WQ0034785_Permit (Issuance)_20100603

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NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Ed Burchins, City Manager
City of Laurinburg
Post Office Box 249
Laurinburg, NC 28353
Division of Water Quality
Coleen H. Sullins
Director
June 3, 2010
SUBJECT: Permit No. WQ0034785
DCA — Scottish Glen II, LLC
Wastewater Collection System Extension
Scotland County
Dear Ed Burchins, City Manager:
Dee Freeman
Secretary
In accordance with your application received May 24, 2010, we are forwarding herewith Permit No.
WQ0034785 dated June 3, 2010, to the City of Laurinburg for the construction and operation of the
subject wastewater collection system extension. This permit shall be effective from the date of issuance
until rescinded and shall be subject to the conditions and limitations as specified therein. This cover letter
shall be considered a part of this permit and is therefore incorporated therein by reference.
Please pay particular attention to Permit Condition 3, which requires the wastewater collection
facilities be properly operated and maintained in accordance with 15A NCAC 02T .0403 or any individual
system -wide collection system permit issued to the Permittee.
Permitting of this project does not constitute an acceptance of any part of the project that does not
meet 15A NCAC 02T .0305; the Division of Water Quality's (Division) Gravity Sewer Minimum Design
Criteria adopted February 12, 1996, as applicable; and the Division's Minimum Design Criteria for the
Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000, as applicable, unless
specifically mentioned therein. Division approval is based on acceptance of the certification provided by
the North Carolina -licensed Professional Engineer named in the application. It shall be the Permittee's
responsibility to ensure that the as -constructed project meets the appropriate design criteria and rules.
Failure to comply may result in penalties in accordance with North Carolina General Statute § 143-215.6A
through § 143-215.6C, construction of additional or replacement wastewater collection facilities, and/or
referral of the North Carolina -licensed professional Engineer to the licensing board.
North Carolina
Naturally
North Carolina Division of Water Quality 225 Green Street — Suite 714 Fayetteville, NC 28301-5043 Phone [phone] Customer Service
Internet: www.ncwaterquality.org FAX [phone]
An Equal Opportunity/Affirmative Action Employer — 50% Recyciedl10% Post Consumer Paper

Ect burchms, laity Manager
Page 2
June 3, 2010
In accordance with provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations, permission is hereby granted to the City of
Laurinburg for the construction and operation of 1,303 linear feet of 10-inch gravity sewer, to serve as part of
DCA — Scottish Green II, LLC, project and the discharge of zero (0) gallons per day of collected domestic
wastewater into Leith Creek Wastewater Treatment Plant Facility existing sewage system, pursuant to the
application received May 24, 2010, and in conformity with 15A NCAC 02T .0305; the Division's Gravity
Sewer Minimum Design Criteria adopted February 12, 1996, as applicable; the Division's Minimum Design
Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000, as applicable;
and other supporting data subsequently filed and approved by the Department of Environment and Natural
Resources and considered as part of this permit.
The sewage and wastewater collected by this system shall be treated in the Leith Creek Wastewater
Plant Facility (NC0020656) prior to being discharged into the receiving stream.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right
to request an adjudicatory hearing upon written request within 30 days following receipt of this permit. This
request must be in the form of a written petition, conforming to Chapter 150B of North Carolina General
Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, North
Carolina 27699-6714. Unless such demands are made, this permit shall be final and binding.
If you need additional information concerning this matter, please contact Trent Allen at
[phone].
Sincerely,
for Coleen H. Sullins, Director
cc: Fayetteville Regional Office, Water Quality Section (WWTF Permit No. NC0020656)
Joseph F. Wampler, J.F. Wampler Engineering, Inc., 604 Peden Street, Laurinburg, North Carolina 28352
PERCS Unit
DWQ Central Files

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
following specified conditions and limitations:
This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 02T .0305; the Division of Water Quality's
(Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996, as applicable; the
Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains
adopted June 1, 2000, as applicable; and other supporting materials unless specifically mentioned herein.
2. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data.
3. The wastewater collection facilities shall be properly maintained and operated at all times. The Permiee
shall maintain compliance with an individual system -wide collection system permit for the operation and
maintenance of these facilities as required by 15A NCAC 02T .0403. If an individual permit is not
required, the following performance criteria shall be met as provided in 15A NCAC 02T .0403:
The sewer system shall be effectively maintained and operated at all times to prevent discharge to
land or surface waters, and any contravention of the groundwater standards in 15A NCAC 2L .0200
or the surface water standards in 15A NCAC 2B .0200.
b. A map of the sewer system shall be developed and shall be actively maintained.
An operation and maintenance plan shall be developed and implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e. 365
days per year). Pump stations that are connected to a telemetry system shall be inspected at least
once per week.
e. High -priority sewer lines shall be inspected at least once per every six-month period of time.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Inspection and maintenance records shall be maintained for a period of at least three years.
h. Overflows and bypasses shall be reported to the appropriate Division regional office in accordance
with 15A NCAC 2B .0506(a), and public notice shall be provided as required by North Carolina
General Statute § 143-215.1 C.

