WQ0039883_Sewer Extension_20180323

State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
y IN lion of Water Resources VIA 04-16 & SUPPORTING DOCUMENTATION
Application Number: (to be completed by DAR) a tEvH v i :wJ
All items must be comoleted or the application will be returned ` �n, L7,
L APPLICANT INFORMATION: k'/ � 2 3 2018
1. Applicant's name: Town of Pembroke (company, municipality, HOA, utility, etc.)
6WAiALOFFICE
2, Applicant type: ❑Individual ❑Corporation ❑General Partnership [IPrivA�,;_.❑ Federal ❑State/County ®Municipal Other
3. Signature authority's name: Tyler Thomas per 15A NCAC 02T .0106(b]
Title: Town Manager
4. Applicant's mailing address: PO Box 866
City: Pembroke State: NC Zip: 28372-
5. Applicant's contact information:
Phone number: 910 521-9758 Email Address: tyl ra,pembrokenc.com
II. PROJECT INFORMATION:
1. Project name: Sewer Improvements as part of NCDOT Project U-5925
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: WQ00 and issued date.
If new construction but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Robeson
4. Approximate Coordinates (Decimal Degrees): Latitude; 34 68 8 ° Longitude:-79.199186'
DAMS - MARTIN - POWELL dMPENGINEERS & SURVEYORS
6415 Old Plank Road High Point, NC 27265
Phone [phone]
PAY Four Hundred Eighty and no/100 Dollars
Ua01il IDU-9
061846
Wells Fargo Bank, N.A. CHECK DATE
Charlotte, NC 1-25-18
66-21 /530
I7nlei�s an k7eck.
AMOUNT
$480.00
AUTHORIZED SIGNATURE
FORM: FTA 04-16 Pagel of 5

�17 R State of North Carolina
MAR 2 3 2018 Department of Environmental Quality
Division of Water Resources
-' ' 1JA,Nr,.W42T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
dvision of
Water Resources �NtS ` U , P FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION
FAYETTE! ! , _ - �s FICE
This application is for sewer extensions involving gravity sewers, pump stations and force mains, or any combination that has been
certified by a professional engineer and the applicant that the project meets the requirements of 15A NCAC 02T and the Division's
Minimum Design Criteria and that plans, specifications and supporting documents have been prepared in accordance with, 15A
NCAC 02T, 15A NCAC 02T .0300, Division policies and Food engineering practices.
While no upfront engineering design documents are required for submittal, in accordance with 15A NCAC 02T .0305(b), design
documents must be prepared prior to submittal of a fast track permit application to the Division. This would include plans, design
calculations, and project specifications referenced in 15A NCAC 02T .0305 and the applicable minimum design criteria. These
documents shall be available upon request by the Division.
Projects that are deemed permitted (do not require a permit from the Division) are explained in 1.5A NCAC 02T.0303,
Projects not eligible for review via the fast track process (must be submitted for full technical review):
➢ Projects that require an environmental assessment in accordance with 15A NCAC 1C ,0100;
➢ Projects that do not meet any part of the minimum design criteria (MDC) document;
➢ Projects that involve a variance from the requirements of 15A NCAC 2T;
➢ Pressure sewer systems utilizing septic tank -effluent pumps (STEPs) or simplex grinder pumps;
➢ STEP or simplex grinder pumps connecting to pressurized systems (e.g. force mains);
➢ Vacuum sewer systems.
General — When submitting an 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. Failure to submit all required items will necessitate additional
processing and review time, and may result in return of the application. Unless otherwise noted, the Applicant shall submit
one original and one copy of the application and supporting documentation.
A. One Original and One Copy of Application and Supporting Documents
® Required unless otherwise noted
B. Cover Letter (Required for All Application Packages):
® List all items included in the application package, as well as a brief description of the requested permitting action.
➢ Be specific as to the system type, number of homes served, flow allocation required, etc.
➢ If necessary for clarity, include attachments to the application form.
C. Application Fee (All New and Major Modification Application Packages):
® Submit a check or money order in the amount of $480.00 dated within 90 days of application submittal.
➢ Payable to North Carolina Department of Environmental Quality (NCDEQ)
D. Fast Track (Form: FTA 04-16) Application (Required for All Application Packages):
® Submit the completed and appropriately executed application.
➢ If necessary for clarity or due to space restrictions, attachments to the application may be made.
El If the Applicant Type in Item I.2 is a corporation or company, provide documentation it is registered for business with
the North Carolina Secretary of State.
El If the Applicant Type in Item L2 is a partnership or d/b/a, enclose a copy of the certificate filed with the Register of
Deeds in the county of business.
N The Project Name in Item II.I shall be consistent with the project name on the flow acceptance letters, agreements, etc.
® The Professional Engineer's Certification on Page 5 of the application shall be signed, sealed and dated by a North
Carolina licensed Professional En ineer.
® The Applicant's Certification on Page 5 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),
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Pagel of 3

