WQ0011358_Application (FTSE)_19950726

MEMO TO: State Review Group
FROM: Ricky Revels R
Environmental Techn cian IV
SUBJECT: Procedure Four (4)
WQ0011358
Westin Centre & Lanc
Sewer Extension - Public
PWC/City of Fayetteville
Cumberland County
Division of Environmental
Management
Fayetteville Regional
Office
8/09/95
Date
State Review Group Review
Engineer Rick Moore
Regional Office
Contact Ricky Revels
1) Name of wastewater treatment plant to receive the wastewater:
PWC of Fayetteville - Rockfish Creek Wastewater Treatment Plant
2) WWTP design capacity 12.0 MGD
3) NPDES Permit No.: NC0050105 Expiration Date: 5/31/96
4) Compliance Information:
Present treatment plant performance
for previous 12 months - beginning 7/94
(See attached self -monitoring data)
5) Quantity and type of wastewater from proposed sewers: 34,156 GPD
domestic 50% ; industrial 50% ; other
6) Volume from previously approved projects not yet tributary to
WWTP 8,739,816 GPD
7) Regional Recommendations: Approval X Denial
RR/rr
Enclosure

^' ^ . ^
IF%3656I SESSION READY FOR INPUTGKEX88/MP
COMPLIANCE EVALUATION ANALYSIS REPORT
PAGE i
PERMIT--NC0058i05 PIPE--00i REPORT PERIOD: 9407-9506 LOC--- E
ACILITY--FAYETTEVILLE - PWC ROCKFI%H CK DE%IGN FLOW-- 12.0000 CLW%--4
OCATION--FAYETTEVILLE REGION/COUNTY--86 CUMBERLAND
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����058 003i0 00530 006i0 3i6i6 50068 - 00300 TGP3B
ONTH D BOD RE%/TE% NH3-N FEC COLI CHLORINE DO CERI7DPF
IMIT 1FI2.' 000 F 6.00 F 30.0 F i .00 F 200.0 NOL NOL NOL
4/07 7.1064 3.92 i . i .03 32.7 8.49 i
4/08 7.5354 4.31 1.3 .84 i8.i 8.93
4/09 7.6066 2.99 i.0 .05 9.5 625.000 8.78
4/i0 7.5096 4.i3 1.6 .09 33.2 39i.285 8.94 i
IMIT F12.0000 F 12.00 F 30.0 F 2.00 F 200.0 NOL NOL NOL
4/il 7.2066 4.0i 1.7 .08 9.2 258.850 9.06
402 7.1677 3.93 K7 .04 8.3 442.050 9.69
5/0 7.5967 4.83 2.i .05 13.2 363.500 9.60 i
5/02 8.12i4 4.90 1.8 .04 18.9 388.000 9.73
5/03 8.5129 5.39 1.4 .23 i2.5 271.652 9.56
IMIT F12.0080 F 6.08 F 30.0 F i.00 F 200.O NOL NOL NOL
5/04 7.066 4.43 K4 .08 32.4 285.05 9.85 i
7.5967 3.83 i.7 .08 20.6 365.954 9.4')
5/06 9.2566 2.91 i.3 .07 6.9 302.i8i 8.84
VERAGE 7"7277 4.i3 1.5 .07 17.9 369.378 9.23 i
AXIMUM 13~2000 8.50 3.8 i.20 5300.0 760.000 11.00 i
INIMUM 6.5000 1.80 .4 .01 LE%%THAN 128.000 S.00 i
4IT mGD MG/L MG/L MG/L 4000ML UG/L MG/L PA%%/FAI
� 'x�

