WQ0035250_Application (FTSE)_20110301

CE COX--EDWARDS COMPANY, INC.
CONSTRUCTION AND ENGINEERING LaSaddled
Established 1966
License No. 5046
February 23, 2011
Mr. Thom Edgerton
Environmental Engineer
NCDENR, Division of Water Quality
943 Washington Square Mall
Washington, NC 27889
1205 Parkway Drive
Goldsboro, NC 27534
Small: contact®cox-edwards.com
Re: Fast -Track Application
Gravity Sewers, Pump Stations, and Force Mains
Phase XI Annexation Area
Sewer Force Main and Sanitary Sewer Upsizing
City of Goldsboro, NC
Dear Mr. Edgerton:
Tel. No.919-751-5100
Fax No. 919-751-1744
Attached for your review are the following documents:
1) Fast -Track Application for Gravity Sewers, Pump Stations, and Force Mains — two (2) copies
2) Project Narrative — two (2) copies
3) A check made out to NCDENR in the amount of $480.00 for the application fee
4) Flow Tracking/Acceptance for Sewer Extension Permit Applications form FTSW — 10/07 — two (2)
copies. This is the same copy as that submitted for the vacuum sewer system.
5) Portions of Northeast and Northwest Goldsboro Quad maps showing the project location and the
buffer area crossings — two (2) copies
6) Form WSCAS-07, Watershed Classification Attachment for Sewer Systems — two (2) copies
Please refer to the Pressure Sewer Systems application form PSSA 03/08 completed by Steams &
Wheler and executed by the City of Goldsboro in July 2010.
Please contact us if you have any questions.
Sincerely,
COX-EDWARDS COMPANY, INC.
By
E. Scott Edwards, PE
Enclosures
c Mr. Adrian Eaton — NCDENR, DWQ (e-mail — less fee)

Project Narrative
Phase XI Annexation — Force Main and Pipe Upsizing
City of Goldsboro, NC (Wayne County)
The Phase XI Annexation — Sewer Force Main and Sanitary Sewer Upsizing project begins on
the west side of Oakwood Street at an existing City of Goldsboro manhole. The project is
located in Wayne County inside the City of Goldsboro municipal limits
From the existing Oakwood Street manhole, the project ells for upsizing the existing 12"
sanitary sewer main to 18" by a combination of dig and replace, dry boring and jacking, and the
pipe bursting method. The approximate length of the pipe upsizing is 3,063 LF. The existing
manholes that are not projected for replacement will be rehabilitated From the existing manhole
at the most upstream end of the pipe upsizing, an 8" sewer force main taps the manhole and
follows a route toward the vacuum sewer pump station for a distance of approximately 12,721
LF. The route of the force main begins at the existing manhole adjacent Old William Street (US
117 Alt) and goes north a short distance, turns west down a dirt path and under the CSX railroad
track, then turns north again paralleling the railroad track (off railroad right-of-way) for
approximately 1880 LF and under the new US 70 Bypass. The force main then turns west and
follows along the edge of the NCDOT right-of-way, crosses under I-795, then parallels Belfast
Rd. (NCSR # 1313). The force main then crosses under Salem Church Rd. (NCSR # 1300) and
continue down a new gravel path owned by the City for approximately 4570 LF to the vacuum
pump station site. The Cox -Edwards portion of the overall project ends at the pump station site.
The sewer force main shall be installed by open cut, boring and jacking, or directional boring and
have approximately 15 air release valves.
This project is part of the overall plan to provide sewer service to the Phase XI Annexation area
that is currently on septic tanks. Stearns & Wheler is the engineer for the vacuum collection
system and pump station. The City of Goldsboro is bidding out the access road and pump station
site work as the first project and will follow soon thereafter with the vacuum system, pump
station, sewer force main, and pipe bursting projects.
The access road project includes the road and for the most part a 30' wide corridor to the pump
station site and the site itself. The access corridor widens out at 2 stream crossings along the
access road. We submitted an erosion and sedimentation control plan for the access road and site
that were received by the NCDENR, Land Quality Section in Washington on January 4, 2011.