E. Flow Tracking/Acceptance Form (Form: FTSE 04-16) (If Applicable):
❑ Submit the completed and executed FTSE form from the owners of the downstream sewers and treatment facility.
➢ Multiple forms maybe required where the downstream sewer owner and wastewater treatment facility are different.
➢ The flow acceptance indicated in form FTSE 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 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,
F. Site Maps (All Application Packages):
® Submit an 8.5-inch x 11-inch color copy of a USGS Topographic Map of sufficient scale to identify the entire project
area and closest surface waters.
➢ Location of the project (gravity sewer, pump stations & force main)
➢ Downstream connection points and permit number (if known) for the receiving sewer
® Include a street level map (aerial) showing general project area so that Division staff can easily locate it in the field.
G. Existing Permit (All Modification Packages):
❑ Submit the most recently issued existing permit.
❑ Provide a list of any items within the permit the Applicant would like the Division to address during the permit
modification (i.e., permit description, flow allocation, treatment facility, etc,),
H. Power Reliability Plan (Required if portable reliability option utilized for Pump Station):
❑ Per 15A NCAC 02T .030,5(h)(1), submit documentation of power reliability for pumping stations,
➢ This alternative is only available for average daily flows less than 15,000 gallons per day
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant and is
compatible with the station. The Division will accept a letter signed by the applicant (see 15A NCAC 02T .0106(b)) or
proposed contractor, stating that "the portable power generation unit or portable, independently -powered pumping
units, associated appurtenances and personnel are available for distribution and operation of this pump station,"
➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump
stations' storage capacities and the rotation schedule of the portable power source or pump, including travel
timeframes, shall be provided in the case of a multiple station power outage. (Required at time of certification)
1. Certificate of Public Convenience and Necessity (All Application Packages for Privately -Owned Public Utilities):
❑ Per 15A NCAC 02T .0115(a)(1) provide 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 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.
J. Operational Agreements (Applications from HOA/POA and Developers for lots to be sold):
❑ Home/Propertv Owners' Associations
❑ Per 15A NCAC 02T .0115(c), submit the properly executed Operational Agreement (FORM: HOA).
❑ 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 (FORM: DEW
For more information, visit the Division's collection systems website
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page 2 of 3

THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Realonal Office
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
Water Quality Section
Swannanoa, North Carolina 28778
Clay, Graham, Haywood, Henderson, Jackson,
(828) 2964500
Macon, Madison, McDowell, Mitchell, Polk,
[phone] Fax
Rutherford, Swain, Transylvania, Yancey
Fayetteville Realonal Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Hamett, 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
(704) 66"040 Fax
Ralelah Realonal Office
1628 Mail Service Center
Chatham, Durham, Edgecombe, Franklin,
Water Quality Section
Raleigh, North Carolina 27699-1628
Granville, Halifax, Johnston, Lee, Nash,
(919) 7914200
Northampton, Orange, Person, Vance, Wake,
[phone] Fax
Warren, Wilson
Washinaton Realonal Office
943 Washington Square Mall
Beaufort, Bertie, Camden, Chowan, Craven,
VWf ter 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
Wllminaton Realonal Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
Water Quality Section
Wilmington, North Carolina 28405
Hanover, Onslow, Pander
[phone]
[phone] Fax
Winston-Salem Realonal Office
450 W. Hanes MITI Road
Alamance, Allegheny, Ashe, Caswell, Davidson,
Water Quality Section
Suite 300
Davie, Forsyth, Guilford, Rockingham, Randolph,
Winston-Salem, North Carolina 27105
Stokes, Surry, Watauga, Wilkes, Yadkin
[phone]
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page 3 of 3

