WQ0038534_Permit (Issuance)_20160610

PAT MCCRORY
Governor
Lea DONALD R. VAN DER VAART
Secretar) !i
S. JAY ZIMMERMAN
Water Resources Director
ENVIRONMENTAL QUALITY
i
June 10,2016
Mr. Terry Houk
Director of Public Services
City of High Point
P.O. Box 230
High Point,NC 27261
Subject: Permit No. WQ0038534
City of High Point
Bethel Drive Pump Station Replacement
Wastewater Collection System Extension Permit
Guilford County
Dear Mr.Houk:
In accordance with your application received June 7, 2016, we are forwarding herewith Permit
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No. WQ0038534 dated June 10, 2016, to the City of High Point (Permittee) for the construction
and operation upon certification of the subject wastewater collection system extension. This
permit shall be effective from the date of issuance until rescinded and shall be subject to the
conditions and limitations as specified therein.This cover letter shall be considered a part of this
permit and is therefore incorporated therein by reference.
Please pay particular attention to the following conditions contained within this permit:
Condition II.1: This permit shall not be automatically transferable; a request must be made and
approved.
Condition HA: Requires that the wastewater collection facilities be properly operated and
maintained in accordance with 15A NCAC 2T .0403 or any individual system-
wide collection system permit issued to the Permittee.
It shall be responsibility of the Permittee to ensure that the as-constructed project meets the
appropriate design criteria and rules. Failure to comply may result in penalties in accordance
with North Carolina General Statute§143-215.6A through§143-215,6C,construction of additional
or replacement wastewater collection facilities, and/or referral of the North Carolina-licensed
Professional Engineer to the licensing board.
450 West Hanes Mill Road,Suite 300,Winston-Salem,NC 27105
Phone:[phone]\Internet:www.nmateroualitv.ora j
State of North Carolina I Environmental Quality I Water Resources it

City of High Point k
Permit No.WQ0038534 EEEE
If any parts,requirements, or limitations contained in this permit are unacceptable,you have the
right to request an adjudicatory hearing upon written request within 30 days following receipt of
this permit. This request must be in the form of a written petition, conforming to Chapter 150B
of North Carolina General Statutes, and filed with the Office of Administrative Hearings, 6714
Mail Service Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall
be final and binding.
If you need additional information concerning this matter, please contact Mike Mickey at(336)
776-9697 or via e-mail at [e-mail].
Sincerely,
'Y> .
for S.Jay Zimmerman,P.G.
Director,Division of Water Resources
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by Sherri V.Knight,PE,Regional Supervisor
Water Quality Regional Operations Section
Winston-Salem Regional Office j
Division of Water Resources,NCDEQ
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cc: Randy McNeill,PE(Davis-Martin-Powell&Assoc.,6415 Plank Road,High Point,NC 27265)
Winston-Salem Regional Office Files
Water Resources Central Files
PERCS(electronic copy)
Page 2 of 9

STATE OF NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
In accordance with the provisions of Article 21 of Chapter 143,General Statutes of North Carolina
as amended,and other applicable Laws,Rules, and Regulations,permission is hereby granted to
the
City of High Point j
Guilford County
for the construction and operation of approximately 8.5 linear feet of 12-inch gravity sewer;a 850-
gallon per minute pump station with duplex pumps, on-site audible and visual high water
alarms, telemetry, and a permanent generator with automatic transfer switch; as well as
approximately 11.3 linear feet of 10-inch force main to serve as a replacement pump station as
part of the Bethel Drive Pump Station Replacement project, and the discharge of"0" gallons per
day of new wastewater into the City of High Points existing sewerage system, pursuant to the
application received June 7, 2016, and in conformity with 15A NCAC 2T; the Division's Gravity
Sewer Minimum Design Criteria adopted February 12, 1996 as applicable, the Division's
Minimum Design Criteria for the Fast-Track Permitting of Pump Stations and Force Mains
adopted June 1, 2000 as applicable; and other supporting data subsequently filed and approved I
by the Department of Environmental Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
specified conditions and limitations contained therein.
for S.Jay ZinunermanQI3.G
Director,Division of Water Resources
By Authority of The Environmental Management Commission
Permit Number: WQ0038534
Permit Issued: June 10, 2016
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Page 3 of 9