". . . .
KEX887HP
COMPLIANCE EVALUATION ANALYSIS REPORT
08/i0/95
PAGE 2
PERMIT--NC0058i05 PIPE--00i REPORT PERIOD: 9487-9586 LOC--- E
ACILITY--FAYETTEVILLE - PWC ROCKFISH CK DESIGN FLOW-- 12.0000 CLA%%--4
OCATION--FAYETTEVILLE REGION/COUNTY--06 CUMBERLAND
06018 08480 00600 00665` 01042 0 105
ONTH` - 'l[EMP PH TOTAL N PHO%-TOT COPPER LEAD
-�
IMIT NOL 9.0 6.0 NOL NOL NOL NOL
26^08 7.9-6.6 15.500 i.5000 .8000 .0000
4/08
4/09
4/iO
IMIT
26.84 8.3-6.7 13.700 i.6200 .8000 .0000
25.85 7.7-6.9 W.800 i.5780 .0000 2.i000
23.76 7.7-7.i 13.i00 i.5300 .0000 .0008
NOL 9.0 6.0 NOL NOL NOL NOL
4/ii 22.40 7.4-6.8 i3.400 1.8000 .0000 .0O0O
4/12 20.10 7.5-6.5 i3.500 2.0900 .0000 .0000
5/01 17.65 7.4-6.8 15.400 i.i600 .0000 .0O80
5/B2
5/03
16.55 7.5-6.8 i4.400 1.2700 .0008 .0008
17.86 7.4-6.8 ii.400 .5808 .0000 .0008
IMIT NOL 9.0 6.0 NOL NOL NOL NOL
5/04 20.2i 7.9-7.0 11^880 i.000 .0000 .0000
5/05 22.58 7.5-6.8 2i.200 3.1250 .0000 3.7000
5/06 24.27 8.0-6.6 16.900 1.7866 .0000 .0080
VERAGE 21.99 i4.508 1.6468 .8000 .4833
,�
AXIHu� 20�8 8 3OO 2i 200 3 450O 3 7���
�*� ^ ^ ^ ^ ^ >`
INIMUM ` �� ��8 6 500 i 1 4O0 2700 2 1
� " ^ ^ ^ ^ 0=`� '
NIT DEG.0 SU MG/L MG/L UG/L UG/L .�
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`r�;

4 ' State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
July 26, 1995
MR M. J. NOLAND
PWC/FAYE FI EVILLE
PO DRAWER 1069
FAYETTEVILLE, NORTH CAROLINA 28302
Dear MR NOLAND:
117A
FD F1 NJR
RECEIVED
JUL 31 1995
ENV. MANAGEMENT
FAYETTEVILLE REG. OFFICE]
Subject: Application No. WQ0011358
WESTIN CENTRE & LANC
SEWER -PUBLIC
CUMBERLAND County
The Division's Permits and Engineering Unit acknowledges receipt of your permit application and
supporting materials on July 24, 1995. This application has been assigned the number listed above.
PLEASE REFER TO THE ABOVE WATER QUALITY NUMBER WHEN MAKING
INQUIRES ON THIS PROJECT.
Your project has been assigned to RICK MOORE for a detailed engineering review. Should there be
any questions concerning your project, the reviewer will contact you with an additional information
Be aware that the Division's regional office, copied below, must provide recommendations from the
Regional Supervisor or a Procedure Four Evaluation for this project, prior to final action by the
Division.
If you have any questions, please contact RICK MOORE at [phone] extension 559. If the
engineer is unavailable, you may leave a message on their voice mail and they will respond promptly.
Please reference the above application number when leaving a message.
Sincerely,
Carolyn McCaskill
Supervisor, State Engineering Review Group
cc: FAYE I I'EVILLE Regional Office
MOORMAN, KIZER & REITZEL
Pollution Prevention Pays
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

NON NPDES FACILITY AND PERMIT DATA
UPDATE OPTION TRX I D 5OU KEY W000 1 1358
07/26/95 15:57:25
PERSONAL DATA FACILITY APPLYING FOR PERMIT APP/PERMIT FEE-$ 400.00
FACILITY NAME> PWC/FAYETTEVILLE--WESTIN CENTRI COLINTY> CUMBERLAND
ADDRESS: MAILING C REQU I RED) ENGINEER: MOORMAN , K I ZE R 2FPE. I TZE
STREET: PO DRAWER 1089 STREET: 1 15 BR'OADF OOT AVE PDX
CITY: FfiYE::TTEVI...I..E ST NC ZIP 28302 CITY: FAYET-1E:J` .LE ST N(
TELEPHONE [phone] TELEPHONE: [phone]
STATE CONTACT> MOORE FACILITY CONTACT M. J. NOLAND, PE
TYPE OF PROJECT> SEWER -PUBLIC LAT: LONG:
DATE APP RCVD 07/24195 N=NEW,M=MODIFICATION,R=REISSUE> N
DATE ACKNOWLEDGED 07/26/95 DATE REVIEWED / / RETURN DATE / /
REG COMM REQS 07/26/95 DATE DENIED / NPDES #-
REG COMM RCVD / / DATE RETURNED / / TRIB Q
ADD INFO REQS / .,' OT AG COM REQS ,' / TRIB DATE -
ADD INFO RCVD / / OT AG COM RCVD / /
END STAT APP P 10/22/95 DATE ISSUED / / DATE EXPIRE /
REGION
06
53771
ZIP 28305
.0000 MGD
/ /
FEE CODE()1=C>1MGD),2=C>10KGD),3=C>1KGD),4=C<1KGD+SF),5=CS>300A),6=CS<=300A),
7=CSENDEL),8=CSEDEL),9=CCLREC),0=CNO FEE) DISC CODES ASN/CHG PRMT
ENG CERT DATE / / LAST NOV DATE / / CONBILLC )
COMMENTS:
MESSAGE: 4**• DATA MODIFIED SUCCESSFULLY 4***