That review is awaiting the final approval of the buffer crossings by DWG. Plans for the pump
station site were completed by Stearns & Wheler and submitted to Land Quality along with our
plans for review. The plans for the site have been approved by Land Quality.
The pump station access road crosses 4 wetland and riparian buffer areas. We are requesting
buffer authorizations from DWQ in the first 2 crossings. Crossing location #1 (see enclosed
quad map) involves digging and replacing the existing 12" sanitary sewer main in the same
location and upsizing to a 18" line. The second crossing involves digging within the riparian
buffer that has already been disturbed under the current NCDOT project that is already
underway. The third crossing (STA 5+65 approx. on alignment B-B) is over an intermittent
stream and involved piping with a 42" RCP. The fourth crossing (STA 94+54 approx. on
alignment A -A) is over a perennial stream and involves piping with a 72" RCP (location #4).
The access road over both location crossings #3 and #4 is built up in fill sections with the fill
slopes stabilized with rip rap and erosion control matting
1

A r ,9 State of North Carolina
QG Department of Environment and Natural Resources
r Division of Water Quality
FAST -'TRACK APPLICATION
(FTA 12/07 ver5)
for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
(Pressure & Vacuum sewer systems are not to be included as part of this application package)
INSTRUCTIONS: Indicate that you have induded/addressed the following list of required application package items' by
checking the space provided next to each applicable item. Failure to submit all required items will lead to your application
being retumed as incomplete. Forms are available from the web site or by calling the Regional Office serving your county:
httpi/h2o. enr. state. nc. us/peres/Collection %20SystemsiCollection Systen►Ap plicadions. him
® A. Application Form - Submit one original and one copy of the completed and appropriately executed application
form. The application should include a project narrative describing the final build -out design (i.e. system and/or
pump station to ultimately serve 500 homes, but flow for only 100 homes being requested now). For modifications,
clearly explain the reason for the modification (Le. adding another phase, changing. line size/length, etc.). Only
include the modified information in this permit application - do not duplicate project information that has already
been included in the original permit
Any changes to this form will result in the application being returned. The Division of Water Quality (Division) will
only accept application packages that have been fully completed with all applicable items addressed. You do not
need to submit detailed plans and specifications unless you respond NO to Item B(13).
Separate applications should be made for non-contiguous sewer systems.
® B. Application Fee - Submit a check in the amount of $480 made payable to: North Carolina Department of
Environment and Natural Resources (NCDENR). Checks shall be dated within 90 days of application submittal.
❑ C. Certificates of Public Convenience and Necessity — If the application is being submitted in the name of a
privately -owned public utility, submit two copies of the Certificate of Public Convenience and Necessity (CPCN)
which demonstrates that the public utility is authorized to hold the utility franchise for the area to be served by the
sewer extension. If a CPCN has not been issued, provide two copies of a letter from the North Carolina Utilities
Commission's Public Staff that states that an application for a franchise has been received, that the service area
is contiguous to an existing franchised area, and/or that franchise approval is expected. The project name in the
CPCN or letter must match that provided in Item A(2)a of this application.
❑ D. Operational Agreements — Submit one original and two copies of a property executed operational agreement, as
per 15A NCAC 02T .0115, if the application is submitted by a private applicant and will be serving residential or
commercial lots (e.g., houses, condominiums, townhomes, outparcels, etc.) that will be sold to another entity. If
the applicant is a home or property owner's association, use Form HOA 02/03. If the applicant is a developer,
use Form DEV 02/03. EVEN IF THE PROJECT MAY BE TURNED OVER TO A MUNICIPALITY UPON
COMPLETION, FORM DEV 02/03 IS REQUIRED.
