WQ0022793_Regional Office Historical File Pre 2018

14
O�OF W ATF9oG Michael F. Easley, Governor
William G. Ross, Jr., Secretary
co
r- Department of Environment and Natural Resources
"I Alan W. Klimek, P.E. Director
Y Division of Water Quality
July 7, 2003
Mr. Stephen A. Gilbert, P.E., PLS
Director of Utilities
County of Lincoln
115 West Main Street
2nd Floor Citizens Center
Lincolnton, North Carolina 28092
Subject: Permit No. WQ0022793
Pump and Haul
North Lincoln High School
Lincoln County, NC
Dear Mr. Gilbert:
In accordance with your application received June 24, 2003, we are forwarding herewith
Permit No. WQ0022793, dated July 7, 2003, for the temporary pumping and hauling of wastewater
from the subject facility.
This permit shall be effective from the date of issuance until September 1, 2003, and shall be
subject to the conditions and limitations as specified therein. Please pay particular attention to the
monitoring requirements in this permit. Failure to establish an adequate system for collecting and
maintaining the required operational information will result in future compliance problems. If delays
are incurred that affect the expected operational date of the subject collection system, please advise
this Office immediately as to the extent of the delay. Do not wait until this permit is about to
expire or has expired before this Office is notified.
If any parts, requirements, or limitations contained in this permit are unacceptable to you, 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, 1601
Mail Service Center, Raleigh, North Carolina 27699-1601. Unless such demands are made this
permit shall be final and binding.
NCDEPVR
Customer Service
1 800 623-7748
Division of Water Quality 919 North Main Street Mooresville, NC 28115 Phone [phone]
Fax [phone]

,i
Mr. Stephen A. Gilbert
July 7, 2003
Page Two
If you need additional information concerning this matter, please contact Mr. D. Rex Gleason
at 704/663-1699.
Sincerely,
Alan Klimek, P. E.
Director
cc: Lincoln County Department of Environmental Health
Mooresville Regional Office
Non -Discharge Permitting Unit
/mlp
h:\p&h�northlin.p&h

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
PUMP AND HAUL PERMIT
WQ0022793
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North
Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
North Lincoln High School
FOR THE
operation of a 600 GPD pump and haul facility to serve the North Lincoln High School in Lincoln
County with no discharge of wastes to the surface waters, pursuant to the application received June 24,
2003 and in conformity with the project plans, specifications, and other supporting data subsequently
filed and approved by the Department of Environment and Natural Resources and considered a part of
this permit.
This permit shall be effective from the date of issuance until September 1, 2003, and shall be
subject to the following specified conditions and limitations:
1. This permit shall become voidable unless the subject pump and haul activities are carried
out in a manner which has been approved by this Division.
2. This permit is effective only with respect to the nature and volume of wastes described
in the application and other supporting data.
3. The facilities shall be properly maintained and operated at all times.

Permit No. WQ0022793
Page Two
4. This permit is not transferable. In the event there is a desire for the facilities to change
ownership, or there is a name change of the Permittee, a formal permit request must be
submitted to the Division of Water Quality accompanied by an application fee,
documentation from the parties involved, and other supporting materials as may be
appropriate. The approval of this request will be considered on its merits and may or
may not be approved.
5. No type of wastewater other than that from the North Lincoln High School shall be
included in the pump and haul activities.
6. The permit shall become voidable unless the agreement between the applicant (North
Lincoln High School), hauler (Stanley Septic Tank Service), and wastewater treatment
facility receiving the wastewater (Forney Creek WWTP) for the collection,
transportation, and ultimate disposal of the wastewater is in full force and effect.
7. In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall cease operation of all pump and haul activities
and take such immediate corrective action as may be required by this Division.
8. This pump and haul permit shall not be renewed.
9. The sewage and wastewater collected by this system shall be treated in the Forney Creek
Wastewater Treatment Plant prior to being discharged into the receiving stream.
10. The Permittee is liable for any damages caused by a spill or failure of the pump and haul
operations.
11. Adequate inspection, maintenance, and cleaning shall be provided by the Permittee to
insure proper operation of the subject facilities.

