WQ0022418_Application_20030310

03/11 /03
Permit Number WQ0022418
Program Category
Non -discharge
Permit Type Fast 'l-rack
Gravity Sewer Extension, Pump Stations, & Pressure Sewer
Extensions
Primary Reviewer
grady.dobson
Permitted Flow
1440
Faciiit
Permit Tracking Slip
Status Project Type
In review New Project
Version Permit Classification
Individual
Permit Contact Affiliation
Facility Name Major/Minor Region
Central Drive (NC 22) Gravity Sewer Extension Minor Fayetteville
Location Address County
Moore
Facility Contact Affiliation
Owner
Owner Name
Town of Southern Pines
Dates/Events
Scheduled
Orig Issue App Received Draft Initiated Issuance
03/10/03
Reaulated Activities
Subdivision
Wastewater collection
Outfall NULL
Owner Type
Government - Municipal
Owner Affiliation
Bobby Teague
140 Memorial Park Court
Southern Pines NC
Public Notice Issue Effective
Reauested/Received Events
RO staff report received
RO staff report requested
Additional information requested
Additional information received
28387
Expiration
Waterbody Name Stream Index Number Current Class Subbasin

G�4JUD aaVlcr
_ Hobbs, Upchurch & Associates, P.A.
Consulting Engineers
300 S.W. Broad Street • Southern Pines, NC 28388
r
March 6, 2003 1 OR 10 2003
1
Paul Rawls, Water Quality Supervisor
North Carolina Department of Environment and Natural Resources
Division of Water Quality
225 Green Street Suite 714
Fayetteville, North Carolina 28301
Re: Central Drive (NC 22) Gravity Sewer Extension
Fast -Track Application for Gravity Sewers, Pump Stations, and Force Mains
Moore County, North Carolina
HUA No.: SP0304 — 300 Permits
Dear Sir or Madam:
Please find the following materials submitted are support to the referenced application for the
referenced project.
1. One original and one copy of completed application form.
2. 8.5-inch by 11-inch portion of project area as indicated on 7.5 minute USGS map
3. Check for permit processing fee ($400.00)
Please feel free to contact this office should you have any questions or require additional
information for review of this application.
BBU
HOBBS, UPCHURCH & ASSOCIATES, P.A. Branch Banking
z .p CONSULTING ENGINEERS 66-1121531
h P.O. BOX 1737, 300 S.W. BROAD STREET
SOUTHERN PINES, NC 28388
[phone]
Exactly Four hundred and no / 100 Dollars
DATE
3/6/03
PAY
TO THE N. C. ORDER N C DENR VO A ER 90 DAYS
OF: r'
AUTHORIZED SIGNATURE

_..._... ....
Myrtle Beach 9 Nags Head . Raleigh . Charlotte . Beaufort
AMOUNT
$400.00

IV4)6c;;)aq/g
JHobbs, Upchurch & Associates, P.A.
Consulting Engineers
300 S.W. Broad Street . Southern Pines, NC 28388
( { --
March 6, 2003 R 2009
Paul Rawls, Water Quality Supervisor
North Carolina Department of Environment and Natural Resources
Division of Water Quality
225 Green Street Suite 714
Fayetteville, North Carolina 28301
Re: Central Drive (NC 22) Gravity Sewer Extension
Fast -Track Application for Gravity Sewers, Pump Stations, and Force Mains
Moore County, North Carolina
HUA No.: SP0304 — 300 Permits
Dear Sir or Madam:
Please find the following materials submitted are support to the referenced application for the
referenced project.
1. One original and one copy of completed application form.
2. 8.5-inch by 11-inch portion of project area as indicated on 7.5 minute USGS map
3. Check for permit processing fee ($400.00)
Please feel free to contact this office should you have any questions or require additional
information for review of this application.
Sincerelv.
, P.A.
I
Cc: Mr. Bobby Teague, P.E., Town of Southern Pines
Attachments
BS/bs
06-March-03
Southern Pines, NC . Telephone [phone] . Fax [phone] . email: [e-mail]
Myrtle Beach 9 Nags Head . Raleigh . Charlotte . Beaufort

