wqcs00167_Renewal Application_20180423

-TOWN OF-
BISCOE
"A Dream Worth Dreaming"
April 16, 2018
Attn: PERCS Unit Supervisor
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Re: Collection System Permit # WQCS00167 Renewal
To Whom it may concern;
MAYOR
JAMES E. BLAKE
COMMISSIONERS
JERRY SMITH, MAYOR PRO -TEM
GENE ANDERSON
JOHN BEARD
KAY CAGLE KINCH
TOWN MANAGER
BRANDON W. HOLLAND
TOWN CLERK
LAURA Be MORTON
Please revievcT our renewal application for the Town of Biscoe, North Carolina. Zfthere
are additional questions please contact Mr. Sam Stewart. We anticipate grant funded
rehabilitation of Bruton Street sub -basin during fiscal year 201&2019,
Thank you for your help in this effort.
S'ncerely,
ems+
Sam Stewart, Director of Public Works
910-4284112 Phone
110 W Main Street — P.O. Box 1.228 —Biscoe, N.C. 27209
www.townofbiscoe. co m
910-428-3975 FAX

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Division of Water
15A NCAC 02T .0400 — SYSTEM -WIDE WASTERWATER COLLECTION SYSTEMS
Resources INSTRUCTIONS FOR FORM CSA 04-16 & SUPPORTING DOCUMENTATION
Documents shall be prepared in accordance with 15A NCAC 02T .0100, 15A NCAC 02T .0400, and all relevant
Division Policies. Failure to submit all required items will necessitate additional processing and review time,
For more it fOrf7lCltlo7Z, visit the Sys1em-14Vide Collection Smtein Pennitting websile
General —When subrnnitting an application to the Pretreatment, Emergency Response, & Collection Systems (PERCS)
Unit, please use the following insh uctions 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.
A, Cover Letter
® Subnut a cover letter listing all items and attachments included in the permit application package
B. No Application Fee Required
A No application fee is necessary. The pernnittee will be billed an
)1>annual fee upon issuance of the permit
The appropriate annual fee for systemwide wastewater collection system permits may be found at:
D Annual Non-Dischar e Fees
C. System -Wide Wastewater Collection System (FORM: CSA 04-16) Application:
❑ Submit the completed and appropriately executed System -wide Wastewater Collection System (FORM:.CSA 04=
16) application. Any unauthorized content changes to this form shall .result in the application package being
returned. If necessary for clarity or due to space restrictions, attachments to the application may be made, as long
as the attachments are numbered to correspond to the section and item to which they refer.
❑ If the Applicant Type in. Section, I.3 is a Privately -Owned Public Utility, provide the Certificate of Public
Convenience and Necessity (CPCN) from the North Carolina Utilities Comnussion demonstrating the Applicant
I
s authorized to hold the utility franchise for the area to be served by the wastewater collection system, or
❑ .
Provide.a letter from the North Carolina Utilities COnullission'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.
❑ If the Applicant Type in Section I:3 is a corporation or company, provide documentation if it is registered for
business with the North Carolina Secretaiv of State.
D. GeneralInformation*
The Authorized signing official listed in Section L4 should match with that of the Applicant certification page 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 i
.0106(b). n 15A NCAC 02T
> NOTE - Public Works Director's are not authorized to sign this permit application according to the rule
unless they are delegated.
INSTRUCTIONS FOR APPLICATION CSA 04-16 &SUPPORTING DOCUMENTATION
Page 1 of 5

I. APPLICANT INFORMATION:
1. Applicant's name (Municipality, Public Utility, etc): Town of Biscoe
2, Facility Information: Name: Town of Biscoe Collection System PermitNo.: WOCS00167
3. Applicant type: ® Municipal State ❑ Privately -Owned Public Utility
❑ County ❑ Other:
4. Signature authority's name: Sammy Ray Stewart per 15A NCAC 02T 0106(b)
Title: Public Works Director
5. Applicant's mailing address: PO Box 1228
City: Biscoe State: NC Zip: -27209
6. Applicant's contact information:
Phone number: [phone] Fax number: 910) 428-3975
Il. CONTACT/CONSULTANT INFORMATION:
1.
2.
3.
4.
5.
Contact Name: LKC Eneineerittg, PLLC BiII Lester
Title/Affiliation: P.E.
Contact's mailing address: 140 Aqua Shed Court
City: Aberdeen State: NC
Zip: 28315
Contact's information:
Phone number: 910 420-1437
III. GENERAL REQUIREMENTS:
Fax number; 910 637-0096
Email address: sam.stewartna towrrolbiscoe com
Email address: bill(cr�,lkceneineerina eom
1. New Permit or Prerrrit Renewal? ❑New ®Renewal
2. County System is located in. Montgomery County
3. Owner & Name of Wastewater Treatment Facility(ies) receiving wastewater from flus collection system:
Owner(s) & Name(s)$ Sammy Ray Stewart
4. WWTF Permit Number(s): NCO021504
5. What is the wastewater type? 80 %Domestic or 20 % Industrial -
(See 15A NCAC 02T 0103 (20))
y 'Is there a Pretreatment Program in effect? ® Yes or ❑ No
6. Wastewater how, x240 MGD (Current average flow of wastewater generated by collection system)
7. Combined permitted flow of all treatment plants: .240 MGD
8. Explain how the wastewater flow was determined: E] 15ANCACO2T.0114 or ® Representative Data
9. Population served by the collection system: 1,200
IV. COLLECTION SYSTEM IN
FORMATION:
1. Line Lengths for Collection System:
Sewer Line Descri tion
Len th
GraviSewer
20.6 miles
Force Main
7.25 miles
Vacuum Sewer
0 miles
Pressure Sewer
0 miles
APPLICATION CSA 04-I6
Page 3 of 5

