WQ0041463_Application (FTSE)_20210423

°{Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
APR 0 5 2021
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION
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LAYETTEVI LE
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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 engineering practices.
PECE1VED
DEQIDtNR
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 1C .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):
El 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 Page 1 of 3

E. Flow Tracking/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 11-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 15A 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 l 5A 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
Swannanoa, North Carolina 28778
[phone]
[phone] Fax
Avery, Buncombe, Burke, Caldwell, Cherokee,
Clay, Graham, Haywood, Henderson, Jackson,
Macon, Madison, McDowell, Mitchell, Polk,
Rutherford, Swain, Transylvania, Yancey
Water Quality Section
Fayetteville Regional Office
225 Green Street Suite 714
Fayetteville, North Carolina 28301-5094
[phone]
[phone] Fax
Anson, Bladen, Cumberland, Harnett, Hoke,
Montgomery, Moore, Robeson, Richmond,
Sampson, Scotland
Water Quality Section
Mooresville Regional Office
610 E. Center Avenue
Mooresville, North Carolina 28115
[phone]
[phone] Fax
Alexander, Cabarrus, Catawba, Cleveland,
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
Stanly, Union
Water Quality Section
Raleigh Regional Office
1628 Mail Service Center
Raleigh, North Carolina 27699-1628
[phone]
[phone] Fax
Chatham, Durham, Edgecombe, Franklin,
Granville, Halifax, Johnston, Lee, Nash,
Northampton, Orange, Person, Vance, Wake,
Warren, Wilson
Water Quality Section
Washington Regional Office
943 Washington Square Mall
Washington, North Carolina 27889
[phone]
[phone] Fax
Beaufort, Bertie, Camden, Chowan, Craven,
Currituck, Dare, Gates, Greene, Hertford, Hyde,
Jones, Lenoir, Martin, Pamlico, Pasquotank,
Perquimans, Pitt, Tyrrell, Washington, Wayne
Water Quality Section
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
[phone] Fax
Brunswick, Carteret, Columbus, Duplin, New
Hanover, Onslow, Pender
Water Quality Section
Winston-Salem Regional Office
450 W. Hanes Mill Road
Suite 300
Winston-Salem, North Carolina 27105
[phone]
Alamance, Alleghany, Ashe, Caswell, Davidson,
Davie, Forsyth, Guilford, Rockingham, Randolph,
Stokes, Surry, Watauga, Wilkes, Yadkin
Water Quality Section
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page 3 of 3

9
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: WQOO l ty (03 1 " (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: City of Laurinburg (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ® Municipal ❑ Other
3. Signature authority's name: Charles D. Nichols III per 15A NCAC 02T .0106(b)
Title: City Manager
4. Applicant's mailing address: Post Office Box 249
City: Laurinburg State: NC Zip: 28353-3719
5. Applicant's contact information:
Phone number: [phone] Email Address: [e-mail]
II. PROJECT INFORMATION:
1. Project name: Pump Station Renovations (PS 8, 12, 13)
2. Application/Project status:
❑ Proposed (New Permit)
® Existing Permit/Project
If a modification, provide the existing permit number: WQ0041463 and issued date: February 5, 2020
If new construction but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Scotland
4. Approximate Coordinates (Decimal Degrees): Latitude: 34.737107° Longitude: -79.506039°
5. Parcel ID (if applicable):
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: James C. Stowe, PE
Firm: Willis Engineers
Mailing address: 10700 Sikes Place, Suite 115
City: Charlotte State: NC Zip: 28277-8159
Phone number: [phone] Email Address: [e-mail]
License Number: 32639
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Leith Creek WWTP Permit Number: NC0020656
Owner Name: City of Laurinburg
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ Downstream (Receiving) Sewer Size: inch
System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s):
FORM: FTA 04-16
Page 1 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)
❑ Residential Leased ❑ Retail with food preparation/service
❑ School / preschool / day care ❑ Medical / dental / veterinary facilities
❑ Food and drink facilities ❑ Church
❑ Businesses / offices / factories ❑ Nursing Home
❑ Car Wash
❑ Hotel and/or Motels
❑ Swimming Pool /Clubhouse
❑ Swimming Pool/Filter Backwash
❑ Other (Explain in Attachment)
5. Nature of wastewater : 100 % 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(f)? ❑ Yes ® No
> If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow a,b
No. of Units
Flow
N/A
N/A gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
0 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 .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.0114] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 0 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: FTA 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
N/A
N/A N/A
> Section II & 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 (Pumn Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: Pump Station 8
2. Approximate Coordinates (Decimal Degrees): Latitude: 34.745767° Longitude: -79.515032°
3. Design flow of the pump station: 0.0403 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 43 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
N/A
N/A
N/A
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

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
N/A
N/A
N/A
> Section II & 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: Pump Station 12
2. Approximate Coordinates (Decimal Degrees): Latitude: 34.745173° Longitude: -79.492375°
3. Design flow of the pump station: 0.0446 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 87 gallons per minute at 61 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
N/A
N/A
N/A
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

