WQ0009914_Application_19940824

State of North Carolina
Department of Environment,
Hearth and Naturai Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
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C)EHNR
August 24, 1994
MR PETE VANDENBERG
CITY OF LAURINBURG
PO BOX 249
LAURINBURG, NORTH CAROLINA 28345
Dear MR VANDENBERG:
✓P � L _ � , i tom.
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WU-G 30 1994
"' ENV. MAI.-� .,�.,,�ENT
FAYETTEVILLE PEG. OFFICF
Subject: Application No. WQ0009914
Crestview Subdivision
Sewers -Public
Scotland County
The Division's Permits and Engineering Unit acknowledges receipt of your permit application and
supporting materials on August 24, 1994. 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 Buzz Crosby 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 Buzz Crosby at [phone].
cc: Fayetteville Regional Office
Hobbs Upchurch & Associates
r Sincerely,
C olyn cCaskill
Supervisor, State Engineering Review Group
Pollution Prevention Pays
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

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): City of Laurinburg
2. Print Owners or Signing Official's Name and Title (the person who is legally
responsible for the facility and its compliance): Pete Vandenberg, City Manager
3. Mailing Address: P• 0. Box 249
City: Laurinburg State: NC Zip: 28345
Telephone No.: ( 910 ) 276-8324
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: April 18, 1994
7. County where project is located:
II. PERMIT INFORMATION:
Scotland
6. Fee Submitted: $ 400.00
1. Permit No. (will be completed by DEM):!T-
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 public or X private.
FORM: GSEA 4/91
Page 1 of 6

GRAVITY SEWER EXTENSION,
PAGE 2 (4/91)
III. INFORMATION ON WASTEWATER:
1. Nature of Wastewater. L00 % 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: N/A
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:
16,400 gallons per day
6. Explanation of how wastewater volume was determined: 41 single family
lots x 400 gallons/day/lot = 15,400 gal/day
IV. DESIGN INFORMATION:
1. Brief project description: 3,573 LF 8" PVC SDR 35 sewer main, 40 .LF 8"
DIP (Class 50) 13 manholes and appurtenances
Leith Creek Wastewater
2. Name of wastewater treatment facility receiving wastewater: Treatment Plant
a. Facility permit no.:
NC 0020656
b. Engineer should provide statement of his evaluation of downstream sewers to
accept the wastewater: All downstream waters are adequate to
accept additional wastewater
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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:
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
3573
PVC
0.010
.40
.50
2.84
2.97
3.00
8
40
DIP
0.013
.40
.40
2.19
2.19
1.0
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: 395 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? X Yes No.
If yes, what measures are being taken to enable the sewers to withstand the loads?
All manholes shall conform to NCDOT ASTM JZegulations regarding
load -bearing sewers.
9. Outside drop manholes are provided where invert separations exceed: 2 feet.
10. Identify (by manhole number) those manholes that have drop connections: N/A
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6KAVII Y JtWtK EXIENSIUN
PAGE 4 (4/91)
11. Maximum allowable infiltration/exfiltration test rate:
Note: Must not exceed 200 GPD/ pipe dia. in./ mile. 100 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? _ Yes _ No
b) 12 in. vertical separation from storm sewer or ferrous pipe X
sanitary sewer specified? _ 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 R 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.
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.
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- - GRAVITY SEWER EXTENSION
PAGE 5 (4/91)._
Name and Complete Address pf Engineering Firm: Hobbs, Upchurch & Associates, P. A.
PO Box 1737, Southern Pines, NC 28388
City: Southern Pines State: NC Zip: 28388
Telephone No. 910/692-5616
Professional Engineer's Certification:
I, Bill Lester. Jr.. P.E. , attest that this application for Joe D. Manis
has 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 Engineers Registration No. 17651
Print Name of Engineer Bill Lester, Jr., P.E. ,0.111116 1,,,,,',
%
01
Seal and Signature (specify date):
Applicant's Certification:
1, Pete Vandenberg , attest that this application for
Improvements to Serve Crestview Subdivision
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand
that if all required parts of this application are not completed and that if all required supporting
information and attachments are not included, this application package will be returned as
incomplete.
Signature — q Date 5 -I
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
INFORMATION AND MATERIALS, SHO ULD 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
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GRAVITY SEWER EXTENSION
PAGE 6 (4/91) - -
PERMIT APPLICATION PROCESSING FEES "
(effective October 1, 1990)
CATEGORY NEW APPLICATIONS/ RENEWALS WITHOUT
MODIFICATIONS MODIFICATIONS
► 111 111 M
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
\OTE: 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.
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