4. This permit shall not be transferable. In the event there is a desire for the wastewater collection
facilities to change ownership, or there is a name change of the Permittee, a formal permit request shall
be submitted to the Division accompanied by documentation from the parties involved, and ©ther
supporting materials as may be appropriate. The approval of this request shall be considered on its
merits and may or may not be approved.
5. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to
interrupt service by the existing utilities nor result in an overflow or bypass discharge of wastewater to
the surface waters of the State.
6. Per 15A NCAC 02T .0305, upon completion of construction and prior to operation of these permitted
facilities, the completed Engineering Certification form attached to this permit shall be submitted with
the required supporting documents to the address provided on the form. A complete certification is one
where the form is fully executed and the supporting documents are provided as applicable.
7. A copy of the construction record drawings shall be maintained on file by the Permittee for the life of
the wastewater collection facilities.
8. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 02T .0305; the
Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's
Minimum Design Criteria for the Fast -Track Permitting of Pump Station and Force Mains adopted June
1, 2000 as applicable; and other supporting materials may subject the Permittee to an enforcement action
by the Division, in accordance with North Carolina General Statutes § 143-215.6A through § 143-215.6C.
9. In the event that the wastewater collection facilities fail to perform satisfactorily, including the creation
of nuisance conditions, the Permittee shall take immediate corrective action, including those as may be
required by this Division, such as the construction of additional or replacement facilities.
10. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances that may be imposed by other government agencies (local, state and
federal) which have jurisdiction, including but not limited to applicable river buffer rules in 15A NCAC
2B .0200, erosion and sedimentation control requirements in 15A NCAC Ch. 4 and under the Division's
General Permit NCGO10000, and any requirements pertaining to wetlands under 15A NCAC 2B .0200
and 15A NCAC 2H .0500.

11. Noncompliance Notification:
The Permittee shall verbally report to a water quality staff member at the Fayetteville Regional Office,
telephone number [phone], as soon as possible, but in no case more than 24 hours or on the next
working day, following the occurrence or first knowledge of the occurrence of either of the following:
a. Any process unit failure, due to known or unknown reasons, that renders the facility incapable of
adequate wastewater transport, such as mechanical or electrical failures of pumps, line blockage or
breakage, etc.; or
b. Any failure of a pumping station or sewer line resulting in a by-pass directly to receiving waters
without treatment of all or any portion of the influent to such station or facility.
Voice mail messages or faxed information is permissible but shall not be considered as the initial verbal
report. Overflows and spills occurring outside normal business hours may also be reported to the
Division of Emergency Management at telephone number [phone] or [phone]. 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.
Permit issued this third day of June 2010.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
�6� J
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0034785

r ast 1 rack Engineering t_.ertlycation
Permit No. WQ0034785
June 3, 2010
Complete and submit this form to the permit issuing regional office with the following:
• One copy of the project record drawings (plan & profile views of sewer lines) of the wastewater collection system extension
• Supporting design calculations (selected pumps, system curve, operating point, available storage if portable generator(s) or
storage greater than longest past three year outage reliability option selected) for any pump stations permitted as part of this
project
• Changes to the project should be clearly identified on the record drawings or in written summary form. Permit modifications
are required for any changes resulting in non-compliance with this permit, regulations or minimum design criteria.
This project shall not be considered complete nor allowed to operate until this Engineer's Certification and all required supporting
documentation have been received by the Division. Therefore, it is highly recommended that this certification be sent in a
manner that provides proof of receipt by the Division.
ENGINEER'S CERTIFICATION
❑ Partial ❑ Final
I, as a duly registered Professional Engineer in the State of North Carolina, having been authorized to
observe (❑ periodically, ❑ weekly, ❑ full time) the construction of the DCA — Scottish Glen Il, LLC, project in Scotland County
for the Permittee hereby state that, to the best of my abilities, due care and diligence was used in the observation of the construction
such that the construction was observed to be built within substantial compliance of this permit; 15A NCAC 02T .0305; the
Division of Water Quality's (Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996, as applicable; the
Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000, as
applicable; and other supporting materials.
North Carolina Professional Engineer's
seal, signature, and date:
........ .... ............. -........................... ...................... .......... ..................... ....
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
FAYETTEVILLE REGIONAL OFFICE
225 GREEN STREET, SUITE 714
FAYETTEVILLE NC 28301
The Permittee is responsible for tracking all partial certifications up until a final certification is received. Any wastewater flow
made tributary to the wastewater collection system extension prior to completion of this Engineer's Certification shall be
considered a violation of the permit and shall subject the Permittee to appropriate enforcement actions.

