WQ0034203_Sewer Extension_20090708

04 WR AT State of North Cai-olina
Q91 QG Department of Environment and Natural Resources
_
CO
r� Division of Water Quality
o E` ` FAST -TRACK APPLICATION
(FTA 12/07 very)
for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
(Pressure R Vacuum sewer systems are not to be included as part of this application package)
INSTRUCTIONS: Indicate that you have included/addressed the following list of required application package items by
checking the space provided next to each applicable item. Failure to submit all required items will lead to your application
being returned as incomplete. Forms are available from the web site or by calling the Regional Office serving your county:
http://h2o. enr. state. nc. us/peres/Collection%20Systems/CollectionSystemApplications. html
A. Application Form - Submit one original and one copy of the completed and appropriately executed application
form. The application should include a project narrative describing the final build -out design (i.e. system and/or
pump station to ultimately serve 500 homes, but flow for only 100 homes being requested now). For modifications,
clearly explain the reason for the modification (i.e. adding another phase, changing line size/length, etc.). Only
include the modified information in this permit application - do not duplicate project information that has already
been included in the original permit.
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 6(13).
Separate applications should be made for non-contiguous sewer systems.
B. Application Fee - Submit a check in the amount of $480 made payable to: North Carolina Department of
Environment and Natural Resources (NCDENR). Checks shall be dated within 90 days of application submittal.
i
0 C. 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(2)a of this application.
LJ D. Operational Agreements — Submit one original and two copies of a properly executed operational agreement, as
per 15A NCAC 02T .0115, if the application is submitted by a private applicant and will be serving residential or
commercial lots (e.g., houses, condominiums, townhomes, outparcels, etc.) that will be sold to another entity. If
the applicant is a home or property owner's association, use Form HOA 02/03. If the applicant is a developer,
use Form DEV 02/03. EVEN IF THE PROJECT MAY BE TURNED OVER TO A MUNICIPALITY UPON
COMPLETION, FORM DEV 02/03 IS REQUIRED.
0 E. Downstream Sewer, WWTF Capacity and Flow Tracking/Acceptance — FORM FTSE 10/07 (Flow
Tracking/Acceptance for Sewer Extension Permit Applications) is required with every application. The applicant
(and owners of downstream sewers, pump stations and/or treatment facilities submitting FORM FTSE-10/07)
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 10/07
from the owner of the downstream sewer and owner of the WWTF, if different. The flow acceptance indicated in
FORM FTSE-10/07 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-10107 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 project -specific FTSE 10/07.
[j F Map — Submit an 8.5-inch by 11-inch COLOR copy of a USGS Topographic Map of sufficient scale to identify the
entire project area and the closest surface waters. Each map or maps must show the location of the sewer line
and pump stations and be of reproducible quality. Include a street level map showing the downstream connection
point, and the permit number for the downstream sewer, if known.
FTA 12/07

[� G. Stream Classifications — Watershed Classification Attachment (Form WSCAS-12/07) If any portion of the
sewer system project is within 100 feet of any surface water or wetlands, the Watershed Classification Attachment
may -need to be completed. A variance must be requested for encroachment within required setbacks or buffers
pursuant to 2T .0305 (f) and be indicated in Item B-13 with supporting documentation/justification provided.
[�H Environmental Assessments — If this project Is subject to an Environmental Assessment (EA) [15A NCAC
01C], this application cannot be used. Send the project application on the most current version of Form
PSFMGSA to the Design Management Unit, 1633 Mail Service Center, Raleigh, NC 27699-1633. Applications
cannot be accepted 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.
Cd I. 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 this project, please indicate in B(12) and give the permit
number of the second treatment facility.
[D/J. 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 Fast -Track
Permitting of Pump Stations and Force Mains (most recent version), as applicable to the project.
THE COMPLETED FTA 12107 APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
DOCUMENTS AND $480 FEE, 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,
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,
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,
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,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] Fax
Warren, Wilson
Washington Regional Office
943 Washington Square Mail
Beaufort, Bertle, Camden, Chowan, Craven,
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
Wilmington, North Carolina 28405
Hanover, Onslow, Pander
[phone]
[phone] Fax
Winston-Salem Regional Office
585 Waughtown Street
Alamance, Alleghany, Ashe, Caswell, Davidson,
Winston-Salem, North Carolina 27107
Davie, Forsyth, Guilford, Rockingham, Randolph,
[phone]
Stokes, Surry, Watauga, Wilkes, Yadkin
[phone] Fax
For more Information, please visit our web site at:
http:/Ih2o.enr.state.nc.uslperes/Collectlon%20Systems/ColiectionSystemsHome.html
or contact the Regional Office serving your county.
FTA 12/07

USE THE TAB KEY TO MOVE FROM FIELD TO FIELDI Application Number: j�/�
(to be completed by DWQ) 4V Q D09-,�p?Q
1.
Owner/Permittee:
la.
Town of Pembroke
Full Legal Name (company, municipality, HOA, utility, etc.)
0
1 b.
McDuffie Cummings, Town Manager
Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized signing officials!)
1 c.
The legal entity who will own this system is:
❑ Individual ❑ Federal ® Municipality ❑ State/County ❑ Private Partnership ❑ Corporation ❑ Other (specify):
0
1d.
100 S. Union Chapel Road le. Pembroke
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Mailing Address City
Z
1f.
NC 1g. 28372
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State Zip Code
0
!1 h.
[phone] 1 i. [phone] 1 j. [e-mail]
QTelephone
Facsimile E-mail
V
2.
Prolect (Facility) Information:
J
2a.
Town of Pembroke Union Chapel Pump Station & Forcemain 2b. Robeson
IL
Brief Project Name (permit will refer to this name) County Where Project is Located
Q
3.
Contact Person:
Q33a.
Edward "Ted" Burke, Cavanaugh & Associates, P.A.
Name and Affiliation of Someone Who Can Answer Questions About this Application
,33b.
[phone] 3c. [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.) or ❑ Public Utility (Instruction C)
❑ Leasing units (lots, townhomes, etc. - skip to Item B(3)) ❑ Homeowner Assoc./Developer (Instruction D)
❑ Selling units (lots, townhomes, etc. - go to Item B(2b))
.3.
Town of Pembroke
Z
,
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
0
4a.
Pembroke WWTP 4b. NCO027103
QName
of WWTF WWTF Permit No.
i5a.
Town of Pembroke 15b. 6 inch ® Gravity 15c. WQCS00114
OOwner
of Downstream Sewer Receiving Sewer Size El Force Main Permit # of Downstream Sewer (Instruction E)
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6.
The origin of this wastewater is (check all that apply):
Z
❑ Residential Subdivision ❑ Retail (Stores, shopping centers) 100 % Domestic/Commercial
❑ Apartments/Condominiums ❑ Institution % Industrial (attach
❑ Mobile Home Park ❑ Hospital description.)
® School ElChurch
W
El Restaurant El Nursing Home (RO: contact your Regional Office
d.
❑ Office ❑ Other (specify): Pretreatment staff)
m
% Other (specify):
7.
Volume of wastewater to be allocated or permitted for this particular project: 9,000 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)
FTA12/07

9.
Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2T .0114 for
the value in Item 13(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).
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches) Length (feet) New Gravity or Additional
Force Main
3 19,054 Forcemain
Q111. Summary of Pump Stations w/ associated Force Mains to be Permitted (attach additional sheets as necessary)
Uj
Pump Station Location ID Mission Church Road and St. Anna Road (self chosen - as shown on plans/map for reference)
Z _ _
Design Flow
Operational Point
Power Reliability Option
Z
(MGD)
GPM @TDH
1 -permanent generator w/ATS; Force Main Size Force Main Length
O
2 - portable generator w/MTS
V
,
v
0.009
50.5 gpm @ 202'
2 3" 19,054'
Z
O
H
iPump Station Location ID
(self chosen - as shown on plans/map for reference)
Design Flow
Operational Point
Power Reliability Option
(MGD)
GPM @TDH
1 - permanent generator w/ATS; Force Main Size Force Main Length
Q
2 - portable generator w/MTS
LL
_
Z
H
;Pump Station Location ID (self chosen - as shown on plans/map for reference)
W
W Design Flow Operational Point Power Reliability Option
(MGD) 1 -permanent generator w/ATS; Force Main Size Force Main Length
GPM @TDH
m 2 - portable generator w/MTS
12. 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 2nd treatment facility
(RO — if "yes" to 13,12 please contact the Central Office PERCS Unit)
13. Does the sewer system comply with the Minimum Design Criteria for the Fast Track 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
FTA 12/07