State of North Carolina
Department of Environmental Quality
DW Division of Water Resources
15A NCAC 02T .0300 -- FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: pJ (to be completed by DWR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
1. Applicant's name: Town of Pembroke (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ❑ State/County ® Municipal
3. Signature authority's name: Tyler Thomas per 15A NCAC 02T .0106(b)
Title: Town Manager
4. Applicant's mailing address: PO Box 866
City: Pembroke State: NC Zip: 28372-
5. Applicant's contact information:
Phone number: 910 521-9758 Email Address: tylerl@@ppembrokenc.com
II. PROJECT INFORMATION:
1. Project name: Sewer Improvements as part of NCDOT Project U-5925
❑ Privately -Owned Public Utility
❑ Other
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: WQ00 and issued date:
If new construction but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Robeson
4. Approximate Coordinates (Decimal Degrees): Latitude: 34 68 8 ° Longitude:-79.199186'
5. Parcel ID (if applicable):
(or Parcel 1D to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: James S. McKee License Number: 016832
Firm: Davis -Martin -Powell & Associates
Mailing address: 6415 Old Plank Road
City: High Point State: NC Zip: 27265-
Phone number: 919 272-7157 Email Address: smekee ,dmp-inc.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1, Facility Name: Pembroke W WTP Permit Number: NCO027103
Owner Name: Town of Pembroke
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1, Permit Number(s): WQ Downstream (Receiving) Sewer Size: 10 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS 00114
Owner Name(s): Town of Pembroke
FORM: FTA 04-16 Pagel of 5

VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑No ®NIA
2. If the Applicant is aDeveloper of lots to be sold, has a Developer's Operational Agfeemcat ORM: DEV) been attached?
❑ Yes [:]No ®N/A
3. If the Applicant .is a Home/Property Owners' Association, has an Operational Agreement (FORM: HOA) been attached?
[—]Yes ❑No ®N/A
4. Origin of wastewater: (check all that apply):
® Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash
® Residential Leased ®Retail with food preparation/service ❑ Hotel and/or Motels
® School / preschool / day care ❑ Medical / dental / veterinary facilities ❑ Swimming Pool /Clubhouse
® Food and drink facilities ® Church ❑ Swimming Pool/Filter Backwash
® Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater : 100 % Domestic/Commercial % Commercial
Industrial (See 15A NCAC 02T .0103(20))
4Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .0114(f) ❑ Yes ® No
➢ If yes, provide a cony of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.01140
Daily Design Flow "b
No. of Units
Flow
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPI?
Total
GPD
a See 15A NCAC 02T .0114(b). (d). (e)(1) and (e)(2) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use
areas; and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals
as defined in G.S. 42A4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified (in table 15A NCAC 02T,01141 shall
be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 0 GPD (per 15A NCAC 02T .01 ]4)
➢ Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
❑ Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit Number:
® Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 04-16 Page 2 of 5

V1I. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T.0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
AJ3'
DI
-4RL-
44*-
-
➢ Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
t. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: -
3. Design flow of the pump station: millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): gallons per minute at feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
6
408
DI
6. Power reliability in accordance with 15A NCAC 02T .0305(h)(1):
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(l)(B);
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
➢ Must be permanent to facility
Or if the pump station has an average daily flow less than 15,000 gallons per day:
❑ Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
,0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(lXC):
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
and is compatible with the station.
➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations'
storage capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be
provided in the case of a multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

