NC0087084_Regional Office Physical File Scan Up To 1/20/2021 - WQ Permits

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North Carolina Department of Environment and Natural Resources
Pat McCrory Kim H. Colson, P.E. John E. Skvarla, III
Governor Acting Director,'Division.of Water Infrastructure Secretary-DENR
Inspection Date,
December 9, 2013
Mr. Robert Daniels, Public Works Director
Town of Forest City
132 Wilkie Street
Forest City, North Carolina 28043
SUBJECT: Town of Forest City
Rutherford County
New & Replacement Gravity Sewer
SRF Project No. CS 370 626-03
Permit No. WQ00 35991
Engineer: McGill Associates
Contractor: Steppe Construction, Inc.
12/9/2013, CONSTRUCTION INSPECTION &
PROGRESS MEETING REPORT
Dear Mr. Daniels:
The Construction Inspection Group of the NC -DWI, Division of Water Infrastructure,
attended the Progress Meeting, and conducted a Construction Inspection on' 12/9%2013. Work
was being performed on Lake Street, and the Project has a Completion Date of 2/22/2014.
This letter and attachments should be filed with the other SRF project documents in your
possession. The required documentation for these publically funded projects is very important.
Documentation is to be kept on file for at least three years after project completion for possible
audit or review. If you have any questions, comments, or corrections to this report please contact
me, Tom S. Poe with the Construction Inspection Group by e-mail at ([e-mail]) or
at. 919-707-9160.
Sincerely,
Tom S. Poe,
Construction Inspection Engineer
tsp
Attachments, Construction Inspection Report & Project Summary Sheet
cc: Engineer, Mike Waresak, PE, McGill Associates (Asheville Office)
SRF Files, PMB, CIG,sheu + + exRegionalTOffic
RECEIVED
DEC 1 7 2013 -'
DWQ/Surface Water Protection Section
Asheville Regional Office
File name: Forest-City-SRF-03,STD-LTR-INSP-RPT,2013=12-09-tsp.docx
NC -DWI, Division of Water Infrastructure, (Formerly NC-DWQ-CG&L, Construction Grants and Loans Section) One
Mail Address for USPS: 1633 Mail Service Center, Raleigh NC 27699.1633 NorthCarolina
Street Address' for Fed-Ex(UPS: 81h Floor, 512 N. Salisbury St., Raleigh, North Carolina 27604 Phone:[phone], FAX:[phone] Internet:
Cc Distribution: Original, Engineer, SRF Files, PMB, CIG, Asheville Regional Office EEC/
Letter & CONSTRUCTION INPSECTION REPORT, Page 1 of 5

Recipient: FOREST CITY Project No: SRF CS 370 626-03
Description: NEW & REPLACEMENT GRAVITY SEWER Inspection Date: 12/09/2013
NC -DWI, Division of Water Infrastructure (formerly the NC-DWQ, Construction Grants and Loans Section, CG&L)
CONSTRUCTION INSPECTION REPORT
I. GENERAL COMMENTS:
a. NOTES and Project Status:
Project is ON -SCHEDULE with a Completion Date of 2/22/2014
Project Documentation is to be kept for at least 3 years after Project Close -Out.
b. SRF SPECIAL CONDITIONS:
1. Davis -Bacon Requirements are applicable, they are in the Contract
2. Davis -Bacon Requirements were discussed afthe Pre -Construction Conference
and at progress meetings, and will be checked at the Final Close -Out Meeting.
3. Certified Payrolls were discussed and are being submitted by contractor and
sub -contractors with each Payment Request. Certified Payrolls are to be
organized and summarized and are to be. kept on file for at least 3 years after the
project is completed with Owner's other Project Documentation.
4. Certified Payrolls are to be checked with the applicable wages (attached)
C. PROJECT DESCRIPTION: Permit No. WQ00 35991, Eli ig_ble,
NEW GRAVITY SEWER consisting of approximately 560 linear feet of 8-inch gravity sewer as a
part of the Central Business District Sewer Rehabilitation. REHAB. & REPLACEMENT of
Gravity Sewer, Installation of approximately 560 linear feet of new 8-inch gravity sewer,
replacement of approximately 5,730 linear feet of 8-inch gravity sewer, replacement of 26
manholes, 7 new manholes, abandonment of existing sewer, and removal and replacement of
pavement, roadways, driveways, and curbs, sedimentation and erosion control. devices, and
associated appurtenances necessary for the installation of a complete system within and up to the
existing right-of-way. Non Eligible Any installation of sewer service laterals outside the right-of-
way. Paving of roadways in excess of the excavated area.
d. CONTRACTOR:
Steppe Construction, Co. 4149 N. NC Hwy 9, Mill Spring, NC 28756
Myron Steppe, Project Manager, 828-625-4722
James Phelps, Field Superintendent, 828-243-0257
C. ENGINEERS: (Design and Construction Administration)
McGill Associates, 55 Broad Street, Asheville, NC 28801
Planning, Design, & Construction Administration:
Mike Waresak, PE, Project Manager & Jay Stewart, Field Inspector
f. FUNDING SUMMARY:
SRF FUNDING SUMMARY:
Original SRF Loan, (11/20/2012)
$ 902,700.00
Revised SRF Loan, (5/3/2013)
$ 944,197.00
Principal Forgiveness
$ 451,350.00
Closing Costs, (2% paid 7/24/2013)
$ 18,884.00
Interest
0.00%
Term
20 years
File name: Forest-City-SRF-03,STD-LTR-INSP-RPT,2013-12-09-tsp.docx CENTRAL BUSINESS DISTRICT SEWER REHABILITATION
Tom S. Poe: 919-616-4245(cell), E-mail: tom.00e@ncdenr.00v INSPECTION DATE: 12/09/2013
NC -DWI, Division of Water Infrastructure, SRF PROJECT No. CS 370 626-03 CONSTRUCTION INSPECTION REPORT: Page 2 of 5

Recipient: FOREST CITY Project No: SRF CS 370 626-03
Description: NEW & REPLACEMENT GRAVITY SEWER Inspection Date: 12/09/2013
NC -DWI, Division of Water Infrastructure (formerly the NC-DWQ, Construction Grants and Loans Section, CG&L)
CONSTRUCTION INSPECTION REPORT
g. PROJECT EXPENSE SUMARY:
PROJECT EXPENSES SUMMARY:
Original Bid, on2/26/2013 was
$.978,938.60
with a Deduct for Alternative No.1
$ 40,918.00
$ 938,020.60
Neotiated Bid dated 4/1/2013 is
$ 760,354.00
Project Expenses,
(ATA Letter 7/17/2013)
Total
Amount
*Eligible
Amount
Steppe Construction, Inc.
$ 760,354.00
$ 760,354.00
Contingency
$ 38,018.00
$ 38,018.00
Tech.Services(Plan& Design)*
$ 68,600.00
$ 68,600.00
Tech.Services(CA)*
$ 49,600.00
$ 49,600.00
Other Eng.Services*
$ 7,625.00
$ 7,625.00
Bidding Services*
$ 5,000.00
$ 5,000.00
Legal and Testing*
$ 15,000.00
$ 15,000.00
Closing Fee (2%)
$ 18,884.00
Total.Eligible Costs
$ 944,197.00
*Subject to further review
* SRF Loan is limited to $ 944,197.00
II. CONSTRUCTION PROGRESS:
a. CONTRACTOR: ............................ Steppe Construction
NTP, Construction Start: 8/26/2013
NTP, Construction Time: n/a, 180 days; for Substantial, & Final
NTP, Completion Dates: n/a, 2/22/2013, for Substantial & Final
% Schedule Time Elapsed 58.0 %
% Actual Work completed ?? %, all pipe in except 460 LF
% SRF Funds Disbursed 19.4 % (see Disbursement Summary)
b. CHANGE ORDER SUMMARY:
No Change Orders to date, however Change Orders are pending
The Bore under RR Tracks will have to be removed from Contract ($42K)
Additional Gravity Sewer lines are proposed to be replaced
Storm drains crossing, conflicting with sewer, and collapsing near sewer lines,
and flowing water under and outside of pipes must be addressed.
c. WORK COMPLETED, LAST 30.DAYS:
Finished laying pipe on Utah, Pine Ridge, Mayflower, OhioStreets
Patching done on Utah, Ohio, and Pine Ridge
Insituform completed relining on Broadway
Pipe laid on Lake Street, additional pipe and storm culverts being investigated
Work on Young,.Huntley, and Pryor Streets begun
Clearing of ROW/Easement behind Hainmertown garages for new gravity sewer.
File name: Forest-City-SRF-03,STD-LTR-INSP-RPT,2013-12-09-tsp.docx CENTRAL BUSINESS DISTRICT SEWER REHABILITATION
Tom S. Poe: 919-616-4245(cell), E-mail: tom.poe@ncdenr.00v INSPECTION DATE: 12/09/2013
NC -DWI, Division of Water Infrastructure, SRF PROJECT No. CS 370 626-03 _ CONSTRUCTION INSPECTION REPORT: Page 3 of 5

