WQ0038563_Regional Office Historical File 2016

FIL
PAT MCCRORY
Go Verno)'
rr urcr nwvur c w
ENVIRONMENTAL (QUALITY
June 27, 2016
Steve Hooper, Mayor
Eastern Band of Cherokee Indians
4 Court Street
Robbinsville, NC, 28771
Subject: Permit No. WQ0038563
Eastern Band of Cherokee Indians
Snowbird Daycare
Wastewater Collection System Extension Permit
Graham County
Dear Mr. Hooper:
DONALD R. VAN DER VAART
$ecverary
S. JAY ZIMMERMAN
Director
In accordance with your application received June 16, 2016, we are forwarding herewith Permit No.
WQ0038563 dated June 27, 2016, to the Eastern. Band of Cherokee Indians (Permittee) for the
construction and operation upon certification 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This permit shall be effective from the date of issuance until rescinded, and shall be subject to the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 the following conditions contained within this permit:
Condition IIA: This permit shall not be automatically transferable; a request must be made and
approved.
Condition IIA: Requires that the wastewater collection facilities be properly operated and maintained
in accordance with 15A NCAC 2T .0403 or any individual system -wide collection system
permit issued to the Permittee.
It shall be responsibility of the Permittee 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.
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,
NC 27699-6714. Unless such demands are made, this permit shall be final and binding.
State of North Carolina / Environmental Quality / Water Resources
2090 U.S. Hwy. 70, Swannanoa, N.C. 28778
828-296-4500

Eastern Band of Cherokee Indians
Permit No. WQ0038563
If you need additional information concerning this matter, please contact Tim Heim at (8
via e-mail at [e-mail].
Sincerely,
, ,
G. Landon Davidson, P.G., �gionalisor
Water Quality Regional Operations Section
Asheville Regional Office .
Division of Water Resources, NCDEQ
cc: Charles Deep, P.E. — 4D Engineering (electronic copy)
Michael J. Ladd, ORC - Town of Robbinsville WWTP
, Affl__ fI_ce File
Water Resources Central Files
PERCS (electronic copy)
\\Wp3dnfp06.eads.ncads.net\data\WR\WQ\Graham\Collection Systems\Robbinsville Call Sys WQCS00158\WQ0038563 Snowbird Daycare.docx
Page 2 of 9

Environmental
(duality
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
In accordance with the 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
Eastern Band of Cherokee Indians (Town of Robbinsville)
Graham County
for the construction and operation of approximately 456 linear feet of 8-inch gravity sewer to. serve a 9
employee, 78 child daycare center as part of the Snowbird Daycare project, and the discharge of 2,175
gallons per day of collected domestic wastewater into the Town of Robbinsville WWTP's existing
sewerage system, pursuant to the application received June 16, 2016 and in conformity with 15A NCAC
2T, 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 Environmental Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
specified conditions and limitations contained therein.
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Permit Number: WQ0038563
Permit Issued: June 27, 2016
Page 3 of 9

SUPPLEMENT TO PERMIT COVER SHEET
Eastern Band of Cherokee Indians is hereby authorized to
Construct, and then operate upon certification the aforementioned wastewater collection extension.
The sewage and wastewater collected by this system shall be treated in the Town of Robbinsville WWTP
Wastewater Treatment Facility in accordance with Permit Number NC0025879.
Permitting of this project does not constitute an acceptance of any part of the project that does not
meet 15A NCAC 2T; the Division's 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 herein. Division
approval is based on acceptance of the certification provided by a North Carolina -licensed Professional
Engineer in the application. It shall be the Permittee's responsibility to ensure that the as -constructed
project meets the appropriate design criteria and rules.
Construction and operation is contingent upon compliance with the Standard Conditions and any Special
Conditions identified below.
SPECIAL CONDITIONS
This permit shall become voidable unless the agreement between EASTERN BAND OF CHEROKEE
INDIANS and Town of Robbinsville WWTP for the collection and final treatment of wastewater is in
full force and effect. [15A NCAC 02T.0304(h)]
STANDARD CONDITIONS
1. 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
other supporting materials as may be appropriate. The approval of this request shall be considered
on its merits and may or may not be approved. [15A NCAC 02T.0104; G.S 143-215.1(d3)]
2. This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2T, 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 materials unless specifically mentioned herein. [15A NCAC 02T.0110]
3. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data. [15A NCAC 02T .0110]
4. The wastewater collection facilities shall be properly maintained and operated at all times. The
Permittee shall maintain compliance with an individual system -wide collection system permit for the
operation and maintenance of these facilities as required by 15A NCAC 2T .0403. If an individual
permit is not required, the following performance criteria shall be met: [15A NCAC 02T .0108(b)]:
Page 4 of 9

