WQ0040515_Application_20181207 (2)

Central Files: APS _ SWP _
12/7/2018
Permit Number WQ0040515
Permit Tracking Slip
Program Category
Status Project Type
Non -discharge
In review New Project
Permit Type
Version Permit Classification
Wastewater Pump and Haul
A Individual
Primary Reviewer
Permit Contact Affiliation
ori.tuvia
Coastal SWRule
Permitted Flow
360
Facility
Facility Name
Major/Minor
Region
617 West Park Ave
Minor
Mooresville
Location Address
County
617 W Park Ave
Mecklenburg
Facility Contact Affiliation
Charlotte NC 28203
Justin Poovey
617 W Park Ave
Owner
Charlotte
NC 28203
Owner Name
Owner Type
Individual
Justin Poovey
Owner Affiliation
Justin Poovey
617 W Park Ave
Dates/Events
Charlotte
NC 28203
Scheduled
Orig Issue App Received Draft Initiated Issuance
Public Notice Issue Effective Expiration
12/10/2018 12/7/2018
12/10/2018 12/10/2018 6/11/2019
Regulated Activities
Requested /Received Events
Pump and haul
RO staff report received
RO staff report requested
Additional information requested
Additional information received
Outfall
Waterbody Name Streamindex Number Current Class Subbasin

P.O. Box 129
Morrisville, NC 27560
919-467-1239
MACCONNFLL
& ASSOCIATES, P.C.
December 4, 2018
Mr. Corey Basinger
NCDENR - Mooresville Regional Office
Water Quality Regional Operations
610 E. Center Ave.
Mooresville, NC 28115
RE: Justin Poovey
Pump and Haul Permit Application
Project No.: A69101.00
Dear Mr. Basinger:
1101 Nowell Road
Suite 118
Raleigh, NC 27607
Fax [phone]
RECEIVEDINCDENRIDWR
DEC -7 2010
WQROS
MOORESVIL.LE RFOIONAL OFFICE
Please see accompanying information regarding the pump and haul permit application for Justin
Poovey. The construction of a planned sewer system is behind schedule and the construction of
a new residence is about complete. The owners wish to move in before the holidays. The
following documents are provided with this cover letter for your review:
1. Application Form.
2. Application Fee— Check for $810.00.
3. Acceptance Letters.
4. Contract Hauler Letter.
5. Detailed Plans and Specifications (on drawings).
If you have any questions, concerns, or need any other information, please call me or Thomas
Perdue at 919-467-1239.
Thank you and have a great day.
Sincerely,
Gary S. MacConnell, P.E.
President

1. PRESUBMITTAL INFORMATION:
1. Contacted representative from regional office (Pre -submittal)?: ® Yes ❑ No
2. Contact name (For Regional Office): On Tuvia
II. APPLICANT INFORMATION:
1. Applicant's name (Municipality, Individual, Corporation, etc): Justin Poovev
2. Applicant type: ❑ Municipal ❑ State ❑ Privately -Owned Public Utility
El county ®Other: Single Family Home
3. Origin of Wastewater:
® Residential Subdivision
❑ Apartments/Condominiums
❑ Mobile Home Park
❑ School
❑ Restaurant
❑ Office
RECEIVED/NCDENRIOWF1
DEC - 7 2018
WQROS
MOORESVILLE REGIONAL OFFICE
❑ Retail (Stores, Shopping Centers) Domestic: 100 %
❑ Institution Commercial: %
❑ Hospital Industrial: _ %
❑ Church Other: %
❑ Nursing Home
❑ Other (specify)
4. Signature authority's name: Justin Poovev per 15A NCAC 02T .0106(b)
Title: Home Owner
5. Applicant's mailing address: 617 W Park Ave.
City: Charlotte State: NC Zip: 28203
6. Applicant's contact information:
Phone number: [phone] Email: iustinpoovevt7a email.com
III. CONTACT/CONSULTANT INFORMATION:
1. Contact name: Gary S. MacConnell, PF.
Title/Affiliation: En&e
2. Contact's information:
Phone number: [phone] Email: asmmacassocAbellsouth.net
IV. RECEIVING FACILITY INFORMATION:
If more than 1 facility has agreed to accept the wastewater, please list all the owners, facility names, and permit
numbers as a separate attachment)
1, Owner: Water & Sewer Authority of Cabarrus County
2. Facility name: Rocky River Regional nal Wastewater Treatment Plant
3. Facility permit number:
4. WWTF permit number:
S. WWTF contact name: John Walter Ritchie
Title/Affiliation: Facility Operator
6. WWTF contact information:
Phone number: [phone] Email:
APPLICATION P&H 01-16 Page 3 of 5