2, Pump Statto:
Submit ti list c,a ��� uxa�or �r,o, not simplex pump station serving a single family home) pump stations
information;
Include the fallowing
➢ Pump Station Name
A Physical Location
➢ Alarm Type (Lo, audible, visual, telemetry, SCADA)
➢ Pump Reliability (Can convey peak hourly wastewater flow with largest single
➢ Reliability Source (p@rmanentlportable go pump out of service)
nerator, portable pumps}
➢ Capacity of Station (Pump Station Capacity in GPM)
4, Submit a list of all highpriority lines according per 15A NCAC 02T oQ402 (2)known to exist i
the list with "Attachment A for Condn the collection system, Headition V(4)" and include the system name,
➢ Use the same line identification regularly used by the applicant
➢ Indicate type of high priority line (i,e, aerial), material and general location
V. COLLECTION SY
STEIYI ADMINISTRATION:
1, Provide a brief description of the organizational strupture that is responsible for management, operation and
tic collection system, maintenance of
2. ` Indicate the current desfgriated colle6tion system operators #'or the collection system per 1 SA NCAC 0$9.0201
Main ORC Namei Gpnraa A
Back -Up ORC
Certification Number: _..,,. ,,,,
Sae the 'MCS
Contacts and ORC Ra ort" for a current listing of the ORC(s) the Division has on filo for WQCS permit
3. Approximate annual budget far collection system only: $ 999,505,00 (Budget 7tnrr, F,,., a KA nn .Y,_. _
4, Submit a copy of your current annual budget,
5, Approximate capital impr6vezinent budge for the collection system oulyc $ 40,00060 0
6, Submit a copy of your current capital improvement plan,
7.. Is this collection system currently a satellite system ❑ yes or O No
8. Do any satellite systems discharge to this collection system El Yes or 19
Information
No (I£ yes complete table below)
Phone
Complete for Satellite Systems that have a £low or capacity greater than 200,000 GPD (Average daily flow)
9, List any agroemonts or ordinances currently is place to address flows from satellite systems,
APPLICATION CSA 0416
Page 4 of 5

VI. COLLECTION SYSTEM COMPLIANCE:
lb Is a Response Action Plan currently in place [ Yes or ❑ No
2. If Yes, submit a copy of the Response Action flan or see table 6 below.
3. Is a pump station contingency plan cnirently in place? Yes or (] No
4. If Yes, submit a copy of the pump station eontingency plan or see table 6 below,
5. Is a comprehensive collection system map currently in place? EJ Yes or Q No
6. Submit a submit a copy of the collection system map (CID or hardcopy) or indicate a schedule for completion
7. ThorougIily lead and review the Stistern �4jdc �ollectauu Stist�sat Permit Condltious. `i'tprE��r :� comp ranec- e�tidnle .
ale 4►atj offered'#o l "pez m+�t`npphca is 0' IV, e�T p ,n1t tae) It �y compliance dates must be included within
the permit prier to issuance or the per mit holder will be found in violation upon inspection.
Permit -Condition
I(4) —Grease ordinance with legal authoixty to inspect/enforce
I(5) — Greaseinspection and enforcement program
I(6) - Three to five year current Capital Improvement Plan.
I(8)—Pump station contingencyplan -
I(9) —Pump station identification signs.
Functional and conspicuous audible andvisual alarms
11(5) — Spare pumps for any station where one pump cannot
handle peak flows_ alone (in a duplex station, the 2nd pump is
the spare if pump reliability is met).
II(7) —Accessible right of ways and easements.
11(9) —Response action plan with Items 9'(a— h),
111(3) — Comprehensive collection system map
Current
Compliance?
Yes [1 No
res j�No
Yes ElNo
Yes ❑ No
Yes F1
No
®Yes ❑ No
If no, Indicate a
Compliance
Date
Typical
Compliance
Schedule
1212—18om
1212 — g
3 mo,
3 mo.
3-6mo
Yes (J No 6 —12 mo.
Yes ❑ No3 mo
Yes ❑ No
10% Per year
For conditions not listed, compliance dates axe not typically offered. List any permit conditions that
neemaybe difficult for the
applicant to meet (attach clarification if ded);
VTI. APPLICANT'S CERTII�'ICATIONper 15A NCAC 02T 0106(ti);
I, Sammy Ray Stewart attest that this application for Town of Biscoe, North Carolina
(Signature Authority's Name & Title from Item 1.4)
(Facility name from Item I,1)
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 143-315.6A and 143-215,6B any Person
who knowingly makes any (also statement,
representation, or certification in any application shall be guilty of a Class 2 misdemeanor which inc
$10,000 as well as civil penalties up to $25,000 per violation, may lude a fine not to exceed
Signature:
Data:
APPLICATION CSA 04-I6
Page 5 of 5

