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HomeMy WebLinkAboutWQ0041620_Application (FTSE)_20200402r� THE WOOTEN COMPANY 301 West 141^ Street Greenville, NC 27834 k�252.757.1096 Fax 252, 757.3221 March 31, 2020 Mr. Scott Vinson Division of Water Resources NC Department of Environmental Quality 943 Washington Street Washington, NC 27889 M L) ORIGINAL Application for Force Main Relocation for Town of Winterville TWC Project No. 2853-AM Mr. Vinson: On behalf of Town of Winterville, we are sending you the following documents for your review and approval for the above -referenced project: • One (1) check for $480.00 made payable to NCDEQ; • One (1) original and one (1) copy of the FTA 04-16 permit application w/ appendices; o A — Cover Letter o B — Application Fee o C — Application Form FTA 04-16 o D —Flow Tracking/Acceptance Forms (N/A —No New Flow) o E — Site Maps o F — Existing Permit (WQCS00117) o G — Power Reliability Plan (N/A -Force Main Relocation Only) o H — Certificate of Public Convenience and Necessity (N/A -Not Included) o I — Operational Agreements (N/A — Not Included) The project will replace existing 8" force main with a new 12" force main to expand the current and future capacity of the Town. The work will occur in NCDOT right-of-way. I trust the above information is sufficient for your review; however, if you should have any questions or require additional information, please do not hesitate to contact us. Best Regards, THE WOOTEN COMPkN William A. Larsen, PE Enclosures: As noted above cc: Terri L. Parker, Town of Winterville TWC File Appendix A Cover Letter 9Fe F FAST TRACK COVER LETTER �Y�r/ro�d/�d�ar ZQZO b HIGHWAY 11 FORCE MAIN REPLACEMENT Town of Winterville March 2020 PREPARED BY: T T THE WOOTEN COMPANY 301 West 14th Street, Greemvle. NC 2704 Licenses No. F-0115 A. DESCRIPTION OF PROJECT Location of Project The Town of Winterville is geographically located in the coastal plain region of North Carolina six (6) miles south of the City of Greenville in Pitt County. The Town is four (4) miles north of the Town of Ayden. Major transportation corridors include Highway 264 to the north of Winterville, which runs east to west, and NC Highway 1 I to the west, which runs north to south. Other major transportation corridors include NC Highways 903 and 43 to the west and east, respectively. The CSX Railroad line runs through the center of the Town in a northeast -southwest direction along Railroad Street. Based on 2017 data, Winterville had an estimated population of 9,654 persons and has experienced a steady annual growth of 4.7% since 2010 according to the US Census Data. Type of Development The proposed project is the replacement of an 8-inch force main replacement with a new 12-inch force main under NC Highway 11. The line is being replaced to expand the current and future capacity of the Town's wastewater transmission capacity. The new 12-inch line will be installed parallel to the existing force main, approximately 60 feet northeast of the existing line. The new force main will then tie into the existing 14-inch CMSD force main on the downstream side (western) and an existing 8-inch force main on the upstream side (eastern) of the right of way. The project is more specifically defined as follows: Church Street Force Main Replacement • Abandon Existing 8-inch Force Main • 190 LF of New 12-inch FPVC Force Main with 175 LF 24-inch Steel Encasement (dry jack and bore) • 243 LF of New 12-inch PVC Force Main (open trench) • 40 LF of 1UDIP (open trench) • I New Valve Vault • 2 New 12-inch Plug Valve and Box Existing Conditions As the Town of Winterville's population continues to grow, as does the necessity to increase the wastewater transmission demands. Winterville's system has two (2) connections with the CMSD Highway 11 transmission system (Reedy Branch PS and Church Street PS). Over the last three (3) years, Winterville has strategically begun replacement of the existing 6/8-inch force main from the Church Street pump station. This portion of the Church Street force main was installed in approximately 1998. In a recent project to replace another encased portion of the force main, it was discovered that the lack of end caps on the existing jack and bore prohibited the Town from access to that section of main. Given the two (2) jack and bore sections were installed under the same contract, it is reasonable to assume the same conditions are present under Highway 11. Therefore, the capacity increase and lack of access to carrier pipe result in the only viable solution to be installation of new encasement and carrier pipes and abandonment of the existing utilities. Existing Drainage Patterns None of the proposed project areas encroach within the 100-year or 500-year floodplain. Geological features are typical of the North Carolina coastal plain region with gradual elevation changes. There are no sudden or significant elevation changes in the area. The specific topography within the project area consists of gradual elevation changes leading to roadside ditches or natural drainage features. Page 12 B. TIME SEQUENCE OF OPERATIONS Construction is anticipated to begin in the summer of 2020. Permits are being secured now and once the project is awarded, construction will be able to start. The contractor shall complete all construction within the easements and rights -of -ways as shown on the plans. All utilities must be checked and tested and any areas that can be seeded should be done as soon as possible. Page 13 Appendix B Application Fee Appendix C Application Form PAV4 R Division of Water Resources State of North Carolina�F Department of Environmental Quality cF� Division of Water Resources CAC 02T.0300— FAST TRACK SEWER SYSTEM EXTENSION AP ICAT1%* 15A INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING OCUITATION This application is for sewer extensions involving gravity sewers, pump stations and force mains, or any combination that �i'btp certified by a professional engineer and the applicant that the project meets the requirements of 15A NCAC 02T and the Divis Minimum Design Criteria and that plans, speciflcations and supporting documents have been prepared in accordance with, NCAC 02T, ISA NCAC 02T.0300, VIVIsioo policies and good engineering practices. While no upfront engineering design documents are required for submittal, in accordance with 15A NCAC 02T .0305(b), design documents must be prepared prior to submittal of a fast track permit application to the Division. This would include plans, design calculations, and project specifications referenced in ISA NCAC 02.1• .030 and the applicable minimum design criteria. These documents shall be available upon request by the Division. Projects that are deemed permitted (do not require a permit from the Division) are explained in 15A NCAC 021.0303. Projects not eligible for review via the fast track