NC0026051_Authorization to Construct_20180201

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BLACK &VEATCH
January 26, 2018
Subject:
supporting documentation
BY:
cc:
B&V Project 194729
B&V File 30.2000
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ECEIVEh
| JAN 3 0 2018 II
NC Dept of Environmental Quality
FEB 0 | 2K8
Raleigh Regional Office
H :Aa11 9102 0 t NVf II
U3AI3O3Q
Mr. Ron Berry
North Carolina Department of Environment and Natural Resources
Division of Water Resources/NPDES
512 N. Salisbury Street, 9th Floor
Raleigh, North Carolina 27604
Attention:
or require additional information. I
Black & Veatch International Corporation
11000 Regency Parkway, Suite 410, Cary, NC 27518
p [phone] E [e-mail]
Mr. Ron Berry
Request for Authorization to Construct
Triangle WWTP Aeration System Improvements Project
?riabn?“prAae™ doSm 1^ 3n A«horization to Construct for the
aeration blowers; in-kind replacement of existing submersible mixtogand pumnimz
quipment; and basin cleanout to remove and dispose of all wastewater, solids and debris
The construction timeline is as follows:
Notice to Proceed to Substantia] Completion 240 Calendar Days
Notice to Proceed to Final Completion 270 Calendar Days
We are hereby transmitting the following items for your review
• Application for Authorization to Construct
• One set of Plans (22 x 34 size)
• One set of Specifications
• One copy of plant NPDES Permit NC0026051
• One copy of Basis of Design Report
• One copy of Engineering Calculations notebook with
• One electronic copy on CD of all above items
Please contact me if you 1
can be reached at 919-462-7512 or e-mail at [e-mail]
Very truly yours,
Black & Veatch International Company
Kurtis B. Proffit, P.E.
Engineering Manager
1^
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14)
SECTION 1: INSTRUCTIONS AND INFORMATION
*A.
B.
H.
I.I
J.
SECTION 2: APPLICANT INFORMATION AND PROJECT DESCRIPTION
A. APPLICANT
Durham CountyApplicant's name
Signature authority's name per ISA NCAC 02T .0106(b)Stephanie Brixey
Interim Deputy Director / POTW DirectorSignature authority's title
5926 Highway 55 East, Durham, NC 27713Complete mailing address
[phone]Telephone number
[e-mail] address
PROFESSIONAL ENGINEERB.
Kurtis B. ProffitProfessional Engineer's name1
Professional Engineer's title Engineering Manager
North Carolina Professional Engineer's License No.033729
Black & Veatch International CorporationFirm name
*F-0794Firm License number
11000 Regency Parkway, Suite 410, Cary, NC 27518Complete mailing address
Page 1Application for Authorization to Construct Permit (FORM ATC-12-14)
State of North Carolina
Department of Environmental Quality
Division of Water Resources
c.
D.
E.
Water Resources
ENVIRONMENTAL QUALITY
1
*
*
1
F.
G.
The Division of Water Resources will accept this application package for review only if all of the items are provided and the
application is complete. Failure to submit all of the required items will result in the application package being returned as
incomplete per 15A NCAC 02T .0105(b).
Plans and specifications must be prepared in accordance with 15 NCAC 02H. 0100, ISA NCAC 02T, North Carolina General
Statute 133-3, North Carolina General Statute 143-215.1, and Division of Water Resources Minimum Design Criteria for NPDES
Wastewater Treatment Facilities.
The plans and specifications submitted must represent a completed final design that is ready to advertise for bid.
Any content changes made to this Form ATC-12-14 shall result in the application package being returned.
The Applicant shall submit ONE ORIGINAL and ONE DIGITAL COPY (CD) of the application, all supporting documentation and
attachments. All information must be submitted bound or in a 3-ring binder, with a Section tab for each Section, except the
Engineering Plans.
Check the boxes below to indicate that the information is provided and the requirements are met.
If attachments are necessary for clarity or due to space limitations, such attachments are considered part of the application
package and must be numbered to correspond to the item referenced.
For any project that requires review under the State Environmental Policy Act (SEPA), an Authorization to Construct cannot be
issued prior to the completion of a State Clearinghouse advertisement period for a FONSI, EIS, etc. unless the project qualifies
for a Determination of Minor Construction Activity.