system shall be effectively maintained and operated at all times to prevent discharge
surface waters, and to prevent any contravention of groundwater standards or
ter standards.
b. A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan including pump station inspection frequency, preventative
maintenance schedule, spare parts inventory and overflow response has been 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 -months and inspections
are documented.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. 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 §143-215.1C.
h. A Grease Control Program is in place as follows:
1. For public owned collection systems, the Grease Control Program shall include at least
biannual distribution of educational materials for both commercial and residential users and
the legal means to require grease interceptors at existing establishments. The plan shall also
include legal means for inspections of the grease interceptors, enforcement for violators and
the legal means to control grease entering the system from other public and private satellite
sewer systems.
2. For privately owned collection systems, the Grease Control Program shall include at least bi-
annual distribution of grease education materials to users of the collection system by the
permittee or its representative.
3. Grease education materials shall be distributed more often than required in Parts (1) and (2)
of this Subparagraph if necessary to prevent grease -related sanitary sewer overflows.
i. Right-of-ways and easements shall be maintained in the full easement width for personnel and
equipment accessibility.
j. Documentation shall be kept for Subparagraphs (a) through (i) of this Rule for a minimum of
three years with exception of the map, which shall be maintained for the life of the system.
5. The Permittee shall report by telephone to a water resources staff member at the Asheville Regional
Office, telephone number [phone], as soon as possible, but in no case more than 24 hours,
following the occurrence or first knowledge of the occurrence of either of the following:
Page 5 of 9

a.
b.
C.
Any process unit failure, due to known or unknown reasons, that renc
incapable of adequate wastewater transport, such as mechanical or elect
pumps, line blockage or breakage, etc.; or
Any SSO and/or spill over 1,000 gallons; or
Any SSO and/or spill, regardless of volume, that reaches surface water
Voice mail messages or faxed information is permissible, but this 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 (919)
733-3300. Persons reporting any of the above occurrences shall file a spill report by completing and
submitting Part I of Form CS-SSO (or the most current Division approved form) within five days
following first knowledge of the occurrence. This report must outline the actions taken or proposed
to be taken to ensure that the problem does not recur. 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. [G.S. 143-
215.1C(a1)]
6. 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. [15A NCAC 02T.0108(b)]
7. 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. 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.
If the permit is issued to a private entity with an Operational Agreement, then a copy of the
Articles of Incorporation, Declarations/Covenants/Restrictions, and Bylaws that have been
appropriately filed with the applicable County's Register of Deeds office shall be submitted with
the certification.
A complete certification is one where the form is fully executed and the supporting documents are
provided as applicable. Supporting documentation shall include the following:
a. One copy of the project construction record drawings (plan & profile views of sewer lines &
force mains) of the wastewater collection system extension. Final record drawings should be
clear on the plans or on digital media (CD or DVD disk) and are defined as the design drawings
that are marked up or annotated with after construction information and show required buffers,
separation distances, material changes, etc.
b. One copy of the supporting applicable design calculations including pipe and pump sizing,
velocity, pump cycle times, and level control settings, pump station buoyancy, wet well storage,
surge protection, detention time in the wet well, and force main, ability to flush low points in
force mains with a pump cycle, and downstream sewer capacity analysis. If a portable power
source or pump is dedicated to multiple stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, include travel
timeframes, shall be provided.
Page 6 of 9

a the project that do not result in non-compliance with this permit, regulations, or the
Design Criteria should be clearly identified on the record drawings, on the certification
-e provided, or in written summary form.
rnor w LeMdcation (Final or Partial): Permit modifications are required for any changes resulting
in non-compliance with this permit (including.pipe length increases of 10% or greater, increased
flow, pump station design capacity design increases of 5% or greater, and increases in the
number/type of connections), regulations, or the Minimum Design Criteria. Requested
modifications or variances to the Minimum Design Criteria will be reviewed on a case -by -case basis
and each on its own merit. Please note that variances to the Minimum Design Criteria should be
requested and approved during the permitting process prior to construction. After -construction
requests are discouraged by the Division and may not be approved, thus requiring replacement or
repair prior to certification & activation. [15A NCAC 02T .0116]
8. Gravity sewers installed greater than ten percent below the minimum required slope per the
Division's Gravity Sewer Minimum Design Criteria.shall not be acceptable and shall.not be certified
until corrected. If there is an unforeseen obstacle in the field where all viable solutions have been
examined, a slope variance can be requested from the Division with firm supporting documentation.
This shall be done through a permit modification with fee. Such variance requests will be evaluated
on a case -by -case basis. Resolution of such request shall be evident prior to completing and
submitting the construction certification. [ 15A NCAC 02T.0105(n)]
9. A copy of the construction record drawings shall be maintained on file by the Permittee for the life
of the wastewater collection facilities. [15A NCAC 02T .0116]
10. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2T; 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, construction of additional or replacement wastewater collection facilities,
and/or referral of the North Carolina -licensed Professional Engineer to the licensing board. [15A
NCAC 02T .0104; 15A NCAC 02T .0108(b-c)]
11. 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. [15A NCAC 02T .0110; 15A NCAC 02T .0108(b)]
12. 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 the Division any other Federal, State, or
Local government agencies which have jurisdiction or obtaining other permits which maybe required
by the Division or any other Federal, State, of Local government agencies. [G.S. 143-215.1(b)]
Page 7 of 9