OF \,N A State of North Carolina
DENR—FRO Department of Environment and Natural Resources
r MAY 2 4 2G10 Division of Water Quality
o FAST -TRACK APPLICATION
DWQ (FTA 12/07 very)
for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
(Pressure & Vacuum sewer systems are not to be included as part of this application package)
INSTRUCTIONS: Indicate that you have included/addressed the following list of required application package items by
checking the space provided next to each applicable item. Failure to submit all required items will lead to your application
being returned as incomplete. Forms are available from the web site or by calling the Regional Office serving your county:
http://h2o. enr. state. nc. us/peres/Collection % 20Systems/CollectionSystemApplications. html
X A. Application Form - Submit one original and one copy of the completed and appropriately executed application
form. The application should include a project narrative describing the final build -out design (i.e. system and/or
pump station to ultimately serve 500 homes, but flow for only 100 homes being requested now). For modifications,
clearly explain the reason for the modification (i.e. adding another phase, changing line size/length, etc.). Only
include the modified information in this permit application - do not duplicate project information that has already
been included in the original permit.
Any changes to this form will result in the application being returned. The Division of Water Quality (Division) will
only accept application packages that have been fully completed with all applicable items addressed. You do not
need to submit detailed plans and specifications unless you respond NO to Item B0 3).
Seoarate applications should be made for non-contiguous sewer systems.
X B. Application Fee - Submit a check in the amount of $480 made payable to: North Carolina Department of
Environment and Natural Resources (NCDENR). Checks shall be dated within 90 days of application submittal.
❑ C. Certificates of Public Convenience and Necessity — If the application is being submitted in the name of a
privately -owned public utility, submit two copies of the Certificate of Public Convenience and Necessity (CPCN)
which demonstrates that the public utility is authorized to hold the utility franchise for the area to be served by the
sewer extension. If a CPCN has not been issued, provide two copies of a letter from the North Carolina Utilities
Commission's Public Staff that states that an application for a franchise has been received, that the service area
is contiguous to an existing franchised area, and/or that franchise approval is expected. The project name in the
CPCN or letter must match that provided in Item A(2)a of this application.
❑ D. Operational Agreements — Submit one original and two copies of a properly executed operational agreement, as
per 15A NCAC 02T .0115, if the application is submitted by a private applicant and will be serving residential or
commercial lots (e.g., houses, condominiums, townhomes, outparcels, etc.) that will be sold to another entity. If
the applicant is a home or property owner's association, use Form HOA 02/03. If the applicant is a developer,
use Form DEV 02/03. EVEN IF THE PROJECT MAY BE TURNED OVER TO A MUNICIPALITY UPON
COMPLETION, FORM DEV 02/03 IS REQUIRED.
X E. Downstream Sewer, WWTF Capacity and Flow Tracking/Acceptance — FORM FTSE 10/07 (Flow
Tracking/Acceptance for Sewer Extension Permit Applications) is required with every application. The applicant
(and owners of downstream sewers, pump stations and/or treatment facilities submitting FORM FTSE-10/07)
certifies that the addition of the volume of wastewater to be permitted in this project has been evaluated along the
route to the receiving treatment plant, and that the flow from this project will not cause capacity related sanitary
sewer overflows or overburden any downstream pump station en route to the receiving wastewater treatment
plant. Where the applicant is not the owner of the downstream sewer, submit two copies of FORM FTSE 10/07
from the owner of the downstream sewer and owner of the WWTF, if different. The flow acceptance indicated in
FORM FTSE-10/07 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-10/07 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 project -specific FTSE 10/07.
X F. Map — Submit an 8.5-inch by 11-inch COLOR copy of a USGS Topographic Map of sufficient scale to identify the
entire project area and the closest surface waters. Each map or maps must show the location of the sewer line
and pump stations and be of reproducible quality. Include a street level map showing the downstream connection
point, and the permit number for the downstream sewer, if known.