process (must be submitted for full technical review): ➢ Projects that require an environmental assessment in accordance with 15A NCAC I C .0100; ➢ Projects that do not meet any part of the minimum design criteria (MDC) document; D Projects that involve a variance from the requirements of 15A NCAC 2T; ➢ Pressure sewer systems utilizing septic tank -effluent pumps (STEPs) or simplex grinder pumps; D STEP or simplex grinder pumps connecting to pressurized systems (e.g. force mains); ➢ Vacuum sewer systems. General — When submitting an application, please use the following instructions 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. Failure to submit all required items will necessitate additional processing and review time, and may result in return of the application. Unless otherwise noted, the Applicant shall submit one original and one copy of the application and supporting documentation. A. One Original and One Copy of Application and Supporting Documents ® Required unless otherwise noted B. Cover Letter (Required for All Application Packages): ® List all items included in the application package, as well as a brief description of the requested permitting action. ➢ Be specific as to the system type, number of homes served, flow allocation required, etc. D If necessary for clarity, include attachments to the application form. C. Application Fee (All New and Major Modification Application Packages): W Submit a check or money order in the amount of $480.00 dated within 90 days of application submittal. ➢ Payable to North Carolina Department of Environmental Quality (NCDEQ) D. Fast Track (Form: FTA 04-16) Application (Required for All Application Packages): ® Submit the completed and appropriately executed application. ➢ If necessary for clarity or due to space restrictions, attachments to the application may be made. ❑ If the Applicant Type in Item 1.2 is a corporation or company, provide documentation it is registered for business with the R0_ __C4Mllu&asprelary ol'Statc. ❑ If the Applicant Type in Item 1.2 is a partnership or d/b/a, enclose a copy of the certificate fried with the Register of Deeds in the county of business. ❑ The Project Name in Item 11.1 shall be consistent with the project name on the flow acceptance letters, agreements, etc. ® The Professional Engineer's Certification on Page 5 of the application shall be signed, sealed and dated by a NZIh Carolina Ilcensed Professional Enuineer. ® The Applicant's Certification on Page 5 of the application shall be signed 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 in 15A NCAC 02T .0106(b). INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page I of 3 V°2 1�s E. Flow Tracking/Acceptance Form (Form: FTSE 04-16) (If Applicable): ❑ Submit the completed and executed FTSE form from the owners of the downstream sewers and treatment facility. ➢ Multiple forms maybe required where the downstream sewer owner and wastewater treatment facility are different. ➢ The flow acceptance indicated in form FTSE must not expire prior to permit issuance and must be dated less than one year prior to the application date. ➢ Submittal of this application and form FTSE 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 a project -specific FTSE. F. Site Maps (All Application Packages): ® Submit an 8.5-inch x t 1-inch color copy of a USGS Topographic Map of sufficient scale to identify the entire project area and closest surface waters. ➢ Location of the project (gravity sewer, pump stations & force main) ➢ Downstream connection points and permit number (if known) for the receiving sewer ® Include a street level map showing general project area. G. Existing Permit (All Modification Packages): ❑ Submit the most recently issued existing permit. ❑ Provide a list of any items within the permit the Applicant would like the Division to address during the permit modification (i.e., permit description, flow allocation, treatment facility, etc.). H. Power Reliability Plan (Required if portable reliability option utilized for Pump Station): ❑ Per 15A NCAC OTT .0305(h)(11. submit documentation of power reliability for pumping stations. ➢ This alternative is only available for average daily flows less than 15,000 gallons per day D It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant and is compatible with the station. The Division will accept a letter signed by the applicant (see 15A NCAC 02T .0106(b)) or proposed contractor, stating that "the portable power generation unit or portable, independently -powered pumping units, associated appurtenances and personnel are available for distribution and operation of this pump station." ➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations' storage capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be provided in the case of a multiple station power outage. (Required at time of certification) 1. Certificate of Public Convenience and Necessity (All Application Packages for Privately -Owned Public Utilities): ❑ Per 1 SA NCAC f QLI5_(WW provide the Certificate of Public Convenience and Necessity from the North Carolina -QZIltllitles Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served by the sewer extension, or ❑ Provide a letter from the North Carolina t)lJJ11I gIL is 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. J. Operational Agreements (Applications from HOA/POA and Developers for lots to be sold): ❑ 1lonte/Property Owncr1' Associations ❑ Per ISA NCAC 02T AI I&l, submit the properly executed Oparalimtal Aargefttent/FgNM: FIOA). ❑ Per 15A NCAC 02T .0115(c), submit a copy of the Articles of Incorporation, Declarations and By-laws. ❑ Developers of lots to be sold ❑ Per 15A NCAC 02T .0115(b), submit the properly executed Oncratignal Agreement (FORM: DEV). For more information, visit the Division's collection ,systems website INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page 2 of 3 THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND MATERIALS, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE: REGIONAL OFFICE ADDRESS COUNTIES SERVED Mhsvills Realgnsl OHiee 2090 US Highway 70 Avery, Buncombe, Burke, Caldwell, Cherokee, Water QuaIIN Sactlon Swannanos, North Carolina 28778 Clay, Graham, Haywood, Henderson, Jackson, (828) 296-4500 Macon, Madison, McDowell, Mitchell, Polk, (828) 299-7043 Fax Rutherford, Swain, Transylvania, Yancey Favaltevllle Regional 4lfice 225 Green Street Suite 714 Anson, Bladen, Cumberland, Harnett, Hoke, Water QuaIIN Sae ion Fayetteville, North Carolina 28301-5094 Montgomery, Moore, Robeson, Richmond, (910) 433-3300 Sampson, Scotland (910) 486-0707 Fax Alexander, Cabarrus, Catawba, Cleveland, Moomvllle RMlortat Office 610 E. Center Avenue Water QuaIIN Sactlon Mooresville, North Carolina 28115 Gaston, Iredell, Lincoln, Mecklenburg, Rowan, (704) 663-1699 Sternly, Union (704) 663-6040 Fax R11e1gh Regional Ofice 1628 Mall