WQ0033453_Sewer Extension Permit Status Update_20190828

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:
NCDEQJDWR
WQPS—PERCS UNIT
By U.S.Postal Service: By Courier/Special Delivery: By Email:
1617 Mail Service Center 512 N.Salisbury St.Suite 925 Nyle Hothem
Raleigh,NC 27699-1617 Raleigh,NC 27604 [e-mail]
Permit No.: We) d b 3 t{c3 Permittee: l-v l Lt
Project Name: a k,8►rs R..paLcIA S u ki ct f UiStiOvl. M__L?C4.
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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(pri ): t)►t ' L. P to vt C. G i t Irrcto f. ell L kSfkteeV4�e-p
Signature: I/L,-�L 1 i „v Date: 14.V:Z\10
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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The Permittee requests that the subject permit be rescinded and certifies that the permitted sewer system has not been and shall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:
Contact Information Updates •
Updated Contact Person: k t I. t t 4.it.. t ttii�Lf Xti �• G. i ire r,�d r �4�{'►` �cvp
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Updated Mailing Address: 4).0. 3ajc 2Kr( a11yrG r NC Zcf'{ZZ
•Updated Email: I.l tG1n,..• 'pi K.f X @' I60i-e, krf ova L. Qa tJ

North Carolina Department of Environmental Quality
Division of Water Resources
Permit Number: W00033453 Version: j,Q Issued Date: 10/31/2008
Permit Type: Gravity Sewer Extension,Pump Stations,&Pressure Sewer Extensions
Facility Name: Mariners Reach Subdivision Mixed Sewer
Facility County: Brunswick Latitude: Longitude:
Facility Region: Wilmington
Owner Information Details:
Subrnit 0:...PerndfOwnership4,Name Changefermit0 DWIltto make,any„changes,tothis,Chimer‘infermation.;,
Note,tliqtkiheowlier is',the,legalIyiresponsible.entitik,(Oick Here for 7egimittOwnershiO/NOT9Sh:eOgo71Orm):t„ t" -
ttAttt.: t ,
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.NicholsPbrunswickcountync.crov
germit EiiiineiiiEnVifoilMeniet„Onnsidtant
.111.K_en Organization Name Phone Email(
' ' '="7 ST77- - 177,7771Ver,ft!i;t0c77 7 , „-
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Event Description Date Comment
Permit issued 10/31/2008 construction and operation of a sewer system consisting of: approximately 5,730
linear feet of 2-inch pressure sewer pipe;approximately 7,600 linear feet of
3-inch pressure sewer pipe;approximately 1,355 linear feet of 4-inch pressure
sewer pipe;331 simplex grinder pump stations(to serve 331 3-bedroom single
family residential homes)with on-site audible and visual high water alarms;
approximately 4,580 linear feet of 8-Inch gravity sewer pipe and approximately
805 linear feet of 10-inch gravity sewer pipe(to serve 90 3-bedroom single family
residential homes and 86 multifamily residential homes);one(1)duplex grinder
pump station to serve the amenity center with on-site audible and visual high
water alarms,back up portable generator,and telemetry;as a part of Manners
Reach Subdivision;and the discharge of 109,005 GPD of collected wastewater
into the West Brunswick Regional WWTF(WQ0023693)
:PerMit1COMMents
Attu Comment Text Version
1.00
44°Pi:0',NOTE:,,,Rectiptpf myEngineering`,CertifiCati0a,On ,q01„andterfina,l),Or i po, equred, rir,te operioii„a at „the facillty.,
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