WQ0044791_Application_20230925

-� KCI ASSOCIATES OF NC
KCI ENGINEERS I PLANNERS I SCIENTISTS I CONSTRUCTION MANAGERS
September 25, 2023
NCDEQ
Division of Water Resources
450 W. Hanes Mill Road
Suite 300
Winston-Salem, North Carolina
RE: Pump and Haul Application
City of King
Muddy Creek Pump Station
King, North Carolina
Dear Division of Water Resources,
NC Department of
Environmental Quality
Received
SEP 2 6 2023
Winston-Salem
Regional Office
KCI is pleased to submit the enclosed Pump and Haul application on behalf of the City of King for the
temporary pump and haul service during the construction of the new Muddy Creek Pump Station.
The design and easement acquisition process associated with the Muddy Creek Pump Station and Force
Main project required collaboration with RJ Reynolds Manufacturing to obtain easements and access
RJR property for survey and geotechnical investigations. This process took more than a year to
complete. In that time, housing developments in the area that had planned to be served by the Muddy
Creek Pump Station have been built and are in need of sewer service. The City of King proposes to
provide temporary pump and haul service to these homes until the permanent pump station and force
main project can be completed.
The following documents are enclosed in this submittal per the permit application checklist:
• One (1) original Pump and Haul Application Form
• One (1) copy of an aerial location site map
• One (1) copy of the detailed plans and specifications
• Application fee of $810
• One (1) Copy of the City of King's Self -Performance Letter
• One (1) Copy of the City of King's Flow Acceptance Letter
If you have any questions or require additional information regarding this project, please contact me at
864-558-7635 or at steven.barbiangkci.com .
Sincerely,
KCI
Steven Bar((((biiian
Project Manager
Enclosures as noted

NORTH CAROLINA
DEPARTMENT OF
ENVIRONMENTAL
QUALITY
Division of Water Resources
Winston-Salem Regional Office
Non -Discharge Pump and Haul Permit Application
Application Number: �����l t I (to be completed by DWR)
I. GENERAL INFORMATION:
1. Applicant (corporation, individual, other):
City of King, NC
2. Print owners or signing official's name and title (person legally responsible for the facility and its compliance):
Scott Barrow —City Manager
3. Mailing address of applicant: PO Box 1132
City: King
State: NC Zip: 27021
Telephone number: ( 336) 983-8265
Facsimile number: ( )
Email Address: sbarrow(d�ci.kina.nc.us
4. Project name (facility or establishment): Muddy
Creek Pump Station Replacement
5. County where project is located: Stokes/Forsyth
6. Fee submitted: $ 810.00 (See Instruction B.)
7. Name and complete address of engineering firm:
KCI Associates of NC
7015 Albert Pick Road — Suite A
City: Greensboro
State: NC Zip: 27409
Telephone number: ( 336 } 402-6708
Facsimile number: ( )
8. Name and affiliation of contact person who can answer questions about project: Steven Barbian
Project Manager - KCI
Email Address: steven.barbian(a,kci.com
II. PERMIT INFORMATION:
1. If this application is being submitted as a result of a modification to or renewal of an existing permit, please provide
the existing permit number W 0044252 and the issuance date March 28", 2023
2.
Specify whether the applicant is: public
✓ or
Form: P&H 3/17 Page 2 of

III. INFORMATION ON WASTEWATER:
1. Nature of wastewater: 100 %Domestic 0 %Commercial 0 %Industrial
%Other waste (specify):
2. Please provide a one or two -word description specifying the origin of the wastewater (school, restaurant, apartments,
commercial): Residential
3. Volume of wastewater generated by this project: 2,400 gallons per day.
4. Explanation of how wastewater flow was determined (15A NCAC 2T .0114):
20 homes at 120 gpd/ 4 bedroom home = 2,400 gpd The applicant is seeking a variance to the 120 gpd/bedroom
formula because these homes are new construction and furnished with appliances that are very efficient and result in low
water usage. The formula used in this case, is a conservative reflection of actual expected flow and is suitable especially for a
temporary application.
Description of any pretreatment of wastewater prior to pumping and hauling: N/A
IV. TREATMENT FACILITY INFORMATION:
1. Name of treatment facility receiving wastewater: Muddy Creek WWTP
2. NPDES permit number of treatment facility: NCO050342
3. Treatment facility contact person and telephone no: 336-727-8000
4. County where treatment facility is located: Forsyth
V. CONTRACT HAULER INFORMATION:
1. Name of owner/company of transporting (hauler) vehicle: City of King. NC
2. Mailing address of hauler: PO Box 1132 King NC, 27021
3. Telephone number of hauler: [phone]
4. Provide the typical hauling volume of the vehicle: 2,400 gallons
VI. GENERAL PROJECT INFORMATION
1. Brief project description: A new pump station, is being constructed further downstream from the existing Muddy
Creek pump station. The new pump station, gravity sewer extension, and forcemain will expand the sewer service area
and include new residential development.
2. Explanation of why pump and haul is being requested: 20 homes currently under construction will need sewer service
prior to the installation of a new pump station and force main which will serve the entire community in the future.
3. Specify how long the pump and haul permit will be needed (maximum of six months): 6 Months
4. What will be the permanent method of wastewater disposal once the pump and haul activities have ceased?:
The wastewater will be collected at a new pump station to be constructed near the proposed pump and haul site
and conveyed via a newly constructed 12-inch FM and connected to an existing 14-inch FM along King-Tobaccoville
Road.
Form: P&H 3/17 Page 3 of 4