IIf. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T.0305(f)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(f) & (e) ® Yes [:]No
➢ 15A NCAC 02T.0305(f) contains minimum separations that shall be urovided for sewer systems:
Setback Parameter'
Separation Leguired
Storm sewers and other utilities not listed below (vertical)
24 inches
Water mains vertical -water over sewer including in benched trenches
18 inches
Water mains horizontal
10 feet
Reclaimed water lines vertical - reclaimed over sewer
18 inches
Reclaimed water lines horizontal - reclaimed over sewer
2 feet
"Any private or public water supply source, including any wells, WS-I waters of Class I or
Class H impounded reservoirs used as a source of drinking water
100 feet
"Waters classified WS (except WS-I or WS-V), B, SA, ORW, HQW, or SB from normal
high water or tide elevation and wetlands see item IX.2
50 feet
"Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
-Any building foundation
5 feet
Any basement
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade vertical
36 inches
➢ 15A NCAC 02T.0305W contains alternatives where separations in 02T,0305(fl cannot be achieved.
➢ "Stream classifications can be identified using the Division's NC Surface Water Classifications webpaee
➢ If noncompliance with 02T.0305(f) or (g), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes [--]No ® N/A
➢ See the Division's draft separation requirements for situations where separation cannot be meet
➢ No variance is required if the alternative design criteria specified is utilized in design and construction
➢ As built documents should reference the location of areas effected
3. Does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? ❑ Yes ❑ No ® N/A
➢ This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project require coverage/authorization under a 404 Nationwide or ® Yes ❑ No
individual permits or 401 Water Quality Certifications?
➢ Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0105 c 6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105(c)(6), directly related environmental permits or certification applications are being prepared, have
been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion and
sedimentation control plans, stormwater management plans, etc.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per 15A NCAC 0210402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
❑ Yes ❑ No ® N/A
➢ If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shall be inspected by the permittee or its representative at least once every six -months and
Inspections documented per 15A NCAC 02T.0403(ax5) or the permitee's individual System -Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

X. CERTI.FICATION&
Does the submitted system comply with ISA NCAC 02T, the Minimum Design Criteria for the Pemn tting of Puma. -Stations
Stations
and Force Mains (latest version), and the Gravity Sewer Minimum Design Criteria (latest version) as applicable?
❑ Yes ® No
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents
for review. -Approval of the request is required prior to submittal of the Fast Track Application and su000rtina
documents.
2. Professional Engineer's Certification:
[, James S . McKee attest that this application for
(Professional Engineer's name from Application Item III.1)
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans, specifications,
engineering calculations, and all other supporting documentation to the best of my knowledge. I further attest that to the best
of my knowledge the proposed design. has been prepared in accordance with the applicable regulations, Gravity Sewer
Minimum Design Criteria for Gravity Sewers (latest version), and the .Minimum Design Criteria for the Fast -Track
Permitting of Pump Stations and Force Mains (latest version). Although other professionals may have developed certain
portions of this submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this
material and have judged it to be consistent with the proposed design.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.613, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation.
.........,.............r........'.r.................
North Caroltna Professional Engineer's seal, signature, and date: "•l rt 41 CAgo of
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...........................
Applioant's Certification per ISA NCAC 02T .0106(b):
I, Tyler Thomas, Town Manager attest that this application for
(Signature Authority's name & title from Application Item I:3.)
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 arc not completed and that if all required supporting documentation and attachments are not included, this
application package is subject to being returned as incomplete. 1 understand that any discharge of wastewater from this non -
discharge system to surface waters or the land will result in an immediate enforcement action that may include civil penalties,
injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Resources should a
condition of this permit be violated. I also understand that if all required parts of this application package are not completed
and that if all required supporting information and attachments are not included, this application package will be returned to
me as incomplete.
NOTE — In accordance with General. Statutes 143-215.6A and 1.43-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature:
Date: February 1, 2018
FORM: FTA 04-16
Page 5 of 5