Permit No. WQ0022793
Page Three
12. The Permittee or his designee shall inspect the wastewater collection facilities to prevent
malfunctions and deterioration, operator errors and discharges which may cause or lead
to the release of wastes to the environment, a threat to human health, or a nuisance. The
Permittee shall keep an inspection log or summary including at least the date and time
of inspection, observations made, and any maintenance, repairs, or corrective actions
taken by the Permittee. This log of inspections shall be maintained by the Permittee for
as long as the pump and haul activities are being conducted and shall be made available
upon request to the Division of Water Quality or other permitting authority.
13. Any duly authorized officer, employee, or representative of the Division of Water Quality
may, upon presentation of credentials, enter and inspect any property, premises or place
on or related to the wastewater collection facilities at any reasonable time for the purpose
of determining compliance with this permit; may inspect or copy any records that must
be kept under the terms and conditions of this permit, and may obtain samples.
14. An accurate record of the monthly pump and haul activities must be maintained by the
Permittee, indicating:
a. Date wastewater is removed from the facility;
b. Name of facility from which wastewater is removed;
C. Name of facility receiving wastewater,
d. Volume of wastewater removed; and
e. Status of permanent disposal option.
These records shall be submitted to the Mooresville Regional Office on or before
the fifteenth (15) day of the month following the commencement of the pump and
haul activities.
15. Failure to abide by the conditions and limitations contained in this permit may subject the
Permittee to an enforcement action by the Division of Water Quality in accordance with
North Carolina General Statute 143-215.6.
16. The issuance of this permit does not preclude the Permittee from complying with any and
all statutes, rules, regulations, or ordinances which may be imposed by other government
agencies (local, state, and federal) which have jurisdiction.

Permit No. WQ0022793
Page Four
17. The Permittee shall provide for monitoring and/or inspection of the wastewater level
within the manhole from which the wastewater is to be pumped.
18. Noncompliance Notification:
The Permittee shall report by telephone to the Mooresville Regional Office, at telephone
number 704/663-1699, 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 any
of the following:
a. Any process unit failure, due to known or unknown reasons, that render the
facility incapable of adequate wastewater treatment such as mechanical or
electrical failures of pumps, aerators, compressors, etc.
b. Any failure of a pumping station, sewer line, etc. resulting in a by-pass directly
to receiving waters without treatment of all or any portion of the influent to such
station or facility.
Persons reporting such occurrences by telephone shall also file a written report in letter
form within 5 days following first knowledge of the occurrence. This report must outline
the actions taken or proposed to be taken to ensure that the problern does not recur.
19. The annual administering and compliance fee must be paid by the Permittee within thirty
(30) days after being billed by the Division. Failure to pay the fee accordingly may cause
the Division to initiate action to revoke this permit as specified by 15 NCAC 2H .0205
(c)(4).
Permit issued this the 7th day of July, 2003.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Alan W. Klimek, 'I�. E., Director'
Division of Water Quality
By Authority of the Environmental Management Commission

DIVISION OF WATER QUALITY
July 7, 2003
MEMO TO: D. Rex Gleason
FROM: Michael L. Parker #
SUBJECT: Permit No. WQ0022793
North Lincoln High School
Pump and Haul Permit
Lincoln County
Lincoln County Department of Public Works has requested the issuance of a Pump and Haul
Permit for the temporary disposal of up to 600 GPD of domestic wastewater from the North Lincoln
High School located in Lincoln County. The reason that a P&H Permit is necessary is due to
weather delays experienced by the contractor who is installing the sanitary sewer line that will
eventually serve the school. An unusually wet spring has created construction delays that will
prevent the sewer line from being available to serve the school until August 1, 2003. The new school
is scheduled to begin operation on August 1, 2003, however, faculty members are planning to start
using the school's facilities as soon as July 1, 2003.
The pumping and hauling of all wastewater from this development will take place from a
manhole that will be fitted with an audible and visual alarm. Calculations provided by the County's
engineering firm (W. K. Dickson) indicate that the existing collection system has more that adequate
capacity to handle the projected daily pump and haul volume. The wastewater will be transported by
a tanker truck to Lincoln County's Forney Creek WWTP by Stanley Septic Tank Service for final
disposal. The existing collection system is being constructed under the authority of DWQ Permit
No. WQ0021907.
It is recommended that a Pump and Haul Permit, valid from July 7, 2003 through September
1, 2003, be issued to the applicant as requested. A suggested permit is attached for your review.
It you have any questions regarding this matter, please advise.
hAp&h\northlin.p&h

�,)d 000 zz �17.3
DIVISION OF WATER QUALITY
MOORESVILLE REGIONAL OFFICE
NONDISCHARGE PERMIT APPLICATION FORM
(THIS FORM MA Y BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
PUMP AND HAUL OF DOMESTIC WASTEWATER
I. GENERAL INFORMATION:
1. Applicant (corporation, individual, other): Lincoln County School System
2. Print owners or signing official's name and title (the person who is legally
responsible for the facility and its compliance): Stephen A. Gilbert, PE, PLS —
Director of Utilities
3. Mailing address: Lincoln County, 115 West Main Street, Lincolnton, NC 28092
Telephone no.: 704/736-8495
4. Project name (establishment name): North Lincoln High School Wastewater Facilities
5. Facility Contact: Stephen A. Gilbert. PE, PLS
6. Application date: June 10, 2003 7. Fee Submitted: $ 675.00
8. County where facility being pumped is located: Lincoln County
II. PERMIT INFORMATION:
1. Permit No. (to be completed by DWQ):
2. If this application is being submitted as a result of a modification to an existing permit,
please list the existing permit number N/A and issue date
3. Specify whether the applicant is: X public or private.
Wastewater Pump and Haul
Page 1 of 5

