WQ0045917_Application (FTSE)_20241018

Luckman, Debbie
From: Luckman, Debbie
Sent: Monday, October 21, 2024 10:20 AM
To: [e-mail]
Cc: [e-mail]
Subject: 16th St. NE Townhomes Fast track application
Acknowledgement of Complete Application Received
This email is acknowledgment that your Fast Track Sewer Extension (FTSE) permit application for 16th St. Ne
Townhomes has been received by the Mooresville Regional Office on October 18, 2024.An administrative review
was conducted, and the permit application is deemed complete. Per 15A NCAC 02T.0107(2)(e), "If an application
is accepted and later found to be incomplete,the applicant shall be advised how the application or accompanying
supporting information may be modified to make it complete.The staff shall advise the applicant."As of the date
of this email, per Session Law 2024-49 Senate Bill 166 (Section 4.3),the 45-day technical review period has
started. If additional information is deemed necessary,the date of the additional information request will pause
the 45-day review technical review period.Additional information must be received within 30 days of the date of
the request, or the application wilt be returned to the applicant, however the fee will not be returned. If you have
any questions regarding the permit, please reference the following application number WQ0045917. When
sending correspondences regarding your FTSE permit please include the application number in the subject line.
Deborah Luckman
Administrative Assistant, Mooresville Regional Office,
Division of Environmental Assistance and Customer Service
North Carolina Department of Environmental Quality
Office: [phone]
Debbie.Iuckman(@ deg.nc gov
1

:SHABELDEEN ENGINEERING, PA
F[3145 TATE BLVD. SE • BOXA • HICKORY, NC • 28602VILIWATER/SEWER/ENVIRONMENTAL PHONE: (828) :3944J-41]26
[CONSTRUCTION MANAGEMENT FAX (828)dan@shabeldeen-engine
October 17, 2024 ;r=CE;VEDiNCDEC�r'vUvfs
NCDEQ Mooresville Regional Office OCT 1 � 2024
Water Quality Section
610 E. Center Avenue VVQPOS
Mooresville, NC 28115 UIOORESVILLE P,EGION/-%,L OFFICE
SUBJECT: 1611 St. NE Townhomes Sewer Extension — Hickory, NC
Fast Track Sewer System Extension Application
Shabeldeen Engineering, PA (ENGINEER) is submitting the following items on behalf of the City of
Hickory:
1. Fast Track Sewer System Extension Application (Form FTA 10-23)
2. Flow Tracking for Sewer Extension Application (Form FTSE 10-23)
3. USGS Quadrangle Sheet
4. Aerial photo
5. Check for$600
Proiect Description
Starco Investments, LLC is in the process of developing the 2.42-acre tract on 16'h St. NE (PIN 3713-
1564-3948) in Hickory, NC. The development will consist of 28 2-13R duplex townhomes on a single
dead-end street. Water and sewer services will be provided by the city of Hickory. Currently the site
is undeveloped and wooded. The wastewater will be domestic wastewater estimated 4,200gpd
based on 28 units x 213R x 75 gpd/BR. All construction will be new. The sewer design complies with
the Gravity Sewer Minimum Design Criteria.
The project will be constructed in two (2) phases. Phase 1 will serve 12 units and consist of
approximately 200 feet of 8" DR-35 PVC and three (3) new 4-ft. manholes. The main will tie into an
existing manhole on the north side of the property. An existing 6-inch service from the adjacent
property to the south runs north across the property and ties into the existing manhole.
Phase 2 will serve 16 units and consist of approximately 490 feet of 8" DR-35 PVC pipe and four (4)
new 4-ft manholes. The main will tie into an existing manhole on the west end of the property. The
service noted above will be replaced and lowered during the Phase 2 construction to address utility
conflicts.
I greatly appreciate the assistance with the project. If you have any questions, please do not hesitate
to contact me.
Sincerely,
Dan Shabeldeen, P.E.