jp2ZK !Y
Jul 24 1995
DIV OF ENVIRONMENTAL MGT
DIRECTOR'S OFFICE
State of North Carolina 4ifr;Ejf ��Department of Environment, Health, and Natu '- �j
Division of Environmental Manageme D
Non -Discharge Permit Application
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS ANiR1GM.IJ UN 1 6 1995
GRAVITY SEWER EXTENSI II N PUMP STATIONS, AND PRESSURE 4RESOURCES
R dtvistov
Wo•:s .� v
I. GENERAL INFORMATION:
Public Works Commission of
1. Applicant (corporation, individual, or other ): the City of Fayetteville, NC
2. Print Owners or Signing Official's Name and Title (the person who is legally
responsible for the facility and its compliance): M.J. Noland , PE - Director of
Water Resources
3. Mailing Address: PO Drawer 1089
City: Fayetteville
State: NC Zip: 28302-1089
Telephone No.: ( 910 ) 483-1382
4. Project Name (subdivision, facility, or establishment name - should be consistent with
project name on plans/specs., letters of flow acceptance, Operational Agreements, etc.):
Westin Centre and Lancaster at Westin
5. Application Date: June 1995 6. Fee Submitted: $200.00
7. County where project is located: CUMBERLAND
II. PERMIT INFORMATION:
1. Permit No. (will be completed by DEM): (A) Q OOi/3
2. Specify whether project is: X new; renewal*; modification.
*If renewal, complete only sections I through III and applicant signature
(on pg.9). Submit only pgs. 1, 2, 9 (original and 3 copies of each). Engineer
signature not required for renewal. : d III in
3. If this application is being submitted as a result of a renewal or modification to an
existing permit, list the existing permit number and issue date
4. Specify whether the applicant is X public or private.
FORM: GSPS 4/91 Page 1 of 10

GRAVITY SEWER EXTENSION & PUMP STATION •,- ..
PAGE 2 (4/91)
III. INFORMATION ON WASTEWATER:
1. Nature of Wastewater: 50 % Domestic; 50 % Commercial;
% Industrial; % Other waste (specify):
2. Please provide a one or two word description specifying the origin of the wastewater,
such as school, subdivision, hospital, commercial, industrial, apartments, etc.:
Commercial - Shopping and Domestic - Subdivision
3. Indicate any parameter (and its concentration) that will be greater than normal domestic
levels: Commercial - Shopping Center (Proposed Food Lion will have
higher levels of food preparation waste)
4. If wastewater is not domestic in nature, what level of pretreatment has been provided to
ensure protection of the receiving wastewater treatment facility?
A 1000 gal. grease interceptor will be installed as part of the
Food Lion plumbing system.
5. Volume of wastewater generated by this project: 34,156 gallons per day
6. Explanation of how wastewater volume was determined:
(See attached)
IV. DESIGN INFORMATION:
1. Brief project description: Construction of a shopping center (Phase One)
and a single family subdivision (Section One)
2. Name of wastewater treatment facility receiving wastewater. Rockfish WWTP
a. Facility permit no.: NC0050105
b. Engineer should provide statement of his evaluation of downstream sewers to
accept the wastewater: Wastewater will temporarily be pumped to
existing 8" sanitary sewer in Newton Place Subdivision, which
is served by the Bones Creek Interceptor that is adequate to
serve this area. In the Zngprpfuture an extension of the Little
Rockfish Creek Interceptor will permanently serve this development.