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SUPPLEMENT TO PERMIT COVER SHEET
City of High Point is hereby authorized to:
Construct, and then operate upon certification the aforementioned wastewater collection
extension. The sewage and wastewater collected by this system shall be treated in the Westside
High Pont Wastewater Treatment Facility in accordance with Permit Number NC0024228.
Permitting of this project does not constitute an acceptance of any part of the project that does not
meet 15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria adopted February
12, 1996 as applicable;and the Division's Minimum Design Criteria for the Fast-Track Permitting
of Pump Stations and Force Mains adopted June 1, 2000 as applicable, unless specifically
mentioned herein. Division approval is based on acceptance of the certification provided by a
North Carolina-licensed Professional Engineer in the application. It shall be the Permittee's
responsibility to ensure that the as-constructed project meets the appropriate design criteria and
rules.
Construction and operation is contingent upon compliance with the Standard Conditions and the
Special Conditions identified below.
I. SPECIAL CONDITIONS
1. Each pump station shall be clearly and conspicuously posted using a weatherproof sign with
a pump station identifying name/number,24-Hour Emergency telephone number, and name
of the owner/operator of the sewer system/pump station and instructions to call the number
in the event of alarm activation or other emergency. Simplex pump stations or vacuum sewer
pits serving a single-family residence may have a placard or sticker on the control panel in
lieu of a sign. [15A NCAC 02T.0305(h)(2)]
III
II. STANDARD CONDITIONS
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1. This permit shall not be transferable. In the event there is a desire for the wastewater
collection facilities to change ownership,or there is a name change of the Permittee, a formal
permit request shall be submitted to the Division accompanied by documentation from the
parties involved,and other supporting materials as may be appropriate. The approval of this
request shall be considered on its merits and may or may not be approved. [15A NCAC
02T.0104;G.S 143-215.1(d3)]
Page 4 of 9

2. This permit shall become voidable unless the wastewater collection facilities are constructed
in accordance with the conditions of this permit; 15A NCAC 2T;the Division's Gravity Sewer
Minimum Design Criteria adopted February 12, 1996 as applicable;the Division's Minimum
Design Criteria for the Fast-Track Permitting of Pump Stations and Force Mains adopted June
1, 2000 as applicable; and other supporting materials unless specifically mentioned herein.
[15A NCAC 02T.01101
3. This permit shall be effective only with respect to the nature and volume of wastes described
in the application and other supporting data. [15A NCAC 02T.0110]
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4. The wastewater collection facilities shall be properly maintained and operated at all times.
The Permittee shall maintain compliance with an individual system-wide collection system
permit for the operation and maintenance of these facilities as required by 15A NCAC 2T
.0403. If an individual permit is not required,the following performance criteria shall be met:
115A NCAC 02T.0108(b)]:
a. The sewer system shall be effectively maintained and operated at all times to prevent
discharge to land or surface waters, and to prevent any contravention of groundwater
standards or surface water standards.
b. A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan including pump station inspection frequency,
preventative maintenance schedule, spare parts inventory and overflow response has
been developed and implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every day
(i.e. 365 days per year). Pump stations that are connected to a telemetry system shall be
inspected at least once per week.
e. High-priority sewer lines shall be inspected at least once per every six-months and
inspections are documented.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Overflows and bypasses shall be reported to the appropriate Division regional office in
accordance with 15A NCAC 2B .0506(a), and public notice shall be provided as required
by North Carolina General Statute§143-215.1C.
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h. A Grease Control Program is in place as follows:
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Page 5 of 9