Other Receiving WWTPs
Charlotte Water
McAlpine Creek Wastewater Treatment Plant
Permit:NC0024970
Bill Ginhart Environmental Compliance Manager
704-336-7600

V. PROJECT INFORMATION:
1. Location of Project (physical address): 617 W Park Ave.. Charlotte, NC 28203
Approximate Coordinates (Decimal Degrees): Latitude: 35.21937o Longitude:--8.86444o
2. Duration of Pump and Haul Request (Six Months Typical): 6-Months
3. Hasa prior permit been issued? ® New ❑ Prior Pump & Haul Permit
Permit No.:
4. Permanent Method of Wastewater Disposal: Future connection to municipal sewer.
5. Date Permanent Disposal will be available: May 1.2019
6. Have permits / approvals for permanent disposal been obtained?
® Yes ❑ No Permit Number: Municipal sewer by others
7. Is there a Pretreatment Program in effect? ❑ Yes ®No
8. Describe any pretreatment prior to pumping and hauling:
9. Volume of Wastewater Generated: <480 Gallons per Day
10. Explain how the wastewater flow was determined: ® 15A NCAC 02T.0114 or ❑ Representative Data
If representative data, describe:
11. Describe Tank / Container wastewater will be pumped from (attach description if necessary):
1,000 gallon concrete pump tanks
12. Is Tank / Container in place or will it be installed (attach description if necessary):
It will be installed following approval
13. What type of high water alarm does the container have (and/or):
VI. CERTIFICATION:
1.
i
® Audible and Visual ❑ Telemetry (Auto Dialer/ SCADA)
Applicant's Certification: (Signature of Signing Official and Project Name)
I, Justin Poovev, attest that this application for Pump & Haul 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 issuance of a permit will require pump and haul facilities or activities to be
inspected at least daily by me or a designated representative. Note: In accordance with North Carolina 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 misdemeanor, which may include a fine not to exceed $10,OD0 as well as civil penalties
up to $25,000 per violation.
e
/
Signature
ENGINEERING DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL.
ACTIVITIES SHALL BE INSPECTED AT LEAST DAILY BY THE PERMITTEE OR IT'S REPRESENTATIVE PER 1SA NCAC 02T.0204(d).
APPLICATION P&H 0 1 - 16 Page 4 of 5

THE ENGINEER'S CERTFICATION IS REQUIRED FOR ACTIVITIES THAT RESULT IN THE PRACTICE OF ENGINEERING PER G.S. B9Cm3.
ENGINEERING DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL. IF CERTIFICATION BY AND ENGINEER IS REQUIRED,
THIS PAGE IS NOT NECESSARY.
Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
I, Gary S. MacConnell. PE ,attest that this application for Pump & Haul 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 all the applicable regulations. 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)udged
It to be consistent with the proposed design. Note: In accordance with NC General Statutes 143-215.6A and 143-215.6E 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 exceed $10,000 as well as civil penalties up to $25,000 per violation.
Gary S. MacConnell
Professional Engineer Name
MacConnell & Associates, P.C.
Engineering Firm
P.O. Box 129
Malling Address
Morrisville
City
919-467-1239 2h.
2e. NC 2f.
State
27560
Zip
21. [e-mail]
Facsimile E-mail
rsy-p,
NC PE Seal, Signature & Date
APPLICATION P&H O1-16 Page 5 of 5

AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY
North Carolina Department of Environmental Quality
Division of Waste Management - Solid Waste Section
1646 Mail Service Center, Raleigh, NC 27699.1646
Fee assessments and waste determinations will be required at the discretion of the wastewater
treatment facility. The facility has the ultimate prerogative to deny discharges of any wastes to the
incoming wastewater stream.
1, John Wager Ritchie, ff998970 Rocky River Regional Wastewater Treatment Plant
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
6400 Breezy Lane, Concord, North Carolina 28026
(Address)
704-788-4164, x114 do hereby authorize Mike Griffin f704-741.7867)
(Phone Number) (Owner/Operator of Septage Management Firm)
of Greenway Waste Solutions (19109 West Catawba Ave Ste 110 Cornelius NC 28031) NCS g 01444
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage YES portable toilet waste YES
grease septage (grease trap pumpings) NO commercial/industrial septage NO from
Cabarrus and surrounding counties.
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
6400
NC 28026
between the hours of 8AM and 9PM Monday Friday 7 M and 7PM Saturdayp Sunday union request
Reintroducing partially treated liquid Into a grease trap is acceptable _Yes V No
This authorization shall be valid until December 31, 2019
(Usually December 31, Year)
r
Signed .rnw t C ld(Date November 5, 2018
16Aftilor Ritchie (Facility Operator)
Subscribed and affirmed before me this 5th day of November , 20 18
- X&' /� Z ( - My Commission expires: June 6, 2021
13cmde L. Carson (NotaryPublic)
Remit to: (Same as above)
(OFFICIAL SEA`),``spN�lE 1(rrrrrrc
.`%0O C4'
NGar�ugpo
Note: FalslRcatlon of this document by the septage management firm shall lead to permit revocatlot My �C0 otya
S:/6olid Waste/CLA/SEPTAOE/FORMS/2016FirmAppkation/WWTPAuthoriratlon Form2016 ? Z omm
:°9 �-0B?e2r"Ara
_

CHARLOTTE
WTER
AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT
FACILITY
I, All Gintert / Environmental ComnIIsnce Manager
Charlotte Water- Entern Protection (CLTWater SP1
4222 Westmont Drive Charlofje NQ 28217 704:�16-4407
Do hereby authorize Scott Simmons
(Authorized Representat ve)
Of
creenwav Waste Sol�ns
(Septage Management Firm Name)
To dispose of Septage X , Portable Toilet Waste X
Note: 9) Grease trpp Ivaste iq, notfoweff at the disposal sites,
2) Re • Introducing:jra1Na11y,peatstt, jiquld Into
chariotto watar sykam, A grsass trap to not allowed In the
From:
At the below named Wy' w treatment Facility; r ty; @ shall be dischern
Fee assessments and waste determinations will be required at the discretion of the wastewater treatment
facility. The facility has the ultimate prerogative to deny discharges of any wastes to the Incoming
wastewater stream.
This authorization will be effective: 4anuary 1, 2019.
This authorization shall be valid until: Racamber a1. 2019.
Signed:
I
Note: Falsification of this document by the Septage management firm shall lead to permit revocation.

B BrilBn Broth on Co.
Greenway Waste Solutions
Justin W. Poovey
617 W Park Avenue
Charlotte, NC 28203
Dear Mr. Poovey,
This is a letter to indicate that Greenway Waste Solutions has the capability and
willingness to perform the pumping and hauling associated with the pump and haul tank
located at 617 W. Park Avenue, Charlotte, NC 28203.
Owner/Company Name: Reese Blackwell / Greenway Waste Solutions
Office: 704-741-7867
Cell Phone: [phone]
Email: [e-mail]
Truck hauling volume: 2018 Western Star with 4,000 gallon tank
The fee for the services will be $250 per pumping during weekdays and $350 per
pumping during weekends. This assumes a 12-24 hour notice most likely indicated by a
high level beacon or alarm (depending on engineer design). Our company can provide
emergency services if those services are required.
Best regards,
Reese Blackwell
19109 West Catawba Avenue 0 Suite 110 • Cornelius, NC 28031