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
N/A
N/A
N/A
> Section II & 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: Pump Station 13
2. Approximate Coordinates (Decimal Degrees): Latitude: 34.714980° Longitude: -79.503863°
3. Design flow of the pump station: 0.0158 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 43 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
N/A
N/A
N/A
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 — (02B .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(f) contains minimum separations that shall be provided for sewer systems:
® 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 webpage
> 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 I5A NCAC 02B .0200? ❑ Yes ❑ No ® N/A
> This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project require coverage/authorization under a 404 Nationwide or
individual permits or 401 Water Quality Certifications?
> Information can be obtained from the 401 & Buffer Permitting Branch
® Yes ❑ No
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 Desi.en 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 supporting documents.
2. Professional Engineer's Certification:
I, James C. Stowe, PE 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 143-215.6B, 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 $1.0,000, as well as civil penalties up to $25,000 per violation. 30 Ma2021
►ti1r"il,����
North Carolina Professional Engineer's seal, signature, and date: �`�-(N CARD ,''•,
%=O .FESS/Q; .•
SEAL
32639
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til�cs•. .5-Q``'%\
3. Applicant's Certification per 15A NCAC 02T .0106(b):
� / v
7/'4xrfe s Pew" iL h '; �,? � 0....44 HAI.4,a),e- attest that this application for
(Signature Authority's name & title from Application Item I.3.)
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 1 43-215.6A 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.
Signature:
Date: '! - '2,C3 2 1'
FORM: FTA 04-16 Page 5 of 5

uf
~der Resoe g
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: City of Laurinburg - PS 8
Project Name for which flow is being requested: Pump Station Renovations (PS 8, 12, 13)
More than one FTSE 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 of the wastewater treatment plant.
a. WWTP Facility Name: Leith Creek WWTP
b. WWTP Facility Permit #: NC0020656
All flows are in MGD
c. WWTP facility's permitted flow 4.0
d. Estimated obligated flow not yet tributary to the WWTP 1.22
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
1.70
0.0
2.92
73%
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 Pump
Station Station Firm
(Name or Permit Capacity, *
Number) No. MGD
(A)
Design
Average
Daily Flow**
(Firm / pf),
MGD
7 N/A 0.249 0.100
5b N/A 0.598
19 N/A 1.932
(B) (C) (D)=(B+C) (E)=(A-D)
Obligated,
Approx. Not Yet
Current Tributary
Avg. Daily Daily Flow,
Flow, MGD MGD
0.034 0
0.239 0.087 0
0.773 0.430 0
Total Current
Flow Plus
Obligated Available
Flow Capacity***
0.034 0.066
0.087 0.152
0.430 0.343
* The Firm Capacity (design flow) of any pump station is defined as the maximum pumped flow
that can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor
(pf) not less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer): N/A
Downstream Permit Number: N/A
Page 1 of 6
FTSE 10-18

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: City of Laurinburg - PS 12
Project Name for which flow is being requested: Pump Station Renovations (PS 8, 12, 13)
More than one FTSE 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 of the wastewater treatment plant.
a. WWTP Facility Name: Leith Creek WWTP
b. WWTP Facility Permit #: NC0020656
All flows are in MGD
c. WWTP facility's permitted flow 4.0
d. Estimated obligated flow not yet tributary to the WWTP 1.22
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
1.70
0.0
2.92
73%
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:
(A) (B) (C) (D)=(B+C) (E)=(A-D)
Design Obligated,
Pump Pump Average Approx. Not Yet Total Current
Station Station Firm Daily Flow** Current Tributary Flow Plus
(Name or Permit Capacity, * (Firm / pf), Avg. Daily Daily Flow, Obligated Available
Number) No. MGD MGD Flow, MGD MGD Flow Capacity***
19 N/A 1.932 0.773 0.430 0 0.430 0.343
* The Firm Capacity (design flow) of any pump station is defined as the maximum pumped flow
that can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor
(pf) not less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer): N/A
Downstream Permit Number: N/A
Page 1 of 6
FTSE 10-18

Dk ioft er Resoart.e:,
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: City of Laurinburg - PS 13
Project Name for which flow is being requested: Pump Station Renovations (PS 8, 12, 13)
More than one FTSE 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 of the wastewater treatment plant.
a. WWTP Facility Name: Leith Creek WWTP
b. WWTP Facility Permit #: NC0020656
All flows are in MGD
c. WWTP facility's permitted flow 4.0
d. Estimated obligated flow not yet tributary to the WWTP 1.22
e. WWTP facility's actual avg. flow 1.70
f. Total flow for this specific request 0.0
g. Total actual and obligated flows to the facility 2.92
h. Percent of permitted flow used 73%
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:
(A) (B) (C) (D)=(B+C) (E)=(A-D)
Design Obligated,
Pump Pump Average Approx. Not Yet Total Current
Station Station Firm Daily Flow** Current Tributary Flow Plus
(Name or Permit Capacity, * (Firm / pf), Avg. Daily Daily Flow, Obligated Available
Number) No. MGD MGD Flow, MGD MGD Flow Capacity***
14 N/A 0.230 0.092 0.056 0 0.056 0.036
19 N/A 1.932 0.773 0.430 0 0.430 0.343
* The Firm Capacity (design flow) of any pump station is defined as the maximum pumped flow
that can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor
(pf) not less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer): N/A
Downstream Permit Number: N/A
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I Charles D. Nichols, III certify to the best of my knowledge that 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, given the implementation of the planned improvements
identified in the planning assessment where applicable. 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 plus all attached planning assessment addendums for which I
am the responsible party. Signature of this form certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
igning Official Signature Date
fir.. cu,er
Title ofigning Official
Page 2 of 6
FTSE 10-18

