER AND T
OWNERSHIP.
FOR NAME CHANGE ONLY, COMPLETE AND SIG
N TE
APPLICANT'S CERTIFICATION.
Current Permittee's Certification: change has been
lication for name/ownersluP arks
I Mitchell t the 11 B . Moore ,attthe best of my est that this apP�owledge. I understand that if all required P
reviewed and is accurate and compleand that if all required supporting information and attachments are not
of this application are not completed
this application ackage will be returned as incomplete -
included,
Dom. 8/22/97
Signature'
Applicant's Certification: change has been
chell B . Moore ,attest that this application for a name%wnership arts
I M-t knowledge. I understand that if all required P
reviewed and is accurate and complete to the best of my information and attachments are not
of his application are not completed and that if all a supporting
included, this ap hi -cation ackage will b„ returnedincomplete.
Date: 8 2 2 9 7
Signature, `
THE COMPI-ETID APPLICATION
PACKAGE, INCLUDING ALL SUPPORTING INFORMATION
AND MAT
ERIALS, SHOULD BE SENT TO THE FOLLOWING ADDRESS:
North Carolina Division of Environm tal Management
Water Quality Section
Permits and Engineering xUnit
P.O. B
Raleigh, North Carolina 27626-0535
Telephone: [phone]
Fax: [phone]

a 4Pepartumd Cif tale Trzaz=rr
HMI" E. BOYLES State and Local Government Finance Division ROBERT M. HIGH
TREASURER and the Local Government Commission DEPUTYTREASURER
August 8, 1997
NO
Mr. Mitchell B. Moore
w
City Manager
City of Belmont'
7D
Post Office Box 431 iv
Belmont, North Carolina 28012
Re: City of Belmont - Amount not to exceed $ 3,800,000
Private Placement Installment Purchase Contract - Water
Dear Mr. Moore:
The application requesting Local Government Commission approval of the above -
referenced financing agreement was formally approved by the Local Government
Commission on August 5, 1997. This agreement replaces the financing agreement
approved on June 3, 1997 in the same amount.
Three completed copies of IRS Form 8038-G must be forwarded to us, as well as three
executed copies of the contract so we may place our certification on the agreement (G.S.
159-149).
We are pleased to have had this opportunity to serve you.
Sincerely,
s
*4
Robert M. High
RMH/gdh
cc: Mr. Parks W. Wilson, Jr., Esquire
City Attorney
325 North Salisbury Street, Raleigh, North Carolina 27603-1385 [phone] (FAX [phone])
An Equal Opportunity / Affirmative Action Employer

w
ttt#� (Of �arth Caraiina
.. Department (Of %tate Xrensurer
. ..,yam.
HARLAN E. BOYLES State and Local Government Finance Division ROBERT H. HIGH
TREASURER and the Local Government Commission 0£Pl'T)' TP.E a:l RER
L:
APPLICATION FOR APPROVAL OF INSTALLMENT PURCHASE
OR LEASE CONTRACTS
CHECK ONE: 0 C.S. 16OA-19 J G.S. 160A•20
1. Unit City of Belmont Population 8,9013 Date May 6, 1997
2. Project Description City proposes to purchase priyate water plant, This water plant
is the sole providgrsole customer of water
plant.
3. Necessity _Purchase of water Rlant will aiinw t-ha r i t-y more cont-ral of the rrL-gt of
water production, watCr qualitym and retail rates.
4. Principal Amount to be Financed .................................. 3,800,000
5. Interest to be paid during life of contract ........................... s 195 9 2 , 8 7 9
5,392,879
6. Amount due throughout life of contract ............................
(i.e., amount of periodic payment times number of payments. Should also
be the total of 4 + 5 above.)
7. Estimated increase in tax rate by reason of proposed financing Nohp . If no increase
is anticipated, explain source of payments. Water and Sewer Revenue
8. Term of contract including options to renew. (if any) . • • • • • • • . • • • • • • .. 15 Years
9. Basis of design and estimated cost of project N/A
10. Capital budget based on estimates as. of ............................ 39800.000
Estimated CoA Fundtux Sources
Construction Cost ..... • Loan .................
Eng. or Arch. Fees ... • . Grants (indicate source)
Land and Rt.-of-way ... ......................
Special Counsel Fees ... ......................
Other Legal./Fiscal. Cost . ......................
Administrative Cost ..... ......................
Capitalized Interest .. • .. ......................
Contingency ...... • ... • Available Cash ..... • • • •
Other .................
..........Total ....... Total ....... $ 3, 800, 000
1
.325 .Forth Salisbury Street. Raleigh. North Carolina !7603.1.138 1919) 73.3-306b (FAY 7d•3.9536)
An Equal Opportunity Affirmattiv Action Employer

