WQ0041615_Application (FTSE)_20200402

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 - FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Dlvls[on of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: ((o be completed by DWR)
All items must be completed or the anmlication will be returned
I. APPLICANT INFORMATION:
I. Applicant's name: Johnston County (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual
❑ Corporation El General Partnership ❑Privately -Owned Public Utility
❑ Federal ❑ State/County ® Municipal ❑ Other
3. Signature authority's name: Chandra Farmer A.E. per 15A NCAC 02T_01060)
Title: Director of Public Utilities
4. Applicant's mailing address: Post Office Box 2263
City: Smithfield State: NC Zip: 27577- '
5. Applicant's contact information: 0' O
Phone number: [phone] Email Address: chandra.farmer(@iohnstonnc.com 0
C%J 93 II. PROJECT INFORMATION: o •0
1. Project name: Daniel South - Phase One q
tZ
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project o Q •�
If a modification, provide the existing permit number: WQ00 and issued date: A
If new construction but part of a master plan, provide the existing permit number: WQ00 Z
3. County where project is located: Johnston
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.30'50 Longitude:-78.34'8:
5. Parcel ID (if applicable): 162400-82-5470,162400-81-3495
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
I . Professional Engineer: Jerry T. Dalton License Number: 16282
Firm. Dalton Engineering and Associates, P.A.
Mailing address: Post Office Box 426
City: Cla3lon State: NC Zip: 27528-_
Phone number: (219) 5504740 Email Address: idalton(ZDdaltonengineerinii.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Johnston County Regional Central Treatment Plant Permit Number: NCO030716
Owner Name: Johnston Count),
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ JAL{ Downstream (Receiving) Sewer Size: 8" inch
��-stem Wide Collection ysterrt Permit Number(s). if gMlicable): WQCSibD- (e
Owner Name(s): Johnston County
FORM: FTA 04-16 Paae I of 5

Vl. GENERAL REQUIREMENTS
L if the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes [:]No ®N/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's {]f,erational l4-reement (FORAr1: DEV been attached?
❑ Yes [:]No ®N/A
3. If the Applicant is Home.:Pru_aerty_Owners' Association has an Qperat snai Agreement FORM: HOAI been attached?
❑ Yes ❑No ®NIA
4. Origin of wastewater: (check all that apply):
® Residential Owned ® Retail (stores, centers, malls) ❑ Car Wash
❑ Residential Leased ❑ Retail with food preparation..service ❑ Hotel and/or Motels
❑ School ? preschool i day care ❑ Medical I dental I veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church
® Businesses I offices ! factories El Swimming Pool/Filter Backwash
❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater : 100 °}o Domestic/Commercial 0 % Commercial
0 % Industrial (See ._15A NCAC 02T_01031ZO)
�Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T .O1 I4fi1? ❑Yes ®No
If yes, Providea cony of flow reduction sporoval letter
7. Summarize wastewater generated by project:
Establishment Type (see 921.0114f fll Daily Design Flow''" No. of Units Flow
2-13R residential units 240 gal/day/unit 90 units 21,600 GPD
Commercial Use 1,200 gal/day/acre 4.9 acres 5,880 GPD
gal/ GAD
gal/ GPD
gall GPD
gall GPD
Total 27,480 GPD
a See 15A NCAC 02T._01 14fb), td1, le}(1) and Le2 for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use
areas; and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals
as defined in G_S. 42AA4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC.' 02T_01 14] shall
be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 27,480 GPD (per 15A NCAC 02T_.OI I4)
Do not include future flows or previously permitted allocations
1f permitted flow is zero, indicate why:
❑ Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit Number:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain): _
FORM: FTA 04-16 Page ? of 5