Recipient: FOREST CITY Project No: SRF CS 370 626-03
Description: NEW & REPLACEMENT GRAVITY SEWER Inspection Date: 12/09/2013
NC -DWI, Division of Water Infrastructure (formerly the NC-DWQ, Construction Grants and Loans Section, CG&L)
CONSTRUCTION INSPECTION REPORT
d. WORK SCHEDULED: NEXT 30 DAYS,
Young, Huntley, and Pryor pipework to continue
460 LF of pipe left in original contract
The Bore under RR Tracks will have to be removed from Contract
Additional Gravity Sewer lines are to be replaced
III. SITE INSPECTION: (Field Checklist also attached)
A:
Site Conditions: GOOD
B.
Storage and protection of stored materials adequate? ........................... Yes Q
No ❑
n/a ❑
C.
Safe conditions observed? Unsafe conditions reported if applicable?..
Yes Q
No ❑
n/a ❑
D.
OSHA Poster and Labor Laws posted? ................................................ Yes Q
No ❑
n/a ❑
E.
Inspectors records, reports, shop drawings, files, etc. reviewed? ......... Yes Q
No ❑
n/a ❑
F.
Required Testing done? YES Q, Results in Engineers/Owners File..
Yes Q
No ❑
n/a ❑
Concrete: Yes ❑ No ❑ n/a ❑
Soil: Yes ❑ No ❑ n/a ❑
Other: Yes ❑ No ❑ n/a ❑
G. As -built drawings are being kept up to date? Copy provided ..............
Yes Q
No ❑
n/a ❑
H. SCHEDULE: Up to date? Copy posted and provided? ....................
Yes
No ❑
n/a ❑
I. DELAYS: Any know delays in completing contract on time?............
Yes ❑
No ❑
n/a ❑
J. WORK ACCEPTIBLE for reimbursement? .........................................
Yes CQ
No ❑
n/a ❑
IV. DISBURSEMENT SUMMARY:
Payment or
Disbursement #
Date of
Disbursement
Individual
Disbursement
_ Amount
Cummulative
Disbursed
to date
%
Disbursed
to date
1
10 / 31 / 2013
$ 183,526.00
$ 183,526.00
19.4%
2
3
.Total SRF Loan = $ 944,197.00 _
Cummulative Disbursed to date _ $ 183,526.00
Remaining balance = $ 760,354.00
Placed in
V. ATTACHMENTS: Q ❑.......................... Included ...............
SRF Files
PROJECT SUMMARY Sheet ................. Q ......................
Q
1.
Construction Inspection Check List......... Z .............. :.......
z
2.
Memo-w/ Photos ......:............................... ❑ ......................
❑
3.
Attendance/Contact List .......................... ❑ ........................
❑
4.
Eng. Progress Meeting Minutes ............... ❑ ........................
❑
5.
Davis -Bacon Items: ❑Poster, QGuidance & Wages
❑Interview Form(n/a), ❑Certified Payrolls
6.
Schedule, Revised or Updated? ............... ❑ ........................ ❑
7.
Change Order Summary .......................... ❑ .......................: ❑
8.
List of Sub -Contractors ............................ ❑ ........................
❑
File name: Forest-City-SRF-03,STD-LTR-INSP-RPT,2013-12-09-tsp.docx CENTRAL BUSINESS DISTRICT SEWER REHABILITATION
Tom S. Poe: 9 1 9-616-4245(cell), E-mail: tom.00e@ncdenr.00v INSPECTION DATE: 12/09/2013
NC -DWI, Division of Water Infrastructure, SRF PROJECT No. CS 370 626-03 CONSTRUCTION INSPECTION REPORT: Page 4 of 5

Recipient: FOREST CITY Project No: SRF CS 370 626-03
Description: NEW & REPLACEMENT GRAVITY SEWER Inspection Date: 12/09/2013
NC -DWI, Division of Water Infrastructure (formerly the NC-DWQ, Construction Grants and Loans Section, CG&L)
CONSTRUCTION INSPECTION REPORT
9. Testing Reports ........................................ ❑ ........................ ❑
V.b. BLANK FORMS:
These items were previously provided at Pre. Con and/or discussed at Progress Meetings..
Additional copies are available in paper or electronic format.
1. Pre -Construction Information
2. Change Order Check List
3. Close -Out Checklist
4. Owners Certification of Completion (blank)
5. EPA Form 6100-2, (blank)
Vx. CLOSE-OUT DOCUMENTS:
These items are required for Project Close -Out, numbered here as on Close -Out Checklist.
0. CLOSE-OUT Checklist,
8a. Contractor's Consent of Surety,
8b. Contractor's Release of Liens,
14. Owners Certification of Completion,
15. Engineer's Certification,
** Davis Bacon, Certified Payroll Summary and EPA Form 6100-2, (*now optional)
VI. ATTENDEES LIST:
r
N O
L C
r
N
°'
C
o
r
NAME
COMPAY
PHONE
E-mail
o �i
o
_
r
o
_
�
Ci
co
.�
O
>
z
U
❑
Y
Y
Y
Tom Poe
NC -DWI
919-616-4245
[e-mail]
Y
Y
Mike Waresak
McGill
828-252-0575
Y
Ben Cathey
McGill
828-310-1456
Y
Jay Stewart
McGill
864-444-3415
[e-mail]
Y
Y
John Condry
Forest City.
828-245-4747
Y
Y
Julie Scherer
Forest City
828-245-4747
Y
Y I
Reid Hammett
Forest City
828-429-8411
Y
Y
Ray Mclnturff
Forest City
828-447-1254
Y
Stewart Briscoe
Forest City
828-429-8412
Y
Y
Myron Steppe
Steppe Const.
828-675-4722
Y
Y
James Phelps
Steppe Const.
VII. COMMENTS:
Next Meeting is 1/13/2013. Please provide an electronic copy of Schedule of Values
spreadsheet each month. Temperature, weather, and availability of asphalt may delay
completion. Investigation of failing storm drains draining around sewer lines is ongoing. If
you have any comments or corrections to this report please let me know. Thanks,
s Pam. �z- 9- Zot3
Tom S. Poe (date) i Ase eCt,'a1-1
Construction Inspector, NC -Division of Water Infrastructure (DWI)
919-707-9160 (main office), 919-616-4245 (cell), [e-mail]
File name: Forest-City-SRF-03,STD-LTR-INSP-RPT,2013-12-09-tsp.docx CENTRAL BUSINESS DISTRICT SEWER REHABILITATION
Tom S. Poe: 919-616-4245(cell), E-mail: [e-mail] INSPECTION DATE: 12109/2013
NC -DWI, Division of Water Infrastructure, SRF PROJECT No. CS 370 626-03 CONSTRUCTION INSPECTION REPORT: Page 5 of 5

Page 1 of 3
Je-
Y
'neral.Decision Number: NC130068 01/04/2013 NC68
Superseded General Decision Number: NC20120068
'State: North Carolina
..Construction Type: Heavy
Counties: Ashe, Avery, Cherokee, Clay, Graham, Jackson,
Macon, McDowell, Mitchell, Polk, R,uthe_rford, Burry, Swain,
Transylvania, Watauga, Wilkes and Yancey Counties in North
..Carolina.
HEAVY CONSTRUCTION PROJECTS
Modification Number Publication Date
0 01/04/2013
SUNC2011-049 08/26/2011
Rates Fringes
CARPENTER (Form Work Only) .......
$ 14.85
1.38
CEMENT MASON/CONCRETE FINISHER ...
$ 13.10
1.32
"i,ABORER: Common or Genera l.......
$ 10.60
0.49
J
LABORER: Pipelayer..............$
12.54
1.56
OPERATOR:
Backhoe/Excavator/Trackhoe.......
$ 14.8.6
1.50
TRUCK DRIVER .....................$ 12.32 1.46
-----------------------------------------------
WELDERS - Receive rate prescribed for craft performing
operation to which welding is incidental.
Unlisted classifications needed for work not included within
the scope of the classifications listed may be added after
award only as provided in the labor standards contract clauses
(29CFR 5.5 (a) (1) (ii)).
The body of each wage determination lists the classification
R and wage rates that have been found to be prevailing for the
;cited type(s) of construction in the area covered by the wage
,"determination. The classifications are listed in alphabetical
order of "identifiers" that indicate whether the particular
ri. NT..,.--f?,ift�LTA'Pi_.1 N/T(1(1/A,nnT)ato/T,ncal/Temp/Low/3NVK)MBRA.htm 2/5/2013

DWI -CONSTRUCTION INSPECTION CHECKLIST
PROJECTNAME: FOREST (,rY PROJECT No. CS 370 6U
Owners Rep(s): :T w C'. j�.� Project Description:.
M:�(,dare s
Engineering Rep(s): �e a K. Se, 00-1- 22,6,i . glace _
Contractors Rep(s): MveDA S{-egge. (PM), TarAeS (Site Supervisor)
A. CONSTRUCTION: Weather: 9 Site Conditions: &- a) 21210
1. Storage / Protection of Stored Materials adequate? ... Yes LJ No ❑ n/a ❑
2a. N.C. OSHA / Labor laws posted[ l? Photo ? x......... Yes No ❑ 'n/a ❑
2b. Safe conditions & methods observed: ........................ Yes ® No ❑ n/a T1
2c. IF Safety issues exist, Un-Safe description & documentation attached !
*List 3. Inspections or site visits by others listed?..................Yes ElNo W n/a ❑
*List 4. Sub -Contractors performing work this month, listed in Eng.Prog.mtg.mins?
B. ENGINEERING INSPECTION: Field Inspectors: 1. Docs.Provided: Agenda&6, Mtg.MinsV, Shop Dwgs21, Submittal Logy, SOV❑
2. Engineer's Daily Log -Field Notes Do e,Reviewed? Yes El No ❑ n/a El3. Testing DoneRf Reports ReviewedMAll Passed? ...Yes No ❑ n/a ❑
*List 3b. TESTING: Types of Testing done listed?
4. As-Builts red-line4 Up-to-dateEZ Ch cked ........Yes 11 No El n/a ❑
5. Built according to Plans and Specs?Yes Submittals approved in writing? Yes
C. I SCHEDULE: Any Delays?❑ ON -SCHEDULE? ............Yes ❑ No ❑ n/a ❑
NTP Notice To Proceed:
- 2 6 - Zola
< Start Date >
-2 - 26 - 2013
-.NTP—Construction-DAYS:-.__
....._._. - -A _-___
_ � s-_-- -
_- __ I -So ------ -------
-Final da s
NTP Completion DATES:
M ate
2 • z ?. - u i Y
Final date
COs , OAdd Days ,er'
.S4b4autig days
Final. da s
COMPLETION DATES:
Substantial date
FINAL date
D. PROJECT PAYMENTS: (see Disbursement Summary)
DWI Disbursement No.
Date
to - 3 i- Zo13
Amt. $
f 935, z 6
Contractors Payment No.
Date
Amt. $
E. SRF & DAVIS BACON REQUIREMENTS:
Requirements discussed with Owner, Engineer, and Contractor, Yed No ❑
1. .......
2. Dffi4s B aeon Tmten,iews? (n/a as of 12/2012), .............
3. Davis Bacon, Poster and Wages Posted Photo❑? ......Yes ❑ No ❑
4. Certified Payrolls(include Subs)checkedg Submitted? Yes V No ❑
k.CTION ITEMS:
t�reas2 SeAd
fr reccel br w�al 3:d S4ed, le-1w0 W K e" P&7 mc-'4
0104 a-A6 Udeaq e O rd er
TOTE: Documentation is to be kept on file by Owner for at least 3 years after projectpcompletion.
)ocumentation is complete according to Engineer, Owner, & Contractor? .......Yes 61 No ❑ n/a ❑
)uality of work completed is acceptable for payment by Owner & Engineer? ..Yes 9 No ❑ n/a ❑
n/a ❑
n/a Q
n/a Q
n/a ❑
n/a ❑
ector. Tom S. Poe (919-616-4245 cell) [e-mail]
Foto File Nos. _> 6 9 64 - -7tD 10
le name: 000f,BLANK-SRF-ZZ,STD-INSP-CHECKLIST,tsp-2013-12-OB.docx Progress Mtg. ✓ ,Site visit ,Inspection -
-DENR,DWI, (Division of Water Infrastructure) _ a
ail Address: 1633 Mail Service Center, Raleigh NC 27699-1633, Project: og i✓ S T C lT d _
reet Location:512 N. Salisbury St., 81h Floor, Raleigh, NC 27604 Date �� - '1-���
tone: 919-707-9160 \ FAX: [phone] Internet: www.nowatergualitv.ora