11. The attached are furnished in support of this application:
® a. Certified copy of resolution of governing body making necessary findings and authorizing
the contract.
® b. Publishers Affidavit of the Notice of Hearing.
® c. Certified copy of minutes of hearing.
d. Certified net debt statement.
® e. Certified fiscal information by finance officer.
f. Engineers or architect's report establishing feasibility, if applicable.
® g. Proposed contract.
p h. Completed IRS form 8038-C (2 copies) (To be provided at loan closing).
® i. Unit Attorney's Opinion.
C3 J. Fee Arrangement Letters:
Q Special Counsel
0 Banker/Underwriter
® k. Independent appraiser's report if applicable.
bids from:
® 1. Bid specifications and summary of comp
etitive 0 contractors
E banks
p other financial institutions
(] other
[p m. Required licenses and permits. y P iate State agencies.
p n. Evidence that plans and specs have been aP proved b a prop g
p o. Other: Specify
[3 pPP
Application fee for installment/lease purchase agreement contract. Attach check for ap-
propriate amount.
tom' $250 for private placement.
0 $2,500 for public offering.
12.
• Parks W.
Units Attorney _
Telephone - -
Address PO Box 901 Belmon 2801
Fax
contractlagreement with NationsBank Commercial
13.
Financing
355 South New NC 28054-6037
Title
s t . V ice PrPRIdAnt
AsFax
Contact Person Barr Holmes
704-853-8368
Telephone [phone]
14.
Consulting Firm Finkbeiner, P
(Architect or Engineer)
Title
Branch Of f ice Man"er
Contact Person Gerald Hatton, P.E.
Fax
704-525-7828
Telephone [phone]
15.
Unit Authorized Agent Mitchell B . Moore
704-825-OS1.4
Title City Manager Telephone [phone]�-
Fax
d ate to the best of my
This application and supporting documents are deemed to be true an accur
knowledge and belief
I/xv J) 2. Date
sipature of Authorized Agent
(As Designated by Hoard)
2

LCC.108A DEPARTMENT OF THE TREASURER
LOCAL GOVERNMENT COMMISSION
325 North Salisbury Street, Raleigh, North Carolina 27W3.1388
SELECTED FISCAL INFORMATION AS CERTIFIED BY FINANCE OFFICER
Unit
1. Ad Valorem Tax (for three immediate past fiscal years):
F Lual Appra"d Ta: Una Akded Permtap
Year value t= At L aA Inge 30 UncoHeded
1996 370,089,166 _ a .48 1_778.006 49.270 97.23 %
1995 348,270027 .48 196559300 45,836 97.23
1994 337,245,282 .48 19619,621 39,419 97.57 �o
2. Ad Valorem Tax current fiscal year):
Appraised Value 371, 304, 906 Tax rate • General Fund .48
Total Levy
11782, 264 . Other funds -0
Uncollected At 85.699 - Total $ .48
Percentage Uncollected .048 qo
3. For the past 5 fiscal years, has there been a delay in payment or non-payment of matured bonds and coupons when
presented to the unifs fiscal agent? NO (Yes; No). If yes, explain ciron separate statement.
4. Information relating to compliance with Local Government Budget and Fiscal Control Act:
(If answer to any question in this item is No, furnish explanation.)
A. Budgetary Requirements: Yes No
(1) Are separate accounting funds maintained for:
X
(a) Water and Sewer .............................................
(b) Each other utility ............................................. N/A
(c) For other funds required by G.S. 159-13 (special levy, school, etc.)?. N/A
(2) Is a balanced budget adopted for each fund? ......................... X
(3) Did the budget provide for all deficits, if any, as shown in the audit report N/A
for the prior year? ................................................
(4) Were contingency appropriations in each fund less than 5% of other appropria- X
tionsin that fund? ................................................
(5) Do the ledgers clearly show the estimated revenue and appropriations in the X
originalbudget?.................................................0 _ -
3