North Carolina Department of Environmental Quality
Division of Water Resources
Permit Number: WQCS0010/
Permit Type: Collection system Management and opgMtIp
Facility Name: Biscoe Collection System
FacilityAddressi: PO Box 26
FacilityAddress2:
City, State & zip: Biscoe, NC 27209
OWnerInformation Details*
Owner Type: Sovemment-Muni�al OwnerTvope;rn�m. n.,.�.,�_...�.._
�. �nnumuuu: aam Scewan:
Addressl: PO Box 1228
Addreis2:
City, State &Zip: Biscoe, NC 272094228
Work Phone: [phone]
Email Address: Sam,stewart@townofbiscoe com
Contact Name Title ddress
Phone
Title: Public 5uoertntendent Works
Fax: [phone]
Fax
Email
Contac* Name Title A rr Phone
� mail
Contact Name
Sam Stewart
Tvae
Title
ContacE Name Title
4/16/2018
ddr s
PO Box 1228, Biscoe, NC 27209-1228
ddress
Phone
Fax
Email
Page 1

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ToMIn of Biscoe :PF I
1. Approximately 1200 feet of aerial lime located in a wooded area to tlae west off
the end of martin Street.
2, Approximately 200 feet of aerial Iine located at the Bead of the Town of Biscoe
waste treatinezzt plant.
3. Approximately 100 feet of aerial line located approximately 1000 feet to the
northeast of the head of the plant,
4. Approximately 300 feet of force main line that runs parallel with Shady Oak
Drive along beside dfainage ditch.

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V L ti i CL: tspxx! 1 a,u 1 ti Y : Ueo16e Alex Turner
semi annual Collection ORC
'AC
Alex Turner
P ezd McAlister
David Steele
Joaquin Morales
Sam Stewart
Ben Dunn
ETC;
{910)220-5530
(910)5721144
[phone]
(910}220 1129
[phone]
[phone]
POLICE DEPARTMENT IF NEEDED FOR TRAFFIC
CONTROL.. ,
CLERK / MAYOR FOR SMALL TOWNS,

CU
.TER
Plumbing, Trenching and Digging, SKC Construction,
Sewer Pump Trucks, Septic Tank Hauler, ETC,.
Todd Kem, Owner
KRAFTPOWER
Brice McLaughlin, cell
DUKE ENERGY
GVK
Burton St.
Brendana St.
Nursing Nome
Wal-Mart
East Montg, High
Biscoe Shopping Center
Clayton Dr.
Industrial Park Dr,
Myrick Pump Station
Meter; Y76072
Meter; 588227
Meter; 579862
Meter; 594161
Meter; 570975
Meter; WV3266
Mcten 588230
Meter: 571045
Meter: Y74891
Meter;
RS
�.J
[phone]
(910)5711855
[phone]
{704)239-7221
1(800)419-6356
Acc; 397-574-0063
co 280-116-0066
Acc: 853-656-0066
Acc 00524-032-3468
Acc: 349-835-4947
Acc: 369194-0062
Acc: 034475-0062
Acc; 770-762-3463
Acc: 643-3034298
Acc; 400-034-3246

srmJu OCCURR M; ON:
MAJOR INTERCEPTOR RIGHT OF WAY
1. Put up warning tape "DO NOT RN-FE"around
SSO site to restrict access.
�. In open areas lime, remove debris and lime site
rotor -till if needed. Reseed and mulch with
straw.
3. In areas were there is under growth and small
trees, flush area with potable water until no
waste remains. Wait twelve to twenty four hours
then lime the area. Be certain that lime does not
flush to receiving stream.
NOTE: DO NOT LIME IT'
IN
IS FORECAS'T'ED.
IN CITIZEN'S YARD
1. Till entire area if possible. Apply lime and follow
with seed and straw,
2. If waste/debris not visible apply lime and 2
inches of top soil and mix thoroughly. Apply lime
lightly, seed and mulch.
ON A,SPI-I.ALT OR CfJNCRETE
1. Setup containment at or near the storm drainage
system. Do not let the spill enter the storm drain
system.
Z. Put up Black or Red "DO NOT ENTER "tape
around the SSO area.
3. Spread lime on spillage and sand or other material
to a depth of one inch. Let this material absorb for
one hour, then sweep up. Dispose of debris
appropriately. If spill is still evident repeat
application.

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