WQ0040098_Application (FTSE)_20190404

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15A NCAC 02T
Dlvlslon of Water Resources nvcTnrtf
State of North Carolina
Department of Environmental Quality
Division of Water Resources
.0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
TIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION
This application is for sewer extensions involving gravity sewers, pump stations and force mains, or any combination that has been
certified by a professional engineer and the applicant that the project meets the requirements of 15A NCAC 02T and the Division's
Minimum Design Criteria and that plans, specifications and supporting documents have been prepared in accordance with, 15A
NCAC 02T, 15A NCAC 02T .0300, Division policies and good en2ineerin2 practices.
While no upfront engineering design documents are required for submittal, in accordance with 15A NCAC 02T .0305(b), design
documents must be prepared prior to submittal of a fast track permit application to the Division. This would include plans, design
calculations, and project specifications referenced in 15A NCAC 02T .0305 and the applicable minimum design criteria. These
documents shall be available upon request by the Division.
Projects that are deemed permitted (do not require a permit from the Division) are explained in 15A NCAC 02T.0303.
Projects not eligible for review via the fast track process (must be submitted for full technical review):
➢ Projects that require an environmental assessment in accordance with 15A NCAC IC .0100;
➢ Projects that do not meet any part of the minimum design criteria (MDC) document;
➢ Projects that involve a variance from the requirements of 15A NCAC 2T;
➢ Pressure sewer systems utilizing septic tank -effluent pumps (STEPS) or simplex grinder pumps;
➢ STEP or simplex grinder pumps connecting to pressurized systems (e.g. force mains);
➢ Vacuum sewer systems.
General— When submitting an application, please use the following instructions as a checklist in order to ensure all required items
are submitted. Adherence to these instructions and checking the provided boxes will help produce a quicker review time and
reduce the amount of requested additional information. Failure to submit all required items will necessitate additional
processing and review time, and may result in return of the application. Unless otherwise noted, the Applicant shall submit
one original and one copy of the application and supporting documentation.
A. One Original and One Copy of Application and Supporting Documents
® Required unless otherwise noted
B. Cover Letter (Required for All Application Packages):
® List all items included in the application package, as well as a brief description of the requested permitting action.
➢ Be specific as to the system type, number of homes served, flow allocation required, etc.
➢ If necessary for clarity, include attachments to the application form.
C. Application Fee (All New and Major Modification Application Packages):
® Submit a check or money order in the amount of $480.00 dated within 90 days of application submittal.
➢ Payable to North Carolina Department of Environmental Quality (NCDEQ)
D. Fast Track (Form: FTA 04-16) Application (Required for All Application Packages):
® Submit the completed and appropriately executed application.
➢ If necessary for clarity or due to space restrictions, attachments to the application may be made.
❑ If the Applicant Type in Item I.2 is a corporation or company, provide documentation it is registered for business with
the North Carolina Secretary of State.
❑ If the Applicant Type in Item I.2 is a partnership or d/b/a, enclose a copy of the certificate filed with the Register of
Deeds in the county of business.
® The Project Name in Item II.1 shall be consistent with the project name on the flow acceptance letters, agreements, etc.
® The Professional Engineer's Certification on Page 5 of the application shall be signed, sealed and dated by a North
Carolina licensed Professional Engineer.
® The Applicant's Certification on Page 5 of the application shall be signed in accordance with 15A NCAC 02T .0106(b).
Per 15A NCAC 02T .0106(c), an alternate person may be designated as the signing official if a delegation letter is
provided from a person who meets the criteria in 15A NCAC 02T .0106(b).
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Pagel of 3

