HomeMy WebLinkAboutWQ0034501_Sewer Extension_20091130OF V, ATE�� State of North Carolina
'�� pG Department of Environment and Natural Resources
U a_
7 Division of Water Quality
oltr FAST -TRACK APPLICATION
(FTA 12/07 very)
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. uslperes/Collection % 2OSystemsICollectionSystemApplications. 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.
FTA 12/07
LJ 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(lb). 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
(252) 946-6481
Currituck, Dare, Gates, Greene, Hertford, Hyde,
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
j
(910) 796-7215
(910) 350-2004 Fax
Winston-Salem Regional Office 585 Waughtown Street
I 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:
h ttp://h2o. enr.state. nc. uslperes/Collection % 2OSystemsICollectionSystemsHome. h tml
or contact the Regional Office serving your county.
FTA 12/0 7
USE THE TAB KEY TO MOVE FROM FIELD TO FIELDI Application Number:
(to be completed by DWQ) vV U U 3 ¢ JrQ 1
_.
1.
Owner/Permittee:
la.
Terry Dale Pate
Full Legal Name (company, municipality, HOA, utility, etc.)
O1
b.
Terry Dale Pate, Owner
Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized signing officials!)
Q
1c.
The legal entity who will own this system is:
® Individual ❑ Federal ❑ Municipality ❑ State/County ❑ Private Partnership ❑ Corporation ❑ Other (specify):
O
1d.
1848 US Hwy 74 West le. Lumberton
LL
Mailing Address City
Z
if.
NC 1 g. 28360
Z
State Zip Code
0
1 h.
910-738-9594 1 i. 910-738-9409 1 j.
QTelephone
Facsimile E-mail
V
2.
Proiect (Facility) Information:
J
2a.
Sanitary Sewer Improvements to Serve Proposed Mobile Home 2b. Robeson
CL
Park for Terry Pate County Where Project is Located
d
Q
3.
Contact Person:
Q3a.
Sam R. Noble, Jr., P.E.
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b.
910-740-9466 3c. bonoble@nc.rr.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.
-- - ...... --
City of Lumberton, North Carolina
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
Z
0
4a
Lumberton Wastewater Treatment Plant 4b NCO024571
Name of WWTF WWTF Permit No.
5b. ® Gravity
12" El Force Main5c.
it
5a.
City of Lumberton
Owner of Downstream Sewer ,Receiving Sewer Size Permit # of Downstream Sewer (Instruction E)
LL
Z_
6.
The origin of this wastewater is (check all that apply):
❑ Residential Subdivision ❑ Retail (Stores, shopping centers) 100 % Domestic/Commercial
❑ Apartments/Condominiums ❑ Institution % Industrial (attach
® Mobile Home Park ❑ Hospital description.)
aEl
School El Church
[I Restaurant ❑ Nursing Home (RO: contact your Regional Office
�
❑Office El Other (specify): Pretreatment staff)
Other (specify):
7.
Volume of wastewater to be allocated or permitted for this particular project: 10,560 gallons per day
*Do 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)
FfAl2/07
9 Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2T .0114 for
the value in Item B(7) AND/OR the design flow for line or pump station sizing if a reduced or zero flow is being requested in
Item B(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).
24 — 3 bedroom units @ 360 gpd/ unit = 8640 gpd 8 — 2 bedroom units @ 240 gpd/ unit = 1920 gpd
Total Flow = 10,560 gpd
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches) Length (feet) New Gravity or Additional
Force Main
8 1,115 New Gravity
Q 11. Summary of Pump Stations w/ associated Force Mains to be Permitted (attach additional sheets as necessary)
W
D
Z
Pump Station Location ID
(self chosen - as shown on plans/map for reference)
Z
DesignFlow
Operational @ Point
GPM TDH
Power Reliability Option
1 -permanent generator w/ATS; Force Main Size Force Main Length
O
2 - portable generator w/MTS
Z
O
QPump
Station Location ID
(self chosen - as shown on plans/map for reference)
Designlow
Operational Point
Power Reliability Option
� P
1
0
GPM @TDH
- permanent generator w/ATS; Force Main Size Force Main Length
2
- portable generator w/MTS
LL
Pump Station Location ID
(self chosen - as shown on plans/map for reference)
W
a
Design Flow
(MGD)
Point
OPGPM n
Power Reliability Option
1
m
@ TDH
- 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 B,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?
