HomeMy WebLinkAboutWQ0034916_Sewer Extension_20100628O� W AT State of North Carolina
DENR'—FRO Department of Environment and Natural Resources
" r JUN 2 8 2410 Division of Water Quality
o � c FAST -TRACK APPLICATION
DWQ (FTA 12/07 ver5)
for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
(Pressure & Vacuum sewer systems are not to be included as part of this application package)
INSTRUCTIONS: Indicate that you have included/addressed the following list of required application package items by
checking the space provided next to each applicable item. Failure to submit all required items will lead to your application
being returned as incomplete. Forms are available from the web site or by calling the Regional Office serving your county:
http://h2o.enr. state. nc. us/peres/Collection%20Systems/CollectionSystemApplications.html
® A. Application Form - Submit one original and one copy of the completed and appropriately executed application
form. The application should include a project narrative describing the final build -out design (i.e. system and/or
pump station to ultimately serve 500 homes, but flow for only 100 homes being requested now). For modifications,
clearly explain the reason for the modification (i.e. adding another phase, changing line size/length, etc.). Only
include the modified information in this permit application - do not duplicate project information that has already
been included in the original permit.
Any changes to this form will result in the application being returned. The Division of Water Quality (Division) will
only accept application packages that have been fully completed with all applicable items addressed. You do not
need to submit detailed plans and specifications unless you respond NO to Item B(13).
Separate applications should be made for non-contiguous sewer systems.
® B. Application Fee - Submit a check in the amount of $480 made payable to: North Carolina Department of
Environment and Natural Resources (NCDENR). Checks shall be dated within 90 days of application submittal.
❑ C. Certificates of Public Convenience and Necessity — If the application is being submitted in the name of a
privately -owned public utility, submit two copies of the Certificate of Public Convenience and Necessity (CPCN)
which demonstrates that the public utility is authorized to hold the utility franchise for the area to be served by the
sewer extension. If a CPCN has not been issued, provide two copies of a letter from the North Carolina Utilities
Commission's Public Staff that states that an application for a franchise has been received, that the service area
is contiguous to an existing franchised area, and/or that franchise approval is expected. The project name in the
CPCN or letter must match that provided in Item A(2)a of this application.
❑ D. Operational Agreements — Submit one original and two copies of a properly executed operational agreement, as
per 15A NCAC 02T .0115, if the application is submitted by a private applicant and will be serving residential or
commercial lots (e.g., houses, condominiums, townhomes, outparcels, etc.) that will be sold to another entity. If
the applicant is a home or property owner's association, use Form HOA 02/03. If the applicant is a developer,
use Form DEV 02/03. EVEN IF THE PROJECT MAY BE TURNED OVER TO A MUNICIPALITY UPON
COMPLETION, FORM DEV 02/03 IS REQUIRED.
® E. Downstream Sewer, WWTF Capacity and Flow Tracking/Acceptance — FORM FTSE 10/07 (Flow
Tracking/Acceptance for Sewer Extension Permit Applications) is required with every application. The applicant
(and owners of downstream sewers, pump stations and/or treatment facilities submitting FORM FTSE-10/07)
certifies that the addition of the volume of wastewater to be permitted in this project has been evaluated along the
route to the receiving treatment plant, and that the flow from this project will not cause capacity related sanitary
sewer overflows or overburden any downstream pump station en route to the receiving wastewater treatment
plant. Where the applicant is not the owner of the downstream sewer, submit two copies of FORM FTSE 10/07
from the owner of the downstream sewer and owner of the WWTF, if different. The flow acceptance indicated in
FORM FTSE-10/07 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-10/07 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 project -specific FTSE 10/07.
® F Map — Submit an 8.5-inch by 11-inch COLOR copy of a USGS Topographic Map of sufficient scale to identify the
entire project area and the closest surface waters. Each map or maps must show the location of the sewer line
and pump stations and be of reproducible quality. Include a street level map showing the downstream connection
point, and the permit number for the downstream sewer, if known.
FTA12/07
I,X] G. Stream Classifications — Watershed Classification Attachment (Form WSCAS-12/07) If any portion of the
sewer system project is within 100 feet of any surface water or wetlands, the Watershed Classification Attachment
may need to be completed. A variance must be requested for encroachment within required setbacks or buffers
pursuant to 2T .0305 (f) and be indicated in Item B-13 with supporting documentation/justification provided.
