SW4140401_HISTORICAL FILE_20140414

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW_��� 4�
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
12ey��"1
YYYYMMDD

,12- if-L ->'-o
Application Completeness Review CA .L�apos-t-f-GAMS
Cam- [ee `4 / Se -
first Submittal P.�Re-submittal Date Received: Date Reviewed: 2 By Bill Diuguid
Development/Project Name: % s
Receiving stream name Classification:
River Basin: VA-o koi� z - 9`i - cZ-0'/ / Z- ?,Y- /3 ''i "A'V '
For post -construction requirements, a program will be deemed compliant for the areas where it iS �E
implementing any of the following programs: WS-I, WS-Il, WS-III, WS-IV, HQW, ORW, Neuse River Basin 3 3D
NSW, Tar -Pamlico River Basin NSW, and the Randleman Lake Water Supply Watershed Nutrient �, p / L
High Density Projects that require a 401/404 within an NSW require 85% TSS, 30% TN and 30% TP removal.
T&E Species (Goose Creek, Waxhaw Creek or Six Mile Creek Water Sheds): AYA
Latitude and Long itude:355 D - RD Za 4.*1 LJ JurisdictionVi, s§n,&h,4V ozsy.(!�
Project Address: / CBoPr-K l2nAD
Engineer name and firm: 11A.. s /, d u.ca/ BV-A-CL- -vl FCj-7Ct4 LiTb/rw/,9Ti o N rG
rnune. A9 tf-r' trnan:_4
Is the project confirmed to be in the State USI St
❑ Low Density (no curb and gutter) ow Den
11404 impacts to surface waters, wetlands, ani
CVUA R,S o-%,
heck for $505.00 included
of Original signature (not photocopy) on application
oCLegal signature (Corporation-VP/higher, Partner;
risdiction? es or ❑ No f "Al r � pL
with curb and gutter outlets ❑High Density ❑Other
ers (add language to cover letter and/or add info letter)
Partner/higher, LLC-member/manager,
Check spelling, capitalization, bunctuatlon: http://VGww.secretary.state.nc.us/corporations/thepage.aspx
If an agent signs the application, a signed letter of authorization from the applicant must be provided which
iWudes the name, title, mailing address and phone number of the person signing the letter.
d Copy of property deed showing ownership or control P&Ap6a - C /Ty o a W iNSgSW - 5 ALX- .
—a—,For subdivided projects, a signed and notarized deed restriction statement
e, Sealed, signed & dated calculations
A(V -e- Correct supplement and O&M provided for each BMP on site (check all that were provided & number of each)
❑ Bioretention ❑ Rooftop Runoff Management
❑ Dry Detention Basin ❑ Sand Filter
❑ Filter Strip L ❑ Stormwater Wetland
p�Grass Swale- ✓e3a�W�s� ElWet Detention Basin
❑ Infiltration Basin -FoR Zod I y a ❑ Low Density
❑ Infiltration Trench ESQ ❑ Curb Outlet
❑ Level Spreader ❑ Off -Site
❑ Permeable Pavement ❑ NCDOT Linear Road
❑ Restored Riparian Buffer
sets of sealed, signed & dated layout & finish grading plans with appropriate details
arrative Description of stormwater management provided
oils report, geotech information provided
Wetlands delineated or a note on the plans or in the accompanying documents that none exist on site and/or
adjacent property
e/ Details for the roads, parking area, cul-de-sac radii, sidewalk widths, curb and gutter;
V Dimensions & slopes provided
,a Drainage areas delineated ❑ Pervious and impervious reported for each ❑ Areas of high density
A(O -a BMP operation and maintenance a,gg*reements provided �.
❑ Application complete ITApplication Incomplete "R�""'` .Cz,,3d / -/n Ap (Date)
Po
April 26, 2013 Revision, Bill Diuguid

