WQ0040253_Application_20180830

® Stantec
July 10, 2018
File: 178440166
Mooresville Regional Office
Water Quality Section
610 E. Center Avenue
Mooresville, NC 28115
STANTEC CONSULTING SERVICES, INC.
2127 Ayrsley Town Boulevard Suite 300, Charlotte NC 28273
Reference: Union Power Cooperative Site Improvements
RECEIVEDINCDENRIDWR
AUG 2 4 2018
WOROS
MOORESVILLE REGIONAL OFFICE
Please find attached the permit submittal package for the above referenced project. This project includes the
construction of a new administration building, vehicle maintenance buildings, and associated structures. The
new vehicle maintenance buildings are not connected to the sewer system and have their own spill
containment facilities. New sewer mains and manholes will collect domestic flows only and discharge to the
City of Monroe's sewer system. Included with this package are the following items:
1. Cover letter.
2. Fast Track Application and Attachments (FTA 04-16).
3. Documentation of registered corporation with NC.
4. Downstream Sewer Flow Tracking/Flow Acceptance Form (FTSE 04-16).
5. Application Fee (Check for $480 payable to NCDEQ).
Please do not hesitate to contact me with any questions about the application or project in general.
Regards,
STANTEC
Robert Bernard PE
Associate
Phone: [phone]
Fax: [phone]
Robert. [e-mail]
Attachment: Application and attachments
CC: Numa Robertson, Union Electric Membership Corp.
Craig Wall, PARIC
Design with community in mind

State of North Carolina
Department of Environmental Quality
Division of Water Resources
& V� 15A NCAC 02T.0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
W_..ivision of ater Resources , / FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: 400L46;53 (to be completed byDWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Union Electric Membership Corgi (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ® Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal ❑ Other
RECEIVEDINCDENRIDWR
3. Signature authority's name: Numa Robertson per 15A NCAC 02T .0106(b)
Title: Vice President Corporate Services JaUG 2
4. Applicant's mailing address: 1525 North Rocky River Road WOROS
City: Monroe State: NC Zip: 28110- MOORESVILLE REGIONAL OFFICE
5. Applicant's contact information:
Phone number: (2U4 220-0739 Email Address: [e-mail]
II. PROJECT INFORMATION:
1. Project name: Union Power Cooperative Site Improvements
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: WQ00_ and issued date:
If new construction but part of a master plan, provide the existing permit number: W000_
3. County where project is located: Union
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.00'55° Longitude: -80.36'27°
5. Parcel ID (if applicable): 09 -342 -114081/802.09 -342 -114M.09 -342-114J
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Robert Bernard License Number: 028619
Firm: Stantec
Mailing address: 2127 Ayrsley Town Boulevard Suite 300
City: Charlotte State: NC Zip: 28273-_
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: City of Monroe W WTP Permit Number: NC 0024333
Owner Name: City of Monroe
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ_ Downstream (Receiving) Sewer Size: inch
System Wide Collection System Permit Number(s) (if applicable): WQCS_
Owner Name(s): _
FORM: FTA 04-16 Page I of 5

VI. GENERAL REQUIREMENTS
L 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 Operational Agreement ( FORM: HOA) been attached?
❑ Yes [-]No ®N/A
4. Origin of wastewater: (check all that apply):
❑ Residential 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 ❑ Swimming Pool/Filter Backwash
® Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic/Commercial % Commercial
Industrial (See 15A NCAC 02T .0103(20))
L ---)-Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T.01 14(f)? ❑ Yes ® No
➢ If Yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.01 14(f)
Daily Design Flow 0
No. of Units
Flow
Office
25 gal/employee/shift
145
3,625 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
3,625 GPD
a See 15A NCAC 02T.01 14(b), (d). (e)(1) and (e)(2) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; 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.01 141 shall be
determined using available flow data, water using fixtures, pccupancy or operation patterns, and other measured data.
8. Wastewater generated by project: _ GPD (per I5A NCAC 021-.0114)
➢ Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
❑ Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit Number: R
RECEt�EpINCDENRIO`N
❑ Rehabilitation or replacement of existing sewer with no new flow expected
AUG
❑ Other (Explain):
WOROS , Ai OFFICE.
FORM: FTA 04-16 Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T.0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 1488 DIP/PVC
➢ 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 requirement is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: -
3. Design flow of the pump station: _ millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): _ gallons per minute at _ feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
6. Power reliability in accordance with 15A NCAC 02T .0305(h)(1):
❑ Standby power source or pump with 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
Or if the pump station has an average daily flow less than 15,000 gallons per day:
❑ Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(1)(C):
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
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
in the case of a multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B.0200 & 15A NCAC 02T.0305(f)):
1. Does the project comply with all separations found in 15A NCAC 02T.0305(f) & (E)
➢ 15A NCAC 02T.0305(f) contains minimum cenaratinnc that �h, ii i,o-,n,,;A.A p _ ..,,.
❑ Yes ❑ No
Setback Parameter*
aration Re uired
Storm sewers and other utilities not listed below vertical
24 inches
Water mains vertical -water over sewer includingin benched trenches
77Se
18 inches
Water 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 -1 waters of Class I or
Class II impounded reservoirs used as a source of drinking water
100 feet
**Waters classified WS (except WS -1 or WS -V), B, SA, ORW, HQW, or SB from normal
high water or tide elevation and wetlands see item IX.2
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
Any building foundation
5 feet
Any basement
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drains e systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade vertical
36 inches
➢ 15A NCAC 02T.0305(a) contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webna e
➢ If noncompliance with 02T.0305(f) or (g,), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes ❑ No ® N/A
➢ See the Division's draft separation requirements for situations where separation cannot be meet
➢ No variance is required if the alternative design criteria specified is utilized in design and construction
➢ As built documents should reference the location of areas effected
3. Does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .02009 ❑ Yes ❑ No ® N/A
➢ This would include Trout Buffered Streams per 15A NCAC 213.0202
4. Does the project require coverage/authorization under a 404 Nationwide or ❑ Yes ®No
individual permits or 401 Water Quality Certifications?
➢ Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T 0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105(c)(6), directly related environmental permits or certification applications are 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.).
6. 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, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
❑ Yes ❑ No ® N/A
➢ 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 permitee's individual System -Wide Collection permit.
FORM: FTA 04-16 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, complete and submit the Variance/Altemative Design Request application (VADC 10-14) and supporting documents for
review. Approval of the reauest is required prior to submittal of the Fast Track Application and supporting documents
2. Professional Engineer's Certification:
name from Application Item I11.1.)
that this application for
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, Gravity Sewer
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.
North Carolina Professional Engineer's seal, signature, and dat(
3. Applicant's Certification per 15A NCAC 02T .0106(b):
(Signature
�. �c2viZeS
s name & title from Abplication Item I.3.)
_�-- 3 - Z.o 10
that this application for
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 04-16 Page 5 of 5