FAST TRACK SEWER ENGINEERING CERTIFICATION
ITTEE: EASTERN BAND OF CHEROKEE INDIANS
PERMIT #: WQ0038563
PROJECT: SNOWBIRD DAYCARE
ISSUE DATE: June 27, 2016
This project shall not be considered complete nor allowed to operate in accordance with Condition 7 of
this permit until the Division has received this Certification and all required supporting documentation.
It should be submitted in a manner that documents the Division's receipt. Send the required
documentation to the Regional Supervisor, Water Quality Regional Operations Section at the address at
the bottom.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions. The Permittee is responsible for tracking all partial certifications up
until a final certification is received. A Final Certification shall be a complete set of record drawings and
design calculations regardless of whether partials have been submitted.
PERMITTEE'S CERTIFICATION
I, the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant
to the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate & maintain
the wastewater collection system permitted herein or portions thereof.
Printed Name, Title
Signature
ENGINEERS CERTIFICATION
Date
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
Snowbird Daycare and location as referenced above for the above 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; the
Division of Water Resources' (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 w/signature & date:
❑ Final ❑ Partial (include description)
Certification Comments/Qualifiers (attach if necessary):
NC DWR —Water Quality Regional Operations Section 2090 US Hwy 70 Swannanoa, NC 28778
Asheville Regional Office Phone: [phone] FAX: [phone]

Division of Water Quality
Fast Track Application (FTA 12.12) for Sewer Systems- FIL
Checklist
Project Name: Sry OW L,'
�{ Chi Preliminary Review Date:.
Project Number: 00385. 63 Final Review Date:
Reviewer, ^ i . 3 & `(03
1. Nz
tApplication E�
Project is located in a County currently covered by the regional office es ONo
Application and supporting,documentation submitted in duplicate? []Yes
One Original and One Copy .
r Correct application, fee submitted? G.S. 143-215.51) Li -No
Ensure that a check for $480 is submitted and made out
Application package is complete
Current application version (FTA 12-12)
Briefproject narrative (per Section A of F
Certification of Public Convenience and N
(if applicable) -
Operational Agreements, signeAandated
(if applicable)
Flow Tracking /Acceptance Fo
Flow Tracking / Acceptance Pl(if applicable)
Site Map, and Street Level MapStream Classificatim :W_
(must h e .C. PE)
PE Certificatio plioation . ed, seal .
Applicant Ce is sign dated (or
[]Yes
-Ofes ENO
QYes DNo
QS'IBM
Y
,. , ■
�.. E]Yes EINo
2) ']NOd Ndate,§� es []No
by N. es-� []No
letter is provided) es [jNo-"�
Permit Info -
• k
ew 't Modifi
Does the require a pe the a es [:]NoSee 'tting byRegu 15A 1� e fti, .y 02T.9203
J for projects deemed permitted
Is the project eligt the Fast T , ogram? (jes No
Project notpermitte the fast program
Requires ati En . ental sment per 15A NCAC 01C.0408
Is an alternative s sure sewers,. STEP systems, vacuum systems, etc.)
Is funded through th cture Finance Section
If the applicant is a private entity (private utility) , ElYes D o
Applicant has been designated as a public utility by the NC Utilities Commission
Has submitteda. Certificate of Public Convenience and Necessity (CPCN)
or Letter from the Public Staff of the NC Utilities Commission (contact Central Office)
If the applicant is a private entity (Developer) (]Yes PK0
Has submitted an executed Operational Agreement (DEV 06-13)
If the applicant is a Homeowner's or Property Owner's Association:. DYes [!(No
Has submitted an executed Operational Agreement (HOA 06-13)
and, Copy of the Articles of Incorporation, Declarations and By-laws
1

Wastewater Flow Information ]1w (CAC-5 \(\0't
Q OA G / )�
Has the wastewater flow volume been calculated correctly (section B.9 of FTA 12-12)? liYes ❑No
Flow is calculated per 15A NCAC 02T.0114 /
or
If daily design flow is not based on regulations ensure that the applicant has an approved flow reduction of
daily design flow rate on file with the Division.
or
If other than 2T.0114, values must be supported with flow data per 15A NCAC 021.0114(f)
(Contact Central Office)
Has submitted Flow Tracking/Acceptance Form (FTSE 06-13) ❑Yes ❑No
Proper certification per 15A NCAC .0106 (b) ❑Yes ❑No
Form is dated within one year of receipt -of application package ❑Yes ❑No
Is FTSE Planning Assessment Addendum Required? ' ❑Yes ❑No
Required only for projects where available pump station capacity is < 0.
Contact Central Office if needed
Additional forms (FTSE 06-13) required? ❑Yes ❑No
Required only if the owner of downstream sewer different then owner of W WTF
Design Information
Has a Stream Classification form been submitted (WSCAS 03-12) . Dyes ❑No
Required if any portion of project is within '100'feet of any surface water or wetlands
If no, verify separation on submitted USGS. Topographic Map .
Note, 15A NCAC 02T .0305 (fl contains minimum separations required for sewer
A variance is required if minimum separations cannot be avoided '
Has been signed, sealed, and dated by an N.C. PE Elyes ❑No
Is Project design is in accordance with (see section B.13 of FTA 12-12) Eyes ❑No
15A NCAC 02T �� P
Gravity Sewer Minimum Design Criteria (latest version)
Minimum Design Criteria for Permitting of Pump Stations and Force Mains (latest version)
If no, a variance approval is required per the requirements of 15A NCAC 02T.0105(b)
Applicant must submit TWO copies of the plans, specifications, and calculations.
Contact the Central Office to discuss the variance request to determine a course of action. Variance approvals
are issued from the central office. If approved, the variance should be incorporated into the final permit
Project contains high priority lines (15A NCAC 02T .0402(2)) ❑Yes [moo
Contact the Central Office
Application Certification
Has a N.C. PE stamped, signed, and dated the application? 0�Y_,� ❑No
PE with active license in North Carolina? L�,4'Y eS [:IN.
Check the NCBELS to ensure Engineer is currently registered to practice
NCBELS License Lookup
Applicant (Owner/Permittee) signature meets requirement of 15A. NCAC .0106(b)9 s ]No
If not, is a delegation letter provided, delegating authority? es o
If the owner is a corporation, is the corporation registered in N.C.? 1,/� ❑�—lido
N.C. Secretary of State Corporation Search) f�
2