L
C Application Completeness Review G Cl eeosT-j-6_aq�
First Submittal Citie-submittal Date Received: Date Reviewed:2 By Bill Diuguid
Development/Project Name: 02, d 7ds
Receiving stream name • a` ) Classification:
River Basin: VA-4Kly i z—,?4 — C713 :LmnAL�/��.of.'
For post -construction requirements, a program will be deemed compliant for the areas where it iS L pE
implementing any of the following programs: WS-I, WS-ll, WS-III, WS-IV, HOW, ORW, Neuse River Basin "3 3D
NSW, Tar -Pamlico River Basin NSW, and the Randleman Lake Water Supply Watershed Nutrient OIL,0 / L
High Density Projects that require a 401/404 within an NSW require 85%TSS, 30% TN and 30% TP removal.
T&E Species (Goose Creek, Waxhaw Creek or Six Mile Creek Water Sheds): AYA
Latitude and Long itude:3S5 D — Bt- 2a G. f•1 I✓ Jurisdictionw„idt+e,
Project Address:
Engineer name and firm a� n,
rnune.7v'r---nrV n•rrT• .�niau.�<'
Is the project confirmed to be in the State MSI St
❑ Low Density (no curb and gutter) ow Densd
—w-;;6011404 impacts to surface waters, wetlands, and
VuA
heck for $505.00 included
ue"Original signature (not photocopy) on application
L/Legal signature (Corporation-VP/higher, Partnershi
Check
risdiction? Zl, Yes or ❑ No r"Al r E. FAI
with curb and gutter outlets ❑ High Density ❑ Other
ers a anquage to cover letter and/or add info letter)
Partner/higher, LLC-member/manager,
If an agent signs the application, a signed letter of authorization from the applicant must be provided which
ipefudes the name title mailing address and phone number of the person signing the letter.
if Copy of property deed showing ownership or control �u B4C — C /Ty or W i� 5b7 at.
-e-_or subdivided projects, a signed and notarized deed restriction statement
Sealed, signed & dated calculations
A/V tea-- Correct supplement and O&M provided for each BMP on site (check all that were provided & number of each)
❑ Bioretention
❑ Dry Detention Basin
❑ Filter Strip
ru/Grass Swale- Veja(04 1o.d/-hJ
❑ Infiltration Basin and , y-a
❑ Infiltration Trench *56
❑ Level Spreader
❑ Permeable Pavement
❑ Rooftop Runoff Management
❑ Sand Filter
❑ Stormwater Wetland
❑ Wet Detention Basin
❑ Low Density
❑ Curb Outlet
❑ Off -Site
❑ NCDOT Linear Road
❑ Restored Riparian Buffer
sets of sealed, signed & dated layout & finish grading plans with appropriate details
arrative Description of stormwater management provided
oils report, geotech information provided
jpK Wetlands delineated or a note on the plans or in the accompanying documents that none exist on site and/or
adjacent property
R/ Details for the roads, parking area, cul-de-sac radii, sidewalk widths,curb and gutter;
w/ Dimensions & slopes provided
Drainage areas delineated ❑ Pervious and impervious reported for each ❑ Areas of high density
Ale) --a, BMP operation and maintenance a,ggrreements provided
❑ Application complete WApplication Incomplete Ralw Via-. (Date)
i°
April 26, 2013 Revision, Bill Diuguid

