WQ0036878_Application (FTSE)_20131210

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F' wo o DENR-FRO
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r DEC 1 A 2013
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State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
FAST -TRACK APPLICATION (FTA 12-12)
for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
General — When submitting this 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.
For more information, visit the Surface Water Section's Collection Systems website or;
contact the Regional Office serving your county
Unless otherwise noted, the Applicant shall submit one original and one copy of the application and supporting
documentation to the appropriate Regional Office (see page 6).
A. Cover Letter:
® Include a brief project narrative describing the final 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).
B. Application Form (FTA 12-12):
® Submit the completed and appropriately executed Fast -Track (FTA 12-12) Application. Any
unauthorized content changes to this form shall result in the application being returned. If necessary
for clarity or due to space restrictions, attachment to the application may be made, as long as the
attachments are numbered to correspond to the section and item to which they refer. You do not need
to submit detailed plans and specifications unless you respond NO to item B(13).
• The Professional Engineer's Certification of the application shall be signed, sealed and dated by a
North Carolina licensed Professional Engineer.
Ei The Applicant's Certification 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).
C. Application Fee:
® Submit a check in the amount of $480 to: North Carolina Department of Environment and Natural
Resources (NCDENR).
Checks shall be dated within 90 days of application submittal.
D. Certificate of Public Convenience and Necessity (For Privately -Owned Public Utilities Only):
❑ Per 15A NCAC 02T .0115(a)(1), provide two copies of 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 two copies of 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.
❑ The project name in the CPCN or letter must match that provided in Item A(2)a of this application.
E. Operational Agreements (For Home/Property Owners' Associations and Developers of lots to be sold):
Home/Property Owners' Associations
❑ Per 15A NCAC 02T .0115(c), submit the properly executed Operational Agreement (HOA 06-13).
❑ 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 (DEV 06-13).
Even if the project may be turned over to a municipality upon completion, Form DEV 06-13 is required.
INSTRUCTIONS FOR APPLICATION HRIS 08-1 1 & SUPPORTING DOCUMENTATION Page 1 of 6

F. Downstream Sewer, WWTF Capacity and Flow Tracking/Acceptance Form (FTSE 06-13)
® Submit the completed and appropriately executed Flow Tracking/Acceptance for Sewer Extension
Permit (FTSE 06-13) Form for all applications.
The applicant (and owners of downstream sewers, pump stations and/or treatment facilities submitting
form FTSE 06-13 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 06-13
from the owner of the downstream sewer and owner of the WWTF, if different.
➢ The flow acceptance indicated in form FTSE 06-13 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 06-13 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 06-13.
F. Site Map (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. Each map must include at a minimum:
The location of the sewer line and pump stations and be of reproducible quality.
➢ Downstream connection points and the permit number for the receiving sewer (if known)
➢ Pump Station Locations and the longitude and latitude for each pump station (if applicable)
Z Include a street level map showing all relevant project areas.
G. Stream Classification (WSCAS 03-12)
❑ Submit the completed and appropriately executed Watershed Classification Attachment form
(WSCAS 03-12) if any portion of the sewer system project is within 100 feet of any surface water or
wetlands.
A variance must be requested for encroachment within required setbacks or buffers pursuant to 15A
NCAC 02T .0305(f)
H. Environmental Assessments (Projects subject to an Environmental Assessment (EA)):
Projects involving an Environmental Assessment per 15A NCAC 01 C .0408 or are funded through the
Division's Infrastructure Finance Section (IFS) must be submitted for a full technical review and must be
submitted to the IFS on application forms provided by the Division.
I. Alternative Sewer Systems
Projects involving low pressure sewer systems, vacuum sewer systems and other alternative sewer
systems must be submitted for a full technical review and must be submitted to the Division's
Infrastructure Finance Section (IFS) on application forms provided by the Division.
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 the project, please indicate in B(12)
and give the permit number of the second facility.
K. 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(1b). 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 Permitting of Pump Stations and Force Mains (most recent version), as
applicable to the project.
INSTRUCTIONS FOR APPLICATION FTA 12-12 & SUPPORTING DOCUMENTATION Page 2 of 6