SHABELDEEN
Or 16th St NE Townhomes Sewer Permit.dou ENGINEERING
Ethics - Integrity • Engineering

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 10-23&SUPPORTING DRgEUI�WNC TION WR
Application Number: ' (to be completed by DWR) 0 C r
All items must be completed or the av Aication will be returned
MOORESVILLE REGIONAL OFFICE
I. APPLICANT INFORMATION:
1. Applicant's name: City of Hickory(company,municipality,HOA,utility,etc.)
2. Applicant type: ❑Individual ❑Corporation ❑General Partnership El Privately-Owned Public Utility
❑Federal ❑State/County ®Municipal ❑Other
3. Signature authority's name:Warren Wood per 15A NCAC 02T.0106(b)
Title:City Manager
4. Applicant's mailing address:P.O.Box 398
City:Hickory State:NC Zip:28603
5. Applicant's contact information:
Phone number:[phone] Email Address:wham blin@hickorync gov
II. PROJECT INFORMATION:
1. Project name: 1611 St NE Townhomes
2. Application/Project status: ®Proposed(New Permit) ❑Existing Permit/Project
❑ARPA funded j
If a modification,provide the existing permit number:WQ00 and issued date:
For modifications,also attach a detailed narrative description as described in Item'G of the checklist.
If new construction,but part of a master plan,provide the existing permit number:WQ00
3. County where project is located:Catawba
4. Approximate Coordinates(Decimal Degrees):Latitude: 35.7476' Longitude:-81.3031°
5. Parcel ID(if applicable): 371315643948(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
I. Professional Engineer:Dan Shabledeen License Number:029232
Firm:Shabeldeen Eneineerine
Mailing address:3145 Tate Blvd SE Box A
City:Hickory State:NC Zip:28602-
Phone number:[phone] Email Address:[e-mail]
IV. WASTEWATER TREATMENT FACILITY(WWTF)INFORMATION:
1. Facility Name:NE WWTP Permit Number:NCO020401
Owner Name:City o,f Hickory
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ
2. Downstream(Receiving)Sewer Information: 8 inch ® Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s)(if applicable):WQCS 00020
Owner Name(s): City of Hickory
FORM:FTA 10-23
Page ] of 5

VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately-Owned Public Utility,has a Certificate of Public Convenience and Necessity been attached?
❑Yes ❑No ®N/A
2. If the Applicant is a Developer of lots to be sold,has a Developer's Operational Agreement(FORM:DEV)been attached?
❑Yes ❑No ®N/A
3. If the Applicant is a Home/Property Owners'Association,has an HOA/POA Operational Agreement(FORM:HOA)and
supplementary documentation as required by 15A NCAC 02T.0115(c)been attached?
❑Yes ❑No ®N/A
4. Origin of wastewater:(check all that apply):
®Residential(Individually Owned) ❑Retail(stores,centers,malls) ❑Car Wash
❑Residential(Leased) ❑Retail with food preparation/service ❑Hotel and/or Motels
❑School/preschool/day care ❑Medical/dental/veterinary facilities ❑Swimming Pool/Clubhouse
❑Food and drink facilities ❑Church
❑Businesses/offices/factories Swimming Pool/Filter Backwash
❑Nursing Home ❑Other(Explain in Attachment)
5. Nature of wastewater: 100%Domestic %Commercial %Industrial(See 15A NCAC 02T.0103(20))
If Industrial,is there a Pretreatment Program in effect?❑Yes❑No
6. Hasa flow reduction been approved under 15A NCAC 02T.0114(fl? ❑Yes ❑No
➢ If yes,provide a copy of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establishment Type(see 02T.0114(f)) Daily Design Flow"b No.of Units Flow
2BR Duplex residence 75 gal/day/BR 28 4,200 GPD
gal/ GPD
gal/ GPD
gal/ GPD '{
gal/ GPD
gal/ GPD
Total 4,200 GPD
a See 15A NCAC 02T.0114(b) (d) (e)(1)and(e)(2)for caveats to wastewater design flow rates(i.e.proposed unknown
non-residential development uses; public access facilities located near high public use areas; and residential property
located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined in G.S.42A-4).
b Per 15A NCAC 02T.0114(c),design flow rates for establishments not identified[in table 15A NCAC 02T.01141 shall be
determined using available flow data,water using fixtures,occupancy or operation patterns,and other measured data.