For more information, visit the Division of Water Resources web site at: https://deq.nc.gov/about/divisions/water-
resources/water-resources-permits/wastewater-branch/npdes-wastewater/authorization-to-construct.
In addition to this Authorization to Construct, the Applicant should be aware that other permits may be required from other
Sections of the Division of Water Resources (for example: reclaimed water facilities permits; Class A or B biosolids residuals
permit).
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-1
Telephone number [phone]
Email address [e-mail]
C.
NC0026051
12.0 MGD
D.
El Not Applicable.
Application for Authorization to Construct Permit (FORM ATC-12-14)Page 2
NPDES PERMIT
NPDE5 Permit number
□
□
Current Permitted flow (MGD) - include permit
flow phases if applicable
State of North Carolin
Department of Environmental Qualit
Division of Water Resource
Water Resources
ENVIRONMENTAL QUALITY
*
a*
*
*
C. Special Order by Consent
□ If the facility is subject to any Special Orders by Consent (SOC), submit the applicable SOC.
E Not Applicable.
B. NPDES Permit
El Submit Part I of the Final NPDES permit for this facility that includes Part A (Effluent Limitations and Monitorin
Requirements) for the monthly average flow limit that corresponds to the work that is requested for this project.
Finding of No Significant Impact or Record of Decision
Submit a copy of the Finding of No Significant Impact or Record of Decision for this project.
Provide a brief description of any of the mitigating factors or activities included in the approved Environmental Document
that impact any aspect of design of this project, if not specified in the Finding of No Significant Impact or Record of Decisior
SECTION 3; APPLICATION ITEMS REQUIRED FOR SUBMITTAL FOR ALL PROJECTS
A. Cover Letter
El The letter must include a request for the Authorization to Construct; the facility NPDES Number; a brief project descriptic
that indicates whether the project is a new facility, facility modification, treatment process modification, or facilil
expansion; the construction timeline; and a list of all items and attachments included in the application package.
El If any of the requirements of 15 NCAC 02H, 0100, ISA NCAC 02T, North Carolina General Statute 133-3, North Carolir
General Statute 143-215.1, and Division of Water Resources Minimum Design Criteria for NPDES Wastewater Treatmer
Facilities are not met by the proposed design, the letter must include an itemized list of the requirements that are not met
D. PROJECT DESCRIPTION
Provide a brief description of the project: Aeration system improvements within existing BNR Train No, 2 at the Triangle
Wastewater Treatment Plant (WWTP) including addition of diffused aeration equipment and two aeration blowers; in-kind
replacement of existing submersible mixing and pumping equipment; and basin cleanout to remove and dispose of all
wastewater, solids, and debris.
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14)
□ Not Applicable
E Process Mechanical □ Not Applicable
(3 Structural □ Not Applicable
□ Not Applicable0 Electrical
13 Instrumentation/Controls □ Not Applicable
□ Architectural 13 Not Applicable
□ Building Mechanical □ Not Applicable
□ Building Plumbing 3 Not Applicable
3 Civil □ Not Applicable
□ Not Applicable3 Process Mechanical
Page 3Application for Authorization to Construct Permit (FORM ATC-12-14)
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Water Resources
ENVIRONMENTAL QUALITY
Specifications shall include:
3 Specifications for all applicable disciplines needed for bidding and construction of the proposed project (check as
appropriate):
F. 13 Engineering Specifications
3 Per ISA NCAC 02T .0504(c)(2), submit one set of specifications that have been signed, sealed and dated by a North Carolina
Licensed Professional Engineer.
3 Specifications must be labeled as follows: FINAL SPECIFICATIONS - FOR REVIEW PURPOSES ONLY - NOT RELEASED FOR
CONSTRUCTION.
Plans shall include:
3 Plans for all applicable disciplines needed for bidding and construction of the proposed project (check as appropriate):
3 Civil
3 Plan and profile views and associated details of all modified treatment units including piping, valves, and equipment
(pumps, blowers, mixers, diffusers, etc.)
3 Are any modifications proposed that impact the hydraulic profile of the treatment facility? EZJ Yes or No. If yes, provide
a hydraulic profile drawing on one sheet that includes all impacted upstream and downstream units. The profile shall
include the top of wall elevations of each impacted treatment unit and the water surface elevations within each impacted
treatment unit for two flow conditions: (1) the NPDES permitted flow with all trains in service and (2) the peak hourly flow
with one treatment train removed from service.