X G. Stream Classifications — Watershed Classification Attachment (Form WSCAS-12/07) If any portion of the
sewer system project is within 100 feet of any surface water or wetlands, the Watershed Classification Attachment
may need to be completed. A variance must be requested for encroachment within required setbacks or buffers
pursuant to 2T .0305 (f) and be indicated in Item B-13 with supporting documentation/justification provided.
❑ H Environmental Assessments — If this project is subject to an Environmental Assessment (EA) [15A NCAC
01C], this application cannot be used. Send the project application on the most current version of Form
PSFMGSA to the Design Management Unit, 1633 Mail Service Center, Raleigh, NC 27699-1633. Applications
cannot be accepted until a Finding of No Significant Impact (FONSI) or Environmental Impact Statement (EIS)
has been issued. A copy is to be submitted with that permit application.
❑ I. Flow Direction — Many wastewater treatment systems are entering into agreements for regionalization efforts
and emergency treatment capacity. Parts of the system are installed so that the wastewater flow can be directed
to more than one treatment facility. If this is the case with this project, please indicate in B(12) and give the permit
number of the second treatment facility.
X J. Certifications — Section C
The application must be certified by both the applicant and the design engineer who is a North Carolina
Registered Professional Engineer (PE). The applicant signature must match the signing official listed in Item
A(1 b). The PE should NOT certify the application if he/she is unfamiliar with 15A NCAC Chapter 2T, the Gravity
Sewer Minimum Design Criteria (most recent version) and the Minimum Design Criteria for the Fast -Track
Permitting of Pump Stations and Force Mains (most recent version), as applicable to the project.
THE COMPLETED FTA 12107 APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
DOCUMENTS AND $480 FEE, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
Swannanoa, North Carolina 28778
Clay, Graham, Haywood, Henderson, Jackson,
[phone]
Macon, Madison, McDowell, Mitchell, Polk,
[phone] Fax
Rutherford, Swain, Transylvania, Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Harnett, Hoke,
Fayetteville, North Carolina 28301-5094
Montgomery, Moore, Robeson, Richmond,
[phone]
Sampson, Scotland
[phone] Fax
Mooresville Regional Office
610 E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone]
Stanly, Union
[phone] Fax
Raleigh Regional Office
1628 Mail Service Center
Chatham, Durham, Edgecombe, Franklin,
Raleigh, North Carolina 27699-1628
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] Fax
Warren, Wilson
Washington Regional Office
943 Washington Square Mall
Beaufort, Bertie, Camden, Chowan, Craven,
Washington, North Carolina 27889
Currituck, Dare, Gates, Greene, Hertford, Hyde,
[phone]
Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] Fax
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
Wilmington, North Carolina 28405
Hanover, Onslow, Pender
[phone]
[phone] Fax
Winston-Salem Regional Office
585 Waughtown Street
Alamance, Alleghany, Ashe, Caswell, Davidson,
Winston-Salem, North Carolina 27107
Davie, Forsyth, Guilford, Rockingham, Randolph,
[phone]
Stokes, Surry, Watauga, Wilkes, Yadkin
[phone] Fax
For more information, please visit our web site at:
http://h2o. enr.state.nc.us/peres/Collection % 20Systems/CollectionSystemsHome.html
or contact the Regional Office serving your county.

