WQ0020927_Final Permit_20020218

Mate of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Gregory J. Thorpe, Ph.D., Acting Director
February 18, 2002
PAUL D CAMPBELL, DIRECTOR OF ENGINEERING
CITY OF CONCORD
P O DRAWER 308
CONCORD, NC 28026-0308
Dear Mr. Campbell:
?�V
A4 •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: Permit No. WQ0020927
City of Concord
Harris Road Middle School -15" Sanitary Sewer Trunk
Wastewater Collection System Extension
Cabarrus County
In accordance with your application received January 17, 2002, we are forwarding herewith Permit No.
WQ0020927, dated February 18, 2002, to the City of Concord for the construction and operation of the subject
wastewater collection system extension. This permit shall be effective from the date of issuance until rescinded
and shall be subject to the conditions and limitations as specified therein. This cover letter shall be considered a
part of this permit and is therefore incorporated therein by reference.
Please pay particular attention to Permit Condition 3 which requires that the wastewater collection
facilities be properly operated and maintained in accordance with 15A NCAC 2H .0227 or any individual system-
wide collection system permit issued to the Permittee.
Permitting of this project does not constitute an acceptance of any part of the project that does not meet
15A NCAC 2H .0200; the Division of Water Quality's (Division) Gravity Sewer Minimum Design Criteria
adopted February 12, 1996 as applicable; and the Division's Minimum Design Criteria for the Fast -Track
Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable, unless specifically mentioned
herein. Division approval is based on acceptance of the certification provided by a North Carolina -licensed
Professional Engineer in the application. It shall be the Permittee's responsibility to ensure that the as -constructed
project meets the appropriate design criteria and rules. Failure to comply may result in penalties in accordance
with North Carolina General Statute §143-215.6A through §143-215.60, construction of additional or
replacement wastewater collection facilities, and/or referral of the North Carolina -licensed Professional Engineer
to the licensing board.
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations, permission is hereby granted to the City of Concord
for the construction and operation of approximately 1,515 linear feet of 15 -inch gravity sewer to serve a school as
part of the Harris Road Middle School -15" Sanitary Sewer Trunk project, with no additional discharge of
collected domestic wastewater (flow permitted in permit No. WQ0020102) into the Water and Sewer Authority of
Cabarrus County's existing sewerage system, pursuant to the application received January 17, 2002 and in
conformity with 15A NCAC 2H .0200; the Division's Gravity Sewer Minimum Design Criteria adopted February
12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations
and Force Mains adopted June 1, 2000 as applicable; and other supporting data subsequently filed and approved
by the Department of Environment and Natural Resources and considered a part of this permit.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

The sewage and wastewater collected by this system shall be treated in the Water and Sewer Authority of
Cabarrus County Wastewater Treatment Facility (Permit No. NC0036269) prior to being discharged into the
receiving stream.
This permit shall become voidable unless the agreement between the City of Concord and the Water and
Sewer Authority of Cabarrus County for the collection and final treatment of wastewater is in full force and
effect.
If any parts, requirements, or Iimitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing upon written request within 30 days following receipt of this permit. This request
must be in the form of a written petition, conforming to Chapter 150B of North Carolina General Statutes, and
filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC 27699-6714. Unless
such demands are made, this permit shall be final and binding.
If you need additional information concerning this matter, please contact Kristin E. Miguez at
[phone] extension 524.
Sincerely,
reg roY Thorpe, J. Tho a Ph.D.
cc: Cabarrus County Health Department
Mooresville Regional Office, Water Quality Section (WWTF Permit No. NC0036269)
WK Dickson & Co., Inc.
Central Files
NPDU Files