E. Flow Tricking/Acceptance Form (Form: FTSE 04-16) (If Applicable):
❑ Submit the completed and executed FTSE form from the owners of the downstream sewers and treatment facility.
➢ Multiple forms maybe required where the downstream sewer owner and wastewater treatment facility are different.
➢ The flow acceptance indicated in form FTSE must not expire prior to permit issuance and must be dated less than one
year prior to the application date.
➢ Submittal of this application and form FTSE indicates that owner has adequate capacity and will not violate G.S. 143-
215.67 a .
➢ Intergovernmental agreements or other contracts will not be accepted in lieu of a project -specific FTSE.
F. Site Maps (All Application Packages):
❑ Submit an 8.5-inch x I 1-inch color copy of a USGS Topographic Map of sufficient scale to identify the entire project
area and closest surface waters.
➢ Location of the project (gravity sewer, pump stations & force main)
➢ Downstream connection points and permit number (if known) for the receiving sewer
❑ Include a street level map (aerial) showing general project area so that Division staff can easily locate it in the field.
G. Existing Permit (All Modification Packages):
® Submit the most recently issued existing permit.
® Provide a list of any items within the permit the Applicant would like the Division to address during the permit
modification (i.e., permit description, flow allocation, treatment facility, etc.).
H. Power Reliability Plan (Required if portable reliability option utilized for Pump Station):
❑ Per I SA NCAC 02T .0305(h)(1), submit documentation of power reliability for pumping stations.
➢ This alternative is only available for average daily flows less than 15,000 gallons per day
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant and is compatible
with the station. The Division will accept a letter signed by the applicant (see 15A NCAC 02T .0106(b)) or proposed
contractor, stating that "the portable power generation unit or portable, independently -powered pumping units, associated
appurtenances and personnel are available for distribution and operation of this pump station."
➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump
stations' storage capacities and the rotation schedule of the portable power source or pump, including travel
timeframes, shall be provided in the case of a multiple station power outage. (Required at time of certification)
I. Certificate of Public Convenience and Necessity (All Application Packages for Privately -Owned Public Utilities):
❑ Per 15A NCAC 02T .0115(a)(1) provide the Certificate of Public Convenience and Necessity from the North Carolina
Utilities Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served by
the sewer extension, or
❑ Provide a letter from the North Carolina Utilities Commission's Water and Sewer Division Public Staff stating an
application for a franchise has been received and that the service area is contiguous to an existing franchised area or that
franchise approval is expected.
J. Operational Agreements (Applications from HOA/POA and Developers for lots to be sold):
❑ Home/Property Owners' Associations
❑ Per 15A NCAC 02T .0115(c), submit the properly executed Operational Agreement (FORM: HOA).
❑ Per 15A NCAC 02T .0115(c), submit a copy of the Articles of Incorporation, Declarations and By-laws.
❑ Developers of lots to be sold
❑ Per 15A NCAC 02T .0115(b), submit the properly executed Operational Agreement (FORM: DEV).
For more information, visit the Division's collection systems website
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page 2 of 3

THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
Water Quality Section
Swannanoa, North Carolina 28778
Clay, Graham, Haywood, Henderson, Jackson,
[phone]
Macon, Madison, McDowell, Mitchell, Polk,
[phone] Fax
Rutherford, Swain, Transylvania, Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Harnett, Hoke,
Water Quality Section
Fayetteville, North Carolina 28301-5094
Montgomery, Moore, Robeson, Richmond,
[phone]
Sampson, Scotland
[phone] Fax
Mooresville Regional Office
610 E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
Water Quality Section
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone]
Stanly, Union
[phone] Fax
Raleigh Regional Office
1628 Mail Service Center
Chatham, Durham, Edgecombe, Franklin,
Water Quality Section
Raleigh, North Carolina 27699-1628
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] Fax
Warren, Wilson
Washington Regional Office
943 Washington Square Mall
Beaufort, Bertie, Camden, Chowan, Craven,
Water Quality Section
Washington, North Carolina 27889
Currituck, Dare, Gates, Greene, Hertford, Hyde,
[phone]
Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] Fax
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
Water Quality Section
Wilmington, North Carolina 28405
Hanover, Onslow, Pander
[phone]
[phone] Fax
Winston-Salem Regional Office
450 W. Hanes Mill Road
Suite 300
Alamance, Allegheny, Ashe, Caswell, Davidson,
Davie, Forsyth, Guilford, Rockingham, Randolph,
Water Quality Section
Winston-Salem, North Carolina 27105
Stokes, Surry, Watauga, Wilkes, Yadkin
[phone]
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page 3 of 3