Service Center Chatham, Durham, Edgecombe, Franklin, Water QusliN Sactlon Raleigh, North Carolina 27699-1628 Granville, Halifax, Johnston, Lee, Nash, (919) 791-4200 Northampton, Orange, Person, Vance, Wake, (919) 788-7159 Fax Warren, Wilson Washington Regional Office 943 Washington Square Mall Beaufort, Bartle, Camden, Chowan, Craven, Water Quality Season Washington, North Carolina 27889 Currituck, Dare, Gates, Greene, Hertford, Hyde, (252) 946-6481 Jones, Lenoir, Martin, Pamlico, Pasquctank, (252) 975-3716 Fax Perqulmans, Pift, Tyrrell, Washington, Wayne Wilmington Raglonsl Office 127 Cardinal Drive Extension Brunswick, Carteret, Columbus, Duplin, New Wabr QuaIIN Sactlon Wilmington, North Carolina 28405 Hanover, Onslow, Pander (910) 7W7215 (910) 350-2004 Fax Wlnaton,Salem Regional Office Alamence, Allegheny, Aahe, Caswell, Davidson, 450 W. Hanes Mill Road Water Quality Soction Suite 300 Davie, Forsyth, Guilford, Rockingham, Randolph, Wnston-Salem, North Carolina 27105 Stokes, Suny, Watauga, Wilkes, Yadkin (336) 776-9800 INSTRUCTIONS FOR FORM: FTA 04.16 & SUPPORTING DOCUMENTATION Page 3 of 3 LR State of North Catlin Department of Environmental Qu Division of Water R��esso""ur d 15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPrrr TI01 DNlslon of Water Resources FTA 04-16 & SUPPORTING DRICUMEN ATIOI 970 6y O �e, G Application Number: (to be completed by DWR) �o��i °G All Ilcros must he eonuilcled or the annllcalion will be returned � I. APPLICANT INFORMATION: Co 1. Applicant's name: Tqwi1qLWillIgLv-illg (company, municipality, HOA, utility, etc.) 2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility ❑ Federal ❑ State/County ® Municipal ❑ Other 3. Signature authority's name: Terri L. Parker per aA N_UJ 02.[1. 1 (mil W Title: Town Manager 4. Applicant's mailing address: 2936 Church Street City: Winterville State: NC Zip: 28590-_ 5. Applicant's contact information: Phone number: (252)215-2240 Email Address:terri, cra)wintervillcna.com II. PROJECT INFORMATION: 1. Project name: tlighwav I I I_nre�Main Iteluealion 2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project If a modification, provide the existing permit number: W000_ and issued date: _ If new construction but part of a master plan, provide the existing permit number: W000_ 3. County where project is located: Pitt 4. Approximate Coordinates (Decimal Degrees): Latitude: 35.51430 Longitude:-77.41370 5. Parcel ID (if applicable): N/A (or Parcel ID to closest downstream sewer) Ill. CONSULTANT INFORMATION: 1. Professional Engineer: William A. Larsen. PE License Number: 041415 Firm: Thu Woulcn Conte Mailing address:301 West 14"Street City: Greenville State: NC Zip: 27834-_ Phone number: QL2) L57-1096 Email Address: AWLnfL4thety tencpt�pnt .con) IV. WASTEWATER TREATMENT FACILITY (W WTF) INFORMATION: I. Facility Name: Contcnlnea Metropolitan Sewerage District W W IT Permit Number: NCO032077 Owner Name: L'nnluntne t�Mc�resolitan Sewerage Uistricl V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than W WTF): 1. Penn it Number(s): WQ_ Downstream (Receiving) Sewer Size: 8 inch System Wide Collection System Permit Number(s) (if applicable): WQCS0038559 Owner Name(s): 11wn of Winterville FORM: ETA 04-16 Page 1 of 5 VI. GENERAL REQUIREMENTS I. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached? ❑ Yes []No ®N/A 2. If the Applicant is a Developer of lots to be sold, has a Ueveluper jOperatiulwl Agreement (FORM: UEV 1 been attached? ❑ Yes ❑No ®N/A 3. If the Applicant is a home/Pro0erty Ownmr '_Auociution. has au Operational greemnu (FORM j been attached? ❑ Yes ❑No ®N/A 4. Origin of wastewater: (check all that apply): ® Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash ❑ Residential Leased ❑ Retail with food preparation/service ❑ Hotel and/or Motels ❑ School / preschool / day care ❑ Medical / dental / veterinary facilities ❑ Swarming Pool /Clubhouse ❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash ❑ Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment) 5. Nature of wastewater : 12UI. Domestic/Commercial 0 % Commercial 0 % Industrial (g�C t12'[�0l0%A)) "is there a Pretreatment Program in effect? ❑ Yes ❑ No 6. Hasa flow reduction been approved under ISy NC,&(_.93T..Ql14(I)? ❑ Yes ®No ➢ If yes, provide a copy of flow red net lost amrroval letter 7. Summarize wastewater generated by project: Establishment Type (see 02T,0114(1)1 Daily Design Flow •,b No. of Units Flow gal/ GPD -- gall GPD gall GPD ._.-..--- gall ------ GPD gal/ GPD gaU GPD Total GPD a See 15A NCAC OTT .01 14(b). (d) (c)(I ),an I e 2 for caveats to wastewater design flow rates (i.e., minimum flow per dwelling; proposed unknown non-residential development uses; public access facilities located near high public use areas; and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined in G.S. 42A-4). b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [In table I SA NCAC 02T.0I I I shall be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data. 8. Wastewater generated by project: 0 GPD (per 15A NCAC 02T .0114) ➢ Do not include future flows or previously permitted allocations If permitted flow is zero, indicate why: ❑ Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line ❑ Flow has already been allocated in Permit Number: ® Rehabilitation or replacement of existing sewer with no new flow expected ❑ Other (Explain): _ FORM: FTA 04.16 Page 2 of 5 VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T e0305 & MDC (Gravity Sewers): 1. Summarize gravity sewer to be permitted: Size (inches) Length (feet) Material ➢ Section 11 & lli of the MDC for Permitting of Gravity Sewers contains information related to design criteria ➢ Section Ill contains information related to minimum slopes for gravity sewer(s) ➢ Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stalivas/Force Main$]: COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT 1. Pump station number or name: Church Street) Piunp Station Wxisting Station) 2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: - 3. Design flow of the pump station: N/A millions gallons per day (firm capacity) 4. Operational point(s) of the pump(s): N/A gallons per minute at N/A feet total dynamic head (TDH) 5. Summarize the force main to be permitted (for this Pump Station): Size (inches) Length (feet) Material 12 175 FPVC 12 243 PVC 12 40 DIP 6. Power reliability in accordance with J AA(.A(: g2j .O.1Qg(hu 1): ❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(IXB)_ ➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day ➢ Must be permanent to facility Or if the pump station has an average daily flow less than 15,000 gallons per day: ❑ Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T .0305(h)(1)(C) or ® Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(1)(C): ➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement) and is compatible with the station. ➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations' storage capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be provided in the case of a multiple station power outage. FORM: FTA 04.16 Page 3 of 5 IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)): I. Does the project comply with all separations found in ISA AC 02T .0305tt)" ➢ 15A NCAC 02T.0305(I) contains minimum "e nnrnlim,c that shall he nn..61M Mr ® Yes [:]No --- ___ __..