3 Are any modifications proposed that impact the process flow diagram or process flow schematic of the treatment facility?
O Yes or No. If yes, provide the process flow diagram or process flow schematic showing all modified flow paths
including aeration, recyde/return, wasting, and chemical feed, with the location of all monitoring and control instruments
noted.
E. Engineering Plans
3 Per 15A NCAC 02T ■0504(c)(1), submit one set of detailed plans that have been signed, sealed and dated by a North Carolina
Licensed Professional Engineer.
3 Per 21 NCAC 56 .1103(a)(6), the name, address and License number of the Licensee's firm shall be included on each sheet of
the engineering drawings.
3 Plans must be labeled as follows: FINAL DRAWING - FOR REVIEW PURPOSES ONLY - NOT RELEASED FOR CONSTRUCTION.
3 15A NCAC 02H .0124 requires multiple (dual at a minimum) components such as pumps, chemical feed systems, aeration
equipment and disinfection equipment. Is this requirement met by the design? [X] Yes or | | No. If no, provide an
explanation:
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14]
*
£3 Structural
*[3 Electrical
E) Instrumentation/Controls
□ Architectural*
*
H. Engineering Calculations
Application for Authorization to Construct Permit (FORM ATC-12-14)Page 4
<1
C3 Per ISA NCAC 02T .0504(c)(3), submit one set of engineering calculations that have been signed, sealed and dated by e
North Carolina Licensed Professional Engineer; the seal, signature and date shall be placed on the cover sheet of the
calculations.
□ Not Applicable
□ Not Applicable
□ Not Applicable
El Not Applicable
E Not Applicable
El Not Applicable
State of North Carolina
Department of Environmental Quality
Division of Water Resources
*
*
Water Resources
ENVIRONMENTAL QUALITY
I
□ Building Mechanical
□ Building Plumbing
0 Detailed specifications for all treatment units and processes including piping, valves, equipment (pumps, blowers, mixers,
diffusers, etc.), and instrumentation.
E3 Means of ensuring quality and integrity of the finished product including leakage testing requirements for structures anc
pipelines, and performance testing requirements for equipment.
El Bid Form for publicly bid projects.
G. Construction Sequence Plan
E Construction Sequence Plan such that construction activities will not result in overflows or bypasses to waters of the State
The Plan must not imply that the Contractor is responsible for operation of treatment facilities. List the location of the
Construction Sequence Plan as in the Engineering Plans or in the Engineering Specifications or in both: Specification Sectior
01310 - Construction Scheduling
For new or expanding facilities and for treatment process modifications that are included in Section 4.C, the calculations shal
include at a minimum:
□ Demonstration of how peak hour design flow was determined with a justification of the selected peaking factor.
□ Influent pollutant loading demonstrating how the design influent characteristics in Section 4.B.2 of this form were
determined.
□ Pollutant loading for each treatment unit demonstrating how the design effluent concentrations in Section 4.B.2 of thi*
form were determined.
□ Hydraulic loading for each treatment unit.
E Sizing criteria for each treatment unit and associated equipment (blowers, mixers, pumps, etc.)
□ Total dynamic head (TDK) calculations and system curve analysis for each pump specified that is included in Section 4.C.6.
□ Buoyancy calculations for all below grade structures.
E Supporting documentation that the specified auxiliary power source is capable of powering all essential treatment units.
I.Permits
X
X*
X
X
X
X
X
X
J.
□
detailed explanation as to ho
Application for Authorization to Construct Permit (FORM ATC-12-14)Page 5
j *
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Other: Durham Level 1 Site Plan
Review
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-:
—
Date
Submitted
Date
Approved
Permit/
Certification
Number
If Not Issued Provide
Status and Expected
Issuance Date
Water Resources
ENVIRONMENTAL OUAL'TY
To Be
Submitted
in February
2018
Water Quality Certification (401)
USCOE / Section 10
Soil Erosion and Sediment Control
USCOE / Section 404 Permit
Permit/Certification
Dam Safety
Stormwater Management Plan
CAMA
NCDOT Encroachment Agreement
Railroad Encroachment Agreement
Not
Applicable
X
State of North Carolii
Department of Environmental Quali
Division of Water Resourc
g) Provide the following information for each permit and/or certification required for this project:
Residuals Management Plan
□ A detailed explanation as to how the generated residuals (including trash, sediment and grit) will be collected, handle
processed, stored, treated, and disposed.