V11. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gra. its Se%ers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8" 1,179 PVC
Section 11 & Ill of the MDC for Permitting of Gravity Sewers contains information related to design criteria
r Section Ill contains information related to minimum slopes for gravity sewer(s)
Z Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable)— 02T .0305 & MDC(Pump Stations!Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
. Approximate Coordinates (Decimal Degrees): Latitude: _ Longitude:
3. Design flow of the pump station: millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): gallons per minute at feet total dynamic head (TDH)
5, Summarize the force main to be permitted (for this Pump Station);
Size (inches) Length (feet) Material
6. Power reliability in accordance with 15A NCAC 02T .0305(h )(I i s
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(B)
Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
Must be permanent to facility
Or if the pump station has an average daily flow less than 15,000 gallons per day:
❑ Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(1)(C):
It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
and is compatible with the station.
:- If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations'
storage capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be
provided in the case of a multiple station power outage_
FORM: FTA 04-16 Page 3 of 5

1X. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T.0305(f)):
1. Does the project comply with all separations found in 15A NCAC. 02 I'..03051 f) & (e)
15A NCAC 02T.0305(f) contains minimum se arations that shall be provided for sewers stems,
® Yes ❑ No
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
24 inches
Water mains (vertical -water over sewer including in benched trenches)
18 inches
Water mains (horizontal)
10 feet
Reclaimed water lines (vertical - reclaimed over sewer)
18 inches
Reclaimed water lines (horizontal - reclaimed over sewer)
2 feet
**Any private or public water supply source, including any wells, WS-I waters of Class I or
Class it impounded reservoirs used as a source of drinking water
100 feet
**Waters classified WS (except WS-1 or WS-V), B, SA, ORW, HQW, or SB from normal
high water (or tide elevation) and wetlands (see item IX.2)
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
AnX building foundation
10 feet
5 feet
Any basement
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimmin ools
10 feet
Final earth grade (vertical)
36 inches
15A NCAC 02T.0305fj contains alternatives where separations in 02T.Q05 cannot be achieved.
**Stream classifications can be identified using the Division's NC Surface Water Classifications webna�re
If noncompliance with 02T.0305(f) orb , see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes ❑ No ❑ NIA
See the Division's draft separation requirements for situations where separation cannot be meet
No variance is required if the alternative design criteria specified is utilized in design and construction
> As built documents should reference the location of areas effected
3. Does the project comply with setbacks found in the river basin rules per I SA NCAC 02B .0200? ® Yes ❑ No ❑ N'A
This would include Trout Buffered Streams per 15A NCAC 213.0202
4. Does the project require coverage?authorization under a 404 Nationwide or ® Yes ❑ No
individual permits or 401 Water Quality Certifications?
7- Information can be obtained from the 401 & Buffer Permittine Branch
5. Does project comply with 15A NCAC 02T.01051c1(6) (additional permitsicertifications)? ® Yes ❑ No
Per 15A NCAC_ 02T.0105(c)(6), directly related environmental permits or certification applications are being prepared, have
been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion and
sedimentation control plans, stormwater management plans, etc.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per 15A NCAC 02T.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
❑ Yes ® No ❑ N;`A
If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shall be inspected by the permtttee or its representative at least once every six -months and
inspections documented per 15A NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: FTA 04-16 Pale 4 of 5