Transmittal
From:41)-
603,,�� ��■! �j ,,��±±
South Lake Drive
Lexington, SC 29072
Phone: [phone]
RBSOUrCOS
JUN 1 6 2016
[e-mail] lfdater at1%,kv fleplonal OperAOns
.:._..........
..-....._.-� To: State of North Carolina Date: June 14, 2016
Department of Environment and Natural Snow Bird Daycare
Resources Project:
Division of Water Resources 4D Proj. No: 15039
2090 US Highway 70,
Swannanoa, North Carolina 28778 Regarding: Fast -Track Application for approval by
Delivered USPS Ashville Regional Office Water Quality
Method: Section
ATTACHED are the following documents:
❑ Preliminary Plans ig Permit Plans ❑ Construction Plans
❑ Calculations ❑ Specifications ❑ Construction Documentation
❑ Shop Drawings ❑ Other
COPIES
DESCRIPTION OF ATTACHED
CODE
1
Permit plans
1
1
Cover Letter
1
1
Vicinity Map for Snowbird Daycare in Robbinsville, NC (November 3, 2015)
1
1
Topographic Map for Snowbird Daycare in Robbinsville, NC (November 3, 2015)
1
1
Flow Tracking/Acceptance for Sewer Extension Applications
1
1
Check for Fast Track Application fee $480 (Check # 0557)
1
1
Fast Track Application for Gravity Sewers, Pump Stations, and Force Mains
1
1
Watershed Classification Attachment
1
The above are coded as noted below:
1. For your review and approval 3. Approved 5. Revise and resubmit 7. For your use and distribution
2. For your information and file 4. Rejected 6. Furnish as corrected 8. As requested
Comments . The attached is for your review and approval. Let us know if anything else is needed. Thanks!
CC: By: Tyler Fields
Engineer
—
WWW.4DENGR.COM

June 13, 2016
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
2090 US Highway 70
Swannanoa, North Carolina 28778
Attn: Asheville Regional Office Water Quality Section
Re: , FTA 08-13 Cover Letter
Snowbird Daycare
1174 Old Tallulah Road
Robbinsville, North Carolina
Dear Sir or Madam;
The purpose of this submittal is to submit a Fast -Track Application (FTA 08-13) for approval by
the Asheville Regional Office Water Quality Section. The sanitary sewer system will consist of
456 LF of 8" PVC Sewer Main and 2 new manholes. The system will serve a 6,400sf Daycare
facility and is located at 1174 Old Tallulah Road in Robbinsville North Carolina.
We thank you for your review of our submittal. If there are any questions, or if additional
information is required, please contact us at [phone].
Respectfully,
4D Engineering
;; 77 �' -- � J--i
Tyler Fields
Engineering Associate II
603 South Lake Drive — Lexington, SC 29072 — www.4DEngr.com

LE
Aga b�ka �-�1's ` _:I-i ! .
- - „ 127 j
1 1 a� , t zsfi
k
12i
REVISIONS
r
SCALE: 1" = 1,200'
VICINITY MAP
FOR
SNOWBIRD DAYCARE
IN
ROBBINSVILLE, NC
NOVEMBER 3, 2015 1 PROJ NO: 15039
! 0\4 To
ENGINEERING