USE THE TAB KEY TO MOVE FROM FIELD TO FIELDI Application Number:
(to be completed by DWQ) %0,Q _64 7e5
1.
Owner/Permittee:
1a.
Cit of Laurinbur
.Fell Legabdkr (company, municipality, HOA, utility, etc.)
1b.
Ed Burch !ns, City Mana er
0
&fining Official Namgmand Title (Please review 15A NCAC 2T .0106 (b) for authorized signing officials!)
0
Q
1 c.
The legal entity who will own this system is:
2
❑ Individual ❑ Federal ❑ Municipality X State/County ❑ Private Partnership ❑ Corporation [-I Other (specify):
0
1d.
P.O. Box249 I.1e. Laurinbur
LL
Mailing Address City
Z
1f.
North Carolina 1g. 28353
Z
State Zip Code
0
1h.
910-276-8324 1i. 910-276-0354 1j. [e-mail]
facsimile. EnwmW
U
2.
Project (Facility) Information: - -
J
2a.
DCA-Scottish Glen II, LLC 2b. Scotland
a.
Brief Project Name (permit will refer to this name) County Where Project is Located
a
3.
Contact Person:
3a.
Stacey McQua e, Public Works Director
Q
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b.
910-276-2364 3c. [e-mail]
Phone Number E-mail
1.
-Project is X New ❑ Modification (of an existing permit) If Modification, Permit No.:
2.
Owner is X Public (skip to Item B(3)) ❑ Private (go to Item 2(a))
2a.
If private, applicant will be: 2b. If sold, facilities owned by a (must choose one)
❑ Retaining Ownership (i.e. store, church, single office, etc.) or ❑ Public Utility (Instruction C)
❑ Leasing units (lots, townhomes, etc. - skip to Item B(3)) ❑ Homeowner Assoc./Developer (Instruction D)
❑ Selling units (lots, townhomes, etc. - go to Item B(2b))
3.
City of Laurinbur
Z
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
0
4a.
Leith's Creek Wastewater Treatment Plant 4b. NCO020656
Name of WWTF VVWTF Permit No.
5a.
Cityof Laurinbur b. 15" Gravity 5c. WQC S00062
Owner of Downstream Sewer Receiving Sewer Size ❑ Force Main Permit # of Downstream Sewer (instruction E)
0
6.
The origin of this wastewater is (check all that apply):LL
-
Z
H
I
X Residential Subdivision ❑ Retail (Stores, shopping centers) 100 % Domestic/Commercial
❑ Apartments/Condominiums ❑Institution %Industrial (attach
❑ Mobile Home Park ❑ Hospital description.)
W❑
School ❑ Church (RO: contact your Regional Office
Restaurant ❑ Nursing Home
0-❑
Pretreatment staff)
❑ Office ❑ Other (specify):
% Other (specify):
I
7.
Volume of wastewater to be allocated or permitted for this particular project: -0- gallons per day
*Do not include future flows or previously permitted allocations
8.
If the permitted flow is zero, indicate why:
X Pump Station, Outfall or Interceptor Line where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit No.
❑ Rehabilitation or replacement of existing sewer with no new flow expected (see 15A NCAC 02T .0303 to determine if a
permit is required)

W
Z
Z
O
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Z
O
H
Q
O
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Z
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vi
9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2T .0114 for
the value in Item B(7) AND/OR the design flow for line or pump station sizing if a reduced or zero flow is being requested in
Item 13(7). Values other than that in 15A NCAC 2T .0114 (b) and (c) must be supported with actual water or wastewater use
data in accordance with 15A NCAC 2T .0114 (f).
N/A
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size inches Length (feet) New Gravity or Additional
(inches) engForce Main
10" SDR 35PVC 1,283 Gravity
10" DIP 20 Gravity
11. Summary of Pump Stations w/ associated Force Mains to be Permitted (attach additional sheets as necessary)
Pump Station Location ID N/A (self chosen - as shown on plans/map for reference)
Design Flow Operational Point Power Reliability Option
(MGD) GPM @TDH 1 - permanent generator w/ATS; Force Main Size Force Main Length
2 - portable generator w/MTS
Pump Station Location ID N/A (self chosen - as shown on plans/map for reference)
Design Flow Power Reliability Option
(MGD) Operational Point 1 - permanent generator w/ATS; Force Main Size Force Main Length
GPM @TDH 2 - portable generator w/MTS
Pump Station Location ID N/A (self chosen - as shown on plans/map for reference)
Design Flow Operational Point Power Reliability Option
(MGD) GPM @TDH 1 - Permanent generator w/ATS; Force Main Size Force Main Length
2 - portable generator w/MTS
12. Will the wastewater flow in the proposed sewer lines or pump stations be able to be directed to another treatment facility?
❑ Yes X No If Yes, permit number of 2nd treatment facility N/A
(RO — if "yes" to B,12 please contact the Central Office PERCS Unit)
13. Does the sewer system comply with the Minimum Design Criteria for the Fast Track Permitting of Pump Stations and Force
Mains (latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC Chapter 2T as
applicable?
X Yes ❑ No If No, please reference the pertinent minimum design criteria or regulation and indicate why a
variance is requested. SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS
PERTINENT TO THE VARIANCE WITH YOUR APPLICATION