1. For public owned collection systems,the Grease Control Program shall include at least
biannual distribution of educational materials for both commercial and residential
users and the legal means to require grease interceptors at existing establishments.
The plan shall also include legal means for inspections of the grease interceptors,
enforcement for violators and the legal means to control grease entering the system
from other public and private satellite sewer systems.
2. For privately owned collection systems, the Grease Control Program shall include at
least bi-annual distribution of grease education materials to users of the collection
system by the permittee or its representative.
3. Grease education materials shall be distributed more often than required in Parts (1)
and (2) of this Subparagraph if necessary to prevent grease-related sanitary sewer
overflows.
j. Right-of-ways and easements shall be maintained in the full easement width for personnel
and equipment accessibility.
k. Documentation shall be kept for Subparagraphs(a)through(i)of this Rule for a minimum
of three years with exception of the map, which shall be maintained for the life of the
system.
5. The Permittee shall report by telephone to a water resources staff member at the Winston-
Salem Regional Office, telephone number [phone], as soon as possible, but in no case
more than 24 hours, following the occurrence or first knowledge of the occurrence of either
of the following:
1
a. Any process unit failure, due to known or unknown reasons, that renders the facility
incapable of adequate wastewater transport, such as mechanical or electrical failures
of pumps,line blockage or breakage, etc.;or
b. Any SSO and/or spill over 1,000 gallons;or
c. Any SSO and/or spill, regardless of volume,that reaches surface water
Voice mail messages or faxed information is permissible, but this shall not be considered as
the initial verbal report. Overflows and spills occurring outside normal business hours may
also be reported to the Division of Emergency Management at telephone number (800) 858-
0368 or(919) 733-3300. Persons reporting any of the above occurrences shall file a spill report
by completing and submitting Part I of Form CS-SSO(or the most current Division approved
form)within five days following first knowledge of the occurrence. This report must outline
the actions taken or proposed to be taken to ensure that the problem does not recur. Part II
of Form CS-SSO(or the most current Division approved form)can also be completed to show
that the SSO was beyond control. [G.S. 143-215.1C(al)]
6. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as
not to interrupt service by the existing utilities nor result in an overflow or bypass discharge
of wastewater to the surface waters of the State. [15A NCAC 02T.0108(b)]
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Page 6 of 9

7. Upon completion of construction and prior to operation of these permitted facilities, the
completed Engineering Certification form attached to this permit shall be submitted with the
required supporting documents to the address provided on the form. A complete certification
is one where the form is fully executed and the supporting documents are provided as
applicable. Any wastewater flow made tributary to the wastewater collection system
extension prior to completion of this Engineer's Certification shall be considered a violation
of the permit and shall subject the Permittee to appropriate enforcement actions.
A complete certification is one where the form is fully executed and the supporting
documents are provided as applicable. Supporting documentation shall include the
following:
a. One copy of the project construction record drawings(plan&profile views of sewer lines
& force mains) of the wastewater collection system extension. Final record drawings
should be clear on the plans or on digital media(CD or DVD disk) and are defined as the
design drawings that are marked up or annotated with after construction information and
show required buffers,separation distances, material changes,etc.
b. One copy of the supporting applicable design calculations including pipe and pump
sizing,velocity,pump cycle times,and level control settings,pump station buoyancy,wet
well storage, surge protection, detention time in the wet well, and force main, ability to
flush low points in force mains with a pump cycle, and downstream sewer capacity
analysis. If a portable power source or pump is dedicated to multiple stations, an
evaluation of all the pump stations' storage capacities and the rotation schedule of the
portable power source or pump, include travel timeframes,shall be provided. j
c. Changes to the project that do not result in non-compliance with this permit,regulations,
or the Minimum Design Criteria should be clearly identified on the record drawings, on
the certification in the space provided, or in written summary form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes
resulting in non-compliance with this permit (including pipe length increases of 10% or
greater, increased flow, pump station design capacity design increases of 5% or greater, and
increases in the number/type of connections), regulations, or the Minimum Design Criteria.
Requested modifications or variances to the Minimum Design Criteria will be reviewed on a
case-by-case basis and each on its own merit. Please note that variances to the Minimum
Design Criteria should be requested and approved during the permitting process prior to
construction. After-construction requests are discouraged by the Division and may not be
approved,thus requiring replacement or repair prior to certification&activation.[15A NCAC
02T.0116]
S. Gravity sewers installed greater than ten percent below the minimum required slope per the
Division's Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be
certified until corrected. If there is an unforeseen obstacle in the field where all viable
solutions have been examined, a slope variance can be requested from the Division with firm
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supporting documentation. This shall be done through a permit modification with fee. Such
variance requests will be evaluated on a case-by-case basis. Resolution of such request shall
be evident prior to completing and submitting the construction certification. [ 15A NCAC
02T.0105(n)]
9. A copy of the construction record drawings shall be maintained on file by the Permittee for
the life of the wastewater collection facilities. [15A NCAC 02T.0116]
10. Failure to abide by the conditions and limitations contained in this permit;15A NCAC 2T;the
Divisions Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the
Divisions Minimum Design Criteria for the Fast-Track Permitting of Pump Station and Force
Mains adopted June 1, 2000 as applicable; and other supporting materials may subject the
Permittee to an enforcement action by the Division, in accordance with North Carolina
General Statutes§143-215.6A through§143-215.6C,construction of additional or replacement
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wastewater collection facilities, and/or referral of the North Carolina-licensed Professional
Engineer to the licensing board. [15A NCAC 02T.0104; 15A NCAC 02T.0108(b-c)]
11. In the event that the wastewater collection facilities fail to perform satisfactorily,including the
creation of nuisance conditions, the Permittee shall take immediate corrective action,
including those as may be required by this Division, such as the construction of additional or
replacement facilities.[15A NCAC 02T.0110;15A NCAC 02T.0108(b)]
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12. The issuance of this permit shall not exempt the Permittee from complying with any and all
statutes, rules, regulations, or ordinances that may be imposed by the Division any other
Federal, State, or Local government agencies which have jurisdiction or obtaining other
permits which maybe required by the Division or any other Federal, State, of Local
government agencies. [G.S. 143-215.1(b)]
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Page 8 of 9

