WQ0011161_Application_19950613

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91tate of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
MAYOR REBECCA WILLIAMS
TOWN OF CANDOR
PO BOX 220
CANDOR, NORTH CAROLINA 27203
Dear MAYOR WILLIAMS:
June 13, 1995
r�
[DEHNFz1
RECEIVED
JUN 16 1995
ENV. mANAGEEM�MENT
OMCE
Subject: icaPn-No. WQ0011161
Cabin Creek Pump Station
Sewers -Public
Montgomery County
The Division's Permits and Engineering Unit acknowledges receipt of your permit application and
supporting materials on June 9, 1995. This application has been assigned the number listed above.
PLEASE REFER TO THE ABOVE WATER QUALITY NUMBER WHEN MAKING
INQUIRES ON THIS PROJECT.
Your project has been assigned to Michael Allen for a detailed engineering review. Should there be any
questions concerning your project, the reviewer will contact you with an additional information letter.
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 Michael Allen at [phone] extension 547. If the
engineer is unavailable, you may leave a message on their voice mail and they will respond promptly.
Please reference the above application number when leaving a message.
Sincerely,
Carolyn Mc askill
Supervisor, State Engineering Review Group
cc: Fayetteville Regional Office
Tritech Civil Environmental P.C.
Pollution Prevention Pays
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

i
State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Environmental Management
Non -Discharge Permit Application
(THIS FORM MAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL)
GRAVITY SEWER EXTENSION
PUMP STATIONS, AND PRESSURE SKWERS
I. GENERAL INFORMATION:
1. Applicant (corporation, individual, or other): To /J o f
nrr;, l'o Nnrne and Title (rhP person who is legally
c; L. I auil vwt.s :fa b1i.b ........
responsible for the facility and its compliance): 1 ` All -A X L4£ a --A
K,
Mailing Address:
City:
P.O. BnX 2Z0
Stater N C Zip: 2 % Z-o3
Telephone No.: 9( 10 ) 9 7 ` -- "t Z 2- I
4. Project Name (subdivision, facility, or establishment name - should be consistent with
project name on plans/specs., letters of flow acceptance, Operational Agreements, etc.):
5: Application Date: 6_171 A`i) 6. Fee Submitted: $ `-* 10
7. County where project is located: %\A N ram^
II. PERMIT INFORMATION:
1. Permit No. (will be completed by DEM):
2. Specify whether project is: _ A new; renewal*; modification.
*If renewal, complete only sections I through III and applicant signature
(on pg.9). Submit only pgs. 1, 2, 9 (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 and issue date
4. Specify whether the applicant is X public or private.
FORM: GSPS 4/91 Page 1 of 10

4
IIT. INFORMATION ON WASTEWATER:
. • 1. Nature of Wastewater. 6 -< % Domestic; S % Commercial;
30 % 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.:
I f-JC.,WDW P4-Pl.Ac4A.,_t^1r- OF fACl=A(iiD STy%r,
3. Indicate any parameter (and its concentration) that will be greater than normal domestic
levels: sQ v► v ---.
4. If wastewater is not domestic in nature, what level of pretreatment has been provided to
ensure protection of the receiving wastewater treatment facility?
t,JA S TF..J, VE-t- l S At_t_ I.JAS rl-.1A'rf-k fcA� DL-J,-1
..let f.&I L�J ut porJ for A -riot.
Per-sf,�-ram � a •u n V" 5'4u s
S. Volume of wastewater generated by this project: 1\1 A gallons per day
6. Explanation of how wastewater volume was determined: f-Xt S n '-' C- /�•- �r� ti�
Smn .I C_APA C-4 -r-, i S 3.50 G-P'-\ N t,.-i >r tim r ,�� frA r a---'
C A— i (_AoA c-i T"7 .
IV. DESIGN INFORMATION:
1. Brief project description: KLr L.nc� f_x t S � ^J6-1 xi a rAC*-AC-t 0 -
f'UMr i•,J(, Sr AYL--J �Ji�'vt� r�. o ,rAt�� J.J trr% -J t-J l.S f-r,J%w I" � 1►-h-Lo
- Pik." Qrflnd►J . rR-@'ca JR1f.-.t Jr- SPLc-i RCS TL%-J t J ATT-AL1%f-0 -
C o S e-�w e� �! ►.J� w �jt 1►J F"rt"A U -7 01 P .
2. Name of wastewater treatment facility receiving wastewater.
a. Facility permit no.: W Q 0000 (35
b. Engineer should provide statement of his evaluation of downstream sewers to
accept the wastewater: I o /"� "f o t-'-- J %A4,J
2 of 10