__ Setback Parameter" _ _._..._. Separation Required Storm sewers and other utilities not listed below vertical 24 inches Water mains vertical -water over sewer including in benched trenches 18 inches Water mains horizontal 10 feet Reclaimed water lines vertical - reclaimed over sewer 18 inches Reclaimed water lines horizontal - reclaimed over sewer 2 feet "Any private or public water supply source, including any wells, WS-1 waters of Class 1 or Class fi impounded reservoirs used as a source of drinking water 100 feet ""Waters classified WS (except WS-1 or WS-V), B, SA, ORW, HQW, or SB from normal high water or tide elevation and wetlands see item IX.2 50 feet "Any other stream, lake, impoundment, or ground water lowering and surface drainage ditches 10 feet Any building foundation 5 feet ..Any basement 1 10 feet Top slope of embankment or cuts of 2 feet or more vertical height 10 feet Drainage systems and interceptor drains 5 feet _ Any swimming pools 10 feet Final earth grade vertical 36 inches D ISA NCAC 02T.0305(el contains alternatives where separations in 02T.0305(f) cannot be achieved. ➢ "Stream classifications can be identified using the Division's NC Surtbca Water Classifications web0itgc ➢ If noncompliance with 0210305(f) or (a) see Section X of this application 2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes ❑ No ➢ See the Division's draft separation requirements for situations where separation cannot be meet ➢ No variance is required if the alternative design criteria specified is utilized in design and construction ➢ As built documents should reference the location of areas effected 3. Does the project comply with all setbacks found in the river basin rules per L5A_NCAC U2B .o2U0? ® Yes ❑ No ➢ This would include Trout Buffered Streams per 15A NCAC 2B.0202 4. Does the project comply with an individual 404 Permit or any 401 Certifications? ® Yes ❑ No ➢ Wetland -related permits shall be requested, obtained, and adhered to for projects that impact wetlands or surface waters ➢ Information can be obtained from the 401 & Buffer Pennittina Branch 5. Does project comply with ISA NCAC 02T.01(I5(c)(M (additional permits/certifications)? ® Yes ❑ No Per 15A NCAC 02T.0105(e)161, directly related environmental permits or certification applications are being prepared, have been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion and sedimentation control plans, stormwater management plans, etc.). 6. Does this project include any sewer collection lines that are deemed "high -priority?" Per I.SA NCAC OYr.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer positioned parallel to streambanks that is subjept to erosion that undermines or deteriorates the sewer. ❑ Yes ® No ➢ If yes, include an attachment with details for each line, including type (aerial line, size, material, and location). High priority lines shall be Inspected by the permittee or its representative at least once every six -months and inspections documented per 15A NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit. FORM: FTA 04- I6 Page 4 of 5 X. CERTIFICATIONS: 1. Does the submitted system comply with j 5A NCAC 02T, the Miginnull.lksjIlli_S�r(t4SIP.IS?r!h@1'Ir[tn_(ttiup r f Flillp station and Furce Mufns flntest versiunl. and the lravitv.',te- war M,injtgtOp,n_(,ri;ig.(I,p(�,gtYVlgjp�i as applicable? ® Yes ❑ No If No, complete and submit the Variance/Altemative Design Request application (VADC 10-14) and supporting documents for review. Approval of the rconest is required prior to submittal of the Fast Track Application and supporting documents 2. Professional Engineer's Certification: 1, �ii • V!1R 4 R .L _ _ _ _ _ attest that this application for (Professional Engineer's name from Application Item 111.1.) has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans, specifications, engineering 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, Gravity Sewer Minimum Design Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains (latest version). 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 General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement, representation, or certification in any application package 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: CAS S• 04141,5 A,�Nc+. �q41 A. 6 3. Applicant's Certification per 15A NCAC 02T .0106(b): 4 _ T6p(f t_ A R T%�" t_�I1F+RGdR _ _ attest that this application for na (Signature Authority's me & title from Application Item I.3.) 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 documentation and attachments are not Included, this application package is subject to being returned as incomplete. I understand that any discharge of wastewater from this non. discharge system to surface waters or the land will result in an immediate enforcement action that may include civil penalties, injunctive relief, and/or criminal prosecution. 1 will make no claim against the Division of Water Resources should a condition of this permit be violated. I also understand that if all required parts of this application package 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 General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement, representation, or certification in any application package 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. Signature: FORM: ETA 04-16 �n ts of ?� :! CORPORATE S �.� ,, : SEAL,:' IstillwO Date: 3I2+ ( � Page 5 of 5 Appendix D Flow Tracking/Acceptance Form (Not Applicable) The project is replacement only, resulting in no new flow. Appendix E Site Maps r� I MA(NOI i/ pG <RANDII IORIA ( I -•'�RA�C gROOKt LN /1 New 12-inch Force Main Latitude: 35.5143; Longitude:-77.4137 0 / ' fMILV OR I v t ( YIJIHIA GD Q UCAI CRS IN HUGG1Nti fP+ I () A vr, t loom s0o n Appendix F Existing Permit (WQCS00117) MUM North Carolina Department of Environment and Natural Division of Water Quality Pat McCrory Charles Wakild, P. E, Governor Director March 4, 2013 Terri Parker, Town Manager Town of Winterville PO Box 1459 Winterville, NC 28590 Subject: Permit No. WQCS00117 Town of Winterville Winterville Collection System Pitt County Dear Mr. Parker In accordance with your application received January 10th, 2013, and the additional information received March 4th, 2013 , we are forwarding herewith Permit No. WQCS00117, dated March 4, 2013, to the Town of Winterville for the operation and maintenance of the subject wastewater collection system. This permit shall be effective from June 1st, 