WQ0035561_Permit (Issuance)_20110912 (2)

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
September 12, 2011
Mr. Roland Hall, Mayor
Town of Roseboro
P.O. Box 848
Roseboro, NC 28382
SUBJECT: Permit No. WQ0035561
Douglas Ave CDBG Sewer Improvements
Wastewater Collection System Extension
Sampson County
Dear Mr. Hall:
Im
In accordance with your application received September 02, 2011, we are forwarding herewith
Permit No. WQ0035561, dated September 12, 2011 to the Town of Roseboro for the construction and
operation of the subject wastewater collection system extension. This permit shall be effective from the
date of issuance until rescinded and shall be subject to the conditions and limitations as specified
therein. This cover letter shall be considered a part of this permit and is therefore incorporated therein
by reference.
Please pay particular attention to Permit Condition 3 which requires that the wastewater
collection facilities be properly operated and maintained in accordance with 15A NCAC 2H .0227 or
any individual system -wide collection system permit issued to the Permittee.
Permitting of this project does not constitute an acceptance of any part of the project that
does not meet 15A NCAC 2H .0200; the Division of Water Quality's (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, unless specifically mentioned therein. Division approval is based on acceptance
of the certification provided by the North Carolina -licensed Professional Engineer named in the
application. It shall be the Permittee's responsibility to ensure that the as -constructed project meets the
appropriate design criteria and rules. Failure to comply may result in penalties in accordance with
North Carolina General Statute § 143-215.6A through § 143-215.6C, construction of additional or
replacement wastewater collection facilities, and/or referral of the North Carolina -licensed professional
Engineer to the licensing board.

Mr. Hall
Page 2
September 12, 2011
In accordance with provisions of Article 21 of Chapter 143, General Statutes of North
Carolina as amended, and other applicable Laws, Rules, and Regulations, permission is hereby
granted to the Town of Roseboro, for the construction and operation of approximately 583 linear feet of
8-inch gravity sewer, 940 linear feet of 4-inch force main, and a 100 GPM @ 30 TDH pump station with a
permanent generator w/ATS; to serve as part of the Douglas Ave CDBG Sewer Improvements project,
and 5,540 gallons per day of collected domestic wastewater into the Town of Roseboro Wastewater
Treatment Plant's existing sewerage system, pursuant to the application received February 28, 2006 and
in conformity with 15A NCAC 211.0200; the Division's Gravity Sewer Minimum Design Criteria
adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast -Track
Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting
data subsequently filed and approved by the Department of Environment and Natural Resources and
considered as part of this permit.
The sewage and wastewater collected by this system shall be treated in the Town of Roseboro
Wastewater Treatment Plant (NC0026816) prior to being discharged into the receiving stream.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the
right to request an adjudicatory hearing upon written request within 30 days following receipt of this
permit. This request must be in the form of a written petition, conforming to Chapter 150B of North
Carolina General Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service
Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and binding.
If you need additional information concerning this matter, please contact Trent Allen at (910) 486-
1541 extension 722.
Sincerely,
for Alan W. Klimek, P.E.
cc: Fayetteville Regional Office, Water Quality Section (WWTP Permit No. NC0020117)
M. Floyd Adams, The Adams Company, Inc., 708 Abner Phillips Rd., Warsaw, NC 28398
Water Quality Central Files
PERCS
225 Green St., Suite 714, Fayetteville, NC 28301-5043
Phone: [phone] FAX [phone]
Intemet: www.ncwaterauality.org
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NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAND NATURAL RESOURCES
RALEIGH
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
following specified conditions and limitations:
This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2H .0200; the Division of Water Quality's
(Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as applicable; the
Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains
adopted June 1, 2000 as applicable; and other supporting materials unless specifically mentioned herein.
2. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data.
3. The wastewater collection facilities shall be properly maintained and operated at all times. The Permittee
shall maintain compliance with an individual system -wide collection system permit for the operation and
maintenance of these facilities as required by 15A NCAC 2H .0227. If an individual permit is not
required, the following performance criteria shall be met as provided in 15A NCAC 2H .0227:
a. The sewer system shall be effectively maintained and operated at all times to prevent discharge to
land or surface waters, and any contravention of the groundwater standards in 15A NCAC 2L .0200
or the surface water standards in 15A NCAC 2B .0200.
b. A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan shall be developed and implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e. 365
days per year). Pump stations that are connected to a telemetry system shall be inspected at least
once per week.
e. High -priority sewer lines shall be inspected at least once per every six-month period of time.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Inspection and maintenance records shall be maintained for a period of at least three years.
h. Overflows and bypasses shall be reported to the appropriate Division regional office in accordance
with 15A NCAC 2B .0506(a), and public notice shall be provided as required by North Carolina
General Statute § 143-215.1 C.