Wetland/Stream Crossings - General Permit or 401 Certification? ❑ Yes ❑ No ® N/A
Sedimentation and Erosion Control Plan?
Stormwater?
❑ Yes [-]No ❑ N/A
[:]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, 'rZ�"i D,3C.E , attest that this application for E��S1ctiihas 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.
r/1 a. ____ / / Q3
Sign
i Official Sign ate
ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY
TO OTHER UTILITIES, DESIGN CALCULATIONS. ETC. REFER TO 15A NCAC 02T .0305
Z
O
Q2. Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
V 1, Sam R. Noble, Jr.. P. E. attest that this application for Sanitary Sewer Extension to Serve Proposed Mobile Home
Park for Teny Pate 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
W 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
V 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 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 misdemeanor which may include a fine not to exceed $10,000 as well as civil penalties up to $25,000
2a. .Sam R. Alo 6 le. Jam. P. E
Professional Engineer Name p
2b. ! 6p cn R . No S l e, !�—[ . C GoN S & L�' zlyc E.v _iN57Z
Engineering Firm
2c. 401 Oxford Road
Mailing Address
2d. Lumberton 2e. NC 2f. 28358
City State Zip
2g. 910-740-9466 2h.
Telephone
Facsimile
2i. bonoble@nc.rr.com
E-mail
NC PE Seal, Signature & Date
FTA 12/07
USE THE TAB KEY TO MOVE FROM FIELD TO FIELDI
Application Number: /��
(to be completed by DWQ) I�tf tv
Z
O
H
Q
0
U.
Z
0
H
Q
0
J
a
a
Q
EI
1. Owner/Permittee:
1 a. Terry Dale Pate
Full Legal Name (company, municipality, HOA, utility, etc.)
1 b. T
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):
1 d. 1848 US Hwy 74 West 1 e.
Mailing Address
if. NC 1g.
State
City
Zip Code
1 h. 910-738-9594 1 i. 910-738-9409 1j.
Telephone Facsimile E-mail
2. Project (Facility) Information:
2a. Sanitary Sewer Improvements to Serve Proposed Mobile Home 2b. Robeson
Park for Terry Pate County Where Project is Located
3. Contact Person:
3a. Sam R. Noble, Jr., P.E.
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b. 910-740-9466 3c. bonoble@nc.rr.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. City of Lumberton, North Carolina
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
O 4a. Lumberton Wastewater Treatment Plant 4b NCO024571
Name of WWTF WWTF Permit No.
15b. ® Gravity
12' ;❑ Force Main
5a. City of Lumberton 5c.
O Owner of Downstream Sewer :Receiving Sewer Size Permit # of Downstream Sewer (Instruction E)
U- R Tho nrinin of 4hic wactewnfor is !r hrxek all that annlvl-
NOTICE TO CUSTOMER OFFICIAL CHECK 167155
ASACONDITION TO THIS INSTITUTION'S ISSUANCE
OF THIS CHECK, PURCHASER AGREES TO PROVIDE
AN INDEMNITY BOND PRIOR TO THE REFUND OR
REPLACEMENT OF LOST,, MISPLACED ORISTOLEN. S CHECK IN THE EVENT IT IS DATE October 28, 2009
RAY FOUR HUNDRED EIGHTY AND 00/100
TO THE NC DENR ORDER OF yS`********4$Q, QQ
REMITTER: TD Pate Investments
New Cenhuy
Bank PURPOSE J
DUNN, NC 28334 Authorized Signature
ISSUED BY: MONEYGRAM PAYMENT SYSTEMS, INC., P.O. BOX 9476, MINNEAPOLIS, MN 55480
DRAWEE: BOSTON SAFE DEPOSIT & TRUST CO., BOSTON, MASSACHUSETTS