5.
6.
8.
VIII.
Date that permanent disposal method will be available: December 2024
Have permits/approvals for the permanent disposal method been obtained?
✓ Yes; Permit No. W00043757 Permitting agency DEO
No; Pending permit No. N/A Permitting agency N/A
What type of tank or container will the wastewater be pumped from and what is the volume of this container?_2
9'x9'x3' square wet wells will be connected to provide approximately 3,635 gallons minimum 24 hour storage_
Is the tank or container already in place or will it be installed for these activities? In Place
What type of high water alarm does the container have? Audible and visual ✓ Auto dialer
OWNER'S SIGNATURE:
Applicants Signature and Certification:
I, / C ���i��n���� , attest that this application for (!�'l 7y
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 to me as incomplete. Note: In accordance with NC General Statutes 143-215.6A and 143-215.613,
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 fine not to exceed $10,000 as well as civil penalties up to $25,000 per
violation.
Signature: ✓ , Date:
ENGINEER'S CERTIFICATION:
Professional Engineer's Certification: I, attest that this application for C C' `p
has been reviewed by me and is
accurate, complete and consistent with the information supplied 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. 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. Note: In
accordance with NC General Statutes 143-215.6A and 143-215.613, 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.
North Carolina Professional Engineer's seal, signature, and date: I
Form: P&H 3/17
Page 4 of 4 / / �-� 23

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Form: P&H 3/17 Page 5 of 4

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KCI ASSOCIATES of NC Figure 1 - Location Map
KCI ENGINEERS I PLANNERS I SCIENTISTS I CONSTRUCTION MANAGERS Muddy Creek Pump and Haul Location
City of King
0 0.125 0.25 0.5
Miles King, North Carolina

CITY OF KING Jack Warren, Mayor
Scott Barrow, City Manager
P.O. Drawer 1132
King, NC 27021-1132
September 25, 2023
NCDEQ-Division of Water Resources
450 W. Hanes Mill Road -Suite 300
Winston-Salem, North Carolina 27105
229 S. Main Street
Telephone [phone]
Fax [phone]
RE: Muddy Creek Pump Station Replacement —Temporary Pump and Haul Application
City of King, NC
Dear Division of Water Resources:
This letter serves to confirm that the City of King will self -perform all pumping and hauling of waste products as
needed from the Gentry Farms Development. The wastewater will be hauled to and discharged at the Spainhour
Road Pump Station (810 Spainhour Road King, NC). After construction of the Muddy Creek Pump Station is
completed, the flow of wastewater from the development will be redirected to the new pump station.
Thank you in advance for your consideration. Please contact the City Manager at 336-983-8265 or
[e-mail] if you have questions or need additional information.
Sincerely,
City of King
Scott Barrow, P. E.
City Manager

CITY OF KING Jack Warren, Mayor
Scott Barrow, City Manager
P.O. Drawer 1132
King, NC 27021-1132
September 25, 2023
NCDEQ-Division of Water Resources
450 W. Hanes Mill Road -Suite 300
Winston-Salem, North Carolina 27105
229 S. Main Street
Telephone [phone]
Fax [phone]
RE: Muddy Creek Pump Station Replacement —Temporary Pump and Haul Application
City of King, NC
Dear Division of Water Resources:
The City of King is preparing for the installation of the Muddy Creek Pump Station which will replace the existing
wastewater pump station near Spainhour Road. This project will include the installation of a sewer pipeline to
convey wastewater to,and from the pump station. The location of the project is adjacent to the existing pump
station near the intersection of Spainhour Road and Moore Road.
In order to provide interim sewer service to newly constructed homes in the area while the new pump station is
being constructed,'a temporary pump and haul service will be established to haul wastewater from temporary wet
wells near the location of the new pump station to the existing Spainhour Road Pump Station.
This letter serves to confirm that the City of King will accept the wastewater generated from the temporary pump
and haul application into the existing collection system. The wastewater will be hauled to and discharged at the
Spainhour Road Pump Station (810 Spainhour Road King, NC). All wastewater from the City of King wastewater
collection system is ultimately conveyed to the Muddy Creek WWTP in Winston-Salem. After construction of the
Muddy Creek Pump Station is completed, the flow of wastewater from the development will be redirected to the
new pump station.
Thank you in advance for your.consideration. Please contact the City Manager at 336-983-8265 or
[e-mail] if you have questions or need additional information.
Sincerely,
City of King
Scott Barrow, P. E.
City Manager

AUDIBLE/VISUAL ALARM,
SEE DETAIL THIS SHEET
TEMPORARY PUMP AND HAUL
9' SQ. WETWELL, TYP OF 2
(BY OTHERS)
TO BE ABANDONED
4 PLACE ONCE PUMP STATION IS
D INTO PERMANENT OPERATION
3' WIDE GRAVEL
MAINTENANCE STRIP
Z OUTSIDE AND V INSIDE
FENCE (TYP. ALL SIDES)
1 " WATE
YARD K
VIP STATION
\. WETWELL
NE AND
SIGN ON GATE
SEE DETAIL PS-3
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TOP: 935.00
INV. IN: 929.9
INV. OUT: 929.8
GRAVEL ACCESS
DRIVEWAY
GRAVITY SEWER
AND MANHOLES
TO BE INSTALLED
BY SUBDIVISION
DEVELOPER
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PROPOSED
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GRAVITY SEWER
AND MANHOLES
TO BE INSTALLED
BY SUBDIVISION
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