PROJECT SUMMARY WORKSHEET:
FOREST CITY SEWER REHAB.
PROJECT No.
CS 370 626-03
DWI Inspector is
Tom Poe
ENGINEER: McGill Assoc. Asheville CONTACT is Mike Waresak
PERMIT No(s).
W000 35991
CONTRACTOR: Steppe Const.
CONTACT is Myron Steppe
COUNTY:
Rutherford
1-UNIJINU.: = FHUJt(:1 hXPhN5E5: - - -. - PROJECT NOTES -
F4
Original SRF =
$ 902,700.00
Item
Total
Eligible*
' see ATA Letter 7/17/2013
Increased SRF =
$ 944,197.00
Steppe Const.
$ 760,354.00
$ 760,354.00
Original Bid =
$ 978,938.60
TOTAL SRF LOAN =
$ 944,197.00
Contingency
$ 38,018.00
$ 38,018.00
Deduct Alt#1 -
Principal Forgiveness=
$ 451,350.00
Tech.Serv.P&D
$ 68,600.00
$ 68,600.00
w/ Deduct =
$ 938,020.60
Amt.toRepay--1
$492,847.00
Tech.Serv.CA
$ 49,600.00
$ 49,600.00
Contract Negotiation =
(-) $ 177,666.60
Closing Costs 2% =
$ 18,884.00
Eng. Other
$ 7,625.00
$ 7,625.00
Agreement = $ 760,354.00
Loan is 0 % for 20 years ,
Bidding
$ 5,000.00
$ 5,000.00
First Repayment date 1 05 / 01 / 2015
Legal and Testing
$ 15,000.00
$ 15,000.00
PROJECT -_BEGINS:
Closing Fee (2%)
$ 18,884.00
04 / 01 / 2011
Intent to Fund
Total Eligible Costs
$ 944,197.00
Funding Cycle
CONSTRUCTION SCHEDULE:: (NTP & COs)
STATUS of SCHEDULE
09 / 20 / 2011
ER Approval
NTP Start Date =
08 / 26 / 2013
08 / 03 / 2012
P.S. Approval
COMPLETION =
Substantial
Final
**From this Date =>
12 / 09 / 2013
02 / 13 / 2013
Pre -Bid Mtg.
NTP Days =
n/a
180 days
Calc. Days Elapsed—'
105 days
1
02 / 21 / 2013
Adddendum #1
*NTP Dates =
n/a
02 / 22 / 2014
% Days Elapsed=
58%
2
02 / 22 / 2013
Adddendum #2
Days Added =
0 days
0 days
Days Left=
75 days
3
02 / 25 / 2013
Adddendum #3
Days w/ COs =
n/a
180 days
or Days Over=
02 / 26 / 2013
Bid Date
Dates w/ COs =
n/a 02 / 22 / 2014
=
04 / 03 / 2013
Addenda Ltr.
07/17/2013
ATA Letter
DWI-SRF
RE-IMBURSEMENTS:
CHANGE.ORDERS
08 / 20 / 2013
Const.Doc.Aprvd.
0
TOTAL SRF LOAN =
$ 944,197.00
Original Contract =
$ 760,354.00
Prog.Mtg.. &'Inspections
Dates Notes
1
Date.
Amount
Cumulative
Date
Amount
2
10 / 31 / 2013
$ 183,526.00
$ 183,526.00
1
1
08 / 05 / 2013
Pre.Con.Mtg.
3
-
2
2
09 / 09 / 2013
Site visit
4
3
3
10 / 14 / 2013
Insp.& Prog.Mtg.
5
4
4
11 / 11 / 2013
Prog.Mtg.(dna)
6
5
5
11 / 18 / 2013
Insp.site visit
7
6
6
12 / 09 % 2013
Insp.& Prog.Mtg.
8
7
9
8
10
9
11
10
Amount Disbursed to date =
$ 183,526.00
SUM ALL COs =
$ 0.00
11
% Disbursed to date =
19.4%
Revised Contract =
$ 760,354.00
i2
Amount left =
$ 760,671.00
13 DESCRIPTION:
14 FINAL INSP. NEW and REPLACEMENT GRAVITY SEWER:
15 CLOSE-OUT Mtg. New: 560 LF 8" Sewer, Permit # WQ00 35991
COMPLETION DATES: Replace: 5,730 LF 8" Sewer, Replace 26 MH, 7 New MH
approx. 170 LF Jack and Bore w/ 24" casing
Punch List 2,100 LF of CIPP, and _Service Connections
Substantial
Final CURRENT STATUS:
CLOSE-OUT DOCs. ON SCHEDULE, 75 Days to go
CHECK -LIST CHANGE ORDER items being discussed
Final CO
Owner's Cert. PROJECT SUMMARY: FOREST CITY
Engineer Cert. PROJECT No. SRF CS370 626-03
others DATE: 12 / 09 / 2013
File name: 222a,Forest-City-SRF-03,XL-PROJ-SMRY-2013-11-29.xlsx
Sheet name: Forest- City-PROJ-SMRY,v11-29
Date printed: 12/14/2013, 6:01 PM

� n 0
iA.
YE�i�
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E. Dee Freeman
Governor Director Secretary
March 14, 2012
Charles R. Summey, Town Manager
Town of Forest City
P.O. Box 728
Forest City, N.C. 28043
Subject: Permit No. WQ0035807
Town of Forest City
Assistance with Horsehead Utilities
Wastewater Collection System Extension
Rutherford County
Dear Mr. Summey:
In accordance with your application received March 1, 2012 we are forwarding herewith Permit
No. WQ0035807, dated March 14, 2012 to the Town of Forest City 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 2T .0300 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 2T .0300; 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 herein. 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.
NorthCarolina
NaturAY
SURFACE WATER PROTECTION — ASHEVILLE REGIONAL OFFICE
Location: 2090 U.S. Highway 70, Swannanoa, NC 28778
Phone: [phone] FAX: [phone]
Internet: mm.nmaterquality.org S:\SWP\Rutherford\Collection Systems\Forest City Collection System\WQ0035807 Forset City Assistance with

Town of Forest City March 14, 2012 Page 2
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 the
Town of Forest City for the construction and operation of a 90 gallon per minute pump station with
duplex pumps, on -site audible and visual high water alarms, and as well as approximately 7,370 linear
feet of 4-inch force main to serve the Assistance with Horsehead Utilities project and the discharge of
8,750 gallons per day of collected domestic/commercial wastewater into the Town of Forest City's
existing sewerage system, pursuant to the application received March 1, 2012 and in conformity with
15A NCAC 2T .0300; 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 a part of this
permit.
The sewage and wastewater collected by this system shall be treated in the Town of Forest
City's Riverstone Industrial Park Wastewater Treatment Facility (Permit No. NC0087084) prior to being
discharged into the receiving stream.
The Operational Agreement between the Permittee and the Environmental Management
Commission is incorporated herein by reference and shall be a condition of this permit. Noncompliance
with the terms of the Operational Agreement shall subject the Permittee to all sanctions provided by
North Carolina General Statutes §143-215.6A to §143-215.6C for violation of or failure to act in
accordance with the terms and conditions of this permit.
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 150E 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 Jeff Menzel at (828)
296-4500.
Sincerely,
for Char es Wakild, P.E., Director
Division of Water Quality
cc: Rutherford County Building Inspector
Nate Bowe, P.E./McGill Associates, P.A.
Surface; Water Protection Section Central Files
PERC& Files

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND 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:
1. This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2T .0300; 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 2T .0300: If an individual
permit is not required, the following performance criteria shall be met as provided in 15A NCAC 2T
.0300:
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.

