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HomeMy WebLinkAboutWQ0040359_Application (FTSE)_20181105Central Files.- APS SWP. 10/11/2018 Ierl'Alit Nnfibey WQ0040359 Permit Tracking Slip Program Category Status Project Type Non -discharge In review New Project Permit Type Version Permit Classification Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions A Individual Primary Reviewer Permit Contact Affiliation dean.hunkele Coastal SWRule Facility Name Major/Minor Region Holly Sands Villas Minor Wilmington Location Address County Onslow Facility Contact Affiliation Owner Owner Name Owner Type Pluris LLC Non -Government Owner Affiliation Maurice W. Gallarda PE 2100 McKinney Ave Cates/Events Dallas TX 75201 Scheduled COrig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration i 10/11 /2018 Regulated Activities Requested /Received Events Additional information requested Additional information received 386- /� �� i?-1' •yIr$;�:+�L'r i/ ii E'TE�••c"./"E..i. ,^'r ,tea-'.`l�e>Y'f'�•�c."H'- �y �K_< .rz } t n ' �i�5��Y` Y" �.r, T."'�' 7. '�` x'.�i dEil " "i�'•tl`:.+4.�n'--�+T� _ `� J.• '1 1 �-c"�%�- + i t i Ef.'•4 _'x..•�i �`�- '?Y .. sg4�2 4E4. i.7�.c'Vi Tt 3 cV 1 s' t. t_r. .0 •�.: 'T-:+' .- `T r 3}� •2 .pr b� y � � {.�., C �,' ;���ioi�� ;.�� � . '•f����� � �4 tie � �i.. .,r, . � � KE,.�i }-� KR.�'2-'�'i:',.til'd'`'{.'.�',.•tt��5'E.;c:. ` E 5 ' x..• "`': _ 1 .•.•.� w;; J+i� •-�+.•. +rs,Y r "3' �, -,'•3: `S.'* ....x ar k�a,�iv�fYt� . ".yT'� , -k .rP-� t _ �._ ` }:r �•``.::�- yy{r*` {'`�P',�.Xva"�1-�..q�}N-,.v �:�t.�m:..` �J�`'-' '�• 'y.�'` - -E.Y h',i.��ft�r V �i.= :�' i • +.t3 k'" • � L � A a �� � q � � } tir -hy •E [L Y ^'[ii S RL�'` " •r t+,�. E �' �.401� yN �: f ..E., •^^� r.: ;.a'L'u.' � F f:.�` � ... `h Ji�y_ ' y •�". :�?'. "{rv..✓ �' ,}�. -: S. -� _ •..x•.. �..'r.`.r.C.:.'M1.�'+>�i?�w:a�E�wL-.+�:..JCX+r•' '.A�•+.�.lt�iVr�sitwc'_2/�cyu �J '+.ww .'Yar.wi.i� 'V4 r LETTER OF TRANSMITTAL TOO Dean Hunkele DATE: October 8, 2018 NCDEQ -`water ua�it�� Section x Fo oily hands Villas ►iwM..1!!. N.'�!�R'tit S R 'NN --Uom.•twylT+wrr.ww.7�.i.:w^au:x Ylcv-ir.'at.r.wf�fit "�!�✓�.+nl 'S�vst,..�i�-L �w.The�+.M�ea[-wf�•• 127 Cardinal Drive Ext. Sewer Submittal ee.amon - -- - - - - - Gt=--�'-^nem - - Tt�.:ae,.,�ar-,� - --:::�v,..•�R....:, - - '-..,...•>-R:�..,�...w- _ . Wih-ninpon, NC, 28405 MM��I.•�.JMNCmRR:!rees`krfv'r_�[•.ri•.• �':.+�% •s+emu.�.istwsaCw.+r:Ke:wr+v WE ARE SENDING YOU* o One original and One �;1: j co � yy ®f the Fast Wrack Application; One 1 orig-� of the Flog Tracking/ Acceptance ••.. ••. - (1) 'tGTlavLaLsia�CYRX{::•vG�.RA�'�k•�rn�+Y�� hi1R•:i"+YcidvMPM1�9�%Fai>�::GTVtX_'.'.�'-._..iL:Kli..�.�4�ti�YCTX�ssi�tTM�RR.Y•sl � 4 � _��••��•"�.�•-IICfC4HdJr.: ?w'4. ' for Sewer K!qensLcR�-� p icati�n! One Check No.� 3 8 6 y . e amount of $4 8 a. 00 for �papplicationfee; and One :4ortion 0f the Sneads FerNr USGS �a� _. - - �. - .y .- .._�mwSeO�Ya.'P+MR}'.a.nh•t/� 1•P•�%�4: _�•��-.••••.�T� eK'e: Wi.v.a .+w/wwEeV{r.4•samttas' ,C+�7Kt'.Ado'A+twY<¢Sn..t�Ml+rY.ri-�-avrti.41: 'Mai.+WM1t<�Ycn.�1M.CwWhra:rr+vltwis].neri<e1..�.3t+wxas..Verlie:�swaF✓sim4wsm.TAns.