2013 until March 31", 2021 and shall be subject to the conditions and limitations specified herein. It is your responsibility to thoroughly review this permit. Please pay particular attention to the monitoring and reporting requirements in this permit and any compliance schedules shown in bold. For purposes of permitting, the collection system is considered to be any existing or newly installed system extension up to the wastewater treatment facility property or point of connection with a separately owned sewer system. The collection system is considered all gravity lines, pump stations, force mains, low pressure sewer systems, STEP systems, vacuum systems, etc. and associated piping, valves and appurtenances that help to collect, manage and transport wastewater to a wastewater treatment plant under the Permittee's ownership or maintained and operated by the Permittee through a perpetual legal agreement. Satellite systems are systems tributary to the Permittee's collection system but those collection systems are not owned or maintained by the Permittee. The system description provided on Page 1 of this permit is meant to provide a general idea about the size of the system and may not be all inclusive of the collection system at the time of permit issuance or afterward. A release of wastewater from the wastewater collection system is referred to herein as a Sanitary Sewer Overflow (SSO). The evaluation of enforcement options after an SSO will be determined 1617 Mall Service Center, Ralebh, North Carolina 27699-1617 011e Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 Phone: 91H07.63001 FAX: 91MUM92 N,LprF`hCarolina Internet: may,n materouallN.ora /� //f L��ry/��/ An Equal OppanunllylAlRmeave Adon Employer 4 Ia K` {Y Winterville Collection System March 4, 2013 Page 2 of 3 considering the criteria listed in condition I(2)(a) and I(2)(b) of the permit and all other relevant information available or requested of the Permittee. Compliance with all conditions of the permit as well as all statutes and regulations pertaining to the collection system must be maintained or appropriate enforcement actions may be taken as noted in Condition VI(2). A reportable SSO is an SSO greater than 1,000 gallons to the ground or an SSO of any amount that reaches surface water (including through ditches, storm drains, etc.) Below is the procedure to use for reporting SSOs to the Division: 1. Report by telephone to a Division of Water Quality (DWQ) staff member (not email, facsimile, or voicemail) at your regional DWQ office during regular business hours (Monday to Friday, 8AM to 5PM) as soon as possible, but in no case more than 24 hours after the SSO is known or discovered. To report outside of regular business hours, call (800) 858-0368. 2. Follow up the verbal report by sending a completed written report on the most current Division approved form within five days. To provide a uniform method for all systems covered under this permit and to provide useful and consistent information pertaining to SSOs, please utilize form CS-SSO consisting of two parts. Part I serves to provide to the Division the required information that has always been necessary. Part II serves as an area to provide a justification for the spill, as optional under Condition I(2) of your permit. Form CS-SSO can be downloaded from the SSO Reporting area at http://Dortal.ncdenr.org/web/wg/swp/ns/es/ssoreport. An NOV, civil penalty, and/or a moratorium on the addition of waste to the system may be issued if adequate justification for an SSO is NOT submitted to the regional office. In order to submit a claim for justification of an SSO, you must use Form CS-SSO with additional documentation as necessary. DWQ staff will review the justification claim and determine if enforcement action is appropriate. Please be advised that the information needed to justify a spill is very comprehensive. Begin using this form immediately to report SSOS from the collection system. Continue to use our old form for reporting bypasses at the wastewater treatment plant until further notice. The time frame for submittal of both Part I and Part II, if pertinent, is five days. Failure to abide by the conditions in this permit may subject the Permittee to enforcement action. 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 thirty days following the receipt of this permit. This request must be in the form of a written petition, conforming to Chapter 150B of the 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. Winterville Collection System March 4, 2013 Page 3 of 3 If you have questions regarding compliance contact your regional office or the Pretreatment, Emergency Response and Collection Systems Unit of the North Carolina Division of Water Quality at (919) 807-6300. If you need additional information concerning this permit, please contact Michael Leggett at (919) 807-6312. Sincerely, for Charles Wakild, P.E., Director Division of Water Quality by Deborah Gore, Supervisor Pretreatment, Emergency Response, Collection System Unit enclosure: Permit No. WQCS00117 cc: Pia County Health Department Willie Gay, Interim Public Works Director PO Box 1459, Winterville, NC 28590 Washington Regional Office, Surface Water Protection Section Water Quality Central Files - WQCS00117 Steve Reid, NPDES — Compliance & Expedited Permitting Unit (electronic) PERCS Files (electronic) NORTH CAROLINA ENVIRONMENTAL MANAGEMENT DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES RALEIGH SYSTEM -WIDE WASTEWATER COLLECTION SYSTEM 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 Town of Winterville Pitt County ;ri]:iP14 operation and maintenance of a wastewater collection system consisting of, at the time of permit issuance, approximately 47.54 miles of gravity sewer, approximately 1.3 miles of pressure sewer, approximately 11.9 miles of force main, 55 simplex pump stations that discharge to a pressure sewer and serve a single building, 23 duplex pump stations, and all associated piping, valves, and appurtenances required to make a complete and operational wastewater collection system to serve the Town of Winterville and any deemed permitted satellite communities, pursuant to the application received January 101h, 2013, and the additional information received March 4th, 2013, and in conformity with the documents referenced therein and other supporting data subsequently filed and approved by the Department of Environment and Natural Resources and considered a part of this permit. This permit shall be effective from the June 1°`, 2013 until May 31', 2021, and shall be subject to the following specified conditions and limitations: I. PERFORMANCE STANDARDS 1. The sewage and wastewater collected by this system shall be treated in the Contentnea Metropolitan District Wastewater Treatment Facility (NC0032077) prior to being disposed into the receiving stream. This collection system permit will be referenced upon renewal or modification of your NPDES permit(s). 