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W ATFR
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State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
FAST -TRACK APPLICATION
for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
(Pressure sewers systems are not to be included as part of this application package)
INSTRUCTIONS: Indicate that you have included the following list of required application package items by checking the
space provided next to each item. Failure to submit all required items will lead to your application being returned as
incomplete or additional processing and review time. This form may be photocopied for use as an original.
01. Application Form - Submit one original and one copy of the completed and appropriately executed application
form. 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 13021
L;rIl. Application Fee - Submit a check in the amount of $400 made payable to: North Carolina Department of
Environment and Natural Resources (NCDENR).
❑ III. 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(2a) of this application.
❑ IV. Operational Agreements — Submit one original and two copies of a properly executed operational agreement if
the sewer extension will be serving residential or commercial lots (e.g., houses, condominiums, townhomes,
outparcels, etc.) that will be owned by a homeowners' association or developer (Item B(2b)). If the applicant is a
homeowners' association, use Form HOA 02/03. If the applicant is a developer, use Form DEV 02/03. EVEN IF
THE PROJECT WILL BE TURNED OVER TO A MUNICIPALITY, FORM DEV 02/03 IS REQUIRED.
LZ V. Flow Acceptance Letters — If the owner of the downstream sewers and/or WWTF is different from the applicant,
submit two copies of a flow acceptance letter from the owner of the downstream sewers and WWTF, if different.
Flow acceptance letters must contain the following minimum information: applicant and project name, amount of
flow accepted, and name and permit number of the receiving sewers/WWTF. The flow acceptance must not
expire prior to permit issuance and must be dated less than a year prior to the application date.
Intergovernmental agreements or other contracts will not be accepted in lieu of a project -specific flow acceptance
letter.
VVI. Map — Submit an 8.5-inch by 11-inch copy of the portion of a 7.5-minute USGS Topographic Map along with this
form. The map should identify the entire project area location as well as the closest downslope surface waters as
clearly as possible. Each map portion must be labeled with the map name and number, the identified location,
and be of clear and reproducible quality. For instance, if the project involves 4 miles of interceptor sewer that
traverses over or near several different waterbodies (or counties, basins, etc.), the map should have location ID's
for each different waterbody (where the sewer line is within 100 feet of such waterbody - see Instruction VII).
❑ VII. Watershed Classifications — Section C
• If any portion of the project is within 100 feet of any down slope surface water, Section C must be completed
for the pertinent sections.
• If the entire project area is a minimum of 100 feet away from any down slope surface waters BUT there is a
pump station involved where a history of power outage is to be used to provide adequate design storage
instead of dual feed or permanent or portable generator, Section C must be completed to demonstrate that
the closest down slope surface water is Class C (see 15A NCAC 2H .0219(h)(3)(D)).
• Use the guidance document entitled, "Determining Watershed Classifications for Form FTA 02/03 (Fast -Track
Sewer Systems)" available from http://h2o.enr.state.nc.us/ndpu or by contacting the appropriate regional
office.
INSTRUCTIONS FOR FORM FTA 02/03