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE: City of High Point
PERMIT#: WQ0038534
PROJECT: Bethel Drive Pump Station Replacement
ISSUE DATE:June 10,2016
This project shall not be considered complete nor allowed to operate in accordance with
Condition 7 of this permit until the Division has received this Certification and all required
supporting documentation. It should be submitted in a manner that documents the Division's
receipt. Send the required documentation the Regional Supervisor, Water Quality Regional Operations
Section at the address at the bottom.
Any wastewater flow made tributary to the wastewater collection system extension prior to
completion of this Certification shall be considered a violation of the permit and shall subject the
Permittee to appropriate enforcement actions. The Permittee is responsible for tracking all partial
certifications up until a final certification is received. A Final Certification shall be a complete set
of record drawings and design calculations regardless of whether partials have been submitted.
PERMITTEE'S CERTIFICATION
I, the undersigned agent for the Permittee, hereby state that this project has been constructed
pursuant to the applicable standards & requirements, the Professional Engineer below has
provided applicable design/construction information to the Permittee, and the Permittee is
prepared to operate & maintain the wastewater collection system permitted herein or portions
F
thereof. I
Printed Name, Title Signature Date
ENGINEERS CERTIFICATION
I, as a duly registered Professional En ineer m the State of North
Carolina, having been authorized to observe (❑ periodically, LJ weekly, ❑ full time) the
construction of the project name and location as referenced above for the above Permittee hereby
state that, to the best of my abilities, due care and diligence was used in the observation of the
construction such that the construction was observed to be built within substantial compliance of
this permit,15A NCAC 02T;the Division of Water Resources'(Division)Gravity Sewer Minimum
Design Criteria adopted February 12,1996 as applicable;the Divisions Minimum Design Criteria
for the Fast-Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as
applicable;and other supporting materials.
..............
4
North Carolina Professional Engineer's Seal w/signature& date:
❑ Final ❑ Partial(include description)
Certification Comments/Qualifiers (attach if necessary):
..................................................
...:.............
NC DWR-Water Quality Regional Operations Section, 450 West Hanes Mill Road,Suite 300, Winston-Salem, NC 27105
Winston-Salem Regional Office Phone: [phone] FAX: [phone]