14. Have the following parmllsloertificatlons been submitted for approval for the system or project to be served?
Welland/Stream Crossings - General Permit or 401Certification? ❑ Yes ❑ No ® NIA
Sedimentation and Erosion Control Plan? ® Yes ❑ No ❑ N/A
Stormwater? ® Yes ❑ No ❑ WA
15. Does this project include any high priority lines, (see 15A NCAC 02T .0402 (2)) involve aerial lines, siphons, or interference
manholes)? These lines wtil be considered high priority and must be a checked once every six months
Check it Yes: [] and provide details
1. OwnerlPermilles's Certification: (Signature of Signing Official and Project Name)
1, WDuffie Cummings. attest that this application for Town of Pembroke Union Chapel Purno Station & Forcemain has
been reviewed by me and Is accurate and complete to the best of my knowledge. I understand that N ap required parts o
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 143-215.68, any person who knowingty makes any false statement, representation, or
certification In any application shall be gullly of a Class 2 misdemeanor, which may include a fine not to exceed $10,000
as well ps civil penalties up toYb 000 per violation.
1a.
Signing, f sal Signal re - - - Date
;''"
ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY
TO OTHER UTILITIES, DESIGN CALCULATIONS. ETC. REFER TO 15A NCAC 02T .0305
Z
0
Q2. Professional Englneses Certification: (Signature of Design Engineer and Project Name)
U 1, , Ted Is y l ke . attest that this application for 1-, A A re'n&-,h has been
LL reviewed by me and is accurate, complete and consistent with the information In the eng eering plans, calculations, and
all other supporting documentation to the best of my knowledge. ► further attest that to the bast of my knowledge the
proposed design has been prepared In accordance with Ilia applicable regulations, Gravity Sewer Minimum Design Cdleda
W for Gravity Sewers adopted February f2, 1996, and Ilia Minimum Design Criteria for the Fast -Track Permitting of Pump
U Stations and Force Mains adopted June 1, 2000 and the watershed classification In accordance with Division guidance.
ANhough other professionals may have developed certain portions ofthis submittal package, inclusion of these materials
CS
i under my signature and seal signifies that I have reviewed this material and have fudged 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 knowingty
makes any false statement, representation, or certification in any application shalt be guilty of a Class 2 misdemeanor
which may kiclude a nine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
2a. Edward R. Burke P.E.
Professional Engineer Name-
2b. Cavanauah & Associates, P.A. _..__
Engineering Firm
2c. 130 North Front Street, Suite 202
Mailing Address
2d. Wilmington 2e. NC 21'. 28401
City State Zip
29. [phone] 21). (910) 392A612 21. Iburke&avanaughsolutionacom
Telephone Facsimile E-mail
NC PE Seal, Signature 8 Date
FTA12107

r
USE THE TAB KEY TO MOVE FROM FIELD TO FIELDI USE Number:
(to be completed by DWQ)
1.
Owner/Permittee:
1 a.
Town of Pembroke
Full Legal Name (company, municipality, HOA, utility, etc.)
1b.
McDuffie Cummings, Town Manager
0
Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized signing officials!)
1 c.
The legal entity who will own this system is:
❑ Individual ❑ Federal ® Municipality ❑ State/County ❑Private Partnership ❑ Corporation ElOther (specify:_
0
1 d.
100 S. Union Chapel Road 1 e. Pembroke
LL
Mailing Address City
1f.
NC 11g. 28372
Z
j
State Zip Code
0
_
11h.
......_
[phone] 1i. [phone] 1j. [e-mail]
QTelephone
Facsimile E-mail
V
2
Protect (Facility) Information
J
2a.
Town of Pembroke Union Chapel Pump Station & Forcemain .2b. Robeson
a
Brief Project Name (permit will refer to this name) County Where Project is Located
CL Q
,3
Contact Person:
3a.
Edward 'Ted" Burke, Cavanaugh & Associates, P.A.
Q
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b.
[phone] 3c. [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 8(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.) or, ❑ Public Utility (Instruction C)
❑ Leasing units (lots, townhomes, etc. - skip to Item B(3)) ❑ Homeowner Assoc./Developer (Instruction D)
❑ Selling units (lots, townhomes, etc. - go to Item B(2b))
3.
Town of Pembroke
Z
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
0
;4a.
Pembroke WWTP 4b. NCO027103
QName
of WWTF WWTF Permit No.
5a.
Town of Pembroke
15b. 6 inch
® Gravity 15c. WQCS00114
O
Owner of Downstream Sewer
Receiving Sewer Size
❑ Force Main Permit # of Downstream Sewer (Instruction E)
---- ---
LL
�6.
__ T—
The.origin of this wastewater is (check all that apply):
PAY
TO THE
ORDER
OF
TOWN OF PEMBROKE
ACCOUNT PAYABLE FUND
P.O. BOX 866
PEMBROKE, NC 28372
LUMBEE GUARANTY BANK 66-368 005019
PEMBROKE, NORTH CAROLINA 531
THIS DISSURSEMENT HAS SEEN APPRO,ED
AS REQUIRED BY THE LOCAL GOVERNMENT
BUDGET AND FISCAL CONTROL ACT.
CHECK NO. I CHECK DATE I VENDOR NO.
005019 03/25/2009 0000000933
**FOUR HUNDRED EIGHTY AND XX/100 DOLLARS'*'*"*'*"'******"'*'***'*
CHECK AMOUNT
$480.00
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT &
NATURAL RESOURCES

Permit Number AVV0003420
Program Category
Non -discharge
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer
Extensions
Primary Reviewer
trent.allen
Coastal SW Rule
Permitted Flow
9000
Facilit
Central Files: APS SWP
07/20/09
Permit Tracking Slip
Status
Project Type
Active
New Project
Version
Permit Classification
1.00
Individual
Permit Contact Affiliation
Facility Name Major/Minor Region
Town of Pembroke Union Chapel Pump Station & Major Fayetteville
Forcemain
Location Address County
Robeson
Facility Contact Affiliation
Owner Name Owner Type
Town of Pembroke Government - Municipal
Owner Affiliation
McDuffiue Cummings
100 S Union Chapel Rd
Pembroke NC 28372
Oates/Events
Scheduled
Issuance �—
Orig Issue App Received Draft Initiated Public Notice Iss Effective Expiration
07/20/09 07/08/09 07 / 07/20/09
Regulated Activities Renuested/Received Events
Wastewater collection Additional information requested
Additional information received
Outfall ' i....
Waterbody Name Stream Index Number Current Class Subbasin

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
July 1, 2009
CERTIFIED MAIL: 7008 1300 0001 1492 7830
RETURN RECEIPT REQUESTED
Re: Town of Pembroke Union Chapel Pump Station and Force Main
Dee Freeman
Secretary
Mr. Burke,
I'm reviewing the application for the Town of Pembroke Union Chapel Pump Station and Force Main, and
needed some additional information as well as parts of the application completed. I need information on the
pump you are connecting the force main to —pump size GPM, current flow to this pump station. Also, please
submit how you calculated your flow and complete section C of the application. I'm returning the application
along with the check. Once you have the required information please resubmit it for review. If you have any
questions, please contact me at 910-486-3322.
Sincerely,
Trent Allen
225 Green St., Suite 714, Fayetteville, NC 28301-5043
Phone: [phone] \ FAX: [phone] \ Customer Service:1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity \ Affirmative Action Employer
NorthCarolina
Naturallt�

