WQ0035320_Sewer Extension_20110407

-�ccuf r cr�rr � c
QF WATF,q State of North Carolina
DENR—FRO Department of Environment and Natural Resources
Division of Water Quality
o APR 01 2011 FAST -TRACK APPLICATION
PUPAVITY
(FTA 12/07 very)
SEWERS, PUMP STATIONS, AND FORCE MAINS
(Pressure & 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 B(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.
C. Certificates of Public Convenience and Necessity — If the application is being submitted in the name of a
1J� 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.
OD. Operational Agreements — Submit one original and two copies of a properly executed operational agreement, as
t 1?� 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.
E6 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-10/07 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.
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.

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
OlPr 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.
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.
n 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(lb). 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 12/07 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 Mall
Beaufort, Bertie, 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, Pender
[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://h2o.enr.state.nc.uslperes/Collection%2OSystemsICollectionSystemsHome.html
or contact the Regional Office serving your county.

Z
_O
i-
a
O
U.
Z
Z
O
H
Q
ci
J
a
a
Q
Zl
O
H
Q
O
LL
Z
H
a
USE THE TAB KEY TO MOVE FROM FIELD TO FIELD! Application Number. 4
- - (to be completes, by DWQ)
1. Owner/Permittee-
la. Town of Pembroke, NC
Full Legal Name (company, municipality, HOA, utility, etc.)
1b. McDuffie Cummings, City Manager
Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized signing officials!)
1c. The legal entity who will own this system is:
❑ Individual ❑ Federal ® Municipality ❑ State/County ❑ Private Partnership ❑ Corporation ❑ Other (specify):
1 d. 100 South Union Chapel Road le. Pembroke
Mailing Address City
1f. North Carolina 1g. 28372
State Zip Code
1 h. [phone] 1 i. [phone] 1 j. [e-mail]
Telephone Facsimile E-mail
2. Protect (Facility) Information:
2a. Sanitary Sewer Main Extension (Candy Park Road) 2b. Robeson
Brief Project Name (permit will refer to this name) County Where Project is Located
3. Contact Person:
3a. Jonathan E. Locklear, Design Engineer
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b. [phone] 3c. jelock [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 Mom B(2b))
3. Town of Pembroke
Owner of Wastewater Treatment Facility (VWWTF) Treating Wastewater From This Project
4a. Town of Pembroke WWTP 4b. NCO027103
Name of WWfF WWTF Permit No.
5a. Town of Pembroke i5b. 12" Dia. PVC ® Gravity 5c. WQCS00114
Owner of Downstream Sewer !Receiving Sewer Size �❑ Force Main Permit # of Downstream Sewer (Instruction E)
6. The origin of this wastewater is (check all that apply):
❑ Residential Subdivision ❑ Retail (Stores, shopping centers) 100 % DomestirJCommercial
❑ Apartments/Condominiums ❑ Institution
❑ Mobile Home Park ❑ Hospital
❑ School ® Church
❑ Restaurant ❑ Nursing Home
❑ Office ❑ Other (specify):
% Industrial (attach
description.)
(RO: contact your Regional Office
Pretreatment staff)
% Other (specify):
7. Volume of wastewater to be allocated or permitted for this particular project: 2.500 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)

9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 1 SA NCAC 2T .0114 for,
the value in Item B() AND/OR the design flow for line or pump station sizing if a reduced or zero flow is being requested in
Item B(?). Values other than that in 1 SA NCAC 2T .0114 (b) and (c) must be supported with actual water or wastewater use:
data in accordance with 1 SA NCAC 2T .0114 (f).
2,500 gpd (Reference attached Spread Sheet)
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches)
12
Length (feet) New Gravity or Additional
Force Main
400 New Gravity
0 11. Summary of Pump Stations w/ associated Force Mains to be Permitted (attach additional sheets as necessary)
LU
M
Pump Station Location ID
(self chosen - as shown on plansimap for reference)
Z
H
Design Flow
Operational Point Power Reliability Option
Z
(MGD)
GPM @TDH 1 - permanent generator w/ATS; Force Main Sae Force Main Length
2 - portable generator w/MTS
i.i
Z
O
QPump
Station Location ID
(self chosen - as shown on plansimap for reference)
Design Flow
Operational Point Power Reliability Option
(MGD)
GPM @TDH 1 - permanent generator w/ATS; Force Main Size Force Main Length
O
2 - portable generator w/MTS
LL
Z
H
Pump Station Location ID (self chosen - as shown on plans/map for reference)
aDesign Flow OPower Reliability Option
(MGD) perational Point 1 - permanent generator w/ATS; Force Main Size Force Main Length
m GPM @TDH 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 B,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