Application Number:
USE THE TAB KEY TO MOVE FROM FIELD TO FIELD v
(to be completed by DWR)
11. Owner/Permittee:
--- - - - - ------
1 s. Cityof High Point, NC
Full Legal Name(company,municipality, HOA, utility, etc.)
Z -------. ..... ..------ --------. ----- ---- _____._._._ .._._.-._._._._ . . ------- - ___ ---- -------- - -----.._._
O �1b. Terry Houk, Director of Public Services
Signing Official Name and Title(Please review 15A NCAC 2T 0106(b)for authorized signing officials)
_._.__. _._._.._. ------ . .. __._._ ------_ ---_._._ _.__ _._ _- __._.._._ _._._.._.__._._
1 c. The legal entity who will own this system is
�1d. -- Box---❑ Federal® Municipality State/County❑ Private Partnership
Po ❑ Corporation❑ Other(specify).____
nt
LL Mailing Address City
. .----..__.._._ --.._..__._..__ ------ _._._.._._._._------ _..-.__-.._._._._.__
1f. North Carolina 11g. 27261
Z State Zip Code
_._ - -._._._.._._._._._
1h. [phone] In 1j. Ter .Houk hi h ointnc. ov
QTelephone Facsimile I E-mail
V 2 Project(Facility) Information:
_.. --- -­ . .. . -
.J 2a. Bethel Drive Pump Station Replacement 2b. Guilford
CL Brief Project Name(permit will refer to this name) County Where Project is Located
a -- -- - ____ __- __ ___ ____ __ __.
Q 3 Contact Person
Q 3a. Randy McNeill PE(Davis-Martin-Powell @ p
Name and Affiliation of Someone Who Can Answer Questions About this Application
_._._. -_._- __ ...
3b. 336 886-4821 !3c. rmcnelll din Inc.com
Phone Number E-mail
11. Project is® New ❑ Modification(of an existing permit) If Modification, Permit No.:
2. Owner is ® 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 ❑ public Utility(Instruction D)
❑ Leasing units(lots,townhomes,etc.-skip to Item B(3)) ❑Homeowner Assoc./bevel r.Llnstru tion E
El Selling units(lots,townhomes, etc.-go to Item B(2b)) �� Uepar ment)Of
Environmental Qualit 'l
3. City of High Point, NC
1 Owner of Wastewater Treatment Facility(WWTF)Treating Wastewater From This Project p n"
4a. Westside WWTF 14b. NCO024228 5 u
Name of WWTF 1 WWTF Permit No `„': IYlSton-Sa em .`
LL
5a. Cityof High Point 5b. 18-in ®Gravity 5a Regions 0 ce
Owner of Downstream Sewer Receiving Sewer Size ❑ Force Main permit#of Downstream Sewer Instruction F
( )
___- --...___._._._ __._..__-__
Z r6. The origin.of this wastewater is (check all that apply):
_ ..
I_ ❑ Residential Subdivision ❑ Retail(Stores, shopping centers) _% Domestic/Commercial
❑Apartments/Condominiums ❑ Institution % Industrial
❑ Mobile Home Park ❑ Hospital
LL1 ❑ School ❑ Church (Attach Description)
d ❑ Restaurant ❑ Nursing Home %Other
CIS [I Office El Other(specify)
____.__ _..__...._IAttaGh_D&6GrlDtIOf1L._.._
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7. Volume of wastewater to be allocated or permitted for this particular project: None gallons per day
*Do not include future flows or previously permitted allocations
,
8. If the 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.
® Rehabilitation or replacement of existing sewer with no new flow expected
(see 15A NCAC 02T.0303 to determine if a permit is required)
FTA 10-14 APPLICATION Page 4 of 6