MOORMAN, KIZ(ER & REITZEL, INC.
En[J. lnEE21, PLO.nn, i and cSuLVEt�Ot1
1 15 BROADFOOT AVENUE • POST OFFICE BOX 53
FAYETTEVILLE. NORTH CAROLINA 28305 JJJYYY
TELEPHONE: [phone]
FAX: [phone]
WESTIN CENTRE
AND
LANCASTER AT WESTIN
PLANNED AREAS TO BE SERVED BY
Flu
VE
JUN 1 21995
WATER RESOURCES
E.NGINEERL`IG DIVISION
PROPOSED SEWAGE PUMPING STATION
AREAS ESTIMATED GPD
Residential 51 Lots (3 B.R. @ 120 GPD/B.R. = 360 GPD) = 18,360
Commercial Food Lion (29,000 s.f. x 120 GPD/1000 s.f.) = 3,480
Deli -Meat (800 s.f. x 50 GPD/100 s.f.) = 400
Revco Drug (8450 s.f. x 120 GPD/1000 s.f.) = 1,014
Shops (10,850 s.f. x 120 GPD/1000 s.f.) = 9,600
TOTAL ESTIMATED GPD FLOW
= 34,156

GRAVITY SEWER EXTENSION & PUMP STATION
PAGE 3 (4/91)
3. Summary of sewer pipe by diameter size and pipe material. Indicate here whether C
factor or N factor is used and circle C or N below: N
Dia. Length Pipe C or N Min. Max. Minimum Max. Minimum
(In.) (Lin. Ft) Material Factor Slope % Slope % Velocity (fps) Vel.(fps) Cover (in)
8 5310 VCP 0.013 0.40 7.50 2.2 9.1 60
_8_ 180 DL 0.013 0.40 1.60 2.2 4.3 60
NOTE: The minimum velocity must not be less than 2 fps.
For public sewers the minimum diameter is 8 inches.
4. Anchors shall be provided for sewers with slopes greater than 20 %. The anchor
spacing shall be as follows:
a. 36 feet separation for slopes of 21% to 35%;
b. 24 feet separation for slopes of 36% to 50%;
c. 16 feet separation for slopes of 50% and greater.
For velocities greater than .15 fps, it is strongly recommended that measures be
considered which will protect the sewers and manholes from erosion. For velocities
greater than 20 fps, erosion control measures must be specified.
For any excessive slopes or velocities that will occur in any sewer line segment, what
measures have been taken to protect the sewer pipe and manholes?
N/A
5. Maximum sewer reach length between manholes: 350 linear feet.
6. This sewer line segment occurs between manhole no. 2+20 and manhole no5+70 (Prof i 1 e
7. Does the owner/operator have the ability to clean this length? X Yes No.
8. Sewer subject to existing or planned traffic bearing loads? X Yes No.
If yes, what measures are being taken to enable the sewers to withstand the loads?
Suitable backfill of 5' of cover minimum compacted.
9. Outside drop manholes are provided where invert separations exceed: 2.5 feet.
10. Identify (by manhole number) those manholes that have drop connections: Sta . 0+00
Profiled "A-1"; Sta. 14+35 (Cliffdale Road)
"A'' )
3 of 10

GRAVITY SEWER EXTENSION & PUMP STATION
PAGE 4 (4/91)
11. Maximum allowable infiltration/exfiltration test rate: 100 GPD/ pipe dia. in./ mile.
Note: Must not exceed 2 )GPD/ pipe dia. in./ mile.
12. Minimum separation distances as shown on the plans or addressed in the specifications:
a) 100 ft. horizontal separation from wells or other water supplies? _ Yes _ No
b) 12 in. vertical separation from storm sewer or ferrous pipe
sanitary sewer specified?
X Yes _ No
c) 10 ft. horizontal separation from water mains or 18 in. vertical
separation (water over sewer) or ferrous pipe specified? X • Yes _ No
13. Are manholes subject to flooding? _Yes X No
14. If yes, are manhole rim elevations 1 foot above 100-year flood level, _ Yes _ No
(100 year flood elevation should be indicated on plans)
15. Or are manholes watertight and vented 1 foot above the 100-year
flood elevation ( should be shown on plans): _Yes _ No
16. Identify (by manhole number) those manholes that are vented:
17. Does this project involve any stream crossings? _ yes X no. If yes, what precautions
or special features have been utilized to ensure protection of the sewer line and not
restrict stream flow? Identify the sheet of the plans and station number where stream
crossings are located:
4 of 10

