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Home My WebLink AboutNC0020214_Authorization to Construct_Applicationr r� �1�° ,,, „/,, I,'Oil/%irrri/„/ii, //i„ ia,, o/ii,,;;,,;,✓i,,,��/%,,,,,,////„i,i�riic,,,, i„fi a,�r,/lii i �, May 31, 2019 ju,l 0 6 119 Dr. Bing Bai, Ph.D., El North Carolina Department of Environmental Quality ti Quality Ceuiung Sedioll NPDES Complex Permitting 512 North Salisbury Street (9t' Floor Archdale Building) Raleigh, North Carolina 27604 Re: Request for Authorization to Construct Wastewater Treatment Plant #2 Improvements —Phase 1 Project No. E-SRP-W-17-0121 Tuckaseigee Water and Sewer Authority Jackson County, North Carolina Dear Dr. Bai, The Tuckaseigee Water and Sewer Authority hereby requests Authorization to Construct the referenced proposed improvements at TWSA Wastewater Treatment Plant No. 2(NPDES NC0020214) as shown and specified in the enclosed plans, specifications and other supporting documents prepared. This submittal includes one hard copy and one digital copy of the following: • Application for Authorization to Construct Permit (Form ATC-12-14) • NPDES Permit NCO020214 • Engineering plans for the proposed improvements • Engineering specifications for the proposed improvements • Engineering calculations for the proposed improvements If you have any questions or we can provide any additional information, please contact me at kyle.seaman@mcgillassociates.com or by telephone at 828-252-0575. Sincerely, McGILL ASSOCIATES, P.A 12 �l "Kyle IVI Seaman, P.E. Project Manager kyle.seaman@mcgillassociates.com Enclosure cc: Dan Harbaugh, Tuckaseigee Water and Sewer Authority Julia Byrd, E.I., McGill Associates M (311 , J%.S OCMTFT ,.S 55 BROAD STREET, ASHEVILLE, NC 28801 828.252.0575, MCGILLASSOCIATES.COM State of North Carolina o 0 Department of Environmental Quality vve ei° auqllty Division of Water Resources r'm:°ltwlGla'°ig Section APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14) SECTION 1: INSTRUCTIONS AND INFORMATION A. The Division of Water Resources will accept this application package for review only if all of the items are provided and the application is complete. Failure to submit all of the required items will result in the application package being returned as incomplete B. ans a nd speci repared in accordance with 1.'!�� NCAC . 00, 15A Nmm. th Caar<� hru�a r� iera� SI4tu to ations must be o f .:..... � ITmmrk i au lr rrudl�uua as uu uIII I?tn.� as s V .'.., and ueasos�� e eu Resources uuuuueuaiir Il.ae��pus oQi�eHa for IINPD11lS CII N i1��9 1� R�9�"a" C� � LVea Wastewater"reatiment I sacflHdes. C. The plans and specifications submitted must represent a completed final design that is ready to advertise for bid. D. Any content changes made to this Form ATC-12-14 shall result in the application package being returned. E. The Applicant shall submit ONE ORIGINAL and ONE DIGITAL COPY (CD) of the application, all supporting documentation and attachments. All information must be submitted bound or in a 3-ring binder, with a Section tab for each Section, except the Engineering Plans. F. Check the boxes below to indicate that the information is provided and the requirements are met. G. If attachments are necessary for clarity or due to space limitations, such attachments are considered part of the application package and must be numbered to correspond to the item referenced. H. For any project that requires review under the State Environmental Policy Act (SEPA), an Authorization to Construct cannot be issued prior to the completion of a State Clearinghouse advertisement period for a FONSI, EIS, etc. unless the project qualifies for a Determination of Minor Construction Activity. 1. visit f Water Resource web site at �ut: s ��e uu y allaeu. iieusV'suors,� m- a iim 2aaa�� r� —at e For more information,, a terWater°Divisionsalla a w s- sle s o ii Wll°a u u �saur..': eeuu :u susm,. J. In addition to this Authorization to Construct, the Applicant should be aware that other permits may be required from other Sections of the Division of Water Resources (for example: reclaimed water facilities permits; Class A or B biosolids residuals permit). SECTION 2: APPLICANT INFORMATION AND PROJECT DESCRIPTION A. APPLICANT Applicant's name Tckeigee Water and uas �Sewer Authority Signature authority's name per 1 SA NCAC 02 i 1. ll _............ ....... Dan Harbaugh _.. _...... Signature authority's title __._.... ....... ...... ......._. _ ....... ....................... Executive Director Complete mailingaddress 1246 W Main Street, _ ��- eet, Sylva, NC 28779 Telephone number 828-586-5189 Email address a harbararlV°u a sfis�Da„uas B. PROFESSIONAL ENGINEER Professional Engineer's name ............._.. m ... Kyle Seaman Professional Engineer's title Project Manager North Carolina Professional Engineer's License No. .... 042� 470 Firm name — - — - v McGill Associates, P.A. Firm License number ............. ...... __.......__..... C-0459 Complete mailing address p g - ... 55 Broad Street Asheville NC 2880 Application for Authorization to Construct Permit (FORM ATC-12-14) Page 1 VVfater kirr,+'ourc("4a 1!ii IIiV11d4"„t,'�NY^�151adL .h.. Qfl.flAL.I'fi'Y Telephone number Email address C. NPDES PERMIT NPDES Permit number NCO020214 Current Permitted flow (MGD) — include permit 0.5 MGD flow phases if applicable State of North Carolina Department of Environmental Quality Division of Water Resources APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14) 828-252-0575 k jLe seaman @r nc �lllllassoc'Wes.corrn D. PROJECT DESCRIPTION Provide a brief description of the project: The .ro•ect enerall cons_ si is of the re lacement of the existing influent screening basket 4[14 grit removal facility, with a new centerflow band screen washer tom otter vortex rit removals stem and classifier;,,relacement of the two existin � influent um ,as• re lacement and u rode of the existin transfer um s• re lacement and u grade of the two existingblowers; installationofa new standb ew eneratc r and im 2rovements to the existing electrical instrumentation and control systems. SECTION 3: APPLICATION ITEMS REQUIRED FOR SUBMITTAL FOR ALL PROJECTS A. Cover Letter ® The letter must include a request for the Authorization to Construct; the facility NPDES Number; a brief project description that indicates whetherthe project is a new facility, facility modification, treatment process modification, or facility expansion; the construction timeline; and a list of all items and attachments included in the application package. ❑ Y q 15 NCAC .I L 0�0 , 15A._NCAC OAT, IrNorth ! airolhi na IT General Statu�te�3d 3, Il421th Carolina Geneiral,5tatu to 1.43 2°I5 � and IDivisliorn of Fei�a�u...Resources Miiinnrrnum Desjgg_gEteriia f'oE I II DES�stewatei Treatimen If an of the requirements FFar lit1 k are not met by the proposed design, the letter must include an itemized list of the requirements that are not met. B. NPDES Permit ® Submit Part I of the Final NPDES permit for this facility that includes Part A (Effluent Limitations and Monitoring Requirements) for the monthly average flow limit that corresponds to the work that is requested for this project. C. Special Order by Consent ❑ If the facility is subject to any Special Orders by Consent (SOC), submit the applicable SOC. ® Not Applicable. D. Finding of No Significant Impact or Record of Decision ❑ Submit a copy of the Finding of No Significant Impact or Record of Decision for this project. ❑ Provide a brief description of any of the mitigating factors or activities included in the approved Environmental Document that impact any aspect of design of this project, if not specified in the Finding of No Significant Impact or Record of Decision. ® Not Applicable. Application for Authorization to Construct Permit (FORM ATC-12-14) Page 2 State of North Carolina Department of Environmental Quality Division of Water Resources . << AL, C: V,61 I 'Y APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14) E. Engineering Plans ® Per 15A NCAC 02,.1.,;,0504,(c�, jj,, submit one set of detailed plans that have been signed, sealed and dated by a Nim,,:th C qIr°opilnr tensed Il riL li:°urn 1 L:o � larrrcu . ® Per 21 mNCAC6j ,0(„?