4 � •
GRAVITY SEWER EXTENSION & PUMP STATION
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: /IJA
Dia. Length Pipe C or N Min. Max. Minimum Max. Minimum
(In.) (Lin. Ft) Material Factor Slope % Slope % Velocity (fps) Vel.(fps) Cover (in)
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�
5. Maximum sewer reach length between manholes: rA linear feet.
6. This sewer line segment occurs between manhole no. and manhole no.pf A
7. Does the owner/operator have the ability to clean this length? P Yes NA No.
8. Sewer subject to existing or planned traffic bearing loads? 14 A Yes 9_ 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: 11JA feet.
10. Identify (by manhole number) those manholes that have drop connections: bfA
3 of 10

GRAVITY SEWER EXTENSION & PUMP STATION
PAGE 4 (4/91)
11. Maximum allowable infiltration/exfiltration test rate: IJA GPD/ pipe dia. in./ mile.
Note: Must not exceed 200 GPD/ pipe dia. in./ mile.
12. Minimum separation distances as shown on the plans or addressed in the specifications:
a) 100 fL horizontal separation from wells or other water supplies? _ Yes _ No dA
b) 12 in. vertical separation from storm sewer or ferrous pipe
sanitary sewer specified? —Yes —No /JA
c) 10 ft. horizontal separation from water mains or 18 in. vertical
separation (water over sewer) or ferrous pipe specified? _ Yes _ No t4A,
13. Are manholes subject to flooding? _Yes _ No/�A
14. If yes, are manhole rim elevations 1 foot above 100-year flood level, —Yes —No IAA
(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 1JA
16. Identify (by manhole number) those manholes that are vented: �p
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 yhe sheet of the plans and station number where strearn
crossings are located: 14A
4 of 10

..o., .+. .�rz�v .. •may
VIE
AUG 15 �j`. NON DISCHARGE WASTEWATER MONITORING REPORT Page _— of
PERMIT NUMBER: W Q 020D & 3 1 MONTH: J k� YEAR: /9 9
E1kb(Ch *NA4F10'F T-!-ow N o (^ C A ivbo2 CLASS: COUNTY:
FAY" I �E��rR-PEGICE
.
,
Daily Rate
Treatment
Sy"'o
JH
Residual
:..
-
OPERATOR IN RESPONSIBLE CHARGE (ORC)
CHECK BOX IF ORC HAS CHANGED ❑ _
CERTIFIED LABORATORIES (1) _
PERSON(S) COLLECTING SAMPLES
Mall ORIGINAL and TWO COPIES to:
ATTN: COMPLIANCE GROUP
DIV. OF ENVIRONMENTAL MGT.
GRADE =_ PHONE ti 7Y -'r 2 z r
(2) R.A c 1; NCj-;� L?=e s c A A c h
- -- AUG 1 11"5
(SIGNATURE OF OPERAT IN RESPONSIBLE CHaq�I�ENT UNIT
BY THIS SIGNATURE, I CERTIFY THAT THIS REP
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
NDMR-1 (7/94)