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
' DIvlslon of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: UVQOb'J O D /// (to be completed by DwR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Town of Southern Pines (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ® State/County ❑ Municipal
3. Signature authority's name: Chris Kennedy per 15A NCAC 02T .0106(b)
Title: Assistant Town Manager
4. Applicant's mailing address: 180 SW Broad Street
City: Southern Pines State: NC Zip: 28387-
5. Applicant's contact information:
Phone number: 910) 692-4003 Email Address: kennedyasouthemoines.net
II. PROJECT INFORMATION:
❑ Privately -Owned Public Utility
❑ Other
I. Project name: Moore County Area 1 Elementary School
2. Application/Project status: ❑ Proposed (New Permit) ® Existing Permit/Project
If a modification, provide the existing permit number: W00040098 and issued date: 06/21/2018
If new construction but part of a master plan, provide the existing permit number: W000
3. County where project is located: Moore
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.205. Longitude:-79.3750
5. Parcel ID (if applicable):
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: John R. McIntyre, P.E. License Number: 40325
Firm: LKC Engineering, PLLC
Mailing address: 140 Aqua Shed Court
City: Aberdeen State: NC Zip: 28315
Phone number: [phone] Email Address: rob9l1ccen ineering.com
IV. WASTEWATER TREATMENT FACILITY (W WTF) INFORMATION:
1. Facility Name: Moore County Water Pollution Control Facility Permit Number: NCO037508
Owner Name: Moore County
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ0037073 Downstream (Receiving) Sewer Size: inch
System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s): Town of Southern Pines
FORM: FTA 04-16 Pagel of 5

VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes [-]No ®N/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEV) been attached?
❑ Yes ❑No ®N/A
3. If the Applicant is a Home/Property Owners' Association, has an Operational Agreement (FORM: HOA) been attached?
❑ Yes [-]No ®N/A
4. Origin of wastewater: (check all that apply):
❑ Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential Leased ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑ School / preschool / day care ❑ Medical / dental / veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
❑ Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: % Domestic/Commercial % Commercial
_ % Industrial (See 15A NCAC 02T .0103(20))
"Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .0114(fl? ❑ Yes ® No
➢ If yes, provide a copv of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(fl)
Daily Design Flow"
No. of Units
Flow
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
GPD
a See 15A NCAC 02T .0114(b). (d), (e)(1) and (e)(2) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use areas;
and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G.S. 42A-4).
b Per 15A NCAC 02T .0I 14(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01 141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: GPD (per 15A NCAC 02T .0114)
➢ Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
❑ Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit Number:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain): _
FORM: ETA 04-16 Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
➢ Section Il & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: Area 1 School
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.2056' Longitude:-79.3724'
3. Design flow of the pump station:.396 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 275 gallons per minute at 105 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
6
7,430
PVC
6
240
DIP
6. Power reliability in accordance with 15A NCAC 02T .0305(h)(1):
® Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(B).
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
➢ Must be permanent to facility
Or if the pump station has an average daily flow less than 15,000 gallons per day:
❑ Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(1)(C):
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
and is compatible with the station.
➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be provided
in the case of a multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (0211.0200 & 15A NCAC 02T.0305(f)):
1. Does the project comply with all separations found in 15A NCAC 02T.0305(f) & (g)
➢ 15A NCAC 02T.0305 contains minimum separations that shall be provided for sewers stems:
® Yes ❑ No
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below vertical
24 inches
Water mains vertical -water over sewer including in benched trenches
18 inches
Water mains horizontal
10 feet
Reclaimed water lines vertical - reclaimed over sewer
18 inches
Reclaimed water lines horizontal - reclaimed over sewer
2 feet
**Any private or public water supply source, including any wells, WS-I waters of Class I or
Class II impounded reservoirs used as a source of drinking water
100 feet
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, HQW, or SB from normal
high water or tide elevation and wetlands see item IX.2
50 feet
"Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
Any building foundation
5 feet
Any basement
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade vertical
36 inches
➢ 15A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webaage
➢ If noncompliance with 02T.0305(f) or (g), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes [:]No ❑ N/A
➢ See the Division's draft separation requirements for situations where separation cannot be meet
➢ No variance is required if the alternative design criteria specified is utilized in design and construction
➢ As built documents should reference the location of areas effected
3. Does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? ® Yes ❑ No ❑ N/A
➢ This would include Trout Buffered Streams per 15A NCAC 213.0202
4. Does the project require coverage/authorization under a 404 Nationwide or ❑ Yes ® No
individual permits or 401 Water Quality Certifications?
➢ Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105(c)(6), directly related environmental permits or certification applications are being prepared, have
been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion and
sedimentation control plans, stormwater management plans, etc.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per 15A NCAC 02T.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
❑ Yes ® No ❑ N/A
➢ If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shall be inspected by the permittee or its representative at least once every six -months and inspections
documented per 15A NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains (latest version), and the Gravity Sewer Minimum Design Criteria (latest version) as applicable?
® Yes ❑ No
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents for
review. Approval of the request is required prior to submittal of the Fast Track Application and supoortina documents.
2. Professional Engineer's Certification:
attest that this application for
(Professional Engineer's name from Application Item III.1.)
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans, specifications,
engineering 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 the applicable regulations, Gravity Sewer
Minimum Design Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria for the Fast -Track Permitting
of Pump Stations and Force Mains (latest version). 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 judged it to be consistent with the proposed design.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6E, 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, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
test that this application for
name & title from Application Item
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 any discharge of wastewater from this non -
discharge system to surface waters or the land will result in an immediate enforcement action that may include civil penalties,
injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Resources should a condition
of this permit be violated. 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 not included, this application package will be returned to me as
incomplete.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, 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.
1/5 Signature: Date: 3 Z�
FORM: FTA 04-16 Page 5 of 5