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
This permit shall be effective from the date of issuance until rescinded and shall be subject to the following
specified conditions and limitations:
This permit shall become voidable unless the wastewater collection facilities are constructed in accordance
with the conditions of this permit; 15A NCAC 2H .0200; the Division of Water Quality's (Division) Gravity
Sewer Minimum Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design
Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable;
and other supporting n7aterials unless specifically mentioned herein.
2. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data.
3. The wastewater collection facilities shall be properly maintained and operated at all times. The Permittee
shall maintain compliance with an individual system -wide collection system permit for the operation and
maintenance of these facilities as required by 15A NCAC 2H .0227. If an individual permit is not required,
the following performance criteria shall be met as provided in 15A NCAC 2H.0227:
a. The sewer system shall be effectively maintained and operated at all times to prevent discharge to land
or surface waters, and any contravention of the groundwater standards in 15A NCAC 2L .0200 or the
surface water standards in 15A NCAC 2B .0200.
b. A map of the sewer system shall be developed prior to January 1, 2004 and shall be actively
maintained.
C. An operation and maintenance plan shall be developed and implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected at least three times per
week until July 1, 2000; thereafter, pump stations shall be inspected at least daily, as defined in 15A
NCAC 2B .0503(5), until July 1, 2001; and thereafter, pump stations shall be inspected every day.
Pump stations that are connected to a telemetry system shall be inspected at least once per week.
e. High-priority sewer lines shall be inspected at least once per every six-month period of time.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Inspection and maintenance records shall be maintained for a period of at least three years.
h. Overflows and bypasses shall be reported to the appropriate Division regional office in accordance with
15A NCAC 2B .0506(a), and public notice shall be provided as required by North Carolina General
Statute §143-215.IC.
4. This permit shall not be transferable. In the event there is a desire for the wastewater collection facilities
to change ownership, or there is a name change of the Permittee, a formal permit request shall be submitted
to the Division accompanied by documentation from the parties involved, and other supporting materials as
may be appropriate. The approval of this request shall be considered on its merits and may or may not be
approved.

5. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to interrupt
service by the existing utilities nor result in an overflow or bypass discharge of wastewater to the surface
waters of the State.
6. Upon completion of construction and prior to operation of these permitted facilities, a certification, a copy of
the construction record drawings, as well as supporting design calculations for any pump stations permitted
as part of this project shall be received from a North Carolina-Iicensed Professional Engineer certifying that
the facilities have been installed in accordance with this permit; 15A NCAC 2H .0200; the Division's
Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design
Criteria for the Fast -Track Permitting of Pump Station and Force Main adopted June 1, 2000 as applicable;
and other supporting materials. if this project is to be completed in phases and partially certified, you shall
retain the responsibility to track further construction approved under the same permit, and shall provide a
final certificate of completion once the entire project has been completed. A copy of the construction record
drawings, indicating the facilities constructed in the phase being certified, shall be submitted with each
partial certification. Mail the Engineer's Certification, one copy of the "Construction Record Drawings",
and one copy of the supporting design calculations to the Non -Discharge Permitting Unit, 1617 Mail Service
Center, Raleigh, NC 27699-1617.
7. A copy of the construction record drawings shall be maintained on file by the Permittee for the life of the
wastewater collection facilities.
8. Failure to abide by the conditions and Iimitations contained in this permit; 15A NCAC 2H .0200; the
Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum
Design Criteria for the Fast -Track Permitting of Pump Station and Force Mains adopted June 1, 2000 as
applicable; and other supporting materials may subject the Permittee to an enforcement action by the
Division, in accordance with North Carolina General Statutes § 143-215.6A through § 143-215.6C.
9. In the event that the wastewater collection facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall take immediate corrective action, including those as may be required
by this Division, such as the construction of additional or replacement facilities.
10. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes, rules,
regulations, or ordinances that may be imposed by other government agencies (local, state and federal) which
have jurisdiction, including but not limited to applicable river buffer rules in 15A NCAC 2B .0200, erosion
and sedimentation control requirements in 15A NCAC Ch. 4 and under the Division's General Permit
NCG0100000, and any requirements pertaining to wetlands under 15A NCAC 2B .0200 and 15A NCAC 2H
.0500.
1 I. Noncompliance Notification:
The Permittee shall report by telephone to the Mooresville Regional Office, telephone number
[phone], as soon as possible, but in no case more than 24 hours or on the next working day, following
the occurrence or first knowledge of the occurrence of either of the following:
a. Any process unit failure, due to known or unknown reasons, that renders the facility incapable of
adequate wastewater transport, such as mechanical or electrical failures of pumps, line blockage or
breakage, etc.; or
b. Any failure of a pumping station or sewer line resulting in a by-pass directly to receiving waters without
treatment of all or any portion of the influent to such station or facility.
Persons reporting such occurrences by telephone shall also file a written report in letter form within five days
following first knowledge of the occurrence. This report must outline the actions taken or proposed to be
taken to ensure that the problem does not recur.