„),(,Q, the name, address and License number of the Licensee's firm shall be included on each sheet of the engineering drawings. ® Plans must be labeled as follows: FINAL DRAWING — FOR REVIEW PURPOSES ONLY— NOT RELEASED FOR CONSTRUCTION. ® 15A INCAC 02 l 0124, requires multiple (dual at a minimum) components such as pumps, chemical feed systems, aeration equipment and disinfection equipment. Is this requirement met by the design? ® Yes or ❑ No. If no, provide an explanation: Plans shall include: ® Plans for all applicable disciplines needed forbidding and construction of the proposed project (check as appropriate): ® Civil ❑ Not Applicable ® Process Mechanical ❑ Not Applicable ® Structural ❑ Not Applicable ® Electrical ❑ Not Applicable ® Instrumentation/Controls ❑ Not Applicable ❑ Architectural ® Not Applicable ® Building Mechanical ®Not Applicable ❑ Building Plumbing ® Not Applicable ® Plan and profile views and associated details of all modified treatment units including piping, valves, and equipment (pumps, blowers, mixers, diffusers, etc.) ® Are any modifications proposed that impact the hydraulic profile of the treatment facility? ❑ Yes or ® No. If yes, provide a hydraulic profile drawing on one sheet that includes all impacted upstream and downstream units. The profile shall include the top of wall elevations of each impacted treatment unit and the water surface elevations within each impacted treatment unit for two flow conditions: (1) the NPDES permitted flow with all trains in service and (2) the peak hourly flow with one treatment train removed from service. ® Are any modifications proposed that impact the process flow diagram or process flow schematic of the treatment facility? ® Yes or ❑ No. If yes, provide the process flow diagram or process flow schematic showing all modified flow paths including aeration, recycle/return, wasting, and chemical feed, with the location of all monitoring and control instruments noted. F. ® Engineering Specifications ® Per 5A NCAC 02'r0J,5„0�„��f„ 1, submit one set of specifications that have been signed, sealed and dated by a North lh„ ` „Irc�„V,ona, I icerused IPinr )fessllona: Er, plreer. ® Specifications must be labeled as follows: FINAL SPECIFICATIONS — FOR REVIEW PURPOSES ONLY — NOT RELEASED FOR CONSTRUCTION. Specifications shall include: ® Specifications for all applicable disciplines needed for bidding and construction of the proposed project (check as appropriate): ® Civil ❑ Not Applicable ® Process Mechanical ❑ Not Applicable ® Structural ❑ Not Applicable Application for Authorization to Construct Permit (FORM ATC-12-14) Page 3 State of North Carolina Department of Environmental Quality 91 Division of Water Resources Alatel- Resoui'ces �::Il�Vl�,��11111:::�NI'AI QUAI IfY APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14) Z Electrical Not Applicable Instrumentation/Controls Not Applicable Architectural Not Applicable Building Mechanical Not Applicable Building Plumbing Not Applicable [0 Detailed specifications for all treatment units and processes including piping, valves, equipment (pumps, blowers, mixers, diffusers, etc.), and instrumentation. Means of ensuring quality and integrity of the finished product including leakage testing requirements for structures and pipelines, and performance testing requirements for equipment. Bid Form for publicly bid projects. G. Construction Sequence Plan Construction Sequence Plan such that construction activities will not result in overflows or bypasses to waters of the Statm The Plan must not imply that the Contractor is responsible for operation of treatment facilities. List the location of t Construction Sequence Plan as in the Engineering Plans or in the Engineering Specifications or in both: En Aineer�ii ��.9.11000 Per 15A iqCA(:.. 021".05041ic)(-31, submit one set of engineering calculations that have been signed, sealed and dated by a,North . . .......................... Carolina Licensed PirofessLovLaj 6 ngineer; the seal, signature and date shall be placed on the cover sheet of the calculations. For new or expanding facilities and for treatment process modifications that are included in Section 4.C, the calculations shall include at a minimum: Z Demonstration of how peak hour design flow was determined with a justification of the selected peaking factor. N/Ainfluent pollutant loading demonstrating how the design influent characteristics in Section 4.B.2 of this form were determined. N/APollutant