2. The wastewater collection system shall be effectively managed, maintained and operated at all times so that there is no SSO to land or surface waters, nor any contamination of groundwater. In the event that the wastewater collection system fails to perform satisfactorily, including the creation of nuisance conditions, the Permittes shall take immediate corrective actions, including actions that may be required by the Division of Water Quality (Division), such as the construction of additional or replacement sewer lines and/or equipment. 3. The Director may take enforcement action against the Permittee for SSOs that must be reported to the Division as stipulated in Condition IV(2). This includes SSOs that were caused by severe natural conditions or exceptional events unless the Permittee demonstrates through properly signed, contemporaneous operating logs, or other relevant evidence that: a. The SSO was caused by severe natural conditions; there were no feasible alternatives to the SSO, such as the use of auxiliary treatment facilities, retention of untreated wastewater, reduction of inflow and infiltration, use of adequate back-up equipment, or an increase in the capacity of the system. This provision is not satisfied if, in the exercise of reasonable engineering judgment, the Permittee should have installed auxiliary or additional collection system components, wastewater retention or treatment facilities, adequate back-up equipment or should have reduced inflow and infiltration; or b. The SSO was exceptional, unintentional, temporary and caused by factors beyond the reasonable control of the Permittee; the SSO could not have been prevented by the exercise of reasonable control, such as proper management, operation and maintenance; adequate treatment facilities or collection system facilities or components (e.g., adequately enlarging treatment or collection facilities to accommodate growth or adequately controlling and preventing infiltration and inflow); preventive maintenance; or installation of adequate back- up equipment; The Permittee can submit a claim to the Division Regional Office that the SSO meets the criteria of this condition. The Permittee has the option of submitting this claim along with the spill report required by Condition IV(2) (i.e., within five days) in order to be considered for Immunity from enforcement action. Form CS-SSO Part II, or most current Division approved form, shall be used for any claims. The Permittee has the burden of proof that the above criteria have been met. 4. The Permittee shall establish by ordinance its legal authority to require new sewers be properly constructed; to ensure proper inspection and testing of sewer malns and service laterals; to address flows from satellite systems and to take enforcement action as required by Condition 1(4). 5. The Permittee shall develop and implement an educational fats, oils and grease program that shall Include at least bi-annual distribution of educational material targeted at both residential and non-residential users. The Permittee shall also develop and implement an enforceable fats, oils and grease program for non-residential users under which the Permittee can take enforcement against users who have not properly installed, operated and maintained grease traps or grease interceptors as directed or otherwise violated the terms of the local ordinance pertaining to fats, oils and grease. 6. The Permittee shall adopt and implement a Capital Improvement Plan (CIP) to designate funding for reinvestment into the wastewater collection system infrastructure. The CIP should address the short-term needs and long-term "master plan" concepts. The CIP should typically cover a three to five year period and include a goal statement, description of the project area, description of the existing facilities, known deficiencies (over a reasonable period) and forecasted future needs. Cost analysis is integral to the CIP. 7. Existing overflow piping from manholes and pump stations, excluding piping to approved equalization structures, known or discovered after permit issuance shall be immediately removed or permanently capped. Plugged emergency pumping connections are allowable for portable pumping or rerouting without intentionally bypassing the wastewater treatment facility. 8. The Permittee shall maintain a contingency plan for pump failure at each pump station. If one of the pumps in a pump station containing multiple pumps fails, the process of repairing or replacing the pump shall be initiated immediately and the new parts or pump shall be installed as soon as possible. If the pump in a simplex pump station fails, it shall be replaced immediately. 9. Each pump station shall be clearly and conspicuously posted with a pump station Identifier and an emergency contact telephone number at which an Individual who can initiate or perform emergency service for the wastewater collection system 24 hours per day, seven days per week can be contacted. This emergency contact telephone number shall be coupled with instructions that the emergency contact should be called if the visual alarm illuminates, if the audible alarm sounds, or if an emergency is apparent. 10. Pump station sites, equipment and components shall have restricted access, per 15A NCAC 02T .305(h)(4). 11. Pump stations that do not employ an automatic polling feature (i.e. routine contact with pump stations from a central location to check operational status of the communication system) shall have both audible and visual high water alarms, The alarms shall be weather-proof and placed in a clear and conspicuous location. Permits Issued for the construction of pump stations that included high water alarms in the description must maintain the alarms even if simple telemetry (i.e. notification of an alarm condition initiated by the pump station control feature) is installed. 12. For all newly constructed, modified and rehabilitated pump stations, all equipment and components located within the pump station shall be corrosion -resistant and components in close proximity of the pump station shall be sealed within a corrosion - resistant coating or encasement. 13. All construction and rehabilitation of the wastewater collection system (i.e., permitted or deemed permitted) shall be scheduled to minimize the interruption of service by the existing utilities. Construction and rehabilitation shall not result in the violation of Condition (1)(2) of this permit. 11. OPERATION AND MAINTENANCE REQUIREMENTS Upon classification of the collection system by the Water Pollution Control System Operators Certification Commission (WPCSOCC), the Permittee shall designate and employ a certified operator to be in responsible charge (ORC) and one or more certified operator(s) to be back-up ORC(s) of the facilities In accordance with 15A NCAC 8G .0201. The ORC shall visit the system within 24 hours of knowledge of a bypass, spill, or overflow of wastewater from the system, unless visited by the Back -Up ORC, and shall comply with all other conditions of 15A NCAC 8G .0204. 