® E. Downstream Sewer, WWTF Capacity and Flow Tracking/Acceptance — FORM FTSE 10/07 (Flow
Tracking/Acceptance for Sewer Extension Permit Applications) is required with every application. The applicant
(and owners of downstream sewers, pump stations and/or treatment facilities submitting FORM FTSE-10/07)
certifies that the addition of the volume of wastewater to be permitted in this project has been evaluated along the
route to the receiving treatment plant, and that the flow from this project will not cause capacity related sanitary
sewer overflows or overburden any downstream pump station en route to the receiving wastewater treatment
plant Where the applicant is not the owner of the downstream sewer, submit two copies of FORM FTSE 10/07
from the owner of the downstream sewer and owner of the WWTF, if different The flow acceptance indicated in
FORM FTSE-10/07 must not expire prior to permit issuance and must be dated Tess than one year prior to the
application date. Submittal of this application and FORM FTSE-10/07 Indicates that owner has adequate
capacity and will not violate G.S. 143-215.67(a). Intergovernmental agreements or other contracts will not be
accepted in lieu of project -specific FTSE 10/07.
® F Map — Submit an 8.5-inch by 11-inch COLOR copy of a USGS Topographic Map of sufficient scale to identify the
entire project area and the closest surface waters. Each map or maps must show the location of the sewer line
and pump stations and be of reproducible quality. Include a street level map showing the downstream connection
point, and the permit number for the downstream sewer, if known.
FTA 12/07

G.
Stream Classifications — Watershed Classification Attachment (Form WSCAS-12/07) If any portion of the
sewer system project is within 100 feet of any surface water or wetlands, the Watershed Classification Attachment
may need to be completed. A variance must be requested for encroachment within required setbacks or buffers
pursuant to 2T .0305 (f) and be indicated in Item B-13 with supporting documentation/justification provided.
❑ H Environmental Assessments — If this project Is subject to an Environmental Assessment (EA) [15A NCAC
01C], this application cannot be used. Send the project application on the most current version of Form
PSFMGSA to the Design Management Unit, 1633 Mail Service Center, Raleigh, NC 27699-1633. Applications
cannot be accepted until a Finding of No Significant Impact (FONSI) or Environmental Impact Statement (EIS)
has been issued. A copy is to be submitted with that permit application.
❑ I. Flow Direction — Many wastewater treatment systems are entering into agreements for regionalization efforts
and emergency treatment capacity. Parts of the system are installed so that the wastewater flow can be directed
to more than one treatment facility. If this is the case with this project, please indicate in B(12) and give the permit
number of the second treatment facility.
® J. Certifications — Section C
The application must be certified by both the applicant and the design engineer who is a North Carolina
Registered Professional Engineer (PE). The applicant signature must match the signing official listed in Item
A(1 b). The PE should NOT certify the application if he/she is unfamiliar with 15A NCAC Chapter 2T, the Gravity
Sewer Minimum Design Criteria (most recent version) and the Minimum Design Criteria for the Fast -Track
Permitting of Pump Stations and Force Mains (most recent version), as applicable to the project.
THE COMPLETED FTA 12107 APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
DOCUMENTS AND $480 FEE, SHOULD BE SENT TO THE APPROPRWTE 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
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,
Stenly, 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, Bertle, 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, Allegheny, Ashe, Caswell, Davidson,
Davie, Forsyth, Guilford, Rockingham, Randolph,
Stokes, Surry, Watauga, Wilkes, Yadkin
For more information, please visit our web site at
httpi/h2o.enr state.nc.us/perc&Col/ection%2OSystems/CollecfonSyseemsHome.html
or contact the Regional Office serving your county.
FTA12/07

USE THE TAB KEY TO MOVE FROM FIELD TO FIELD!
Application Number.IA & 0 o 3 S ZSO
(to be completed by DWQ) - .., _. .
A. APPLICATION INFORMATION
1. Owneri ermfttee:
la. City of Goldsboro
Full Legal Name (company, municipality, HOA, utility, etc )R ry u
1 b. Joseph R. Huffman, City Manager
Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized sigriirig.'offidalsl) -_, • ,
1 c.