❑ H Environmental Assessments — If this project is subject to an Environmental Assessment (EA) [15A NCAC
01C], this application cannot be used. Send the project application on the most current version of Form
PSFMGSA to the Design Management Unit, 1633 Mail Service Center, Raleigh, NC 27699-1633. Applications
cannot be accepted until a Finding of No Significant Impact (FONSI) or Environmental Impact Statement (EIS)
has been issued. A copy is to be submitted with that permit application.
❑ I. Flow Direction — Many wastewater treatment systems are entering into agreements for regionalization efforts
and emergency treatment capacity. Parts of the system are installed so that the wastewater flow can be directed
to more than one treatment facility. If this is the case with this project, please indicate in B(12) and give the permit
number of the second treatment facility.
® J. Certifications — Section C
The application must be certified by both the applicant and the design engineer who is a North Carolina
Registered Professional Engineer (PE). The applicant signature must match the signing official listed in Item
A(1 b). The PE should NOT certify the application if he/she is unfamiliar with 15A NCAC Chapter 2T, the Gravity
Sewer Minimum Design Criteria (most recent version) and the Minimum Design Criteria for the Fast -Track
Permitting of Pump Stations and Force Mains (most recent version), as applicable to the project.
THE COMPLETED FTA 12/07 APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
DOCUMENTS AND $480 FEE, 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,
Swannanoa, North Carolina 28778
Clay, Graham, Haywood, Henderson, Jackson,
(828) 296-4500
Macon, Madison, McDowell, Mitchell, Polk,
(828) 299-7043 Fax
Rutherford, Swain, Transylvania, Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Harnett, Hoke,
Fayetteville, North Carolina 28301-5094
Montgomery, Moore, Robeson, Richmond,
(910) 433-3300
Sampson, Scotland
(910) 486-0707 Fax
Mooresville Regional Office
610 E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
(704) 663-1699
Stanly, Union
(704) 663-6040 Fax
Raleigh Regional Office
1628 Mail Service Center
Chatham, Durham, Edgecombe, Franklin,
Raleigh, North Carolina 27699-1628
Granville, Halifax, Johnston, Lee, Nash,
(919) 791-4200
Northampton, Orange, Person, Vance, Wake,
(919) 788-7159 Fax
Warren, Wilson
Washington Regional Office
943 Washington Square Mall
Beaufort, Bertie, Camden, Chowan, Craven,
Washington, North Carolina 27889
Currituck, Dare, Gates, Greene, Hertford, Hyde,
(252) 946-6481
Jones, Lenoir, Martin, Pamlico, Pasquotank,
(252) 975-3716 Fax
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
Wilmington, North Carolina 28405
Hanover, Onslow, Pender
(910)796-7215
(910) 350-2004 Fax
Winston-Salem Regional Office
585 Waughtown Street
Alamance, Alleghany, Ashe, Caswell, Davidson,
Winston-Salem, North Carolina 27107
Davie, Forsyth, Guilford, Rockingham, Randolph,
(336) 771-5000
Stokes, Surry, Watauga, Wilkes, Yadkin
(336) 771-4630 Fax
For more information, please visit our web site at.
http.Ilh2o.enr state.nc.us/peres/Collection%20Systems/CollectionSystemsHome.html
or contact the Regional Office serving your county.
FTA12/07
USE THE TAB KEY TO MOVE FROM FIELD TO FIELD! Application Number:
(to be completed by DWQ) QQ
1.
Owner/Permittee:
1 a.
Town of Carthage
Full Legal Name (company, municipality, HOA, utility, etc.)
Z
1 b.
Carol Sparks, Town Manager
0
Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized signing officials!)
1 c.
The legal entity who will own this system is:
❑ Individual ❑ Federal ® Municipality ❑ State/County ❑ Private Partnership ❑ Corporation ❑ Other (specify):
O
1d.
4396 HWY 15-501 1e. Carthage
LL
Mailing Address City
Z
1 f.
NC 1 g. 28327
Z
State Zip Code
O
1 h.
(910) 947-2331 1 i. (704) 947-3079 1j.