III. INFORMATION ON WASTEWATER:
1. Nature of Wastewater: 100 % Domestic: % Commercial;
% Industrial: % Other waste (specify):
2. Please provide a one or two -word description specifying the origin of the wastewater,
such as school, hospital, commercial, etc.: School
3. Description of any pretreatment of wastewater prior to pumping and hauling:
None
4. Volume of wastewater to be pumped and hauled: 600 gpd gallons per day
5. Explanation of how wastewater volume was determined:
40 faculty + 15 GPD / faculty = 600 GPD
IV. TREATMENT FACILITY INFORMATION:
1. Name of treatment facility receiving wastewater:
Lincoln County, Forney Creek WWTP
2. NPDES Permit number of treatment facility NCO074012
3. Treatment facility contact person and telephone no.:
Pete Starnes 704/822-9667
4. County where treatment facility is located: Lincoln County
IV. OTHER INFORMATION:
1. Brief project description: 186 GPM pump station and 34,400 LF of 6" force main
Wastewater Pump and Haul
Page 2 of 5

2. Explanation of why pump and haul is being requested: Construction time will exceed
3
EI
completion date due to weather conditions. Sewer service is needed for faculty
members by the beginning of July and the addition of students in August.
Specify how long pump and haul will be needed (maximum of six months):
'mnnthc
What will be the permanent method of wastewater disposal once the pump and haul
activities have ceased? Disposal to pump station then pumped through 6" force
main to gravity sewer.
5. Date that permanent disposal method will be available: August 1, 2003
6. Have permits/approvals for permanent disposal method been obtained?
X Yes; Permit No.WQ0021907 Permitting Agency NCDENR DW
_ No; Pending Permit No. Permitting Agency
7. Describe how the wastewater will be transported (such as sealed tanker truck, etc.) and
provide the typical hauling volume of the vehicle providing the hauling: Tanker
truck volume 3,500 gallons
8. Name of owner/company of transporting (hauler) vehicle
Stanley Septic
William Lanier /
9. Mailing address of hauler: Post Office Box 184, Stanley, NC 28164
Telephone no. of hauler: 704/263-8186
10. What type of tank or container will the wastewater be pumped from and what is the
volume of this container: Precast concrete wetwell. Volume —1,375 gallons
Wastewater Pump and Haul
Page 3 of 5

11. Is the tank or container already in place or will it be installed for these activities?
Already in place
12. What type of high water alarm does the container have?
audible and visual X auto dialer
PLEASE ENSURE THAT THE FOLLOWING INFORMA TION IS
PROVIDED AND/OR THAT THE FOLLOWING ISSUES ARE ADDRESSED OR THE
APPLICA TION MA Y BE RETURNED AS INCOMPLETE
a. A completed and signed Pump and Haul application form.
b. The appropriate permit fee of $675 for a flow of less than 10,000 GPD ($1090 if the
volume is greater than 10,000 GPD).
Two sets of detailed plans/specifications signed and sealed by a North Carolina
Professional Engineer must be provided, showing the components associated with the
pump and haul activity (drains, piping, tanks, etc.), a general location map, a plan view
of the storage facility and its relationship to property lines, structures, etc. The tank
detail should indicate the high water alarm (both audible and visual or an auto dialer).
Each sheet of the plans and the first page of the specifications must be signed/sealed by
the Professional Engineer.
d. A letter must be provided from the owner/authority of the receiving wastewater
treatment facility stating that the pumped and hauled wastewater will be accepted and
specifying the volume of wastewater that will be accepted.
e. A letter or contract from the hauler stating his capability and willingness to perform
the pumping and hauling.
Please provide a cover letter explaining the circumstances associated with this pump and
haul request as required by NCAC 2H .0205(d)(13). Please note that P&H Permits are
not intended to allow the use of wastewater collection/disposal facilities for commercial
or residential development prior to the date by which permanent wastewater disposal
facilities are expected to be operational.
Wastewater Pump and Haul
Page 4 of 5