lie L 6 7 L S Sll' 1:0 L L00 70 9 21: 1100 L 600 LO 7 ?8 48 Ill'
NOTICE TO CUSTOMER OFFICIAL CHECK 167155
o AS A CONDITION TO THIS INSTITUTION'S ISSUANCE
OF THIS CHECK, PURCHASER AGREES TO PROVIDE
AN INDEMNITY BOND PRIOR TO THE REFUND OR
REPLACEMENT OF THIS CHECK IN THE EVENT IT is
LOST, MISPLACED OR STOLEN. DATE October 28, 2009
PAY FOUR HUNDRED EIGHTY AND 00/100
TO THE NC DENR yS********480.00
ORDER OF
REMITTER: TD Pate Investments
New Century
Bank PURPOSE
DUNN, NC 28334
Authorized Signature
ISSUED BY: MONEYGRAM PAYMENT SYSTEMS, INC., P.O. BOX 9476, MINNEAPOLIS, MN 55480
DRAWEE:
SECURITY FEATURES: MICRO PRINT TOP & BOTTOM BORDERS - COLORED PATTERN - ARTIFICIAL WATERMARK ON REVERSE SIDE - MISSING FEATURE INDICATE A COPY
Permit Number WQ0034501
Program Category
Non -discharge
Permit Type Fast Track
Gravity Sewer Extension, Pump Stations, & Pressure Sewer
Extensions
Primary Reviewer
trent.allen
Coastal SW Rule
Permitted Flow
10560
Facility Name
Sanitary Sewer Improvements to Serve Proposed
Mobile Home Park for Terry Pate
Location Address
Central Files: APS SWP
12/22/09
Permit Tracking Slip
Status
Project Type
Active
New Project
Version
Permit Classification
1.00
Individual
Permit Contact Affiliation
Major/Minor Region
Major Fayetteville
County
Robeson
Facility Contact Affiliation
Owner Name
Owner Type
Terry Dale Pate
Unknown
Owner Affiliation
Terry Dale Pate
1848 US Hwy 74 W
Lumberton NC 28360
Dates/Events
Scheduled
Orig Issue App Received Draft Initiated Issuance
Public Notice Issue Effective Expiration
12/22/09 11 /30/09
12/22/09 12/22/09
Regulated Activities
Requested/Received Events
Wastewater collection
Additional information requested
Additional information received
Outfall NULL
Waterbody Name Stream Index Number Current Class Subbasin
OF W A rF9 State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
o < Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE—10/07)
Project Applicant Name: `Te�� D ct e- 19ca
Project Name for which flow is being requested: San. Seurc, lMn�ovea,e.,�s ?a Serye. P.oPosc�
/1'1d 1c.,E /bna,G- ,PARK AzA Teniyy P44-
More than one FTSE-10107 may be required for a single project �he owner of the WWTP is not responsible�for all
pump stations along the route of the proposed wastewaterllow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Lumberton Wastewater Treatment Plant
b. WWTP Facility Permit #: NC0024571
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the
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
All flows are in MGD
Z0
WWTP 1,0
q.
0.0105`6
2 7. S7
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.
(Finn/Design) Daily Flow, MGD
-4 it 1�
�L."; I —P
�E
'E
h\\
III. ; -Certification Statement:
I, I'1ci�rv--r _ i� / 2i�Si)ZJ�ti( ) 4 , 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 II for which I am the responsible party. Signature of this form indicates
acceptance of this wastewater AMW/V
^� \ 1 ' 5-0 `l
Signing Official Signature Date
__ pe pxj -rr Lana
'F,p UCNAK 11vir-mlE kir 1 nt ilv It clttivnSAm. UMF-
��. MNU
GEOLOGICAL SURVEY RALEIG „
7 yo 00' RED SPRINGS 18 Mi.