PAGE 5'of'10 (4/91)
V. PUMP STATION INFORMATION
1. Pump Station No.: 1 (A separate sheet V.1 through V.15 should be
submitted for each pump station)
2. -Name of closest downslope surface waters:
Little Rockfish Creek
3. Classification of closest downslope surface waters:
"C" (as established
by thc Environmental Management Commission &specified on page 6 of this applic.).
4. If a power failure at this pump station could impact Waters classified as WS, SA, B, or
SB, describe which of thc measures a)c being implemented to prevent such impact, as
required in 15A NCAC 2H .0200: N A
5. What size pumps arc provided? 3" Dupplex Gorman -Rupp pumps GPM'225
6. How many pumps arc provided? two 225 GPM EA. Pump
Combined Cap. 267
7. What is the maximum capacity of the pump station? GPM
(at 85' TDH)
• 8. What is thc design total dynamic head? 79 feet
9. How many pumping cycles will occur at the design flow rate? 2.6 cycles per hour Average
5 cycles per hour peak.
10. Check if provided at pump station: PWC Mobil Generator Unit
Alternate Power Source x
Wet Well Vented with Screen x
Filets in Wet Well x
Check Valves and Gate Valves x
Security Fencing x
Lockable Wet Well Cover
Arca Light x
110V Electrical Convenience Outlet x
Flood/Buoyancy Protection x Auto Dialer
High Water Alarm x Audible and Visual
11. Summary of force main (by diameter size and pipe material):
Diameter Length Pipe High Low Minimum Maximum Minimum
(Inches) (Linear Ft) Material Elevation Elevation Vclocity(fps) Vcl.(fps) Cover (in)
6 3800± SDR 21_ 226 166 2 1 2.6 36
12. Are air release valves provided at all high points along the force main (must be provided
_- `where the elevation difference exceeds 10 feet)? x yes — no, .
13. Is pump station subject to flooding? ycs x no. If ycs, what measures arc
bcing taken to protect against flooding?
14. Ifsubject to flooding, specify the 100-year flood elevation: n/a Feet MSL
i
15. Ayulthcrc existing or planned pump stations downstream of this station? — ycs X no
If yes, the engineer shall evaluate the ability of those pump statio^s to adequately handle

PAGE 6 (4/91)
TO: REGIONAL WATER QUALITY SUPERVISOR
Please provide me with thc classification of thc surface waters identified in number 5
below and pn thc arrached map segment:
Narnc-of surface waters: Little Rockfish Creek _
"C'
Q. carion (as established by the Environmental Management Commission):
N/A
Proposed Classification, if applicable:
Signature of regional office personnel: /t!.-._.��`'�' 1 Date: /)0 ..-: /
INSTRUCTIONS TO ENGINEER
In order to determine whether provisions for dual or standby power may bc required for the
subject facility, the classification of thc closest downslopc surface waters (the surface waters that
any overflow from the facility would flow toward) must be determined. You arc required to
submit this form, with items 1 through 10 completed, to the appropriate Division of Environmental
Management Regional Water Quality Supervisor (sec attached listing). At a minimum, you roust
include an 8.5" by 11" copy of the portion of a 7.5 minute USGS Topographic Map which shows
thc subject surface waters. You must identify thc location of the facility and the closest downslopc
surface watcrs (waters for which you are requesting thc classification) on the submitted map copy.
The application may not bc submitted until this form is completed and included with the submittal.
1. Applicant (corporation, individual, or other ): Public Works Commission
2. Name and Complete Address of Engineering Firm.
C Water Resources Engineering
Department
City: Fayetteville State: N.C. Zip: 28302
Telephone No.
[phone] Ext. 495 Victor Ganjehsani, P.E.
3. . Project Namc: Westin Center and Lancaster at We i
PRESENT 34156 P E�IJNT Q in = 24
4. Pump station design flow: FUTURE 55894 GPD;FUTURE Q in = 39 GPM Pr = 225
GPM
5. Name of closest downslopc surface watcrs: Little Rockfish Creek
6. County(s) where project and surface watcrsrc located: Cumberland
•a
7. Miap name and date:
Clifdale Quad 7.5' 1950
8. North C'hrolina Professional Engineer's Registration No. 14368
9. Print Name of Engineer Victor Ganjehsani
10. Seal and Signature (specify date):
6 of 10