An evaluation of the treatment facility's residuals storage requirements based upon the maximum anticipated residua
production rate and ability to remove residuals.
D ten"? L0' resi^als utilization or a wr‘tten commitment to the Applicant from a Permittee of a Department approve
ua s d'sposal/ut'I'zat'on program that has adequate permitted capacity to accept the residuals or has submitted
residuals/utilization program application.
□ If oil, grease, grit or screenings removal and collection is a designated unit process, a
the oil/grease will be collected, handled, processed, stored and disposed.
£3 Not Applicable.
■
*
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12
A.
Plant Flows
Existing Plant Design MGD
Current NPDES Permit Limit MGD
MGD
Maximum Month MGD MGD
Maximum Day MGD MGD
Peak Hour MGD MGD
Application for Authorization to Construct Permit (FORM ATC-12-14)
Page 6
*
*
*
*
For Past 12 Months:
Start Date: month/yr
End Date: month/yr
For Past 24 Months:
Start Date: month/yr
End Date: month/yr
Water Resources
ENVIRONMENTAL QUALITY
State of North Caro
Department of Environmental Qu.
Division of Water Resoui
SECTION 4: PROJECT INFORMATION
WASTEWATER TREATMENT RIANT FLOW INFORMATION - COMPLETE FOR NEW OR EXPANDING FACILITIES
1. Provide the following flow information:
Current Annual Average
(past 12 months)
w APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-]
Project Basis of Design
Parameter
mg/L Summer 1.0 mg/L Summermg/L mg/L Ib/day
mg/L Winter 1.8 mg/L Winter
mg/L Summer 5.0 mg/L Summermg/L mg/L Ib/day
mg/L Winter 10.0 mg/L Winter
Fecal Coliform per 100 mL 200 per 100 mL
mg/L mg/L
mg/L
mg/L mg/LTotal Nitrogen
Ib/year 111,207 Ib/year
mg/L mg/LTotal Phosphorus mg/L mg/L Ib/day
Ib/year 8,432 Ib/year
mg/L mg/L Ib/day mg/L 30.0 mg/L
Application for Authorization to Construct Permit (FORM ATC-12-14)Page 7
Total Suspended
Solids (TSS)
Influent
Concentration -
Current Annual
Average (past
12 months) if
Available
Design Influent
Concentration
(Must be
supported by
Engineering
Calculations
[Section 3.H])
Design Influent
Load
(Must be
supported by
Engineering
Calculations
[Section 3.H])
Design Effluent
Concentration and/or
Load
State of North Carolii
Department of Environmental Quali
Division of Water Resoura
------------------------------- ---------------- ■. eatment
□ No. If no, provide justification as to why the
NPDES Permit Limit;
(monthly average)
Biochemical
Oxygen Demand
(BODs)
Ammonia Nitrogen
(NHa-N)
Water Resources
ENVIRONMENTAL QUALITY
Nitrate + Nitrite
Nitrogen (NOa-N +
NO2-N)_________
Total Kjeldahl
Nitrogen
B. WASTEWATER TREATMENT FACILITY DESIGN INFORMATION - COMPLETE FOR NEW OR EXPANDING FACILITIES i
FOR TREATMENT PROCESS MODIFICATIONS ------------------------------akanuinu FACILITIES/
general Statute 143-215.1,'and ^XTwate^e^^
Facilities been met by the proposed design and specifications? Yes or
requirements are not met, consistent with 15A NCAC02T .OlOSfn):
‘th df T inflUent and effluent characteristlcs that are as the basis for the project design, and the NPDES permil
a the.foll°'™g Parameters: No change to Influent and effluent characteristics. The new diffused aeration system
.J d!.r ‘ BNR N°" 2 feP'aCeS ^ush aerator equipment as a more cost-effective long-tern
so upon, when cons'denng the energy sav.ngs of the diffused aeration system and remaining useful design life of the brush
aerators. Refer to APR calculation withm the set of blower calculations which documents the basis of sizing of the diffused
aeration system to be equivalent to the four existing brush aerators. ----------------------
Lfl
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14)
3.
4.
5.
6.
>
7.
8.
9.