WOODRUN DR.
PUMP STATION
(PS NO. 7)
rn o4
COBLE DR.
} PUMP STATION
J -
(PS NO. 8)
BLUE RM R
NTCLAIR DR
PURCELL RD.
PUMP STATION
(PS NO. 5B)
O
..
BLUE FARM RD. ,a
4, PUMP STATION
,,.. (PS N0. 12) 10
co
LILY RD ` 10
‘ 0
t
ygwR, TURNPIKE RD.
PUMP STATION
PLC T'TION RD (PS NO. 14)
ENGINEERS
January 2020
ELM AVE.
PUMP STATION
(PS NO. 19)
City of Laurinburg
Street Map
Scale: 1 "=4,000'
LEITH CREEK
WWTP
ENZIE RD
"FL
JERUSALEM R
LAUoRIURG

WOODRUN DR.
PUMP STATION
(PS NO. 7)
COBLE DR.
PUMP STATION
(PS NO. 8)
uuillis
ENGINEERS
January 2020
PURCELL RD.
PUMP STATION
(PS NO. 5B)
TURNPIKE RD.
PUMP STATION
(PS NO. 14)
PLANTATION RD.
PUMP STATION
(PS NO. 13)
LAURINBURG
BLUE FARM RD.
PUMP STATION
(PS NO. 12)
ELM AVE.
PUMP STATION
(PS NO. 19)
City of Laurinburg
USGS Topo Map
Scale: 1 "=4,000'
LEITH CREEK
WWTP
Copyright:c.2013'National Geographic Society, i-cubed,
441g.
LAURINBURG

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
Charles D. Nichols, III
City of Laurinburg
PO Box 249
Laurinburg, NC 28353-3719
NORTH CAROLINA
Environmental Quality
February 5, 2020
Subject: Permit No. WQ0041463
City of Laurinburg
Pump Station Renovations (PS 8, 12, 13)
Wastewater Collection System Extension Permit
Scotland County
Dear Mr. Nichols:
In accordance with your application received February 5, 2020, we are forwarding herewith
Permit No. WQ0041463 dated February 5, 2020 to the City of Laurinburg for the construction
and operation upon certification of the subject wastewater collection system extension. This
permit shall be effective from the date of issuance until rescinded, and shall be subject to the
conditions and limitations as specified therein. This cover letter shall be considered a part of
this permit and is therefore incorporated therein by reference.
Please pay particular attention to the following conditions contained within this permit:
Condition II.1: This permit shall not be automatically transferable; a request must be made
and approved.
Condition II.4: Requires that the wastewater collection facilities be properly operated and
maintained in accordance with 15A NCAC 2T .0403 or any individual system-
wide collection system permit issued to the Permittee.
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.
North Carolina Department of Environmental Quality ( Division of Water Resources
Fayetteville Regional Office 225 Green Street, Suite 714 I Fayetteville, North Carolina 28301
910,433,3300
An Equal Opportunity \ Affirmative Action Employer - Made in part by recycled paper

City of Laurinburg
Permit No. WQ0041463
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 Stephanie Zorio at
[phone] or via e-mail at [e-mail].
Sincerely,
—DocuSigned by:
—5189C2D3DD5C42B...
Trent Allen, Regional Supervisor
Water Quality Regional Operations Section
Fayetteville Regional Office
Division of Water Resources, NCDEQ
cc: James C. Stowe, PE, Willis Engineers, 10700 Sikes Place, Suite 115, Charlotte, NC 28277-
8159
Laserfiche File
Page 2 of 9

STATE OF NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North
Carolina as amended, and other applicable Laws, Rules, and Regulations, permission is
hereby granted to the
City of Laurinburg
Scotland County
for the construction and operation of approximately 35 GPM @ 82 TDH; 87 GPM @ 61 TDH and
33 GPM @ 83 TDH with a permanent generator w/ATS to serve as part of the Pump Station
Renovations (PS 8, 12, 13) project, and the discharge of 0 gallons per day of collected domestic
wastewater into the Leith Creek Wastewater Treatment Plant existing sewerage system,
pursuant to the application received February 5, 2020, and in conformity with 15A NCAC 2T; the
Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as applicable; the
Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force
Mains adopted June 1, 2000 as applicable; and other supporting data subsequently filed and
approved by the Department of Environmental Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
specified conditions and limitations contained therein.
Do�cuS,iggnnedby:
L2°iaa��uiuD5t,y16...
Trent Allen, Regional Supervisor
Division of Water Resources, NCDEQ
By Authority of The Environmental Management Commission
Permit Number: WQ0041463
Permit Issued: February 5, 2020
Page 3 of 9

SUPPLEMENT TO PERMIT COVER SHEET
City of Laurinburg
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 Plant in accordance with Permit Number NC0020656.
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 certification provided by a
North Carolina -licensed Professional Engineer in the application. It shall be the Permittee's
responsibility to ensure that the as -constructed project meets the appropriate design criteria and
rules.
II. STANDARD CONDITIONS
1. This permit shall not be transferable. In the event there is a desire for the wastewater collection
facilities to change ownership, or there is a name change of the Permittee, a formal permit request
shall be submitted to the Division accompanied by documentation from the parties involved, and
other supporting materials as may be appropriate. The approval of this request shall be
considered on its merits and may or may not be approved. [15A NCAC 02T.0104; G.S 143-
215.1(d3)]
2. This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2T; the Division's Gravity Sewer
Minimum Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum
Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1,
2000 as applicable; and other supporting materials unless specifically mentioned herein. [15A
NCAC 02T.0110]
3. This permit shall be effective only with respect to the nature and volume of wastes described in
the application and other supporting data. [15A NCAC 02T .0110]
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 permit
for the operation and maintenance of these facilities as required by 15A NCAC 2T .0403. If an
individual permit is not required, the following performance criteria shall be met: [15A NCAC
02T .0108(b)]:
Page 4 of 9