July 7, 2009
Trent Allen
NCDENR - Division of Water Quality
Systel Building
225 Green St., Suite 714
Fayetteville, NC 28301-5043
L11
CAVANAU G H
Solutions through integrity and partnership
Re: Town of Pembroke Union Chapel Pump Station & Forcemain
Pembroke, Robeson County, North Carolina
Dear Mr. Allen:
Cavanaugh & Associates, P.A. on behalf of the Town of Pembroke hereby submits the
following application to NCDENR - Division of Water Quality for review of the Fast -Track
Application for Gravity Sewers, Pump Stations, and Force Mains for the above referenced
project. This package also contains the additional information requested in your letter dated
July 1, 2009. The subject project is located in Pembroke, Robeson County, North Carolina.
To facilitate your review of the enclosed documentation, the following is an itemized
breakdown:
1. A check in the amount of $480.00 to satisfy the fast -track review fee, made payable to
'NCDENR'.
2. Two (2) original application forms (FTA 12/07).
3. Two (2) copies of the Project Narrative.
4. Two (2) original Flow Tracking/Acceptance forms (FTSE 10/07).
5. Two (2) copies of a USGS color map identifying project area.
6. Two (2) original Watershed Classification Attachment forms (WSCAS 12/07).
7. One (1) copy of the pump station calculations.
Please do not hesitate to contact our office should you have any questions, comments or
require any additional information.
Regards,
CAVANAUGH & ASSOCIATES, P.A.
Jeff Cappadona, E.I.
Attachments
cc: McDuffie Cummings, Town Manager, Town of Pembroke ` °'s

r�
Project Narrative
Project Description
Briefly, this project consists of the following improvements to the failing septic
system at Union Chapel Elementary School, located at the intersection of Evergreen
Church Road and Union Chapel Road in Pembroke, NC:
• Installation of approximately 19,000 L.F. of 3" PVC (SDR 21) forcemain from
Union Chapel Elementary School to the nearest sewer collection line down
Union Chapel Road and a small pump station at the elementary school,
eliminating the failing septic system.

OF W ATFq State of North Carolina
Q Department of Environment and Natural Resources
7r Division of Water Quality
o Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE—10/07)
Project Applicant Name: Town of Pembroke
Project Name for which flow is being requested: Town of Pembroke Union Chanel Pumn Station & Forcemain
More than one FTSE-10107 maybe required for a .single project if the owner of the WWTP is not responsible for all
pump stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Pembroke WWTP
b. WWTP Facility Permit #: NCO027103
All flows are in MGD
c. WWTP facility's permitted flow
1.330
d. Estimated obligated flow not yet tributary to the WWTP
0
e. WWTP facility's actual avg. flow
0.67
f. Total flow for this specific request
0.009
g. Total actual and obligated flows to the facility
0.679
h. Percent of permitted flow used
51 %
II. 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 Name Approx. Capacity, MGD Approx. Current Avg.
(Firm/Design) Daily Flow, MGD
Jones Street Pump Station 0.144 MGD (Firm) 0.024 MGD
III. Certification Statement:
I, McDuffie Cummings, certify that, to the best of my knowledge, 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. This analysis has been performed in accordance with local established
policies and procedures using the best available data. This certification applies to those items listed above
in Sections I and 11 for which I am t responsible party. Signature of this form indicates acceptance of
this wastwWater flow.
Signature r ,' Date

Instructions for: Flow Tracking/Acceptance for Sewer Extension Permit
Applications (FTSE—10/07)
Section I
a. WWTP Facility Name: Enter the name of the WWTP that will receive the wastewater flow.
b. WWTP Facility Permit #: Enter the NPDES or Non -Discharge number for the WWTP receiving the
wastewater flow.
c. WWTP facility's permitted flow, MGD: From WWTP owner's NPDES or Non -Discharge permit.
d. Estimated obligated flow not yet tributary to the WWTP, MGD: This includes flows allocated to
other construction projects not yet contributing flow to the collection system. Flows allocated through
interlocal agreements or other contracts not yet contributing flow to the collection system are also
included. For POTWs that implement a pretreatment program, include flows allocated to industrial
users who may not be using all of their flow allocation. Please contact your Pretreatment Coordinator
for information on industrial flow tributary to your WWTP.
As of January 15, 2008 the POTW should have reviewed flow allocations made over the last two
years and reconciled their flow records, to the best of their ability, so it is known how much flow has
been obligated and is not yet been made tributary to the WWTP, in accordance with local policies and
procedures employed by the reporting entity.
The obligated flow not yet tributary plus actual flow will be reconciled annually for systems at less
than 60% of permitted flow used. Annual updates shall be submitted to the appropriate Regional
Office by January 15 of each year and cover the previous calendar year.
Semi -Annual updates shall be required when the percent of permitted flow used reaches 60%. Semi-
annual time period are defined as January 1 through June 30 and July 1 through December 31. Semi-
annual updates shall be submitted to the appropriate Regional Office by July 15 and January 15 of
each year.
Quarterly updates shall be required when the percent of permitted flow used reaches 80%. Quarters
are defined as Qtrl (Jan -Feb -Mar); Qtr2 (Apr -May -Jun); Qtr3 (Jul -Aug -Sep); Qtr4 (Oct -Nov -Dec).
Quarterly updates shall be submitted to the appropriate Regional Office by April 15, July 15, October
15 and January 15 of each year.
e. WWTP facility's actual avg. flow, MGD: Previous 12 month average.
f. Total flow for this specific request, MGD: Enter the requested flow volume.
g. Total actual and obligated flows to the facility, MGD Equals [d + e + fJ
h. Percent of permitted flow used: Equals [(g / c)* 100]

For example:
On January 15 a POTW with a permitted flow of 6.0 MGD, reported to the Regional Office that there
is 0.5 MGD of flow that is obligated but not yet tributary. The annual average flow for 2007 is 2.7
MGD.
The first Form FTSE-10/07 submitted after January 15, 2008 may have numbers like this:
c. = 6.0 MGD
d. = 0.5 MGD
e. = 2.7 MGD
f. = 0.015 MGD
g. = 3.215 MGD
h. = 53.6 %
The next Form FTSE-10/07 may be updated like this:
c. = 6.0 MGD
d. = 0.515 MGD
e. = 2.73 MGD
f. = 0.102 MGD
g. = 3.349 MGD
h. = 55.8 %
Each subsequent Form FTSE-10/07 will be updated in the same manner.
Section II
List the name, approximate pump station firm (design) capacity and approximate current average flow
(previous 12 months) through the pump station for each pump station that will be impacted by the
proposed sewer extension project. Include the proposed flow for this project and other flows that have
been approved for the pump station but are not yet tributary.
Firm (design) capacity is the design average daily flow of the pump station as calculated by the design
engineer or the station capacity with the largest pump out of service as per the Minimum Design Criteria
if the design capacity is unknown.
Section III
Form FTSE-10/07 must be signed by the appropriate official as per 15A NCAC 02T .0106.