SEND THE PUMP AND HAUL PACKAGE TO THE FOLLOWING ADDRESS:
Water Quality Supervisor
Mooresville Regional Office
919 North Main Street
Mooresville, N. C. 28115
Telephone No.: 704-663-1699
Web Site: http://mro.enr.state.nc.us/wq/
Name and address of engineering firm: W. K. Dickson & Co., Inc.
616 Colonnade Drive, Charlotte, NC 28205
Telephone no.: 704/334-5348
Professional Engineer's Certification:
I, George T. Lowder , attest that this application for North Lincoln High
School Wastewater Facilities
has been reviewed by me and is accurate and
complete 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. Although other professionals may have
developed certain portions of this submittal package, inclusion of these materials under my signature and
seal indicates that I have reviewed this material and have judged it to be coRjistcW1)yith the proposed design.
GAR
North Carolina Professional Engineer Seal and Signature: :��`•�OQ.oFESS'L �'
21907 • Q 9
•4
Permit No. WQ00 S •
• ��--1 1
Applicant's Certification: y�i�9 ••'•'•••
T. �-_...• p�•.••,
�...�E
I, Stephen A. Gilbert, PE, PLS , attest that this application for North Lincoln High School _
Wastewater Facilities
has been reviewed by me and is 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 information and attachments are not
included, this package will be returned as incomplete.
Signature:
Wastewater Pump and Haul
Page 5 of 5
Date: 6 — / G — O72

pk W K
DICKSON
Engineers • Planners • Surveyors
Landscape Architects
June 16, 2003
Mr. Mike Parker
NCDENR
Division of Water Quality
919 N. Main Street
Mooresville, NC 28115
VOCRE
JUN 2 4 2003
1�' (� P'} 'ra 3 2 . _., .
Re: North Lincoln High School Force Main & Pumping Station
Lincoln County
WKD# 10585.10.CL-A
Dear Mr. Parker:
You will find the attached to contain:
• A completed and signed Pump and Haul application form.
• A check for the appropriate permit fee of $675.
• Two sets of detailed plans.
• A letter from the residing authority accepting and specifying the volume of
wastewater.
• A letter from the hauler stating their capability and willingness to perform the
pumping and hauling.
• Supporting calculations and an Alarm Panel Schematic Diagram.
Originally, the construction of approximately 36,000 LF of 6-inch force main and a pumping
station serving North Lincoln High School was to be completed by July V of 2003.
However, due to inclement weather conditions over the past few months the completion of
the project has been rescheduled for the first of August when the students arrive. Pumping
and hauling wastewater from the school site will be needed by the fist of July because the
faculty will be occupying the school at this time.
The faculty will produce approximately 600 gallons of wastewater per day. The proposed
storage tank will be a previously installed manhole located on the school grounds. It is
shown as the manhole at Sta. 0+00 (PS-LINE-2) on the attached plans. There is an effluent
8-inch sanitary sewer line at this manhole junction. It will be plugged to prevent any
wastewater from exiting into the unfinished pumping station. The 8-inch influent sewer line
labeled as PS-LINE-1 serves a field house that will not be occupied at this time. There will
be a temporary audible and visual alarm system installed at this manhole. Please refer to
the attached Alarm Panel Schematic Diagram. A ball float will be installed to activate the
alarm system at a specified elevation (See Attached Calculations). With these specifications
the manhole will have a storage capacity of 11 11 gallons. Thus, we are requiring the
manhole to be pumped daily.
LAProjects\LI NCL\1058510CL\Documents\permits\PUMP&HAUL\MikeParker06O9O3 Dickson.doc
616 Colonnade Drive
Charlotte, 1,orth Carolina 28205
-04.334.33-18
Fax [phone]
1.vww.wkdickson.com
Other Offices
Asheville, NC
Atlanta, CA
Boca Raton, FL
Cuiumbia, SC
Hickorv, .NC
Raieigh, .NC
Wiminaton. ��

�tr. Mike Parker
June 16, 2002
Page 2
If you have any questions or comments pertaining to this information, do not hesitate to call.
Sincerely,
W. K. Dickson & Co., Inc.
Ryan W. Hager, El
Enclosures
L:\Projects\LINCL\1058510CL\Documents\permits\PUMP&H,-\UL\,titikeParker060903Dickson.doc
ME

Jun 20 20 10:05a
lincoln county
7047368499
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CO
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CARQy
COUNTY OF LINCOLN, NORTH CAROLINA
1 1 5 WEST MAIN STREET, 2N° FLOOR CITIZENS CENTER, LINCOLNTON, NORTH CAROLINA 28092
DEPARTMENT OF PUBLIC WORKS
PHONE [phone]
FAX [phone]
June 16, 2003
Mr. Mike Parker
NCDENR
Division of Water Quality
919 N. Main Street
Mooresville, NC 28115
Re: Korth Lincoln High School Force Main & Pumping Station
Pump & Haul Flow Acceptance
Dear Mr. Parker:
Several weeks ago it was brought to my attention that the expected construction completion date of
North Lincoln High School's Wastewater Facilities was not going to be met because of inclement
weather conditions. The new school is opening to accommodate its students August 7, 2003; however,
faculty members will be moving into the school as early as July 1, 2003. The construction of the
schools wastewater facilities, which include 36,000 LF of 6-inch force main and a pumping station, is
projected to be completed by the third week of July. For the school to have wastewater service
available by July 1, 2003, wastewater will have to be pumped out of the pumping station wet well and
hauled to the Forney Creek Wastewater Treatment Plant in Lincoln County. The Forney Creek
Wastewater Treatment Plant has the capacity to accommodate for the added 600 gallons per day of
wastewater from the school. Pumping and hauling the wastewater is the only available option for
providing the school with a temporary sewer service until late July when the construction of the
wastewater facilities is complete.
Sincerely,
X*4a-�Z�
Stephen A. Gilbert, PE, PLS
Director of Public Utilities