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.
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.
d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e.
365 days per year). Pump stations that are connected to a telemetry system shall be
inspected at least once per week.
e. High -priority sewer lines shall be inspected at least once per every six -months and
inspections are documented.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g.
Overflows and bypasses shall be reported to the appropriate Division regional office in
accordance with 15A NCAC 2B .0506(a), and public notice shall be provided as required by
North Carolina General Statute §143-215.1C.
h. A Grease Control Program is in place as follows:
1. For public owned collection systems, the Grease Control Program shall include at least
biannual distribution of educational materials for both commercial and residential users
and the legal means to require grease interceptors at existing establishments. The plan
shall also include legal means for inspections of the grease interceptors, enforcement for
violators and the legal means to control grease entering the system from other public and
private satellite sewer systems.
2. For privately owned collection systems, the Grease Control Program shall include at least
bi-annual distribution of grease education materials to users of the collection system by
the permittee or its representative.
3. Grease education materials shall be distributed more often than required in Parts (1) and
(2) of this Subparagraph if necessary to prevent grease -related sanitary sewer overflows.
i. Right-of-ways and easements shall be maintained in the full easement width for personnel
and equipment accessibility.
j. Documentation shall be kept for Subparagraphs (a) through (i) of this Rule for a minimum of
three years with exception of the map, which shall be maintained for the life of the system.
5. The Permittee shall report by telephone to a water resources staff member at the Fayetteville
Regional Office, telephone number [phone], as soon as possible, but in no case more than
24 hours, following the occurrence or first knowledge of the occurrence of either of the following:
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
Page 5 of 9

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 be taken 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 overflow or 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 these permitted facilities, the
completed Engineering Certification form attached to this permit shall be submitted with the
required supporting documents to the address provided on the form. A complete certification is
one where the form is fully executed and the supporting documents are provided as applicable.
Any wastewater flow made tributary to the wastewater collection system extension prior to
completion of this Engineer's Certification shall be considered a violation of the permit and shall
subject the Permittee to appropriate enforcement actions.
If the permit is issued to a private entity with an Operational Agreement, then a copy of
the Articles of Incorporation, Declarations/Covenants/Restrictions, and Bylaws that have
been appropriately filed with the applicable County's Register of Deeds office shall be
submitted with the certification.
A complete certification is one where the form is fully executed and the supporting documents
are provided as applicable. Supporting documentation shall include the following:
a. One copy of the project construction record drawings (plan & profile views of sewer lines &
force mains) of the wastewater collection system extension. Final record drawings 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.
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 well
storage, surge protection, detention time in the wet well, and force main, ability to flush low
points in force mains with a pump cycle, and downstream sewer capacity analysis. If a
portable power source or pump is dedicated to multiple stations, an evaluation of all the
pump stations' storage capacities and the rotation schedule of the portable power source or
pump, include travel timeframes, shall be provided.
c. Changes to the project that do not result in non-compliance with this permit, regulations, or
the Minimum Design Criteria should be clearly identified on the record drawings, on the
certification in the space provided, or in written summary form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes
resulting in non-compliance with this permit (including pipe length increases of 10% or greater,
Page 6 of 9

increased flow, pump station design capacity design increases of 5% or greater, and increases in
the number/type of connections), regulations, or the Minimum Design Criteria. Requested
modifications or variances to the Minimum Design Criteria will be reviewed on a case -by -case
basis and each on its own merit. Please note that variances to the Minimum Design Criteria
should be requested and approved during the permitting process prior to construction. After -
construction requests are discouraged by the Division and may not be approved, thus requiring
replacement or repair prior to certification & activation. 115A NCAC 02T .0116]
8. Gravity sewers installed greater than ten percent below the minimum required slope per the
Division's Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be
certified until corrected. If there is an unforeseen obstacle in the field where all viable solutions
have been examined, a slope variance can be requested from the Division with firm supporting
documentation. This shall be done through a permit modification with fee. Such variance
requests will be evaluated on a case -by -case basis. Resolution of such request shall be evident
prior to completing and submitting the construction certification. [ 15A NCAC 02T.0105(n)]
9. A copy of the construction record drawings shall be maintained on file by the Permittee for the
life of the wastewater collection facilities. [15A NCAC 02T .0116]
10. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2T; the
Division's Gravity Sewer Design Criteria adopted February 12,1996 as applicable; the Division's
Minimum Design Criteria for the Fast -Track Permitting of Pump Station and Force Mains adopted
June 1, 2000 as applicable; and other supporting materials may subject the Permittee to an
enforcement action by the Division, in accordance with North Carolina General Statutes §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. [15A NCAC 02T .0104; 15A NCAC 02T .0108(b-c)]
11. In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall take immediate corrective action, including
those as may be required by this Division, such as the construction of additional or replacement
facilities. [15A NCAC 02T .0110; 15A NCAC 02T .0108(b)]
12. The issuance of this permit shall not exempt the Permittee from complying with any and all
statutes, rules, regulations, or ordinances that may be imposed by the Division any other Federal,
State, or Local government agencies which have jurisdiction or obtaining other permits which
may be required by the Division or any other Federal, State, of Local government agencies. [G.S.
143-215.1(b)]
Page 7 of 9