8. Wastewater generated by project: 4,200 GPD(per 15A NCAC 02T.0114 and G.S. 143-215 1)
➢ Do not include future flows or previously permitted allocations
If permitted flow is zero,please indicate why:
❑Pump Station/Force Main or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line.
Please provide supplementary information indicating the approximate timeframe for permitting upstream sewers with flow.
❑Flow has already been allocated in Permit Number: Issuance Date:
❑Rehabilitation or replacement of existing sewers with no new flow expected
❑Other(Explain):
FORM:FTA 10-23 Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA(If Applicable)-02T.0305& MDC(Gravity Sewers):
I. Summarize gravity sewer to be permitted:
Size(inches) Length(feet) Material
8 711 PVC DR-35
➢ Section II&III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirements is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA(If Applicable)—02T.0305&MDC(Pump Stations/Force Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates(Decimal Degrees):Latitude: Longitude:- °
3. Total number of pumps at the pump station:
3. Design flow of the pump station: millions gallons per day(firm capacity)
➢ This should reflect the total GPM for the pump station with the largest pump out of service.
4. Operational point(s)per pump(s): gallons per minute(GPM)at feet total dynamic head(TDH)
5. Summarize the force main to be permitted(for this Pump Station):
Size(inches) Length(feet) Material
If any portion of the force main is less than 4-inches in diameter,please identify the method of solids reduction per
MDCPSFM Section 2.01C.Lb. ❑Grinder Pump ❑ Mechanical Bar Screen ❑Other(please specify)
6. Power reliability in accordance with 15A NCAC 02T.0305(h)(1):
❑ Standby power source or ❑ Standby pump
➢ Must have automatic activation and telemetry- 15A NCAC 02T.0305(h)(1)(B).
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
➢ Must be permanent to facility and may not be portable
Or if the pump station has an average daily flow less than 15,000 gallons per day 15A NCACO2T.0305(h)(1)(C):
❑ Portable power source with manual activation,quick-connection receptacle and telemetry-
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry:
➢ Include documentation that the portable source is owned or contracted by the applicant and is compatible with the station.
➢ If the portable power source or pump is dedicated to multiple pump stations,an evaluation of all the pump stations'storage
capacities and the rotation schedule of the portable power source or pump,including travel timeframes,shall be provided
as part of this permit application in the case of a multiple station power outage.
FORM:FTA 10-23 Page 3 of 5

IX. SETBACKS&SEPARATIONS—(02B.0200& 15A NCAC 02T.0305(f)):
1. Does the project comply with all separations/alternatives found in l5A NCAC 02T 0305(fl&(el?
15A NCAC 02T.0305 contains minimum separations that shall be provided for sewer s stems: ®Yes El No
Setback Parameter* Separation Required
Storm sewers and other utilities not listed below(vertical)
'Water mains(vertical-water over sewer preferred,including in benched trenches 18 inches
'Water mains(horizontal) ) 18 inches
Reclaimed water lines(vertical-reclaimed over sewer) 10 feet
Reclaimed water lines(horizontal-reclaimed over sewer) 18 inches
**Any private or public water supply source,including any wells,WS-I waters of Class I or 2 feet
Class II impounded reservoirs used as a source of drinking water,and associated wetlands. 100 feet
**Waters classified WS(except WS-I or WS-V),B,SA,ORW,HQW,or SB from normal
high water(or tide elevation)and wetlands associated with these waters(see item IX.2) 50 feet
**Any other stream,lake,impoundment,or ground water lowering and surface drainage
ditches,as well as wetlands associated with these waters or classified as WL.