X. CERTIFICATIONS:
I. Does the submitted system comply with l5A NCA 02T, the Minimum Design Cri eria for the Permitting of Pumfr Stations
and Force Mains ilateSt version), and the Gravi Sewer Minimum Design Criteria (latest version) as applicable?
® Yes ❑ No
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents
for review. Approval of the request is required prior to submittal of the Fast Track Application and supportine
documents.
2. Professional Engineer's Certification:
(Professional
name from Application Item IIl.1.)
that this application for
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans, specifications,
engineering 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 (latest version), and the Minimum Design Criteria for the Fast -Track
Permitting of Pump Stations and Force Mains (latest version). Although other professionals may have developed certain
portions of this submittal package, inclusion of these materials under my signature and seal signifies that 1 have reviewed this
material and have judged it to be consistent with the proposed design.
NOTE - In accordance with General Statutes 143-215.6A and 143-215.613, any person who knowingly akes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 ,�fjde nor, which may
include a fine not to exceed $i0,000, as well as civil penalties up to $25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date:
Applicant's Certification per 15A NCAC 02T .0106(b):
1 es
(Signature Authority's name & title from Application Item 1.3.)
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 documentation and attachments are not included, this
application package is subject to being returned as incomplete. I understand that any discharge of wastewater from this non -
discharge system to surface waters or the land will result in an immediate enforcement action that may include civil penalties,
injunctive relief, and/or criminal prosecution. 1 will make no claim against the Division of Water Resources should a
condition of this permit be violated. I also understand that if all required parts of this application package are not completed
and that if all required supporting information and attachments are not included, this application package will be returned to
me as incomplete.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.613, any person who knowingly makes any false
statement, representation, or certification in any application package 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.
Signature: L�
I 4,(�
t
FORM: FTA 04-16 Paae 5 of 5

State of North Carolina
Department of Environment and Natural Resources
DWR Division of Water Resources
Division of Water Resources Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 08-13)
Project Applicant Name: Johnston County
Project Name for which flow is being requested: Daniel South Phase One
More than one ME may be required for a single project if the owner of the WFV7P is not responsible for all pirnnp
stations along the route of the proposed wastewater floor
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Central Johnston County WWTP
b. WWTP Facility Permit #: NC0030716
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
9.5 MGD
2.3623
5.841
0.02748
8.2308
61.5% trib, 86.6% paper
I1. 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
Firm
(Name or
Capacity,*
Number)
MGD
McGees
0.2592
Landfill EQ
1.9296
(A)
(B)
(C)
Design
Obligated,
Average Daily
Approx.
Not Yet
Flow**
Current Avg.
Tributary
(Firm pf),
Daily Flow,
Daily Flow,
MGD
MGD
MGD
0.1037
0.0367
0.0516
1.6718
0.8359
0.7028
(D)=(B+C)
(E)=(A-D)
Total Current
Flow Plus
Obligated
Available
Flow
Capacity***
0.8830
0.0154
1.5387
0.1332
* The Firm Capacity of any pump station is defined as the maximum pumped flow that
can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking
factor (pf) not less than 2.5.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < 0.
Page 1 of 6

Ill. Certification Statement:
I Chandra C. Farmer, P.E. certify to the best of my knowledge that 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, given the implementation of
the planned improvements identified in the planning assessment where applicable. This analysis
has been performed in accordance with Iocal established policies and procedures using the best
available data. This certification applies to those items listed above in Sections I and II plus all
attached planning assessment addendums for which 1 am the responsible party. Signature of this
form indicates acceptance of this wastewater flow.
Signing Official Signature
Page 2 of b
FTSE 08-13

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FOR and Associates, P. A.
DANIEL FARM SOUTH SUBDIVISION
PLEASANT GROVE TOWNSHIP-JOHNSTON COUNTY, NC 446 East Main Street [phone]
P.O. Box 426 Fax [phone]
Clayton, NC 27520

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P.O. Box 426 Fax [phone]
Clayton, NC 27520