14. Have the following permits/certifications been submitted for approval for the system or project to be served?
A]
Wetland/Stream Crossings -General Permit or 401 Certification? ❑ Yes ❑ No X N/A
Sedimentation and Erosion Control Plan? ❑ Yes ❑ No X N/A
Stormwater? ❑ Yes ❑ No X N/A
15. Does this project include any high priority lines, [see 15A NCAC 02T .0402 (2)] involve aerial lines, siphons, or interference
manholes)? These lines will be considered high priority and must be checked once every six months
Check if Yes: ❑ and provide details N/A
1. Owner/Permittee's Certification: (Signature of Signing Official and Project Name)
l �d g cp{ps , attest that this application for DCA — Scottish Glen 11, LLC 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. Note: In accordance with North Carolina General
Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement, representation, or
certification in any applicjtion shall be guilty of a Class 2 misdemeanor, which may include a fine not to exceed $10, 000
as well as civil penalti up to , 000 per violation.
1a.
uGe,
Date
ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIM
TO OTHER UTILITIES, DESIGN CALCULATIONS. ETC. REFER TO 15A NCAC 02T .0305
2. Professional Engineer's Certification. (Signature of Design Engineer and Project Name)
1, _Joseph F. Wampler , attest that this application for_DCA-Scottish Glen ll, LLC has been
reviewed by me and is accurate, complete and consistent with the information in the engineering plans, 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 adopted February 12, 1996, and the Minimum Design Criteria for the Fast -Track Permitting of Pump
Stations and Force Mains adopted June 1, 2000 and the watershed classification in accordance with Division guidance.
Although other professionals may have developed certain portions of this submittal package, inclusion of these materials
under my signature and seal signifies that I have reviewed this material and have judged it to be consistent with the
proposed design. Note: In accordance with NC General Statutes 143-215.6A and 143-215.6B, any person who knowingly
makes any false statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor
which may include a fine not to exceed $10, 000 as well as civil penalties up to $25, 000 per violation.
2a. Joseph F. Wampler CA
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2b. J. F. Wampler Engineering Inc ;• SEAL 9!
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2c. 604 Peden Street 5364 1
maili is'Addl ss- •
2d. Laurinburg 2e. NC 2f. 28352 \ ✓�J' NGlNE
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2g. 910-276-8306 2h. 910-276-2440 2i. [e-mail]
4;e""C` zac irp" . NC PE Seal, Signature & Date

USE THE TAB KEY TO MOVE FROM FIELD TO FIELD! Application Number:
(to be completed by DWQ) 0
r
1.
Owner/Permittee: —--- -
1a.
City of Laurinburg
Full Legal Name (company, municipality, HOA, utility, etc.)
Z
1b.
Ed Burchins City Manager
Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized signing officials!)
1—
!
Q
1 c.
The legal entity who will own this system is:
❑ Individual ❑ Federal ❑ Municipality X State/County ❑ Private Partnership ❑ Corporation ❑ Other (specify):
W01
d.
P.O. Box 249 1 e. Laurinburg
U.
Mailing Address City
Z
1f.
North Carolina 1g. 28353
Z
State Zip Code j
0
1h.
910-276-8324 1i. 910-276-0354 1j. [e-mail]
Telephone Facsimile E-mail
i
U
2.
Proiect (Facility) Information:
J
2a.
DCA-Scottish Glen II, LLC 2b. Scotland
G.
Brief Project Name (permit will refer to this name) County Where Project is Located
B3.
Contact Person:
3a.
Stacey McQuage, Public Works Director
Q
Name and Affiliation Of Someone Who Can Answer Questions About this Application
3b.
910-276-2364 3c. [e-mail]
i
Phone Number E-mail
1.
Project is X New ❑ Modification (of an existing permit) If Modification, Permit No.:
2.
Owner is X Public (skip to Item B(3)) ❑ Private (go to Item 2(a))
2a.
If private, applicant will be: 2b. If sold, facilities owned by a (must choose one)
i
❑ Retaining Ownership (i.e. store, church, single office, etc.) or ❑ Public Utility (instruction C)
I
❑ Leasing units (lots, townhomes, etc. - skip to Item B(3)) ❑ Homeowner Assoc./Developer (Instruction D) j
I
❑ Selling units (lots, townhomes, etc. - go to Item B(2b))
— I
3.
City of Laurinburg
Z
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project j
i
�
4a.
Leith's Creek Wastewater Treatment Plant 4b. iVC0020656
Name of WV\/TF VVWTF Permit No.
City of Laurinburg 5b. 15" X Gravity 5C. WQC S00062
�5a.
Owner of Downstream Sewer lReceiving Sewer Size i❑ Force Main i Permit # of Downstream Sewer (instruction E)
0
R
TI o n of this �nroc+oini�fior is 1,1-Le III that nnn1wV I
LL
y = a e• • e• e •e e e
This disbursement has been approved as required by
RNC BANK the Local Government Budget and Fiscal Control Act.
CITY OF LAU R I N B U RG LAURINBURGCHECK NO. 58632
GENERAL ACCOUNT T. DIRECTOR
66-85/531 FINANCE DIRECTOR ('
P.O. BOX 249 58632
LAURINBURG, NC 28352
VENDOR CHECK DATE CHECK AMOUNT
2877 J5/19/2010 $480.00
s
********480 DOLLARS AND NO CENTS
PAY DENR
225 GREEN STREET
TO THE FAYETTEVILLE NC 28301 lk,�Z NP
ORDER
115 SECURITY F EA URES INCLUDED. DETAILS ON BACK. �t]
11MO 58 6 3 211° 1:0 5 3 10013 501:08 400008 L 2118