loading for each treatment unit demonstrating how the design effluent concentrations in Section 4,13.2 of this form were determined. • Hydraulic loading for each treatment unit. • Sizing criteria for each treatment unit and associated equipment (blowers, mixers, pumps, etc.) • Total dynamic head (TDH) calculations and system curve analysis for each pump specified that is included in Section 4.C.6. • Buoyancy calculations for all below grade structures. • Supporting documentation that the specified auxiliary power source is capable of powering all essential treatment units. ......... ..... Permit/ If Not Issued Provide Not Date Date Certification Status and Expected Perm it/Certification Applicable Submitted Approved Number Issuance Date Ap plicable Darn Spft-fty, Not Soil Eirgsion and _Secfirnent ContrcLl N/A .._ --- — --------- — — ------- - - .... . .... . . — Application for Authorization to Construct Permit (FORM ATC-12-14) Page 4 J. State of North Carolina Department of Environmental Quality I I rla Division of Water Resources APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14) Residuals Management Plan ❑ For all new facilities, expanding facilities, or modifications that result in a change to sludge production and/or sludge processes, provide a Residuals Management Plan meeting the requirements of 35A I NCAC 02T.. 'xis' and 15A NCAC 02T ,,Q„ ,2,(M;(,; the Plan must include: ❑ A detailed explanation as to how the generated residuals (including trash, sediment and grit) will be collected, handled, processed, stored, treated, and disposed. ❑ An evaluation of the treatment facility's residuals storage requirements based upon the maximum anticipated residuals production rate and ability to remove residuals. ❑ A permit for residuals utilization or a written commitment to the Applicant from a Permittee of a Department approved residuals disposal/utilization program that has adequate permitted capacity to accept the residuals or has submitted a residuals/utilization program application. ❑ If oil, grease, grit or screenings removal and collection is a designated unit process, a detailed explanation as to how the oil/grease will be collected, handled, processed, stored and disposed. ® Not Applicable. Application for Authorization to Construct Permit (FORM ATC-12-14) Page 5 State of North Carolina Department of Environmental Quality Division of Water Resources 14/aa,m� uaaa,aa�a a r E NVVORCINNIE114"TALQarAL11Y APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14) SECTION 4: PROJECT INFORMATION A. WASTEWATER TREATMENT PLANT FLOW INFORMATION —COMPLETE FOR NEW OR EXPANDING FACILITIES 1. Provide the following flow information: Plant Flows Existing Plant Design MGD Current NPDES Permit Limit MGD Current Annual Average MGD (past 12 months) For Past 12 Months: For Past 24 Months: Start Date: month/yr Start Date: month/yr End Date: month/yr End Date: month/yr Maximum Month MGD MGD Maximum Day MGD MGD Peak Hour MGD MGD Application for Authorization to Construct Permit (FORM ATC-12-14) Page 6 State of North Carolina Department of Environmental Quality Division of Water Resources APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14) B. WASTEWATER TREATMENT FACILITY DESIGN INFORMATION —COMPLETE FOR NEW OR EXPANDING FACILITIES AND FOR TREATMENT PROCESS MODIFICATIONS 111 .(JN L 01 121� V :mi. Nu� rth C, ir,r)k a a�e_a^�rr rau Statute.i 3 Ill ri'Ih �um� llhi 1. Have a o the requirements of 1.,,,, m,. a I' ..-....... ..... ._.. ...... ...... t. si p esouuirce c inu imps u� i .�u� mmuteida ipim 11"wii 11)11l j astew t r it atm in Fag Mea been met by the proposed design ands specifications? Yes or No. f no, provide justification as to wh the requirements are not met consistent with 3 �� i AC � 2-F ,0 05JJi q NC AC Provide the design influent and effluent characteristics that are used as the basis for the project design, and the NPDES permit limits for the following parameters: Project Basis of Design �__.......... m. Design Influent ��.........�......_.__... g Design Influent ...�......................� ............ Influent Concentration Load Concentration - (Must be (Must be Current Annual supported by supported by Average (past Engineering Engineering Design Effluent 12 months) if Calculations Calculations Concentration and/or NPDES Permit Limits Parameter Available n [Section 3.H [Section 3.H] Sec) Load (monthly average) Ammonia Nitrogen mgSummer mg/L Summer (NH3-N) mg/L mg/L lb/day �........, mg/L Winter mg/L Winter Biochemical ..........— ................ mg/L Summer 30.0 mg/L Summer Oxygen Demand mg/L mg/L lb/day ........................... ..................,,.-- (BODS) mg/L Winter 30.0 mg/L Winter Fecal Coliform per 100 mL 200 per 100 mL Nitrate + Nitrite" Nitrogen (NO3-N + mg/L mg/L NOZ-N) Total Kjeldahl-...L Nitrogen mg/L mg/L Total Nitrogen .� lb/year lb/year g/ m,g/L m /L Total Phosphorus mg/L mg/L lb/day -- lb/year lb/year Total Suspended Solids (TSS) mg/L mg/L lb/day ---- ............... mg/L ......__. —— ...... 30 mg/L 3. Based on the "Project Basis of Design" parameters listed above, will the proposed design allow the treatment facility to meet the NPDES Permit Limits listed above? ® Yes or ❑ No. If no, describe how and why the Permit Limits will not be met: Application for Authorization to Construct Permit (FORM ATC-12-14) Page 7 State of North Carolina Department of Environmental Quality Division of Water Resources I'V(u'i'C°"r"F,re,CtuPc s 0"JI IT r APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14) 4. Per 15NCAC 02'r .0!.j� .. ° 11, by-pass and overflow lines are prohibited. Is this condition met by the design? ® Yes or ❑ No N..... ......._ If no, describe the treatment units bypassed, why this is necessary, and where the bypass discharges:.-.._,,..__ m' i3O,50, 5jI , multiple pumps shall be provided wherever pumps are used. Is this condition met by the 5. Per �..a�'� NCAC 0?.°i" .�4.._._.mm w. e design? ® Yes or ❑ No. If no, provide an explanation: _._••••••_,._ ti _15A NCAC 02T 0505ffl, power reliability shall be provided consisting of automatically activated standby power supply ons tcapable ca a ble of powering all essential treatment units under design conditions, or dual power supply shall be provided perIs this condition met by the design? ® Yes or ❑ No. If no, provide (as an attachment to this Application) written approval from the Director that the facility: ➢ Has a private water supply that automatically shuts off during power failures and does not contain elevated water storage tanks, and ➢ Has sufficient storage capacity that no potential for overflow exists, and ➢ Can tolerate septic wastewater due to prolonged detention. n ❑ P g criteria proposed pp l Y the design? r �"cs or No. If no explain the alternative design cntena for this project in accordance 1f..°�A NCAC 7. Per 'nA NCAC 021 ai �R:9.: as a minimum of 30 days of residual storage shall be provided. Is this condition met E1 mom ° a°1):— ---- --........—.................... 8. Per w15A NCAC 02" .0' t9' gj, the public shall be prohibited from access to the wastewater treatment facilities. Explain how the design complies with this requirement: NAthe ro ect take laces entire) within existin Y fencin . 9. Is the treatment facility located within the 100-year flood plain? ® Yes or ❑ No. If yes, describe how the facility is protected from the 100-year flood: The s,precific facilities-beinLreralaced_are located on the upper end ofthetreatment, facility all electrical euui„ument and motors are at least 2 feet about 10� 0 year flood plain C. WASTEWATER TREATMENT UNIT AND MECHANICAL EQUIPMENT INFORMATION —COMPLETE FOR NEW OR EXPANDING fACILITIES AND FOR MODIFIED TREATMENT UNITS RELIMINARY AND PRIMARY TREATMENT (i.e., physical removal operations and flow equalization):......� Calculations Treatment Unit No. of ' Size per Unit Plan Sheet Specification Provided. Units Reference Reference (Yes or No) 1.75 MGD at peak hourly C-201 to Y Manual Bar Screen 1reen flow C-204 113320 Mechanical Bar 4chamber 1.75 MGD atpeak hourly C-201 to1 113320 Y Screen en)& 40 pacter.�......�. �.._... �.�.�. ...�_— .......C-204 -113 ...._ ....... p grit 1.75 MGD at peak hourly C-201 toGrit Y. Removal 1 r and flow C-204 113220 Classifier ... ..........— .......�.... . Equalization Flow Equalization N/A -- gallons ft diameter; Primary Clarifier N/A Circular ft side water depth ..._ .�....-.