I
PERMIT NO. W Q 0035807 Town of Forest City, Assistance with Horsehead Utilities Rutherford County March 14.2012
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. Upon completion of construction and prior to operation of these permitted facilities, a certification, a
copy of the construction record drawings, as well as supporting design calculations for any pump
stations permitted as part of this project shall be received from a North Carolina -licensed
Professional Engineer certifying that the facilities have been installed in accordance with this
permit; 15A NCAC 2T .0300; 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 Main adopted June 1, 2000 as applicable; and other supporting materials. If this
project is to be completed in phases and partially certified, you shall retain the responsibility to
track further construction approved under the same permit, and shall provide a final certificate of
completion! once the entire project has been completed. A copy of the construction record
drawings, indicating the facilities constructed in the phase being certified, shall be submitted with
each partial certification. Mail the Engineer's Certification, one copy of the "Construction Record
Drawings," and one copy of the supporting design calculations to the Non -Discharge Permitting
Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617.
7. A copy of the construction record drawings shall be maintained on file by the Permittee for the life
of the wastewater collection facilities.
B. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2T .0300; 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 NCG010000, and any requirements pertaining to wetlands
under 15A NCAC 2B .0200 and 15A NCAC 2H .0500.
11. Noncompliance Notification:
The Permittee shall report by telephone to a water quality staff member at the Asheville 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:

PERMIT NO W00035807. Town of Forest City, Assistance with Horsehead Utilities, Rutherford County March 14.2012
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 :this 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 (919)
733-3300. 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 1(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 14 DAY OF MARCH, 2012
NORTH CAROLINA//ENVIRONMENTAL MANAGEMENT COMMISSION
J�
for Charl Wakild, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0035807

PERMIT NO. W00035807, Town of Forest City. Assistance with Horsehead Utilities, Rutherford County March 14 2012
ENGINEERING "CERTIFICATION — POST CONSTRUCTION
System Description: permission is hereby granted to the Town of Forest City for the construction and
operation of a 90 gallon per minute pump station with duplex pumps, on -site audible and visual high
water alarms, and;; as well as approximately 7,370 linear feet of 4-inch force main to serve the
Assistance with Horsehead Utilities project and the. discharge of 8,750 gallons per day of collected
domestic/commercial wastewater into the Town of Forest City's existing sewerage system
Complete and submit this form to the Asheville 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
r
• 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.
I •
ENGIN
❑ Partial ❑ Final
as a duly registered Professional Engineer in the State of North Carolina, having
been authorized to observe (❑ periodically, ❑ weekly, ❑' full time) the construction of the above referenced
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 iiitas Observed to be built within substantial compliance
of this permit; 15A NCAC 2T .0300; the Division�•of VVater.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
CHUCK CRANFORD
SURFACE WATER PROTECTION SUPERVISOR
ASHEVILLE REGIONAL OFFICE
2090 US HIGHWAY 70
SWANNANOA, NC 28778
The Permittee is responsible for tracking all partial- certifications' do 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-Ito appropriate enforcement actions.

^WQ0035807
a t�•, _ e * Sr O
IR, r� r� ra F i n n P
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. uslperes/Collection%20SystemilCollectionSystemApplications.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 Dlans and specifications unless you respond NO. to Item B(13).
Separate aDDlications 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.
N/A C. Certificates of Public Convenience and Necessity - If the application is being submitted in the .name of a
privately -owned public utility, submit two copies of the Certificate of Public Convenience and Necessity (CPCN)
which demonstrates that the public utility is authorized to hold the utility franchise for the area to be served by the
sewer extension. If a. CPCN has not been issued, provide two copies of a letter from the North Carolina Utilities
Commission's Public Staff that states that an application for a franchise has been received, that the service area
is contiguous to an existing franchised area, and/or that franchise approval is expected. The project name in the
CPCN or letter must match that provided in Item A(2)a of this application.
N/AD D. Operational Agreements — Submit one original and two copies of a properly executed operational agreement,. as
per 15A NCAC 02T .0115, if the application is submitted by a private applicant and will be serving residential or
commercial lots (e.g.; houses; condominiums, townhomes, outparcels, etc.) that will be sold to. another entity. If
the applicant is a home or property owner's association, use Form HOA 02/03. If the applicant is a developer,
use Form DEV 02/03: EVEN IF THE PROJECT MAY BE TURNED OVER TO A MUNICIPALITY UPON
COMPLETION, FORM DEV 02/03 IS REQUIRED.
rX 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, acid that the flow from this project will not cause capacity related sanitary
sewer overflows or overburden any downstream pump station en route ' to the. receiving wastewater treatment
Plant. Where the applicant is not the. owner.of-the downstream sewer, submit two copies of FORM FTSE 10/07
from the owner of the, downstream sewer and owner of the WWTF; if different: The flow acceptance 'indicated in
FORM.FTSE-10/07 must not expire prior to permit issuance and must be.dated less than one year prior to the
application date. Submittal of this application and FORM FTSE-10107 indicates that owner has- adequate
capacity and will not:violate G.S. 143-215.67(a). Intergovernmental agreements or other contracts will not be
accepted in lieu of project -specific FTSE 10/07.
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.
FTA12/07

. XX ' G. Stream Classifications — )rshed Classification Attachment (Fors SCAS-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.
N/AD H Environmental Assessments — If this project is subject to an Environmental Assessment (EA) [15A NCAC
01C], this application cannot be used.. Send the project application on the most current version of Form
PSFMGSA to the Design Management Unit, 1633 Mail Service Center, Raleigh, NC 27699-1633. Applications
cannot be accepted until a Finding of No Significant Impact (FONSI) or Environmental Impact Statement (EIS).
has been issued. A copy is to be submitted with that permit application.
N/AQ I. Flow Direction — Many wastewater treatment systems are entering into agreements for regionalization efforts
and emergency treatment capacity. Parts of the system are installed so that the wastewater flow can be directed
to more than one treatment facility. If this is the case with this project, please indicate in B(12) and give the permit
number of the second treatment facility.
X❑ I Certifications — Section C
The application must be certified by both the applicant and the design engineer who is a North Carolina
Registered Professional Engineer (PE). The applicant signature must match the signing official listed in Item
A(1 b). The PE should NOT certify the application if he/she is unfamiliar with 15A NCAC Chapter 2T, the Gravity
Sewer Minimum Design Criteria (most recent version) and the Minimum Design Criteria for the Fast -Track
Permitting of Pump Stations and Force Mains (most recent version), as applicable to the project.
THE COMPLETED FTA 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
(704) 66376040 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
(910) 79677215
[phone] Fax
Winston-Salem Regional Office
585 Waughtown Street
Alamance,'Alleghany, A&he, Caswell, Davidson,'
Winston-Salem, North Carolina 27107
Davie, Forsyth, Guilford, Rockingham, Randolph,
(336) 771=5000
Stokes, Surry, Watauga, Wilkes, Yadkin
[phone] Fax
For more information, please visit our web site at.
http://h2o.enr state.nc.uslperes/Collection%2OSystems/Collection SystemsHome.html
or contact the Regional Office serving your county.
FTA12/07

USE THE TAB KEY?O MOVE FROM FIELD TO FIELDI
Application Number:
WQ0035807
(to be completed by DWQ)
1.
Owner/Permittee, �� p
la.
-Town of Forest City
Full Legal Name (company, municipality, HOA, utility, etc.)
Z
1b.
Charles R. Summey, II, City Manager .
Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) fo authorised stgn�ng offlcrals�).
Q •
1c.
The legal entity who.will own this system is:
El' Individual ❑ Federal El Munici j] State/County 0 Private Partner hi ❑ Cor tion 0 he is (rei
alit' . or
0 `
1d.
P.O. Box 728 1-e. Forest:Clt
`LL
Mailing Address city
Z .
if.
North Carolina 1g. 28043:.. (- 1�gAfl=1-2012.
Z'
State _ zip Code
0
1 h.
.828-2454747
1 i. 828-245-6143.
1j. csuniriie @tow - offorrestcity;gam
— -
Facsimile
E-maiF 9 ' ^„ �` f �iONA O
-
Telephone
V .
2.
Project (Facility). �.....,,, .
J
2a.
Assistance with Horsehead Utilities
12b. Rutherford
Brief Project Name (permit will refer to this name)
County VVhere-Projectis Located
G.
d
3.
Contact Person:
QA
3a.
Nate Bowe, McGill Associates, P.A.
Answer
Name and Affiliation of Someone Who Can Questions About this Application,
3b.
828-252-0575
13c. [e-mail]
Phone Number
E-mail
1.
Project is ® New- 0 Modification (of an existing permit) If Modification, Permit No.:
2.
Owner is 0' Public (skip to Item B(3)) E 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
0. Public Utility (Instruction C)
0: Leasing units (lots, townhomes, etc. - skip to Item B(3))
0 Homeowner-Assoc./Developer (Instruction D)
0. Selling units (lots, townhomes, etc. - go to Item B(2b))
3,
Town, of Forest City .
Z
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
a.
Riverstone Industrial Park WWTP
b." NC0087084
Name of WWTF
WWTF Permit No.'
,5a.
n/a
5b. n/a-.
Gravity n/a
5c. n/a - Flow will enter directly to Riverstone WWTP
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):LL
Z
~'
ElResidential Subdivision
0 Retail (Stores, shopping centers)
100 %Domestic/Commercial
El, Apart ments/Condominiums
ElInstitution
% Industrial (attach
ElMobile Home Park
School
El. Hospital
description.)
W
0'
0; Restaurant
ElChurch
[I Nursing Home
(RO: contact your Regional Office
® Office (multiple offices/showers
0 Other (specify):
Pretreatment staff)
m
at industrial facility)
%, Other (specify):
7.
Volume of wastewater to be allocated or permitted for this particular project: 81750_.. gallons per day
*Do not include future flows or previously permitted allocations
8.
If the permitted flow is zero, indicate why: n/a
Q Pump Station, Outfall or Interceptor Line where flow will be permitted in subsequent. permits that connect to this line
Ell Flow has already been allocated in Permit No..
❑' Rehabilitation orreplacement of existing sewer with no new flow expected (see 15A NCAC 02T .0303.to determine if a
permit is required)
FT-Al2/07

Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2T .0114 for
the value in Item 13(7) AND/OR the design flow for line or pump station sizing if a reduced or zero flow•is being requested in
Item 13(7). Values other than that in 15A NCAC 2T .0114 (b) and (c) must be supported with actual water or wastewater use
data in accordance with 15A NCAC 2T .0114 (f).
Factories/businesses with showers or food preparation = 35 gal/employee/shift per 2T rules:
250 employees total over 3 shifts x 35 gallons per day per person = 8,750 gallons per day
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary) n/a
Size (inches) Length (feet) New Gravity or Additional
Force Main
":—._....._... -- ............... .-
0 '11. Summary of Stations w/ associated Force Mains to be Permitted (attach additional sheets as necessary)
-Pump
Pump Station Location ID 390 Hicks Grove Road (self chosen - as shown on plans/map for reference)
Z
Design Flow Power Reliability Option
(MGD) .Operational Point, 1 permanent generator w/ATS; Force Main Size E Force Main Length
i2-
O 3
GPM @TDH
portable generator w/MTS I
..
0.00875 ! 90 gpm @ 50 ft 1 4-inch 7,370 linear feet
P`. 1Pump
Station Location ID (self chosen - as shown on plans/map for reference)
—
I
Design Flow ! i Power Reliability Option
I Operational Point! Force Main Length
(MGD) j GPM @TDH 1 - permanent generator w/ATS, < Force Main Size
0
2 - portable generator w/MTS
LL
Z
: r
•W ;-IPump Station Location ID ^— — (self chosen - as shown on plans/map for reference)
— --
W
Design Flow Power Reliability Option
Operational Point;
(MGD) 1 - permanent generator w/ATS; Force Main Size Force Main Length
GPM @TDH 2 - portable generator w/MTS
i
.....- ---- ...... --- .. ... -- -
l �_—_.........._ . - —
112. 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 2"d treatment facility. ,
(RO — if "yes" to 13,12 please contact the Central Office PERCS Unit)
113.
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
,j
variance is requested. SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS
PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
FTA 12/07

114. Have the following permits/ceniflcations been. submitted for approval for the system or project to be served?
.. Wetland/Stream Crossings - General -Permit or 401 Certification? ❑ Yes ® No ❑ N/A
Sedimentation and Erosion Control Plan? ❑ Yes . [N No ❑. NIA . .
Stormwater? ❑ Yes ❑ No ® N/A
115. -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 montha.
jCheck if Yes: ❑ and provide details n/a
�1. Owner/Permittee's Certification: (Signature of Signing Official and Project Name)
s R. Summey, II attest that this application for Assistance with Horsehead Utilities has been
revi ed by . e and is accurate and complete to the best of my knowledge. I understand that if all required parts of this
app cation a not completed and that if all required supporting documentation and attachments are not included, this
app 'cation ackage is subject to being returned as incomplete. Note: In accordance with North Carolina General
Sta tes 1-215.6A and 143-215.6B,' any person who knowingly makes any false statement, representation, or
cert' catio in. any application shall be guilty of a Class 2 misdemeanor, which may include a fine not to exceed $10,000
�1
a 11 civil penalties up to $25, 000 pet violation.
a.
Signing i nature ate
ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
?APPLICATION.
THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY
U) iTO
OTHER UTILITIES, DESIGN CALCULATIONS. ETC: REFER TO 15A NCAC 02T .0305
I
H -:2. Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
Nathan D. Bowe attest that this application for Assistance with Horsehead Utilities has been
" LL' 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
LLJ , 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, 20.00 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
V
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.
I2a. Nathan D. Bowe f
GA/���n%�
`���.``'4��y
Professional Engineer Name "
�.` OQ' '"" '' o
+2b. McGill Associates, P.A.
Engineering Firm.
Zc. 55 Broad Street I 0 AL
3b952 '
Mailing Address
NC 2f 28801
2d.. Asheville 12e.
City Zip 00��,,.
State - �•,'-��'y�41�j
�__—
D.
i2i•[e-mail]�°�°
;2g. 828-252-0575 i2h. [e-mail]
Telephone j Facsimile E-mail t NC PE Seal, signature &Date
FTA 12/07

OF°WATF,9 State of North Carolina
`O� 96 Department of Environment and Natural Resources
i•� � Division, of Water Quality
Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE—10/07)
Project Applicant Name: Town of Forest City
Project Name for which flow is being requested: Assistance with Horsehead Utilities
More than one FTSE-10107 may be required for a single project if the owner of the WTVTP is not responsible for all
punip 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: Riverstone Industrial Park WWTP
b. WWTP Facility Permit #: NCO087084
All flows are in MGD
c. WWTP facility's permitted flow
0.100
d. Estimated obligated flow not yet tributary to the WWTP
0.050
e. WWTP facility's actual avg. flow
0.001042
f. Total flow for this specific request
0.00875
g. Total actual and obligated flows to the facility
0.059792
h. Percent of permitted flow used
59.8%
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
n/a - Flow will be pumped directly to existing Riverstone WWTP
WATER-_'���� nY SECTION OFFICE
M. Certification Statement: x '--��•-
I, Charles R. Summey, II , certify that, to the best of my knowledge; the addztton of
volume of wastewater to be permitted in this project has been evaluaf d'aloug fW dfe to the receiving
wastewatOolic*
nt facility and that the flow from this project is not anticipated to cause any capacity
related saer overflows or overburden any downstream pump station en route to the receiving
treatmenter normal circumstances. This analysis has been performed in accordance with local
establishand procedures using the best available data. This certification applies to those items
e ve •n ections I and II for which I am the responsible par1r.-Signature of this form indicates
cceptan his wastewater flow.. 4--
Signing

Location
ID
Name of Waterbod '
Coun
River
Basin
Waterbody Stream
Index No.
Waterbody:.
Classification
1
Broad River
Rutherford
Broad
ggw.5)
C
I 1 .
a; MAR
1.2012
LA:1
-R QUALITY
SECTION
ASHEVILLE R,,
S310 JAI_ OFFICE
If unnamed, indicate -"unnamed tributary to X", where X is the named waterbody to which'-thegriname¢.tributary.joins. -
. - _ : tis fti-.ti .,. $S Kr. { r .4T.{ti Y- - �y�^:ff,.+•{.r} r.
. t° ,,zN i> • •.11 {>}:LL1S � .
1 certify.that as a Registered Professional Engineer in the State of r�sr}f•frr r� °��Y+'+Lis'tii�,t"„�,, r�
North Carolina that:l have diligently followed the Divisions instructions
��{",�`�
for classi in waterbodies and that the above classifications
fy' g ,�. Y{;.ti y+ ��r >Q�° tiro .;;L�q'•. �ti � '
inclusive of the'stated project, complete and.correct to the best of my Asti h {rr r ter;
knowledge and belief.. �r
:PE Seal, _Signature and Date : rxXvrs�
.. - r}�-r',�y, }`S,,I�lC(VQIht�,�P ,„'�v�.>�\,p,'s5'{•:Ss, .. .
'rj-- -:psi-7 ,Cpr-f��}1{.}�}k}kf Sti•.r
.r}•r r .} rs}� }, �/' 7�r'�.} r•. t?�S�r}',YY Y{'r'�yr�4• s r , .
$ f}r .v. r: ldl]P 't[+�+ t ,f}r ?!r r. ti�;}r }r •.
^{1}r 1} ; }'ti-,• .
ti •ors-� }yri�k_v ••':r ti r ''''ti' Sy
**x END OF FORM WSCAS-12/07 *xx
FORM: WSCAS-12/07 '. Page 1. of 1 .

ASSISTANCE WITH HORSEHEAD UTILITIES
TOWN OF FOREST CITY
RUTHERFORD COUNTY, NORTH CAROLINA
PROJECT NARRATIVE
This project includes the construction of a new duplex submersible lift station
(officially named 390 Hicks Grove Road on property owned by Horsehead Corporation
south of Broad River near Forest City, North Carolina in order to serve the sanitary sewer
needs of their employees. The waste stream includes bathrooms and shower facilities for
approximately 250 total employees per day over three shifts. The project also includes
the installation of approximately 7,370 linear feet of new 4-inch PVC force main from
the pump station northward, across Broad River, then eastward along the river before
turning north again and following the discharge alignment of Riverstone Industrial Park
WWTP and finally terminating at the bar screen of Riverstone WWTP (NPDES Permit
No. NC0087084).
Per the 15A NCAC 02T .0114 wastewater design flow rate of 35 gallons per day
per employee per shift for factories or businesses with showers or food preparation, it is
expected that the 390 Hicks Grove Road pump station will -receive and pump
approximately 8,750 gallons per day.
The crossing of Broad River is currently in the U.S. Army Corps of Engineers
Section 404/401 permitting process, and any other stream crossing that may be necessary
will be accomplished via directional drilling methods thereby avoiding any impacts.
Although the pump station and force main described herein will be owned and operated
by the Town of Forest City, the on -site gravity sewer collection system that ultimately
feeds 390 Hicks Grove Road pump station is being permitted on behalf of Horsehead
Corporation under separate cover by Odom Engineering of Forest City, North Carolina.
.QPOFEBS01
j�•.f/��
03��
.....Bob,,,,,,,

us ,, ..— Forest City, NC
Project Site
Chesnee, SC
VICINITY MAP
NOT TO SCALE
0
rRiverstone .
Industrial
- Park
RIVERSTONE INDUSTRIAL PARK WWTP
NPDES NO. NCO087084 (0.100 MGD)
of
PROPOSED
APPROX. 7,370 LF 4—INCH
PVC SANITARY SEWER
j FORCE MAIN
IN

r
@McGill
A S S O C I A T E S
February 29, 2012
Mr. Jeff Menzel, Environmental Specialist
Division of Water Quality
North Carolina Department of Environment
and Natural Resources
Asheville Regional Office
2090 U.S. Highway 70
Swannanoa, North Carolina 28778
Dear Mr. Menzel:
V
iD
MAR -1 2012
WATER QUALITY SECTION
ASHEVILLE REGIONAL OFFICE
RE: Fast -Track Application Submittal
Assistance with Horsehead Utilities
Town of Forest City
Rutherford County, North Carolina
On behalf of the Town of Forest City and per our recent phone conversation, we hereby
make application for approval for the above referenced project. Please find enclosed a check in
the amount of $480.00 for the plan review fee, one (1) original and one (1) copy each of the
properly executed "Fast -Track Application for Gravity Sewers, Pump Stations and Force Mains",
"Flow Tracking/Acceptance for Sewer Extension Permit Applications", project narrative and the
"Watershed Classification Attachment" form, as well as two (2) copies of the location map.
Please note that we have been guaranteed easements for all properties through which this
system will be located, and that we are permitting the Broad River crossing through the U.S.
Corps of Engineers Section 404/401 permitting process. Also, note that the on -site gravity sewer
collection system serving the subject pump station is being permitted under separate cover on
behalf of Horsehead Corporation by Odom Engineering of Forest City, North Carolina. Please
do not hesitate to call me with any questions that you make have.
Sincerely,
McGILL ASSOCIATES, P.A.
NATHAN D. BOWE, PE
Project Engineer
Enclosures
cc: Charles R Summey, II, Town of Forest City (w/enclosures)
Mike Dowd, PE, McGill Associates, P.A.
Keith Webb, PE, McGill Associates, P.A.
p:\2011\11.00302\letters\jm29feb2012--dwq fast track submittal.doc
E n g i n e e r i n g • P l a n n i n g • F i n a n c e
McGill Associates, P.A. • P.O. Box 2259, Asheville, NC 28802 • 55 Broad Street, Asheville, NC 28801
828-252-0575 • Fax: [phone]