2, The Permittes shall develop and adhere to a schedule for reviewing all inspection, maintenance, operational and complaint logs. If the review process results in the Identification of any recurring problem in the wastewater collection system that cannot be resolved in a short time period, the Permittee shall establish a plan for addressing the problem(s). 3. The Permittee shall develop and adhere to a schedule for testing emergency and standby equipment. 4. The Permittee shall develop and implement a routine pump station inspection and maintenance program, which shall include, but not be limited to, the following maintenance activities: a. Cleaning and removing debris from the pump station structure, outside perimeter, and wet well; b. Inspecting and exercising all valves; c. Inspecting and lubricating pumps and other mechanical equipment according to the manufacturer's recommendations; and d. Verifying the proper operation of the alarms, telemetry system and auxiliary equipment. 5. For each pump station without pump reliability (i.e. simplex pump stations serving more than a single building or pump stations not capable of pumping at a rate of 2.5 times the average daily flow rate with the largest pump out of service), at least one fully operational spare pump capable of pumping peak flow shall be maintained on hand. 6. The Permittee shall maintain on hand at least two percent of the number of pumps installed, but no less than two pumps, that discharge to a pressure sewer and serve a single building, unless the Permittee has the ability to purchase and install a replacement pump within 24 hours of first knowledge of the simplex pump failure or within the storage capacity provided in any sewer line extension permit. Rights -of -way and/or easements shall be properly maintained to allow accessibility to the wastewater collection system unless the Permittee can demonstrate the ability to gain temporary access in an emergency situation where existing land -use conditions do not allow the establishment and maintenance of permanent access. In this case, the Permittee shall continue to observe the lines visually, utilize remote inspection methods (e.g. CCTV) and use the opportunity of drier conditions to perform further inspections and necessary maintenance. 8. The Permittee shall assess cleaning needs, and develop and implement a program for appropriately cleaning, whether by hydraulic or mechanical methods, all sewer lines. At least 10 percent of the wastewater collection system, selected at the discretion of the ORC, shall be cleaned each year. Preventative cleaning is not required for sewer lines less than five years old unless inspection otherwise reveals the need for cleaning or cleaning is required by a sewer line extension permit. 9. Adequate measures shall be taken to contain and properly dispose of materials associated with SSOs. The Permittee shall maintain a Response Action Plan that addresses the following minimum items: a. Contact phone numbers for 24-hour response, including weekends and holidays; b. Response time; c. Equipment list and spare parts inventory; d. Access to cleaning equipment; e. Access to construction crews, contractors and/or engineers; f. Source(s) of emergency funds; g. Site sanitation and clean up materials; and h. Post-SSO assessment. 10. The Permittee, or their authorized representative, shall conduct an on -site evaluation for all SSOs as soon as possible, but no more than two hours after first knowledge of the SSO. 11. In the event of an SSO or blockage within the wastewater collection system, the Permittee shall restore the system operation, remove visible solids and paper, sanitize any ground area and restore the surroundings. III. RECORDS 1. Records shall be maintained to document compliance with Conditions 1(4), II(2) - II(4), 11(7) - II(8), IV(3) and V(1) -V(4). Records shall be kept on file for a minimum of three years. 2. The Permittee shall,maintain adequate records pertaining to SSOs, and complaints for a minimum of three years. These records shall include, but are not limited to, the following information: a. Date of SSO or complaint; b. Volume of wastewater released as a result of the SSO and/or nature of complaint; c. Location of the SSO and/or complaint; d. Estimated duration of the SSO; e. Individual from the Division who was informed about the SSO and/or complaint, when applicable; f. Final destination of the SSO; g. Corrective actions; h. Known environmental/human health impacts resulting from the SSO; and i. How the SSO was discovered. 3. The Permittee shall maintain an up-to-date, accurate, comprehensive map of its wastewater collection system that also notes the locations where other wastewater collection systems become tributary. If a comprehensive map of the collection system has not been established, a rough sketch shall be drawn. The Permittee shall map approximately 10 percent of its existing collection system each year for the next ten years beginning at the original permit issuance date, or until complete, whichever is sooner. The comprehensive map shall include, but is not limited to: pipe size, pipe material, pipe location, flow direction, approximate pipe age, number of active service taps, and each pump station identification, location and capacity. 4. The Permittee shall maintain records of all of the modifications and extensions to the collection system permitted herein. The Permittee shall maintain a copy of the construction record drawings and specifications for modifications/extensions to the wastewater collection system for the life of the modification/extension. Information concerning the extension shall be incorporated into the map of the wastewater collection system within one year of the completion of construction. The system description contained within this permit shall be updated to include this modification/extension information upon permit renewal. IV. MONITORING AND REPORTING REQUIREMENTS 1. Any monitoring (including, but not necessarily limited to, wastewater flow, groundwater, surface water, soil or plant tissue analyses) deemed necessary by the Division to ensure surface water and groundwater protection will be established, and an acceptable sampling and reporting schedule shall be followed. 