4. This permit shall not be transferable. In the event there is a desire for the wastewater collection
facilities to change ownership, or there is a name change of the Permittee, a formal permit request shall
be submitted to the Division accompanied by documentation from the parties involved, and other
supporting materials as may be appropriate. The approval of this request shall be considered on its
merits and may or may not be approved.
5. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to
interrupt service by the existing utilities nor result in an overflow or bypass discharge of wastewater to
the surface waters of the State.
6. Per 15A NCAC 2H .0220, upon completion of construction and prior to operation of these permitted
facilities, the completed Engineering Certification form attached to this permit shall be submitted with
the required supporting documents to the address provided on the form. A complete certification is one
where the form is frilly executed and the supporting documents are provided as applicable.
7. A copy of the construction record drawings shall be maintained on file by the Permittee for the life of
the wastewater collection facilities.
8. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2H .0200; the
Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's
Minimum Design Criteria for the Fast -Track Permitting of Pump Station and Force Mains adopted June
1, 2000 as applicable; and other supporting materials may subject the Permittee to an enforcement action
by the Division, in accordance with North Carolina General Statutes § 143-215.6A through § 143-215.6C.
9. 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.
10. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances that may be imposed by other government agencies (local, state and
federal) which have jurisdiction, including but not limited to applicable river buffer rules in 15A NCAC
2B .0200, erosion and sedimentation control requirements in 15A NCAC Ch. 4 and under the Division's
General Permit NCGO10000, and any requirements pertaining to wetlands under 15A NCAC 2B .0200
and 15A NCAC 2H .0500.

11. Noncompliance Notification:
The Permittee shall verbally report to a water quality staff member at the Fayetteville Regional Office,
telephone number [phone], as soon as possible, but in no case more than 24 hours or on the next
working day, following the occurrence or first knowledge of the occurrence of either of the following:
a. Any process unit failure, due to known or unknown reasons, that renders the facility incapable of
adequate wastewater transport, such as mechanical or electrical failures of pumps, line blockage or
breakage, etc.; or
b. Any failure of a pumping station or sewer line resulting in a by-pass directly to receiving waters
without treatment of all or any portion of the influent to such station or facility.
Voice mail messages or faxed information is permissible but shall not be considered as the initial verbal
report. Overflows and spills occurring outside normal business hours may also be reported to the
Division of Emergency Management at telephone number [phone] or [phone]. Persons
reporting any of the above occurrences shall file a spill report by completing Part I of Form CS-SSO (or
the most current Division approved form), within five days following first knowledge of the occurrence.
This report shall outline the actions taken or proposed to ensure that the problem does not recur. Per
Condition I(2), Part II of Form CS-SSO (or the most current Division approved form) can also be
completed to show that the SSO was beyond control.
Permit issued this the twelfth day of September 2011
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0035561