QTelephone
Facsimile E-mail
V
2.
Project (Facility) Information:
J
2a.
County of Moore Government Center 2b. Moore
CL
Brief Project Name (permit will refer to this name) County Where Project is Located
a
Q
3.
Contact Person:
Q
3a.
Matt Roper
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b.
(704) 333-0325 3c. MRoper@LandDesign.com
Phone Number E-mail
1.
Project is ® New ❑ Modification (of an existing permit) If Modification, Permit No.:
2.
Owner is ® Public (skip to Item B(3)) ❑ Private (go to Item 2(a))
2a.
If private, applicant will be: 2b. If sold, facilities owned by a (must choose one)
❑ Retaining Ownership (i.e. store, church, single office, etc.) or ❑ Public Utility (Instruction C)
❑ Leasing units (lots, townhomes, etc. - skip to Item B(3)) ❑ Homeowner Assoc./Developer (Instruction D)
❑ Selling units (lots, townhomes, etc. - go to Item B(2b))
3.
Moore Count
ZZ
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
_
4a.
Moore County WWTP 4b. NCO037508
QName
of WWTF WWTF Permit No.
5a.
Town of Carthage b. 8" ® Gravity 5c.
Owner of Downstream Sewer Receiving Sewer Size El Force Main � Permit # of Downstream Sewer (Instruction E)
O
LL
6.
The origin of this wastewater is (check all that apply):
Z
❑ Residential Subdivision ❑ Retail (Stores, shopping centers) 100 % Domestic/Commercial
❑ Apartments/Condominiums ® Institution % Industrial (attach
❑ Mobile Home Park ❑ Hospital description.)
❑ School ❑ Church
LLI
contact your Regional Office
ElRestaurant ElNursing Home
a'
Pretreatment
® Office Pretreatment staff)
® Other (specify): Detention Center
m
% Other (specify):
7.
Volume of wastewater to be allocated or permitted for this particular project: 34,000 gallons per day
To not include future flows or previously permitted allocations
8.
If the permitted flow is zero, indicate why:
❑ Pump Station, Outfall or Interceptor Line where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit No.
❑ Rehabilitation or replacement of existing sewer with no new flow expected (see 15A NCAC 02T .0303 to determine if a
permit is required)
FTA12/07
0
Z
Z
O
V
Z
O
H
Q
0
LL
Z
H
W
a
ii
9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2T .0114 for
the value in Item 13(7) AND/OR the design flow for line or pump station sizing if a reduced or zero flow is being requested in
Item 13(7). Values other than that in 15A NCAC 2T .0114 (b) and (c) must be supported with actual water or wastewater use
data in accordance with 15A NCAC 2T .0114 (f).
See Attached Document for Flow Calculations.
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches)
0
Length (feet) New Gravity or Additional
Force Main
1095 New Gravity
11. Summary of Pump Stations w/ associated Force Mains to be Permitted (attach additional sheets as necessary)
Pump Station Location ID
(self chosen - as shown on plans/map for reference)
Design Flow Operational Point Power Reliability Option
(MGD) GPM @TDH 1 - permanent generator w/ATS; Force Main Size Force Main Length
2 - portable generator w/MTS
Pump Station Location ID (self chosen - as shown on plans/map for reference)
Design Flow Operational Point Power Reliability Option
(MGD) GPM @TDH 1 - permanent generator w/ATS; Force Main Size Force Main Length
2 - portable generator w/MTS
Pump Station Location ID (self chosen - as shown on plans/map for reference)
Design Flow Operational Point Power Reliability Option
(MGD) GPM @TDH 1 - permanent generator w/ATS; Force Main Size Force Main Length
2 - portable generator w/MTS
12. Will the wastewater flow in the proposed sewer lines or pump stations be able to be directed to another treatment facility?
[:]Yes ® No If Yes, permit number of 2"d treatment facility
(RO — if "yes" to 6,12 please contact the Central Office PERCS Unit)
13. Does the sewer system comply with the Minimum Design Criteria for the Fast Track Permitting of Pump Stations and Force
Mains (latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC Chapter 2T as
applicable?