The
■
legal entity who will
Individual L1 Federal
own
0
this system
Municipality
is:
■
State/County
■ Private Partnership
■
Corporation
•
Other (specify):
1 d. P.O. Drawer A
1 e. Goldsboro
Mailing Address
City
1f. North Carolina
lg. 27533-9701
State
Zip Code
1 h. 919-580-4330
li. 919-580-4344
1 j. jhuffmantci.goldsboro.nc.com
Telephone
Facsimile
E-mail
2. Prolect (Facility) Information:
2a. Phase XI Annexation - Sewer Force Main and Santtary Sewer
Upstzing2b. Wayne
Brief Project Name (permit will refer to this name)
County Where Project is Located
3. Contact Person:
3a. E. Scott Edwards, PE (project engineer)
Name and Affiliation of Someone Who Can Answer Questions About
this Application
3b. 919-751-5100
k3c. [e-mail]
Phone Number
E-mail
. B. PERMIT INFORMATION
1. Project is
0
New
•
Modification (of an existing permit) If Modification, Permit No.:
2. Owner Is
►mac
Public (skip to Item B(3))
■ Private (go to Item 2(a))
'2a. If private, applicant will be:
2b. If sold, facilities owned by a (must choose one)
•
•
•
Retaining Ownership (i.e. store, church, single office, etc.) or
Leasing units (lots, townhomes, etc. - skip to Item B(3))
Selling units (lots, townhomes, etc. - go to Hem B(2b))
•
•
Public Utility (Instruction C)
Homeowner Assoc/Developer (Instruction D)
3. City of Goldsboro
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From Thls Project
4a. Goldsboro Reclamation Facility 4b. NC0023949
Name of WWTF
WWTF Permit No.
a of Goldsboro
5b. 15"
Gravity
5c.
:City
Owner of Downstream Sewer
Receiving Sewer Size
Force Main
Permit # of Downstream Sewer (Instruction E)
. The origin of this wastewater is (check all that apply):
0Residential Subdivision
—�00 % Domestic/Commercial
■ Apartments/Condominiums
0Retail
•
(Stores, shopping centers)
Institution
% Industrial (attach
■
■
0
0
Mobile Home Park
School
Restaurant
Office
•
III
■
IN
Hospital
Church
Nursing Home
Other (specify):
description.)
(RO: contact your Regional Office
Pretreatment staff)
% Other (specify):
7.
Volume
of wastewater to be allocated or permitted for this particular project: 0 gallons per day
*Do
not Include future flows or previously permitted allocations
8.
If the
•
0
permitted flow is zero, Indicate why:
Pump Station, Outfall or Interceptor Line where flow will be permitted in subsequent permits that connect to this line
Flow has already been allocated in Permit No. (see permit app. from Steams & Wheler for vacuum system portion of
this proiect—198,858 cgpd)
■
Rehabilitation or replacement of existing sewer with no new flow expected (see 15A NCAC 02T .0303 to determine if a
permit is required)
FTA12/07

B. PERMIT INFORMATION (CONTINUED)
9. Provide the wastewater flow calculations used
the value in Item B(7) AND/OR the design flow
in determining the permitted flow in accordance with 15A NCAC 2T .0114 for
for line or pump station sizing ff a reduced or zero flow is being requested in
2T .0114 (b) and (c) must be supported with actual water or wastewater use
(f).
03/08 completed by Steams & Whelerfor the vacuum pump station
ttem B(7). Values other than that in 15A NCAC
data in accordance with 15A NCAC 2T .0114
198,858 gallons per day (see form PSSA
portion of this project)
• 10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches)
Length (feet)
New Gravity or Additional force
Main
8" PVC, DIP
10,834 LF ,
new force main
10" HDPE
1,887 LF '
r new force main
18' PVC, DIP
1,197 LF ups
6r¢V. upsmng ex gravity sewer
18" HDPE
3 alp 3'
1,888 LF . ex. gravity -sewer
11. Summary of Pump Stations w/ associated Force Mains to be Permitted (attach additional sheets as necessary)
Pump Station Location ID NW Goldsboro Quad (self chosen - as shown on plans/map for reference)
Design Flow
(MGD)
//++
TIC:g i rt#tr-�r•C~t-
Operational Point
GPM (gTDH
n
�cn ti-
345 GPM @ 110 FT
Power Reliability Option
1 - permanent generator w/ATS;
portable eratorl,
f�/� t
1 — permanent generator w/ ATS
Force Mai Size
Pa Su. 4' S-dwoj�dS,�
S-�
8" & 10"
Ford Main Length
�zskri
(" r-�_�
S tir
1.0 MGD
1 12,721' +�
Pump Station Location ID (self chosen - as shown on-plans/map for reference)
Design Flow
(MGD)
Operational Point
GPM (4TDH
Power Reliability Option
1 - permanent generator w/ATS;
2 - portable generator w/MTS
Force Main Size
Force Main Length
Pump Station Location ID (self chosen - as shown on plans/map for reference)
Design Flow
(MGD)
Operational Point
GPM �TDH
Power Reliability Option
1 - permanent generator w/ATS;
2 - portablegenerator w/MITS
Force Main Size
Force Main Length
12. Will the wastewater -low
in the proposed sewer
number of 2nd treatment
contact the Central Office
lines or pump stations be able to be directed to another
facility
treatment facility?