14. Have the following permits/certifications been submitted for approval for the system or project to be served?
U)
Z
O
Q
U_
LL
[-
W
LL!
U
LC
u
Wetland/Stream Crossings - General Permit or 401 Certification? ❑ Yes ® No ❑ N/A
Sedimentation and Erosion Control Plan? ❑ Yes ® No ❑ N/A
Stormwater?
❑ Yes ® No ❑ N/A
15. Does this project include any high priority lines, [see 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
Check if Yes: ❑ and provide details
1. Owner/Permittee's Certification: (Signature of Signing Official and Project Name)
1a.
1, McDuffie Cummings, attest that this application for Sanitary Sewer Main Extension (Candy Park Road) has
been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of
this application are not completed and that if all required supporting documentation and attachments are not included,
this application package is subject to being returned as incomplete. 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 welly civil penalties up to $25,000 per violation.
i Lc
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
2. Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
1, Jonathan E. Locklear attest that this application for Sanitary Sewer Main Extension (Candy Park Road) has
been reviewed by me and is accurate, complete and consistent with the information in the engineering plans, calculations,
and all other supporting documentation to the best of my knowledge. I further attest that to the best of my knowledge the
proposed design has been prepared in accordance with the applicable regulations, Gravity Sewer Minimum Design Criteria
for Gravity Sewers adopted February 12, 1996, and the Minimum Design Criteria for the Fast -Track Permitting of 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. Jonathan E. Locklear
Professional Engineer Name
2b. Locklear, Locklear & Jacobs, PLLC.
Engineering Firm
2c. PO Box 3119
Mailing Address
2d. Pembroke
City
2e. NC 2f. 28372
State Zip
2g. [phone] 2h. [phone] 2i. [e-mail]
Telephone Facsimile E-mail
C A R
a SEAL �.
0,294
;vGIN
E
NC PE Seal, Signature & Date

Z
_0
H
Q
0
LL
Z
Z
0
H
Q
C)
J
a
IL
Q
ZI
USE THE TAB KEY TO MOVE FROM FIELD TO FIELD! Application Number. 4
(to be completed by DWQ) (i(/ QQ r� 5
1. Owner/Permittee'
1a. Town of Pembroke, NC
Full Legal Name (company, municipality, HOA, utility, etc.)
1b. McDuffie Cummings, City 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):
id. 100 South Union Chapel Road 1 e. Pembroke
Mailing Address City
1f. North Carolina 1g. 28372
State Zip Code
1 h. [phone] 1 i. [phone] 1 j. [e-mail]
Telephone Facsimile E-mail
2. Proiect (Facility) Information:
2a. Sanitary Sewer Main Extension (Candy Park Road) 2b. Robeson
Brief Project Name (permit will refer to this name) County Where Project is Located
3. Contact Person:
3a. Jonathan E. Locklear, Design Engineer
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b. [phone] 3c. [e-mail]
Phone Number E-mail
I. 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 pots, townhomes, etc. - skip to hem B(3)) ❑ Homeowner Assoc./Developer (Instruction D)
❑ Selling units (lots, townhomes, etc. - go to hem B(2b))
3. Town of Pembroke
Z Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
4a. Town of Pembroke WWTP 4b. NCO027103
Name of WWTF WWTF Permit No.
5a. Town of Pembroke 5b. 12' Dia. PVC ® Gravity 5c. WOCS00114
Owner of Downstream Sewer Receiving Sewer Size .❑ Force Main Permit # of Downstream Sewer (Instruction E)
THIS DOCUMENT IS PRINTED ON CHEMICAL REACTIVE PAPER WHICH CONTAINS A WATERMARK, ULTRAVIOLET FIBERS AND MICROPRINTING.
TOWN OF PEMBROKE
LUMBEE GUARANTY BANK
PEMBROKE, NORTH CAROLINA 66-368 008637
ACCOUNT PAYABLE FUND
THIS DISBURSEMENT HAS BEEN APPROVED 531
P.O. BOX 866
PEPABROKE, NC 28372I
AS REQUIRED BY THE LOCAL GOVERNMENT
BUDGET AND FISCAL CONTROL ACT.
CHECK NO. I CHECK DATE I VENDOR NO.
PAY
008637 04/04/2011 0000001170
**FOUR HUNDRED EIGHTY AND XX/100 DOLLARS********************'***********
CHECK AMOUNT
$480.00
TO THE
ORDER NCDENR-Division of Water Quality
OF 225 GREEN ST., STE. 714
FAYETTEVILLE, NC 28301-5094
US
i
am