Robinson, Jason
From: Chandra Farmer <[e-mail]>
Sent: Tuesday, May 12, 2020 10:50 AM
To: Robinson, Jason; Jerry Dalton
Cc: Cashion, Ted
Subject: [External] RE: RE: Daniel South - Phase One
Attachments: 20200512105044330.pdf
►, fficternal enmail. Do not dTak links or open afita� ments unless.you verH�. &eri� a i s jlaous mal# as an attachment to
Ire-Raft.%P;1M }v IMI- oy
Jason,
Please find attached the revised flow tracking for Daniel South Phase One. Column D includes the flow request for this
project. Therefore, 0.0375 MGD of capacity is left in the McGees WWPS after this project is permitted. Please let me
know if you have any questions or need additional information.
Thanks,
Chandra
Chandra Cox Farmer, PE
Director
Johnston County Department of Public Utilities
PO Box 2263
309 E. Market St.
Smithfield, NC 27577
[phone]
[phone] (fax)
From: Robinson, Jason <[e-mail]>
Sent: Friday, May 8, 2020 2:47 PM
To: Jerry Dalton<jdalto n@daIto nengineering.com>; Chandra Farmer <[e-mail]>
Cc: Cashion, Ted <[e-mail]>
Subject: RE: RE: Daniel South - Phase One
Chandra/Jerry,
Just a reminder, we'll need Chandra's response to Item #2 in my original email and potentially a Planning Assessment
Addendum, as well as written confirmation that we can revise the flow on the application from 27,480 to 20,280 gpd.
Thanks,
------------
Jason T. Robinson, P.E.
Raleigh Regional Office
Water Quality Regional Operations
NC Division of Water Resources, DEQ

919-791-4200
"Subscribe to Collection System & Sewer Permitting U dates"
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Low and may be disclosed to
third parties.
Based on the current guidance to minimize the spread of COVID-19, the Department of Environmental Quality has
adjusted operations to protect the health and safety of the staff and public. Many employees are working remotely or
are on staggered shifts. To accommodate these staffing changes, all DEQ office locations are limiting public access to
appointments only. Please check with the appropriate staff before visiting our offices, as we may be able to handle your
requests by phone or email. We appreciate your patience as we continue to serve the public during this challenging
time14ve.
From: Robinson, Jason
Sent: Wednesday, May 6, 2020 5:21 PM
To: Jerry Dalton <jdalton Adaltoneneineerins.com>; Chandra Farmer <chandra.farmer 'ohnstonnc.com>
Subject: RE: RE: Daniel South - Phase One
Thanks Jerry,
We'll await Chandra's response and potential addition to the FTSE form.
You don't need to drop off a revised application. During these unusual times, I'll just print off the revised version and
use that, as long as Chandra approves the revisions via email.
Thanks,
Jason
------------
Jason T. Robinson, P.E.
Raleigh Regional Office
Water Quality Regional Operations
NC Division of Water Resources, DEQ
919-791-4200
"Subscribe to Collection System & Sewer Permitting U dates"
E-mail correspondence to and from this address may be subject to the North Carolina Public Records tow and may be disclosed to
third parties.
Based on the current guidance to minimize the spread of COVID-19, the Department of Environmental Quality has
adjusted operations to protect the health and safety of the staff and public. Many employees are working remotely or
are on staggered shifts. To accommodate these staffing changes, all DEQ office locations are limiting public access to
appointments only. Please check with the appropriate staff before visiting our offices, as we may be able to handle your
requests by phone. or email. We appreciate your patience as we continue to serve the public during this challenging
time.
From: Jerry Dalton[ma ilto:'dalton daltonen ineerin .com
Sent: Wednesday, May 6, 202011:36 AM
To: Robinson, Jason <lason.t.robinson ncdenr. ov>; Chandra Farmer <chandra.farmer000hnstonnc.com>
Subject: [External] RE: Daniel South - Phase One — -