LCC-108A (Bach)
Page 2
4. A. Budgetary Requirements (continued) Yes No
(0) Are all budget amendments posted to accounting records? ..............
x
(7) Is budget in balance after any amendments? ............ • • . • • • • • • • • • .. X
B. Purchasing and Contracts:
(1) Are purchase orders issued for all commitments over a minimum amount?
x
(2) Do all purchase orders include a preaudit certificate signed by the finance x
officer (or properly appointed deputy)? ..............................
(3) Are all purchase orders posted to appropriate expenditure accounts as en- x
cumbrances?.....................................................
C. Cash:
(1) Are receipts deposited intact to account of finance officer daily? .........
x
(2) Are all deposits secured as required by LGC regulations? ...............
x
(3) Have all investments of idle cash been made in accordance with G.S. 159-30?
x
x
(4) Are taxes distributed to proper funds at least monthly? .................
D. Other:
(1) Was an unqualified opinion received from the independent auditor on the latest x
financial statements? If not, explain on separate statement.
(2) Has a fined assets system been established and is it being maintained? X
(3) Do checks or drafts on an official depository bear on their face a preaudit cer-
tificate, of sufficient unencumbered appropriation signed by the finance of- X .
ficer (or properly appointed deputy)?
(4) Are the finance officer, tax collector, and other employees (as required) prop- X
erly bonded according to C.S. 159-29?
E. Please include a description of any material instance of misfeasance or malfeasance (within the last three yearsi
which might affect the credit of the unit. None
ce offim's Signature Data
I certify the above is correct to Finance
,
the best of my knowledge. r'* . yod A �,. w—V,/,/,g
4

Lc..c,ac DEPARimE.N r OF ME. I RLA�L KEK
LOCAL GOVERNMENT COM.NUSSION
. 325 North Salisbury Street, 11&W9hq North Carolina 27600-1388
PROJECTION OF WATER AND SEWER NET REVENUES
Unit City of Belmont
Date May 7, 1997
Fund Water and Sewer Fund
Complete a* if
NOTE: prope�ed bonds are for water or sewer facilities. Where separate accounting funds are maintained for each
may
system, one schedule may be completed for proposed water bonds and
be consolidated when either or both water and sewer bonds PPm eodneVse actutil for ropos�sinounts on modified accrual basis of sewer nds. Water and sewerraccounting
(budgetary basis) from latest audit report. 19 9 5— 9 6 Fiscal Year 19 9 7 — 9 8
L+t.....t vIAa.
REVENUE
Operating Revenues:
- Customer charges
- Connections
- Assessments
- Other revenue
Total
Non -operating Revenues:
- Interest
- Restricted sales tax
- Other
Total
Total revenues
EXPENDITU4ZS
Operating Expenditures:
Administration - Salaries
Other .10
Operations - Salaries
- Mat. and supplies
- Maintenance
- Treatment
- Water purchases
- Power
- Other
Total
4.
Actual Revenue
for Ftw Complete
Fiscal Year
Estimated Ines or Decrease
i • s • 3
Estimated Revenue for
Firs Completion inal of Pr 'at
4-
Dued Rate ChianGrowth
,-
a Due
ed to stem
3,6279062
94,303
3,721,365
27,815
27,815
50 165
32705,042
3l799,345
137,949
1
1379949
150,000
150000
679,000
67,000
354,949
354 949
4,0599991 1 943,303
49154.294
4.
Actual Ex endittues
for Last Complete
Fiscal Year
Estimated Increase or (Decrease)i • s • 3
4- Estimated Expenditures
Due to Normal Due to . First Fiscal Year .after
Growth and Inflation Pip anded S stem OHMISMOU of Pry mt
20,000
600
20,600
5,600
168
382,925
199635
271.9589
674,149
729559
2 400
70444
82,403
145,303
6 529
1
72,316
224,148
307,196
13,320
1369794
457,310
964,296
(9642296)
-
179,378
8.927
1189175
306,480.._ _
392,713
15,241
1159321
5233,275 _
2,469,970
66,220
(242,657)
29294,133
1,590,021
1,860.161