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DIVISION OF WATER QUALITY .
MOORESVILLE REGIONAL OFFICE
NONDISCHARGE PERMIT APPLICATION FORM
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
PUMP AND HAUL OF DOMESTIC WASTEWATER
I. GENERAL INFORMATION:
1. Applicant (corporation, individual, other): Lincoln County School System
2. Print owners or signing official's name and title (the person who is legally
responsible for the facility and its compliance): Stephen A. Gilbert, PE. PLS —
Director of Utilities
3. Mailing address: Lincoln County, 115 West Main Street, Lincolnton, NC 28092
Telephone no.: 704/736-8495
4. Project name (establishment name): North Lincoln High School Wastewater Facilities
5. Facility Contact: Stephen A. Gilbert. PE, PLS
6. Application date: June 10, 2003 7. Fee Submitted: $ 675.00
8. County where facility being pumped is located: Lincoln County
II. PERMIT INFORMATION:
1. Permit No. (to be completed by DWQ):
2. If this application is being submitted as a result of a modification to an existing permit,
please list the existing permit number N/A and issue date
3. Specify whether the applicant is: X public or private.
Wastewater Pump and Haul
Page 1 of 5

III. INFORMATION ON WASTEWATER:
1. Nature of Wastewater: 100 % Domestic: % Commercial;
% Industrial: % Other waste (specify):
2. Please provide a one or two -word description specifying the origin of the wastewater,
such as school, hospital, commercial, etc.: School
3. Description of any pretreatment of wastewater prior to pumping and hauling:
None
4. Volume of wastewater to be pumped and hauled: 600 apd gallons per day
5. Explanation of how wastewater volume was determined:
40 faculty + 15 GPD / faculty = 600 GPD
IV. TREATMENT FACILITY INFORMATION:
1. Name of treatment facility receiving wastewater:
Lincoln Countv. Fornev Creek WWTP
2. NPDES Permit number of treatment facility NC0074012
3. Treatment facility contact person and telephone no.:
Pete Starnes 704/822-9667
4. County where treatment facility is located: Lincoln County
IV. OTHER INFORMATION:
1. Brief project description: 186 GPM pump station and 34.400 LF of 6" force main
Wastewater Pump and Haul
Page 2 of 5

2. Explanation of why pump and haul is being requested: Construction time will exceed
completion date due to weather conditions. Sewer service is needed for facultv
members by the beginning of Julv and the addition of students in August.
3. Specify how long pump and haul will be needed (maximum of six months):
3 months
4. What will be the permanent method of wastewater disposal once the pump and haul
activities have ceased? Disposal to pump station then pumped through 6" force
main to gravity sewer.
5. Date that permanent disposal method will be available: August 1, 2003
6. Have permits/approvals for permanent disposal method been obtained?
X Yes; Permit No.WQ0021907 Permitting Agency NCDENR DWQ
No; Pending Permit No. Permitting Agency
Describe how the wastewater will be transported (such as sealed tanker truck, etc.) and
provide the typical hauling volume of the vehicle providing the hauling: Tanker
truck volume 3.500 gallons
8. Name of owner/company of transporting (hauler) vehicle: William Lanier /
Stanley Septic
9. Mailing address of hauler: Post Office Box 184, Stanlev. NC 28164
Telephone no. of hauler: 704/263-8186
10. What type of tank or container will the wastewater be pumped from and what is the
volume of this container: Precast concrete wetwell. Volume — 1.375 gallons
Wastewater Pump and Haul
Page 3 of 5

11. Is the tank or container already in place or will it be installed for these activities?
Alreadv in place
12. What type of high water alarm does the container have?
audible and visual
X auto dialer
PLEASE ENSURE THAT THE FOLLOWING INFORMATIONIS
PROVIDEDAND/OR THAT THE FOLLOWING ISSUES AREADDRESSED OR THE
APPLICATIONMAYBE RETURNED AS INCOMPLETE
a. A completed and signed Pump and Haul application form.
b. The appropriate permit fee of $675 for a flow of less than 10,000 GPD ($1090 if the
volume is greater than 10,000 GPD).
C. Two sets of detailed plans/specifications signed and sealed by a North Carolina
Professional Engineer must be provided, showing the components associated with the
pump and haul activity (drains. piping, tanks, etc.), a general location map, a plan view
of the storage facility and its relationship to property lines, structures, etc. The tank
detail should indicate the high water alarm (both audible and visual or an auto dialer).
Each sheet of the plans and the first page of the specifications must be signed/sealed by
the Professional Engineer.
d. A letter must be provided from the owner/authority of the receiving wastewater
treatment facility stating that the pumped and hauled wastewater will be accepted and
specifying the volume of wastewater that will be accepted.
A letter or contract from the hauler stating his capability and willingness to perform
the pumping and hauling.
f. Please provide a cover letter explaining the circumstances associated with this pump and
haul request as required by NCAC 2H .0205(d)(13). Please note that P&H Permits are
not intended to allow the use of wastewater collection/disposal facilities for commercial
or residential development prior to the date by which permanent wastewater disposal
facilities are expected to be operational.
Wastewater Pump and Haul
Page 4 of 5