584�nE YMI.TOINTERSTATE sa 566 ;i7' 30" 52a+rr
-`4' �37' ;30!• — -- �T_ _ -ram `8Q (NORTHEAST LO
,9'331n7(hn N - -- ! s U" !-t.� i-v---------mac` —- --r�-7— —
T aHer Park 2109 )v �/
Cem
2113; —�
it
i�. > 0 �� Ce Ch
y l rT�T'.'.. •1• . �raior Pa Corn (21oi a 4
Curlev
t25 Cem 1 Ceso
3032 _ ' H de PP
of T cam_ —.. _ (,zni;
Hap
Trailer rk
Trailer Pa
op
at v
i railer ``• • i �' �.` I_
Waste\Pd ��.� . i� I ;� QYi/;�
So
r "
;.) `� j. ¢ G� `WT
�I
21
Jti�
Heat '�• Traildr.Pa �r
12115
3F130 - = �� _ / Cem • " `} +� MI • .bnd
-- M'Wishan
Corn
If �- s
�Public Boat / �/= i' sh
S /r�f j' .1 J ` w .'A. r�Cem ~\�I
\ Ram ( do ubsja '-i, �� .�C,
1 r fi( iirr 1._ }
nd'
soak
2202
Substatr
3e29 Ind Waste
Ponds
Well '''' ' % 2 16 }-- ,� " •/ }Cain \ �. .. _
i Plant / ! J -" / I 2
r EqC�LJLJL�J�ST -- a yIS
0 2
J II:
y O ❑ ❑ m rh _.3NId 4_. f O zz y �(
S n m HY03N 2
SSyc L❑❑
_/ 1 in tl�NIV�AS (1❑❑❑❑�
wl w �ST1 -" > L—J❑-
?�`--N u CHIPPEWA`-1LJCJU,U O 41M NI
5
ao�> lJlml 3dlii v3d bti a y-+ + t s + +
� m ... � S 3N3S � GOVG
`"G - �� U 009 o nO 2
D D p M/ ROZ,ER_ST N m
��� d
h �✓�R "-1' OAs3d�MH
c0' ,qI�oO�
nv smlM y�/ �91�d H� - �3eShcH�jll0 r
% J
A
SnO
n
INGLEW ~ N AV 1Nn8dS N
La�2 �CVsr is U
I ,.—.—
mc �Oy51d�a� �o "�v� -4Z rson' - "OVbT3 2) NMOJNIAtl�J _.......
r _.
� .._ m �
�� p..: F�✓ �{ m OO x�odGw
� F9c (/ v D O MEAD W
O 3 AD
�9 ST lC 9FF� 1Sr O BLAKE ELLE D
S�'Y Ili m
.� r.$ D MADISON� m D 2
'a <NVAFi Lill]] MIT
o ^�a E l
FAIRSIT G
O
ST
goy cF o m{ y`bao� �CY
O k 0 o
z
y m
U
RD
qp ,y0�9e/9 m
c4ST�
£ o oggkeq / a a°r
`5
rz 9p
HO llltl8
�y0.
N Nosy
T
LL Y
Cat o - um& .ton
y f
1 7
iDUSK, / (L ziZzlLe1 1�e`iazzmenz
November 4, 2009
Mr. Sam R. Noble, Jr., P. E.
401 Oxford Road
Lumberton, NC 28358
Dear Mr. Noble:
RE: WATER MAIN EXTENSION AND SANITARY SEWER IMPROVEMENTS TO
SERVE A PROPOSED MOBILE HOME PARK FOR TERRY PATE
The City of Lumberton, North Carolina, has existing capacity and agrees to serve the above -
referenced project with 12,800 gpd of potable water and 10,560 gpd of sanitary sewer.
Sincerely,
?J
Rob Armstrong
Public Works Director
NOY 3 0 2009
2 15 c_S. eedaz eStzest ' J:.0 Lox 3&& , -'urge torz, clNo Et� C..a Eoftna 2S359 * 97 o-67 1-3857 • '7ax q7 o-697 -388q
SAM R. NOBLE, JR., P. E.
Consulting Engineer
November 25, 2009
Division of Water Quality
Fayetteville Regional Office
225 Green Street, Suite 714
Fayetteville, NC 28301-5094
Gentlemen:
RE: TERRY PATE SEWER EXTENSION
RFf EIVED
NOV 30 20
DENR - FAYETTFOLLE REGIONAL OFACF
Enclosed are two copies of the revised Fast -Track Application, and supporting documents, for
the above -referenced project. Also enclosed is a check for the $480 permit fee.
Please let me know if I need to furnish you any additional information prior to your review and
approval of this project.
Sincerely,
-`��/
Sam R. Noble, Jr., P. E.
SRNjr/ftf
enclosures
401 Oxford Road • Lumberton, NC 28358 •910-738-9464 • bonoble@nc.rr.com