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Application Number: jj
(to be completed by DWQ) (4) Q u3 /� 7 g
1 Owner/Permittee:
1a. NORCRESS
Full Legal Name (company, municipality, HOA, utility, etc.)
1b. Jimmy Keefe, Chairman
Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized signing officials)
lc. The legal entity who will own this system is:
❑ Individual ❑ Federal ® Municipality ❑ State/County ❑ Private Partnership ❑ Corporation 0 Other (specify):
ld. Po Box 1829 le. Fayetteville
Mailing Address City
1f. North Carolina lg. 28302
State Zip Code
1h. 910-678-7771 1i. 910-323-1791 1j. [e-mail]
Telephone Facsimile E-mail
2. Project (Facility) Information:
2a. Whitfield Life Center 2b. Cumberland
Brief Project Name (permit will refer to this name)
3. Contact Person:
3a. Amy Hall, Engineering Technician - Cumberland County Public Utilities
County Where Project is Located
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b. 910-678-7682
3c. [e-mail]
Phone Number E-mail
Project is ® New 0 Modification (of an existing permit) If Modification, Permit No.:
2. Owner is ® Public (skip to Item 8(3)) ❑ Private (go to Item 2(a))
2a. If private, applicant will be:
❑ Retaining Ownership (i.e. store, church, single office, etc.) or
❑ Leasing units (lots, townhomes, etc. - skip to Item B(3))
O Selling units (lots, townhomes, etc. - go to Item B(2b))
3. Public Works Commission (PWC)
2b. If sold, facilities owned by a (must choose one)
O Public Utility (Instruction D)
❑ Homeowner Assoc./Developer (Instruction E)
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
4a. Cross Creek Water Reclamation Facility
4b. NC0023957
Name of WWTF WWTF Permit No.
5a. NORCRESS 5b. 10-inch ® Gravity 5c. WQCS00353
Owner of Downstream Sewer Receiving Sewer Size 0 Force Main
6. The origin of this wastewater is (check all that apply):
❑ Residential Subdivision
❑ Apartments/Condominiums
❑ Mobile Home Park
O School
O Restaurant
❑ Office
Permit # of Downstream Sewer (Instruction F)
❑ Retail (Stores, shopping centers)
® Institution
❑ Hospital
O Church
O Nursing Home
❑ Other (specify):
100% Domestic/Commercial
% Industrial
(Attach Description)
% Other
(Attach Description)
7. Volume of wastewater to be allocated or permitted for this particular project: 3,640 gallons per day
*Do not include future flows or previously permitted allocations
8. If the permitted flow is zero, indicate why:
O 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.
O Rehabilitation or replacement of existing sewer with no new flow expected
(see 15A NCAC 02T .0303 to determine if a permit is required)
FTA 12-12 APPLICATION Page 3 of 6

B. PERMIT INFORMATION (CONTINUED)
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).
27 Bedrooms @ 120 GPD/Bed
16 Employees @ 25 GPD/Employee
TOTAL = 3,640 GAUDAY
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches) Length (feet)
8-inch
New Gravity or Additional
Force Main
1,022 Gravity
11. Summary of Pump Stations w/ associated Force Mains to be Permitted (attach additional sheets as necessary)
Pump Station Location ID: (self chosen - as shown on plans/map for reference)
Longitude: Latitude:
Design Flow Operational Point Power Reliability Option
(MGD) GPM @TDH 1 - permanent generator w/ATS; Force Main Size Force Main Length
2 - portable generator w/MTS
Pump Station Location ID: (self chosen - as shown on plans/map for reference)
Longitude: Latitude:
Design Flow Operational Point Power Reliability Option
(MGD) GPM @TDH 1 - permanent generator w/ATS; Force Main Size Force Main Length
2 - portable generator w/MTS
12. Will the wastewater flow in the proposed sewer lines or pump stations be able to be directed to another treatment facility?
❑ Yes ® No If Yes, permit number of 2nd 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 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 12-12 APPLICATION Page 4 of 6