SEND THE PUMP AND HAUL PACKAGE TO THE FOLLOWING ADDRESS:
Water Quality Supervisor
Mooresville Regional Office
919 North Main Street
Mooresville, N. C. 28115
Telephone No.: 704-663-1699
Web Site: http://mro.enr.state.nc.us/wq/
Name and address of engineering firm: W. K. Dickson & Co., Inc.
616 Colonnade Drive, Charlotte, NC 28205
Telephone no.: 704/334-5348
Professional Engineer's Certification:
I, Georze T. Lowder , attest that this application for North Lincoln High
School Wastewater Facilities has been reviewed by me and is accurate and
complete 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. Although other professionals may have
developed certain portions of this submittal package, inclusion of these materials under my signature and
seal indicates that I have reviewed this material and have judged it to be cojijistewl,41th the proposed design.
C CA
AR
North Carolina Professional Engineer Seal and Signature: ��`�•OQ.••••goSS
$0** �'y ��'•
Permit No. WQ00 21907 (`� 4 S •
.0 *so..*s*•1�Applicant's Certification: o��•`�`
I, Stephen A. Gilbert. PE. PLS , attest that this application for North Lincoln High School
Wastewater Facilities
has been reviewed by me and is 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 information and attachments are not
included, this package will be returned as incomplete.
Signature:
Wastewater Pump and Haul
Page 5 of 5
Date: 6 — I G — 072

OFF
DIVISION OF WATER QUALITY .
MOORESVILLE REGIONAL OFFICE
NONDISCHARGE PERMIT APPLICATION FORM
(THIS FORM MAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL)
PUMP AND HAUL OF DOMESTIC WASTEWATER
I. GENERAL INFORMATION:
1. Applicant (corporation, individual, other): Lincoln County School Svstem
2. Print owners or signing official's name and title (the person who is legally
responsible for the facility and its compliance): Stephen A. Gilbert. PE, PLS —
Director of Utilities
3. Mailing address: Lincoln Countv, 115 West Main Street, Lincolnton. NC 28092
Telephone no.: 704/736-8495
4. Project name (establishment name): North Lincoln High School Wastewater Facilities
5. Facility Contact: Stephen A. Gilbert, PE, PLS
6. Application date: June 10.2003 7. Fee Submitted: $ 675.00
8. County where facility being pumped is located: Lincoln Countv
II. PERMIT INFORMATION:
1. Permit No. (to be completed by DWQ):
2. If this application is being submitted as a result of a modification to an existing permit,
please list the existing permit number N/A and issue date
3. Specify whether the applicant is: X public or private.
Wastewater Pump and Haul
Page 1 of 5

III. INFORMATION ON WASTEWATER:
1. Nature of Wastewater: 100 % Domestic: % Commercial;
% Industrial: % Other waste (specify):
2. Please provide a one or two -word description specifying the origin of the wastewater,
such as school, hospital, commercial, etc.: School
3. Description of any pretreatment of wastewater prior to pumping and hauling:
None
4. Volume of wastewater to be pumped and hauled: 600 gpd gallons per day
5. Explanation of how wastewater volume was determined:
40 faculty + 15 GPD / facultv = 600 GPD
IV. TREATMENT FACILITY INFORMATION:
1. Name of treatment facility receiving wastewater:
Lincoln County, Forney Creek WWTP
2. NPDES Permit number of treatment facility NC0074012
3. Treatment facility contact person and telephone no.:
Pete Starnes 704/822-9667
4. County where treatment facility is located: Lincoln County
IV. OTHER INFORMATION:
1. Brief project description: 186 GPM pump station and 34,400 LF of 6" force main
Wastewater Pump and Haul
Page 2 of 5