©BLACK&VEATCH
Building a world of difference
April 11, 2014
BLACK & VEATCH INTERNATIONAL COMPANY
10715 DAVID TAYLOR DRIVE, SUITE 240
CHARLOTTE, NC 28262 USA
{[phone] ASHBURNRDPBV.COM
Mr. Bradley Bennett B&V Project 178963
North Carolina Department of Environment and Natural Resources #0, SX File 25.4150
Division of Energy, Mineral, and Land Resources ft/'4�
512 N. Salisbury Street Archdale Building - 9th Floor�4PR D
Raleigh, NC 27604 .1ft�Q4 0
�fNR. Z0/`�
Attention: Mr. Bradley Bennett Sg�OSgT,RooT��/ry
Subject: Stormwater Management Permit Application for the Muddy Cree §hWwater
Treatment Plant Consolidated Influent Pumping Improvements Project
On behalf of Winston-Salem/Forsyth County Utility Commission (CCUC), we are submitting the
enclosed stormwater management submittal package for the Muddy Creek Wastewater Treatment
Plant Consolidated Influent Pumping Improvements project. The following documents are included
in this package:
L,,4 Stormwater Management Permit Application Form (original and one copy, original bound
�separately)
ermit application processing fee
Stormwater management narrative
GS map identifying the site location
Stormwater design calculations
Drawings (two copies)
o Project Drawings (bound separately):
o Project Cover Sheet
o Sheet G-007 - Legend
o Sheet G-008 - Abbreviations
o Sheet C-01-101 - Civil - Existing Overall Site Plan
o Sheet C-01-102 -Civil - Partial Site Plan - Demolition
o Sheet C-01-103 - Civil - Partial Site Plan - Demolition
o Sheet C-01-104 - Civil - Partial Site Plan - Demolition
o Sheet C-01-105 - Civil - Partial Site Plan - Demolition
o Sheet C-01-106 - Civil - Overall Site Plan
o Sheet C-01-107
-Civil -Partial Site Plan - Site Grading, Staking, & Erosion Control
o Sheet C-01-108
- Civil - Partial Site Plan - Site Grading, Staking, & Erosion Control
o Sheet C-01-109
- Civil - Partial Site Plan - Site Grading, Staking, & Erosion Control
o Sheet C-01-110
- Civil - Partial Site Plan - Site Grading, Staking, & Erosion Control
o Sheet C-01-1 I I
- Civil - Partial Site Plan - Yard Piping
o Sheet C-01-1 12
- Civil - Partial Site Plan - Yard Piping
o Sheet C-01-1 13
- Civil - Partial Site Plan - Yard Piping
o Sheet C-01-114
- Civil - Partial Site Plan - Yard Piping
o Sheet C-03-315 - Civil
- Piping Profiles
o Sheet C-05-501
- Civil
- Miscellaneous Yard Details
o Sheet C-05-502
- Civil
- Miscellaneous Yard Details
o Sheet C-05-503
- Civil
- Miscellaneous Yard Details
o Sheet C-05-504
- Civil
- Miscellaneous Yard Details

APRIL 11, 2014 1 PAGE 2
o Sheet C-05-505 - Civil - Manhole and Stonn Drain Schedules
o Sheet C-05-506 - Civil - Stormwater Structures and Details
o Sheet C-06-501 - Civil - Erosion Control Details
o Sheet C-06-502 - Civil - Erosion Control Details
o Sheet C-06-503 - Civil - Erosion Control Details
o Sheet S-05-501 - Structural - Miscellaneous Yard Structures
o Sheet S-10-104 - Structural - Headworks & Influent Pumping Station - Operating
Floor Plan -EL 697.00
o Sheet S-15-102 - Structural - Day Tanks - Top Plan
o Sheet 5-25-102 - Structural - Primary Clarifier Influent Splitter Structure - Top Plan
o Sheet S-30-101 - Structural - Odor Control Pad
o Sheet 5-35-101 - Structural - Plant Drain Pumping Station - Plans and Sections
o Sheet 5-40-101 - Structural - Engine Generator Pad - Foundation Plan and Section
o Sheet S-45-101 - Structural - Engine Generator Facilities - Switchgear Vault Plans
o Sheet 5-55-101 - Structural - Ferric Chloride Storage & Feed Facility - Plan
Sheet M-20-101 - Mechanical - Storm Flow and Centrate Equalization Basins - Plan
Wetlands delineated as determined by Carolina Ecosystems
Carolina Ecosystems Qualifications
o Markup of C-01-106 indicating new built -upon areas
o Existing Stormwater Drainage Areas
Soils Report
o Report of Subsurface Exploration - South Fork Basin hn rovements (bound separately)
o NRCS County Soils Map
Property Deeds
Please note that in the project drawings, it plan drawing sheet was included for each structure in -lieu of
calling out the dimensions of each structure on the site plan. These sheets were included to make it easier
for the reviewer to read the dimensions of each structure due to the irregular shapes of the structures.
If you have any questions or need further information, please contact me at 704-510-8414 (email:
[e-mail]) or Ryan LeBlanc at 704-510-8419 (email: [e-mail] ). We will respond
immediately to any of your concerns or questions.
Very truly yours,
BL & VEATCH INTERNATIONAL ANY
Randy D. As burn, P.E.
Engineering Manager
RDA
Enclosures
cc: Ron Hargrove, CCUC
Courtney Driver, CCUC
Frank Crump, CCUC
Marcus Kiser, CCUC