CERTIFICATION CHECKLIST
To be completed by the certifying engineer prior to operation of the permitted sewers, per 15A NCAC 02T.0116.
Certifying Engineer:
Certification Review Date:
Project Name:
WQ00 Project County:
1) Has permittee information changed since the permit was issued (or last modified): change of mailing
address, change of ownership, transfer from developer to HOA/POA, etc. n Yes ❑ No
• If yes, please provide either a change of ownership form or new contact information. Note that transfer of
permits from the developer to the HOA/POA must occur with the first certification.
2) Have the as -built drawings have been signed, sealed, and dated by an N.C. PE? n Yes n No
3) Final Engineering certification? n Yes n No
• If Partial Engineering certification, provide detailed narrative including what is being certified in the
current phase, what was previously certified (if applicable), and what is left to be certified.
4) Adequate information related to sewer lines: n Yes n No n N/A
• Three feet minimum cover has been provided for all sewers unless ferrous pipe was installed.
• Minimum diameters for gravity sewers are 8-inches for public lines and 6-inches for private lines.
• Manholes have been installed: At the end of each line, at all changes in grade, size, or alignment, at all
intersections, and at distances not greater than 425 feet; minimum diameter shall be 4 feet (48-inches).
5) Adequate information related to pump stations: n Yes ❑ No n N/A
• Ensure power reliability option was selected per 15A NCAC 02T.0305(h).
6) Was project construction completed in accordance with all of the following: n Yes ❑ No n N/A
• 15A NCAC 02T, Minimum Design Criteria (MDC) for the permitting of Gravity Sewers (latest version), and
MDC for the Permitting of Pump Stations and Force Mains (latest version)?
If not, a variance approval is required in accordance with 15A NCAC 02T.0105(b), prior to certification and
operation.
• Contact the Central Office to discuss the variance to determine a course of action.
• Applicant must submit two copies of the variance request form, plans, specifications, calculations, and any
other pertinent information to the Central Office (one hard copy, one digital copy).
• The central office will review the variance request, and if approvable, specific language regarding the
variance will be incorporated into the permit, either via a special condition or a supplementary letter. A
copy of the reissued permit with variance language or the variance letter must be maintained with the
original documents.
7) Does the project contains high priority lines (15A NCAC 02T .0402(2))? ❑ Yes ❑ No
• If yes, ensure that the permit already contains the necessary condition related to high priority lines 15A
NCAC 02T.0403 (a) (5). If the permit does not include this language, the Fast Track reviewer will reissue the
permit with the appropriate language.
8) Are Permit modifications are required for any changes resulting in non-compliance with this permit (including
but not limited to pipe length changes of 10% or greater, change in flow, pump station design capacity design
change of 5% or greater, and/or change in the number/type of connections)? n Yes n No
• If yes, a permit modification request must be submitted to the appropriate Regional Office, and a modified
permit with revised certification must be issued prior to certification and operation.
NC DWR — Water Quality Regional Operations Section 225 Green St, Fayetteville, NC Zip 28301
Fayetteville Regional Office
Phone: [phone] FAX: [phone]

PERMITTEE: City of Laurinburg
PERMIT #: WQ0041463
PROJECT: Pump Station Renovations (PS 8, 12, 13)
ISSUE DATE: February 5, 2020
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 required documentation 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.
PERMITTEE'S CERTIFICATION
I, the undersigned agent for the Permittee, hereby state that this project has been constructed
pursuant to the applicable standards & requirements, the Professional Engineer below has provided
applicable design/construction information to the Permittee, and the Permittee is prepared to
operate & maintain the wastewater collection system permitted herein or portions thereof.
Printed Name, Title
Signature Date
ENGINEERS CERTIFICATION
I, , as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe ( periodically, 1 weekly, full time) the
construction of the project name and location as referenced above for the above Permittee
hereby state that, to the best of my abilities, due care and diligence was used in the
observation of the construction such that the construction was observed to be built within
substantial compliance of this permit; 15A NCAC 02T; the Division of Water Resources'
(Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as applicable;
the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and
Force Mains adopted June 1, 2000 as applicable; and other supporting materials.
North Carolina Professional Engineer's Seal w/signature & date:
Final Partial (include description)
Certification Comments/Qualifiers (attach if necessary):

iniiHis
ENGINEERS
March 31, 2021 1973.037 (34)
Ms. Stephanie Zorio
NCDEQ— Division of Water Resources
Fayetteville Regional Office
225 Green Street, Suite 714
Fayetteville, North Carolina 28301
Subject: Permit No. WQ0041463
City of Laurinburg
Pump Station Renovations (PS 8, 12, 13)
Final Certification
Dear Ms. Zorio:
This letter is to verify that construction of the subject project has been completed in substantial
compliance and intent of the plans and specifications approved under Division of Water
Resources permit number WQ0041463 dated February 5, 2020. Please find attached the
original, executed "Engineer's Certification" and supporting documents.
If you have any questions or need any additional information, please let me know.
Yours very truly,
WILLIS ENGINEERS
Jim C. Stowe, PE
Enclosures
cc w/Enclosures:
Mr. Dixon Medlin, City of Laurinburg
Mr. Charles D. Nichols, III, City of Laurinburg
10700 Sikes Place, Suite 115
Charlotte, North Carolina 28277
704.377.9844 / NC License F-0114