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?
Sedimentation and Erosion Control Plan?
Trout Buffer Waiver?
Stormwater?
❑ Yes ❑ No ® N/A
® Yes ❑ No ❑ N/A
❑ Yes ❑ No ®N/A
® Yes ❑ No ❑ N/A
15. Does this project include any high priority lines (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: 0 and provide details:
C. CERTIFICATIONS
1.
1 a.
Owner/Permittee's Certification: (Signature of Signing Official and Project Name)
1, Jimmy Keefe , attest that this application for Whitfield Life Center has been
reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting documentation and attachments are not included, this
application package is subject to being retumed 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 we civil penalties up to $25, 000 per violation.
/o/uA-0 /3
Si��i fg Officinati�re Date
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
2. Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
1, Matthew Haley, PE ,attest that this application for Whitfield Life Center has
been reviewed by me and is accurate, complete and consistent with the information in the engineering plans, calculations,
and all other supporting documentation to the best of my knowledge. I further attest that to the best of my knowledge the
proposed design has been prepared in accordance with the applicable regulations, Gravity Sewer Minimum Design
Criteria for Gravity Sewers adopted February 12, 1996, and the Minimum Design Criteria for the Fast -Track Permitting of
Pump Stations and Force Mains adopted June 1, 2000 and the watershed classification in accordance with Division
guidance. Although other professionals may have developed certain portions of this submittal package, inclusion of these
materials under my signature and seal signifies that 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 per violation.
2a. Matthew Haley
Professional Engineer Name
2b. Cape Fear Engineering, Inc
Engineering Firm
2c. 151 Poole Road Suite 100
Mailing Address
2d. Belville
City
2g. 910-383-1044 2h. 910-383-1045
Telephone Facsimile
2e. NC 2f. 28451
State Zip
2i.
matt.haley@capefearengineeri
nn nnm
CA
(!'*"Y
038615
1,411111111111111100
NC PE Seal, Signature & Date
FTA 12-12 APPLICATION Page 5 of 6

THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION (ORIGINAL AND COPY) SHALL BE
SUBMITTED TO THE APPROPRIATE REGIONAL OFFCE:
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
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
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
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
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
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
[phone] Fax
Brunswick, Carteret, Columbus, Duplin, New
Hanover, Onslow, Pender
Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, North Carolina 27107
[phone]
[phone] Fax
Alamance, Alleghany, Ashe, Caswell, Davidson,
Davie, Forsyth, Guilford, Rockingham, Randolph,
Stokes, Surry, Watauga, Wilkes, Yadkin
FTA 12-12 APPLICATION Page 6 of 6

Division of ‘eater Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 08-13)
Project Applicant Name: NORCRESS
Project Name for which flow is being requested: Whitfield Life Center
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: Cross Creek Wastewater Treatment Facility
b. WWTP Facility Permit #: NPDES NC0023957
All flows are in MGD
c. WWTP facility's permitted flow 25.0
d. Estimated obligated flow not yet tributary to the WWTP 1.879
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
10.9
.004
12.783
51.13
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 Average Daily Approx. Not Yet Total Current
Station Firm Flow** Current Avg. Tributary Flow Plus
(Name or Capacity,* (Firm / pf), Daily Flow, Daily Flow, Obligated Available
Number) MGD MGD MGD MGD Flow Capacity***
#92-
Falcon .288 .120 .048 0.00 .048 .072
#90-wade #2 .562 .230 .137 .023 .160 .070
#ss-
Eastover #2 .950 .400 .145 .023 .168 .232
#33-Cargill 1.58 .660 .360 .136 .496 .164
* The Firm Capacity 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.
*** 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.
Page 1 of 6
FTSE 08-13

III. Certification Statement:
I Joseph E. Glass 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 indicates acceptance of this wastewater flow.
r,,.� [,2 - 3 - ) 3
Sign g Of eiu�l �ignature Date
Page 2 of 6
FTSE 08-13