® Yes ❑ No If No, please reference the pertinent minimum design criteria or regulation and indicate why a
variance is requested. SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS
PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
FTA 12/07
14. Have the following permits/certifications been submitted for approval for the system or project to be served?
U)
Z
O
F-
Q
_U
LL
H
W
0
A
u
Wetland/Stream Crossings - General Permit or 401 Certification? ❑ Yes ❑ No ® N/A
Sedimentation and Erosion Control Plan? ® Yes ❑ No ❑ N/A
Stormwater?
® Yes ❑ No ❑ N/A
15. Does this project include any high priority lines, [see 15A NCAC 02T .0402 (2)] involve aerial lines, siphons, or interference
manholes)? These lines will be considered high priority and must be checked once every six months
Check if Yes: ❑ and provide details
1. Owner/Permittee's Certification: (Signature of Signing Official and Project Name)
1 a.
1, Carol Sparks, Town Manager , attest that this application for Moore County Government Center 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. Note: In accordance with North Carolina General
Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement, representation, or
certification in any application 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.
Signing Official
Date
ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIM
TO OTHER UTILITIES, DESIGN CALCULATIONS. ETC. REFER TO 15A NCAC 02T .0305
2. Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
1, Matt Roper , attest that this application for Moore County Government Center has been
reviewed by me and is accurate, complete and consistent with the information in the engineering plans, 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 adopted February 12, 1996, and the Minimum Design Criteria for the Fast -Track Permitting of Pump
Stations and Force Mains adopted June 1, 2000 and the watershed classification in accordance with Division guidance.
Although other professionals may have developed certain portions of this submittal package, inclusion of these materials
under my signature and seal signifies that 1 have reviewed this material and have judged it to be consistent with the
proposed design. Note: In accordance with NC General Statutes 143-215.6A and 143-215.6B, any person who knowingly
makes any false statement, representation, or certification in any application shall be guilty of a Class 2 mwemeanor
which may include a fine not to exceed $10, 000 as well as civil penalties up to $25, 000 per violation. IN ,A
2a. Matt Roper, PE
Professional Engineer Name
2b. LandDesign, Inc.
Engineering Firm
2c. 223 N. Graham Street
Mailing Address
2d. Charlotte
City
2e. NC 2f. 28202
State Zip
2g. (704) 333-0325 2h. (704) 332-3246 2i. MRoper@LandDesign.com
Telephone Facsimile E-mail
NC PE Seal, Signature & Date
FTA12/07
.. .... . .... .
USE THE TAB KEY TO MOVE FROM FIELD TO FIELD! Application Number:
—
(to be completed by DWQ)
I.
Owner/Permittee:
1 a.
Town of Carthage
Full Legal Name (company, municipality, HOA, utility, etc.)
0
1 b.
Carol Sparks, Town Manager
Signing Official Name and Title (Please review 15A NCAC 2T.0106 (b) for authorized signing officials!)
1 c.
The legal entity who will own this system is:
0 Individual El Federal Z Municipality El State/County El Private Partnership ❑ Corporation El Other (specify):
0
1 d.
4396 HWY 15-501 le.
LL
-Carthage
Mailing Address City
Z
1f.
NC I g. 28327
Z
State Zip Code
0
1 h.
(910) 947-2331 1i. (704) 947-3079
—1j.
Telephone Facsimile E-mail
2.
Project (Facility) Information:
M
2a.
County of Moore Government Center 2b. Moore
CL
Brief Project Name (permit will refer to this name) County Where Project is Located
IL
3.
Contact Person:
3a.
Matt Roper
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b.
(704) 333-0325 3c. MRoper@LandDesign.com
----
Phone —Number E-mail
1.
Project is Z New El Modification (of an existing permit) If Modification, Permit No.:
2.
Owner is Z Public (skip to Item B(3)) El Private (go to Item 2(a))
2a.
If private, applicant will be: 2b. If sold, facilities owned by a (must choose one)
El Retaining Ownership (i.e. store, church, single office, etc.) or El Public Utility (instruction C)
El Leasing units (lots, townhomes, etc. - skip to Item B(3)) El Homeowner Assoc./Developer (instruction D)
El Selling units (lots, townhomes, etc. - go to Item B(2b))
3.
Moore County
Z
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
4a.
Moore County WWTP 4b. NCO037508
Name of WWTF WWTF Permit No.
5a.
Town of Carthage fib. 8" Gravity 15c.