CERTIFICATION CHECKLIST
To be completed by the certifying engineer prior to operation of the permitted sewers, per 15A NCAC 02T.0116.
Certifying Engineer: James C. Stowe, PE
Certification Review Date: March 30, 2021
Project Name:
WQ00 41463
Pump Station Renovations (PS 8,12, 13)
Project County: Scotland
1) Has permittee information changed since the permit was issued (or last modified): change of mailing
address, change of ownership, transfer from developer to HOA/POA, etc. n Yes n No
• If yes, please provide either a change of ownership form or new contact information. Note that transfer of
permits from the developer to the HOA/POA must occur with the first certification.
2) Have the as -built drawings have been signed, sealed, and dated by an N.C. PE? n Yes n No
3) Final Engineering certification? n Yes n No
• If Partial Engineering certification, provide detailed narrative including what is being certified in the
current phase, what was previously certified (if applicable), and what is left to be certified.
4) Adequate information related to sewer lines: n Yes ❑ No n N/A
• Three feet minimum cover has been provided for all sewers unless ferrous pipe was installed.
• Minimum diameters for gravity sewers are 8-inches for public lines and 6-inches for private lines.
• Manholes have been installed: At the end of each line, at all changes in grade, size, or alignment, at all
intersections, and at distances not greater than 425 feet; minimum diameter shall be 4 feet (48-inches).
5) Adequate information related to pump stations: ❑X Yes ❑ No n N/A
• Ensure power reliability option was selected per 15A NCAC 02T.0305(h).
6) Was project construction completed in accordance with all of the following: [X- Yes ❑ No ❑ N/A
• 15A NCAC 02T, Minimum Design Criteria (MDC) for the permitting of Gravity Sewers (latest version), and
MDC for the Permitting of Pump Stations and Force Mains (latest version)?
If not, a variance approval is required in accordance with 15A NCAC 02T.0105(b), prior to certification and
operation.
• Contact the Central Office to discuss the variance to determine a course of action.
• Applicant must submit two copies of the variance request form, plans, specifications, calculations, and any
other pertinent information to the Central Office (one hard copy, one digital copy).
• The central office will review the variance request, and if approvable, specific language regarding the
variance will be incorporated into the permit, either via a special condition or a supplementary letter. A
copy of the reissued permit with variance language or the variance letter must be maintained with the
original documents.
7) Does the project contains high priority lines (15A NCAC 02T .0402(2))? ❑ Yes X❑ No
• If yes, ensure that the permit already contains the necessary condition related to high priority lines 15A
NCAC 02T.0403 (a) (5). If the permit does not include this language, the Fast Track reviewer will reissue the
permit with the appropriate language.
8) Are Permit modifications are required for any changes resulting in non-compliance with this permit (including
but not limited to pipe length changes of 10% or greater, change in flow, pump station design capacity design
change of 5% or greater, and/or change in the number/type of connections)? ❑X Yes ❑No
• If yes, a permit modification request must be submitted to the appropriate Regional Office, and a modified
permit with revised certification must be issued prior to certification and operation.
NC DWR — Water Quality Regional Operations Section 225 Green St, Fayetteville, NC Zip 28301
Fayetteville Regional Office Phone: [phone] FAX: [phone]

PERMITTEE: City of Laurinburg
PERMIT #: WQ0041463
PROJECT: Pump Station Renovations (PS 8, 12, 13)
ISSUE DATE: February 5, 2020
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 required documentation 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.
PERMITTEE'S CERTIFICATION
I, the undersigned agent for the Permittee, hereby state that this project has been constructed
pursuant to the applicable standards & requirements, the Professional Engineer below has provided
applicable design/construction information to the Permittee, and the Permittee is prepared to
operate & maintain the wastewater collection ,y tem p pi, ted herein or portions thereof.
eAtilea Pik hdcl , L" • ' /`1a '
Printed Name, Title
Signature
ENGINEERS CERTIFICATION
I, James C. Stowe, PE , as a duly registered Professional En ineer in the State of North
Carolina, having been authorized to observe ( 1 periodically, weekly, ❑ full time) the
construction of the project name and location as referenced above for the above Permittee
hereby state that, to the best of my abilities, due care and diligence was used in the
observation of the construction such that the construction was observed to be built within
substantial compliance of this permit; 15A NCAC 02T; the Division of Water Resources'
(Division) Gravity Sewer Minimum Design Criteria adopted February 12,1996 as applicable;
the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and
Force Mains adopted June 1, 2000 as applicable; and other supporting materials.
North Carolina Professional Engineer's Seal w/signature & date:
a' Final. C Partial (include description)
Certification Comments/Qualifiers (attach if necessary):
30 Mar 2021
,•c.CN
`; �O oFESSIo,�.4
SEAL
32639
'FNGINE�e' •.�,:
An Equal Opportunity \ Affirmative Action Employer - Made in part by recycled paper

Design Notes
Wastewater Facilities
Contract 9.0
Pump Station Renovations (PS 8, 12, 13)
AURIN9URG
30 MAR 2021
:N CAR°'',,
o�oFEssio;• �,•9'
SEAL
32639
,,'S 'C. °��,
Willis
ENGINEERS

City of Laurinburg Table of Contents
Pump Station Renovations (PS 8, 12, 13)
Table of Contents
Project Description Section 1
Pumping Station Design Basis Section 2
System Head Calculations Section 3
System Head Curve Section 4
Force Main Velocities and Detention Times Section 5
Willis Engineers
1973.037
March 2021

City of Laurinburg
Pump Station Renovations (PS 8, 12, 13)
Project Description
Section 1
Project Description
The project consists of the complete renovation of three pumping stations, including the addition of
new pumps, piping, a fiberglass wet well enclosure, electrical equipment and site improvements.
One pump type having the same characteristics (impeller, horsepower, RPM, etc) will be installed at
each pump station. This will allow them to be interchangeable between each of the pump stations.
The selected pumps will meet or exceed the peak flow rate at each pump station, however, no
additional flows are to be expected as a result of this project.
Willis Engineers
1973.037
March 2021