TOWN OF PEMBROKE
UNION CHAPEL FORCEMAIN
ROBESON COUNTY
NORTH CAROLINA
a r
t y
r
IL
y
s" {• ,,.?' a, 4 ,,. '• 1 ;!- d _ ^^ _ ;. ate...
N ,
r
•
t'} , + �.
,,� R>.. _ a <.` (#1) UNNAMED TRIBUTARY.
^,
» ► :� TO BURNT SWAMP a
t � PROPOSED r .
FORCEMAIN
F
i 1
.y.
7— (#2) MOSS NECK SWAMP`` ., 1
�' T (#3) UNNAMED TRIBUTARY
TO MOSS NECK SWAMP ,...,,, _ : •� -
``" ' (#4) UNNAMED TRIBUTARY
x a;•�' ?0 T BEAR SWAMP
�;- P
MY^.w yam. i (#5) BEAR SWAMP s
I TIA.. r
PROJECT INFORMATION
SANITARY SEWER & STREET IMPROVEMENTS
LATITUDE:
LONGITUDE:
QUAD #:
STREAM CLASS:
RECEIVING STREAM
BASIN:
STREAM INDEX #:
34°42'45.03"N
79' 82.81 "W
PEMBROKE,NC
WS-IV; Sw
LUMBAR RIVER
LUMBAR
1 4-1 0-8-4-(0.5), 14-9-3-(2), 14-9-(1.5)
I 00� I
CAVANAUGH
Solutions through integrity and partnership
3
LOCATION
NOT TO SCALE
ICa✓anaugh 8 Assocml s, PA 1001 Wad, Avenue, S— 150, Raleigh. NC 27605 91912567494 Fax: [phone] —vnneughsolulbru.— 1 J

.oF wArF9 State of North Carolina
Department of Environment and Natural Resources
T Division of Water Quality
o .i WATERSHED CLASSIFICATION ATTACHMENT
(WSCAS-12/07)
FOR SEWER SYSTEMS
The Division of Water Quality (Division) will not consider this attachment form to be
complete unless all the instructions are followed. Failure to follow the instructions or to
submit all of the required items will lead to additional application processing and review
time.
For more information or for an electronic version of this form, visit our web site at:
http://www.nccgl.net/Engineering/Sewer%20Permits.html
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ If the sewer system project area is a minimum of 100 feet from any surface water or wetlands, this
classification is NOT necessary. If any portion of the sewer system project is within 100 feet of any
surface water or wetlands, this form must be completed if there are proposed design conflicts with
setbacks or buffers as listed in 2T .0305 (f)..
✓ Do not submit this attachment form for review without a corresponding permit application (Form
FTA-12/07) unless requested by the Division.
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare the attachment form with the requested information for each portion or location of the
sewer system that is in conflict with a waterbody or wetlands.
✓ Use the Division's guidance document entitled, "DETERMINING STREAM CLASSIFICATIONS
FOR FORM WSCAS-12/07 (SEWER SYSTEMS)" to collect the stream classification data. This
document is available from our web site at the address shown above or by contacting the
appropriate Division of Water Quality regional office.
✓ The same Professional Engineer who certified the permit application form should seal this form.
Different Professional Engineering seals may be accepted from engineers within the same firm.
✓ Submit an 8.5-inch by 11-inch COLOR copy of a USGS Topographic Map of sufficient scale to
identify the entire project area and the closest surface waters. Each map or maps must show the
location of the sewer line and pump stations and be of reproducible quality. For instance, 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 the setback/buffer) and corresponding classifications
should be recorded.
C. Include the attachment form and the map portions with the permit application for submittal to
the appropriate regional office.
✓ A list of the Division's regional offices, their county coverage, and their contact information may be
downloaded from the web site at: http://www.enr.state.nc.us/html/regionaloffices.html.
***THESE INSTRUCTIONS DO NOT NEED TO BE SUBMITTED***
INSTRUCTIONS FOR FORM: WSCAS-
12/07

FORM WSCAS-12/07 ��° wAr�,�pG
WATERSHED CLASSIFICATION ATTACHMENT >
FOR SEWER SYSTEMS
Applicant Name
Project Name
Town of Pembroke
Town of Pembroke Union Chapel Forcemain
Professional Engineer Name
Engineering Firm Name
Edward Burke, P.E.
Cavanaugh & Associates, P.A.
Location
ID
Name of Waterbody'
County
River
Basin
Waterbody
Stream Index No.
Waterbody
Classification
Robeson
Burnt
14-10-8-4-(0.5)
WS-IV;Sw
2
Moss Neck Swamp
Robeson
Moss Neck
Swamp
14-9-3-(2)
WS-IV;Sw
3
U.T. To Moss Neck Swamp
Robeson
Moss Neck
Swamp
14-9-3-(2)
WS-IV;Sw
4
U.T. To Bear Swamp
Robeson
Bear Swamp
14-9-(1.5)
WS-IV;Sw
5
Bear Swamp
Robeson
Bear Swamp
14-9-(1.5)
WS-IV;Sw
I If unnamed, indicate "unnamed tributary to X", where X is the named waterbody to which the unnamed tributary joins.
l 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
*** END OF FORM WSCAS-12/07 ***
FORM: WSCAS-12/07 Page 1 of 1

Name of Stream
Description
Curr. Class
Date
Basin
Stream Index #
Redden Branch
From source to Raft
C;Sw
12/01/63
Lumber
14-10-4
Swamp
Little Raft Swamp
From source to Raft
C;Sw
09/01/74
Lumber
14-10-5
Swamp
McLeans Branch
From source to Little
C;Sw
09/01/74
Lumber
14-10-5-2
Raft Swamp
Humphrey Branch
From source to a point
C;Sw
12/01/63
Lumber
14-10-6-(1)
0.5 mile downstream of
Robeson County SR 1507
Humphrey Branch
From a point 0.5 mile
WS-IV;Sw
08/03/92
Lumber
14-10-6-(2)
downstream of Robeson
County SR 1507 to Raft
Swamp
Ausley Branch
From source to Raft
WS-IV;Sw
08/03/92
Lumber
14-10-6.3
(Circle T Lake)
Swamp
Mill Branch
From source to Raft
WS-IV;Sw
08/03/92
Lumber
14-10-6.6
Swamp
Richland Swamp
From source to Robeson
C;Sw
09/01/74
Lumber
14-10-8-(0.5)
County SR 1509
Richland Swamp
From Robeson County SR
WS-IV;Sw
08/03/92
Lumber
14-10-8-(2.5)
1509 to Raft Swamp
Long Swamp
From source to
C;Sw
09/01/74
Lumber
14-10-8-1
Richland Swamp
Wilkes Branch
From source to
C;Sw
09/01/74
Lumber
14-10-8-2
Richland Swamp
Panther Branch
From source to Robeson
C;Sw
09/01/74
Lumber
14-10-8-3-(1)
County SR 1509
Panther Branch
From Robeson County SR
WS-IV;Sw
08/03/92
Lumber
14-10-8-3-(2)
1509 to Richland Swamp
Burnt Swamp
From source to N.C.
C;Sw
09/01/74
Lumber
14-10-8-4-(0.2)
Hwy. 72
Burnt Swamp
From N.C. Hwy. 72 to
WS-IV;Sw
08/03/92
Lumber
14-10-8-4-(0.5)
Richland Swamp
Little Burnt
From source to Burnt
WS-IV;Sw
08/03/92
Lumber
14-10-8-4-1
Swamp
Swamp
White Oak Branch
From source to Raft
WS-IV;Sw
08/03/92
Lumber
14-10-9
Swamp
Powell Branch
From source to a point
WS-IV;Sw
08/03/92
Lumber
14-10.5-(1)
0.5 mile upstream of
mouth
Powell Branch
From a point 0.5 mile
WS-IV;Sw,CA
08/03/92
Lumber
14-10.5-(2)
upstream of mouth to
Lumber River
Saddletree Swamp
From source to Lumber
C;Sw
07/01/73
Lumber
14-12
River
Rocky Branch
From source to
C;Sw
07/01/73
Lumber
14-12-1
Saddletree Swamp
McEacherr Branch
From source to
C;Sw
07/01/73
Lumber
14-12-2
Saddletree Swamp
Poplar Pole
From source to
C;Sw
07/01/73
Lumber
14-12-3
Branch
Saddletree Swamp
Page 2 of 9 2009-03-07 05:27:57