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12/9/2013

CAPE FEAR
ENGINEERING
December 9, 2013
Trent Allen
NCDENR — Fayetteville Regional Office
225 Green Street — Suite 714
Fayetville, NC 28301-5095
Subject: Sewer Permitting for Whitfield Life Center
Town of Falcon, North Carolina
Dear Mr. Allen:
Cape Fear Engineering, Inc (CFE) has been contracted to design and permit an extension to the existing
NORCRESS gravity sewer collection system to serve the proposed Marvin and Joyce Whitfield Life
Center project in the Town of Falcon, North Carolina.
The proposed Whitfield Life Center project is located on N. West Street (NC-82) across from the existing
Falcon Children's Home approximately 1.0 miles from the intersection of NC-82 and I-95.
The Whitfield Life Center project will include a connection to an existing gravity sewer manhole at the
end of the NORCRESS system (Permit No. WQCS00353) on the south side of NC-82. The project will
extend an 8-inch gravity sewer main across NC-82 and west along NC-82, to serve the proposed
Whitfield Life Center project site.
Proposed improvements consist of the installation of approximately 1,022 LF of 8-inch gravity sewer
along with manholes, services, and other appurtenances to serve three proposed buildings as part of the
Whitfield Life Center Project.
The proposed project is expected to generate approximately 3,640 gpd of wastewater flows. All
wastewater flows will be ultimately conveyed to the Cross Creek Water Reclamation Facility (Permit No.
NC0023957).
I trust that this information is sufficient for your approval of the requested permit. If you have any
questions or need any additional information, please contact me directly.
Sincerely
Matthew Haley, PE
cc: file 557-35 "34"
P:\557\557-35 Whitfield Life Campus WDMIN\SEWER \2013-12-09 Cover Letter - NCDENR.doc

MICHAEL G. LALLIER, COMMISSIONER PUBLIC WORKS COMMISSION
WICK SMITH, COMMISSIONER
LYNNE B. GREENE, COMMISSIONER OF THE CITY OF FAYETTEVILLE
DARSWEIL L ROGERS, COMMISSIONER
STEVEN K. BLANCHARD, CEO/GENERAL MANAGER ELECTRIC & WATER UTILITIES
December 3, 2013
Mr. Jeffery Brown, PE
Engineering Director
County of Cumberland
130 Gillespie Street, Room 214
Fayetteville, NC 28301
Subject: Whitfield Life Center
Dear Mr. Brown:
955 OLD WILMINGTON RD
P.O. BOX 1089
FAYETTEVILLE, NORTH CAROLINA 28302-1089
TELEPHONE [phone]
W W W.FAYPWC.COM
Enclosed, please find a flow acceptance letter from PWC for the subject project.
In accordance with the approved plans submitted by Cape Fear Engineering, the amount
of flow that PWC will accept from this project is 3,640 gallons per day. PWC has
reviewed and approved the plans for the above referenced project.
Should you have any questions or require additional information regarding this
project, please contact Mr. Chris Rainey at [phone]. Your cooperation is
appreciated.
Sincerely,
BLIC WORKS COMMISSION
oseph E. Glass, P.E.
Manager
Water Resources Engineering
Enclosure
cc: Matthew Haley, PE
Trent Allen (DENR)
Amy Hall
Project file
BUILDING COMMUNITY CONNECTIONS SINCE 1905
AN EQUAL EMPLOYMENT OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER

MICHAEL G. LALLIER, COMMISSIONER
WICK SMITH, COMMISSIONER
LYNNE B. GREENE, COMMISSIONER
DARSWEIL L ROGERS, COMMISSIONER
STEVEN K. BLANCHARD, CEO/GENERAL MANAGER
PUBLIC WORKS COMMISSION 955 OLD WILMINGTON RD
P.O. BOX 1089
OF THE CITY OF FAYETTEVILLE FAYETTEVILLE, NORTH CAROLINA 28302-1089
TELEPHONE [phone]
WWW.FAYPWC.COM
ELECTRIC & WATER UTILITIES
December 3, 2013
TO WHOM IT MAY CONCERN:
SUBJECT: Flow Acceptance
This letter is in response to the inquiry regarding the availability of sanitary sewer to
serve the proposed development, Whitfield Life Center, located in the North Cumberland
Regional Sewer System (NORCRESS), Cumberland County.
NORCRESS has submitted a permit application for public sewer on this project. The
Public Works Commission has an operation and maintenance agreement with
NORCRESS, and has agreed to accept and treat sanitary sewer from the NORCRESS
system. The sewage and wastewater collected by this system shall be treated in the
Fayetteville Public Works Commission Cross Creek Wastewater Treatment Facility
(NPDES Permit No. NC0023957), prior to being discharged into the receiving stream.
The projected flow for this development is 3,640 gallons per day. The Cross Creek
Facility has the capacity to accept the flow generated by this project.
If you have any questions concerning this letter, please call me at [phone].
Very truly yours,
BLIC WORKS COMMISSION
c
Joseph E. Glass, P.E.
Water Resources Engineering Manager
cc: Project File
BUILDING COMMUNITY CONNECTIONS SINCE 1905
AN EQUAL EMPLOYMENT OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER

MICHAEL G. LALLIER, COMMISSIONER PUBLIC WORKS COMMISSION
WICK SMITH, COMMISSIONER
LYNNE B. GREENE, COMMISSIONER OF THE CITY OF FAYETTEVILLE
DARSWEIL L. ROGERS, COMMISSIONER
STEVEN K. BLANCHARD, CEO/GENERAL MANAGER ELECTRIC & WATER UTILITIES
December 3, 2013
Mr. Matthew Haley, PE
Cape Fear Engineering
151 Poole Road, Suite 100
Belville, NC 28451
SUBJECT: Approval of Plans for the Whitfield Life Center
Dear Mr. Haley:
955 OLD WILMINGTON RD
P.O. BOX 1089
FAYETTEVILLE, NORTH CAROLINA 28302-1089
TELEPHONE [phone]
WWW.FAYPWC.COM
The review for completeness and adequacy of the project construction plans has been
concluded by the Water Resources Engineering Department of the Public Works Commission
(PWC). Said plan documents are hereby approved and are ready for permitting by the State.
Upon completion of the project construction, the engineer must confirm that the project has
been constructed in accordance with the plans approved by the Water Resources Engineering
Department of PWC.
The engineer shall submit "as -built" plans, with project changes noted, to the Cumberland
County Utilities Department. PWC requests that Cumberland County forward a copy of the "as -
built" plans to PWC's Water Resources Engineering Department for review and approval. Upon
review and approval, PWC will notify Cumberland County in writing, and request final "as -built"
drawings and a copy of the Engineer's certification. According to North Carolina State Law, the
"as -built" plans and certifications, signed and sealed by the engineer, must be submitted to
NCDENR prior to providing any services.
If you have any questions or require additional information regarding this letter, please
contact Mr. Chris Rainey at [phone].
Sincerely,
JBLIC WORKS COMMISSION
oseph E. Glass, P.E.
Manager
Water Resources Engineering
cc: Jeffery Brown
Amy Hall
Project file
BUILDING COMMUNITY CONNECTIONS SINCE 1905
AN EQUAL EMPLOYMENT OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER

CAPE FEAR
,ENGINEERING
151 Poole Road, Suite 100
Belville, NC 28451
TEL [phone]
FAX [phone]
www.capefearengineering.com
To
NCDENR — Fayetteville Office
225 Green Street, Suite 714
Fayetteville NC, 28301-5095
(910-433-3300)
Attn:
Trent Allen
❑ As Requested ❑ For Your Files
❑ Sent via Mail ❑ Sent via Courier
DENR-FRO
DEC 1 0 2013
o Q
Transmittal
Date:
December 09, 2013
File:
557-35 "34"
Subject:
Sewer Extension Permitting
Whitfield Life Center
Town of Falcon, NC
❑ For Distribution ® For your Review / Action / Approval
Quantity
Drawing No.
Description
1
$480 Application Fee
1
Cover Letter
2
Application Forms
1
Downstream Sewer, VWVfF Capacity and Flow Tracking Form (FTSE)
1
Site Map & USGS Quad
REMARKS
Please find the attached documents for sewer permitting for the Whitfield Life Center Project in
Falcon, NC. Please let me know if you have any questions or need any additional information.
CC: File
File: 557-35 "34"
Signed:
Cape Fear Engineering, Inc.
Matthew Ha ey, PF
Received By:
Date:

USE THE TAB KEY TO MOVE FROM FIELD TO FIELD
Application Number:
(to be completed by DWQ)
DENR-FRC
F-
4tic. The legal entity who will own this system is:
2 ❑ Individual 0 Federal ® Municipality 0 State/County 0 Private Partnership El Corporation 0 Other (specify):
te
o ld. Po Box 1829 le. Fayetteville
1. Owner/Permittee: DEC 1 0 2013
1a. NORCRESS
Z Full Legal Name (company, municipality, HOA, utility, etc.) f1�A O
O 1 b. Jimmy Keefe, Chairman / V V
Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized signing officials)
U . Mailing Address City
lf. North Carolina lg. 28302
Z State Zip Code
O 1 h. 910-678-7771 1 i. 910-323-1791 1j. [e-mail]
F— Telephone Facsimile E-mail
V2. Project (Facility) Information:
J 2a. Whitfield Life Center 2b. Cumberland
a Brief Project Name (permit will refer to this name) County Where Project is Located
G. Q 3. Contact Person:
Q3a. Amy Hall, Engineering Technician - Cumberland County Public Utilities
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b. 910-678-7682 3c. [e-mail]
Phone Number E-mail
REMO
PAY TO THE
ORDER OF
Four Hundred Eighty and 00/100*******************************************************************************************
1. Project is ® New 0 Modification (of an existing permit) If Modification, Permit No.:
2. Owner is ® Public (skip to Item B(3)) 0 Private (go to Item 2(a))
2a. If private, applicant will be:
0 Retaining Ownership (i.e. store, church, single office, etc.) or
O Leasing units (lots, townhomes, etc. - skip to Item B(3))
O Selling units (lots, townhomes, etc. - go to Item B(2b))
3. Public Works Commission (PWC)
CAPE FEAR ENGINEERING, INC.
P O BOX 544
WILMINGTON, NC 28402
PH. 910-383-1044
NCDENR
2b. If sold, facilities owned by a (must choose one)
❑ Public Utility (Instruction D)
0 Homeowner Assoc./Developer (Instruction E)
BB&T
BRANCH BANKING AND TRUST COMPANY
1-800-BANK BBT BBT.com
66-112/531
24942
12/9/2013
**480.00
MEMO
NCDENR
557-35 Whitfield Life Center Sewer Permitting
U Rehabilitation or replacement of existing sewer with no new flow expected
(see 15A NCAC 02T .0303 to determine if a permit is required)
DOLLARS
Details on Ba
FTA 12-12 APPLICATION Page 3 of 6

Central Files: APS SWP
12/18/13
Permit Number iplamlop Permit Tracking Slip
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
3640
Facility
Status Project Type
Active New Project
Version Permit Classification
1.00 Individual
Permit Contact Affiliation
Facility Name
Whitfield Life Center
Location Address
Owner
Major/Minor Region
Minor Fayetteville
County
Cumberland
Facility Contact Affiliation
Owner Name Owner Type
Norcress Non -Government
Owner Affiliation
Jimmy Keefe
Dates/Events
PO Box 1829
Fayetteville
NC 283021829
Orig Issue
12/18/13
App Received
12/10/13
Draft Initiated
Scheduled
Issuance
Public Notice Issue Effective Expiration
12/18/13 12/18/13
Regulated Activities Requested/Received Events
Wastewater collection Additional information requested
Additional information received
Outfall NULL
Waterbody Name Stream Index Number Current Class Subbasin