April 1, 2019 DEQ/®WR
Mr. Trent Allen, PE
NCDENR Fayetteville Regional Office
225 Green Street, Suite 714
Fayetteville, NC 28301
Re: Town of Southern Pines
Moore County Area 1 Elementary School Offsite Utilities
Fast Track Sewer Extension Application
Dear Mr. Allen,
APR 0 4 2019
' Y liif UAW,QROS
Regarding the above referenced project, please find the following items:
1. One original & one copy of the Fast Track application and supporting documents
2. One check for the $480.00 application fee
This modification to the original permit is for the reduction in force main diameter and for the
change in pump station pumping conditions. There will be no 10" or 8" diameter force main
installed, only 6" diameter force main pipe. For the pump station, the design will be modified
to accomodate for a 275 GPM @ 105' TDH pumping condition.
If you have any questions, please do not hesitate to contact me at [phone] or by email at
[e-mail].
Sincerely,
LKC Engineering, PLLC
OF I MR OWN
Rob McIntyre, PE
LKC Engineering, PLLC, 140 Aqua Shed Court,
Aberdeen, North Carolina 28315
PH: 910/420-1437 * FAX: [phone] * License No. P-1095

ROY COOPER
Gwernm
r
�
Southern Pines, IS
Subject: P
T
'n
MICHAEL S. REGAN
Secre(nry
LINDA CULPEPPER
hu"in, /N'w"'r
Permit
2018, we are forwarding herewith Permit No.
I Pines for the construction and operation upon
In extension. This'permit shall be effective from
ct to the conditions and limitations as specified
his permit and :is"therefore incorporated therein
ditions contained within this permit:
atically transferable; a request must be made and
stewater collection facilities be properly operated and maintained
5A'NCAC 2T .0403 or any individual system -wide collection system
Permittee.
225Green Street, Suite 714, Fayetteville, NC 28301
Phone: [phone] \ Internet: www.ncwatertrualitv.ore
fia k 4
An Equal Opportunity \ Affirmative Action Employer — Made in part by recycled paper