City of Laurinburg Section 2
Pump Station Renovations (PS 8, 12, 13) Pumping Station 8 Design Basis
Required Capacity
Average Daily Flow
Peak Factor
Peak How Rate
Actual Capacity
Pumping Rate
Excess Capacity
Pump Station
Diameter of Wet Well
Cross Sectional Area of Wet Well
Pump Start
Pump Stop
Pump Range
Normal Volume of Wet Well
Pump Performance
Average Daily Flow Rate
Pumping Rate
Drawdown Rate
Drawdown Time
Fill Time
Cycle Time
Cycles per Hour
16,200 gpd
11 gpm
2.50
28 gpm
43 gpm
15 gpm
5 ft
19.63 sf
175.50 ft MSL
174.00 ft MSL
1.50 ft
220 gal
11 gpm
43 gpm
32 gpm
6.9 min
19.6 min
26.5 min
2.3 cy/hr
Willis Engineers
1973.037
March 2021

City of Laurinburg Section 2
Pump Station Renovations (PS 8, 12, 13) Pumping Station 12 Design Basis
Required Capacity
Average Daily Flow
Peak Factor
Peak Flow Rate
Actual Capacity
Pumping Rate
Excess Capacity
Pump Station
Diameter of Wet Well
Cross Sectional Area of Wet Well
Pump Start
Pump Stop
Pump Range
Normal Volume of Wet Well
Pump Performance
Average Daily Flow Rate
Pumping Rate
Drawdown Rate
Drawdown Time
Fill Time
Cycle Time
Cycles per Hour
44,240 gpd
31 gpm
2.50
77 gpm
87 gpm
10 gpm
5 ft
19.63 sf
196.00 ft MSL
194.50 ft MSL
1.50 ft
220 gal
31 gpm
87 gpm
56 gpm
3.9 min
7.2 min
11.1 min
5.4 cy/hr
Willis Engineers
1973.037
December 2020

City of Laurinburg Section 2
Pump Station Renovations (PS 8, 12, 13) Pumping Station 13 Design Basis
Required Capacity
Average Daily Flow
Peak Factor
Peak Flow Rate
Actual Capacity
Pumping Rate
Excess Capacity
Pump Station
Diameter of Wet Well
Cross Sectional Area of Wet Well
Pump Start
Pump Stop
Pump Range
Normal Volume of Wet Well
Pump Performance
Average Daily Flow Rate
Pumping Rate
Drawdown Rate
Drawdown Time
Fill Time
Cycle Time
Cycles per Hour
14,320 gpd
10 gpm
2.50
25 gpm
43 gpm
18 gpm
5 ft
19.63 sf
186.00 ft MSL
184.50 ft MSL
1.50 ft
220 gal
10 gpm
43 gpm
33 gpm
6.7 min
22.2 min
28.8 min
2.1 cy/hr
Willis Engineers
1973.037
March 2021

City of Laurinburg Section 3
Pump Station Renovations (PS 8, 12, 13) PS 8 System Head Calculation
System Configuration
Top of Wet Well
Pump Start
Pumps Off
Invert Wet Well
Controlling Point
Static Head
190.76
175.50
174.00
172.06
204.00
30.00
ft MSL
ft MSL
ft MSL
ft MSL
ft MSL
ft MSL
System Head Curve with Empty Wet Well
Approximate System Head Curve
Friction losses based on C = 110
Diameter (in) 2
Length (ft) 65
Sum K 6.2
Q (gpm)
43
2
1115
0.3
Hf
4.0
System Head Operating Points
Hm Hf
1.8 68.7
System Head
Hm
0.1
TDH
104.7
Q (gpm)
Hf
Hm
Hf
Hm
TDH
0
0.0
0.0
0.0
0.0
30.0
5
0.1
0.0
1.3
0.0
31.4
10
0.3
0.1
4.7
0.0
35.1
15
0.6
0.2
10.0
0.0
40.8
20
1.0
0.4
17.0
0.0
48.5
25
1.5
0.6
25.8
0.0
57.9
30
2.1
0.9
36.1
0.0
69.1
35
2.8
1.2
48.0
0.1
82.1
40
3.6
1.6
61.5
0.1
96.7
45
4.5
2.0
76.4
0.1
113.0
50
5.4
2.5
92.9
0.1
130.9
55
6.5
3.0
110.8
0.1
150.4
60
7.6
3.6
130.1
0.2
171.5
Willis Engineers
1973.037
March 2021