1'
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild,: P.E. Dee Freeman
Governor Director' Secretary
1 I.. .
March 26, 2012
Jim. Hensler,CEO
Horsehead Corporation
4955 Steubenville Pike Suite 405
Pittsburgh, PA 15205
Subject: Permit No. WQ0035840
Horsehead Corporation
Horsehead Corp. Sewer Collection
System
Wastewater Collection System Extension
Rutherford County
Dear Mr. Hensler:
In accordance with your application received March 15, 2012, we are forwarding herewith Permit No.
WQ0035840, dated March 26, 2012, to the Horsehead Corporation 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 2T .0300 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 2T .0300; 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 herein. 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;:.
NorthCarolina
Nahma!!rf
SURFACE WATER PROTECTION — ASHEVILLE REGIONAL OFFICE
Location: 2090 U.S. Highway 70, Swannanoa, NC 28778
Phone: [phone] FAX: [phone]
Internet: www.newaterguality.org �'
S:\M\Rutherford\Collection SysternMorest City Collection System\WQ0035840 Horsehead Corp. Sewer Collection System.docx

1
Horsehead Corporation March 26, 2012 Page 2
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 the
Horsehead Corporation for the construction and operation of approximately 1930 linear feet of 6-inch
gravity sewer to serve 350 employees as part of the Horsehead Corp. Sewer Collection System
project, and the discharge of 8750 gallons per day of collected domestic/commercial wastewater into
the Town of Forest City's existing sewerage system, pursuant to the application received March 15,
2012, and in conformity with 15A NCAC 2T .0300; 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, a part of this permit.
The sewage and wastewater collected by this system shall be treated in the Town of Forest
City's Riverstone Industrial Park Wastewater Treatment Facility (Permit No. NC0087084) prior to being
discharged into the receiving stream.
The Operational Agreement between the Permittee and the Environmental Management
Commission is incorporated herein by reference and shall be a condition of this permit. Noncompliance
with the terms of the Operational Agreement shall subject the Permittee to all sanctions provided by
North Carolina General Statutes §143-215.6A to §143-215.6C for violation of or failure to act in
accordance with the terms and conditions of this permit.
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 Jef Menzel at (828)
296-4500.
Sincerely,
for Charles Wakild, P.E., Director
Division of Water Quality
cc: —Rutherford County Building Inspector
David Odom, P.E. Odom Engineering
Surface Water Protection Section Central Files
PERCS Files

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND 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 2T .0300; 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 2T .0300. If an individual
permit is not required, the following performance criteria shall be met as provided in 15A NCAC 2T
.0300:
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,
. i

W00035840 HORSEHEAD CORP SEWER COLLSOSION UTH-E FORD_MARCH 26. 2
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. Upon completion of construction and prior to operation of these permitted facilities, a certification, a
copy of the construction record drawings, as well as supporting design calculations for any pump
stations permitted as part of this project shall be received from a North Carolina -licensed
Professional Engineer certifying that the facilities have been installed in accordance with this
permit; 15A NCAC 2T .0300;'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 Main adopted June 1, 2000'as applicable; and other supporting materials. If this
project is to be completed in phases and partially certified, you shall retain the responsibility to
track further construction approved under the same permit, and shall provide a final certificate of
completion once the entire project has been completed. A copy of the construction record
drawings, indicating the facilities constructed in the phase being certified, shall be submitted with
each partial certification. Mail the Engineer's Certification, one copy of the "Construction Record
Drawings," and one copy of the supporting design calculations to the Non -Discharge Permitting
Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617.
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 2T .0300; 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 NCG010000, and any requirements -pertaining to wetlands
under 15A NCAC 213.0200 and 15A NCAC 2H :0500.
11. Noncompliance Notification:
The Permittee shall report by telephone to a water quality staff member at the Asheville 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:

PERMIT NO W00035840, HORSEHEAD CORP SEWER COLLECTION. RUTHERFORD MARCH 26., 2012
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 this 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 (919)
733-3300. 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 1(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 26 DAY OF MARCH, 2012
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for Charlds'Wakild, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0036840
3

PERMIT NO W00035840, HORSEHEAD CORP SEWER COLLECTION, RUTHERFORD MARCH 26 2012
ENGINEERING CERTIFICATION - POST CONSTRUCTION
System Description:
permission is hereby granted to the Horsehead Corporation for the construction and operation of
approximately 1930 linear feet of 6-inch gravity sewer to serve 350 employees as part of the
Horsehead Corp. Sewer Collection System project, and the discharge of 8750 gallons per day of
collected domestic/commercial wastewater into the Town of Forest City's existing sewerage system
Complete and submit this form to the Asheville 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
, as a duly registered Professional Engineer in the State of North Carolina, having
been authorized to observe (❑ periodically, ❑ weekly, ❑ full time) the construction of the above referenced
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. 2T .0300; 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
CHUCK CRANFORD
SURFACE WATER PROTECTION SUPERVISOR
ASHEVILLE REGIONAL OFFICE
2090 US HIGHWAY 70
SWANNANOA, NC 28778
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.

RECEIVED
MAR -1 2013
ENGINEERING CERTIFICATION -- POST CONSTRUCTION DWQ/Surrace Water Protection
Asheville Re ionat Offic
System (Description:
permission is hereby granted to the Horsehead Corporation for the construction and operation of
approximately 1930 linear feet of 6-inch gravity sewer to serve 360 employees as part of the
Horsehead Corp. Sewer Collection System project, and the discharge of 8750 gallons per day of
collected domestic/commercial wastewater into the Town of Forest City's existing sewerage system
Complete and submit this form to the Asheville regional office with the following:
® One copy of the project record drawings (plan & profile views of sewer fines) of the wastewater collection
system extension
e 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
o Changes to the project should be clearly identified on the record drawings or in written summary form. Permit
modifications are required for any changg, resulting In ngn-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.
❑ Partial E Final
I, (I)Qji , as a duly registered professional Engineer in the. State of North Carolina, having
been authorized to observe ( erlodically, ❑ weekly, ❑ full time) the construction of the above referenced
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 constructlon'was observed to be built within substantial compliance
of this permit; 16A NCAC 2T .0300; the Divislon'of Water Oualify's (Division) Gravity Sewer Minimum Design
Criteria adopted February 12, 1996 as applicable; the Divisions 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:
S�� � r,.°F ��J� e •s
i
SEND THiS FORM & SUPPORTING DOCUMENTATION
S WITH REQUIRED ATTACHMENTS TO T14E FOLLOWING ADDRESS
0 = CHUCK CRANFORD
' SURFACE WATER PROTECTION SUPERVISOR
ASHEVILLi= REGIONAL OFFICE
2090 US HiGHWAY 70
SWANNANOA, NC 28778
The Permittee is responsible for tracking all partial certifications'up witU s final certification is received, Any wastewater flow
made tributary to the wastewater collection system extension prior to completion of this Engineer's Certilcation shall be
considered a violation of the permit and shall subject the Permiltee to apprep6te enforcement actions.

Gil _-11 001 V OW 0116193 milvoll I Lei ► ml NOSIXIOUT MI;i
System Description;
permission is hereby granted to the Horsehead Corporation for the construction and operation of
approximately 1930 linear feet of 6-inch gravity sewer to serve 350 employees as part of the
Horsehead Corp. Sewer Collection System project, and the discharge of 8750 gallons per day of
collected domesticicommercial wastewater into the Town of Forest City's existing sewerage system
Complete and submit this form to the Asheville regional office with the following:
C One copy of the project record drawings (plan & profile views of sewer lines) of the wastewater collection
system extension
e 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
.-......f:it �..it�......w.--1.3-4. t.......... _L--............. tlz-- f.. --- ---I' ­41z 4k;o nerrr.e4.. —.1. 1in— — . .
This projectshall 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.
ENGINFIEWS CE"RTIFICATION
❑ Partial ErFlnal
I,'DQJ 6 O dar-, , as. a duly registered Professional Engineer in the State of North Carolina, having
been authorized to observe ( eriodically, ❑ weekly, ❑ full time) the construction of the above referenced
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; 16A NCAC 2T .0300; the Division.of Water Qualiity's (Wisfon) Gravity Sewer Minimum Design
Criteria adopted February 12, 1996 as-appiicable: 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
A WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
z 0 _ = CHUCK CRANFORD
SURFACE WATER PROTECTION SUPERVISOR
f�F '•':, �?¢t: b�A ! ASHEVILLE REGIONAL. OFFICE
vs %' tl;� 2090 U5 HiGHWAY 70
SWANNANOA, NC 28778
The Permittee is responsible for tracking all partial cerlifications'up ,until a final certiticcation 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 Permittee46 agl roprlate enforcement actions.