2. Explanation of why pump and haul is being requested: Construction time wiH exceed
completion date due to weather conditions. Sewer service is needed for faculty
members by the beginninij of Julv and the addition of students in August.
3. Specify how long pump and haul will be needed (maximum of six months):
3 months
4. What will be the permanent method of wastewater disposal once the pump and haul
activities have ceased? Disposal to pump station then pumped through 6" force
main to gravity sewer.
5. Date that permanent disposal method will be available: August 1, 2003
6. Have permits/approvals for permanent disposal method been obtained?
X Yes; Permit No.WQ0021907 Permitting Agency NCDENR DWQ
No; Pending Permit No. Permitting Agency
7. Describe how the wastewater will be transported (such as sealed tanker truck, etc.) and
provide the typical hauling volume of the vehicle providing the hauling: Tanker
truck volume 3.500 gallons
8. Name of owner/company of transporting (hauler) vehicle: William Lanier /
Stanley Septic
9. Mailing address of hauler: Post Office Box 184. Stanlev. NC 28164
Telephone no. of hauler: 704/263-8186
10. What type of tank or container will the wastewater be pumped from and what is the
volume of this container: Precast concrete wetwell. Volume — 1.375 gallons
Wastewater Pump and Haul
Page 3 of 5

12
Is the tank or container already in place or will it be installed for these.activitigs?
Already in place
What type of high water alarm does the container have?
audible and visual
X auto dialer
PLEASE ENSURE THAT THE FOLLOWING INFORMATION IS
PROVIDED AND/OR THAT THE FOLLOWING ISSUES ARE ADDRESSED OR THE
APPLICATION MAYBE RETURNED AS INCOMPLETE
a. A completed and signed Pump and Haul application form.
b. The appropriate permit fee of $675 for a flow of less than 10,000 GPD ($1090 if the
volume is greater than 10,000 GPD).
Two sets of detailed plans/specifications signed and sealed by a North Carolina
Professional Engineer must be provided, showing the components associated with the
pump and haul activity (drains, piping, tanks, etc.), a general location map, a plan view
of the storage facility and its relationship to property lines, structures, etc. The tank
detail should indicate the high water alarm (both audible and visual or an auto dialer).
Each sheet of the plans and the first page of the specifications must be signed/sealed by
the Professional Engineer.
d. A letter must be provided from the owner/authority of the receiving wastewater
treatment facility stating that the pumped and hauled wastewater will be accepted and
specifying the volume of wastewater that will be accepted.
e. A letter or contract from the hauler stating his capability and willingness to perform
the pumping and hauling.
f. Please provide a cover letter explaining the circumstances associated with this pump -and
haul request as required by NCAC 2H .0205(d)(13). Please note that P&H Permits are
not intended to allow the use of wastewater collection/disposal facilities for commercial
or residential development prior to the date by which permanent wastewater disposal
facilities are expected to be operational.
Wastewater Pump and Haul
Page 4 of 5

r
SEND THE PUMP AND HAUL PACKAGE TO THE FOLLOWING ADDRESS:
Water Quality Supervisor
Mooresville Regional Office
919 North Main Street
Mooresville, N. C. 28115
Telephone No.: 704-663-1699
Web Site: http://mro.enr.state.nc.us/wq/
Name and address of engineering firm: W. K. Dickson & Co.. Inc.
616 Colonnade Drive, Charlotte, NC 28205
Telephone no.: 704/334-5348
Professional Engineer's Certification:
George T. Lowder , attest that this application for North Lincoln High
School Wastewater Facilities has been reviewed by me and is accurate and
complete 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. Although other professionals may have
developed certain portions of this submittal package, inclusion of these materials under my signature and
seal indicates that I have reviewed this material and have judged it to be cojjjistfWj4y th the proposed design.
North Carolina Professional Engineer Seal and Signature
Permit No. WQ00 21907
Applicant's Certification:
N GAR `1,,
.4 S r _
I, Stephen A. Gilbert. PE, PLS , attest that this application for
Wastewater Facilities
E T $ 0
North Lincoln High School
has been reviewed by me and is 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 information and attachments are not
included, this package will be returned as incomplete.
Signature:
Wastewater Pump and Haul
Page 5 of 5
Date: 6 - / G - 072

FROM :STANLEY SEPTIC SERVICE FAX NO. :7042631477 Jun. 10 2003 01:47PM P2
STANLEY SEPTIC TANK SERVICE RADIO DISPATCED
P.O. BOX 184 — Stanley, NC 28164 — 704-263-8186 or 704-263-1477 — Lincolnton, 704-3422
6-10-03
Mike Parker
N.C. Dept of Environmental Resources
RE: North Lincoln High School
To Whom It May Concern:
Stanley Septic Service, Inc agrees to pump, in accordance with all State and Local Laws, the 800 Gallon
holding tank at North Lincoln High School. The septage will be disposed of, according to all ordinances and
codes given with our permit to be a Septage Management Firm.. The tentative dump site will be the Forney
Creek Waste Water Treatment Plant of Lincoln Co. The scheduled pumping will begin on July 1, 2003 and will
occur once per day until the contractor completes the new lift station for the school.
Thank you,
Jim Lanier
COMMERCIAL & RESIDENTIAL SEPTIC TANK SERVICE
Installations — Service — Rcpair Pumped
Baekhoe & Hauling Service