Permit issued this the eighteenth day of February 2002
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Gregory J. Thorpe, Ph.D., A�4Dnb ector
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0020927

Permit No. WQ0020927
February 18, 2002
ENGINEER'S CERTIFICATION
Partial Final
1, , as a duly registered Professional Engineer in the State of North Carolina,
having been authorized to observe (periodically, weekly, full time) the construction of the
project,
Project Name Location and County
for the
Permittee hereby state that, to the best of my abilities, due care and diligence was used in the observation of the
construction such that the construction was observed to be built within substantial compliance of this permit; 15A
NCAC 2H.0200; the Division of Water Quality's (Division) Gravity Sewer Minimum Design Criteria adopted
February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump
Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting materials.
North Carolina Professional Engineer's seal, signature, and date:
The above Engineer's Certification shall be completed and submitted to the address below with one copy of the
"Construction Record Drawings" of the wastewater collection system extension as well as supporting design
calculations for any pump stations permitted as part of this project. This project shall not be considered complete
nor allowed to operate until this Engineer's Certification and all required supporting documentation have been
received by the Division. Any wastewater flow made tributary to the wastewater collection system extension
prior to completion of this Engineer's Certification shall be considered a violation of the permit and shall subject
the Permittee to appropriate enforcement actions.
NORTH CAROLINA DIVISION OF WATER QUALITY
WATER QUALITY SECTION
NON -DISCHARGE PERMITTING UNIT
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699.1617

State of North Carolina
Department of Environment and Natural Resources MTFP 11 �N Eb
a�I . SFrnoN
Division of Water Quality )
FAST-TRACK APPLICATION 4
for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAWG[kachal"palmift
(Pressure sewers systems are not to be included as pari of this application package)
THIS FORM MAYBE PHOTOCOPIED FOR USE AS AA1 ORIGIArAL..
INSTRUCTIONS: Indicate that you have included the following list of required application package items by signing your
initials in the space provided next to each item. Failure to submit all required items will lead to additional processing and review
time for the permit application.
A-- A. Application Form - Submit one original and one copy of the completed and appropriately executed application form.
Any changes to this form will result in the application being returned. The Division of Water Quality (Division) will
only accept application packages that have been fully completed with all applicable items addressed. You do not need
to submit detailed plans and specifications unless you respond NO to item IV.6. and/or item IV.10.
_ B. Attachment - Submit the completed and properly executed Form WSCA 10199 for each watershed within the project
location.
4C. Application Fee - Submit a check in the amount of $400 made payable to: North Carolina Department of Environment
and Natural Resources (NCDENR).
NIA D. Certificates of Public Convenience and Necessity — If the application is being submitted in the name of a
privately -owned public utility, submit two copies of the Certificate of Public Convenience and Necessity, which
demonstrates that the public utility is autborized to hold the utility franchise for the area to be served by the sewer
extension. If a Certificate of Public Convenience and Necessity has not been issued, provide two copies of a letter from
the NC Utilities Commission's Public Staff that states that an application for a franchise has been received, that the
service area is contiguous to an existing franchised area, and/or that franchise approval is expected.
N/A E. Operational Agreements — Submit one original and two copies of a properly executed operational agreement if the
sewer extension will be serving residential or commercial lots (e.g., houses, condominiums, townhomes, outparcels,
etc.) that will be owned by a homeowners' association or developer. If the applicant is a homeowners' association, use
Form HOA 10/99. If the applicant is a developer, use Form DEV 10/99.
F. Flow Acceptance Letters — If the owner of the downstream sewers and/or WWTF is different from the applicant,
submit two copies of a flow acceptance letter from the owner of the downstream sewers and WWTF. Flow acceptance
letters must contain the following minimum information: applicant and project name, amount of flow accepted, and
name and permit number of the receiving sewers/WWTF. The flow acceptance must not expire prior to permit
issuance and must be dated less than a year prior to the application date. Intergovernmental agreements or other
contracts will not be accepted in lieu of a project -specific flow acceptance letter.
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
NON -DISCHARGE PERMITTING UNIT
By U.S. Postal Service: By Courier/Special Delivery:
1617 MAIL SERVICE CENTER 512 NORTH SALISBURY STREET, SUITE 1219
RALEIGH, NORTH CAROLINA 27699-1617 RALEIGH, NORTH CAROLINA 27604
TELEPHONE NUMBER: [phone]
FACSIMILE NUMBER: [phone]
For more information, visit our web site at: h2o. enr. state. nc. uslndpul
FORM: FTA 06/00 Paize 1 of 5