Moore County Area 1 Elementary School
Permit No. WQ0040098
It shall be responsibility of the Permittee to ensure that the as -constructed project meets the appropriate
design criteria and rules. Failure to comply may result in penalties`in' accordance with North Carolina
General Statute §143-215.6A through §143-215.6C, construction of additional or replacement
wastewater collection facilities, and/or referral of the North Carolina -licensed Professional Engineer to
the licensing board.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing upon written request within 30 days following receipt of this permit. This
request must be in the form of a written petition, conforming to Chapter 150B,of North Carolina General
Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC
27699-6714. Unless such demands are made, this permit shall be final and binding.
If you need additional information concerning this matter, please contact Johnathan Watts at (910) 433-
3322 or via e-mail at [e-mail].
Sincerely
Trent Allen, Regional Supervisor
Water Quality Regional Operations Section
Fayetteville Regional Office
Division of Water Resources, NCDEQ
cc:
hit
Johnti[t fvlt Intyre, P E; LKG Eggineering, PLLC,
140 Aqua Shed
Fayetteville Regional Office Files
Water Resources Central Files
PERCS (electronic copy)
S4
jh.
Court, Aberdeen, NC 28315
Page 2 of 8

for the cor
3
STATE OF NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
of Article 21`of Chapter 143, General Statutes of North Carolina as
,s, Rules, and Regulations, permission is hereby granted to the
ore,County Area 1,Elementary School
Moore County
tely 2,450 linear feet of 8-inch gravity sewer and 6,770
of 10-inch force main and a 499 GPM @ 104 TDH pump
rve as part of,Moore County Area 1 Elementary School
day of collected domestic wastewater into the Moore
sewerage system"pursuant to the application received
T; the Division's GravitV'Sewer Minimum Design Criteria
Division's Minimum Desigq Criteria for.the Fast -Track
opted June 1, 2000 as applicable; and other supporting
rtmeht of Environmental Quality and considered a part
t:
rescinded and shall be subject to the specified
Page 3 of 8

SUPPLEMENT TO PERMIT COVER rSHEET
Town of Southern Pines
is hereby authorized to:
Construct, and then operate upon certification the aforementioned wastewater collection extension. The
sewage and wastewater collected by this system shall be treated in the Moore County Water Pollution
Control Facility in accordance with Permit Number-NC0037508.
Permitting of this project does not constitute an acceptance of any part of the project that does not meet
15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria; adopted February 12, 1996 as
applicable; and the Division's Minimum Design Criteria for the Fast Track Permitting of Pump Stations and
Force Mains adopted June 1, 2000,as applicable, unless specifically mentioned herein. Division approval
is based on acceptance of the cerEification provided by a North,Garob lina-licensed Professional Engineer in
the application. It shall be the Permittee's responsibility to eMureAhat the as -constructed project meets
the appropriate design criteria and rules.
r
11. STANDARD CONDITIONS "a
°�msi ' t
1. This permit shall not be transferable. In the event there,is adesire for the wastewater collection
facilities to change ownership, or there is a name change oftthe Permittee, a formal permit request
shall be submitted to the Division accompanied by documentatwn from the parties involved, and
other supporting materials as may be appropriate. The appal of{this request shall be considered
on its merits and may or may ndt,be approved. [15A NCAC 0247T�0104G'Si143,215.1(d3)]
2. This permit shall become voidable unless the wastewater collecti6 facilities are constructed in
11
accordance with the conditions of this permit; 15A NCAC 2T, the Division's,Grav]ty Sewer Minimum
P
Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for
Fast Pump Force Mains June S 2 00 Ot
the -Track Permitting of Stations and adopted s applicable; and
other supporting materials unless specifically mentioned herein. [15A NCAC+02T.01L10]
3. This permit shall be effective only with respect to the nature and volume of wastes dee�cnbed Inahe
'
application and other supporting data. [15A NCAC 02T.01101
4. The wastewater collection facilities shall be properly maintained and operated at all times. The
Permittee shall maintain compliance with an individual system -wide collection system pe IiI for' he
operation and maintenance of these facilities as required by 15A NCAC 2T .0403. If en'Sindivitlual
permit is not required, the following
p q g performance criteria shall be met: [i5A NCAC 02T
* '
li
Page 4 of 8

