WQ0008480_Application_19930927

MEMO TO: State Review Group
FROM: Kerr T. Stevens
Regional Supervisor
SUBJECT: Procedure Four (4)
WQ0008480
Hospital/Rehabilitation Center
Sewer Extension - Private
Village of Pinehurst
Moore County
Division of Environmental
Management
Fayetteville Regional
Office
10/06/93
Date
State Review Group Review
Engineer Rav Cox
Regional Office
Contact Ricky Revels
1) Name of wastewater treatment plant to receive the wastewater:
Moore County Regional Wastewater Treatment Plant
2) WWTP design capacity 6_7 MGD
3) NPDES Permit No.: NC0037508 Expiration Date: 04/30/97
4) Compliance Information:
Present treatment plant performance
for previous 12 months - beginning 9 l 92
(See attached self -monitoring data)
5) Quantity and type of wastewater from proposed sewers:
7,500 GPD
domestic 100% industrial ; other
6) Volume from previously approved projects not yet tributary to
WWTP 390,998_ GPD
7) Regional Recommendations: Approval X Denial
KTS/RR/rr
Enclosure

State 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
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September 27, 1993l,\ , 3 1993 '� r
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MR HERMAN GATTIS ENV. MANAGEMENT \N
PINEHURST SANITARY COMPANY FAYETTEVILLE REG. OFFICE
205 MCCASKILL ROAD; PO BOX 182
PINEHURST, NORTH CAROLINA 28374
Subject: Application No. WQ0008480
Hospital/Rehabilitation Center
Sewers -Private
Moore County
Dear MR GATTIS:
The Division's Permits and Engineering Unit acknowledges receipt of your permit application and
supporting materials on September 21, 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 Ray Cox 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 Ray Cox at [phone].
cc: Fayetteville Regional Office
Hobbs Upchurch & Associates
Sincerely,
Don d S frit, P.E.
- Supervisor, Permits and Engineering Unit
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 Pem it Application
(THIS FORM MAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL)
GRAVITY SEWER EXTENSION
I. GENERAL INFORMATION:
1. Applicant (corporation, individual, or other): Pinehurst Water & Sanitary Co. , Inc.
2. Print Owners or Signing Official's Name and Title (the person who is legally '
responsible for the facility and its compliance): Herman Gattis, Manager
3. Mailing Address: PO Box 182, 205 McCaskill Road
City: Pinehurst State: NC Zip: 28374
Telephone No.: ( 919 ) 295-5720
4. Project Name (subdivision, facility, or establishment name - should be consistent with
project name on plans/specs., letters of flow acceptance, Operational Agreements, etc.):
Moore Regional Hospital 25 Bed Rehabilitation Addition
5. Application Date:
7. County where project is located:
II. PERMIT INFORMATION:
6. Fee Submitted: $ 400.00
Moore County
1. , Permit No. (will be completed by DEM):
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 and issue date
4. Specify whether the applicant is public or X private.
FORM: GSEA 4/91 Page 1 of 6

III. INFORMATION ON WASTEWATER:
GRAVITY SEWER EXTENSION
PAGE 2 (4/91)
I. 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.:
Rehabilitation Hospital Addition
3. Indicate any parameter (and its concentration) that will be greater than normal domestic
levels: Acid
4. If wastewater is not domestic in nature, what level of pretreatment has been provided to
ensure protection of the receiving wastewater treatment facility?
Acid Neutralization Tank
5. Volume of wastewater generated by this project: 7500 gallons per day
6. Explanation of how wastewater volume was determined:
For hospital: 300 GPD/bed x 25 beds
IV. DESIGN INFORMATION:
to
1. Brief project description: / inch gravity sewer to adjoin existing hospital
sewer
Moore County Wastewater
2. Name of wastewater treatment facility receiving wastewater. Treatment Plant
a. Facility permit no.:
NPDES NC 0037508
b. Engineer should provide statement of his evaluation of downstream sewers to
accept the wastewater: Adequately sized to accept this increase in
wastewater flow
2of6

GRAVITY SEWER E=NSION
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: 0.013
Dia. Length Pipe C or N Min. Max. Minimum Max. Minimum
(In.) (Lin. Ft) Material Factor Slope % Slope % Velocity (fps) Vel.(fps) Cover (in)
10 666 PVC 0.013 0.28 7.5 2.1 11.0 42
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: 351 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?
Granular bedding of pipe, adequate depth of cover and proper soil
compaction.
9. Outside drop manholes are provided where invert separations exceed: 2.0 feet.
10. Identify (by manhole number) those manholes that have drop connections: None
3of6

GRAVITY SEWER EXTENSION
PAGE 4 (4/91)
1 1. 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? X Yes — No
b) 12 in. vertical separation from storm sewer or ferrous pipe
sanitary sewer specified?
X Yes —No
c) 10 fL 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
N/A
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.
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.
4of6

