WQ0007339_Application_19921214

F12c
MEMO TO: State Review Group
FROM: M. nd
Regional Sup Im",
SUBJECT: Procedure Fo �. -
WQ0007339
Marshall Street
Sewer Extension -Public
Montgomery County
Division of Environmental
Management
Fayetteville Regional
Office
12/17/92
Date
State Review Group Review
Engineer Thomas Brittian
Regional Office
Contact Ricky Revels
1) Name of wastewater treatment plant to receive the wastewater:
Town of Mt. Gilead Wastewater Treatment Plant
2) WWTP design capacity .850 MGD
3) NPDES Permit No.: NCO021105
4) Compliance Information:
Expiration Date: 08/31/91
Present treatment plant performance
for previous 12 months - beginning 12 l 91
(See attached self -monitoring data)
5) Quantity and type of wastewater from proposed sewers:
3,240 GPD
domestic 100% ; industrial ; other
6) Volume from previously approved projects not yet tributary to
WWTP 0_ GPD
7) Regional Recommendations: Approval X Denial
MJN/RR/rr
Enclosure

co
D FC 17 i992
ENV MANAGEMENT
State of North Carolina FAYETTEVILLE REG. OFFICE
Department of Environment, Health and Natural Resources
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27604
James G. Marlin, Governor George T. Everett,Ph.D.
William W. Cobey, Jr., Secretary Director
December 14, 1992
MR JIMMY R. HAITHCOCK
TOWN OF MOUNT GILEAD
PO BOX 325
MOUNT GILEAD, NORTH CAROLINA 27306
Subject: Application No. WQ0007339
Marshall St.
Sewers -Public
Montgomery County
Dear MR HAITHCOCK:
The Division's Permits and Engineering Unit acknowledges receipt of your permit application and
supporting materials on December 10, 1992. This application has been assigned the number shown
above. Please refer to this number when making inquiries on this project.
Your project has been assigned to Thomas Brittian for a detailed engineering review. A technical
acknowledgement will be forthcoming.
Be aware that the Division's regional office, copied below, must provide recommendations from the
Regional Supervisor or a Procedure Four Evaluation for this project, prior to final action by the
Division.
If you have any questions, please contact Thomas Brittian at [phone].
cc: Fayetteville Regional Office
Hobbs Upchurch & Associates
Sincerely,
Donald Sa rit, P.E.
Supervisor, Permits and Engineering Unit
Pollution Prevention Pays
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

1SWt
V
State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Environmental Management
Non -Discharge Permit Application
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
GRAVITY SEWER EXTENSION
I. GENERAL INFORMATION:
1. Applicant (corporation, individual, or other):
Town of Mount Gilead
2. Print Owners or Signing Official's Name and Title (the person who is legally
responsible for the facility and its compliance): Jimmy R. Haithcock, Mayor
3. Mailing Address;
P.O. Box 325
City: Mount Gilead
Telephone No.: ( 919 )
State: NC Zip: 27306-0325
439-5111
4. Project Name (subdivision, facility, or establishment name - should be consistent with
project name on plans/specs., letters of flow acceptance, Operational Agreements, etc.):
Sewer Improvements to Serve Marshall Street Area
5. Application Date: November 20, 1992 6. Fee Submitted: $ 400.00
7. County where project is located: Montgomery
II. PERMIT INFORMATION:
1. Permit No. (will be completed by DEM): 1 �O %o`, 3 c�
2. Specify whether project is: x new; renewal*; modification.
*If renewal, complete only sections I through III and applicant signature
(on pg.5). Submit only pgs. 1, 2, 5 (original and 3 copies of each). Engineer
signature not required for renewal.
3. If this application is being submitted as a result of a renewal or modification to an
existing permit, list the existing permit number N/A and issue date N/A
4. Specify whether the applicant is x public or private.
FORM: GSEA 4/91 Page 1 of 6

GRAVITY SEWER EXTENSION
PAGE 2 (4/91)
III. INFORMATION ON WASTEWATER:
1. Nature of Wastewater. 100 %v Domestic; % Commercial;
% Industrial; % Other waste (specify):
2. Please provide a one or two word description specifying the origin of the wastewater,
such as school, subdivision, hospital, commercial, industrial, apartments, etc.:
subdivision
3. Indicate any parameter (and its concentration) that will be greater than normal domestic
levels: None
4. If wastewater is not domestic in nature, what level of pretreatment has been provided to
ensure protection of the receiving wastewater treatment facility?
N/A
5. Volume of wastewater generated by this project: 3,240 gallons per day
6. Explanation of how wastewater volume was determined: Nine (9) single-family
units at 360 gal/day = 3,240 gal/day.
IV. DESIGN INFORMATION:
1. Brief project description: 898 LF 8" PVC gravity sewer, 240 LF 8" DIP,
5 manholes and 9 service connections.
2. Name of wastewater treatment facility receiving wastewater: Mount Gilead WWTP
a. Facility permit no.: NC0021105
b. Engineer should provide statement of his evaluation of downstream sewers to
accept the wastewater:
2of6