LCC•106C (Back)
Projection of water and sear+r net revenud (continued)
Actual E�pendtturer
for Lut Complete
Fbw Year
Other:
552,731
. Debt principal
395.700
- Interest
- Capital outlay
699, 456
- Capital reserve
- Transfer to (from) other funds
1009000
- Other
Net Income (Lou) (15 7, 8 6 6)
Rate Structure
Indicate monthly cost for a residential customer
using 6000 gallons.
WATER
Within city limit
Outside city limits
SEWER
Within city limits
Outside city limits
page 2
Current
After Completion
of Project
Estimated Fspend1tum
Me Find Year After
Co lesion of Ptojed
5939570
327,176
500,000
1002000
I 3399415 I
Percentage of
Grange
10.60 10.88 .026
21.20 21.76 .026
10.20
20.40
10.20
20.40

LCC-1o9
STATEMENT OF DEBT
For City..nf Belmont , North Carolina
(To be filed with the application. The Sworn Statement of Debt wiU be prepared by bond counsel. The
debt described below should not include debt incurred or to be incurred in anticipation of the coUection
of taxes or other revenues or In anticipation of the sale of bonds other than funding or refunding bonds.
The debt described below should not include revenue )
A. Gross Debt
1. Outstanding debt evidenced by bonds:
Purpose Amount
Water
Sanitary Sewer
Electric
Gas None
Other
2. Bonds authorized by orders introduced but not yet adopted (include provosed financing):
Date
Introduced Purpose Am
ount
None
3. Unissued bonds authorized by adopted orders:
Date
Introduced Purpose Amount
None
4. Outstanding debt not evidenced by bonds (lease -purchase agreements):
Date
Amount
Incurred Purpose
10/15/96 Fire Truck 199,303
$ 199.303
199 303
Total Cross Debt (Sum of 1, 2, 3 and 4) -

LCC-109 (Back)
Page 2
B. Deductions
1. Funding and refunding bonds authorized by orders introduced but
not yet adopted.
2. Funding and refunding bonds authorized but not issued.
s
3. Amount held in sinking funds or otherwise for the payment or
s
gross debt other than debt incurred for water, gas, electric light
power purposes or sanitary sewer purposes (to the extent deductible
under Section 159-55[b] of The Local Government Bond Act), or two
or more of these purposes.
4. Bonded debt included in gross debt and incurred or to be incurred s
for water, gas or electric light or power purposes, or any two or more
of these purposes.
5. Bonded debt included in gross debt and incurred or to be incurred s
for sanitary sewer system purposes (to the extent deductible under Sec-
tion 159-55[b] of The Local Government Bond Act).
6. Uncollected special assessments levied for local improvements for s
which gross debt (that is not otherwise deducted) was or is to be in-
curred, to the extent it will be applied, when collected, to the pay-
ment of such gross debt.
7. Estimate of special assessments to be levied for local improvements s
for which any part of gross debt (that is not otherwise deducted) was
or is to be incurred, to the extent that the special assessments when
collected, will be applied to the payment of any part of gross debt. _
Total Deductions (Sum of 1 through 7) s
C. Net Debt being the difference between Total Gross Debt (A) and Total $ 199,303
Deduction.().
D. Assessed Value of property subject to taxation being the value from $ 371, 304, 906
which the assessed value was last fixed for taxation as revealed by the
County tax records and certified by the County Tax Supervisor.
E. Percentage that Net Debt bears to the asscssed value of property sub- .0005 %
j ect to taxation.
Finance �ffic�er's Signature Dies
I certify the above is correct to Fin5 / 7 / 9 7
the best of my knowledge.

STATE OF NORTH CAROLINA )
ss..
COUNTY OF Gaston )
Mitchell B. Moore , being duly sworn, says that he is
the Finance Off icer of the City of Belmont
in the State of North Carolina; and that the foregoing statement is true and was made and subscribed
by him.
Officer61 W�' Z' /
Finance
Sworn to and subscribed before me on
the day of the date of said statement
My commission expires the 7th day of November , 32 2000
STATE OF NORTH CAROLINA )
ss..
COUNTY OF )
I, the undersigned
of
of the
in the State of North Carolina, DO HEREBY CERTIFY that the fore-
going statement and accompanying affidavit were filed in my office on the day of
19
IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of said County, this
day of
19
Cleric