GRAVITY SEWER:
PAGE 5 of 10 (4/91)
V. PUMI? STATION INFORMATION
1. Pump Station No.: (A separate sheet V.1 through V.15 should be
submitted for each pump station)
2. Name of closest downslope surface waters:
3. Classification of closest downslope surface waters: \t J 5� �-- (as established
by the Environmental Management Commission & specified on page 6 of this applic.).
4. If a power failure at this pump station could impact waters classified as WS, SA, B. or
SB, describe which of the measures are being implemented to prevent such impact, as
required in 15A NCAC 2H .0200: Q s Nan f"1 ofX/Z1aTeR
5. What size pumps are provided? 3 S GPM
6. How many pumps are provided? Two
7. What is the maximum capacity of the pump station? 000 GPD
8. What is the design total dynamic head? j Z Z feet
9. How many pumping cycles will occur at the design flow rate? ^' S cycles Xper hour
10. Check if provided at pump station:
Alternate Power Source
Wet Well Vented with Screen
Fillets in Wet Well per,,, r, x
Check Valves and Cw6 Valves x
Security Fencing x
Lockable Wet Well Cover
Area Light
110V Electrical Convenience Outlet k
Flood/Buoyancy Protection n
High Water Alarm x Audible and Visual Auto Dialer
11. Summary of fora main (by diameter size and pipe material): �� l S
Diameter Length Pipe High Low Minimum Maximum Minimizm
(Inches) (Linear Ft) Material Elevation Elevation Velocity(fps) Vel.(fps) Cover (in)
12. Are air release valves provided at all high points along the force main (must be provided
where the elevation difference exceeds 10 feet)? yes X no
13. Is pump station subject to flooding? yes x no. If yes, what measures are
being taken to protect against flooding?
14. If subject to flooding, specify the 100-year flood elevation: Feet MSL
15. Are there existing or planned pump stations downstream of this station? _ yes -2�— no
If yes, the engineer shall evaluate the ability of those pump stations to adequately handle
the subject flows. .

T.O:QEGIONA,L WATER QUALITY SUPERVISOR !►
fit' y
Please provide me with the classification of the surface waters iderktifiin number 5
belmand on the attached map segment:
ime of surface waters:
Nei T ; EVILLE REG. OFFICE
Ossification (as established by the Environmental Management Commission): W17=1- �-
boposed Classification, if applicable:
ignatune of regional office personnel: �f W , '� Date: = `i
INSTRUCTIONS TO ENGINEER
border to determine whether provisions for dual or standby power may be required for the
subjat facility, the classification of L' a closest downslope surface waters (the surface waters that
any overflow from the facility would flow toward) must be determined. You are required to
subak this form, with items 1 through 10 completed, to the appropriate Division of Environmental
Mangement Regional Water Quality Supervisor (see attached listing). At a minimum, you must
inclde an 8.5" by 11" copy of the portion of a 7.5 minute USGS Topographic Map which shows
the a abject surface waters. You must identify the location of the facility and the closest downslope
suifte waters (waters for which you are requesting the classification) on the submitted map copy.
The application may not be submitted until this form is completed and included with the submittal.
1. Applicant (corporation, individual, or other): -T;-JJ cLA C4,*,440e
2. Name and Complete Address of Engineering Firm: — 1 "r-L" Gv ► ,
City: A-54fz . State: )JL Zip: 2'1203
Telephone No. 1 I o -p
3. Project Name:
4. Pump station design flow: O-A' GPD; 3So GPM
5. Name of closest downslope surface waters:
6. County(s) where projects and surface waters are located: rG
7. Map name and date: � *A� %yC- Qa 6 �1Jcz.t C f° 14-2 ZLVILO I�
B. North Carolina Professional Engineer's Registration No.
9. Print Name of Engineer t -A E- LJ• Pf ,4 e- -
10. Seal and Signature (specify date):
0'"Itn1rehq�i
CARP
SEAL
6 of 10 z 10439 AKUi
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4
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IYISION OF ENVIRONMENTAL MANAGEMENT REGIONAL OFFICES (4/91)
Asheie Regional WQ Super
59 Wadfnt Place
Asheie, NC 28802
704/3-6208
Washington Regional WQ Super.
P O Box 1507
Washington, NC 27889
919/946-6481
Avery
Macon
Beaufort
Bunoebe
Madison
Bertie
Budz
McDowell
Camden
Caldvi
Mitchell
Chowan
Chaotic
Polk
Craven
Clay
Rutherford
Currituck
Grahn
Swain
Dam
Hayvad
Transylvania
Gates
Hendmn
Yancy _
Greene
Jackso
Hertford
Hyde
Fayettrille Regional WQ Super.
Wachwia Building, Suite 714
Fayetaville, NC 28301
919/4&1541
Anson Moore
Blades Robeson
Cumbtdand Richmond
Harriet Sampson
Hoke Scotland
Montpnery
Winson-Salem Regional WQ Super.
3025 Mill Point Boulevard, Suite 100
Winswi-Salem, NC 27106
919fM-2351
Aial==
Rockingham
Allegiany
mph
Ashe
Stokes
Caswdl
Surry
Davidon
Watauga
Davie
Wilkes
Foray&
Yadkin
Guilfod
Raleigh Regional WQ Super_
3800 Barrett Dr., Suite 101
Raleigh, NC 27609
919/133-2314
Jones
Chatham
Nash
Lenoir
Durham
Northampton
Martin
Fmbe
Orange
Pamlico
Franklin
Person
Pasquotank
Granville
Vance
Perquimans
HaUn
Wake
Pitt
Johnston
Warren
Tyrrell
Lee
Wilson
Washington
Wayne
Mooresville Regional WQ Super
919 North Main Street
Mooresville, NC 28115
704/663-1699
Mecklenburg
Cabarrus
Rowan
Catawba
Stanly
Gaston
Union
Iredell
Cleveland
Lincoln
7 of 10
Wilmington Region. WQ Super.
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
919/395-3900
Brunswick New Hanover
Carteret Onslow
Columbus Ptnder
Duplin