waoo3t��s
This disbursement has been approved as required by
CITY O F LAURINBURG LAURINBURG, NC BANK the Local Government Budget and Fiscal Control Act. CHECK NO. 58632
GENERAL ACCOUNT 66-85/531 a C�
FINANCE DIRECTOR
P.O. BOX 249 58632
LAURINBURG, NC 28352
VENDOR CHECK DATE CHECK AMOUNT
2877 5/19/2010 1 $480.00
********480 DOLLARS AND NO CENTS
PAY DENR
225 GREEN STREET
TO THE FAYETTEVILLE NC 28301E"
ORDER
SECUPITY FEATMES INCLUDED. DETAILS ^p! S-AC't.
Ill 58 6 32,10 I:0 5 3 L008 501:08 400008 L 211'
58632
CITY OF LAURINBURG
05/19/10
58632
INVOICE DATE
INVOICE NUMBER
INVOICE DESCRIPTION
NET INVOICE AMOUNT
PO NO.
VOUCHER
05/19/10
SCOTTISH GLE
480.00
60082

Central Files: APS SWP
06/03/10
Permit Number INQ0034786 Permit Tracking Slip
Program Category
Non -discharge
Permit Type Fast Track
Gravity Sewer Extension, Pump Stations, & Pressure Sewer
Extensions
Primary Reviewer
trent.allen
Coastal SW Rule
Permitted Flow
0
Status
Project Type
Active
New Project
Version
Permit Classification
1.00
Individual
Permit Contact Affiliation
Facility
Facility Name Major/Minor Region
DCA - Scottish Glen II, LLC Major Fayetteville
Location Address
County
Scotland
Facility Contact Affiliation
Owner
Owner Name Owner Type
City of Laurinburg Government - Municipal
Owner Affiliation
Edward F. Burchins
City Manager
PO Box 249
Laurinburg NC 28353
Dates/Events
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
06/03/10 05/24/10 06/03/10 06/03/10
Regulated Activities Requested/Received Events
Wastewater collection Additional information requested
Additional information received
Outfall NULL.
Waterbody Name Stream Index Number Current Class Subbasin

3848
370 000
FEET
r�hftrc'
rN
Sugar Hi
34 ° 45' . 1 I1 L
139 860 000 FEET p I 27'30"
5 DCA SCcj TTiS/�<5BFw, L L
ROAD CLASSIFICATION
Heavy-duty..._ _ �a Light -duty ..... ___.....
._
Medium•duty ._.._� Unimproved dirt =________
0 U. S. Route O State Route
1 2 SCALE o:24000
1 1 MILE LAURINBURG, N. C.
1000 0 1000 2000 3000 4000 5000 6000 7000 FEET SW/4 LAURINBURG IS' QUADRANGLE
N3445 — W7922.5/7.5
1 5 0 1 KILOMETER
1957
CONTOUR INTERVAL 10 FEET PHOTC?REVISEQ 192"
.,rn.ni nrnncri� vcon— nn Tune nc 30b0 nua Sims m em onm— .......

OF W ATF9 State of North Carolina
Department of Environment and Natural Resources
CO
Division of Water Quality
o Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE—10/07)
Project Applicant Name: —CITY OF LAURINBURG
Project Name for which flow is being requested: DCA-SCOTTISH GLEN II, LLC
More than one FTSE-10107 may be required for a single project if the owner of the WWTP is not responsible for all
pump stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name:—LEITH'S CREEK WASTEWATER TREATMENT PLANT
b. WWTP Facility Permit #: NC 0020656
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
All flows are in MGD
4.000
2.222
II. Complete this section for each pump station you are responsible for along the route of this
proposed wastewater flow.
List pump stations located between the project connection point and the WWTP
Pump Station Name Approx. Capacity, MGD Approx. Current Avg.
(Finn/Design) Daily Flow, MGD
—COLLEGE PARK
—LIFT STATION # 19
04V
_2.100
0.300
0.730
III. Certification Statement:
I, ED BURCHINS, CITY MGR. , certify that, to the best of my knowledge, the addition of the
volume of wastewater to be permitted in this project has been evaluated along the route to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity
related sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant under normal circumstances. This analysis has been performed in accordance with local
established policies and procedures using the best available data. This certification applies to those items
listed above in Sections I Vd II for which I am the responsible party. Signature of this form indicates
acceptance of this avast a w.
r,- -SIi, ?l io
Signing Official SViature Date