State
gt6 of North.C- aro a
of a>�d. Xiw,�IResources
�2 qb
n.
cklog/Ap for giew teAsion ApolicatiOn.s.
Re FloW Tka ,,ceptance� ­t. I
(,F-TSE%"13)
rpject APPIiCaritNMe:'...
Project
Namesfor-whichnow is being requestq4t
-for all pump
More ihi7n'-one_PT'S'E_ may be, reqyired-fir. a,_si�;glqproject-z the_ownIMr_of the WWTP I S nk responsible
siati6ns along'* route of theproposed waitogterpoWk
Complete this section only if you are the owner of the WdstOWOT treatment plant.
j
a. ,
-b. VIWTP tdc �Aj
All flows are in; MGD
C. WWT-P fa
cility's permitted flow
gat. . the: ie WWT? -0, 0
d'. Estimated obligated flow not yet tributary to
e.
WWT-P I facility's actual avg. -flow
for, this specific, T Q,
Total and obligated flows to the facility
h. used
I�erqenf, ofitt d fi0W perial e
II. Completethis section for each pump stplionypiti are responsible fdr gong the route of this
proposed wastewater flow.
List pump stations located between the project connection pourt and the WWTP:
(A)
(B)
(D)=(B+C)
(E)=(A-D)
Desi
Obligated,.
pip
Vim-
'gu
Average Daily
Flow**
,prox.
Approx.
q,�qent. Avg-
Not Yet
zt
Tributary
T
Tot ICpu ant
Flow us
Statidli
dr.*
Capacity,
P0.
0allyflow,
Daily'FlqW,
MGD
Obligated
Flow,
Available
Capacity4`
N r
'OA: K
MGD
�2,
MGD
MGD
R L G-_,EIVE13__
Division of Water Resources
[--JUN -T-5-201-6
Ashevitie Regional _Office ___
The, Firm C. apackgy Of any punipstatio-ii -igdefte e maidnigin pulfi ed flow that
01P)i be acbievikd with the larges, t pump . taken out of service:
Dkgigh A*dragi6 B py FlOw is the firin sagpaearty Of 'the pin Hn stti. a peaki . ng
IMAMd by
10461f, (PiD not less than' 2.5.
Y.A jPjanmHe Assessment, Addendum shali be,,;k#g�4 fqre#ch�pq0p§tatI6n located
DTP
V
between the project coniiiectimpoint i"ifid the WM whete the A. able C4acity is < 0.
Page I of 6
VTSP_. 08-13

W. Certification Statem6nt:
certifytoThe lest ofmy knoWle4ge that the -addition of
astq the,volume of* this protect has be6i evaluated albng,the route to the
wIiY06r,',t4 be permitted: in
receiving c
g wastewater treatment facility and that the flow "from this -project .is not anticipated to
cause any capadity,idlated sanitary sewer: Overflows Qr'QverbAweO_oy downstream- Pump station
efiroute-to the receiving treatment plant under normal circumstances; ,giveA the implementation
nd the l'
of the planned in-p-rovernentg. identified " - - applicable. This
e p anping assessment where
analysis has beenp-9-d d in accord -'s
-performed accordance with local
poicie&ah, procedures using
the best available data. 'T . his certification applies ,to th6selteftis listed - iboue in Sections !,and- 11
plus all a itacii g assessment addendums 'r: w am ihe. responsible, party-
, attached plannin
Signatore of this form indicatos acceptance of this wastewater flow;
W"
Page 2 of 6
FTSE 0.8-13

�! RECEIVED
Division of water Resources State of North Carolina
Departmen of Environment and Natural Resources
R_ JUN 1 6 2016 Division of Water Resources
r = ' FASil APPLICATION (FTA 08-13)
Division of Water Resources r�g� i�3NcTr'dfidMWI+RS, PUMP STATIONS, AND FORCE MAINS
water (Zual!t��9 "1`
...,.,... ;11: P,>Nona! Office _.. , ..r ..
General — When submitting this application, please use the following instructions as a checklist in order to
ensure all required items are submitted. Adherence to these instructions and checking the provided boxes will
help produce a quicker review time and reduce the amount of requested additional information.
For more information, visit the Surface Water Section's Collection Systems website or;
contact the Regional Office serving your county
Unless otherwise noted, the Applicant shall submit one original and one copy of the application and supportinq
documentation to the appropriate Regional Office (see page 3).
�rl fxf 'sir. � i
For modifications, clearly explain
the reason for the modification (i.e. adding another phase, changing line size, length, etc).
B. Application Form (FTA 08-13):
® Submit the completed and appropriately executed Fast -Track (FTA 08-13) Application. Any
unauthorized content changes to this form shall result in the application being returned. If necessary
for clarity or due to space restrictions, attachment to the application may be made, as long as the
attachments are numbered to correspond to the section and item to which they refer. You do not need
to submit detailed plans and specifications unless you respond NO to item B(13).
® The Professional Engineer's Certification of the application shall be signed, sealed and dated by a
North Carolina licensed Professional Engineer.
® The Applicant's Certification of the application shall be signed in accordance with 15A NCAC 02T
.0106(b). Per 15A NCAC 02T .0106(c), an alternate person may be designated as the signing official if
a delegation letter is provided from a person who meets the criteria in 15A NCAC 02T .0106(b).
C. Application Fee:
® Submit a check in the amount of $480 to: North Carolina Department of Environment and Natural
Resources (NCDENR).
➢ Checks shall be dated within 90 days of application submittal.
D. Certificate of Public Convenience and Necessity (For Privately -Owned Public Utilities Only):
❑ Per 15A NCAC 02T .0115(a)(1), provide two copies of the Certificate of Public Convenience and
Necessity from the North Carolina Utilities Commission demonstrating the Applicant is authorized to
hold the utility franchise for the area to be served by the sewer extension, or
❑ Provide two copies of a letter from the North Carolina Utilities Commission's Water and Sewer Division
Public Staff stating an application for a franchise has been received and that the service area is
contiguous to an existing franchised area 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.
E. Operational Agreements (For Horne/Property Owners' Associations and Developers of lots to be sold):
➢ Home/Property Owners' Associations
❑ Per 15A NCAC 02T .0115(c), submit the properly executed Operational Agreement (HOA 08-13).
❑ Per 15A NCAC 02T .0115(c), submit a copy of the Articles of Incorporation, Declarations and By-laws.
➢ Developers of lots to be sold
❑ Per 15A NCAC 02T .0115(b), submit the properly executed Operational Agreement (DEV 08-13).
Even if the project may be turned over to a municipality upon completion, Form DEV 08-13 is required.
INSTRUCTIONS FOR APPLICATION FTA 08-13 & SUPPORTING DOCUMENTATION Page I of 6