GRAVITY SEWER EXTENSION
PAGE 3 (4/91)
3. Summary of sewer pipe by diameter size and pipe material. Indicate here whether C
factor or N factor is used and circle C or N below: N
Dia.
Length
Pipe
C or N
Min. Max.
Minimum Max. Minimum
(In.)
(Lin. Ft)
Material
Factor
Slope % Slope %
Velocity (fps) Vel.(fps) Cover (in)
8"
898
PVC
0.010
1.20 8.00
3.01 11.76 36
8"
240
DIP
0.013
0.40 0.40
3.20 3.20 --
NOTE: The minimum velocity must not be less than 2 fps.
For public sewers the minimum diameter is 8 inches.
4. Anchors shall be provided for sewers with slopes greater than 20 %. The anchor
spacing shall be as follows:
a. 36 feet separation for slopes of 21% to 35%;
b. 24 feet separation for slopes of 36% to 50%;
c. 16 feet separation for slopes of 50% and greater.
For velocities greater than 15 fps, it is strongly recommended that measures be
considered which will protect the sewers and manholes from erosion. For velocities
greater than 20 fps, erosion control measures must be specified.
For any excessive slopes or velocities that will occur in any sewer line segment, what
measures have been taken to protect the sewer pipe and manholes?
N/A
5. Maximum sewer reach length between manholes: 278 . l6 linear feet.
6. This sewer line segment occurs between manhole no. 2 and manhole no. 3
7. Does the owner/operator have the ability to clean this length? x Yes No.
8. Sewer subject to existing or planned traffic bearing loads? Yes x No.
If yes, what measures are being taken to enable the sewers to withstand the loads?
9. Outside drop manholes are provided where invert separations exceed: 2 feet.
10. Identify (by manhole number) those manholes that have drop connections:
3of6

GRAVITY SEWER EXTENSION
PAGE 4 (4/91)
11. Maximum allowable infiltration/exfiltration test rate:
Note: Must not exceed 200 GPD/ pipe dia. ind mile. 200 GPD/ pipe dia. in./ mile.
12. Minimum separation distances as shown on the plans or addressed in the specifications:
a) 100 ft. horizontal separation from wells or other water supplies? x Yes _ No
b) 12 in. vertical separation from storm sewer or ferrous pipe
sanitary sewer specified? x Yes —No
c) 10 ft horizontal separation from water mains or 18 in. vertical
separation (water over sewer) or ferrous pipe specified? x Yes —No
13. Are manholes subject to flooding? _Yes x No
14. If yes, are manhole rim elevations 1 foot above 100-year flood level, _ Yes _ No
(100 year flood elevation should be indicated on plans)
15. Or are manholes watertight and vented 1 foot above the 100-year
flood elevation ( should be shown on plans): _Yes —No
16. Identify (by manhole number) those manholes that are vented:
17. Does this project involve any stream crossings? _ yes _ no. If yes, what precautions
or special features have been utilized to ensure protection of the sewer line and not
restrict stream flow? Identify the sheet of the plans and station number where stream
crossings are located:
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE
DIVISION OF ENVIRONMENTAL MANAGEMENT UNLESS ALL OF
THE APPLICABLE ITEMS ARE INCLUDED WITH THE SUBMITTAL
Required Items
a. One original and three copies of the completed and appropriately executed application form.
b. Three sets of detailed plans and specifications signed and sealed by a North Carolina
Professional Engineer. The plans must include a general location map, a plan view of the
sewer extension, a profile of the sewer extension, and must show the proximity of the
sewer extension to other utilities and natural features. Specifications may be omitted for
delegated authorities. Each sheet of the plans and the first page of the specifications must be
signed and sealed. Three copies of the existing permit if a renewal or modification.
c. The appropriate permit processing fee, in accordance with 15A NCAC 2H .0205(c)(5).
d. If the owner/authority of the wastewater treatment facility (WWTF) that will be accepting
the wastewater flow from this project is different from the applicant of the project, then a
letter must be provided from the owner/authority of the WWTF specifying the volume of
flow that will be accepted. The letter should be a recent letter and should refer to the project
by the same name as that identified on the application and the plans/specifications.
e. An Operational Agreement (original and two copies) must be submitted if the sewer
extension will be serving single family residences, condominiums, mobile homes, or town
houses and if the subject sewer extension is owned by the individual residents, a
homeowners association, or a developer.
4of6