i�'c7!itii a External email, Do riot dlick-finks or open attachments unless rou..vertfy. Send all syspk1bus email as an, attachment to
Hey Jason
We have revised the items V1.6 and VI.7 on page 2 of 5 (see attached). I assume Chandra will address
Item 2 in your response. When that is completed, I will be glad to hand -deliver the revised application to
your office.
Chandra: Let me know what else I can do to help. As stated above, I will be glad to see that the revisions
get to Jason if you can let me know when you have the additional information.
Thanks
From: Robinson, Jason <'ason.t.robinson ncdenr. ov>
Sent: Tuesday, May 05, 2020 3:16 PM
To: Jerry Dalton <'dalton daltonen ineerin .com>; Chandra Farmer <[e-mail]>
Cc: Cashion, Ted <[e-mail]>; Deck, Erin M <[e-mail]>
Subject: Daniel South - Phase One
Jerry and Chandra,
We are reviewing the sewer extension application for the referenced project and have the following
questions/comments;
I. Item VI.6 was checked "No" for a flow reduction, but Johnston County was issued a Flow Reduction Approval of
80 GPD per Bedroom (minimum of 160 GPD). This approval was issued in 2005 and the letter was provided to
Johnston County again in 2016. If you would like to use this flow reduction, please provide an updated FTA and
FTSE forms
2. On the Flow Tracking/Acceptance From, is the flow associated with this request included in Obligated Flow
Column (Column CJ? If it wasn't, then it appears the McGee's PS currently doesn't have the available capacity
for this additional flow (McGee's has 15,400 MGD available). If this is the case, please complete the Planning
Assessment Addendum (page 3 of 6 of the FTSE).
Thanks,
Jason
------------
Jason T. Robinson, P.E.
Raleigh Regional Office
Water Quality Regional Operations
NC Division of Water Resources, DEQ
919-791-4200
"Subscribe to Collection System & Sewer Permitting U dates*"
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to
third parties.
Based on the current guidance to minimize the spread of COVID-19, the Department of Environmental Quality has
adjusted operations to protect the health and safety of the staff and public. Many employees are working remotely or

are on staggered shifts. To accommodate these staffing changes, all DEQ office locations are limiting public access to
appointments only. Please check with the appropriate staff before visiting our offices, as we may be able to handle your
requests byphone or email: We appreciate your patience as we continue to serve the public during this challenging
time.

Dalton Engineering
ant! Associates, P. A.
I
fi
NC DENR ROW RVMW Of ka
LETTER OF TRANSMITTAL
TO: NCDWR - Raleigh Regional Office ATTENTION:
DATE: 3130/2020 REFERENCE:
We are sending You
PLANS
SPECIFICATIONS
REVISED PLANS
PERMITS
Jason Robinson, P.E.
Daniel South - Phase 1
X CHECK
COPY OF LETTER
X APPLICATIONS
X OTHER
ea. I I I Fast - Track Sewer System Extension Application, Ci
Flow Tracking 1 Acceptance Form, U.S.G.S. Site Map
1 Application Fee: $480.00 ( check # 1314
These are transmitted as checked below,
X For Approval �_ Revisions As Requested
As Requested Return Corrected Copies
Review & Comment Make Corrections Needed
For Your Use Other.
COMMENTS
THANK YOU
A6--
Jonathan Bales
Dalton Engineering and Associates, P A.
NCDept of Environmental Quality
APR - 2 2020
Raleigh Regional Office

Dal#on Engineering _.._ ....... "..�
and Associates, P.A.
March 27, 2020
Sub. Daniel South — Phase 1
Johnston County, North Carolina
N.C.D.W.R. Fast - Track Application
Developer: Daniel — Lan Development, L.L.C.
1075 Country Club Road
Smithfield, North Carolina 27577
The Daniel - Lan Development, L.L.C. is planning a development for residential and
commercial use. The residential use would comprise of ninety ( 90 ) 2-bedroom dwelling
units. The commercial use would consist of office and retail space located on 4.9 acres.
Daniel South — Phase 1 is located within Johnston County, West of the intersection of
Interstate 40 and NC Highway 210, on the South side of NC Highway 210. The project
will consist of the construction of roadway, to N.C.D.O.T. standards, that will provide
access to the property. The improvements will consist of roadway with curb and butter
with storm drainage, a mailbox kiosk area, water utilities and gravity sanitary sewer.
The project is being proposed to be developed in a single phase. The attached Fast - Track
Application contains the flow and infrastructure for the proposed phase of Daniel South,
and is being submitted for review and approval.
If there are any questions, please do not hesitate to call.
Thank you.
Jo athan Ba es
446 East Main Street — PO. Box 426 — Clayton, NC 27528 — [phone]/Fax [phone]