WQ0002086_Application_19930331

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APR 1 1993 =�
NAGEMENT
~j FAYETTEVIL E REG. OFFICE
State of North Carolina
Department of Environment, Health and Natural Resources
Division of Environmental Management
512 North Salisbury' Street • Raleigh, North Carolina 27604
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
March 31, 1993
MR MITCH COLEMAN
MOORE CO WATER & SEWER AUTHORITY
PO BOX 726
CARTHAGE, NORTH CAROLINA 28327
Dear MR COLEMAN:
A. Preston Howard, Jr., P.E.
Director
Subject: Application No. WQ0002086
Front Street Area
Name Change
Moore County
The Division's Permits and Engineering Unit acknowledges receipt of your permit application and
supporting materials on March 30, 1993. This application has been assigned the number shown
above. Please refer to this number when making inquiries on this project.
Your project has been assigned to John Kuske for a detailed engineering review. A technical
acknowledgement will be forthcoming.
Be aware that the Division's regional office, copied below, must provide recommendations from the
Regional Supervisor or a Procedure Four Evaluation for this project, prior to final action by the
Division.
If you have any questions, please contact John Kuske at [phone].
cc: Fayetteville Regional Office
Sincerely,
C CL�L
S t, P.E.
Supervisor, ermits and Engineering Unit
Pollution Prevention Pays
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

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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 ): MoorP warms c gPwer AutherityT Beard of
Directors
2. Print Owners or Signing Official's Name and Title (the person who is legally
responsible for the facility and its compliance): Mi toh rnl Aman
3. Mailing Address:
City: Carthage State: N.r Zip: M227
Telephone No.: 9( 19 ) 947-6315
4. Project Name (subdivision, facility, or establishment name - should be consistent with
project name on plans/specs., letters of flow acceptance, Operational Agreements, etc.):
Front Street Area Town of Vass
5. Application Date: 3/21/93 6. Fee Submitted: $100.00
7. County where project is located: Moore
H. PERMIT INFORMATION:
TRANSFER OF OWNERSHIP
1. Permit No. (will be completed by DEM): k )a coo b o_
2. Specify whether project is: 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 numberWQ0002086 and issue date-912J-L89
4. Specify whether the applicant is X public or private.
FORM: GSEA 4/91 Page 1 of 6

`GRAVITY SEWER EXTENSION - -
PAGE 2 (4/91)
III. INFORMATION ON WASTEWATER:
1. Nature of Wastewater: % 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.:
3. Indicate any parameter (and its concentration) that will be greater than normal domestic
levels:
4. If wastewater is not domestic in nature, what level of pretreatment has been provided to
ensure protection of the receiving wastewater treatment facility?
5.
6.
Volume of wastewater generated. by this project:
Explanation of how wastewater volume was determined:
IV. DESIGN INFORMATION:
1. Brief project description:
2. Name of wastewater treatment facility receiving wastewater:
a. Facility permit no.:
gallons per day
b. Engineer should provide statement of his evaluation of downstream sewers to
accept the 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)
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?
5. Maximum sewer reach length between manholes: linear feet.
6. This sewer line segment occurs between manhole no. and manhole no.
7. Does the owner/operator have the ability to clean this length? Yes No.
8. Sewer subject to existing or planned traffic bearing loads? Yes No.
If yes, what measures *are being taken to enable the sewers to withstand the loads?
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9. Outside drop manholes are provided where invert separations exceed: feet.
10. Identify (by manhole number) those manholes that have drop connections:
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GRAVITY SEWER EXTENSION
PAGE 4 (4/91)
11. Maximum allowable infiltration/exfiltration test rate: dia. in./ mile.
Note: Must not exceed 200 GPD/ pipe dia. in./ mile. GPD/ pipe
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 yes —No
sanitary sewer specified? —
c) 10 ft. horizontal separation from water mains or 18 in. vertical
separation (water over sewer) or ferrous pipe specified? —Yes —No
13. Are manholes subject to flooding? —Yes _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 yes No
flood elevation ( should be shown on plans): — —
16. Identify (by manhole number) those manholes that are vented:
17. Does this project involve any stream crossings? — yes — no. If yes, what precautions
or special features have been utilized to ensure protection of the sewer line and not
restrict stream flow? Identify the sheet of the plans and station number where stream
crossings are located:
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE
DIVISION OF ENVIRONMENTAL MANAGEMENT UNLESS ALL OF
THE APPLICABLE ITEMS ARE INCLUDED WITH THE SUBMITTAL
Required Items
a. One original and three copies of the completed and appropriately executed application form.
b. Three sets of detailed plans and specifications signed and sealed by a North Carolina
Professional Engineer. The plans must include a general location map, a plan view of the
sewer extension, a profile of the sewer extension, and must show the proximity of the
sewer extension to other utilities and natural features. Specifications may be omitted for
delegated authorities. Each sheet of the plans and the first page of the specifications must be
signed and sealed. Three copies of the existing permit if a renewal or modification.
c. The appropriate permit processing fee, in accordance with 15A NCAC 2H .0205(c)(5).
d. If the owner/authority of the wastewater treatment facility (WWTF) that will be accepting
the wastewater flow from this project is different from the applicant of the project, then a
letter must be provided from the owner/authority of the WWTF specifying the volume of
flow that will be accepted. The letter should be a -recent letter and should refer to the project
by the same name as that identified on the application and the plans/specifications.
e. An Operational Agreement (original and two copies) must be submitted if the sewer
extension will be serving single family residences, condominiums, mobile homes, or town
houses and if the subject sewer extension is owned by the individual residents, a
homeowners association, or a developer.
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Name and Complete Address of Engineering Firm:
City: State:
Telephone No.
Professional Engineer's Certification:
I,
GRAVITY SEWER EXTENSION
PAGE 5 (4/91)
, attest that this application for
Zip:
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 Engineer's Registration No.
Print Name of Engineer
Seal and Signature (specify date):
Applicant's Certification:
I,
Mitch Coleman
, attest that this application for
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.
0
Signature Date
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
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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
> 1,000,000 GPD
Industrial
Domestic/Cooling Water
10,001 - 1,000,000 GPD
Industrial
Domestic/Cooling Water
1,001 - 10,000 GPD
Industrial
Domestic/Cooling Water
< or = 1,000 GPD and
Single Family Dwelling
Sludge < or = 300 Acres
Sludge > 300 Acres
Sewer Extensions
(nondelegated)
Sewer Extensions
(delegated)
Closed -Loop Recycle
$400
$400
$400
$400
$240
$400
$400
$400
$200
$300
$300
$250
$250
$200
$200
$120
$250
$250
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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.
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