❑ Vlll. Environmental Assessments — If this project is subject to an Environmental Assessment (EA) ]15A NCAC
01C .0500], this application can not be used. Send the project application on Form PSFMGSA 10/99 to the
Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. Applications can not be
processed 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.
IX. Certifications — Section D
The application must be certified by both the applicant and 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 2H .0200, 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. Certification by a PE who is unfamiliar with these documents
is subject to NC Board referral.
THE COMPLETED FTA 02/03 APPLICATION PACKAGE, INCLUDING ALL SUPPORTING DOCUMENTS AND $400
FEE, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
59 Woodfin Place
Avery, Buncombe, Burke, Caldwell,
Asheville, North Carolina 28801
Cherokee, Clay, Graham, Haywood,
(828) 251-6
Henderson, Jackson, Macon, Madison,
[phone] 52 Fax
McDowell, Mitchell, Polk, Rutherford, Swain,
Transylvania, Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Harnett, Hoke,
Fay
Fayetteville, North Carolina 28301
Montgomery, Moore, Robeson, Richmond,
Sampson, Scotland
[phone]
[phone] Fax
Mooresville Regional Office
919 N Main Street
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,
Northampton, Orange, Person, Vance, Wake,
[phone]
Warren, Wilson
[phone] Fax
Washington Regional Office
Beaufort, Bertie, Camden, Chowan, Craven,
943 Washington Square Mall
Currituck, Dare, Gates, Greene, Hertford,
Washington, North Carolina 27889
Hyde, Jones, Lenoir, Martin, Pamlico,
[phone]
Pasquotank, Perquimans, Pitt, Tyrrell,
[phone] Fax
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
585 Waughtown Street
Alamance, Alleghany, Ashe, Caswell,
Office
Winston-Salem, North Carolina
Davidson, David, Forsyth, Guilford,
27107
Rockingham, Randolph, Stokes, Surry,
[phone]
Watauga, Wilkes, Yadkin
[phone] Fax
Formore information, visit our web site at httpJ/h2o.enr.state.nc.us/ndpu/
INSTRUCTIONS FOR FORM FTA 02/03

FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 1
USE THE TAB KEY TO MOVE FROM FIELD TO FIELDI Application Number:
(to be completed by DWa) v 1
1.
Owner.•
1 a.
Town of Southern Pines_
Full Legal Name (company, municipality, HOA, utility, etc.)
! Z
1b.
Bobby B. Teague, P.E. Director of Public Works
0
Signing Official Name and Title (Please review 15A NCAC 2H .0206(b) for authorized signing officials!)
._........ ..... .............. ._..... _.. _.... ........_. _ ... _ ._... ... ... ............ ....
j Q
1 c.
The legal entity who will own this system is:
❑ Individual ❑ Federal ® Municipality State/Coun Private Partnershi ❑ Co oration ❑Other specify
0
1d.
140 Memorial Park Court Ile. Southern Pines
U.
._.....--...........
Street Address City
................_._....._._............... ................................................. ..._._.......... -................... ._................ .......... ........_..........__............_.._............. ................ ........_......................... ..... .......__..._._........_........................................ ...._.......................... ..................... ...... ............... __..................... _..........
Z
1 f.
North Carolina 1 g. 28387
Z
State Zip Code
0'
...... ............... ......... ... .... ....... ............... ........ ........... ...
1 h
[phone] 1 i. 910 692-1085 1 j. btea ue®southern ines.net
Q
Telephone Facsimile E-mail
...... . ......... .. ... ........ _
(�
2.
Project (Facility) Information:
J'
a
2a.
Central Drive NC 22 Gravity Sewer Extension b. Moore
Brief Project Name (permit will refer to this name) County Where Project is Located
Q.
3.
......... ..... .. -I... .............. ­­­......... .................. _ . ... ............... ...
Contact Person:
.._
.............. . ........_ _ ....................... .......... ... ............ ............... ._................................ ..... _ ........ ............. ............. - ...........
3a.
J. Charles McGou an P.E., Hobbs, Upchurch, & Associates, P.A.
Name and Affiliation of Someone Who Can Answer Questions About this Application
b.
910 692-5616
. [e-mail]
Phone Number
E-mail
1.
Project is ® New ❑ Modification (of an existing permit) If Modification, Permit No.:
2.
Owner is ® 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.)
❑ Public Utility (Instruction 111)
❑ Leasing units (lots, townhomes, etc. - skip to Item B(3))
❑ Homeowner Assoc./Developer (instruction IV)
❑ Selling units (lots, townhomes, etc. - go to Item B(2b))
!Z
0
3.
Moore County Public Utilities
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
4a.
Moore County Wastewater Treatment Facility
b. NC 0037508
Name of WWTF
WWTF Permit No.
I
i
65a.
Town of Southern Pines
5b. 8"
5c. see attachment letter
Receiving Sewer Size
Permit Number of Downstream Sewer
Z
Owner of Downstream Sewer
F.
The origin of this wastewater is (check all that apply):
®Residential Subdivision El Car Wash
LLI
❑ Apartments/Condominiums ❑ Institution 3 100 % Domestic/Commercial
a
❑ Mobile Home Park ❑ Hospital
❑ School ❑ Church % Industrial
"
m
❑ Restaurant ❑ Nursing Home % Other s eci
(p)'
I
El Office ❑ Other (specify):
I
7.
Volume of wastewater to be permitted in this project: 1440 gallons per day
8.
If the permitted flow is zero, indicate why:
i
❑ Interceptor Line - Flow will be permitted is subsequent permits that connect to this line
❑ Flow has already been allocated in Permit No.
L
I
❑ Rehabilitation or replacement of existing sewer with no new flow expected
Ff A 02/03

FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 2
9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2H
.0219(I) for Item 13(7) or the design flow for line or pump station sizing if zero flow in the space below. Values other than
that in 15A NCAC 2H .0219(1)(1-2) must be approved prior to submittal of this application. Submit a separate request to
the Division of Water Quality, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617 in
accordance with 15A NCAC 2H .0219(I)(3).
4 residences @ 360 gpd/residence = 1440 gpd
Gravity or Force Main
(pull down menu)
Gravity
......._......................................................................................
Gravity
Gravity
Gravity
Gravity
................. ............................ ...._............. _........ _....... ............
Gravity
Gravity
ENTER TOTAL LINE LENGTH IN M
.074
11. Summary of Pump Stations to be Permitted (attach additional sheets as necessary)
Power Reliability Option
Location ID Design Flow Operational Point (dual line feed, permanent generator,
shown on plans) (MGD) GPM @ TDH i portable generator, wet well storage)
_................. ­_
'12. Does the sewer system comply with the Minimum Design Criteria for the Fast Track Permitting of Pump Stations and Force
m Mains (latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC 2H .0200 as applicable?
® Yes ❑ No If no, please reference the pertinent minimum design criteria or regulation and indicate why a
variance is requested:
i
SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
13. Have the following permits/certifications been submitted for approval?
Wetland/Stream Crossings - General Permit or 401 Certification? ❑ Yes ❑ No ® N/A
f
Sedimentation and Erosion Control Plan? ❑ Yes ❑ No ® N/A
i
Stormwater? ❑ Yes ❑ No ® N/A
PTA 09 /01

FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 3
Use the Division's guidance document entitled, "DETERMINING STREAM CLASSIFICATIONS FOR FORM FTA 02/03
(FAST -TRACK SEWER SYSTEMS)" to collect and record the stream classification data below (attach additional sheets as
necessary). This document is available from our web site or by contacting the appropriate Division of Water Quality
regional office se ' g (see instructions for addresses) OR indicate the following:
............
® A Watershed Classification is not needed because all parts of the project are at least 100 feet away from any down
Y
slope waterbod , AND,
® A Watershed Classification is not needed because the design does not depend on wet well storage as a power
reliability option for any pump station near a Class C down slope waterbody.
Location ID I Name of ! Waterbody Stream Waterbody
on Map Waterbody County River Basin Index Classification
Submit the 8.5" x 11 " topographic map as required in Instruction VI regardless of whether a classification is provided!
1 a.
Applicant's Certification:
I attest that this application for Central Drive (NC 22) Gravity Sewer Extension
has been reviewed by me and is accurate and complete to the best of my knowledge. 1 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, c
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 uD to $25.000 per violation.
Signing Official Signature
Professional Enaineer's C
0-7-0
Date
0 1 attest that this application for Central Drive (NC 22) Gravity Sewer Extension
has been reviewed by me and is accurate, complete and consistent with the information in the engineering plans,
1 calculations, and all other supporting documentation to the best of my knowledge. I further attest that to the best of my
Q knowledge the proposed design has been prepared in accordance with the applicable regulations, Gravity Sewer Minimum
c i ' Design Criteria for Gravity Sewers adopted February 12, 1996, and the Minimum Design Criteria for the Fast -Track
LL Permitting of Pump Stations and Force Mains adopted June 1, 2000 and the watershed classification in accordance with
Division guidance. 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
W 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
Q 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. J. Charles McGougan
Professional Engineer Name
2b. Hobbs. Upchurch. & Associates. P.A.
Engineering Firm ................ ..................................... ......._..._............. ........... .. .......................
_.... ....
P.O. Box 1737, 300 S. W. Broad Street
Address
......................... ..._............................................ ............ ............... ...... .__.._..._................._.................... - ................... . .
Southern Pines 2e.
NC
City !
.......... ... .... _
State
_. ........ ;... .
[phone] 2h. [phone] 2i.
cmcgo
Telephone Facsimile
E-mail
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..._..._........... ... _....__......._..__ ..N CARO '4-,���
......................................................................� _
025942
............. ............. .......................................... ( r
28387
P �'%'Q[ S m GQ �
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Seal, Signature & Date
FTA 02/03

Department of Public Utilities
P.O. Box 1927
Carthage, NC 28327
Gr
q)aanty a/ GJAaaxe
March 4, 2003
Mr. Brian Sexton, E.I.
Hobbs, Upchurch & Associates, P.A.
300 S. W. Broad St.
Southern Pines, NC 28388
Dear Mr. Sexton:
MAR 0 j 200v,
Dennis L. Brobst, Director
Telephone: [phone]
Facsimile: [phone]
E-mail: [e-mail]
RE: Flow Acceptance Letter for Sanitary Sewer Improvements to serve 420 linear feet
of 8" sewer main along NC 22 (Central Drive). HUA No. SP0304-300.
The Moore County Water Pollution Control Facility, permit # NC 0037508, presently has
sufficient capacity available to conditionally accept up to 1,440 gallons per day from the
above referenced project.
Upon completion of the referenced project, the applicant's engineer is to provide our
office with the following items:
1. Certification of Completion.
2. Complete set of As -Built drawings.
If you have any questions or comments please me at [phone].
Sincerely,
M,QORE COUNTY PUBLIC UTILITIES
Ernie Black
Engineering Project Technician
Cc: Mr. Dennis Brobst, Director
Mr. Delmo Frye, Superintendent
Mr. Bobby Teague, Town of Southern Pines

Hobbs, Upchurch & Associates, P.A.
Consulting Engineers
NJ 300 S.W. Broad Street . Southern Pines, NC 28388
March 6, 2003
Paul Rawls, Water Quality Supervisor
North Carolina Department of Environment and Natural Resources
Division of Water Quality
225 Green Street Suite 714
Fayetteville, North Carolina 28301
Re: Attachment (Item 5c in FTA 02/03)
HUA No.: SP0304 — 300 Permits
Dear Sir or Madam:
In item 5c of the updated Fast -Track application (FTA 02/03), the Town of Southern Pines is
unable to provide us with the permit number of their downstream sewer system due to its
construction time approximately 40 to 50 years ago. This system was built before permits were
issued by NCDENR. Therefore, we cannot provide this information to you concerning its
application to this project.
Please feel free to contact this office should you have any questions or require additional
information for review of this application.
Sincerely,
HOBBS, UPC H &
M. Brian Sexton, E.I.
Southern Pines, NC . Telephone [phone] . Fax [phone] . email: [e-mail]
Myrtle Beach . Nags Head . Raleigh 9 Charlotte . Beaufort