■ Yes 0 No If Yes, permit
(RO — if 'yes' to B,12 please
PERCS Unit)
13. Does the sewer system
Mains (latest version), the
applicable?
comply with the Minimum Design Criteria for the Fast Track Permitting of Pump Stations and Force
Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC Chapter 2T as
please reference the pertinent minimum design criteria or regulation and indicate why a
-is requested. SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS
TO THE VARIANCE WITH YOUR APPLJCATION
@ Yes ■ No If No,
variance
PERTINENT
F FA12/07

1t4, Have the following permits/certifications been submitted for approval for the system or project to be served?
Wetiand/Stream Crossings - General Permit or 401 Certification? ® Yes ❑ No ❑ WA
Sedimentation and Erosion Control Plan? Z Yes ❑ No ❑ WA
Stormwater? ® Yes ❑ No ❑ N/A
'15. Does this project indude any high priority lines, [see 15A NCAC 02T .0402 (2)] involve aerial lines, siphons, or interference
manholes)? These lines will be considered hlgh prlortty and must be Checked once every six months No
Check if Yes: ❑ and provide details
C. CERTIFICATIONS
1. Owner/Permittee's Certification: (Signature of Signing Official and Project Name)
I, Joseph R. Huffman, attest that this application for Phase X1 Annexation - Sewer Force Main and Sanitary Sewer
Upskzlnq has been reviewed by me and is
accurate and complete to the best of my knowledge. I understand that if all
and that if all required supporting documentation and attachments
subject to being returned as incomplete. Note: In accordance with North
143-215.6B, any person who knowingly makes any false statement,
shall be guilty of a Class 2 misdemeanor, which may include a fine not
up to $25, 000 per violation.
required parts of this application are not completed
are not included, this application package is
Carolina General Statutes 143-215.6A and
representation, or certification in any application
to exceed $10,i f r as as evil penalties
well
1 a. g./; 2 22 —
ip.-%_
S'!Asir' . «: Signature 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, edwin S. Edwards, attest that this application for Phase X1 Annexation - Sew Force Main and Sanitsry Sewer
Upsizing has been reviewed by me and is accurate,
complete and consistent with the information in the engineering plans,
to the best of my knowledge. I further attest that to the best of my
in accordance with the applicable regulations, Gravity Sewer Minimum
12, 1996, and the Minimum Design Criteria for the Fast -Track
adopted June 1, 2000 and the watershed classification in accordance with
may have developed certain portions of this submittal package, inclusion
signifies that I have reviewed this material and have judged it to be
accordance with NC General Statutes 143-215.6A and 143-215.68, any
representation, or certification in any application shall be guilty of a
not to exceed $10, 000 as well as civil penalties up to $25, 000 per violation.
calculations, and all other supporting documentation
knowledge the proposed design has been prepared
Design Criteria for Gravity Sewers adopted February
Permitting of Pump Stations and Force Mains
Division guidance. Although other professionals
of these materials under my signature and seal
consistent with the proposed design. Note: In
person who knowingly makes any false statement,
Class 2 misdemeanor which may include a fine
2a. Edwin S. Edwards
Z - 14 - Zo / 1
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o �d%
.
a mo 16081 y
0� $, ct-
�fr °'°2•a
'O°oB`s�oome 000peeao
NC PE Seal, Signature & Date
Professional Engineer Name
2b. Cox -Edwards Company, Inc.