+•*+�e� DELIVERY VIA. 9 Regular Maid 13 UPS overnighe 0 Hand [3 UPS Ground THESE ARE TR S TIED AS HEED BELOWO ® Federal Express Other For approved 0 As Requested For .review and Commeng 0 For Your Use 0 For aids Due 0 Other COMMENTSO ny nr 6. Moctezuma Staff Engineer Copies TO: Mr. Derek Only -email) LA /bab CF (P),, L , .'1 MS (if enclosures are not as noted, kindly notj& ass at once) Secectmy,C2.201$.BRS.Hunele.HollySandsvillns.SawerSubm tW.10,8.18 306 New Bridge Street; I P.O. Box 976 1 Jacksonville, IBC 28541-0976 1(910) 455-2414.1 Fax (910) 455-3441 Firm License dumber F-0108 I www.parkerjacksonville.com FLOW CHARTADDEIVDUM FOR MANCHESTE.R APARTMENTS Manchester Apartments is an existing project with 12 units, each at 240 G.P.D. per Unit. The purpose of this addendum is to show the existing pump station is adequate to carry the additional flow of 8 Units from Holly Sands Villas. Category Units Flow (GP®/Unit) Avg., Flow (GPM) Peak Flow (3x Factor) Existing 12 240 2.0 6.0 Proposed 8 240 1.33 4.0 Total 20 240 3.33 10.0 According to the Inspection Report done in 4-16-07,, the pumps operate at 39.48 gal/min. these pumps will easily handle the additional flow. C1. 2018.SPECS. HOLLYSANDSVILLAS. HOLLYSAN DSVI LLAS. FLOWCHART.8.8.18 Mate of North Carolina ]Department of Environmental Quality Division of Water Resources 1 SA NCAC 02T .0300 FAST TRACK SEWER SYSTEM EXTENSION APPLICATION 'Division of !Water Resources FTA 04-16 ;& SUPPORTING DOCUMENTATION i ' .. W G� 1 1 b DWR A 1 cation Numbea . � � to be co�� eted All items must be completed or the application evil! be returned 1. APPLICANT INFORMATION: 1. Applicant's name: Pluris -He LLC (company, municipality, HOA, ;utility, etc.) 2. Applicant type: ❑Individual 1z. Corporation ❑ General Partnership ❑ Privately -Owned Public Utility ❑ Federal [] State/County ❑ Municipal ❑ Other 3. Signature authority's name: Randy Hoffer ' per 15 A N C A C 02 `1 ; 0 l b) Title: Project Manager Ck!io; 49 Applicants mailing address. P.U. Box 856 -ti City: Sneads Fermi State: NC Zip: 28460- 5. Applicant's contact information: By. Phone number: (910) 327-2880 Email Address: rhoffer0plurisusa.com II. PROJECT INFORMATION: 1. Project name: Holly Sands Villas 2. Application/Project status: Proposed (New Permit) s Ong Permit/Project 'If 'a modification, provide the existing permit number: W 03 8989 If new construction but part of a master plan, provide the existing permit number: WQOO . 3. County where project is located: Onslow 4. Approximates Coordinates (Decimal Degrees): Latitude: 34.579' Longitude:-77.45960 5. Parcel ID (if applicable): (or Parcel ID to closest downstream sewer) 1H. CONSULTANT INFORMATION: 1. Professional Engineer: Jason A. Houston License Number: PE 34978 Firm: Parker & Associates, lnc. Mailing address: 306 New Bridge Street City: Jacksonville State: NC Zip: 28540- Phone number: (910) 455-2414 Email Address: ofiice�parlte;iacksonyille.com IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION: 1. Facility Name: Pluris LLC Permit Number: WQ0005849 Owner Name: Pluris Hp44j'LLC V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF): 1. Permit Number(s): WQgQP,3.ALM Downstream (Receiving) Sewer Size: 1.2 inch System Wide Collection System Permit Number(s) (if applicable): WQCS00275 Owner Name(s): Pluris .LLC Wa ci 10 e3 3q ffy I FORM: FTA 04-16 Page 1 of 5 THE COMPLETED APPLICATION PACKAGE INCLDI:NG ALL SUPPORTING INFORMATION AND MATERIALS, SHOULD BE SENT TO THE APPROPRIATE REGIONAL FICE: REGIONAL OFFICE ADDRESS COUNTIES SERVED Asheville Re 6na1 Office 2090 US Highway 70 Avery, Buncombe, Burke, Caldwell, Cherokee, Water ' Sotion Swannanoa, North Carolina 28778 Clay,: Graham, Haywood, Henderson, Jackson, (828) 296-4500 Macon, Madison, McDowell, Mitchell, Polk, (828) 299-7043 Fax Rutherford, Swain, Transylvania, Yancey e teville Re Tonal