%A .
Name 'of Stream Description Curr. Class Date Basin Stream Index #
Mill Branch
From source to Lumber
C
12/01/63
Lumber
14-6
River
Back Swamp
From source to Robeson
C;Sw
08/03/92
Lumber
14-8-(0.5)
County SR 1157
Back Swamp
From Robeson County SR
WS-IV;Sw
08/03/92
Lumber
14-8-(2.5)
1157 to Lumber River
Double Branch
From source to Back
C;Sw
08/03/92
Lumber
14-8-1
Swamp
Cypress Branch
From source to Back
C;Sw
08/03/92
Lumber
14-8-2
Swamp
Turkey Branch
From source to Robeson
C;Sw
08/03/92
Lumber
14-8-3-(1)
County SR 1158
Turkey Branch
From Robeson County SR
WS-IV;Sw
08/03/92
Lumber
14-8-3-(2)
1158 to Back Swamp
Little Back Swamp
From source to Back
WS-IV;Sw
08/03/92
Lumber
14-8-4
Swamp
Bear Swamp
From source to Robeson
C;Sw
08/03/92
Lumber
14-9-(0.5)
County SR 1515
Bear Swamp
From Robeson County SR
WS-IV;Sw
08/03/92
Lumber
14-9-(1.5)
1515 to Lumber River
Little Bear Swamp
From source to Bear
C;Sw
08/03/92
Lumber
14-9-1
Swamp
Watering Hole
From source to Bear
WS-IV;Sw
08/03/92
Lumber
14-9-2
Swamp
Swamp
Moss Neck Swamp
From source to Robeson
C;Sw
08/03/92
Lumber
14-9-3-(1)
County SR 1576
Moss Neck Swamp
From Robeson County SR
WS-IV;Sw
08/03/92
Lumber
14-9-3-(2);`:
1576 to Bear Swamp
Kersey Branch
From source to Bear
WS-IV;Sw
08/03/92
Lumber
14-9-4
Swamp
Jacks Branch
From source to Lumber
WS-IV;Sw
08/03/92
Lumber
14-9.5
River
River Swamp
From source to
C;Sw
12/01/63
Lumber
15-25-1-6
Lockwoods Folly River
Big Branch
From source to
B
09/01/74
Cape Fear
18-31-20.3
Rockfish Creek
Page 9 of 9 2009-03-07 05:27:57

CAVANAU G H
Solutions through kltegrity and partnership
Pump Station Des!
Calculations
1 30 NORTH FRONT STREET, SUITE 202
Project No.: 041,08.018
v�
1 WILMINGTON. NORTH CAROLINA 213401 • 91 0.392.4462 • 9 1 0.392.461 2
WWW.CAVANAUGHSOLUTIONS.COM

CAVANAUGH
Wastewater Daily Flow Table
rb r n
0
Barber Shops
Gal/Chair
50
0
Beauty Sho s
Gal/Booth or Bowl
125
0
offices0
General business and office facilities
G&VEmployeeMift
25
0
Factories excluding industrial waste
Gal/Em o ee/Shift
25
0
Factories or businesses w/ showers or
0
food preparation
Gat/Employee/Shift
35
0
Warehouse
Gal/Loading Bay
100
0
Warehouse - self storage not Including
0
caretaker residence
GaVtJr>it
1
0
hurches
0
Churches w/o kitchens day care or camps
Gal/Seat
3
0
Churches with kitchen
Gal/Seat
5
0
Churches providing day care or camps
lGal/Person child & em ee
25
0
0
Fire or rescue stations w/o on site staff
Gal/Person
25
0
Fire or rescue stations with on -site staff
Gal/Person/Shift
50
0
ricilitles
0
Banquet, dining hall
Gat/Seat
30
0
Bars, cocktail lounges
Gat/Seat
20
0
Caterers
Gal/100 sq. ft. floor space
50
0
Restaurant full Service
GaVSeat
40
0
Restaurant,single service articles
Gal/Seat
20
0
Restaurant, drive -In
Gal/Cer space
50
0
Restaurant, carry out only
Gal/100 sq. ft floor space
50
0
Institutions, dining halls
Gal/Wal
5
0
Deli
Gal/100 sq. ft. floor space
40
0
Bake
GaV100 sq.ft. floor space
10
0
Meat department butcher shop or fish market
GaV100 sq. ft floor space
75
0
Specialty food stand or kiosk
GaV100 sq. ft. floor space
50
0
0
Hotels, motels and bed & breakfast facilities,
0
without in -room cooking facilities
Gal/Room
120
0
Hotels and motels, with in -room cooking
0
facilities
Gai/Room
175
0
Resort hotels
Gal/Room
200
0
Cottages, cabins
Gal/Unit
200
0
Self service laundry facilities
Gal/Machine
500
0
I
0
Medical or dental offices
Gal/Practitioner/Shift
250
0
Veterinary offices not including boarding)
Gal/Practitioner/Shift
250
0
Veterinary hospitals, kennels, animal
0
boarding facilities
GaVpen, cage, kennel or stall
20
0
Hospitals, medical
Gal/Bed
300
0
Hospitals, mental
Gal/Bed
150
0
Convalescent nursing, rest homes w/o
0
laundry facilities
Gal/Bed
60
0
Convalescent nursing, rest homes with
0
laundry facilities
Gal/Bed
1201
0
Prepared By: www.cavanaughsolutions.com
Cavanaugh $ Associates, P.A.
130 North Front Street, Suite 202
Wilmington, NC 28401
1of10

0 , r
CAVANAU G H
RmAdential care facilties
Gal/Person
60
0
0
v f
0
Campgrounds w/comfort station, w/o water
0
water or sewer hookups
GaVCampsfte
75
0
Campgrounds w1water & sewer hookups
Gal/Campsite
100
0
Campground dump station faciQ
Gal/Space
50
0
Constriction hunting or work carnps with
0
flush toilets
Gal/Person
60
0
Construction hunting or work camps with
0
chemical or portable Idiots
Gal/Person
40
0
Parks with restroom facilities
Gal/Plumbing fixture
250
0
Summer camps without food preparation
0
or laundry facilities
Gal/Person
30
0
Summer cam w/food preparation 6
0
laundry facilities
Gal/Person
60
0
Swimming Is, bathhouses and spas
Gal/Person
10
0
Public access restrooms
Gal/Plumbing fixture
325
0
Schools, preschools and day cam
0
Day care and preschool facilities
Gal/Person child 8 employee)
25
0
Schools w/cafeteria, gym and showers
Gal/Student
15
0
Schools w/cafeteria
Gal/Student
12
750
9000
Schools w/o cafeteria or showers
GaUStudent
10
0
Boarding schools
Gal/Person student & employee)
60
0
jawce . car wash facilities-
0
Service stations, gas stations
Gal/Plumbing fixture
250
0
Car wash facilities if recycling water see
0
Rule .0235
G&VBay
1200
0
0
Bowling center
GaW-ans
50
0
Fitness exercise karate or dance center
Gal/100 sq. ft.
50
0
Tennis, racquet ball
Gel/Court
50
0
Gymnasium
Gal/100 sq. ft.
50
0
Golf course w1only minimal food service
Gal/Plumbing fixture
260
0
Country Clubs
Gal/Member or Patron
60
0
Mini golf, putt -putt
Gal/Plumbing fixture
250
0
Go-kart, motocross
Gal/Plumbing fixture
250
0
Batting cages, driving ranges
Gal/Plumbing fixture
260
0
Marinas without bathhouse
Gal/Slip
10
0
Marinas with bathhouse
Gal/Slip
30
0
Video game arcades, pool halls
Gal/Plumbing fixture
250
0
Stadiums, auditoriums, theaters community
0
centers
Gal/Seat
5
0
0
markets
0
Auto, boat recreational vehicle
0
dealershi stshowrooms w/restrooms
Gal/Plumbing fixture
125
0
Convenience stores, w/food preparation
G911100 sq. ft.
60
0
Convenience stores, w/o food preparation
Gal/Plumbing fixture
250
0
Flea markets
GaI/Stall
30
0
Shopping centers & malls w/food service
GoV1000 sq. ft
130
0
Stores & shopping centers w/o food service
GaV1000 sq. ft
100
0
Transportation terminals - air, bus, train
0
ferry, and dock
Gal/Passenger
5
0
Prepared By: www.cavanaughsolutions.com
Cavanaugh & Associates, P.A.
130 North Front Street, Suite 202
Wilmington, NC 28401
2of10

CAVANAUGH
0
34edroom Units
Gallbedmornklay
120
`' fl
0
e-esdroom units
Gallbedroornklay
120
0
0
Total•
ta000
Prepared By. www.cavansughsolutions.com
Cavanaugh & Associates, P.A.
130 North Front Street, Suite 202
Winik gton, NC 28401
3of10

