WQ0009575_Permit (Issuance)_19940627

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
June 27, 1994
Mayor Livingston Lewis
Town of Bladenboro
P.O. Box 455
Bladenboro, NC 28320
Dear Mayor Lewis:
In accordance with your application received June 8, 1994, we are forwarding herewith Permit
No. WQ0009575, dated June 27, 1994, to the Town of Bladenboro for the construction and operation of
the subject wastewater collection 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This permit shall be effective from the date of issuance until rescinded and shall be subject to the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.
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 thirty (30) days following receipt of
this permit. This request must be in the form of a written petition, conforming to Chapter 150B of the
North Carolina General Statutes, and filed with the Office of Administrative Hearings, P.O. Drawer
27447, Raleigh, NC 27611-7447. Unless such demands are made this permit shall be final and binding.
One set of approved plans and specifications is being forwarded to you. If you need additional
information concerning this matter, please contact Mr. Randy Kepler at [phone].
Al9CrA
1:30EHNI=1.
Subject: Application No. WQ0009575
Additional Information Request
Town of Bladenboro
Hardees Site
Bladen County
19944
ENV. My ,7NT
FAYETTEVILLE REC office
Sincerely, /
�. ,c
A. Pre n Howard, Jr., P.E.
cc: Bladen County Health Department
.4yetteville Regional Office.,
CDC Corporation
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL RESOURCES
RALEIGH
WASTEWATER COLLECTION PERMIT
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
Town of Bladenboro
Bladen County
FOR THE
construction and operation of approximately 1,702 linear feet of ten inch gravity sewer to serve a Hardees
site, and the discharge of 4,080 GPD of collected domestic wastewater into the Town of Bladenboro's
existing sewerage system, pursuant to the application received June 8, 1994, and in conformity with the
project plan, specifications, and other supporting data subsequently filed and approved by the Department
of Environment, Health and Natural Resources and considered a part of this 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 facilities are constructed in accordance with the
conditions of this permit, the approved plans and specifications, and other supporting data.
2. This permit is effective only with respect to the nature and volume of wastes described in the
application and other supporting data.
3. The facilities must be properly maintained and operated at all times.
4. The sewage and wastewater collected by this system shall be treated in the Town of Bladenboro
Wastewater Treatment Facility prior to being discharged into the receiving stream.
5. This permit is not transferable. In the event there is a desire for the facilities to change ownership,
or there is a name change of the Permittee, a formal permit request must be submitted to the
Division of Environmental Management accompanied by an application fee, documentation from
the parties involved, and other supporting materials as may be appropriate. The approval of this
request will be considered on its merits and may or may not be approved.
6. Construction of the sewers, pump station(s) and force main 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.
7. Upon completion of construction and prior to operation of this permitted facility, a certification
must be received from a professional engineer certifying that the permitted facility has been
1

installed in accordance with this permit, the approved plans and specifications, and other
supporting materials. Mail the Certification to the Water Quality Permits and Engineering Unit,
P.O. Box 29535, Raleigh, NC 27626-0535.
8. A copy of the approved plans and specifications shall be maintained on file by the Permittee for a
minimum of five years from the date of the completion of construction.
9. Failure to abide by the conditions and limitations contained in this permit may subject the Permittee
to an enforcement action by the Division of Environmental Management, in accordance with North
Carolina General Statute 143-215.6(a) to 143-215.6(c).
10. The issuance of this permit does not preclude the Permittee from complying with any and all
statutes, rules, regulations, or ordinances which may be imposed by other government agencies
(local, state, and federal) which have jurisdiction.
11. In the event that the 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 wastewater collection
facilities.
12. Noncompliance Notification:
The Permittee shall report by telephone to the Fayetteville Regional Office, telephone number 910-
486-1541, as soon as possible, but in no case more than 24 hours or on the next working day,
following the occurrence or first knowledge of the occurrence of either of the following:
a. Any process unit failure, due to known or unknown reasons, that renders the facility incapable
of adequate wastewater transport, such as mechanical or electrical failures of pumps, line
blockage or breakage, etc.; or
b. Any failure of a pumping station or sewer line resulting in a by-pass directly to receiving
waters without treatment of all or any portion of the influent to such station or facility.
Persons reporting such occurrences by telephone shall also file a written report in letter form within
15 days following first knowledge of the occurrence. This report must outline the actions taken or
proposed to be taken to ensure that the problem does not recur.
Permit issued this the twenty seventh day of June, 1994
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
A. Prestoioward, Jr., P.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission
Permit Number WQ0009575
2

Permit No. WQ0009575
June 27, 1994
ENGINEER'S CERTIFICATION
I, , as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the
project, for the
Project Name Location
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 and
intent of this permit, the approved plans and specifications, and other supporting materials.
Signature Registration No.
Date
3

4®
, / MEMO TO: State Review Group Division of Environmental
IV Management
FROM: Ricky RevelsRz:4-4 k Fayetteville Regional
Environmental Techfiician Office
SUBJECT: Procedure Four (4) 6/14/94
WQ0009575 Date
Hardees Site
Sewer Extension - Public
Town of Bladenboro
Bladen County
State Review Group Review
Engineer Randy Kepler
Regional Office
Contact Ricky Revels
1) Name of wastewater treatment plant to receive the wastewater:
Town of Bladenboro Wastewater Treatment Plant
2) WWTP design capacity 0.50 MGD
3) NPDES Permit No.: NC0026352 Expiration Date: 12/31/94
4) Compliance Information:
Present treatment plant performance
for previous 12 months - beginning 05/01/93
(See attached self -monitoring data)
5) Quantity and type of wastewater from proposed sewers:
4,080 GPD
domestic 100% ; industrial ; other
6) Volume from previously approved projects not yet tributary to
WWTP 0 GPD
7) Regional Recommendations: Approval X Denial
RR/rr