9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2T.0114 for
the value in Item B(7)AND/OR the design flow for line or pump station sizing if a reduced or zero flow is being requested in
Item B(7). Values other than that in 15A NCAC 2T.0114(b)and(c)must be supported with actual water or wastewater use
data in accordance with 15A NCAC 2T.0114(f).
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1__------...----------------------------...----------...---------------------------
110. Summary of Sewer Lines to be Permitted(attach additional sheets if necessary)
Size(inches) Length(feet) New Gravity or Additional
Force Main
r-
---- _._._._.._____. .------_--
12 DI 1 8.5 New Gravity
-- -.._._ --_--_-.__ !_..__
10"DI 11.3 Additional Force Main
-._._ _._._.__._.._.._._ ...--__.__._.------
i
Q ._._.._ _._. -- - ---- - -
W I
---------
,.-- -
Z
111. Summary of Pump Stations w/associated Force Mains to be Permitted(attach additional sheets as necessary)
0; Pump Station Location ID: (self chosen-as shown on plans/map for reference)
V Longitude: 35°55'13.8"N Latitude: 80°01'11.7"W
Z
O OpGPM@TDHonal int )II _____ .-._.._._._.___.__.__._.
Design Flow Power Reliability Option
Q (MGD) 12 pportable generatoermanent rw/MTS r w1ATS;1 Force Main Sae Force Main Length
L- --
N/A 850GPM_a@_69'TDH,._.._._ 1 10" 1720'
-- --- —._. ...... -- -.
Iy
Z
(Pump Station Location ID: (self chosen-as shown on plans/map for reference)
(Longitude: Latitude:
_.__._._._._. _- ...._._______ .. ._._.___._._. _._.__.__.__._
W Design Flow I Power Reliability Option
IL On
(MGD) i GPM @TDH 1 -permanent generatorw/ATS; Force Main Sae Force Main Length
perational Poi
. 2 portable generator w/MTS
--_-_._... .- -------------- ----- --
12. Will the wastewater flow in the proposed sewer lines or pump stations be able to be directed to another treatment facility?
❑Yes® No If Yes, permit number of 2nd treatment facility
.(RO—if"yes"to 13,12 please contact the Central Office PERCS Unit)
13. Does the sewer system comply with the Minimum Design Criteria for the Permitting of Pump Stations and Force Mains
(latest version),the Gravity Sewer Minimum Design Criteria(latest version)and 15A NCAC Chapter 2T as applicable?
I I
®Yes ❑ No
If No, complete and submit the Variance/Alternative Design Request(VADC 10-14)application and supporting
II documents for review. Approval of the request is required prior to submittal of the Fast Track Application and
supporting documents.
FTA 10-14 APPLICATION Page 5 of 6

14. Have the following permits/certifications been submitted for approval for the system or project to be served?
Wetland/Stream Crossings-General Permit or 401Certification? ❑Yes ❑ No ® N/A
Sedimentation and Erosion Control Plan? ❑Yes ❑ No ® N/A
Trout Buffer Waiver? ❑Yes ❑ No ® N/A
Stormwater? ❑Yes ❑ No ® N/A
15. Does this project include any high priority lines(15A NCAC 02T.0402 (2))involve aerial lines,siphons, or interference
manholes)? These lines will be considered high priority and must be checked once every six months
Check if Yes: ❑ and provide details:
-
-._.._._---- _-_------._. . ._._.._._-_- _-._... --- - - -
1. Owner/Permittee's Certification: (Signature of Signing Official and Project Name)
1, Terry Houk attest that this application for Bethel Drive Pump Station Replacement has been reviewed by me and
I. 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 documentation and attachments are not included, this application package is
subject to being returned as incomplete. Note: In accordance with North Carolina General Statutes 143-215.6A and 143-
j 215.6E any person who knowingly makes any false statement, representation, or certification in any application shall be
j 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.
_-__ __.._ ---_.---___ ---
1 a. 1 /3
Signing Official lure Date
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ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY
fn j TO OTHER UTILITIES, DESIGN CALCULATIONS, ETC. REFER TO 15A NCAC 02T .0305
I— 12. Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
V
I, ,attest that this application for Bethel Drive Pump Station Replacement has
been reviewed by me and is accurate, complete and consistent with the information in the engineering plans, calculations,
H 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, Gravity Sewer Minimum Design
VI Criteria for Gravity Sewers adopted February 12, 1996, and the Minimum Design Criteria for the Fast-Track Permitting of
Pump Stations and Force Mains adopted June 1, 2000 and the watershed classification in accordance with Division
V guidance. Although other professionals may have developed certain portions of this submittal package, 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 143-215.6E 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.
i
___- _._._._._._ _._.__.__.__ __-_....---.___---
2a. Randy McNeill CArfQ ,%-,
Professional Engineer Name o,
2b. Davis-Martin-Powell&Associates, Inc
Engineering Firm
2c.6415 Old Plank Road
Mailing Address s
_. _______ y FNGI Nti� ��
2d. High Point 2e. NC 2f 27266 + C
City State Zip
!,�® m��`91®vim -
2g. 336-819-5283 2h. 336-886-4458 21. rmcneill(a -inc.com r //
Telephone Facsimile E-mail NC PE Seal,Si natu E Date
FTA 10-14 APPLICATION Page 6 of 6