Application number: Ka&Y
(to be completed by DWQ)
L GENERAL INFORMATION:
I. Applicant's name (name of the municipality, corporation, individual, etc.):
Citv of Concord. North Carolina
2. Owner's or signing official's name and title (15A NCAC 2H .0206(b)): R EC E I V E n
Si=MON
Paul D. Cam bell PE — Director of E
rigineering
3. Name and complete address of applicant: City of Concord. North_Carolina
Post Office Box 308 epi$
City: Concord State: NC Zip: 28026-D308
Telephone number: ( 704) 920-5425 Facsimile number: ( 704) 786-4521
4. Project name (name of the subdivision, facility or establishment, etc.):
Harris Road Middle School — 15" Sanitary Sewer Trunk
5. County where project is located: Cabarrus
6. Fee submitted: $ 400.00 (See Instruction C.)
7. Name and complete address of engineering firm: W. K. Dickson & Co.. Inc.
616 Colonnade Drive
City: Charlotte State: NC Zip: 28205
Telephone number: ( 704) 334-5348 Facsimile number: ( 704 ) 334-0078
8. Name and affiliation of contact person who can answer questions about application:
Thomas A. Bach PE W. K. Dickson & Co. Inc.
II. PERMIT INFORMATION:
1. Project is: _X new; modification
2. If this application is being submitted as a result of a modification to an existing permit, provide:
existing permit number NIA and the issuance date NIA
3. Applicant is: X public private
If private, units (lots, townhomes, etc.) are: leased (Skip to item 111.); sold
If sold, facilities owned by a:
III. INFORMATION ON WASTEWATER:
public utility (See Instruction D.);
homeowners' association/developer (See Instruction E.)
1. Please provide a one- or two -word description specifying the origin of the wastewater (school,
subdivision, hospital, commercial facility, industry, apartments, condominiums, etc.):
2. Volume of wastewater generated by this project: 0 _ gallons per day
3. Explanation of how wastewater flow was determined (15A NCAC 2H .0219(1)): Volume of wastewater
flow already accounted for in Previous permit Permit No. W00020102)
4. Nature of wastewater: 100 % Domestic/Commercial;
% Other waste - specify:
FORM: FTA 06/00 Page 2 of 5
% Industrial;

5. If wastewater is industrial in nature: NIA
a. Level of pretreatment that has been provided to ensure protection of the receiving collection system
and wastewater treatment facility:
b. If a pretreatment permit is required, has one been issued? Yes; No. ff yes, please
attach a copy of the pretreatment permit. If no, provide date application was submitted:
IV. DESIGN INFORMATION:
1. Brief project description: 15" Sanitary Sewer Trunk to Serve Harris Road Middle School,
2. Owner and name of wastewater treatment facility (WWTF) receiving wastewater (See Instruction F.):
Rocky River Regional WWTP — Water and Sewer Authority of Cabarrus County (WSACC)
3. WWTF permit number (NC00***** or WQ00** NC0036269
4. List the owner(s) of any intermediate sewers if different from applicant or owner of WWTF (See
Instruction F.): Water and Sewer Authority of Cabarrus County (WSACC)
5. Summary of GRAVITY SEWER to be permitted:
RECFIVE®
Diameter Length WATER QUALITY SEC71ON
(inches)
(linear feet)
15"
1,515.02
JAqip ".� '
Non-LbseMtge Fam3i
6. Does the subject gravity sewer collection system comply with the most recent version of the Gravity
Sewer Minimum Design Criteria and 15A NCAC 2H .0200? X Yes; No. If no, please
identify criteria and explain:
7. Summary of PUMP STATIONS to be permitted: N/A
No. or
Name
Design Flow
(MGD)
Pump Operational Points
GPM @_ feet TDH
Reliability Option
Selected
FORM: FTA 06/00 Page') of 5