Owner of Downstream Sewer lReceiving Sewer Size El Force Main i i Permit # of Downstream Sewer (Instruction E)
0
U.
6.
The origin of this wastewater is (check all that apply):
BB&T BRANCH BANKING AND TRUST COMPANY 283278
COUNTY OF MOORE 1-800-BANK BBT BBT.COM
P.O. BOX 905 66-112/531
CARTHAGE. NC 28327
(910)947-6310 VOID AFTER 60 DAYS
DATE CHECK NO. CHECK AMOUNT
OF W A rFR State of North Carolina
Department of Environment and Natural Resources
y Division of Water Quality
p Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE—10/07)
Project Applicant Name: MOOR-6 cDu n �r _
Project Name for which flow is being requested: �12k Gjovernr»e#t ea- I . 10� °� �`' �'
More than one ME-1"7 may be required for a single project if the owner of the WWTP is not responsible for all
pump stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner ofthe wastewater treatment plant.` l
a. WWTP Facility Name: ��Q4 eo U✓t J sl ev r 3 / I u41 � &B 04 rV ( V /a h4
b. WWTP Facility Permit 3 7 S D 8
All flows are in MGD
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
II. Complete this section for each pump station you are responsible for along the route of this
proposed wastewater flow.
List pump stations located between the project connection point and the WWTP
Pump Station Name
Approx. Capacity, MGD Approx. Current Avg.
(Firm/Design) Daily Flow, MGD
III. Certification Statement:
I, `!) e-ri n�5 tI W 6 5 i , certify that, to the best of my knowledge, the addition of the
volume of wastewater to be permitted in this project has been evaluated along the route to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity
related. sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant under normal circumstances. This analysis has been performed in accordance with local
established policies and procedures using the best available data. This certification applies to those items
listed above in Sections I and 11 for which I am the responsible party. Signature of this form indicates
acceptance of this wastewater flow.
` za��
Signing Official Signature Date
Jul 29 10 10.23a Town Of Carthage 9109473079 p.2
O INA?`4R State of North Carolina
ems': - LPL Department of Environment and Natural Resources
-7 Division of Water Quality
Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE—10/07)
Project Applicant Name: Moore Count_
Project Name for which flow is being requested: Moore County Government Center
More than one PTSE-10107 maybe required for a single project if the owner of the WWTP is not responsible for all
pump stations along the route of the proposed wastewater, flow.
L Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name:
b. WWTP Facility Permit M _
All flows are in MO)
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
H. Complete this section for each pump station you are responsible for along the route of this
proposed wastewater flow.
List pump stations located between the project connection point and the WWTP
Pump Station Name Approx. Capacity, MGD Approx. Current Avg.
(Finn/Design) Daily Flow, MGD
C6,X f G.S TV �7'S
III. Cer ' cati n.Statement:
I, !S ` ,e certify that, to the best of my knowledge, the addition of the
volume of wastewater to be p rmitted in this project has been evaluated along the route to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity
related sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant under normal circumstances. This analysis has been performed in accordance with local
established policies and procedures using the best available data. This certification applies to those items
listed above in Sections I and 11 for which I am the responsible party. Signature of this form indicates
acceptance of this wa*tgv#er flow,.
Signing
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BB&T BRANCH BANKING AND TRUST COMPANY 283278
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66-112/531
VOID AFTER 60 DAYS
DATE CHECK NO. CHECK AMOUNT
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AS BY
CREQUIREDONTROL
AL ACT.
213
P. O. Box 1927
Carthage, North Carolina
February 5, 2010
Mr. Rob Keidel
LandDesign
223 N Graham Street
Charlotte NC 28202
Dear Mr. Keidel,
Count of .'1�loore
Public Works
WWW.moorecountync.gov
`OJ�VV OF MOOgF
nea
n o�
°FNCRTN
DENR—FRCS
jUN 2 8 2010
DWQ
(910)947-6315 (Telephone)
(910)947-1992 (Faesimi(e)
RE: Flow Acceptance letter for County of Moore Government Center, Carthage, NC.
The Moore County Water Pollution Control Facility, NPDES # NC 0037508, presently
has sufficient capacity available to conditionally accept up to 44,400 gallons per day from
the above referenced project. This letter does not reflect the capacity of the immediate
collection system owned and operated by the Town of Carthage.