CAVANAU G H
Pump System Design Spreadsheet • C-120
Pro;e:t Uno,Cha;c SCtAd P$ 6F14
Loca"an
Roteac,Co�nrr, t:C
Des9n By
was
Prdeot No: 041.03618
Vent
T.-of Pemt'04
C+ecYed By
Woo
Oatr 2l2312CC9
Pm;ect Oawrvtp 6ct4UTa^am ass, P-P Sts'o,
ovatent Reouj19IDfir"
Lu-9ln of P;e
19000 R :
R
Da fFcarCe •
9,000 QPd
Egx.a'e-t Len9Lh
19,150 R
R
Dea2n Perod •
6 hrt
PIP* Dimeter
3 In : a
fn
A,.,.;* Flcn •
19 gpm
E'r.ata, D,Tannce
10 R
Peeing Fades•
250
P pe Area
0049C1173%Ra
Peal Flo,
47 gpm
V
141E 05 Ralase.
6
0000005 R
Ptewxe Heat •
0 R
C
120
°n
0.0160258
Duty Points: 1 Pump:
$0.6 op. @ 202 4 2,259 Naec Myer
2 Pump:
618 gpm C 212 R. 235 Naec Y1OXiCOH
}yatem Curve
Sttp
2
F"We
Flonnte
Vabcty
Rern9'da
7
(GPM)
(Resless:)
(Rhao)
Numtar
0
0
0
0 Coo, :Do
0
2
000448
009
1810E01
OV3976
4
00069t
0..14
3219E•03
004349
6
001337
021
4829E-03
003828
0.01782
0.38
8.43eE+03
0.0512
10
002228
0,45
&NSE-03
003294
t2
0.02674
064
9.657E+03
0 03131
14
0.031lg
OH
1.127E+C4
003002
1¢t
003SAS
- 073
f283E+04
002897
18
004010
002
1449E+C4
0o28C8
20
0C4454
1101
1.610E+04
002733
22
004M
100
1.170E-04
002d67
24
0.05347
1A9
1,031E+04
002M
28
0.05703
Us
2092E+C4
0025S5
0.06238
127
2263E-C4
002511
30
006684
1.38
2414E+C4
002469
32
0-07130
1.0
2675E-04
002431
34
007576
1.54
2738E+C4
002358
30.
Do6021
163
2697E-C4
002363
33
0084"
172
3058E-M
002333
40
008912
t O
3219E+04
002305
42
0093$8
191
3360E-04
002279
44,:
009S03
2.60
3641E+64
0022S4
4a
0,10249
209
3702E+04
002231
46
O.1004
2.1$
3683E+04
002209
6o
0.11140
227
4024E-D4
002169
02
0.11566
238
4166E-C4
002169
64
0.12031
245
4.348E+04
002151
56.
0.12477
254
4601E+04
002133
84
012922
263
4688E+04
0.02117
00
0.133611
2.72
4829E+04
00210t
62
0.13814
291
ASSOE-o4
002065
64
014269
246
5.160E+04
002071
es
014705
303
53t t E-04
002057
6J
0,16150
9,00
6472E-04
002043
70
0.165M
318
6633E+C4
002030
7Y
0,16042
321
6.794E-C4
002018
74-
0.16487
3.38
595SE-C4
002006
70.
0,16933
s45
6.116E-C4
001094
78
017378
3.54
6277E-C4
001983
60.
0.17824
363
6.438E+C4
0019T2
82
018270
372
6599E-04
001962
0
0,18715
Set
0.760E+C4
001952
66
019161
3.90
6921E-04
001942
0
019606
3."
7.082E+04
001932
90
020052
408
7243E-C4
001923
G2.
020493
4.18
7.4C4E+04
001914
H
020943
427
7.565E-04
0.019W
so:.
021381
435
7.728E+04
001897
Qa
02t634
4.45
7.687E+04
001869
100
022260
k54
8046E+04
001681
102
022726
4.63
8 209E-04
001873
104 '
023171
4:.72
8 370E+CA
0 08"
108
023617
491
6 530E.04
0016511
106
024062
4,90
8691E+04
001651
110
0 2450a
499
8 652E+04
0 Gle44
112,
024954
&06
9013E+C4
001637
114
025399
5,17
9114E+04
001831
Ito
026646
127
0335E-C4
001824
lie
026290
538
8.498E-04
101816
120
02673a
6.45
9.857E+C4
0018t1
122
027182
554
98feE-C4
oote05
124
027827
6.63
097frE+C4
0017f9
128
028073
6.72
1.014E+CS
001793
120
026518
6V
1.030E+05
0.017"
130
026964
6.90
1.046E-CS
0.01762
In;
029410
A99
1.062E+05
0.01777
134
029a55
0.06
1.076E-05
007771
138
0.30301
&17
1,094E+05
0 Was
5oeol no Owrat;M PMMa:
50.5
011251
229
4 084E+04
002194
51.6
0 11 541
235
4109E-04
002171
Mrvra:t.rela
P_mp Cum. Data
Frc'.on Kea! [4Vatan Held Ve'ccty Haad Pnasun Head TOM TOM
in
10 0
„m Oo�tl
3.74
1m
to &Do 0
.t. .060
962
TO 0.00 0
17.92
22.04
t0 001 0
-�. 6:01
2852
3446
10� o01� 0
41.35
4567
10 0.02 0
Ct1.32
154 SO
t0 002 0
7339
26691
10 003 0
.
8
102.83
10
1Q,� W', WA
113 C4
t0 005 a
13a.76
14905
t0 006 0
r Yom
181.63F4
t a 07 0
188-62
t0 0.06 0
217.71
232.66
10 006 a
r
24848
244.66
0a
10 all
281,11
204,11
10 6.12
0
315.U333.50
itl t1
35107
t0 011 0
37069
35307
,.. .10 01111 �,,• 0 .
450.47 3 :q.
471.53 10
493.02
5140 10
637.33 Rffl
MO 14 10
US 32 t6 ° i7: 'ti
607,07 10
631.18 4o
65572 90
68069 e :10 ;
708 09 10
73192
753.17
7114 65
81195 t0
93947 Al... . , 1
UT41 10
39577 ',
02455 10
96375 t0
11337
10
1013-40 9U ° :
104365 10
1074.70
110523 i0
1137.86
116976 10
120226 :.to
192 33 10 0.08 0 202
201 59 10 009 0 212
216
211
204
3' D I P.Fa
6D 1 P.P.
9t,
Dexr;ctO'
EauV Lyg-biRl
Total Lara'h IRI Qt Q82;r'alon €ov`>.
Leru!h IIITe+al
Lengh IR1
2
PL2 Va`:e
25
50 0 P,-1 Vah1
46
0
0
AN'. W4a
40
0 0 Any a VaYa
96
0
1
Ct."Va`.a
24
24 0 Chace va`.1
51
0
0
Gates Ve.1
2
0 0 Gate va".1
4
0
3
90 deg Eton
7
21 0 90 deg Eton
15
0
10
45 dig E ton
4
40 0 45 deg E to,
6
0
- 1
Tee
16
t5 0 Tee
30
0
Total Eq'+N. Length:
ISO Total Egob. Length
0
Prepared By.
vNAv.cavanaughsotutions.com
4 of 10
Cavanaugh & Associates, P.A.
130 North Front Street, Suite 202
Wilmington, NC 28401