8. Summary of FORCE MAIN to be permitted: NIA
Diameter Length
(inches) (linear feet)
9. List any equipment being utilized that is not specifically mentioned elsewhere in the application or as
part of the Minimum Design Criteria (e.g., telemetry, hoist, odor control equipment, mechanical bar
screens, etc.): NIA
10. Do the subject pump stations and force mains comply with the Minimum Design Criteria for the Fast -
Track Permitting of Pump Stations and Force Mains document adopted June 1, 2000 and 15A NCAC 2H
.0200? Yes; No. if no, please identify criteria and explain: N/A
NOTE: If you responded NO to item IVA and/or item IV.10. above, two (2) copies
of detailed plans, specifications, supporting information, and any other materials
pertaining to the identified criteria should be submitted with the
completed and appropriately executed application form.
FORM: FTA 06100 Page 4 of 5

V. CERTIFICA'T'IONS
Professional Engineer's Certification:
1 Thomas A. Bach, PE , attest that this application for Harris Road Middle School -
15"_Sanitary Sewer Trunk has been
reviewed by me and is accurate, complete and consistent with the information in the engineering plans,
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 adopted February 12, 1996, and the Minimum
Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted .lune 1, 2000.
Although certain portions of this submittal package may have been developed by other professionals,
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 NC General Statutes 143-
215.6A and 143-215.6B, any person who knowingly makes any false statement, representation, or
certification in any application shall be guilty of a Class 2 misdeaneanor 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 date:
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Applicant's Certification:
1, Paul D. Campbell, PE , attest that this application for Harris Road Middle School -
15" Sanitary Sewer Trunk has been
reviewed by m.e 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 information and attachments are
not included, this application package will be returned to me as incomplete. Note: In accordance with NC
General Statutes 143-215.6A and 143-215.68, any person who knowingly makes any false statement,
representation, or certification in any application shall be guilty of a Class 2 misdemeanor which may include
a fine not to exce 0,WR as well as civil penal up to $25,000 per violation.
Signature: Date: `
RECEVIVED
WATER QUALJTY SEC'110N
1 <
F :?. a
W -
��pp,,rrti:V--
yi".
Non -Discharge f effrithng
FORM: FTA 06100 Page 5 of 5

WSACC
WATER & SEWER AUTHORITY
OF CABARRUS COUNTY
W. Brian Hiatt
City of Concord Manager
P. O. Box 308
Concord, NC 28026-0308
Vl
MAY 2 2 2001
May 18 2001f.�t`'
RE: FLOW ACCEPTANCE — HARRIS ROAD MIDDLE SCHOOL
Dear Mr. Hiatt:
Orti(e: ' {? Davidson H,y.
Concord, SNC 28027
Mail loP.O. Bnx 428
Concord, NC 28026 6428
Phone: [phone]
Fax. 704.;')5.1564
The Water and Sewer Authority of Cabarrus County (WSACC) has or currently expects to
be able to make available capacity at the Rocky River Wastewater Treatment Plant and appropriate
sewer interceptors to transport and treat the domestic wastewater from the proposed Harris Road
Middle School. WSACC agrees to accept wastewater from 1,200 students. Based on North
Carolina Department of Environment and Natural Resources (NCDENR) wastewater flow
guidelines, the projected flow is 18,000 gpd; however WSACC expects the actual wastewater flow
to more closely approximate 14,400 gpd based upon Master Plan engineering data.
By requesting flow acceptance, the City of Concord acknowledges that WSACC may need to
upgrade, expand, or construct new facilities to accommodate the increased flow volume granted by
this and previous flow acceptance. Appropriate design and construction will be initiated when actual
flows dictate but may be subject to situations that WSACC does not expect or control. Based upon
flow of 18,000 gpd and cost of $6.7595/gpd to provide treatment and transportation capacity, this
flow acceptance represents an estimated capital expenditure in excess of $121,600.
For your information and based upon NCDENR wastewater flow guidelines, WSACC has
approved 10,108,292 gallons of flow acceptance for the City of Concord from 1992 to present and
707,446 gallons of flow acceptance year-to-date including this request. Based upon the approved
flow acceptances WSACC has committed capacity valued in excess of $68,327,000 for the City of
Concord since 1992 including $4,782,000 for this calendar year.
Downstream facilities from the proposed project are scheduled in WSACC's current Capital
Improvement Program (CIP) to increase available capacity. Projects on the CIP are subject to
approval by WSACC's Board of Directors, support from local governing bodies, regulatory
approval, and funding availability. The following schedule of CIP projects is tentative and may be
delayed by unforeseen circumstances:
• Lowe's Motor Speedway Pump Station and the Rocky River Pump Station at
Highway 29 will be abandoned with the completion of the Harrisburg Rocky
River Interceptor and Lower Rocky River Interceptor/Force Main and Pump
Station. Scheduled completion date- July 2001