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DAMS 0 MARTIN 0 POWELL
ENGINEERS & SURVEYORS dmp
June 6, 2016
Re: City of High Point, NC
Bethel Dr. Pump Station Replacement
DMP Project 150301 (BF)
NC Department of
Environmental Quality Enviro
Mr. Corey Basinger v NCDEQ— DEMILR Received
450 West Hanes Mill Road Suite 300
Winston-Salem, North Carolina 27105 JUN 0 7 2016
Winston-Salem ra
Dear Corey: Regional Office
On behalf of the City of High Point and in regards to the referenced project we are enclosing the
following information for your review and approval:
0 Two (2) copies of Fast-Track Application for Gravity Sewers, Pump Stations and Forcemains
0 Two (2) copies of USGS site map exhibit
0 $480 review fee
The proposed project will involve the replacement of the Bethel Drive pump station and a slight
increase in pumping capacity from approximately 800 to 850 gpm, with no new sewer capacity at this
time. City staff has talked with your office and determined that a FTSE form is not required since no
new flows are associated with this project.
We trust the enclosed information is complete and will allow for approval to be issued at an early date.
However, should you have any questions or require additional information, please contact our office.
Sincerely,
DAVIS-MARTIN-POWELL &ASSOCIATES, INC.
Randy McNeill, PE
C: Terry Houk, City of High Point
Tyler Barrier, City of High Point(enc)
File (enc)
T:336-886-4821 1 F:336-886-4458 1 www.dmp-inc.com
6415 Old Plank Road, High Point,NC 27265

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Mickey, Mike
From: Randy McNeill <[e-mail]>
Sent: Tuesday,June 07, 2016 4:39 PM
To: Mickey, Mike
Cc: 'Ben Palmer'
Subject: RE: Bethel Drive PS Replacement
Mike,
it's an existing force main. We are just connecting the new pump station to the existing force main. We are aware of the
new forms but this one was already in process when we were made aware of the new forms. We are basically replacing
an obsolete pump station with a new one with similar firm capacity (maybe increasing capacity 50 gpm or so,based on
pump run history before the pumps were worn out), and adding standby power.
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Thanks,
Randy McNeill
Davis • Martin • Powell
p.336.886.4821x283 • m.336.803.0119
Stability... Value... Experience... let our experience make yours better/
From: Mickey, Mike [mailto:[e-mail]]
Sent: Tuesday, June 07, 2016 4:32 PM
To: [e-mail]
Subject:Bethel Drive PS Replacement
Randy—The above sewer extension application was received today. One question. Item B.(11) of the application shows
1,720 If of 10-inch force main. Is that new or existing?
FYI - Please use the new application (FTA 4-16)for future projects. No problem with this one since the signatures were
from April and May.
Thanks, Mike.
----------------------------------
M i ke.M i c key @ N CD E N R.gov
NC DEQ Winston-Salem Regional Office
Division of Water Resources-Water Quality Programs
450 W. Hanes Mill Road, Suite 300, Winston-Salem, NC 27105
Phone: [phone]
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E-mail correspondence to and from this address may be subject to the North
Carolina Public Records Law and may be disclosed to third parties.