CAVANAUGH
Pump System Design Spreadsheet - C=140
Protect Ucon C,apef Sch_v1 PS 9 FM Luee- Rohien Ca:-4y. NC C., On of WOS
Protect No 041 08 018 C14,1 To., 01 Pembroke CM<ked By WOS
0i.4 2/23/2009
Protect Cowpto, Ir•uent Pump Sta•.on
Svihm R40utremen1e
Le 7h 0 P.F.
19,000 it
8
y Fl Do onr4:e
0,000 Op"
Egc:•a'lnt L-gth
19'150 R
8
Do. p•Pericd
a hr4
P pe O■meth
3 In
6
P
A -;,Flo.•
19 gpm
E'4mt-Ddference
10 8
Peakrg F.;!.,•
260
P,pe Aria 00490a739 ft7
Peak Flo. •
47 gpm
v
1 41E.05 R1Ar
E
0000A5 it
Preaavi HW
0 R
C
140
m
v
0.0160258
Duty P.4m.: 1 Pump:
46.5 gpm m 200 e. 2.66 6looc
Myen
2 Pump:
802 ppm a 210 it, 2.73 fUeeo
VK3)C7 COH
f2a-u�a_twefi
Svitem Curve
Step
2
P.mp Curve Data
Fkmm.4
Fb*m:4
Ve'Oc y
Rey 'z
r
friction Head
Ewotan He8d Vebc4y Heed P.-Hood TOM
TDH
(GPM)
(Bahr)
(6Aw)
Ntmber
let
at (6)
Rt R)
(e)
0
0
-0
0.000E-00
0
0.00
.;.,` 0.1)
".„f4611r$d.� ::.
,.
2
0.00440
0.09
1-610E-03
003278
0.37
t0 000
0 10
!- {
009
0.01
OAS
3219"e-03
004349
4M
v 000
001337
027
4.829E-03
00382a
2a1
000
0 13
3
0.01782
IS"0.436E-03
0 63512
4Tt
000
4,40e
10
002226
0.45
6048E-03
003204
723
000
0 17
1 12 °0M74
8,64
90.57E-03
003131
10.
0.00
-
14
003119
0.64
1.127E+C4
003002
1347
0.01
0
1
16
003565
0.73
1288E-C4
002897
111$
to
004DIO
042
1449E-C4
0026Ca
21AS
0.01
0 $1
216
21.
0.04456
001
1.610EK4
002J,»
20,06
ilt
22
004902
1.00
1.770E-C4
002687
3109
002
0 41
24
005347
1.01
1.931E-C4
002e09
3a62
20
005793
118
2092E+C4
002558
4234
Q02
0 62
29
0cam
I"
2253E-C4
002511
4a 67
N
§
211
30
0c6a84
S.3e
2414E-C4
002469
05.16
003
0 65
32
007130
1,1E
2675E-C4
002431
0111 ' 003
34
007575
V64
2.736E+C4
00239d
6956
0.04
0 60
is
008021
_1.53
2897E-C4
002363
771C--.
38
00840
1.72
30'.8E•C4
002333
6545
0.05
0 95
20a
? 40
0.08912
10i
3219E-G
002305
93.95
'(" 0,05
:. •.�,
42
009358
1.91
338CE-C4
002279
10263
,.
w CLOG
-,
0 N3
.t:
M
069603
200
3651E-04
002251
11207
.
,•,
40
0.10249
269
3.702E-C4
002231
121.67
10 007
0 432
-. 46
010694
118
3863E-C4
002209
131.04
'_AWM30WQOV
;: ��*�,�''",
204
50
0.11140
227
4.024E-C4
002169
141.97
t0 0.09
0 132
E2. -.
0,11sea
2,.3E
4.185E-04
00209
15265
s
H
0.12031
245
4.348E+04
062151
16369
10 0.09
0 174
' N
0.12477
264
1507E+C4
002/33
37609
10 �? }'=_O:W
� ,ij r m'
- 201
be
012M
243
4685E-04
002117
16863
10 0.11
.
0 197
b
013360
2-72
4629E-04
002101
16692
LO
62
0.13814
2411
4020E-04
002085
21L36
10 012
0 221
`;•
. :
014252
2-90
6.150E+04
002073
224.16
,.°1,�43
.• w
60
014705
300
6311E-04
002057
237.28
t0 0.14
0 247
6i
015150
3-00
6472E-04
002043
250.75
:t0 :06
70
0.1650
316
5633E-04
002030
264.56
t0 0.16
0 276
,?2.
0.16042
327
91 E•C4
002016
27672
;15
74
O.t6467
336
6955E+04
002006
29321
10 0.14
0 303
016933
145
6.115E-04
0019"
30804
-90 Os
7a
0.17378
354
8277E-04
001963
32320
10 0.19
0 us.
+ q
0.17824
3.83
6436E+04
001972
33870
16 ,'. .020
r. e306
92
018270
3,72
6599E+04
001902
354.53
10 0.22
0
64
018715
301
a.76IJE+C4
001052
370.09
,#0 023
;+? "r;�
ee
0.19181
3.60
6921E-04
001942
387A9
10 024
0 6a7
16
olWe
399
7.082E-04
001032
404.01
10 ! 023
p, .`...
r
..-
90
020052
4.08
7243E+04
001923
421,16
10 026
_
0 431
92
0.20498
4AO
7.404E-04
001914
43a 64
:.10 027
94
C20943
427
7.585E-04
0019C6
450.44
10 028
0 457
• as
021!
'4,35
7,716E-04
001847
47467
0 . •.: 020
9a
021 a34
445
7.897E-04
001669
49302
t0 0.3t
0 603
100
022260
4.54
e046E+04
001681
51160
_%- 041
;,. '_ -'- -„ M
102
022721
463
6209E-04
001873
63090
10 0.33
0 SO
104
023111
472
a 370E-04
00166E
550.31
;gip Q35
` ,
106
023817
4.61
6530E-04
0.01653
67005
10 036
0 640
lot
014062
400
8691E-04
0018S1
590.11
�i0 • Q37
a- ;- ?�0
110
07450a
4.69
a652E•04
001844
61049
10 0.39
0 621
112
024954
6C9
9013E-04
001837
63118
10 0.40
'i3 'yf - '�;_ 69
114
025399
6.17
9174E-04
00t831
65219
f0 042
0 963
Ito
025445
6.27
0335E-04
001824
67361
% 0.43
� ' ; US
71s
026290
638
9495E-04
001636
697516
10 0.45
0 700
: f20
026736
645
9657E-04
001611
7/7.t/
10 - 0-
AM 7116
111
027111
554
9916E-04
001605
73931
10 0,48
0 750
124
027627
5.63
9979E-04
001799
741.%
'.1E _ 049
-.. ...
126
02a073
6.72
1014E-05
101793
)6411
f0 051
0 7%
124
028518
6.61
1.030E-.
00178a
we05
'40 , -. Q62
130
028964
690
1048E-05
001762
$31,56
10 0,54
6 942
132
0-29410
6.99-
1.OM-05
001T77
85S38
0 . 0." �
1. �C`400
134
0 298S5
6.ol
1 076E-05
001771
07951
10 057
6 no0.3
138
0701
6.17
1.094E+05
0.0116E
90305
:10
_
S tt .18c Ourilin0
OeIM4:
115
013034
26-3
4708E-04
002112
1N 62
10 O11
0 200
EO 2
0 13413
2 73
4 645E-04
0 02M
203 15
10 0 12
0 210
3D I RC9
a 1. P;e
ctr,"10n
E", Le. hf81 jg.al
Leah
fel
Zi Di4cr;O.o+
EOu`rWMh(a
ToW Lor,th f8l
2
P;ug V.1io
25
60
0 P:u2 V.`"
4a
0
0
A,,. V.Y.
40
0
0 A-24 V."76
0
1
CMc'c Vo`.a
24
24
0 Check Va`:4
51
0
0
Ga.e V.".
2
0
0 Ga.e Va`.1
4
0
3
40 deg Etc.
7
21
0 90 dig Ebc. 15
0
10
45 deg E tc.
4
40
0 45 deg Ebc. 6
0
1
To s
15
15
0 Tee
30
0
Toa Eq.Y
Length.
150
TOW E9':V L4rgh
0
Prepared By:
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5 of 10
Cavanaugh 81 Associates, P.A.
130 North Front Street, Suite 202
Wilmington, NC 28401