Page 2
Harris Road Middle School
May 18, 2001
• Lower Coddle Creek Interceptor will be paralleled. Scheduled completion date:
2003.
• King's Grant Rocky River Interceptor will be paralleled. Scheduled completion date:
2004.
• Rocky River Wastewater Treatment Plant will be expanded to 34 mgd. Scheduled
completion date: 2005.
If, constructior of this project is not started v,;.thin one year of the date of this apprc-,ral, the
approval is rescinded and a second request and approval will be required. Please notify WSACC in
writing when construction of this project is initiated. Also, notify Mark Lomax (7041786-1783) 48
hours prior to connection to the Upper Rocky River Interceptor.
If you have any questions, please call me at [phone].
JCM /MEL/cw
cc: Mark Lambert
Jay Shive
Wesley Furr
Mark Lomax
Mark Fowler/Concord
Adam Dagenhart/Concord
Michael Nicosia/W.K. Dickson
Sincerely,
� `John C. Murdock, III
Executive Director RECEIVED
WATER OLIALITYSFCTION
AA 'i -i - _
Nor,-Owwrge Ps tltung

State or North Carolina
Department or En dronment, Health, and Natur2l Resources
Division of Ental Manager =t
513 North Salisbury Street • Raleigh, North Caroftna'=7626-0533
James G. Martin, Governor George T. Evcrev, Ph.D.
William W. Cobey, Jr.. Secretary Dire`tor
May 1,1991
Memorandum
To: Delegated Municipalities
From: Stevc W. Tedder, Chief
Water Quality Section Ae
Subject: Delegated Municipalities Checklist for Rvoise Nan -Disch=arge Pe=t Applications
The Division of Environmental Management's Water Quality Section has revised the
Gravity Svwtr Non -Discharge Permit Application Form, The form now incorporates the basic
information that the Division feels is necessary in order for the delegated municipalities to perform a
review on a gravity sewer project for the Division; therefore, the Division will no longer r-..quirc that
the "Delegated Municipalities Gravity Sewer Design Checklist" be completed and submitted. plc do,
however, rcquirt that the delegated municipality perform the sa c rfpe of =view €s always required
and complete the bottom portion of this page and attach it as the list page of all gravity sewer
applications that -mac being submitted as a delegated municipalities project. If you have any questions
on this natter, please. contact Aix. Randy Jones at 9191733-5083.
DELEGATED MUNICIPALITY GRAVITY SE'D'ER CERTIFICATION
(THIS FORM MAYBE PHOTOCOPIED FOR USE AS ANORIGPNAL)
Applicant: � Oc- n _
Project Namt_
Delegated 1�funicipality Reviewer's Certification:
atttst that the subject plans and
specifications have been reviewed under my supervision and that those plans and specifications arc
consistent v6th the information that has been specified on the Non -Discharge Application and the
Division of Environmental Management's minimum design rccluircrn`nts for gravity sewer proj'zu-
Delegated Municipality Reviewer's NC Professional Engineer's Registration No.: (eq G (Cl
Seal and Signat=c (specify date):
FORM: D;SGS 4!91
PAGE 1 OF I
RECF:iVED
MTER QUAMY SE00N
Jia,,J
N*Dlachetge Pertrtitting