F. Downstream Sewer, WWTF Capacity and Flow Tracking/Acceptance Form (FTSE 08-13)
® Submit the completed and appropriately executed Flow Tracking/Acceptance for Sewer Extension
Permit (FTSE 08-13) Form for all applications.
➢ The applicant (and owners of downstream sewers, pump stations and/or treatment facilities submitting
form FTSE 08-13 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 08-13
from the owner of the downstream sewer and owner of the WWTF, if different.
➢ The flow acceptance indicated in form FTSE 08-13 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 08-13 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 a project -
specific FTSE 08-13.
G. Site
IZI
➢ The location of the sewer line and pump stations and be of reproducible quality.
➢ Downstream connection points and the permit number for the receiving sewer (if known)
➢ Pum Station Locations and the longitude and latitude for each pump station (if applicable)
® 11 IM»
H. Stream Classification (WSCAS 08-13)
® Submit the completed and appropriately executed Watershed Classification Attachment form
(WSCAS 08-13) if any portion of the sewer system project is within 100 feet of any surface water or
wetlands.
➢ A variance must be requested for encroachment within required setbacks or buffers pursuant to 15A
NCAC 02T .0305(f)
Environmental Assessments (Projects subject to an Environmental Assessment (EA)):
➢ Projects involving an Environmental Assessment per 15A NCAC 01 C .0408, must be submitted for a
full technical review and must be submitted to the PERCS Unit on application forms provided by the
Division.
J. Alternative Sewer Systems
➢ Projects involving low pressure sewer systems, vacuum sewer systems and other alternative sewer
systems must be submitted for a full technical review and must be submitted to the PERCS Unit on
application forms provided by the Division.
K. 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 the project, please indicate in B(12)
and give the permit number of the second facility.
L. 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 Permitting of Pump Stations and Force Mains (most recent version), as applicable to the project.
INSTRUCTIONS FOR APPLICATION FTA 08-13 & SUPPORTING DOCUMENTATION Page 2 of 6

THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS, 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,
Water Quality Section
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,
Water Quality Section
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,
Water Quality Section
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,
Water Quality Section
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,
Water Quality Section
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
Water Quality Section
Wilmington, North Carolina 28405
Hanover, Onslow, Pender
[phone]
[phone] Fax
Winston-Salem Regional Office
585 Waughtown Street
Alamance, Alleghany, Ashe, Caswell, Davidson,
Water Quality Section
Winston-Salem, North Carolina 27107
Davie, Forsyth, Guilford, Rockingham, Randolph,
[phone]
Stokes, Surry, Watauga, Wilkes, Yadkin
[phone] Fax
INSTRUCTIONS FOR APPLICATION FTA 08-13 & SUPPORTING DOCUMENTATION Page 3 of 6

USE THE TAB KEY TO MOVE FROM FIELD TO FIELD Application Number: t_^ 0038_563�p _
(to be completed by DWR)
9.
Owner/Permittee:
la.
Eastern Band of Cherokee Indians
Full Legal Name (company, municipality, HOA, utility, etc.)
1b.
'Steve Hooper, Mayor
O
p
Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized signing officials)
4
1 c.
The legal entity who will own this system is:
❑ Individual ❑ Federal ® Municipality ❑ State/County ❑ Private Partnershi0­0_ or�_,ff_ qF saecify)_
Division of water Resources
1 d.
4 Court Street le. Robbinsville
LL
Mailing Address City i
1f.
North Carolina 1g. 28771 2016
State Zip Code )
1h.
828-479-3250 F1i. n/a 1j. townofrob [e-mail]
Telephone j Facsimile E-mail Water Quality Regional pera i oilS
----------------"---------------_ __--- ------ p�tr;riffs-f7e�_lie�sa!-O+?ie-e,-"--.... - -
2.
Protect (Facility) Information: --- - - --
7i
2a.
Snowbird Daycare 12b. Graham
M
Brief Project Name (permit will refer to this name) County Where Project is Located
3.
------------- ------ — -------------------------- -- ----- -
Contact Person:
3a.
Charles Deep, 4D "En ineerin
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b.
803 356-0909
3c. [e-mail]
Phone Number
E-mail
11.
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))
a.
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
El Public Utility (Instruction D)
El Leasing units (lots, townhomes, etc. - skip to Item B(3))
❑ Homeowner Assoc./Developer (Instruction E)
❑ Selling units (lots, townhomes, etc. - go to Item B(2b))
Z
3.
Town of Robbinsville
®
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
a.
Town of Robbinsville WWTP 14b. NCO025879
Name of WWTF I WWTF Permit No.
0
®
5a.
Town of Robbinsville 5b. ® Gravity 5c.
Owner of Downstream Sewer Receiving Sewer Size ❑Force Main Permit # of Downstream Sewer (Instruction F)
LL
Z
6.
The origin of this wastewater is check all that apply)_ — —
�-'
❑ Residential Subdivision ❑ Retail (Stores, shopping centers) 100% Domestic/Commercial
❑ Apartments/Condominiums ® Institution 0% Industrial
❑ Mobile Home Park ❑ Hospital -
❑ School ❑ Church (Attach Description)
UJI
®
❑ Restaurant ❑ Nursing Home 0% Other
❑ Office ❑ Other (specify):
-- ----------- ------ - -- - ---"- ------ --- - ..-.-(Attach-Description.)
7.
Volume of wastewater to be allocated or permitted for this particular project: 2175 gallons per day
*Do not include future flows or previously permitted allocations
8.
If the permitted flow is zero, indicate why:
❑ 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)
PTA 08-13 APPLICATION Page 4 of 6

Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2T. 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 B(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).
See attached Sewer Loading Table
0. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches) Length (feet) i New Gravity or Additional
Force Main
8" PVC 456 New Gravity
Uj
11. Summary of Pump Stations w/ associated Force Mains to be Permitted (attach additional sheets as necessary)
Z
® Pump Station Location ID: _ (self chosen - as shown on plans/map for reference)
L)
Longitude: Latitude:
Z
Design Flow OPower Reliability Option
(MGD) perational Point 1 - permanent generator w1ATS;
I GPM @TDH 2 - portable generator w/MTS
Pump Station Location ID: _
Longitude:
ry
Latitude:
Force Main Size i Force Main Length
i
(self chosen - as shown on plans/map for reference)
W Design Flow I Power Reliability Option
CL (MGD) Operational Point 1 - permanent generator w/ATS;
GPM @TDH 2 - portable generator w/MTS
Force Main Size j Force Main Length
2. Will the wastewater flow in the proposed sewer lines or pump stations be able to be directed to another treatment facility?
] Yes ® No If Yes, permit number of 2"d treatment facility
RO — if "yes" to 13,12 please contact the Central Office PERCS Unit)
3. Does the sewer system comply with the Minimum Design Criteria for the Permitting of Pump Stations and Force Mains
(latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC Chapter 2T as applicable?
® 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
I
FTA 08-13 APPLICATION Page 5 of 6

14. Have the following permits/certifications been submitted for approval for the system or project to be served?
Wetland/Stream Crossings - General Permit or 401 Certification? ❑ Yes ❑ No N N/A
Sedimentation and Erosion Control Plan? N Yes ❑ No ❑ N/A
Trout Buffer Waiver? ❑ Yes ❑ No N NIA
Stormwater? ❑ Yes ❑ No N N/A
5. Does this project include any high priority lines (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
:heck if Yes: ❑ and provide details:
1. Owner/Permittee's Certification: (Signature of Signing Official and Project Name)
/, Steve Hooper , attest that this application for Eastern Band of Cherokee Indians
_ 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, 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.
1 a.
Signing Official Signature Date
ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY
Va
TO OTHER UTILITIES, DESIGN CALCULATIONS, ETC. REFER TO 15A NCAC 02T .0305
Z
2. Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
1, Charles W. Deep ,attest that this application for Snowbird Daycare has been
reviewed by me and is accurate, complete and consistent with the information in the engineering plans, calculations, and
1­3
all other supporting documentation to the best of my knowledge. I further attest that to the best of my knowledge the
W
proposed design has been prepared in accordance with the applicable regulations, Gravity Sewer Minimum Design
UJI
Criteria for Gravity Sewers adopted February 12, 1996, and the Minimum Design Criteria for the Fast -Track Permitting of
L)
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. Charles W. Deep
\\ CAR
Professional Engineer Name `�� Q�� . • • • .O�j
_ - — ----- --
b, 4D Engineering
0S
Engineering Firm = a
2c. 30 _K4 6 sk ^rAPJr XgOO =o 3601 _q
Mailing Address
- - - -- ... --- - - - - ---- -
I 12f.
2d. Lexington e. SC 29072
✓/j77`a� �Jd
City �- State - - I -- Zip - • ,.,\
12i. I
2g. 803-35ti-0909 2h. N/A [e-mail]
Telephone Facsimile E-mail NC PE Seal, Signature & Date
FTA 08-13 APPLICATION Page 6 of 6