1.PRELIMINARY AND PRIMARY TREATMENT (i.e., physical removal operations and flow equalization): NOT APPLICABLE
2.
Treatment Unit Type Size per Unit
gallons
gallons
gallons
0 gallons
Application for Authorization to Construct Permit (FORM ATC-12-14)Page 8
>
>
Per ISA NCAC 02T .0505(1), by-pass and overflow lines are prohibited. Is this condition met by the design? [X] Yes or | | No
If no, describe the treatment units bypassed, why this is necessary, and where the bypass discharges:
No. of
Units
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Plan Sheet
Reference
Specification
Reference
Calculations
Provided?
(Yes or No)
Based on the "Project Basis of Design" parameters listed above, will the proposed design allow the treatment facility to
meet the NPDES Permit Limits listed above? Yes or No. If no, describe how and why the Permit Limits will not be
met:
Water Resources
ENVIRONMENTAL QUALITY
design? Q Yes or Q No. If no, explain the alternative design criteria proposed for this project in accordance 15A NCAC
02T .IQStn): Not Applicable, design does not change existing sludge production and/or sludge processes.
Per 15A NCAC 02T .OSOStq), the public shall be prohibited from access to the wastewater treatment facilities. Explain how
the design complies with this requirement: Plant has an existing full perimeter security fence and plant entrance gate
which is always closed and opens only by security code or calling into the Control Building requesting the gate be
opened. The project does not impact the existing security fencing.
Is the treatment facility located within the 100-year flood plain? [XI Yes or | | No. If yes, describe how the facility is
protected from the 100-year flood: A berm surrounding the facility is raised approximately 1,4 feet above the 100 year
flood elevation.
Aerobic Zones/
____Tanks____
Anoxic Zones/
Tanks
Anaerobic
Zones/Tanks
Sequencing Batch
Reactor (SBR)
SECONDARY TREATMENT (BIOLOGICAL REACTORS AND CLARIFIERS) (i.e., biological and chemical processes to remove
organics and nutrients)
C. WASTEWATER TREATMENT UNIT AND MECHANICAL EQUIPMENT INFORMATION - COMPLETE FOR NEW OR
EXPANDING FACILITIES AND FOR MODIFIED TREATMENT UNITS
Per 15A NCAC 02T .OSOStk), multiple pumps shall be provided wherever pumps are used. Is this condition met by the
design? Yes or [J No. If no, provide an explanation:_
Per ISA NCAC 02T .0505(1), power reliability shall be provided consisting of automatically activated standby power supply
onsite capable of powering all essential treatment units under design conditions, or dual power supply shall be provided
per 15A NCAC 02H. 0124(2)(a). Is this condition met by the design? XI Yes or | | No. If no, provide (as an attachment
to this Application) written approval from the Director that the facility:
Has a private water supply that automatically shuts off during power failures and does not contain elevated water
storage tanks, and
Has sufficient storage capacity that no potential for overflow exists, and
Can tolerate septic wastewater due to prolonged detention.
Per ISA NCAC 02T .0505(0), a minimum of 30 days of residual storage shall be provided. Is this condition met by the
vvaici nusuurcei
*0
ft sideCircular
ft sideRectangular
2 50' x 36' YesM-l / M-2 11570
3.
5. RESIDUALS TREATMENT - NOT APPLICABLE
6.
Location Purpose Type
BNR Train No. 2 2 Diffused Aeration Rotary Lobe PD M-l 11615
9. ODOR CONTROL - NOT APPLICAB1F
D. SETBACKS-
1.
Setback Parameter
100 ft No
100 ft Yes
50 ft Yes No
100 ft
50 ft
2.
Application for Authorization to Construct Permit (FORM ATC-12-14)
Page 9
No. of
Blowers Plan Sheet
Reference
Specification
Reference
-es
UITY
gallons
ft diameter;
water depth
square feet;
water depth
Minimum Distance
Required from Nearest
Treatment/Storage
Unit
Is Minimum Distance
Requirement met by the
Design? If "No", identify
Setback Waivers in Item D.2
______ Below
o
a
Water Res■.
ENVIRONM£Nt4
Capacity of
each Blower
(CFM)
1,500
7.
8.