DIVISION OF ENVIRONMENTAL MANAGEMENT REGIONAL OFFICES (4/91)
Asheville Regional WQ Super.
59 Woodfn Place
Asheville, NC 28802
704/251-6208
Avery
Buncombe
Burke
Caldwell
Cherokee
Clay
Graham
Haywood
Henderson
Jackson
Macon
Madison
McDowell
Mitchell
Polk
Rutherford
Swain
Transylvania
Yancy
Fayetteville Regional WQ Super.
Wachovia Building, Suite 714
Fayetteville, NC 28301
919/486-1541
Anson Moore
Bladerr Robeson
Cumberland Richmond
Harnett Sampson
Hoke Scotland
Montgomery
Winston-Salem Regional WQ Super.
8025 North Point Boulevard, Suite 100
Winston-Salem, NC 27106
919/761-2351
Alamance Rockingham
Alleghany Randolph
Ashe Stokes
Caswell Surry
Davidson Watauga
Davie Wilkes
Forsyth Yadkin
Guilford
Washington Regional WQ Super.
P O Box 1507
Washington, NC 27889
919/946-6481
Beaufort Jones
Batie Lenoir
Camden Martin
Chowan Pamlico
Craven Pasquotank
Currituck Perquimans
Dare Pitt
Gates Tyrell
Greene Washington
Hertford Wayne
Hyde
Mooresville Regional WQ Super.
919 North Main Street
Mooresville, NC 28115
704/663-1699
Alexander
Cabarrus
Catawba
Gaston
Iredell
Lincoln
Mecklenburg
Rowan
Stanly
Union
Cleveland
7 of 10
Raleigh Regional WQ Super.
3800 Barrett Dr., Suite 10i
Raleigh, NC 27609
919/733-2314
Chatham
Durham
Edgecombe
Franklin
Granville
Halifax -
Johnston
Lee
Nash
Northampton
Orange
Person
Vance
Wake
W EMI
Wilson
Wilmington Region. WQ Super.
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
919/395-3900
Brunswick
Carteret
Columbus
Duplin
New Hanover
Onslow
Perrier

GRAVITY SEWER EXTENSION & PUMP STATION '••
PAGE 8 (4/91)
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE
DIVISION OF ENVIRONMENTAL MANAGEMENT UNLESS ALL OF
THE APPLICABLE ITEMS ARE INCLUDED WITH THE SUBMITTAL
Required Items
a. One original and three copies of the completed and appropriately executed application form.
b. Three sets of detailed plans and specifications signed and sealed by a North Carolina
Professional Engineer. The plans must include a general location map, a plan view of the
sewer extension, a profile of the sewer extension, details on the pump station, and must
show the proximity of the sewer extension to other utilities and natural features.
Specifications may be omitted for delegated authorities. Each sheet of the plans and the first
page of the specifications must be signed and sealed. Three copies of the existing permit if
a renewal or modification.
c. Three copies of all calculations, including pump selection, friction calculations, cycle
time, pump curves (including system curves applicable with one pump running, two
pumps running, three pumps running, etc.), and evaluation of downstream pump stations.
These items must be submitted under the signature and seal of the North Carolina
Professional Engineer.
d. The appropriate permit processing fee, in accordance with 15A NCAC 2H .0205(c)(5).
If the owner/authority of the wastewater treatment facility (WWTF) that will be accepting
the wastewater flow from this project is different from the applicant of the project, then a
letter must be provided from the owner/authority of the WWTF specifying the volume of
flow that will be accepted. The letter should be a recent letter and should refer to the project
by the same name as that identified on the application and the plans/specifications.
f. An Operational Agreement (original and two copies) must be submitted if the sewer
extension will be serving single family residences, condominiums, mobile homes, or town
houses and if the subject sewer extension is owned by the individual residents, a
homeowners association, or a developer.
8 of 10