GRAVITY SEWER EXTENSION
PAGE 5 (4/91)
Name and Complete Address of Engineering Firm:
Post Office Box 1737
City:
Southern Pines
Telephone No. [phone]
Hobbs, Upchurch & Associates, P.A.
State: NC
Zip:
28388
Professional Engineer's Certification:
I, Bill Lester, Jr. , attest that this application for water and sanitary
sewer improvements for the Town of Mt. Gileadhas been reviewed by me and is accurate
and complete 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.
North Carolina Professional Engineer's Registration No. 17651
Print Name of Engineer
Bill Lester, Jr., P.E.
Seal and Signature (specify date):
Applicant's Certification:
Motor
' W51
. C/O: :
v
L EST w �;•``'
1ti
1, Jimmy R. Haithcock , attest that this application for water and sanitary
sewer improvements for the Town of Mt Gilead
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 npt included, this application package will be returned as
Date
PRE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
INFORMATION AND MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
PERMITS AND ENGINEERING UNIT
POST OFFICE BOX 29535
512 NORTH SALISBURY STREET
RALEIGH, NORTH CAROLINA 27626-0535
TELEPHONE NUMBER: 919/733-5083
5of6

GRAVITY SEWER EkMNS1ON _
PAGE 6 (4/91)
PERMIT APPLICATION PROCESSING FEES
(effective October 1,1990)
CATEGORY NEW APPLICATIONS/ RENEWALS WITHOUT
MODIFICATIONS MODIFICATIONS
�I.IZI�I.I.IZ '
Industrial
$400
$300
Domestic/Cooling Water
$400
$300
10,001 - 1,000,000 GPD
Industrial
$400
$250
Domestic/Cooling Water
$400
$250
1,001 - 10,000 GPD
Industrial
$400
$200
Domestic/Cooling Water
$400
$200
< or = 1,000 GPD and
Single Family Dwelling
$240
$120
Sludge < or = 300 Acres
$400
$250
Sludge > 300 Acres
$400
$250
Sewer Extensions
(nondelegated) $400 0
Sewer Extensions
(delegated) $200 0
Closed -Loop Recycle
or Evaporative $400 $200
NOTE: The Fees for Soil Remediation Projects are the same as for Sludges.
Under the Sewer Extension Fee, "delegated to municipalities" applies
only to those governmental jurisdictions that have specific delegation
review authority, as granted by the Division of Environmental
Management.
6of6

01
State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Environmental Management
Non -Discharge Permit Application
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
GRAVITY SEWER EXTENSION
I. GENERAL INFORMATION:
1. Applicant (corporation, individual, or other):
Town of Mount Gilead
2. Print Owners or Signing Official's Name and Title (the person who is legally
responsible for the facility and its compliance): Jimmy R. Haithcock, Mayor
3. Mailing Address: P.O. Box 325
City: Mount Gilead State:
Telephone No.: ( 919 439-5111
NC
Zip: 27306-0325
4. Project Name (subdivision, facility, or establishment name - should be consistent with
project name on plans/specs., letters of flow acceptance, Operational Agreements, etc.):
Sewer Improvements to Serve Marshall Street Area
5. Application Date: November 20, 1992 6. Fee Submitted: $ 400.00
7. County where project is located: Montgomery
II. PERMIT INFORMATION:
1. Permit No. (will be completed by DEM):
2. Specify whether project is: x new; renewal*; modification.
*If renewal, complete only sections I through III and applicant signature
(on pg.5). Submit only pgs. 1, 2, 5 (original and 3 copies of each). Engineer
signature not required for renewal.
3. If this application is being submitted as a result of a renewal or modification to an
existing permit, list the existing permit number N/A and issue date N/A
4. Specify whether the applicant is x public or private.
FORM: GSEA 4/91 Page 1 of 6

GRAVITY SEWER EXTENSION
PAGE 2 (4/91)
III. INFORMATION ON WASTEWATER:
1. Nature of Wastewater. 100 % Domestic;
% Commercial;
% Industrial; % Other waste (specify):
2. Please provide a one or two word description specifying the origin of the wastewater,
such as school, subdivision, hospital, commercial, industrial, apartments, etc.:
subdivision
3. Indicate any parameter (and its concentration) that will be greater than normal domestic
levels: None
4. If wastewater is not domestic in nature, what level of pretreatment has been provided to
ensure protection of the receiving wastewater treatment facility?
N/A
5. Volume of wastewater generated by this project: 3,240 gallons per day
6. Explanation of how wastewater volume was determined: Nine (9) single-family
units at 360 gal/day = 3,240 gal/day.
IV. DESIGN INFORMATION:
1. Brief project description: 898 LF 8" PVC gravity sewer, 240 LF 8" DIP,
5 manholes and 9 service connections.
2. Name of wastewater treatment facility receiving wastewater: Mount Gilead WWTP
a. Facility permit no.:
NC0021105
b. Engineer should provide statement of his evaluation of downstream sewers to
accept the wastewater:
2of6