Engineering Firm
2c. 1205 Parkway Drive
Mailing Address
2d. Goldsboro . NC 12f. 27534
City
State Zip
2g. 919-751-5100 h. 919-751-1744
2i. esecoxedebirch.net
Telephone Facsimile
E-mail
FTA12/07

FORM WSCAS-12/07
WATERSHED CLASSIFICATION ATTACHMENT
FOR SEWER SYSTEMS
W AT�'TO
�fl ■Il �ll�
Applicant Name
Project Name
City of Goldsboro, NC
Phase XI Annexation — Sewer Force Main and Sanitary
Sewer Upsizing
Professional Engineer Name
•
Engineering Firm Name
Edwin S. Edwards
Cox -Edwards Company, Inc.
Location
ID
Name of Waterbody'
County
River
Basin
Waterbody Stream
Index No.
Waterbody
Classification
1
UT to Howell Creek
Wayne
Neuse
27-62-1
C; NSW
2
UT to Smith Mill Run
Wayne
Neuse
27-51-21
WS-IV; NSW
3
UT to Little River
Wayne
Neuse
27-57-(20.2)
WS-IV; NSW
4
UT to Little River
Wayne
Neuse
27-57-(20.2)
WS-IV; NSW
1 If unnamed, Indicate "unnamed tributary to X", where X Is the named waterbody to which the unnamed tributary Joins.
I certify that as a Registered Professional Engineer in the State of
North Carolina that / have diligently followed the Division's instructions
for classifying waterbodies and that the above classifications are
inclusive of the stated project, complete and correct to the best of my
knowledge and belief
PE Seal, Signature and Date
*** END OF FORM WSCAS-12/07 ***
FORM: WSCAS-12/07
Page 1 of 1

W A TF9 State of North Carolina
p Department of Environment and Natural Resources
CDivision of Water Quality
Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE —10/07)
Project Applicant Name: City of Goldsboro
Project Name for which flow is being requested: Annexation Area XI Vacuum Sewer System �r 0 64/ d''."%`
T''/o.r: i $ w,
More than one FTJE-10/07 may be required for a single project f the owner of the WWTP is not responsible for all ; ` �L.Qr +.s
pump stations along the route of the proposed wastewater flaw. 1O i}. Q
I. Complete this section only if you are the owner of the wastewater treatment plant 4L,c o ..�
a. WWTP Facility Name: City of Goldsboro Water Reclamation Facility Fes 1- Tr a1. a.b. WWTP Facility Permit #: NC0023949 ?AT-: �t7tdC
AlLflows are in MGD u-f S:1.-e tiro•-v
c. WWTP facility's permitted flow 14.2 rt..“ 1-0 i 8 "
d. Estimated obligated flow not yet tributary to the WWTP 0.047 t Gv ,�.y 3,.. 4 3
e. WWTP facility's actual avg. flow 6,79
f. Total flow for this specific request 0.2 el.5 .SA. tl 4
g. Total actual and obligated flows to the facility 7.037 -e l +, 23 4 as c.
h. Percent of permitted flow used 49.56%
S"FA. m r+4...,
II. Complete this section for each pump station you are responsible for along the route of this 1 , g 81 ' 01r r°
proposed wastewater flow. . `3 • '1- 1
List pump stations located between the project connection point and the WWTP ut'o.de C ,
Pump Station Name Approx. Capnrity, MGD Approx. Current Avg. 4.r, . Z / 2 811 r
(Firm/Design) Daily Flow, MGD
7.1 0.22
Highway 117
Westbrook Road
18.0 6.79
III. Certification Statement:
I, Joseph R. Huffman , certify that, to the best of my knowledge, the addition of the
volume of wastewater to be permitted in this project has been evaluated along the route to the receiving
wastewater treatment facility andthat the flow from this project is not anticipated to cause any rApicity
related sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant under normal circumstances. This analysis has been performed in accordance with local
established policies and procedures using the best available data. This certification applies to those items
listed above in Sections I and II for which I am the responsible party. Signature of this form indicates
acre • of wastewater flow.
0,9
'n rial Signature
lo_ v.r-/'
Date

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