PIC.-
WaterResources
ENVIRONMENTAL QUALITY
March 14, 2018
Tyler Thomas, Town Manager
Town of Pembroke
P.O. Box 866
Pembroke, NC 28372
Subject: Variance Request Approval
Sewer Improvements as part of NCDOT Project U-5925
Town of Pembroke
WQCS00114
Dear Mr. Thomas:
ROY COOPER
GOW11W
MICHAEL S. RECAN
Serrciarr
LINDA CULPEPPER
Interim Director
The Division of Water Resources (Division) has reviewed the submitted variance request
received on February 5, 2018 for the subject project, The Division will grant the variance
request for the installation of gravity sewer below the minimum required slope, in accordance
with the provisions for alternative design under 15A NCAC 02T.0105(n):
I. Pursuant to the variance request received February 5, 2018 from Davis -Martin -Powell &
Associates on behalf of the Town of Pembroke and NCDOT, a variance is granted for the
construction and operation of approximately 520 linear feet of 8-inch gravity sewer
between Manholes MH-1 and MH-2 at a slope of 0.19%, between MH-2 and MH-3 at a
slope of 0.14%, and between EMH-1, MH-6, MH-5, and MH-4 at a slope of 0.22% as
indicated on the provided plans, specifications, and supporting documents, and subject
to the following requirements:
a. The sections of gravity sewer as described above shall be designated as "high -
priority sewer" in accordance with 15A NCAC 02T.0402.
b. High -priority sewers shall be inspected by the permittee or its representative at
least once every six -months in accordance with the permittee's individual
system -wide collection system permit (WQCS00114).
Regardless of the variance approval, 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.
--=—Nothing Compares
State of North Carolina I Environmental Quality J Water Resources
1617 Mail Service Center I Ralcigh, North Carolina 27699-1617
919-807-6300

Town of Pembroke
WQCS00114
All other elements of this project shall be constructed in accordance with all applicable rules
and statues including, 15A NCAC 2T; the Division of Water Resources' (Division) 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. Approval of the variance request does not constitute approval of the
permit.
If you have any questions, please contact Christyn Fertenbaugh, P.E. at 919-807-6312 or via
email at+iristyn.fertenbaughC«)ncdenr.pov.
Sincerely,
1 K�u�l�\ J��
for Linda Culpepper
Interim Director, Division of Water Resources
by Deborah Gore, PERCS Supervisor
Division of Water Resources, NCDEQ
cc: James S. McKee, P.E., Davis -Martin -Powell & Associates (n�ckecfi'mt' inc.com)
Winston-Salem Regional Office, Water Quality Section Regional Operations
Water Quality Central Files — WQCS00114
PERCS Files (electronic copy)

RRE EF-D
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DAMS • MARTIN • POWELL
ENGINEERS . SUR EY,R, dmp MAR 23 Z018
41010E
March 20, 2018 FAYETTEVILi EREIG,O) LOFFICE
Re: Town of Pembroke, NC
NCDOT Project U-5925
North Odum Street/Prospect Road Safety
Improvements
DMP Project 160053
NCDEQ
Division of Water Resources
Fayetteville Regional Office
Water Quality Section
225 Green Street, Suite 714
Fayetteville, NC 28301-5094
Dear Sirs:
Davis -Martin -Powell is providing utility engineering services for NCDOT Project U-5925, which involves safety
improvements for North Odum Street/Prospect Road from Third Street to Cornith Road.
The Town of Pembroke has several sections of existing gravity sewer lines and a sewer force main that must be relocated
and/or replaced due to conflicts with the proposed roadway and storm drainage improvements. The project will involve
the relocation and/or replacement of 545 LF of 8" gravity sewer, 408 LF of 6" sewer force main, and associated
appurtenances. The relocations of the sewer force main were listed in section VIII-5 of the permit application since there
was no other place to list it on the application. There will be no changes to the flow and head conditions for the existing
sewer pump station. The relocation of the 545 LF of 8" gravity sewer required a variance approval which was approved
on 03/14/2018 and two (2) copies of the approval are attached.
We are enclosing the following information in regards to the referenced project for your review and approval:
• Two (2) copies of the executed Fast -Track Application for Gravity Sewers, Pump Stations & Force Mains
• Two (2) copies of the 8.5"x11" color USGS quad map exhibit
• Two (2) copies of the Variance Request Approval
• Check # 061846 in the amount of $480.00 for the review fee
We trust this information is complete and will allow you to proceed with your review of these needed sewer system
improvements. If you have any questions, please do not hesitate to contact our office.
Sincerely,
DAVIS • MARTIN • POWELL & ASSOCIATES, INC
/�->-
Steve McKee, PE
cc: Maurice P. Locklear—Town of Pembroke (enc)
File (enc)
P:1201611600531PermitslSewer1160053-DWR Transmittal Town of Pembroke 180320.docx
T: 919-272-7157 • F: 336-886-4458 • License: F-0245
1099 Investment Boulevard, Apex, NC 27502 • www.dmp-inc.com