GRAVITY SEWER EXTENSION
PAGE 5 (4/91)
Name and Complete Address of Engineering Firm: Hobbs, Upchurch & Associates, P.A.
PO Box 1737, 290 SW Broad Street
City: Southern Pines State: NC Zip: 28388
Telephone No. [phone]
Professional Engineer's Certification:
I, Charles D. Heiser
,attest that this application for Moore Regional
Hospital 25 Bed Rehabilitation Addition 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. 10614
Print Name of Engineer Charles ,D. Heiser, P.E.
`•,t`r,dttterrr, ..
Seal and Signature (specify dat y.4 <<0
.r
Applicant's Certification:
I Herman Gattis
e _
°Orr CEJ �`'`'��...
at`t' �h�t"Ks application for
Hospital 25 Bed Rehabilitation Addition
Moore Regional
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand
that if all required pans 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 1jeA /✓k 1 Date
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
INFORMATIONAND 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 CAROL INA 27626-0535
TELEPHONE NUMBER: 919/733-5083
5of6

GRAVITY SEWER EXTENSION
PAGE 6 (4/91)
PERMIT APPLICATION PROCESSING FEES
(effective October 1, 1990)
CATEGORY NEW APPLICATIONS/ RENEWALS WrMOUT
MODIFICATIONS MODIFICATIONS
> 1,000,000 GPD
Industrial $400 $300
Domestic/Cooling Water $400 $300
1 11 111 111 • �
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.
6of6

V
ate, of North Carolina
epartment of Environment,
ealth and Natural Resources
I Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
October 12, 1993
Herman Gattis, Manager
Pinehurst Water & Sanitary Co., Inc.
P.O. Box 182
Pinehurst, N.C. 28374
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14
Eli/ 1993 �.
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Subject: Application No. WQ0008480
Additional Information Request
Pinehurst Water & Sanitary
Company, Inc.
Moore Regional Hospital
Sewer Extension
Moore County
Dear Mr. Gattis:
The Permits and Engineering Unit has completed a preliminary engineering review of the subject
application. The following items must be addressed before we can complete our review:
1) On February 1, 1993, the Division adopted new regulations that require that the
infiltration/exfiltration rate must not exceed 100 GPD per inch of pipe diameter per mile of
pipe. All sewer extension permit applications received on or after February 1, 1993, must
conform to these new regulations. Please revise page 02660-5, section 3.4.A.1., of your
specifications to comply with the new value. Please be advised that the Division is in the
process of revising the application forms to reflect the new regulations.
2) Please include in your specifications a section addressing the required minimum separations
(horizontally and vertically) of sanitary sewers from other utilities (i.e. storm sewers and water
lines).
Note: Only pages which have been revised need to be forwarded. Please ensure that 3 signed
and sealed copies of each, with perforations along the left-hand edge, are submitted to my
attention.
Refer to the subject permit application number when providing the requested information. Please
submit three (3) copies of all information to my attention at the address below. Also,
please note that failure to provide this additional information on or before November 13, 1993, will subject
your application to being returned as incomplete, in accordance with 15A NCAC 2H .0208.
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

,ou have any questions on this matter, please call me at [phone] ext. 549.
Sincerely,
J. L�ox
nnmental Engineer
State Engineering Review Group
cc: Fayetteville Regionil Office
Permit File WQ0008480
Hobbs, Upchurch & Associates, P.A.

�vcoolzz CWtvz
Water Pollution Control System
P. O. Box. 813
Pinebluff, North Carolina 28373
OFFICE OF SYSTEM SUPERINTENDENT
September 17, 1993
U W. A S 7
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GAF LUUM1�
Ms. Carolyn McCaskill, Supervisor
State Engineering Review Group
N.C. Dept. of Environmental Health & Natural Resources
Divisio:) of Environmental Management
P.O. Box 27687
Raleigh,N.C. 27611
Re: Moore Regional Hospital 25 Bed Rehabilitation Addition
Pinehurst, North Carolina
Gravity Sewer Extension Permit Application
-nWASA Flow Acceptance
HUA No. PH9301
Dear Ms. McCaskill:
The Moore County Water Pollution Control Facilities hereby agrees
to conditionally accept up to 7,500 gallons per day of wastewater
from the referenced project in accordance with request of August
24, 1993 by Hobbs, Upchurch & Associates.
TELEPHONE: [phone]
FAX: [phone]
Upon completion of the referenced project, the applicant's engineer
is to provide this office with the following items:
1. Infiltration in gallons per day.
2. Cert—4cation of completion defined by N.C.
Statutory Requirements #143-215.1; Section 2-H.0220.
After Moore County has received a copy of `he certification of completi_
our office will provide a final acceptance statement.
incerely,
ary A. Frick
System Superintendent
emb
pc: Mr, Mitch Coleman, Exec. Director, Moore Water and Sewer Authority
Mr. Charles D. Heiser, P.E., Hobbs, Upchurch & Associates, P.A.
✓1Ir. Kerr T. Stevens, Dept. of EHNR, Fayetteville
Mr. W. David McNeill, Jr., County Manager
Mr. Herman Gattis, Pinehurst Water and Sewer