GRAVITY SEWER EXTENSION
PAGE 3 (4/91)
3. Summary of sewer pipe by diameter size and pipe material. Indicate here whether C
factor or N factor is used and circle C or N below:
N
Dia.
Length Pipe C or N Min. Max.
Minimum
Max. Minimum
(In.)
(Lin. Ft) Material Factor Slope % Slope %
Velocity (fps)
Vel.(fps) Cover (in)
8"
898 PVC 0.010 1.20 8.00
3.01
11.76 36
8"
440 DIP 0.013 0.40 0.40
3.20
3.20 --
NOTE: The minimum velocity must not be less than 2 fps.
For public sewers the minimum diameter is 8 inches.
4. Anchors shall be provided for sewers with slopes greater than 20 %. The anchor
spacing shall be as follows:
a. 36 feet separation for slopes of 21% to 35%;
b. 24 feet separation for slopes of 36% to 50%;
c. 16 feet separation for slopes of 50% and greater.
For velocities greater than 15 fps, it is strongly recommended that measures be
considered which will protect the sewers and manholes from erosion. For velocities
greater than 20 fps, erosion control measures must be specified
For any excessive slopes or velocities that will occur in any sewer line segment, what
measures have been taken to protect the sewer pipe and manholes?
N/A
5. Maximum sewer reach length between manholes: 278. l6 linear feet.
6. This sewer line segment occurs between manhole no. 2 and manhole no. 3
7. Does the owner/operator have the ability to clean this length? x Yes No.
8. Sewer subject to existing or planned traffic bearing loads? Yes x No.
If yes, what measures are being taken to enable the sewers to withstand the loads?
9. Outside drop manholes are provided where invert separations exceed: 2 feet.
10. Identify (by manhole number) those manholes that have drop connections:
3 of 6

GRAVITY SEWER EXTENSION
PAGE 4 (4/91)
11. Maximum allowable infiltradon/exfiltration test rate:
Note: Must not exceed 200 GPD/ pipe dia. in./ mile. 200 GPD/ pipe dia. in./ mile.
12. Minimum separation distances as shown on the plans or addressed in the specifications:
a) 100 ft. horizontal separation from wells or other water supplies? x Yes _ No
b) 12 in. vertical separation from storm sewer or ferrous pipe
sanitary sewer specified? x Yes _ No
c) 10 ft horizontal separation from water mains or 18 in. vertical
separation (water over sewer) or ferrous pipe specified? x Yes _ No
13. Are manholes subject to flooding? _Yes x No
14. If yes, are manhole rim elevations 1 foot above 100-year flood level, _ Yes _ No
(100 year flood elevation should be indicated on plans)
15. Or are manholes watertight and vented 1 foot above the 100-year
flood elevation ( should be shown on plans): _Yes _No
16. Identify (by manhole number) those manholes that are vented:
17. Does this project involve any stream crossings? _ yes _ no. If yes, what precautions
or special features have been utilized to ensure protection of the sewer line and not
restrict stream flow? Identify the sheet of the plans and station number where stream
crossings are located:
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE
DIVISION OF ENVIRONMENTAL MANAGEMENT UNLESS ALL OF
THE APPLICABLE ITEMS ARE INCLUDED WITH THE SUBMITTAL
Required Items
a. One original and three copies of the completed and appropriately executed application form.
b. Three sets of detailed plans and specifications signed and sealed by a North Carolina
Professional Engineer. The plans must include a general location map, a plan view of the
sewer extension, a profile of the sewer extension, and must show the proximity of the
sewer extension to other utilities and natural features. Specifications may be omitted for
delegated authorities. Each sheet of the plans and the first page of the specifications must be
signed and sealed. Three copies of the existing permit if a renewal or modification.
c. The appropriate permit processing fee, in accordance with 15A NCAC 2H .0205(c)(5).
d. If the owner/authority of the wastewater treatment facility (WWTF) that will be accepting
the wastewater flow from this project is different from the applicant of the project, then a
letter must be provided from the owner/authority of the WWTF specifying the volume of
flow that will be accepted. The letter should be a recent letter and should refer to the project
by the same name as that identified on the application and the plans/specifications.
e. An Operational Agreement (original and two copies) must be submitted if the sewer
extension will be serving single family residences, condominiums, mobile homes, or town
houses and if the subject sewer extension is owned by the individual residents, a
homeowners association, or a developer.
4of6