Fast Track Engineering Certification
Permit No. WQ0035561
September 12, 2011
Complete and submit this form to the permit issuing regional office with the following:
One copy of the project record drawings (plan & profile views of sewer lines) of the wastewater collection system
extension
• supporting design calculations (selected pumps, system curve, operating point, available storage if portable
generator(s) or storage greater than longest past three year outage reliability option selected) for any pump stations
permitted as part of this project
• Changes to the project should be clearly identified on the record drawings or in written summary form. Permit
modifications are required for any changes resulting in non-compliance with this permit regulations or minimum
design criteria.
This project shall not be considered complete nor allowed to operate until this Engineer's Certification and all required
supporting documentation have been received by the Division. Therefore, it is highly recommended that this
certification be sent in a manner that provides proof of receipt by the Division.
ENGINEER'S CERTIFICATION
❑ Partial ❑ Final
I, , as a duly registered Professional Engineer in the State of North Carolina, having been
authorized to observe (❑ periodically, ❑ weekly, ❑ full time) the construction of Douglas Ave CDBG Sewer
Improvements, Sampson County project for the Permittee hereby state that, to the best of my abilities, due care and
diligence was used in the observation of the construction such that the construction was observed to be built within
substantial compliance of this permit; 15A NCAC 2H .0200; the Division of Water Quality's (Division) Gravity Sewer
Minimum Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the
Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting
materials.
North Carolina Professional Engineer's
seal, signature, and date:
.....................
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
FAYETTEVILLE REGIONAL OFFICE
225 GREEN STREET, SUITE 714
FAYETTEVILLE NC 28301
The Permittee is responsible for tracking all partial certifications up until a final certification is received. Any
wastewater flow made tributary to the wastewater collection system extension prior to completion of this Engineer's
Certification shall be considered a violation of the permit and shall subject the Permittee to appropriate enforcement
actions.

Permit Number '%VQ003556_
Program Category
Non -discharge
Permit Type Fast Track
Gravity Sewer Extension, Pump Stations, & Pressure Sewer
Extensions
Primary Reviewer
trent.allen
Coastal SW Rule
Permitted Flow
5540
acility
Facility Name
Douglas Ave CDBG Sewer Improvements
Location Address
wner
Owner Name
Town of Roseboro
Dates/Events
Scheduled
Orig Issue App Received Draft Initiated Issuance
09/12/11 09/02/11
Regulated Activities
Wastewater collection
Outfall NULL
Waterbody Name
Central Files: APS SVVP
09/12/11
Permit Tracking Slip
Status
Project Type
Active
New Project
Version
Permit Classification
1.00
Individual
Permit Contact Affiliation
Major/Minor Region
Major Fayetteville
County
Sampson
Facility Contact Affiliation
Owner Type
Government - State
Owner Affiliation
Roland G. Hall
Mayor Roseboro Town of
PO Box 848
Roseboro NC 28382
Public Notice Issulp_ Effective Expiration
i 09/12/11
Requested/Received Events
Additional information requested
Additional information received
Stream Index Number Current Class Subbasin

USE THE TAB KEY TO MOVE FROM FIELD TO FIELD! Application Number:
(to be completed by DWQ)
1. Owner/Permittee.
la. Town of Roseboro
Full Legal Name (company, municipality, HOA, utility, etc.)
Z 1 b. Town of Roseboro Mayor — Roland Hall
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):
1 d. P.O. Box 848 1 e. Roseboro
Mailing Address
1f. NC
1g
City
28382
State Zip Code
1 h. 910-525-4121 1 i. 910-525-3133 1 j. roseborol @intrstar.net
Telephone Facsimile E-mail
2. Project (Facility) Information:
2a. Douglas Ave CDBG Sewer Improvements 2b. Sampson
Brief Project Name (permit will refer to this name) County Where Project is Located
3. Contact Person:
3a. M. Floyd Adams, PE or Bob Mitchell, The Adams Company, Inc.
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b. 910-293-2770 3c. [e-mail] OR mitchells8
Phone Number E-mail
.1. Project is ® New ❑ Modification (of an existing permit) If Modification, Permit No.:
.....................
link.net
2. Owner is ® Public (skip to Item B(3)) El 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 Roseboro
? z Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
THE ADAMS COMPANY, INC. STHN BANK AND TRUST COMPANY 6745
708 ABNER PHILLIPS ROAD WARSAW, NC 28398
WARSAW, NC 28398-8510 66-2581531
[phone]
PAY TO THE NCDENR
ORDER OF
9/1 /2011
**480.00
Four Hundred Eighty and
DOLLARS
NCDENR
Wilmington Regional Office
127 Cardinal Drive Extension
Wilimington, NC 28405
7T
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