GOP
Black & Veatch
Drawings
Muddy Creek WWTP Consolidated Influent Pumping Improvements
Black & Veatch
4/11/2014

City/County Utilities Commission
Muddy Creek Consolidated Influent
Pump Station and Collection System
Improvements in South Fork Basin
Qualification of Preparers
10. Qualification of Preparers
Mary Sadler, PE, MS Env., of Hazen and Sawyer specializes in municipal wastewater treatment
processes and modeling, planning and design of wastewater treatment facilities, and environmental
permitting. She has been an active participant in over twenty environmental permitting projects in North
Carolina. Her 'environmental documents cover a range of projects and issues: new water and wastewater
treatment plants, water and wastewater capacity expansions, water supply, new NPDES discharges, and
impacts to state and federally listed species. Significant environmental permitting achievements include the
Dempsey E. Benton Environmental Assessment and associated Biological Opinion for direct impacts to the
federally endangered dwarf wedgemussel and an Interbasin Transfer for the Greenville Utilities
Commission.
Linda Diebolt, M.Bio., of Hazen and Sawyer is a senior biologist responsible for assisting in the
generation of the natural resources sections of the Environmental Assessment. She has over 20 years of
experience and has performed and managed biological assessments, wetland delineations (tidal and non -
tidal), permit applications, mitigation site searches, mitigation design and specifications, and preparation of
environmental documents. Ms. Diebolt has prepared or assisted in the preparation of more than twenty-five
QEnvironmental Assessments throughout the United States.
Keven Arrance, B.Bio., of Hazen and Sawyer is a biologist responsible for assisting in the generation of
the natural resources sections of the Environmental Assessment. She has over nine years of experience
and has performed and managed biological assessments, wetland delineations, permit applications,
mitigation design and specifications, and preparation of environmental documents. Ms. Arrance has
prepared or assisted in the preparation of more than ten Environmental Assessments and Environmental
Impact Statements throughout the United States.
Tim Devine, El, of Hazen and Sawyer is an engineer responsible for assisting in the generation of the
alternatives analysis section of the Environmental Assessment. He has one year of experience and has
performed and managed water and wastewater process evaluations, hydrologic assessments, and
preparation of environmental documents. He specializes in environmental design and permitting with
experience in water quality analysis, water/wastewater analysis and design, statistical analysis, and
hydrologic analysis and modeling. Mr. Devine has assisted in the preparation of three Environmental
Assessments.
Kent Lackey, PE, of Black and Veatch is the Project Manager for the project. Mr. Lackey has nineteen
years of experience on projects in North and South Carolina. His work includes project management,
planning, design, permitting, and construction administration services for treatment plants; pumping
stations, pipelines, dewatering and drying facilities, membrane systems, chemical systems, and a wide
variety of other water and wastewater treatment facilities.
Hazen and Sawyer Project No. 32245-000 HAM AM Sffi i M 10-1
Enei—reentel Engineers L Scientists