This project will be required to comply with all specifications and requirements of the
Town of Carthage, NC. and AWWA Standards.
Upon completion of the referenced project, the applicant's engineer is to provide our
office with the following items:
1. Certification of Completion.
2. Complete set of As -Built drawings.
If you have any questions or comments please call me at (910) 947-6315.
Sincerely,
Property Management Public Utilities Solid Waste Wastewater Treatment Plant
Ph - (910)947-2301 Ph - (910)947-6315 Ph - (910)947-3637 Ph - (910)281-3146
Fax - (910)947-2304 Fax - (910)947-1992 Fax - (910)947-1992 Fax - (910)281-2047
FORM WSCAS-12/07 \O�0F W9
ATF1
WATERSHED CLASSIFICATION ATTACHMENT >
o
FOR SEWER SYSTEMS
Applicant Name
Project Name
Town of Carthage
Moore County Government Center
Professional Engineer Name
Engineering Firm Name
Matt Roper, PE
LandDesign, Inc
Location
ID
Name of Waterbody'
County
River
Basin
Waterbody Stream
Index No.
Waterbody
Classification
See Map
Tributary to Killet's Creek
Moore
Cape Fear
17-30-3-(2)
C
' If unnamed, indicate "unnamed tributary to X", where X is the named waterbody to which the unnamed tributary joins.
l certify that as a Registered Professional Engineer in the State of
North Carolina that l have diligently followed the Division's instructions
for classifying waterbodies and that the above classifications are "}
inclusive of the stated project, complete and correct to the best of my i
;7^:
knowledge and belief. � ' �
PE Seal, Signature and Date
*** END OF FORM WSCAS-12/07 ***
14
9
FORM: WSCAS-12/07 Page 1 of 1
LandDesign-
urban design planning civil engineering branding landscape architecture
June 25, 2010
NCDENR Division of Water Quality
Fayetteville Regional Office
225 Green Street
Suite 714
Fayetteville, North Carolina 28301
RE: County of Moore Government Center
PN: 1008140
To Whom It May Concern:
DENR_FRO
JUN 18 1010
Dwo
Enclosed is a Fast -Track Application for Gravity Sewer to serve the project entitled
County of Moore Government Center. The site is located on McNeil Street, in Moore
County. It is a development consisting of a jail/detention center and local government
office facilities. The average daily flow for these facilities is 34,000 gallons per day and
is being requested in its entirety. Enclosed are two (2) complete application forms, one
(1) application fee, one (1) flow acceptance letter, one (1) flow tracking form (FTSE),
one (1) map, one (1) stream classification form (WSCAS), and the certification page.
Please do not hesitate to call if you have any questions or need further information.
k. you -
:ice
Rob Keidel
LandDesign, Charlotte
704.333.0325
Washington DC
Charlotte NC
Pinehurst NC
223 North Graham Street
Charlotte, NC 28202
Asheville NC
Tampa FL
V: 704.333.0325
F: 704,332,3246
Nashville TN
www.LandDesign.com Beijing PRC
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Page 1 of 1
LmdD�0-
TRANSMITTAL
223 North Graham Street, Charlotte, NC 28202
V:704.333.0325 F:704.332.3246
DENR-FRO
JUN 2 8 2010
DWO
DATE: 6/25/2010
PROJECT NAME: 1008140 MOORE COUNTY DETENTION CENTER
TO: NCDENR Fayetville Regional Office (none@none.com) PROJECT #: 1008140
FROM: Rob Keidel
rkeidel@landdesign.com
CC:
WE ARE SENDING: County of Moore Government Center Fast Track Sewer Permit
VIA: Second Day
PURPOSE: For your approval
NOTES:
NCDENR,
Please find included a fast track sewer application package for the County of Moore Government Center.
Please do not hesitate to call if you have any questions or need further assistance.
Thanks,
Rob Keidel, El
Manager
LandDesign I Charlotte NC
223 North Graham Street, Charlotte, NC 28202
V: 704.376.7777 1 F: 704.332.3246
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Charlotte NC
Washington DC Tampa FL Asheville NC Pinehurst NC Charlotte NC Nashville TN Beijing PRC
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