2022-144-E-AMS-BBUDC-OCPT Septic Upgrades Amend the scope of work

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CERTIFICATION CHECKLIST North Carolina Department of Environmental Quality _ Division of Water Resources Raleigh Regional Office _ 1628 Mail Service Center, Raleigh, NC 27699-1628 Physical Address: 3800 Barrett Drive, Raleigh, NC 27609 919-791-4200 To be completed by the certifying engineer prior to operation of the permitted sewers, per 15A NCAC 02T.0116. Certifying Engineer: _______________________________________________________ Certification Review Date: __________________________________________________ Project Name: ____________________________________________________________ WQ00______________ Project County: _______________________________________ 1) Has permittee information changed since the permit was issued (or last modified): change of mailing address, change of ownership, transfer from developer to HOA/POA, etc. Yes No x If yes, please provide either a change of ownership form or new contact information. Note that transfer of permits from the developer to the HOA/POA must occur with the first certification. 2) Have the as-built drawings have been signed, sealed, and dated by an N.C. PE? Yes No 3) Final Engineering certification? Yes No x If Partial Engineering certification, provide detailed narrative including what is being certified in the current phase, what was previously certified (if applicable), and what is left to be certified. 4) Adequate information related to sewer lines: Yes No N/A x Three feet minimum cover has been provided for all sewers unless ferrous pipe was installed. x Minimum diameters for gravity sewers are 8-inches for public lines and 6-inches for private lines. x Manholes have been installed: At the end of each line, at all changes in grade, size, or alignment, at all intersections, and at distances not greater than 425 feet; minimum diameter shall be 4 feet (48-inches). 5) Adequate information related to pump stations: Yes No N/A x Ensure power reliability option was selected per 15A NCAC 02T.0305(h). 6) Was project construction completed in accordance with all of the following: Yes No N/A x 15A NCAC 02T, Minimum Design Criteria (MDC) for the permitting of Gravity Sewers (latest version), and MDC for the Permitting of Pump Stations and Force Mains (latest version)? If not, a variance approval is required in accordance with 15A NCAC 02T.0105(b), prior to certification and operation. x Contact the Central Office to discuss the variance to determine a course of action. x Applicant must submit two copies of the variance request form, plans, specifications, calculations, and any other pertinent information to the Central Office (one hard copy, one digital copy). x The central office will review the variance request, and if approvable, specific language regarding the variance will be incorporated into the permit, either via a special condition or a supplementary letter. A copy of the reissued permit with variance language or the variance letter must be maintained with the original documents. 7) Does the project contains high priority lines (15A NCAC 02T .0402(2))? Yes No x If yes, ensure that the permit already contains the necessary condition related to high priority lines 15A NCAC 02T.0403 (a)(5). If the permit does not include this language, the Fast Track reviewer will reissue the permit with the appropriate language. 8) Are Permit modifications are required for any changes resulting in non-compliance with this permit (including but not limited to pipe length changes of 10% or greater, change in flow, pump station design capacity design change of 5% or greater, and/or change in the number/type of connections)? Yes No x If yes, a permit modification request must be submitted to the appropriate Regional Office, and a modified permit with revised certification must be issued prior to certification and operation. DocuSign Envelope ID: 5B39D4BD-E0F1-4D92-A432-27FBE82D9C83