State of North Carolina
FR D, W
Department of Environment and Natural Resources
Division of Water Resources
(Division of Water Resources Watershed Classification Attachment (WSCAS 01-15)
These instructions are to be used when completing form WSCAS for sewer extension projects.
Identifying stream classifications that are affected by the project is necessary:
• To determine/confirm the minimum separation distance of sewer system components from
classified waters as specified in 15A NCAC 2T .0305(f)
• To determine/confirm any applicable river basin rules that may affect sewer system components
If any portion of the sewer extension comes within 100 feet of any surface water (waterbody) or
wetland a completed form is required. Determine the names of surface waters within 100 feet of the
project or along the project route and utilize either of the below options to determine stream
classification:
Finding Stream Classifications (Map or List)
A map with designated streams and their associated classifications can be obtained at:
http://ncdenr.maps.a resis.com/a pps/webappviewer/index. html?id=6el25ad7628f494694e259c80dd64265
• Find/select the waterbody and record the river basin(s), stream index number and classifications
applicable to the project on the form
or
A listing of stream classifications based on river basin can be obtained at:
http://Portal.ncdenr.ors/web/wa/ps/csu/classifications (see left hand side of webpage)
• Select the river basin(s) (hydrological or alphabetically sorted) where your project is located
• Locate the name of the identified waterbody on the list for the selected basin
• For multiple listings of the same waterbody name in the report, select and verify the location
description. The term "source" in the description means the beginning of the waterbody segment
(most upstream point)
• Record the river basin(s), stream index number and classification applicable to the project on the
form
Submittal Instructions
Label any unnamed tributaries as "UT to stream name" as the waterbody name on form per 15A NCAC 02B
.0301(i). See page 2 for additional notes on unnamed streams.
Submit a color copy of a USGS Topographic Map to identify the project area and surface waters. Each map or
maps must show the location of the sewer system and include location identifiers where the system traverses
over or near waterbodies. The map should have location ID's for each different waterbody and corresponding
classifications should be recorded.
"Note that these instructions do not need to be submitted"

Note on Unnamed Streams (15A NCAC 0213.0301(i))
Any stream which is not named in the schedule of stream classifications carries the same classification
as that assigned to the stream segment to which it is tributary except:
• unnamed streams specifically described in the schedule of classifications;
• unnamed freshwaters tributary to tidal saltwaters will be classified "C"; or
• after November 1, 1986, any newly created areas of tidal saltwater which are connected to Class
SA waters by approved dredging projects will be classified "SC" unless case -by -case
reclassification proceedings are conducted.
The following river basins have different policies for unnamed streams entering other states or for
specific areas of the basin:
HIWASSEE RIVER BASIN
Streams entering Georgia or Tennessee shall be classified
"C Tr."
LITTLE TENN RIVER BASIN AND SAVANNAH RIVER
Streams entering Georgia or Tennessee shall be classified
DRAINAGE AREA
"C Tr." Such streams in the Savannah River drainage area
entering South Carolina shall be classified "B Tr."
FRENCH BROAD RIVER BASIN
Streams entering Tennessee will be classified "B."
WATAUGA RIVER BASIN
Streams entering the State of Tennessee are classified
I.0 ..
BROAD RIVER BASIN
Streams entering South Carolina are classified "C."
NEW RIVER BASIN
Streams entering the State of Tennessee are classified
11C 11
CATAWBA RIVER BASIN
Streams entering South Carolina are classified "C."
YADKIN-PEE DEE RIVER BASIN
Streams entering Virginia are classified "C," and such
streams entering South Carolina are classified "C."
LUMBER RIVER BASIN
Streams entering South Carolina are classified "C Sw."
ROANOKE RIVER BASIN
Streams entering Virginia are classified "C." Except that all
backwaters of John, H. Kerr Reservoir and the North
Carolina portion of streams tributary thereto not
otherwise named or described shall carry the
classification "B," and all backwaters of Lake Gaston and
the North Carolina portion of streams tributary thereto
not otherwise named or described shall carry the
classification "C and B."
CHOWAN RIVER BASIN
Streams entering Virginia are classified "C."
TAR-PAMLICO RIVER BASIN
All drainage canals not noted in the schedule are
classified "C Sw," except the main drainage canals to
Pamlico Sound and its bays which shall be classified "SC."
PASQUOTANK RIVER BASIN
All drainage canals not noted in the schedule are
classified "C."
"Note that these instructions do not need to be submitted"

W-,-R
"'Division of Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Watershed Classification Attachment (WSCAS 01-15)
Along with this form, submit a color copy of a USGS Topographic Map to identify the project area and
waterbodies. Each map or maps must show the location of the sewer system and include location identifiers
where the system traverses over or near waterbodies. The map should have location ID's for each different
waterbody and corresponding classifications should be recorded.
Include the completed form and map portions with the permit application for submittal to the appropriate review
agency. A list of the Division's regional offices, their county coverage, and contact information can be obtained
from: http://portal.ncdenr.org/web/wa/home/ro
Location ID
Name of Waterbody'
River
Basin
Waterbody
Index No.
Waterbody
Classification
1
Tulula Creek
Little
Tennessee
2-190-2
WS-III,Tr
�_--
Ir
Division of Water RE
sources
9
JUN 6
i
1 If unnamed, indicate "unnamed tributary to X", where X is the named waterbody to which the unnamed tributary joins.
I 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

nwvl; ;a i
GIRD Sewer Loading
Snowbird Daycare
Full Buildout
Unit
GPD/Unit
/ PD
Children
78
25
1950
Employees
9
25
225
275 PD Sewer Loading
1.5 GPM Average Sewer Loading
3/3/2016

��� c�3