GRAVITY SEWER EXTENSION & PUMP STATION
PAGE 9 (4/91)
Name and Complete Address of Engineering Firm: Moorman, Kizer & Rei tzel , Inc.
115 Broadfoot Avenue, PO Box 53774
City: State: State: NC Zip: 28305
Telephone No. (910) 484- 5191
Professional Engineer's Certification:
James M. Kizer, P.E. , attest that this application for Westin Centre
and Lancaster at Westin has been reviewed by me and is accurate
and complete 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. Although certain
portions of this submittal package may have been developed by other professionals, 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. .
North Carolina Piofessiorial"1:riguie' ' %gistration No. 4783
Print Name of Engineer stiu 1.4me s M. Kizer, P.E.
e"--cH CAi�O'4i
2,
oe r ' GIN�;
(�r
• MNN. - 4 \
=.,IF.�S M .
Applicant's s Certificaition ,,,.so
M.J. Noland, P.E. , attest that this application for Westin Centre
and Lancaster at Westin
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
information and attachments are not included, this application package will be returned as
incomplete.
Signature
Date
THE OMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
INFORMATION AND MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
PERMITS AND ENGINEERING UNIT
POST OFFICE BOX 29535
512 NORTH SALISBURY STREET
RALEIGH, NORTH CAROLINA 27626-0535
TELEPHONE NUMBER: 919/733-5083
9 of 10

GRAVITY SEWER EXTENSION & PUMP STATION '-
PAGE 10 (4/91)
PERMIT APPLICATION PROCESSING FEES
(effective October 1, 1990)
CATEGORY NEW APPLICATIONS/ RENEWALS WITHOUT
MODIFICATIONS MODIFICATIONS
> 1,000,000 GPD
Industrial $400 $300
Domestic/Cooling Water $400 $300
10,001 - 1,000,000 GPD
Industrial $400
Domestic/Cooling Water $400
$250
$250
1,001-.10,000 GPD
Industrial • $400 $200
Domestic/Cooling Water $400 $200
< or = 1,000 GPD and
Single Family Dwelling
Sludge < or = 300 Acres
Sludge > 300 Acres
$240 $120
$400
$400
$250
$250
Sewer Extensions
(nondelegated) $400 0
Sewer Extensions
(delegated) $200 0
Closed -Loop Recycle
or Evaporative $400 $200
NOTE: The Fees for Soil Remediation Projects are the same as for Sludges.
Under the Sewer Extension Fee, "delegated to municipalities" applies
only to those governmental jurisdictions that have specific delegation
review authority, as granted by the Division of Environmental
Management.
10 of 10

State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Environmental Management
512 North Salisbury Street • Raleigh. North Carolin:: 2 76'6-tl)3'
tames G. Marun, Governor
Will:am W. Coby, Jr., S:.c:ttary
Memorandum
To: Delegated Municipalities
May1,1991
From: Steve W. Tedder. Chiefr�
Water Quality Secdon
Subject: Delegated Munic:nalitiis Ch..s.cklist for Revised Non-Discn:►r`re Penult .Applti..at:.;ins
The Division of Environmental Management's Water Quality Section has revised th•,!
Gravity Sewer Non -Discharge Permit Application Form. The form now incorporates the basic
information that the Division feels is necessary in order for the delegated municipalities to perfoml
review on a gravity sewer project for the Division; therefore, the Division will no longer require thai
the "Delegated Municipalities Gravity Sewer Design Checklist" be completed and submitted. We do.
however, require that the delegated municipality perform the same type of review as always required
and complete the bottom portion of this page and attach it as the last page of all gravity setter
applications that are being submitted as a delegated municipalities project. If you have any questions
on this matter, please contact Mr. Randy Jones at 919f133-5083.
DELEGATED MUNICIPALITY GRAVITY SEWER CF,RTIFTC ATT(N
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
Applicant: PIIBI.TC: WtlRYC cfl MTSSTnh` OF THE
Project Name: WESTIN CENTRE AND LANCASTER AT WESTIN
Delegated Municipality Reviewer's Certification:
I, VICTOR C;AN.TFHSANT , attest that the subject plans and
specifications have been reviewed under my supervision and that those plans and specifications are
consistent with the information that has been specified on the Non -Discharge Application and the
Division of Environmental Management's minimum design requirements for gravity sewer projects
Delegated Municipality Reviewer's NC professional Engineer's Registration No. 14366E
Seal and Signature (specify da:e)
[ORM: DMGS 4/91
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