lice 225 Green Street Suite 714 Anson, bladen, 'Cumberland, Harnett, Hoke, v r9yalit f Section Fayetteville, North Carolina 28301-6094 Montgomery, Moore, Robeson, Richmond, (910) 433-3300 Sampson, Scotland (910) 486-0707 Fax Mooresville Re ion+lt icy 610 E. Center Avenue Alexander, Cabarrus, Catawba, Cleveland, Mooresville, North Carolina 28115 Gaston, Iredell, Lincoln, Mecklenburg, Rowan, (704) 663-1699 Stanly, Union (704) 663-6040 Fax R1 o-nal Office Water ulit obIn 1628 Mail Service Center Chatham, Durham, Edgecombe, Franklin, Raleigh, North Carolina 27699-1628 Granville, Halifax, Johnston, Lee, Nash, (919) 791-4200 Northampton, Orange, Person, Vance, Wake, (919) 788-7159. Fax --Warren,. Wilson Was- lon ReI tice 943 Washington Square Mall Beaufort, Bertie, Camden, Chowan, Craven, Wat g.runlit Sectn Washington, North Carolina 27889 Currituck, Dare, Gates, Greene,, Hertford, Hyde, (252) 946-6481 Jones, Lenoir, Martin, Pamlico, Pasquotank, (252) 975-3716 Fax Perquiman's, Pitt, Tyrrell, Washington, Wayne Ilmn ion Rey final Lice 127 Cardinal. Drive Extension Brunswick, Carteret, Columbus, Du lin, New p Water Seon wvilmingtan, North Carolina 28405 Hanover, Onslow,'Pender (910) 796-7215 (910) 350-2004 Fax- winston alen Ike i€ nal Office 450 W. Hanes Mill Road Alamance, Alle han , Ashe, Caswell 9 Y Davidson, Vate. gg Se t$. . Suite 300 - Davie, Forsyth, Guilford, Rockingham, Randolph, Winston-Salem, North Carolina 27105 Stokes, Surry, Watauga, Wilkes, Yadkin (336) 776-9800 INSTRUCTIONS FOR. FORM: FTA 04- 16 & SUPPORTING DOCUMENTATION Page 3 of 3 VII. GRAVITY SEWER.DESIGN CRITERIA (If Applicable) - 012T,0305 & MDC tGralyl D '' ewerS.1.4 1. Summarize gravity sewer to be permitted: Size (inches) Length (feet) Material 8 433 8" PVC. 8 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 VIM. PUMP STATION DESIGN CRITERIA (If Applicable) 02T -.0305 & 11IC lun Statia�ts/Foy°ce jlis COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT I. Pump station number or name: 2. Approximate Coordinates (Deci ial Degrees): Latitude: 0Longitude: - ° 3. Design flow of the pump station: millions gallons per day (firm capacity) 4. Operational point(s) of the p ump(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.NCA.0 02T .030 i � EJ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(l)(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 .03 05(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 timefi-ames, shall be provided in the case of a multiple station power outage. FORWFTA 04-16 Page 3 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 Q . rational. A ees per t (FORM, 1: E V) been attached? El Yes []No ®N/A 3. If the Applicant is a H. ►iie/Pro rt�L�Nitlers` Associ�tioii. Iias_anOperation Agreement (FORM: HOA) been attached? ❑ Yes E]No ®N/A 4. Origin of wastewater: (check all that apply): ® Residential Owned ❑ Retail (stores, centers, halls) ❑ Car wash ❑ Residential Leased El Retail with food preparation/service El Hotel and/or Motels ❑ School / preschool / day care FMedical /dental /veterinary facilities ❑Swimming. Pool /Clubhouse EJ Food and drink facilities El Church ❑ Swimming Pool/Filter Backwash EJ Businesses / offices / factories El Nursing Home El Other (Explain in Attachment) S. Nature of wastewater: 100 % Domestic/Commercial % Commercial % Industrial (,See l 5A NCAC 02 I` .0103 .