a. The sewer system shall be effectively maintained and operated at all times to prevent discharge
to land or surface waters', and to prevent any contravention of groundwater standards or surface
water standards. I
,
b A map of the sewer system shall be developed and shall be actively maintained.
c. .An operation and maintenance plan including pump station inspection frequency, preventative
maintenance schedule, spare parts inventory and overflow response has been developed and
implemented.
i
d. Pump stations thatf),are not connected to a telemetry system shall be inspected everyday (i.e. 365
days per year) ,pump stations that are connected to a telemetry system shall be inspected at
least once per
e. High
f. A general obser
g, uvernowsa
with 15A N
General Sta
h. A Grease Cc
1. For pul
biannu
theleg
include
the'leg;
sewer s
2 For,prK
.annual'.
perm'itt
3 Grease,
F L
Y
ected at least'once per every six -months and inspections are
ewer system shall be'conducted at least once per year.
o the appropriate Division regional office in accordance
otice shall be provided a's required by North Carolina
lows:
, the Grease Control Program shall include at least
ateriais for both commercial and residential users and
,ceptors at existing establishments. The plan shall also
the grease interceptors; 'enforcement for violators and
ring the system from other public and private satellite
the Grease Control Program shall include at least bi-
on materials to users of the collection system by the
stributed more often than required in Parts (1) and (2)
'event grease=related sanitary sewer overflows.
in the full easement width for personnel and
eptfor5ubparagraphs (a) through (i) of this Rule for a minimum of three
he map, which shall be maintained for the life of the system.
telephonelto a water resources staff member at the Fayetteville
Der [phone], as soon as possible, but in no case more than 24
or first knowledge of the occurrence of either of the following:
' ° ' R
Page 5 of 8

a. Any process unit failure, due to known or unknown reasons, that renders the facility incapable
of adequate wastewater transport, such as mechanical or electrical failures of pumps, line
blockage or breakage, etc.; or
b. Any SSO and/or spill over 1,000 gallons; or
c. Any SSO and/or spill, regardless of volume, that reaches surface water
Voice mail messages or faxed information is permissible, but this shall not be considered as the initial
verbal report. Overflows and spills occurring outside normal business hours may also be reported to
the Division of Emergency Management at telephone number [phone] or [phone].
Persons reporting any of the above occurrences shall file a spill report by completing and submitting
Part I of Form CS-SSO (or the most current Division approved form) within five days following first
knowledge of the occurrence. This report must outline the actions taken or proposed to betaken to
ensure that the problem does not recur. Part II of Form CS-SSO (or the most current Division approved
form) can also be completed to show that the SSO was beyond control. [G.S. 143-215:1C(a1)]
6. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to
interrupt service by the existing utilities nor result in an overfloweor bypass discharge of wastewater
to the surface waters of the State. [15A NCAC 02T.0108(b)]
7. Upon completion of construction' and prior to operation of thiese permitted facilities, the completed
Engineering Certification form attached to this permit shallfie submitted with the required supporting
��r',
documents to the address provided on the form. A complete,certification is one where the form is
-.
fully executed and the supporting documents are providetl'as applicable. Any wastewater flow made
tributary to the wastewater collection system extensi n prior.to completion of this Engineer's
Certification shall be considered a violation of the perm tj, and shall subject the Permittee to
appropriate enforcement actions.
If the permit is issued to a private entity with an OperationaliAgreement, then a copy of the Articles
of Incorporation, Declarations/Covenants/Restrictions, antl=.Bylavus that have been appropriately
,;. .
filed with the applicable County's Register of Deeds office+shappll'be submitted with the certification.
8 S.LYd
t
A complete certification is one where the form is fully executed and the supporting documents are
provided as applicable. Supporting documentation shall in'I the following:
a. One copy of the project construction record drawings (pla&Iprofile, v ews of sewer lines & force
mains) of the wastewater collection system extension. Final record:d'rawings should be clear on
the plans or on digital media (CD or DVD disk) and are defined as;the design drawings that are
marked up or annotated with after construction information and show, required buffers,
separation distances, material changes, etc,
t<
b. One copy of the supporting applicable design calculations including pipe and pump sizing, velocity;
pump cycle times, and level control settings, pump station buoyancy wet wellasYorage; `surge
protection, detention time in the wet well, and force main, ability to flush log' points m''force
mains with a pump cycle, and downstream sewer capacity analysis. If a portable�jpowe� squ�ce„or
pump is dedicated to multiple stations, an evaluation of all the pump stations "storagq�,capacities, u
and the rotation schedule of the portable power source or pump, include travel tmeframes; shall
be provided.s
5 ,
ytr.
a11
+k i V Yv4f'
Page 6 of 8