Any building foundation(horizontal) 10 feet
Any basement(horizontal) 5 feet
Top slope of embankment or cuts of 2 feet or more vertical height 10 feet
Drainage systems and interceptor drains 10 feet
Any swimming pools 5 feet
Final earth grade(vertical) 10 feet
➢ If noncompliance with 02T.0305(fl or(g_J see Section X.1 of this application 36 inches
*15A NCAC 0210305( )contains alternatives where separations in 0210305(fl cannot be achieved.Please check"yes"
above if these alternatives are used and provide narrative information to explain.
**Stream classifications can be identified using the Division's NC Surface Water Classifications web a e
2. Does this project comply with the minimum separation requirements for water mains? Yes No
➢ If no,please refer to 15A NCAC 18C.0906(f)for documentation requirements and submit a parate❑docume❑nt,N/A
signed/sealed by an NC licensed PE,verifying the criteria outlined in that Rule.
3. Does the project comply with separation requirements for wetlands?
➢ Please provide supplementary information identifying the areas of non-conformance. ®Yes [:]No ❑N/A
➢ See the Division's draft se aration re uirements for situations where separation cannot be met.
➢ No variance is required it-the alternative design criteria specified is utilized in design and construction.
4. Is the project located in a river basin subject to any State buffer rules? 0 Yes Basin name:Catawba River El
If yes,does the project comply with setbacks found in the river basin rules per 15A NCAC 02B.0200? No
This includes Trout Buffered Streams per 15A NCAC 2B.0202 ©Yes ❑No
➢
5. Does the project require coverage/authorization under a 404 Nationwide/individual permits or 401 Water Quality Certifications? ❑Yes ®No
➢ Please provide the permit number/permitting status in the cover letter if coverage/authorization is required.
6. Does project comply with 15A NCAC 02T 0105(cvc,(additional permits/certifications)?Per 15A NCAC 02T 0105(cl(6) No
directly related environmental permits or certification applications must be being ge prepared,
have been applied for,or have been obtained.Issuance of this permit is contingent on issuance of dependent permits(erosion
and sedimentation control plans,stormwater management plans,etc.).
7. Does this project include any sewer collection lines that are deemed"high-priority?"
Per 15A NCAC 02T.0402 "high-priority sewer"means any aerial sewer,sewer contacting surface waters, 0
Yes ®No
siphon,or sewers positioned parallel to streambanks that are subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interference/conflict boxes require a variance approval.
➢ If yes,include an attachment with details for each line,including type(aerial line,size,material,and location).
High priority lines shall be inspected by the permittee or its representative at least once every six-months and
inspections documented per 15A NCAC 02T.0403(a)(5)or the permittee's individual System-Wide Collection permit.
FORM:FTA 10-23
Page 4 of 5

IX. SETBACKS&SEPARATIONS—(02B.0200 & 15A NCAC 02T.0305(f)):
1. Does the project comply with all separations/alternatives found in 15A NCAC 02T.0305(_f &(g,)? ®Yes ❑No
15A NCAC 02T.0305 contains minimum separations that shall be provided for sewers stems:
Setback Parameter* Separation Required
Storm sewers and other utilities not listed below(vertical) 18 inches
ZWater mains(vertical-water over sewer preferred,including in benched trenches) 18 inches
ZWater mains(horizontal) 10 feet
Reclaimed water lines(vertical-reclaimed over sewer) 18 inches
Reclaimed water lines(horizontal-reclaimed over sewer) 2 feet
**Any private or public water supply source,including any wells,WS-I waters of Class I or
Class II impounded reservoirs used as a source of drinking water,and associated wetlands. 100 feet
**Waters classified WS(except WS-I or WS-V),B,SA,ORW,HQW,or SB from normal
high water(or tide elevation)and wetlands associated with these waters(see item IX.2) 50 feet
**Any other stream,lake,impoundment,or ground water lowering and surface drainage
ditches,as well as wetlands associated with these waters or classified as WL. 10 feet
Any building foundation(horizontal) 5 feet
Any basement(horizontal) 10 feet
Top slope of embankment or cuts of 2 feet or more vertical height 10 feet
Drainage systems and interceptor drains 5 feet
Any swimming pools 10 feet
Final earth grade(vertical) 36 inches
➢ If noncompliance with 02T.0305( or(g),see Section X.1 of this application
*15A NCAC 02T.0305(g)contains alternatives where separations in 02T.0305(f)cannot be achieved.Please check"yes"
above if these alternatives are used and provide narrative information to explain.
**Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
2. Does this project comply with the minimum separation requirements for water mains? ®Yes ❑No ❑N/A
➢ If no,please refer to 15A NCAC 18C.0906(f)for documentation requirements and submit a separate document,
signed/sealed by an NC licensed PE,verifying the criteria outlined in that Rule.
3. Does the project comply with separation requirements for wetlands? ®Yes ❑No ❑N/A
➢ Please provide supplementary information identifying the areas of non-conformance.
➢ See the Division's draft separation requirements for situations where separation cannot be met.
➢ No variance is required if the alternative design criteria specified is utilized in design and construction.
4. Is the project located in a river basin subject to any State buffer rules? ❑Yes Basin name: ®No
If yes,does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? ❑Yes ❑No
➢ This includes Trout Buffered Streams per 15A NCAC 2B.0202
5. Does the project require coverage/authorization under a 404 Nationwide/individual permits ❑Yes ®No
or 401 Water Quality Certifications?
➢ Please provide the permit number/permitting status in the cover letter if coverage/authorization is required.
6. Does project comply with 15A NCAC 02T.0105(c)(6)(additional permits/certifications)? ®Yes ❑No
Per 15A NCAC 02T.0I05(c)(6),directly related environmental permits or certification applications must be being prepared,
have been applied for,or have been obtained.Issuance of this permit is contingent on issuance of dependent permits(erosion
and sedimentation control plans,stormwater management plans,etc.).
7. Does this project include any sewer collection lines that are deemed"high-priority?" ❑Yes ®No
Per 15A NCAC 02T.0402,"high-priority sewer"means any aerial sewer,sewer contacting surface waters,
siphon,or sewers positioned parallel to streambanks that are subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interference/conflict boxes require a variance approval.
➢ If yes,include an attachment with details for each line,including type(aerial line,size,material,and location).
High priority lines shall be inspected by the permittee or its representative at least once every six-months and
inspections documented per 15A NCAC 02T.0403(a)(5)or the permittee's individual System-Wide Collection permit.
FORM: FTA 10-23 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains(latest version) and the Gravity Sewer Minimum Design Criteria(latest version)as applicable?
®Yes ❑No
If no, for projects requiring a single variance, complete and submit the Variance/Alternative Design Request application
(VADC 10-14) and supporting documents for review to the Central Office. Approval of the request will be issued
concurrently with the approval of the permit, and projects requiring a variance approval may be subject to longer
review times For ro ects requiring two or more variances or where the variance is determined )v the Division to be a
significant portion of the project the full technical review is required
2. Professional Engineer's Certification:
1, Daniel Shabeldeen ,attest that this application for 16th St.NE Townhomes
(Professional Engineer's name from Application Item Ill.1.)
(Project Name from Application Item II.I)
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans,
specifications,engineering calculations,and all other supporting documentation to the best of my knowledge. I further
attest that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations,
Minimum Design Criteria for Gravity Sewers(latest version) and the Minimum Design Criteria for the Fast-Track Permitting
of Pump Stations and Force Mains(latest version). Although other professionals may have developed certain portions of this submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and
have judged it to be consistent with the proposed design.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.613, 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.Misrepresentation of the application
information,including failure to disclose any design non-compliance with the applicable Rules and design criteria,may subject
the North Carolina-licensed Professional Engineer to referral to the licensing board.(21 NCAC 56.0701)
North Carolina Professional Engineer's seal,signature,and date: �N CARO
SEAL
029232 Z
2�LNG1NE
F� SHNa
3. Applicant's Certification per 15A NCAC 02T.0106(b):
9/19/2024
I, Warren Wood ,attest that this application for 16th St.NE Townhomes
(Signature Authority Name from Application Item 1.3.) (Project Name from Application Item II.I)
attest that this application has been reviewed by me and is accurate and complete to the best of my knowledge.