� ) Is there a Pretreatment Program iti effect? ❑ Yes M No 6. Has a flow reduction been approved under. ;1,5A NCAC 0211 .0114(t)? ❑ Yes E]No ➢ If _yes, provide a copy of flow reduction approval,letter 7. Summarize wastewater generated by project: Establishment Type (see 02T.01L Daily Design Flow',b No. of Units Flow Residential 240 gal/ 8 1920 -GPD gal/ GPD gal/ GPD gaU- GPD gall GPD gal/ GPD Total 1920 GPD a See 15A M CA 02T .0114(13). , , and e ) 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.. 2A-4). b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A ? CAC 02T.01 14] shall be determined using available flow data, water using fixtures, occupancy or operation patterns, and 0 other measured data. 8. wastewater generated by project: 1920 GPD (per 15A NCAC 0 2T .01 l 4) ➢ Do not include future flows or previously permitted allocations If permitted flow is zero, indicate why: El 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: ❑ Rehabilitation or replacement of existing sewer with no new flow expected ❑ tither (Explain): FORM: FTA 04-16 Page 2 of S- IX. SETBACKS & SEPARATIONS — (02B.0200 & 15A NCAC 02T.0305(i)): I Does the project comply with all separations found in 15A NCAC El: Yes ' F] No Setback Parameter* Sep aration Required Storm sewers and other- utilities not listed -below (vertical) 24 inches Water mains (vertical -water over sewer including in benched trenches) 18 inches Water mains ( orizontal) 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, -WS4 waters of Class I or Class. 11 impounded reservoirs used as a source of drinking water 100 feet **Waters classified WS (except WS-for' WS-V), B, SA, ORW 14QW, or SB, fi-om. 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 9 10 feet Any.building .foundation 5 feet Any basement 10 feet Top,slope of embankinent or cuts of 2 feet or more vertical height 10 feet Drainage. systems and interceptor drams 5.feet Any swimming pools 10 feet' Final earth grade (vertical), 36 inches 15ANCACO`ff,10`19�5' s alternatives ........ . 64,Wnta ,contains .'It" natives where separations in 02T.030SM cannot be achieved. > "Stream class"ifib4fio,ins cAA'n'b-'.ei�'id"On""t-t'fiiied.us'lng the Division's Nk'_'Surfacr- Water ClassIflications Nlmboage )-0, If noncompliance with 02T.0305(f-),4r (0,..,see Section X of this application 2. Does the project comply With separation. merits for wetlands? (50 feet of separation) Yes F❑ No ➢ See the Divisibrol '!9-Ardflr- requ irements reqyl " ments for situations where separation cannot be meet ➢ No variance is required .,,,if.,thcalternative design criteria specified is utilized in design and construction ➢ As built documents" S`houldrdfer6 the location of areas effected Ace 3. Does the project comply with all setbacks found in the river basin rules per 15A NCAC 02B .0200"1 Yes ❑ No )> This would include Trout Buffered Streams per 15A.NCAC M.0202 4. Does, the project comply with an individual 404 Permit or any 401 Certifications? ® Yes F] No Wetlan'd-related permits shall be requested; obtained, and adhered to for projects that impact wetlands or surface waters ➢ Information can be obtained fi-orn the 401 -Btiffer PeLmittilla:Brahch, 5. Does project comply with 15A NCAC 2T.01 0 5 (e) . (6) (additional permits/certifications)? ®Yes ❑ No Per 15A * NCAC 02T - .0 105(c)(6), directly related'. environmental permits or certification applit'ations 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 21'.t.1402, "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. D Yes Z No ➢ 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: Does the submitted system comply with 15A NA_C 0 T, the 1 hiii ium Desi 311 Criteria' 01- flie Pcrillittinta of Pt.im�o Stations and Force Mains ���t�st �r��s�t�� .and the ������it. f Se�x�f�r l��lini:n�et�� esi���� C=,iteri �at�°st vtX�-sior� as applicable. .