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Stanley Septic SenTice, Inc.
is here by issued a Septage D•i"ement Firm permit;
Permit Number NCS-00141
And by virtue of completing the annual training
requirements is hereby registered as a
S ep Cage Management Firm
in the State of North Carolina.
This peaait to operate a Septage Managemoot F. is issued to the abort named person, business or entity done and is not tnnsf= le to any other person buimtsor
enmay- Firm opener shall bcin socordanoe with the provisions of N.C. Generd Statue• 130A-291.I - 130A-29i3, Tide 1 SA of the N.C. Administrative Code 13B
d rzq., conditions of the permit, and repr�tations made in the applicationu
and accompanying documents for a pent _s or
The pemit holder is authorized to discharge septage only at the lo-hons(s) listed btdo,
1_ Bek3* t W/astewatcr Trm m = Fic31tr_
2 Charlotte M1eLkkaburg Unity Department_
3_ Septage Land Application Site # 36-04_
4. Septage Detention &- Treatment Fadky
This pcmrit dog not retitle the pen= holder to operate a Septage land Applicatioa Sine a Se 3 e Laetcation or Treatment Facility, or Ebony not spedGed herein ty, anT other solid waste management
Fidure W operate as permitted may msvlt in the L)epamnent suspending or —king this permit, initiating action to enjoin the unpermitted im
pemlties, or i3vokmg any other remedy as provided in Chapter 130.J, :lrtide I, part 2 of the North Carolina Uenenl Statutes. This �o �eutro m�po�8 �nuta0"e December 31, 2003_ 4r$is expires on
VA,
Signed

Pk
OICKSON
Engineers • Planners • Smeyo s
lrnJscaOe Arc Mdecls
JOB NAME i COMPUTED BY
CLIENT 4-,"- J % CHECKED BY
WKD NO.
SHEET N0.__ ___OF
DATE
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Enaineers • Planners • Surveoors
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J0B NAMEFyi2eZ .:�—,.v r COMPUTED BY_
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ALARM PANEL SCHEMATIC
NOT TO SCALE—
WKD NC !y --"S", i>.
SHEET NO OF
DATE G " /Z -03
DATE
HIGH LEVEL FLOAT
ALARM STROBE
ALARM HORN
HORN SILENCE PUSHBUTTON

DENR-OC3
11/7/97 DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
1/7/9
CASH RECEIPTS JOURNAL VOUCHER WITH SUMMARY Page 1 of 2
DOCUMENT ID: 1 1 6 2 1 I I I I Deposit Date: 1 0 7 0 1 9 0 0 3 Budget Code: 1 2 4 3 0 0
APP. CODE: m GL EFFECTIVE DATE: 1 0 7 0 1 9 0 0 3
DIVISION DATA TYPE CODE: 1:1Deposit No.: 1 1 3 4 0 0 1
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Justification: DLR-LQ Sediment Fees DAQ-Title V Fees
DWO-Pump & Haul Fees
Prepared by
Entered by:
Approved by:
Date:
DETAIL CHECK LIST IS ON BACK OF FORM FOR LISTING CHECKS INDIVIDUALLY
CASHSUMM.XLS
TOTAL DEBITS $
TOTAL CREDITS $ i l 1 4' 7 3 0 0
USE PINK PAPER

1 DENR OC3
11/7/97
CHECK
NO.
235
8665
2901
812
55199
1359
5722
273914
1029
3875
19412
32263
324642
2775
5586
7619
1260 325
6015 81
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Gastonia,City of
US Landlnvestment
Welborne,Wendy
Union,County of
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CummingsConstr
Landis,Town of
Gaston County
Dowell&Co
Davis
Dickson
PAYOR/VENDOR
NAME
Back of Cash Receipts Journal Voucher with Summary
DLR-LQ Sediment Fees
DAQ-Permit Fees
DAQ-Title V Fees
DWQ-Pump & Haul Fees
DWQ-Storm Water Permit
GW-LA Fees
DWQ-Water Permits Non -Discharge
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DESCRIPTION
DLR-LQ Sediment Fees
DLR-LQ Sediment Fees
DLR-LQ Sediment Fees
DLR-LQ Sediment Fees
DLR-LQ Sediment Fees
DLR-LQ Sediment Fees
DLR-LQ Sediment Fees
DLR-LQ Sediment Fees
DLR-LQ Sediment Fees
DLR-LQ Sediment Fees
DLR-LQ Sediment Fees
DLR-LQ Sediment Fees
DLR-LQ Sediment Fees
DLR-LQ Sediment Fees
DLR-LQ Sediment Fees
DAQ-Title V Fees
DLR-LQ Sediment Fees
DAQ-Title V Fees
& Haul
DETAIL TOTAL DEBITS
DETAIL TOTAL CREDITS
Form Name: Cash Receipts Journal Voucher with Summary
USE PINK PAPER