WQ0035840 a
OF W ATE 3� I t : ; . State of North-Caroliva;
GK Q ,; pgi t o;%uvironment and Natural Resources
LIAR 15 2�� � Division of Water Quality.
_�AST-TRACK APPLICATION
WA}-ERQUALITY SECTION T (FTA,l2/07"vei5)
A SI-IEVILLt REGIONAL OFFICE
_TY SEWERSi PUMA. STATIONS, AND FORCE MAIMS
(I?i'cssure R Vacuufill gewer sxstel" m' be included as part of this application packagge)-
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 allrequired items will lead to your application
being,returned as incomplete. Forms are available from the web site orby calling,the Regional Office serving your county:
http:4/1?2o: enr. state. nc. us/peres/Collection%20Systen7slCollectionSystoinApplications. 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 bas 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 13f13).
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 (N.CDENR). Checks shall be dated within 90 days of application submittal. '
Q C. Certificates of Public Convenience and.Necessity — If the; application is being submitted in the name .of a
privately -owned public utility, submit two copies of the Certificate of Public Convenience and Necessity (CPCN)
which demonstrates`thatthe 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 lan existing franchised area., and/or that franchise, approval is expected. The project.narrie in the
CPCN or letter must match that provided in Item A(2)a of this application.
❑ D. Operational Agreements — Submit one original and two copies of a properly executed operational agreement, as'
per 15A NCAC 02T .0145 , if'the application is submitted by a private applicant and will .be serving residential or
commercial lots (e.g., houses, condominiums, towrihomes, outparcels, etc.) that will be sold to another entity, If
the applicant is a home or property owner's association, use Form HOA 02103. 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 02103 IS REQUIRED.
® E. Downstream Sewer; WWTF Capacity, and Flow TrackinglAcceptance FORM FTSE 10/07 (Flow
Tracking/Acceptance for Sewer Extension :Permit Applications) is required with every"- application. The; applicant
(and owners of downstreamsewers, pump. stations and/or treatment facilities subrriitting FORM FTSE-10/07)
certifies that the additionn-of the volume of wastewater to be permitted`in .this project.has, been evaluated along the
route to the receiving treatment plant, andthat 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, submittwo copies of FORM FTSE 10/0.7
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 FTSE40/07 "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 10107.
K 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..
FTA12/07

❑ G: Stream Classifications - Watershed Classification Attachment (Form WSCAS-1.2/07) 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-1`3 with supporting documentation/justification provided.
❑ H Environmental Assessments — If this project is subject to an Environmental Assessment (EA) 115A NCAC
01Cj, 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. 27699-1638. Applications
cannot be accepted until a Finding of No Significant Impact (FONSI) or EnvironmentalImpact. Statement (EIS)
has been issued.: A copy'is. to be submitted with that permit application.
1. 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.
® 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(1b). They PE should NOT certify the application if he/she is unfamiliar with 15A NCAC Chapter 2T, the Gravity
Sewer Minimum Design. Criteria (most recent version) and 'the Minimum Design Criteria for the Fast -Track
Permitting of.Pump Stations and, Force `Mains (most recent version), as applicable to the project.
THE COMPLETED-FTA 12107 APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
DOCUMENTS AND $480 FEE, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
2090 US Highway 70
Avery, Buncombe; Burke, Caldwell, Cherokee,
Swannanoa, North Carolina 28778
Clay, Graham, Haywood, Henderson, Jackson,
[phone]
Macon, Madison; McDowell, Mitchell, Polk,
[phone] Fax.
Rutherford, Swain, Transylvania„Yancey
Fayetteville. Regional Office
225 Green Street Suite 714
Anson, Bladeri, Cumberland, Harnett,_Hoke,-
Fayetteville; North Carolina, 28301-5694
Montgomery; Moore, Robeson, Richmond,
(910) 433;3300-
Sampson, Scotland
[phone] Fax
.Mooresville Regional Office.
610 E. Center Avenue
Alexander; Cabarrus,, Catawba, Cleveland,
Mooresville, North•Carolina 28115
Gaston, kedell, Lincoln, Mecklenburg, Rowan,
[phone]
Stanly, Union
(704) 663=6040 Fax
Raleigh Regional Office
1628 Mail;Service Center •
Chatham, Durham; Edgecom, be,•Franklin,
Raleigh, North Carolina 27699-1628
Granville', Halifax, Johnston; Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
(919).788-7159 Fax
Warren, Wilson
Washington Regional Office
943 Washington Square Mall
Beaufort, Bertie, Camden, Chowan,,Craven,
Washington, North Carolina 27880
Currituck-, Dare, Gates, Greene,. Hertford,. Hyde,
.[phone]'
Jones, Lenoir, Martin, Pamlicoi 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
685 Waughtowii 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 in formation; please visit our web site at.
http:/%1i2o.enr state.nc. us%peres/Coilection%20Sysiems/ColfectionSystemsHome.html'
or contact the Regional Office serving your county.
PTA;12/07

E TAB KEY TO MOVE FROM FIELD T.o-.FiELDI ApplidatIon Number: WQ0035840
-USE THE
(to be completed by DVVQ)
1.
Owner/Permittee: 'S
-Ia.
HORSEHEAD CORPORATION
Full Legal Name (company, municipality, HOA, utility, etc.)
Z
.1b.
JIM HENSLER, CEO
0
Signing Official Name and Title (Please review 1 5A NCAC 2T.01 06 (b) for authorized sighing officials!)
-1 r,
The legal entity Who will own this system is:
'6th`�i
W66RRI
nty El Private P6 r-
El Individual El Federal D Municipality ❑0 Staie/Cou . ........ (apseli."
0,
1 di
ri
4955'Steubenville Pike Suite 405 1-6; lins FF1 r
Mailing Address
_PA
F=
-it
1 g.1520
. ..
Slate
.. ..... R 5--- -2012;
- --------- 'p MA.
Ih.
724.774.1020
-Ii.
Telephone Facsimile
2
A
Protect (Facility) Information: WATER QUALITY SECTION
—
_ffffd_1ONAL
2a.
FR LE OFFICE
HORSEHEAD CORP. SEWER COLLECTION SYSTEM VIL
0-
Brief Project Name (permit Will refer to thisname) i W P eqtA�..L= Colin ated".,,,
�0 16i
3.
Coiuta6t Person:
3a.
DAVIDODOM, P.E.
Name and Affiliation of Someone Who Can Answer Questions About this Application ... ........... .
-8b.
928-247-4405 3c.,davidodom@odomengineer[ng.com
Phone Number -
1.
Project is 0 New El Modification (of an existing permit) If Modification, Permit No::.
2.
Owner is: E] Public (ship 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_oge),
Retaining Ownership (i.e. store, church, si ngld office, etc.) or El Public Utility (instruction C)
❑ Leasing units (lots,, townhomes, etc. - skip to Item B(3)) El HomeoWnPrAssPc./DdveIop6r (Instruction, D)
El Selling Units (lots, tdwnhomes, etc. -.go to Item B(24)),
3.
TOWN OF FOREST CITY
Z
Owner of Wastewater Treatment Facility (WWTF)-Treating Wastewater From This Project
O
.. .........
'4a. RIVERSTONEWWTP �4b.'Nc0087084
Name of WWTF WWTF Permit No.
i5a.
b. WET WELL 0 Gravity 5c, 390 HICKS GROVE RD (HORSEHEAD)_ TO BE.
SUBMITTAL BY McGILL&ASSOC
TOWN OF FOREST CITY Receiving Sewer Size 0 Force Main APPROVED
®
=
Owner of Downstream Sewer 'rc Permit #of DoWnstream.'SeWer (Instruction E)
LL
.6,
Toe.origin. of this is (chqqk all that apply) :
Z
C1 Residential Subdivision El Retail (Stores', shopping centers) 100 Domestic/Commetcial
❑ Institution
El APprtments/Condominiurns ❑El Hospital - % Industrial (attach
C] Mobile Home Park description.)
El Church-
Els,chool El Restaurant El Nursing Home, (RO: contact your Regional Office
N* Other pretreatment stafl)
El Office
'(sppPify)6
FACTORY % Other (specify):
'7.,
.. ......... . . ......... _4 ............
volume of wastewater to beallocatedor permitted for this particular proje _gallo s-,ppr day,
sr*bo',not include future flows or'preyi6u§Iy permitted allocations.
8.
If the permitted -flow iszero; indicate why:
F1 POmp Station, Ouffall or Interceptor Line.where flow will'.be permitted in subsequent permits that connect to this line
El Flow has already been allocated in Permit No. .
El Rehabilitation or replacement of existing 'sewer with . no new flow exoected (see 1 5A NCAC 02T.003 to determine it a
permit is required),
FTA12/07

9. Provide the wastewater, flow calculations use,d'_in determining the permitted flow in accordance with 15A;NCAC 2T .0114 for
the value in Item B(7) AND/OR the design flow for line or pump station sizing if a reduced or zero flow is being, requested 'in
Item B(7), Values other.than list in 15A NCAC 2T.01 1-4 (0) and (c) must be_supported'with actual water or wastewater, use
data in accordance With 15A NCAC 2T.0114 (f)'.
350 EMPLOYEES X 25 GPD /EMPLOYEE = `8760 GPD.
10'. Summary of Sewer Lines to,be Permitted (attach additional sheets ifnecessary)
New. Gravity or Additiona'
Length (feet)Size (inches), Force Main
1930 If,
6" PVC GRA�/ITY
_
I
I:
'111.. Summary of_Pump Stations w/ associated Force Mains to be Permltted;(attach additional sheets as necessary)'
LLJ
01
Pump Station Location ID _ (self -chosen - as shown -on planslmap for reference)
Design Flow Power, Reltability Option -
Operational Point:
z (MGD) 1 - permanent generator w/ATS; Force Main S"lie +Force Ma -in Length
GPM @TDH 2. portable generatorwlMTS j
Z
♦� ----
�Pump Station Location. ID (self chosen - as shown on planslmap for reference),.
Destgn.Flow Power Reliability Option l
(MGD) 4 Operational Point '1 -permanent generator, wlATS; Force Main Size Force Main 'Length
® GPM @TDH 2._ "portable generator w/MTS l
s
€ I
Lla .............. --._......_.:� ___-_ ........... _ __ __.
-
� .4
Pump Station Location ID (self chosen = as shown on plans/map for -reference).
IDesign Ftow i Operational Pomti Power Reliability Option
(MAD) 1 - permanent_ .generator w/ATS; Force Main Size :force Main length
Cd GPM @TDH i 2 - portable .generator wNTS
� a
is
12. Will the wastewater flow in the,proposed:sewer lines or pumpistations be able to be directed to another treatment facility?
[] Yes. No If Yes, permitnumber of 2nd .treatrnenYfacilty
(RO"— tf "yes" to 13,12 please contact the Central Offce.PERCS Unit)
13. Does the sewer system comply with the Minimum besign Criteria for the Fast Track Permitting of Pump Stations and Force
Mains: version)` the Gravity. Sewer Minimum Design Criteria. (latest version) and 15A;NCAC Chapter 2T`as
s
applicable?
0 Yes F1 No If No, please reference the pertinent minimum design criteria,or regulation andandicate:whya
variance is requested. SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS. OR CALCULATIONS
PERTINENT TO THE VARIANCE WITH YOUR:APPLICATION
FTA12/07