___ _ ,. �.. .... ,._ ......Prima . -- m_ .._.. .... square feet; ry Clarifier ..Other.... N/A ..mmN/A Rectangular -..... ....�. ft side water depth ..._ l._._. Application for Authorization to Construct Permit (FORM ATC-12-14) Page 8 State of North Carolina Department of Environmental Quality Division of Water Resources APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14) Apphcadon for Aut1hohaflon to Construct Permit (FORIM A'rc.12 14) Page 9 State of North Carolina Department of Environmental Quality Division of Water Resources �A ��. �� ¶ } APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14) re 1�.1�6 +rli�u.dl kOry I�„CYF��"�9 tl. Dechlorination (Gas; gallons of contact tablet; liquid) tank/unit S. RESIDUALS TREATMENT Treatment Unit No. of Type Size per Unit Plan Sheet Specification Calculations Provided? Units Reference Reference (Yes or No) Gravity Thickening square feet; ft side Tank water depth Mechanical Thickening/ dry lb/hour Dewatering Aerobic Digestion ......... ..... gallons ��... Anaerobic �.. gallons Digestion ....._, dw...... ... ......... Composting dry lb/hour Drying dry lb/hour Other 6. PUMP SYSTEMS (include influent, intermediate, effluent, major recycles, waste sludge, thickened waste sludge and plant drain pumps) �..._.. Location .... No. of ... Purpose .. _. Capacity of plan Sheet ....Specification Pumps Type each pump Reference Reference ��lu.GPM. TDH Infent Pump 2 Influent Transfer Submersible non- 400 157.5 C-301 223120 Station clog, variable speed 7. MIXERS �... m �... _---.�. �..... _.......... _e. ...-. � ......�._..._. �.... ,,.. .. �.-Plan Shee........... .. No. of Power of t Specification Location Mixers Purpose Type each Mixer Reference Reference Application for Authorization to Construct Permit (FORM ATC-12-14) Page 10 State of North Carolina Department of Environmental Quality Division of Water Resources L IN 1", 1 141 A f C„ ",LI { Y APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14) 8. BLOWERS ....—----- ----._.... m,... ........ ..... ..... ._ ......... _.... —._ _. ... ...... .. ......... __......... . .......... __................ No. of Capacity of plan Sheet Specification Location Purpose Type each Blower Blowers (CFM) Reference Reference Proposed Pre- Operation of Variable speed, Engineered Electrical 2 Existing Package positive 1,250 C-401 113760 Building Treatment Plant displacement _ ..........._.. _ .... _. _.. — . ._. ..... 9. ODOR CONTROL .Locatio..... .—, �. . ,.-..._..--- ._. ...... ..... n No of Purpose Type _e �. Plan Sheet Specification Units Reference Reference D. SETBACKS —COMPLETE FOR NEW WASTEWATER TREATMENT STRUCTURES 1 se minimumdistance for each setback parameter to the wastewater treatment/storage units per 15Aµ„ IICAC 02T"eeM506 } a as W ..�....� Minimum Distance ... Is Minimum Distance Setback Parameter Required from Nearest Requirement met by the Design? If "No", identify Treatment/Storage Unit Setback Waivers in Item D.2 Below Any habitable residence or place of assembly under separate 100 ft owners i or not to be maintained as art of the project p p site ®Yes ❑ No Any private or public water supply source 100 ft ® Yes ❑ No Surface waters (streams — intermittent a _ �r J and perennial, perennial waterbodies, and wetlands) 50 ft ®Yes ❑ No ny well with exception of monitoring wells 10.....� 0 ft -- ®Yes ❑ No Any property line50 ft Yes No ® ❑ 2. Have any setback waivers been obtained per ,T.A Ilim COIL—"1Ai J? ❑ Yes or ❑ No. If yes, have these waivers been written, notarized and signed by all parties involved and recorded with the County Register of Deeds? ❑ Yes or ❑ No. If no, provide an explanation: Application for Authorization to Construct Permit (FORM ATC-12-14) Page 111 1 State of North Carolina Department of Environmental Quality - `I Division of Water Resources No��aa Rescnvv'ces WJAUrlAPPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14) SECTION S: APPLICATION CERTIFICATION BY PROFESSIONAL ENGINEER Professional Engineer's Certification per 15A NCAC 02T .0105: I, K_le _M,.,, Seaman, attest that this application package for an Authorization to Construct (Typed Name of Professional Engineer) for the Tuckasei ee Water and Sewer Authorit WWTP # 2 Im rovements — Phase 1 (Facility and Project Name) was