City/County Utilities Commission
Muddy Creek Consolidated Influent
Pump Station and Collection System
Improvements in South Fork Basin )
Qualification of Preparers
Ryan LeBlanc, PE, is a project engineer with Black and Veatch. Mr. LeBlanc has five years of experience
designing wastewater treatment and water distribution and treatment projects. Ryan has spent his career
working on municipal projects in North and South Carolina.
Terry Cornett, PE, of Black and Veatch is the resident project representative and assistant project
manager. Mr. Cornett retired from the City of Winston-Salem, North Carolina with 36 years of service in
2007 before joining Black & Veatch in February 2009. He worked in Winston-Salem's Utilities Division for
23 years, serving the last 7 years as Capital Projects Engineer. Terry served as Utilities Plants Engineer,
with administrative responsibility for managing the day-to-day operations of two water treatment plants, a
wastewater treatment plant, all associated pumping stations and two raw water resource facilities. His work
with B&V has been in construction management on two water treatment projects, two wastewater plant
projects, and several pump station upgrade projects.
CPhilip'May,'of Carolina Ecosystemstmanaged the wetland, stream, and species surveys for the project.
Mr. May is a senior environmental scientist specializing in the planning, permitting, and assessment of
small and large infrastructure and development projects. His 20 years of expertise includes stream/wetland
delineations and permitting, natural resource studies, endangered species surveys, environmental impact
analysis, NEPA/SEPA document preparation, water quality assessments, and environmental compliance.
He has successfully led through the regulatory planning and permitting approval process, including
transportation projects, water and wastewater infrastructure projects, large solid waste landfills, and private
developments.
CJames Pflaum, of Carolina Ecosystems is an environmental scientist specializing in the planning,
permitting, and assessment of small and large transportation, infrastructure, and development projects. His
expertise includes stream and wetland delineations, 404/401 permitting, buffer authorizations, natural
resource studies, endangered species surveys, water quality assessments, and FEMA disaster mitigation
projects. With more than seven years of experience, he has successfully managed floodplain elevation
and FEMA buy out projects, as well as permitted numerous major and minor transportation projects for
NCDOT.
Anna Reusche, PWS, Carolina Ecosystemstis an environmental scientist specializing in wetland and
stream determinations and delineations, natural community assessments, and endangered species
surveys. Anna is adept and experienced in the completion of 404/401 permitting, NCDWQ Variance
applications, CAMA permit applications, and US Coast Guard permit applications. Ms. Reusche has
successfully completed detailed environmental assessment reports including Natural Resource Technical
Reports (NRTR), Environmental Assessments, Environmental Impact Statements, and Phase I
Environmental Assessment Reports. With nine years of experience, she has completed multi -faceted
projects for large commercial clients, utility companies, municipalities, and state agencies including
NCDOT.
Ct
Hazen and Sawyer Project No. 32245-000 11kGGl AM AlyI11 Ll\ 10-2
E e.irenm<nnl ECE!n en 8 E<imr:,p

0
City/County Utilities Commission
Muddy Creek Consolidated Influent
Pump Station and Collection System
Improvements in South Fork Basin
Qualification of Preparers
tBiiaa Smith,—PWS—of Carolina Ecosystems specializes in the planning, assessment, and implementation
of projects that balance water quality and development. He has experience in watershed planning, wetland
and marsh restoration, riparian buffer and stream restoration, stormwater BMP soil assessments and
planting, BMP construction oversight, permitting, SEPA documentation, endangered species studies, soil
assessments and wetland delineations. Over the last 20 years Brian has planned, permitted, and monitored
stream, wetland, and marsh restoration projects as well as water quality BMP projects. He has extensive
experience with the identification of hydric soils, the collection, conversion, and analyses of GIS data, and
stream, wetland, and watershed monitoring.
Hazen and Sawyer Project No. 32245-000 juJq/�GtMDSkV lM
Fmliennmtal E.&.... i $0,n1hl,
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gWINSTON•SALEMIFORSYTH COUNTY UTILITY COMMISSION t
. B B MUDDY CREEK WASTEWATER TREATMENT PLANT
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CONSOLIDATED INFLUENT PUMPING IMPROVEMENTS 0. BLACK&VEATCH I
qm ;A �rhlr� S�Q� Bulldlnbl a world of difference'
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Southern Section of Site
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