GRAVITY SEWER EXTENSION
PAGE 5 (4/91)
Name and Complete Address of Engineering Firm:
Post Office Box 1737
City: Southern Pines
Telephone No.
[phone]
Hobbs, Upchurch & Associates, P.A.
State: NC Zip:
28388
Professional Engineer's Certification:
I, Bill Lester, Jr. , attest that this application for water and sanitary
sewer improvements for the Town of Mt. Gileadhas been reviewed by me and is accurate
and complete 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.
North Carolina Professional Engineer's Registration No. 17651
Print Name of Engineer
Bill Lester. Jr.. P.E.
Seal and Signature (specify date):
Applicant's Certification:
11u„
�iva1LIZ
qv
<<�tEST Oki
I, Jimmy R. Haithcock , attest that this application for water and sanitary
sewer improvements for the Town of Mt. Gilead
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 npt included, this application package will be returned as
Date
PRE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
INFORMATION AND MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
PERMITS AND ENGINEERING UNIT
POST OFFICE BOX 29535
512 NORTH SALISBURY STREET
RALEIGH, NORTH CAROLINA 27626-0535
TELEPHONE NUMBER: 919/733-5083
5of6

GRAVITY SEWER EXTENSION
PAGE 6 (4/91)
PERMIT APPLICATION PROCESSING FEES
(effective October 1,1990)
CATEGORY NEW APPLICATIONS/ RENEWALS WITHOUT
MODIFICATIONS MODIFICATIONS
> 1,000,000 GPD
Industrial
$400
$300
Domestic/Cooling Water
$400
$300
10,001 - 1,000,000 GPD
Industrial
$400
$250
Domestic/Cooling Water
$400
$250
1,001 - 10,000 GPD
Industrial
$400
$200
Domestic/Cooling Water
$400
$200
< or = 1,000 GPD and
Single Family Dwelling
$240
$120
Sludge < or = 300 Acres
$400
$250
Sludge > 300 Acres
$400
$250
Sewer Extensions
(nondelegated) $400 0
Sewer Extensions
(delegated) $200 0
Closed -Loop Recycle
or Evaporative $400 $200
NOTE: The Fees for Soil Remediation Projects are the same as for Sludges.
Under the Sewer Extension Fee, "delegated to municipalities" applies
only to those governmental jurisdictions that have specific delegation
review authority, as granted by the Division of Environmental
Management.
6of6

JAN 14 1993
let- ENV. MANAGEMENT
FAYETTEVILLE REG. OFFICF
State of North Carolina
Department of Environment, Health and Natural Resources
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27611
James G. Martin, Governor
William W. Cobey, Jr., Secretary
January 12, 1993
Jimmy R. Haithcock, Mayor
Town of Mount Gilead
P.O. Box 325
Mount Gilead, NC 27306
A. Preston Howard, Jr., P.E.
Acting Director
Subject: Application No. WQ0007339
Additional Information Request
Town of Mount Gilead
Sewer Extension
Montgomery County
Dear Mayor Haithcock:
The Permits and Engineering Unit has completed a preliminary engineering review of the subject
application. The following items must be addressed before we can complete our review:
1) The Division requires that at all stream crossings, either the top of the pipe be below the
stream bed (at least three feet unless ferrous material pipe is used) or that the bottom of
the pipe be above the 25 year flood elevation. Please provide the 25 year flood
elevation for the stream shown on the submitted plans (elevated crossing) and, if
necessary, provide revised plans to comply with the above requirements.
Refer to the subject permit application number when providing the requested information. Please
submit three copies of all information to my attention at the address below. Also, please
note that failure to provide this additional information on or before March 12, 1993 will subject your
application to being returned as incomplete, in accordance with 15A NCAC 2H .0208.
Regional Offices
Mooresville Raleigh Washington Wilmington Winston-Salem
Asheville Fayetteville 19/486-1541 704/663- 99 919//571-4700 9 9/946-6481 919/395 3900 919/896 7007
7(}4/251 6208 9 9/
Pollution Prevention Pays
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

Page 2
V IQ0007339
January 12, 1993
If y_ou have any questions on this matter, please call me at 919/ 733-5083.
Sincerely,
0WO.'( S/ZW4/
Thomas G. Brittian
State Engineering Review Group
cc: Fayetteville Regional Office
Permit File WQ0007339
Hobbs, Upchurch & Associates, P.A.