prepared under my direct supervisory control and to the best of my knowledge is accurate, complete and consistent with the information supplied in the engineering plans, specifications, calculations, and all other supporting documentation for this project. I further attest that to the best of my knowledge the proposed design has been prepared � pp � .. statutes, 1� NCB 0211 u. 0900,15 NCAC 02T ormh�Caro�lina, in accordance with all applicable regulations and euieualtatut�) - , atute 4 2150 .., and Division of Water resources I inuinuin Des: M „urea GeiracraR Cdteria for NPDE Wastewater r Treatmeirit Facillities, and this Authorization to Construct Permit Application, except as provided for and explained in Section 4.13.1 of this Application. I understand that the Division of Water Resources' issuance of the Authorization to Construct Permit may be based solely upon this Certification and that the Division may waive the technical review of the plans, specifications, calculations and other supporting documentation provided in this application package. I further understand that the application package may be subject to a future audit by the Division. Although certain portions of this submittal package may have been prepared, signed and sealed by other professionals licensed in North Carolina, inclusion of these materials under my signature and seal signifies that I have reviewed the materials and have determined that the materials are consistent with the project design. I understand that in accordance with General Statutes 1.4 -21r.0 and .43- s„w 9 , 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 with written signature placed over or adjacent to the seal and dated: S AL 0�247 'p " orlaE , .-Z 7011AE� 15 Application for Authorization to Construct Permit (FORM ATC-12-14) Page State of North Carolina Department of Environmental Quality Division of Water Resources i,'r2/r r ,r -�o "w" f r ,ry;, APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14) SECTION 6: APPLICATION CERTIFICATION BY APPLICANT Applicant's Certification per N(,' III:): A ri i ,0 w J! I, Dan Harbau h Executive Director of TWSA attest that this application package for an Authorization to Construct (Typed Name of Signature Authority and Title) for the Tuckasei ee Water and Sewerr Authorit WWTP # 2 Im rovements —Phase 1 (Facility and Project Name) has been reviewed by me and is accurate and complete to the best of my knowledge. 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 notincluded, this application package will be returned to me as incomplete. I further certify that in d accordance with Po.5 �_a 'k Diu m i 01 �� q Ihgi), the Applicant or any affiliate has not been convicted of environmental crimes, has not abandoned a wastewater facility without proper closure, does not have an outstanding civil penalty where all appeals have been abandoned or exhausted, are compliant with any active compliance schedule, and does not have any overdue annual fees. I understand that the Division of Water Resources' issuance of the Authorization to Construct Permit may be based solely upon acceptance of the Licensed Professional Engineer's Certification contained in Section 5, and that the Division may waive the technical review of the plans, specifications, calculations and other supporting documentation provided in this application package. I further understand that the application package may be subject to a future audit. I understand that in accordance 'orecertification uin any app GA,ton package shall person who knowingly makes u II1': an false statement representation,lica p II be guilty of a Class 2 misdemeanor, which may jrclude a fine noto exceed $1 �,Oi, as well as civil penalties up to $25,000 per violation. . "... ...4, _ .. Signature( / Date: .. THE COMPLETED APPLICATION AND SUPPORTING INFORMATION SHALL BE SUBMITTED TO: NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER RESOURCES/NPDES B U.S. Postal Service b Courier S ecial Deliver 1617 MAIL SERVICE CENTER Si2 N. SALISBURY STREET, 9TH FLOOR RALEIGH, NORTH CAROLINA 27699-1617 RALEIGH NORTH CAROLINA 27604 TELEPHONE NUMBER: (919) 707-3610 Application for Authorization to Construct Permit (FORM ATC-12-14) _.,. Page 13