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NORTH CAROLINA
Department of the Secretary of State
CERTIFICA'T'E OF EXISTENCE
1, Elaine F. Marshall, Secretary of State of the State of North Carolina, do hereby
certify that
Union Electric Membership Corporation
is a corporation duly created, organized and existing under the laws of the State of
North Carolina, having been incorporated pursuant to the provisions of Chapter 117 of
the North Carolina Session Laws of 1935 by Certificate of Incorporation dated the 2211d
day of February, 1939.
I FURTHER certify that the said corporation is an active North Carolina
corporation, and that the said corporation has not filed a Certificate of Dissolution and
continues to be in existence in this State as of the date of this certificate.
Scan ni verify online.
IN WITNESS WHEREOF, I have hereunto set
my hand and affixed my official seal at the City
of Ralcigh, this 12th day orJune, 2018.
Ccrlilicationli 102915260-1 Refercnceg 14657635- Page: 1 of I Secretary of State
Verify this cerli ficale online at hllh:iwwwsosnep.cwveri0calion

North Carolina Secretary of State Search Results
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Electric .Membership Cooperative
Legal Name
Union Electric Me nbership Corporation
Information
Sosld: 0153322
Status: Current -Active
Annual Report Status: Current
Citizenship: Domestic
Date Formed: 2/22/1939
Fiscal Month: December
Registered Agent: Andress, Gregory S.
Addresses
Reg Office
1525 N Rocky River Rd
Monroe, NC 28110
Reg Mailing
PO Box 5014
Monroe, NC 28111
Mailing
PO Box 5014
Monroe, NC 28111
https://www.sosnc.go s/online_services/search/Business_Registration_Results 8/27/2018

RECEIVEDINCDENRIDWR
AUG 3 0 2018
WOROS State of North Carolina
MOORESVILLE REGIONAL OFFICE Department of Environmental Quality
Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: _ Union Electric Membership Corp
Project Name for which flow is being requested: Union Power Coop Site Improvements
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route ofthe proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: City of Monroe WWTP
b. WWTP Facility Permit #: NC 0024333
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
A11 flows are in MGD
10.4
0.5565
5.8100
0.0036
6.3701
61.3%
II. Complete this section for each pump station you are responsible for along the route of this
proposed wastewater flow.
List pump stations located between the project connection point and the WWTP:
(B)
(A)
(D)=(B+C) (E)=(A-D)
Design
Pump
Average Daily
Station
Firm Flow**
(Name or
Capacity, * (Firm / p0,
Number)
MGD MOD
(B)
(C)
(D)=(B+C) (E)=(A-D)
Obligated,
Approx.
Not Yet
Total Current
Current Avg.
Tributary
Flow Plus
Daily Flow,
Daily Flow,
Obligated Available
MGD
MGD
Flow Capacity***
* The Firm Capacity of any pump station is defined as the maximum pumped flow that
can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking
factor (pf) not less than 2.5.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is <0.
Downstream Facility Name (Sewer):
Downstream Permit Number:
Page 1 of 6
FTCF f)d-1 F

1II. Certification Statement:
I Russell Colbath 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 indicates acceptance of this wastewater flow.
Signature
VVITM
Page 2 of 6
FTSE, 04-16