�., ._.. . c.._...._. pp Z Yes ❑ No If No, complete and submit the Variance/Alternative Design Request, application (VADC 10-14.) . and supporting documents for review. Approval of the request is requil•ed prior to submittal -of the Fast. Track. Apulication and sunnortinmu documents. 2. Professional. Engineer's Certification; � attest that this application for (Professional Engineer's name fiom Application Item III.1.) 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 fiu-ther 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 Maims (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-�21-5.6A and 143-215,68, any person who knowingly makes any false statement, representation, or certification in any application package shall be guilty of a Class 2misdemeanor, 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 da&i� vA CAN / z SEAL ago 000 Soo ob*G .rJot. ......................� �l�..: d.. a ....... 3. Applicant's Certification per 15A NCAC 02T .0106(b): _ I ' _�- ' ``attest that this application for .. -. c t� ppl (Signatur Aut ority's Hanle & title from A plication Item .3.) 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 claun 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 114'-21 1. A and 14 - 15. % 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: "orHate: FORM: FTA 04-] 6 Page 5 of 5 State of North Carolina Department of Environmental Quality Division of Water Resources ... :. Flaw Tracking/Acceptance for Sewer Extension Applications (FTSE 04-16) Entity Requesting .Allocation: Pluris LLC Project Name fox .which flow is being requested: Holly Sands Villas. More than one FTSE)nay be r•equ.ir'ved for a single 'project ject if the owner of the WWTP is not ilesponsible for all pump stations along the route of the proposed wastewater flow. 1. Complete this section only if you are the owner of the wastewater treatment plant. a. WWTP Facility Name: Plums North Topsail b. WWTP Facility Permit WQ0005849 A.11 floes are in MGD c. WWTP facility's permitted flow 1.542 d. Estimated obligated flow not yet tributary to the WWTP 0.406840 e. WWTP facility's actual avg. flow 0.580156 f. Total flow for this specific request 0.001920 g. Total actual and obligated flows to the facility 0.988916 h. Percent of permitted flow used 64% 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: (A) (B) (C) (D)=(B+G) (E)=(A-D) Design Obligated, Pump Average Daily Approx. Not Yet Total Current Station Firm Flow* * Current Avg. Tributary Flow Plus (Name or Capacity, * (Firm I pt), Daily Flow, Daily Flow, Obligated Available Number) MGD MGD MGD MGD Flow Capacity*** P1906R 0-046 001 R 0.004 0_0 0.004 0.014 x '1.`he 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 pealing 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 < o. Downstream Facility Name (Sewer): Sneads Ferry North Consolidation Downstream Permit Number: WQ0034486 Page 1 of 6 F� :, E 04-1. 6 III. Certification Statement: I Randy Hoffer 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 ro' ect is not antic"ated to p J p 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 J arn the responsible party. p p y Signature of this form indicates acceptance of this. wastewater flow. , _ Signing Official Sig ure Date