c. Changes to the project.that do not result in non-compliance with this permit, regulations, or the
Minimum Design Critena should be clearly identified on the record drawings, on the certification
in the space provided, or in,written summary form.
r
'P;rroko Certification (Final or Partial): Permit modifications are requiredfor any changes resulting in
O onracompl lance with this permit (including pipe length increases of 10% or greater, increased flow,
.i mp station design capacity design increases of 5% or greater, and increases in the number/type of
r connection"s)„ regulations, the Minimum Design Criteria. Requested modifications or variances to
thexMimmum Design Cn'teriawill be reviewed on a case -by -case basis and each on its own merit.
Please note 'hat va an �esto the Minimum Design)Criteria should be requested and approved,during
the permitting process prior to construction. After -construction requests are discouraged by the
Division ;ani]may not be %approved, thus requiring replacement or repair prior to certification &
actnration [15A
8. Gravity sewers mstalfetl greate t n�ten percent below,the minimum required slope perthe Division's
Gravity Sewer;M mi mum Desi @r t-na shall not be acceptable and shall not be certified until
correctetl. If ,there ,its an u o es obstacle in the ffeld�where all viable solutions have been
examined, a slope vanan a ¢a Wed from the Divisions with firm supporting documentation.
This shall lie done,through a e d'ifcation with fee. Such�variance requests will be evaluated
sx
on a case by case basis Resequest shall be evidenbprior to completing and submitting
the construction certifica`ii [ 2T.0105(n)]
� S
9. A copytofthetconstructionyrecol.be:maintained on.file by, the Permittee for the life of
the wastewater,coligction facdi e . C 02T .0116]
10. Failure to;abide by the conditions a tionscontained in this permit;15A NCAC 2T; the Division's
Gravity Sewer Design;Cnterfa a o uary 12,1996 as applicable; the Division's Minimum Design
Cntena for. the Fast Traek Perm t' mpStation and Force Mains adopted June 1, 2000 as
apphcableand,other�supp rti a e' may�subJect:the Permittee'to an enforcement action by
theDivision; m actor a ce w�• r hna Generai;Statutes 4143-215.6A through 4143-215.6C,
zconstruction of,additw I or astewater collection facilities, and/or referral of the North
Carolina licensed P ofession i t e hcensmg'board. [15A NCAC 02T .0104; 15A NCAC 02T
loh facilities fail toxperform satisfactorily, including the
teeshall take immediate corrective action, including those
Isis the construction of additional or replacement facilities.
A the Permittee from complying with any and all statutes,
e imposed by the Division any other Federal, State, or Local
>n or obtaining other permits which maybe required by the
iI government agencies. [G.S. 143-215.1(b)]