2. The Permittee shall verbally report to a Division of Water Quality staff member at the Washington Regional Office, at telephone number 262-946-6481 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: a. Any SSO and/or spill over 1,000 gallons; or b. Any SSO and/or spill, regardless of volume, that reaches surface water. Voice mail messages or faxed information shall not be considered as the initial verbal report. SSOs (and other types of spills) occurring outside normal business hours may also be reported to the Division of Emergency Management at telephone number (800) 858-0368 or (919) 933-3300. Persons reporting any of the above occurrences shall file a spill report by completing Part I of Form CS-SSO (or the most current Division approved form), within five days following first knowledge of the occurrence. This report shall outline the actions taken or proposed to ensure that the problem does not recur. Per Condition 1(2), 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. 3. The Permittee shall meet the annual reporting and notification requirements provided in North Carolina General Statute §143-215.1C. V. INSPECTIONS The Permittee or the Permittee's designee shall inspect the wastewater collection system regularly to reduce the risk of malfunctions and deterioration, operator errors, and other issues that may cause or lead to the release of wastes to the environment, threaten human health or create nuisance conditions. The Permittee shall keep an inspection log or summary including, at a minimum, the date and time of inspection, observations made, and any maintenance, repairs, or corrective actions taken by the Permittee. 2. Pump stations without Supervisory Control and Data Acquisition (SCADA) systems or telemetry shall be inspected everyday (i.e. 365 days per year). Pump stations equipped with SCADA systems or telemetry shall be inspected at least once per week. 3, A general observation of the entire collection system shall be performed throughout the course of every year. 4. Inspections of all high priority lines (i.e. aerial line, sub -waterway crossing, line contacting surface waters, siphon, line positioned parallel to stream banks that are subject to eroding in such a manner that may threaten the sewer line, or line designated as high -priority in a permit) shall be performed at least once per every six-month period of time. A list of high -priority lines is presented as Attachment A and is hereby incorporated into this permit condition. New high priority lines installed or identified after permit issuance are incorporated by reference and subject to this permit condition until permit renewal where they shall be referenced in writing in Attachment A. VI, GENERAL CONDITIONS This permit Is not transferable. In the event that the Permittee desires to transfer ownership of the wastewater collection system or there is a name change of the Permittee, a formal permit modification request shall be submitted to the Division. The request shall be accompanied by documentation from the parties involved, and other supporting materials as may be appropriate. Such request will be considered on its merits and may or may not be approved. 2. Failure to abide by the conditions and limitations contained in this permit may subject the Permittee to an enforcement action by the Division in accordance with North Carolina General Statute §143-215.6A through §143-215.6C, and a sewer moratorium may be established. 3. The issuance of this permit does not exempt the Permittee from complying with any and all statutes, rules, regulations, or ordinances that may be imposed by other government agencies (i.e., local, state, and federal) having jurisdiction, including but not limited to applicable river buffer rules in 15A NCAC 2B .0200, soil erosion and sedimentation control requirements in 15A NCAC Chapter 4 and under the Division's General Permit NCG010000, and any requirements pertaining to wetlands under 15A NCAC 2B .0200 and 15A NCAC 02T .0100 and all applicable North Carolina Occupational Safety and Health Act health and safety standards. 4. The issuance of this permit does not prohibit the Division from reopening and modifying the permit, revoking and reissuing the permit or terminating the permit as allowed by the laws, rules, and regulations contained in 15A NCAC 02T .0100 and North Carolina General Statute §143-215.1 et. al., or as needed to address changes in federal regulations with respect to the wastewater collection system. 5. The Permittee shall pay the annual fee within thirty (30) days after being billed by the Division. Failure to pay the fee accordingly may cause the Division to initiate action to revoke this permit as specified by 15A NCAC 02T .0110(4). 6. The Permittee shall request renewal of this permit at least six months prior to the expiration of this permit. Upon receipt of the request, the Commission will review the adequacy of the wastewater collection system described therein, and if warranted, will extend the permit for a period of time and under such conditions and limitations, as the Commission may deem appropriate. 7. The Permittee shall notify the Division's Pretreatment, Emergency Response and Collection Systems Unit in writing at 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 of any changes to the name and/or address of the responsible party (i.e. mayor, city/town manager) of the wastewater collection system. 8. Any duly authorized officer, employee, or representative of the Division may, upon presentation of credentials, enter and inspect any property, premises or place on or related to the collection system at any reasonable time for the purpose of determining compliance with this permit, may inspect or copy any records that must be maintained under the terms and conditions of this permit, and may obtain samples of wastewater, groundwater, surface water, soil, or plant tissue. 8. This permit shall become voidable unless the agreement between Town of Winterville and NCO032077 for the collection and final treatment of wastewater is in full force and effect. Permit issued this the 41' of March, 2013 NORTH CAROLINA ENVIRONMENTAL MANAGEMENT forCharles Wakild, P.E., Director Division of Water Quality By Authority of the Environmental Management Commission by Deborah Gore, Supervisor Pretreatment, Emergency Response, Collection System Unit Permit Number 1NQCS00117 (Renewal) Attachment A for Condition V(4) Town of Winterville Identification Type Material / Reason #1— Flretower / Boys and Girls Club Gravity Main Aerial 15 feet ductile Iron pipe crossing drainage way #2 — Church Street Outfall Line / Force Main Location PVC force main located within Church St. to Old Hwy. 11 10 feet of drainage way #3 —Church Street Outfall Line / Force Main Location PVC force main located within Old Hwy. 11 to Reedy Branch Rd. 10 feet of drainage way #4— Church Street Outfall Line / Force Main Location PVC force main located within Reedy Branch Rd. to Hwy 11 10 feet of drainage way Appendix G Power Reliability Plan (Not Applicable) Appendix H Certificate of Public Convenience and Necessity (Not Applicable) Appendix I Operational Agreements (Not Applicable)