va
PAGE 8 (4/91)
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, details on the pump station, 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. Three copies of all calculations, including pump selection, friction calculations, cycle
time, pump curves (including system curves applicable with one pump running, two
pumps running, three pumps running, etc.), and evaluation of downstream pump stations.
These items roust be submitted under the signature and seal of the North Carolina
Professional Engineer.
d. The appropriate permit processing fee, in accordance with 15A NCAC 2H .0205(c)(5).
e.. If the owner/authority of the wastewater treatment facility (VWVTF) 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.
f. 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.
8 of 10

GRAVITY SEWER EXTENSION & PUMP STATION
PAGE 9 (4/91)
Name and Complete Address of Engineering Firm: (A Tt-co (211" ` $vyi���✓�P �C
P. t), -eH Z- 1 2 0 2. rL-A C—C
City: % State: IJ C- Zip: Z'7 ZP-1
Telephone No. 1 c — +I e — (a(. c
Professional Engineer's Certification:
L "A," u • %t'Axz-c- , attest that this application for
�,,,,,,,,� S1,��„J %Lt���-�•..w>' has been reviewed by the 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. �39
Print Name of Engineer L-A CJ. AAXz-f-
°�R�H CARp� '�.,�
Seal and Signature (specify date): S��.• SUS/n� ,�.9
';9
SEAL
10439 .
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Applicant's Certification: ,,I �.,,'PiQ 'l P` �.•`��` �9'
I, Rebecca H. Williams , attest ication for Town of Candor
Influent Pumping Station Replacement
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 attachments are not included, this application package will be returned as
incomplete. , .
8n
Si ature ems' � � ' �`= 11 = Dat S
THE 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
9 of 10

PAUE 1U (4/91)
PERMIT APPLICATION PROCESSING FEES
(effective October 1, 1990)
CATEGORY NEW APPLICATIONS/ RENEWALS WITHOUT
MODIFICATIONS MODIFICATIONS
Industrial
$400
$300
DomestielCooling 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.
10 of 10
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