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE: Town of Southern Pines r
PERMIT#: WQ0040098
PROJECT: Moore County Area 1 Elementary School
ISSUE DATE: June 21, 2018
This project shall not be considered complete nor allowed to operate in accordance with Condition 7 of
this permit until the Division has received this Certification and all required supporting documentation. It
should be submitted in a manner that documents the Division's receipt. Send the requireddocumentation
the Regional Supervisor, Water Quality Regional Operations Section at the address at the bottom.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and -shall subject the Permittee to
appropriate enforcement actions. The Permittee is responsible for tracking all partial certifications up
until a final certification is received. A Final Certification shall be a'complete'set of record drawings and
design calculations regardless of whether, partials have been submitted:
I, the undersigned agent for the Permittee, hereby state tl
to the applicable standards & requirements, the Professi
design/construction information to the Permittee, and the
the wastewater collection system permitted herein or port
Printed Name, Title Signature
4 as a duly registered Professional
having been authorized to observe (D periodically, weekly;'!)
project name and location as referenced above for the above Perm
my abilities, due care and diligence was used in the observatio
construction was observed to be built within substantial complian
Division of Water Resources' (Division) Gravity Sewer Minimum Desi
as applicable; the Division's Minimum Design Criteria for the Fast-T
Force Mains adopted June 1, 2000 as applicable; and other support
North Carolina Professional Engineer's Seal w/signature & date:
❑ Final Partial (include description)
Certification Comments/Qualifiers (attach if necessary):
ect has been constructed pursuant
=er-below has provided applicable
,is,prepared to operate & maintain
Date
and
�r
�eer�m the�State of North Carolina,
tfull [ime)the construction;of"the
heres y#state that; to the best:of
�f the cons�uctiori such that the
of this perrt,15A NCAC 02T, the

State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 - FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources ETA 04-16 & SUPPORTING DOCUMENTATION
h�F(;F11 /t�—' La_
Application Number: ®EQ16VVR
pp (to be completed by DWR)
All items must be comnleted or the application will be returned AN 04 W9
I. APPLICANT INFORMATION: �� �� F aDa,
1. Applicant's name: Town of Southern Pines (company, municipality, HOA, utility, etc.) FAYETTEVIC.I_F PprinNAI OFFICE
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ® State/County ❑ Municipal ❑ Other
3. Signature authority's name: Chris Kennedy per I5A NCAC 02T .0106(b)
Title: Assistant Town Manager
4. Applicant's mailing address: 180 SW Broad Street
City: Southern Pines State: NC Zip: 28387
5. Applicant's contact information:
Phone number: 910)692-4003 Email Address: [e-mail]
II. PROJECT INFORMATION:
I. Project name: Moore County Area I Elementary School
2. Application/Project status: ❑ Proposed (New Permit) ® Existing Permit/Project
If a modification, provide the existing permit number: W00040098 and issued date: 06/21/2018
If new construction but part of a master plan, provide the existing permit number: WQ00_
3. County where project is located: Moore
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.2050Longitude:-79.375'
5. Parcel ID (if applicable):
(or Parcel In r� 7 711
E&
LKC ENGINEERING PLLC 66358531
P.O. BOX 888.
ABERDEEN, NO 28315 - :DATE
PAY TO THE
ORDER of DOLLARS P �•f
FORS -----
inch
WQCS_
Owner Name(s): Town of Southern Pines
FORM: FTA 04-16 Page 1 of 5

Permit Number WQ0040098
Central Files: APS _ SWP _
4/8/2019
Permit Tracking Slip
Program Category
Status Project Type
Non -discharge
Active Major modification
Permit Type
Version Permit Classification
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
1.10 Individual
Primary Reviewer
Permit Contact Affiliation
johnathan.watts
Coastal SWRule
Permitted Flow
57,600
Facility
Facility Name
Major/Minor Region
Moore County Area 1 Elementary School
Minor Fayetteville
Location Address
County
Moore
Facility Contact Affiliation
Owner
Owner Name Owner Type
Town of Southern Pines Government - Municipal
Owner Affiliation
Chris Kennedy
140 Memorial Park Cl
Dates/Events Southern Pnes NC 28387
Scheduled
Ong Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
6/21/2018 4/5/2019 4/8/2019 4/8/2019
Regulated Activities Requested /Received Events
Wastewater collection Additionalinformation requested
Additional information received
Outfall
Waterbody Name Streamindex Number Current Class Subbasin