.. >
Yes
No
No. If yes, have these waivers been
:s or No. If
Yes
Yes
Secondary Clarifier
Other: Diffused
Aeration
No
No
NCAC 02T .OSOefd)? Yes or f '
-..J recorded with the County Register of Deeds? Ye:
drain PumPs)-^OT APPIICA^TejN-K^Nd'wal'lpTmP REPI A’rFMFNTON^y16 5'UdEe' 5'Ud8e and Plant
BLUWEKS^1 IN~KIND MIXER REPLACEMENT ONLY
Membrane
Disc
TERTIARY TREATMENT - NOT APPLICABLE
4. DISINFECTION - NOT APPLICABLE
Any habitab,e residence or place of assembly under separate
-Ownership or not to be maintained as part of the project site
Any private or public water supply source
“Surface waters (streams - intermittent and perennial, perennial
waterbodies, and wetlands)
Any well with exception of monitoring wells
Any property line
Have any setback waivers been obtained per ISA NCA,
written, notarized and signed by all parties involved and
no, provide an explanation:
APPLICATION FOR AUTHORI J^ON TO CONSTRUCT PERMIT (FORM ATC-12-14
COMPLETE FOR NEW WASTEWATER TREATMENT STRUCTURES - NOT APPLICABI F
Le“wT: d'StanCe f°r Parame‘er the treatment/storage units per LSA NCAC 02T .OSOBib,
Membrane
Bioreactor (MBR)
Secondary Clarifier
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14)
SECTION 5; APPLICATION CERTIFICATION BY PROFESSIONAL ENGINEER
Page 10Application for Authorization to Construct Permit (FORM ATC-12-14)
Professional Engineer's Certification per ISA NCAC 02T .0105:
, attest that this application package for an Authorization to Construct
1
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Water Resources
ENVIRONMENTAL QUALITY
V ' > ••••••••• '"/s B .
I, Kurtis B. Proffit
(Typed Name of Professional Engineer)
for the Triangle WWTP Aeration System Improvements project---------- ------------------------------------- ----------------------------------
(Facility and Project Name)
was prepared under my direct supervisory control and to the best of my knowledge is accurate, complete and consistent
with the information supplied in the engineering plans, specifications, calculations, and all other supporting
documentation for this project. I further attest that to the best of my knowledge the proposed design has been
prepared in accordance with all applicable regulations and statutes, 15 NCAC 02H. 0100,15A NCAC 02T, North Carolina
General Statute 133-3, North Carolina General Statute 143-215.1, and Division of Water Resources Minimum Design
Criteria for NPDES Wastewater Treatment Facilities, and this Authorization to Construct Permit Application, except as
provided for and explained in Section 4.B.1 of this Application. I understand that the Division of Water Resources'
issuance of the Authorization to Construct Permit may be based solely upon this Certification and that the Division may
waive the technical review of the plans, specifications, calculations and other supporting documentation provided in this
application package. I further understand that the application package may be subject to a future audit by the Division.
Although certain portions of this submittal package may have been prepared, signed and sealed by other professionals
licensed in North Carolina, inclusion of these materials under my signature and seal signifies that I have reviewed the
materials and have determined that the materials are consistent with the project design.
I understand that 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.
North Carolina Professional Engineer's seal with written signature placed over or adjacent to the seal and dated:
Date:

Page 11
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KC’
Water Resources
ENVIRONMENTAL QUALITY
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State of North Carolina
Department of Environmental Quality
Division of Water Resources
By Courier/Special Delivery:
512 N. SALISBURY STREET, 9TH FLOOR
RALEIGH, NORTH CAROLINA 27604
TELEPHONE NUMBER: [phone]
Application for Authorization to Construct Permit (FORM ATC-12-14)
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14)
THE COMPLETED APPLICATION AND SUPPORTING INFORMATION SHALL BE SUBMITTED TO:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER RESOURCES/NPDES

By U.S. Postal Service
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
SECTION 6: APPLICATION CERTIFICATION BY APPLICANT
Applicant’s Certification per ISA NCAC 02T .0106(b);
for the SLanfile WWTP Aeration System Improvements Project
(Facility and Project Name) ' ---------------------------------------------- ---------------------------
appeals have been abandoned or exhausted are comnliant urtT 30 outstand,n8 civil Penalty where all
overdue annual fees. ' Wl any actlve comPliance schedule, and does not have any
.......

Signature:
well as civil penalties up to $25,000 per violation.