I understand that if all required parts of this application are not completed and that if all required supporting documentation
and attachments are not included, this application package is subject to being returned as incomplete. I understand that any discharge of wastewater from this non-discharge system to surface waters or the land will result in an immediate 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 as civil penalties up to$25,000 per violation.
Signature: Date: .
FORM:FTA 10-23
Page 5 of 5

f
a
State of North Carolina
Department of Environmental
v``;g,� f Division of Quality
Water Resources
Flow Tracking for Sewer Extension Application Entity Requestings
Allocation: (FTSE 10-23)
Project Name for which flow is be
in1 requested:Hicko
More than one FTSE g quested: 16th St NE To
may be required for a single protect ifthe owner of the hl�y es
stations along the route of the pro own w TP is not responsible
I Complete this section onl if p astewater flow, forallpump
Y you are the owner of the wastewater treatment
a. WWTP Facility Name: Northeast WWTP plant.
b• WWTP Facility permit#: NC0020401
c• WWTP facility's permitted flow
d. Estimated obligated flow not et tributary All flows are in MGD
e• WWTP facility'sY 6.0
actual avg. flow 'to the WWTP 0.3292
f Total flow for this Specifiicrequ request g. Total actual 2.7976
and obligated flows to the facility 0.0042
h. Percent of permitted flow used
3.1310
II. Complete this section for each 52.18
wastewater now.
pump station you are responsible for along the route of this is proposed
pump stations located between the project connection
Point and the WWTP:
(A) (B)
Pump Pump Design (C) (D)=(B+C
Station Station FirmAverage Obligated, ) (E)=(A-D)
(Name or Permit Capacity, * Daily Flow** Current Not Yet
Number) Total Current
No. MGD (Finn/Pfl, Avg. DailyTributary Flow Plus
N/A MGD Flow,MGD Daily Flow, Obligated
MGD Flow Available
N/A Capacity***
***
N/A
N/A
� �
*The Firm Capacit g
achieved with the largeSdesi n flow)of any pump station is defined, d as the mm uxa iI m—�
pump taken out of service.Design Average Daily Flow is the firm capacity
Pumped flow that can be
less than 2.5,per Section 2.02 Pacity of the
(A)(4)(c)of the Pump station divided by a peaking factor
A Planning Assessment Addendum shall be attached for Design Criteria.
(P�not
project connection point and the WWTP where the Available
each pump station located between the
Downstream Facilitycapacity is<p,
Name (Sewer): Ci
Downstream permit Number: Of Hicko Collection S ty stem
WQCS00020
Page 1 of 8

III. Certification Statement:
I Warren Wood, City Manager certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity
related sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant under normal circumstances, given the implementation of the planned improvements
identified in the planning assessment where applicable. This analysis has been performed in accordance
with local established policies and procedures using the best available data. This certification applies to
those items listed above in Sections I and II plus all attached planning assessment addendums for which I
am the responsible party. Signature of this form certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
v
, S 7.'Z�"/
Signing Official Signa e Date
Title o�Signing Official -
Page 2 of 8
FTSE 10-23

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Parcel: 371315643948, 16TH ST NE HICKORY, 28601
Owners: STARCO INVESTMENTS LLC,
Owner Address: PO BOX 2693
Values - Building(s): $0, Land: $127,300, Total: $127,300
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personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may
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Copyright 2023 Catawba County NC
05/15/2023