� 1 '
14. Have the following permits/certifications beenisubmitted for approval for the system or project to be served?
Wetland/Stream Crossings - General Permit or 401 Certification? ® Yes ❑ No ❑ N/A
Sedimentation and Erosion Control Plan? ® Yes ❑ No ❑ N/A
Stormwater? ® Yes El No El N/A
f15. 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)
1, . JIM HENSLER, CEO, HORSEHEAD CORP. attest that this application for HORSEHEAD CORPORATION
GRAVITY SEWER 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 inany 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. _
} 's1a.
X? 3�� l7/
igni g Official Signature Date
°;.ENGINEERING
DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
''
PPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY
°y"
O OTHER UTILITIES, DESIGN CALCULATIONS. ETC. REFER TO 15A NCAC 02T .0305
`E—
. Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
V
1, DAV1D W. ODOM, P.E attest that this application for HORSEHEAD CORPORATION GRAVITY
SEWER has been reviewed by me and is accurate, complete and consistent with the information in the engineering plans,
"'•;; ;
1>y
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
LJ1 ;.
Design Criteria for Gravity Sewers adopted February 12, 1996, and the Minimum Design Criteria for the Fast -Track
V}
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
V<:`n
of these materials under my signature and seal signifies that 1 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 143-215.68, any
person who knowingly makes any false statement, representation, orcertification 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.
a. DAVID W. ODOM, PE
Professional Engineer Name
.
2b. ODOM ENGINEERING PL-LC
Q' '.9
Engineering Firm
_ SEAL
c. 152 E MAIN ST
%,
Mailing Address
d. FOREST CITY e. NC
f. 28043
� ���.
City. State
Zip
'��Dd.•``�
8822
2824498 2i. david odomen ineedn .comg.
csTelephone Fame E-mail
NC PE Seal, Signature s Date
FTA12/07

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Tttest.
�;vn qf Fom -City
P.,0; B0 728.
Fomo Ofy,.MMA Cezrolima 2190431
'Monday, March 05, 2012
Scott Roach
ODOM & ASSOCIATES ENGINEERING.. INC.
Re: Flow Acceptance for HoYsehead Corporation Sewer Pro,ject
Dear Scott,
'The Town of Forest City will accept the requestloreceive domestic waste
resultingli an estihiate of 8,750: gallons per day fi-6n!.Th6 Hoisellead Cor 6iation
facility at, 39.Q Hicks Grove `Road. Thisllow."'vill be pumped directly to ThQ Town "of
Forest City Rivqrstone Wastewater Treatment Plant, 217,Broadriver Blvd.
Thank You
Robert L. Daniels
Town of Forest City
Pubft,Works Director

X JAk R State of North Carolina.
Q
i Department -of Environment and Natural: Resources
-7 Division of Water Quality
Flow TrackinglAcceptance for SewerExtensiori Permit Applications
er Plicati
( rTSE,-10/07)
Project Applicant Name! Cvr-DPr-a_+ivrL,
Project.Name for whi6h; flow is being .re quested: 0-56 V
More than one ITTSE-10107 may barequiredfdr a single project if the owner of the TVWTP b-no_t.r&ponsIbI&for all'
pump stafions along the route of the proposed wastewater flouv
I. Completethis. section only if you are the owner of the wastewater treatment plant..
a. WWTP,Va6ility Name:
b.WWTPFacility Permit #:_ N(_QQ.?'7IOLq
All flows are M*-MGI0
c.'WWTP facility's permitted flow.
d.11stimated obligated flow,.not-yet tributary to the WWTP
61.. WWTP'facility's actualavg. flow 002
f. Total flow f6r this svecifi c request 008"757
9 Total actual. and obligated flows to: the facility 60 99S,
h. Pereent,of permitted flow used
11, Complete this section for each pump stationyqu are responsible for along the route of this
proposed wastewater flow;
L-istpump stations- lo-catWOetween the project connection point and the WWT.P
Pump Station Name Approx. Capacity, MGD Approx. Current Avgi
I ITV RP
ASHEVILLr- REGIONAL OFFICE'
III . Certification Statement:"
certify that; to the best of m --y-kno--w ledge, the addition -.of the
=,
V616-of wastieWOO.to . be permitted iii-this project has evaluated along flie. route to -the receiving,
wastewater treatment fhdility and that the fl6w4om this project is. not:anticipatedto, cause any capacity
reloed'soitEkry'sewer -overflows or overburden any'downstre-am pump station en. route to the -receiving
treatment plant under -normal I or-hornifil circumstances. . ... This. analysis has been performed inapp9rdimpe witli.1ppaf
est.ablishedj-policids,and procedures using the best available data. This c6rdficati6n:Applie I - s to thbsd item-s
I I istod above , it . iSectionsl.an(I.1.1,,.to.r.'w.h..io.lvl.,:amtlferesop4sibldp;trty. Signature of this -form, indicates

Instructions for: Flow Tracking/Accepta,nce for .Sewer ENtension Bermit
Applications (FTSE-10/07)
-section-I
a WWTI"Fa6ilkyName; t4ntdr'tfipiizfmb.bfthe WWTP that will-rec ivethew4stiewaterflow:
b. WWTP Facility Permit Enteftlid, NPDES or.14pfi-Ni scharge'Mumbdr for the WWTP,tdceiving the
wastewater flow.
e. "A" facil&.'s permitted flow, MGM From WWTP owner5.s,NPDES or Non -Discharge permit.
d. Estimated obligated flow not yet tributary to the WW . T-P. MGD:. This includes flows alloc4ted to
other construct I ion projects not -yet'dohtributihij, flow to the collection system. Flows allocated through
interlocal ag
reements or other contractsmotyet contributing -flow to the collection system are also
included. For POTWS that implement a pretreatment- program include. flows 61located to industrial
users who may not be using all -of their flow-alldda ion. Please contact your Pretreatment. Coordinator
for. hif6rinatiorion industrial .flow tributary to;your'WVTP.
As: of January 15; 2008 the POTW should have: reviewed flow allocations made over the last two
year§-Aqd reconciled.their flow records,;t.o.the best-oftheirabiliiy., so it igknown how much flow has
with local policies and
been obligated and ismot-."yet I$eeft made 6ibutdr.vaccordance.
been. WWTP in accordinc
,
procedures employed by the reporting entity..
ill bereconciledannually for �ysteffis at less
The.obligated -flow not yet tributary �plus actual flow w.
than 6k.' of permitted flow used: Annual updates shall be submitted to the appropriate Regional
Office.by, January 154 each year and cover the previous calendar year.
Senii-Aimual uv,datos;shall be required When the. perceadf permitted flow used reaches 60%. :Semi=
annual: time period are-defifted as Jitfitiaiy 1through Jund 30 and July I'throuili December 3 1. Semim-
-
-annual uvdates shall I be submifted,io =the -appropriate. Regional Office by July Uatid January 15:of
each year:
Quarterly updates shall be requirod when the percent of permitted -flow used reaches801/o. Quarters,
are defined as I Qtrl (Jan-Feb-Mar)I Q - tr2 (Apr-WY-Juii); 00 (41-Aug-Sep);. Qtr4 (Oct Nov -Dec).
,Quarterly updates shall be submitted.to-the appropriate Regional Office by April 1.5. � July 15, October
15 and January 15 of each year;
e. WWTP facility's actual zft. flow; MG_Previous'12 month average:
I 'Total flow for this specific request MGD: Eiitetthd:rdqu'pgtdd.f,lowvb.11iih-e.
? g ;Total actual and obligated- — flows to the facility, MGD Equals [d t 6 + f]
Pdrdeaof'permitted flow used: Equals [(g'/c)*'1Gq]

1
For example:
On 7amiary IS a_ EOTW with a'pei iiiiited flow of 6.0 MGD, reported to the Regional Ofce that there
is O.S;MGD of flow that is obligated:but'aot yet tributary. The i�iuival average flow" for 2007 as 2:.7
MGD.
The frst.Form FTSE-10/07 submitted after January 15,:2008 may..have,nunibers Uc tliis:
c. = 6.0 MGD:
d. = 0.5 MGD
e. 2.7 MGD
f = 0.015 MGD
`3.215 MGD
l: 53.6 %
'The: next Form F.M-10107 may be updated like'this:
c. 6.0 MGD"
d. = 0.515 MGD
e. = 2.73 MGD
0.102 MGD
g. = 3.349 MGD
%
)✓aclx subsequent Form FTSE-10/07 will be updated in the same "manner.
Section I1
ust.tW name, approximate pump station firm ,(design) capacity and approximate current average flow
(previous 12:months),through the pump station for each pump station that -will, be impacted by the -
proposcd sewer extension.project. hiclude:the proposed flow for this project and other flows that have
been.. approved for the pump station but are�not-yet tributary:
Firm (design) capacity is the design average: daily flow of the pump.station as calculated bythe >design
engineer .orthe station :capacity with the largest pump out of service as,per the Minunum "Design Criteria
if the -design capacity is unknown.
Section IIi
Form FTSE-10%07 must be signed by the appropriate official" as per .15A NCAC. 02T .0106.

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