WQ0033859_Sewer Extension Permit Status Update_20190829

Request for Engineering Certification Date of Letter August 9,2019
Sewer Extension Permit Status Update
Please complete the applicable portion of this form for each permit and return to the Division by the delivery method below and
within 30 days of the date of this letter:
NCDEQ/DWR
WQPS—PERCS UNIT RECEIVED/N(�E6Z/®WR
By U.S.Postal Service: By Courier/Special Delivery: By Email:
1617 Mail Service Center 512 N.Salisbury St.Suite 925 Nyle Hothem AUG 2 9 `16�9
Raleigh,NC 27699-1617 Raleigh,NC 27604 [e-mail]
Water Quality
Permit No.: 14)eil 0633 Permittee: ]rvKSu-•. CouH�',.^
Project Name: Farwt ea4 t/A-kt±Q,f A►ii PA4s-e Z. Pt-PSSclre "ler-
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Project Status (Check appropriate box to indicate Permittee's response and complete&sign below)
Permit to Remain Open: The Permittee certifies that the permitted project has not been constructed but shall be constructed in
the future in conformity with the approved Permit,project plans,specifications,and supporting documents.The Permittee
understands that the appropriate certification documents will need to be forwarded to the Division prior to operation. Subject
permit shall be maintained in Active status.
❑ The Permitted project has been constructed and the required Engineer's Certification and supporting documents will be
submitted to the Division with this form. Permittee understands that failure to submit required certification documents for an
active,in-service system may result in enforcement action.
❑ Request Extension: Permittee requests extension to reply to this letter not to exceed 60 days of the date of this letter.
Name&Title(print • ►v i Lott. i u K tx (p.C. b i f'ecfo r a/ b i K�ri
Signature: /v Date: 15 ZZ \
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Comments: l k k iA.S Hof 7 e+ Ci e J c u kt b✓4 t.� t �p
Ce�.tS'�✓ G fror{ i K 1`�e. c.' it v e . pi S-e [PAS.✓2 F i-o e-et 1 t1
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Permit Rescission Request
The Permittee requests that the subject permit be rescinded and certifies that the permitted sewer system has not been and shall
not be constructed nor made operational.We understand that,in the future,should we wish to operate a non-discharge sewer
system,we shall apply for and receive a new Wastewater Collection System Permit.
Name&Title(Print):
Signature: Date:
Comments:
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Contact Information Updates •
Updated Contact Person: I,r(i t.(Ztku, L• 'tIAJACA. '1 t. i✓et* i- o f�PteIttec.riu�
Updated Mailing Address: 3 a k Zq 1 1 MC
2 Lt!ZZJ
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Updated Email: (Ai\tt�t�. . r�i ,tihtic ( � ►��ttS�•�c,(Lrbv4+- 1 ac-. 50v

North Carolina Department of Environmental Quality
Division of Water Resources
Permit Number: WQ0033859 Version: 1.0 Issued Date: 3/6/2009
Permit Type: Gravity Sewer Extension,Pump Stations.&Pressure Sewer Extensions
Facility Name: Farmstead Plantation Phase 2 Pressure Sewer
Facility County: Brunswick Latitude: Longitude:
Facility Region: Wilmington
Owner Information Details:
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Submit a,Permit Ownership`/Name Change'form'to DWR to,make`any changes to`this'Owner'information:°" !,,,,il
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„' "e , '-Note ai the,owneristhe'legally`responsibie�entity (Click Her fors orno Ownership/Dine=Chan -fgrm t14;Akt _*
Owner Name: Brunswick County
Owner Affiliation: John Nichols Title: Utilities Director
Addressl: PO Box 249
Address2:
City,State&Zip: Bolivia,NC 28422-0249
Work Phone: [phone] Fax: [phone]
Email Address: John,NicholsCa brunswickcountvnc.aov
PermiCkrigineei/.Erpvironmeintal consult nt 9or= ,r''".,,a , , ,,"=::,: y, ,,, - ar ,,;,:o,-',,,:,,., °"4:', e$ } ,,, ,, ..1
Name Organization Name Phone Email
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Event Description Date Comment
Permit issued 3/6/2009 construction and operation of a sewer extension system consisting of:
approximately 175 linear feet of 8-inch gravity sewer;approximately 4,685 linear
feet of 2-inch pressure sewer pipe;4,235 linear feet of 3-inch pressure sewer;
2,350 linear feet of 4-inch pressure sewer; 186 simplex pump stations with
on-site audible and visual high water alarms to serve 186 single family residential
units and an Amenity Center as a part of the Farmstead Subdivision Phase 2,and
the discharge of 41,450 GPD of collected wastewater into the Brunswick County
Carolina Shores WWTF(NC0044873)
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Date Comment Text Version
3/3/2009 This permit was created and takes the place of application wq0020358. There Is no fee as the fee was associated 1.00
with appluication wq0020358 modification.
«,"T r»; li:" NOT; :,i'Receiptaof ri„Engitie"ring�Ce ca ibn,{Partial a d/or Final)is,xequirecl,pFtor,-to,operation,of the facility.°,,"°',,,a,..
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