City of Laurinburg Section 3
Pump Station Renovations (PS 8, 12, 13) PS 12 System Head Calculation
System Configuration
Top of Wet Well 212.38 ft MSL
Pump Start 196.00 ft MSL
Pumps Off 194.50 ft MSL
Invert Wet Well 192.38 ft MSL
Controlling Point 219.00 ft MSL
Static Head 24.50 ft MSL
System Head Curve with Empty Wet Well
Approximate System Head Curve
Friction losses based on C = 110
Diameter (in) 2
Length (ft) 63
Sum K 5.7
Q (gpm)
90
4
1876
1.4
Hf
15.6
System Head Operating Points
Hm Hf
7.5 15.9
System Head
Hm
0.1
TDH
63.6
Q (gpm)
Hf
Hm
Hf
Hm
TDH
0
0.0
0.0
0.0
0.0
24.5
10
0.3
0.1
0.3
0.0
25.1
20
1.0
0.4
1.0
0.0
26.8
30
2.0
0.8
2.1
0.0
29.5
40
3.5
1.5
3.5
0.0
33.0
50
5.2
2.3
5.4
0.0
37.5
60
7.4
3.3
7.5
0.1
42.7
70
9.8
4.5
10.0
0.1
48.9
80
12.5
5.9
12.8
0.1
55.8
90
15.6
7.5
15.9
0.1
63.6
100
18.9
9.2
19.3
0.1
72.1
110
22.6
11.2
23.0
0.2
81.5
120
26.5
13.3
27.1
0.2
91.6
130
30.7
15.6
31.4
0.2
102.5
140
35.2
18.1
36.0
0.3
114.1
150
40.0
20.8
40.9
0.3
126.6
Willis Engineers
1973.037
March 2021

City of Laurinburg Section 3
Pump Station Renovations (PS 8, 12, 13) PS 13 System Head Calculation
System Configuration
Top of Wet Well
Pump Start
Pumps Off
Invert Wet Well
Controlling Point
Static Head
199.58
186.00
184.50
182.45
211.00
26.50
ft MSL
ft MSL
ft MSL
ft MSL
ft MSL
ft MSL
System Head Curve with empty wet well and PS 6 and 16 online, adding 85 and 35
GPM of flow to the force main, respectively
Approximate System Head Curve
Friction losses based on C = 110
Diameter (in) 2
Length (ft) 73
Sum K 6.2
Q (gpm)
43
2
474
4
4
666
3
4
1169
3.3
Hf
4.5
System Head Operating Points
Hm Hf Hm Hf Hm 1 Hf
1.8 29.2 1.2 10.8 0.5 29.6
System Head
Hm
0.9
TDH
104.9
Q (gpm)
Hf
Hm
Hf
Hm
Hf
Hm
Hf
Hm
TDH
0
0.0
0.0
0.0
0.0
5.1
0.2
16.9
0.5
49.1
5
0.1
0.0
0.6
0.0
5.6
0.2
18.2
0.5
51.8
10
0.3
0.1
2.0
0.1
6.2
0.3
19.6
0.6
55.6
15
0.7
0.2
4.3
0.1
6.9
0.3
21.0
0.6
60.5
20
1.1
0.4
7.2
0.3
7.5
0.3
22.4
0.7
66.5
25
1.7
0.6
11.0
0.4
8.2
0.4
23.9
0.7
73.4
30
2.4
0.9
15.3
0.6
8.9
0.4
25.5
0.8
81.2
35
3.1
1.2
20.4
0.8
9.6
0.4
27.1
0.8
90.0
40
4.0
1.6
26.1
1.0
10.4
0.5
28.7
0.9
99.7
45
5.0
2.0
32.5
1.3
11.1
0.5
30.4
0.9
110.3
50
6.1
2.5
39.5
1.6
12.0
0.6
32.1
1.0
121.8
55
7.2
3.0
47.1
2.0
12.8
0.6
33.9
1.0
134.1
60
8.5
3.6
55.3
2.3
13.6
0.6
35.7
1.1
147.3
65
9.9
4.2
64.1
2.7
14.5
0.7
37.6
1.1
161.4
70
11.3
4.9
73.6
3.2
15.4
0.7
39.5
1.2
176.3
75
12.8
5.6
83.6
3.6
16.4
0.8
41.4
1.3
192.0
Willis Engineers
1973.037
March 2021

c
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City of Laurinburg
PS System Head Curves
Pump Station Renovations (PS 8, 12, 13)
0
c-I
0
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c-I
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0 O
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Operating Point
0
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Willis Engineers
March 2021
r
m
0
m
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c--I

City of Laurinburg
PS System Head Curves
Pump Station Renovations (PS 8, 12, 13)
Operating Point
•
0 0 0 0 0 0 0 0
N 0 00 Lc) d' N
c-1 c-1 c-1
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Willis Engineers
March 2021

C
0
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a)
PS System Head Curves
0
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r-1
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00 LO
(01) Hal
Operating Point
O O O
N
0
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r-I
0
lID
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Flow (GPM)
Willis Engineers

City of Laurinburg Section 5
Pump Station Renovations (PS 8, 12, 13) Force Main Velocities and Detention Times
Pump Station 8
Velocity Conditions
Force Main 2 inch
Flow Rate - One Pump 35 gpm
Velocity 3.6 fps
Detention Times
Piping Volume Dia. L Vol
(in) ft (gal)
2 65 11
2 1115 182
Total Volume in Piping 192 gal
Average Daily Flow 16,200 gpd
Detention Time 0.01 Days
Pump Station 12
Velocity Conditions
Force Main 4 inch
Flow Rate - One Pump 87 gpm
Velocity 2.2 fps
Detention Times
Piping Volume Dia. L Vol
(in) ft (gal)
2 63 10
4 1876 1224
Total Volume in Piping 1,234 gal
Average Daily Flow 44,240 gpd
Detention Time 0.03 Days
Pump Station 13
Velocity Conditions
Force Main 4 inch
Flow Rate - One Pump 33 gpm
Velocity 0.8 fps
Detention Times
Piping Volume Dia. L Vol
(in) ft (gal)
2 547 89
4 1835 1197
Total Volume in Piping 1,286 gal
Average Daily Flow 14,320 gpd
Detention Time 0.09 Days
Willis Engineers
1973.037
March 2021