Gj e�?0 0 '3 53 � D
THIS DOCUMENT IS PRINTED ON CHEMICAL REACTIVE PAPER WHICH CONTAINS A WATERMARK, ULTRAVIOLET FIBERS AND MICROPRINTING.
TOWN OF PEMBROKE
L PEAMBRO G R
008637
NORTH CAROLINATY
66-368
ACCOUNT PAYABLE FUND
THIS DISBURSEMENT HAS BEEN APPROVED 531
P.O. BOX 866
As REQUIRED BY THE LOCAL R
BUDGET AND FISCAL CONTROLOVCET LAMENT
PEMBROKE, NC 28372
CHECK NO. I CHECK DATE VENDOR NO.
008637 04/04/2011 0000001170
PAY
*' FOUR HUNDRED EIGHTY AND XX / 100 DOLLARS "'' * " * * ' * ' * * ................. ` CHECK AMOUNT
$480.00
TO THE
ORDER NCDENR-Division of Water Quality
OF 225 GREEN ST., STE. 714
FAYETTEVILLE, NC 28301-5094
US

ayoo
anag
A
Finance Officer
TOWN OF PEMBROKE PEMBROKE, NC 28372 008637
PAYMENT RECORD
ACCOUNT NO. VENDOR nWqCHECK N0008637
VOUCHER I INVOICE NUMBER INVOICE DATE I INVOICE AMOUNT I AMOUNT PAID DESCRIPTION
00010340 04/04/2011 480.00 480.00 30,8110.0057
DENR-FRO
APR 0 7 2011
Check Date: 04104/2011 1
CHECK TOTAL
$480.00

Permit Number WQ0035320
Central Files: APS SWP
04/25/11
Permit Tracking Slip
Program Category
Status
Project Type
Non -discharge
Active
New Project
Permit Type Fast Track
Version
Permit Classification
Gravity Sewer Extension, Pump Stations, & Pressure Sewer
1.00
Individual
Extensions
Primary Reviewer
Permit Contact
Affiliation
trent.allen
Coastal SW Rule
Permitted Flow
2500
acilit
Facility Name Major/Minor Region
Candy Park Road Sanitary Sewer Extension Major Fayetteville
Location Address County
Robeson
Facility Contact Affiliation
Owner Name
Owner Type
Individual
McDuffie Cummings
Owner Affiliation
McDuffie Cummings
Manager Town
PO Box 866
Pembroke NC 283720866
Dates/Events
Scheduled
Orig Issue App Received Draft Initiated Issuance
public Notice Issue Effective Expiration
04/25/11 04/07/11
04/25/11 04/25/11
Regulated Activities
Requested/Received Events
Wastewater collection
Additional information requested
Additional information received
Outfall
Waterbody Name Stream Index Number Current Class Subbasin

34' 40' 1d'
34° 39 15"
Soil Map —Robeson County, North Carolina
(Our Freedom Ministries Chum)
n Map Scale: 1:12,000 if printed on A size (8. 5" x 11") sheet. n
N Meters
n ^ 0 150 300 S00 900 n
N Feet
0 500 1,000 2,000 3,000
USD'� Natural Resources Web Soil Survey 3/22/2011
Conservation Service National Cooperative Soil Survey Page 1 of 3
34" 40' 9"
34.39 14•