250
0012
230
w
d
d
c 210
m
x
200
�a
0
cc 190
0
180
170
160
150
a
R
CAVANAUGH
INFLUENT PUMP STATION
PUMP VS. SYSTEM CURVE
Yr. 20 Service
Yr. 1 Service
(C=120)
Duty Point =
(C=140)
51.8 gpm @ 212 ft.
Velocity = 2.35 fps.
2 Pumps
Duty Point =
60.2 gpm @ 210 ft.
I
---------------------
Velocity = 2.73 fps.
Duty Point = I I
I I
50.5 gpm @ 202 ft. I
Velocity = 2.29 fps. I
I 1 Pump
I
I Duty Point =
I I
l
l j 58.5 gpm @ 200 ft.
I
1 I
I l
1 1 Velocity = 2.66 fps.
I I
I I
I I
I—
I I
I I
I I
I 1
I
O O
CV Cl)
Prepared By:
Cavanaugh & Associates, P.A.
130 North Front Street, Suite 202
Wilmington, NC 28401
O O O O
u7 O
Flowrate (gpm)
www.cavanaughsolutions.com
O O O
OD O O
V-
6 of 10

• . •0 1
CAVANAUGH
Pump System Design Spreadsheet
Project: Union Chapel School PS & FM Location: Robeson County, NC Design By: WGS
Project No: 041.08.018 Client: Town of Pembroke Checked By: WGS
Date: 2/23/2009
Project Description: School Transmission Pump Station
Duty Point (From System vs. Pump Curve)
Wet Well Diameters,,
Area
Active Depth
Active Volume
ADF
PDF
Cycle Time (Tc)
Tc (ADF) _
Tc (ADF)
Cycles/Hr ■
Tc (PDF) ■
= 6
ft.
= 28.27
sq.ft.
= 1.00
ft.
= 28.27
cu.ft.
= 211.51
gallons
= 19
gpm
= 47
gpm
Q = 50.5 gpm
TDH ■ 202 ft.
Active Volume (per NCDENR) 177 gallons
V = TQddf (1-(Qddf/0)) Where:
V = Active Volume Required (gallons)
T ■ Allowable Cycle Time between starts (minutes)
Qddf = Design Daily Flow (gallons per minute)
0 ■ Pumping Rate of a Single Pump (gallons per minute)
Active Volume
+ Active Volume
Pumping Rate - ADF
ADF
17.94 minutes
3.34
Active Volume
+ Active Volume
Pumping Rate - PDF
PDF
Tc (PDF) ■ 62.86 minutes
Cycles/Hr ■ 0.95
Pump Run Time
(R0
Rt (ADF) =
Active Volume
Pumping Rate - ADF
Rt (ADF) =
6.66 minutes
Rt (PDF) =
Active Volume
Pumping Rate - POF
Rt (PDF) =
68.35 minutes
RIM
= 173.00
Finished Grade
= 172.50
Invert In
= 165.50
Minimum Liquid Level
= 18
Auto Dialer Alarm
= 167.50
High Level Alarm
165.50
Lag Pump On
= 165.13
Lead Pump On
= 164.75
Minimum Liquid Level
■ 163.75
Bottom of Wet Well
= 162.25
Depth of Wet Well
■ 10.75
Depth Below Grade
10.25
Prepared By:
Cavanaugh & Associates, P.A.
130 North Front Street, Suite 202
Wilmington, NC 28401
Inches (manufacturer requirement)
(Invert of Influent Pipe)
(Lag Pump Off)
(Lead Pump Ott)
wvNi.cavanaughsolutions.com
7of10

CAVANAU G H
Pump System Design Spreadsheet
Project: Union Chapel School PS 6 FM Location: Robeson County, NC Design By. WGS
Project No: 041.08.018 Client: Town of Pembroke Checked By WGS
Date: 2123109
Project Description: School Transmission Pump Station
Force Main Turnover Calculation
Length of Pipe 19,000 ft
Pipe Diameter 3 in
Pipe Area 0.0490874 ft
Force Main Volume
933 It'
= 6,977 gallons
Pumping Rate
= 50.5 gpm
Tumover Time
a 138.15 minutes (Continuous Pumping)
2.30 hours
Tumover Time (ADF)
„, t .. _ ,6.20 hour (Real Time)
Tumover Time (PDF)
_,.148 hours (Real Time)
Prepared By: m-Av.cavanaughsolutions.com
Cavanaugh & Associates, P.A.
130 North Front Street, Suite 202
Wilmington, NC 28401
8of10

CAVANAUGH
Pump System Design Spreadsheet
Project: Union Chapel School PS & FM Location: Robeson County, NC Design By: WGS
Project No: 041.08.018 Client: Tovm of Pembroke Checked By WGS
Date: 02/23/09
Project Description: School Transmission Pump Station
Buoyancy Calculation
'Note: Sum of Downward Forces must be greater than Sum of Buoyant Forces
Assumptions: 1.) Neglect weight of liquid in wet well, access doors, grout bed, pumps & appurtenances.
2.) Super -saturated conditions (groundwater at surface)
3.) Unit Weight of Concrete 150 Ib.W
4.) Unit Weight of Water 62A Ib.Ht'
5.) Unit Weight of Buoyant Sand ■ 60 lt)At
i Downward Forces: Sum of Downward Forces = FT,, + FR, + Fs_ + Fs;j
Concrete Top:
Inside Diameter of Wet Well
A
6.00
ft
Wall Thickness
B
=
6,00
In
Diameter of Concrete Top
C
=
7,00
ft
Thickness of Concrete Top
D
12.00
In
Hatch Length
G
=
4.00
ft
Hatch Wdth
H
=
3.00
ft
Area of Concrete Top =
38.48
ft?
Volume of Concrete Top =
38,48
ft3
Area of Hatch
12.00
ft,
Volume Void Due to Hatch
12.00
ft,
FT, _ (Vol. of Concrete Top - Vol.
of Hatch Void)
x Unit Weight of Concrete
FTep 3,9731bs.
Concrete Riser:
Inside Diameter of Wet Well
A
=
6.00
It
Wall Thickness
B
=
6.00
in
Outside Diameter of Wet Well
E
=
7.00
ft
Depth of Wet Well
F
=
10,60
ft
Area of Concrete Riser =
10.21
ft,
Volume of Concrete Riser =
107.21
ft3
FFt _ = V01. of Concrete Riser
x Unit
Weight of Concrete
Fa,,, W081 lbs.
Concrete Base:
Outside Diameter of Wet Well
E
=
7.00
ft
Extended Base Beyond Wet Well
1.50
ft
Diameter of Concrete Base
=
10.00
ft
Thickness of Concrete Base
=
1200,
In
Area of Concrete Base =
78.54
ft,
Volume of Concrete Base =
78.54
ft,
(i ft. Minimum)
Prepared By: %,A-m.cavanaughsolutions.com
Cavanaugh & Associates, P.A.
130 North Front Street, Suite 202
Wilmington, NC 28401
d C
rffff] ID
H
G
' A
B
F
9of10

a , 4s ` .
CAVANAU O H
Few ■ Vol. of Concrete Weer x Unit Weight of Concrete
Few ■ 11,781lbs.
Soil Over Extended Bass:
Outside Diameter of Wet Well ■ 7.00
4
Dlamelerof Concrete ease = 10.00
It
Depth of Soil • 10.00
It
Area of Soil Over Base 40.06
fe
Volume of Soil Over Base 400.55
ft'
Fw = Vol. of Concrete Riser x Unit Welyhl of Concrete
Fs,I 24,033 lbs.
I Fw,. , = FTw + Fg,+ Fw. + Fso
I Fs ,a ■ 55,666 lbs.
I Buoyant Forces: Sum of Buoyant Forces = Volume of Water Displaced
x Unit Weight of Water
Volume of Water Displaced by Riser ■
635.17 ft?
Volume of Water DWaced by ease
76.54 ft'
Total Volume of Water Displaced
714.71 le
I F,,, = 44,596 lbs.
Factor of Safety: FS
IFS
Minimum factor of Safety 1.25
FS 1.25
Prepared By: www.cavanaughsolutions.com
Cavanaugh S Associates, P.A.
130 North Front Street, Suite 202
Wilmington, NC 28401
*-
AREA OF SOIL OVER BASE
10 of 10