ofWArF9
FORM WSCAS-12/07
WATERSHED CLASSIFICATION ATTACHMENT o
FOR SEWER SYSTEMS
A pp Iicant Name
Project Name
CITY OF LAURINBURG
DCA-SCOTTISH GLEN II, LLC
Professional Engineer Name
Engine rinFirm Name
JOSEPH F. WAMPLER
J.F. WAMPLER ENGINEERING. INC.
Location
ID
Name of Waterbody'
County
River
Basin
Waterbody Stream
Index No.
Waterbody
Classification
NO 1
BRIDGE CREEK
Scotland
LUMBER
14-33-2
C;SW
' If unnamed, indicate "unnamed tributary to V, where X is the named waterbody to which the unnamed tributary joins.
1 certify that as a Registered Professional Engineer in the State of
North Carolina that I have diligently followed the Division's instructions
for classifying waterbodies and that the above classifications are
inclusive of the stated project, complete and correct to the best of my
knowledge and belief.
PE Seal, Signature and Date
*** END OF FORM WSCAS-12/07 ***
CARP
141
SEAL
5364
FORM: WSCAS-12/07 Page 1 of 1

J.F. WAMPLER ENGINEERING, INC.
POST OFFICE BOX 1782 LAURI N BURG, N.C. 2 8 3 5 3
604 PEDEN STREET PHONE: OFFICE [phone]
HOME: [phone]
FAX [phone]
May 20, 2010
State of North Carolina Dept. of Environment DENR-FRO
And Natural Resources
Division of Water Quality MAY 2 4 2010
225 Green Street, Suite 714
Fayetteville, NC 28301-5043 DWQ
Attn: Trent Allen, Environmental Engineer
Ref: New Project, DCA-Scottish Glen II, LLC, Owner: The City of Laurinburg, Scotland Co., NC
Fast Track — Gravity Sanitary Sewer Extension -West Blvd., SR 1108
Dear Mr. Allen:
Please find enclosed:
1. Fast Track Application for Gravity Sewer, one original, one copy completed and
appropriately executed. (FTA 12/07 ver5)
2. Application Fee of $480.00 payable to NCDENR written by the City of Laurinburg.
3. Project Narrative
4. Color 7.5 minute USGS topographical Map with identification, map name, number,
project area location, and closest downslope surface water. (A portion of the project is
within 50 ft. of a downslope surface water.) Map is enclosed.
5. Downstream sewer, WWTF capacity and flow tracking/acceptance for Sewer Extension
Permit Application (Form FTSE 10/07), one original and one copy. Supplied by the City
of Laurinburg.
6. Watershed Classification Attachment (WSCAS-12/07)
7. Certification is executed by the City of Laurinburg, owner (The Housing Authority of the
Town of Laurinburg) and myself.
Thank you for your consideration and review of this application. If you need more information
or have questions, please contact me at 910-276-8306.
Sincerely,
Joseph F. Wampler, PE 5364
Pg1of2

Cc: Stacy McQuage, City of Laurinburg, Public Works Director
Nancy Walker, the Housing Authority of the Town of Laurinburg
Ed Burchins, City of Laurinburg, City Manager
Bill Reimer, City of Laurinburg, City Planning Director
Pg2of2

J.F. WAMPLER ENGINEERING, INC.
�s POST OFFICE BOX 1782 LAURI N BURG, N. C. 2 8 3 5 3
19n�in,eer� 604 PEDEN STREET PHONE: OFFICE [phone]
HOME: (9101 276-7517
FAX [phone]
DCA —Scottish Glen II, LLC
City of Laurinburg Project
In the city limits of Laurinburg, Scotland County, NC
PROJECT NARRATIVE
This project consists of placing 1,303 L.F. of 10" SDR 35-PVC Gravity Flow Sanitary Sewer
Interceptor line along West Blvd. to serve Scottish Glen II, LLC. Scottish Glen II, LLC is a
proposed Housing Authority of the Town of Laurinburg apartment complex, consisting of 6
buildings (including a community center) with 84 bedrooms and a Community Center with 6
fixtures.
All flow will be 100% domestic wastewater, gravity flow. Sanitary sewer for Scottish Glen II, LLC
will be s itted r a separate application.
Joseph F. Wampler, PE
K CARO� .
•'"FESS/�••• q
*� SEAL
5364 : ?
�J'AF�6INEER.••°� .