MAP LEGEND
Area of Interest (AOI)
Area of Interest (A01)
Soils
Soil Map Units
Special
Point Features
Blowout
®
Borrow Pit
X
Clay Spot
♦
Closed Depression
Gravel Pit
Gravelly Spot
Landfill
Lava Flow
,,la
Marsh or swamp
Mine or Quarry
O
Miscellaneous Water
Perennial Water
Rock Outcrop
+
Saline Spot
Sandy Spot
Severely Eroded Spot
Sinkhole
Slide or Slip
k;
Sodic Spot
Spoil Area
Stony Spot
Soil Map —Robeson County, North Carolina
(Our Freedom Ministries Church)
rM Very Stony Spot
y Wet Spot
Other
Special Line Features
Gully
Short Steep Slope
Other
Political Features
Cities
Water Features
Oceans
Streams and Canals
Transportation
+4-+ Rails
Interstate Highways
US Routes
Major Roads
Y. Local Roads
MAP INFORMATION
Map Scale: 1:12,000 if printed on A size (8.5" x 11") sheet
The soil surveys that comprise your A01 were mapped at 1.20,000
Please rely on the bar scale on each map sheet for accurate map
measurements.
Source of Map: Natural Resources Conservation Service
Web Soil Survey URL: http:/twebsoilsurvey.nres,usda.gov
Coordinate System: UTM Zone 17N NAD83
This product is generated from the USDA-NRCS certified data as of
the version date(s) listed below.
Soil Survey Area: Robeson County, North Carolina
Survey Area Data: Version 9, Feb 20, 2007
• Natural Resources Web Soil Survey 3/22/2011
'� Conservation Service National Cooperative Soil Survey Page 2 of 3

Locklear, Locklear Jacobs, PLLC
Wastewater Design Flows
Date: 3/29/2011
Project: Proposed Sanitary Extenion on Candy Park Rd in Pembroke, NC 28372.
Brief Project Description: The proposed project is the 400-ft extension of an existing sanitary sewer along Candy Park
Road (SR 1553) in the Town of Pembroke. The line will tie into an existing manhole and
extend in a southwest direction, and end at a new manhole.
Land Use Description: The proposed extension will initally serve only a 13,400 sgft church, sized to seat 500 people.
Eventually the Town anticipates extending the sewer further southwest along Candy Park Road
to serve additional properties within the vicenty of Candy Park Road.The property along this
proposed corridor is currently zoned R-8 (Multiple -Family Dwelling) and R-20 (Residential) per
the Town of Pembrok's Land Use Ordinance. A portion of the
Est. Wastewater Flow: Per NC Administrative Code, Subchapter 2T, Section .0114 (Wastewater Design Flow Rates)
the minimum allowable daily design flow rate for a church with a kitche is 5 gal/day/seat.
Initail Flow = 500 people x 5 gal/day/seat
= 2500 gal/day
Pipe Size: Using a 12" Diameter PVC installed at 0.25% grade the pipe would be flowing at less
the 1-in of the depth of pipe. The pipe at maximum capicity would handle
approximately 1.61 MGD. (Refer to the attached pipe calculations.)
PO BOX 3119 PEMBROKE, NC 28372 (P) 910-774-9306 (F) 866-649-7235

OF WA T�c9 State of North Carolina
\O� QG Department of Environment and Natural Resources
cor Division of Water Quality
O Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE—10/07)
Project Applicant Name: Town of Pembroke, NC
Project Name for which flow is being requested: Sewer Main Extension — Candy Park Road
More than one ME-10/07 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: Town of Pembroke WWTP
b. WWTP Facility Permit #: NCO027103
All flows are in MGD
c. WWTP facility's permitted flow
1.33
d. Estimated obligated flow not yet tributary to the WWTP
.0877
e. WWTP facility's actual avg. flow
.83
f. Total flow for this specific request
.0025
g. Total actual and obligated flows to the facility
.9202
h. Percent of permitted flow used
69 %
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
Fox Gove .2592 .03906
Lumbee Drive -In .324 .0423
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 availa le data. This certification applies to those items listed above
in Sections I a II for which I am the re onsible party. Signature of this form indicates acceptance of
this wastew er no
Date