GKEX88/MP
~ COMPLIANCE EVALUATION ANALYSIS REPORT
O6/i4/94
PAGE i
PERMIT--NCO026352 PIPE--80i REPORT PERIOD, 9305-9404 LOC--- E
FACILITY--BLADENBORO WWTP, TOWN OF DESIGN FLOW-- .5000 CLASS--3
LOGATION--BLADENBORO REGION/COUNTY--06 BLADEN
^ 50050 00310 00530 0000 31616 50060 00380 TGP3B
MONTH {}/MGD BOD RE%/T%% NH3+NH4- FEC COLI CHLORINE DO CERI7DPF
LIMIT F .5000 F 10.00 F 30.0 F 4.00 F 200.0 NOL NOL NOL
93/05 .1612 6.55 i3.0 .56 54.0 .038 8.38 i
93/06
.ii24 6.82 9.1 .62 38.5 .040 8.i8
93/07 .i4i5
93/08 .i269
93/09
5.40 7.0 .6i 21.0 .036 8.33
3.67 8.2
.2230 4.65
93/i0 .1644
6.9
4.80 5.3
.35
2.5 .O5O 8.76 2
2.00 3.2
.89
87.3
.O23
000
8.59 i
9.84
LIMIT F .5000 F 20.00 F 30.0 F 8.00 F 200.0 NOL NOL NOL
93/ii .i985 3.28 4.6 .70 2.9 .095 i0.0i i
93/i2
94/0i
.2i56
.3252
94/02 .2972
94/03
3.90 3.7
4.01 2.4
.63 i.2
1.72 i.2
. i i 3 10.12
.i33 9.94
4.27 4.5 .63 46.i .045 9.72 i
.332i 6.44
i.i8 i7.4 .056 8'59
LIMIT F .5000 F 10.00 F 30.0 F 4.00 F 200.0 NOL NOL NOL
94/04 .2225 7.15 6.7 1.05 3.3 .078 8.45
AVERAGE .000 5.07 6.4 .91 23.2 .O58 9.07 i
MAXIMUM i.09i0 i0.00 28.5 8.70 000.0 .200 ii.20 2
MINIMUM .008 LE%%THAN LE%%THAN LE%%THAN LE%%THAN LE%%THAN 6.80 i
UNIT MGD MG/L MG/L MG/L 0000ML MG/L MG/L PA%%/FAI

GKEX88/MP
,
COMPLIANCE EVALUATION ANALYSIS REPORT
O6/i4/94
PAGE 2
PERMIT--NCO026352 PIPE--08i REPORT PERIOD: 9305-9404 LOC--- E
FACILITY--BLADENBORO WWTP, TOWN OF DESIGN FLOW-- .5000 CLASS--3
LOCATION--BLADENBQRO REGION/COUNTY--06 BLADEN
+ 800i0 00400 00556 00600 00665
MONTH TEMP PH OIL-GR%E TOTAL N PHO%-TOT
LIMIT
93/O5
NOL 9.0 6.0 F 30.000
22.33 8.4-7.8 1.991
LIMIT NOL 9.0 6.0 F 30.000 NOL NOL
93/86 25.09 8.7-6.9 1.04 9.850 .830O
93/07
93/O8
93/09
26.63 7.8-6.7 1.776
25.8i 7.5-6.9 2.20O
23.80 7.8-6.9 2.000 10.000 i.9iOO
93/i0 19.47 7.7-6.9 i.iOO
LIMIT NOL 9.0 6.0 F 30.000 NOL NOL
93/ii 15.27 7.6-6.7 2.553
9302 18.43 7.7-7.2 2.085 13.880
94/01 6.90 8.i-6.9 2.558
94/02 5.50 8.2-7.1 .875
94/03 8.56 8.2-7.0 .000 7.700
LIMIT
i.74OO
.22OO
NOL 9.0 6.0 F 30.000 NOL NOL
94/04 12.52 7.9-7.i 1.333
AVERAGE 16.85 --__ 1.648 iO.337 1.175O
,XIMUM 29.00 8.700 9.700 13.800 1.91OO
MINIMUM 2.00 6.708 1.000 7.780 .2200
UNIT DEG.0 %U M6/L MG/L M6/1

State of North Carolina
Department of Environre,
Health and Natural Resou4rRs o�
Division of Environmental fvfart'ag4erht
James B. Hunt, Jr., Governor , tat
Jonathan B. Howes, Secrete
A. Preston Howard, Jr., P.E., Director
June 8, 1994
MAYOR LIVINGSTON LEWIS
TOWN OF BLADENBORO
PO BOX 455
BLADENBORO, NORTH CAROLINA 28320
Dear MAYOR F.WIS:
�EHNF{1"
Subject: Application No. WQ0009575
Hardees Site
Sewers -Public
Bladen County
The Division's Permits and Engineering Unit acknowledges receipt of your permit application and
supporting materials on June 8, 1994. This application has been assigned the number listed above.
PLEASE REFER TO THE ABOVE WATER QUALITY NUMBER WHEN MAKING INQUIRES
ON THIS PROJECT.
Your project has been assigned to Randy Kepler for a detailed engineering review. Should there be any
questions concerning your project, the reviewer will contact you with an additional information letter.
Be aware that the Division's regional office, copied below, must provide recommendations from the
Regional Supervisor or a Procedure Four Evaluation for this project, prior to final action by the
Division.
If you have any questions, please contact Randy Kepler at [phone].
incerely,
arolyn N Caski11
Supervisor, State Engineering Review Group
cc: Fayetteville Regional Office
NCDC Corporation
Pollution Prevention Pays
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Environmental Management
Non -Discharge Permit Application
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
. GRAVITY SEWER EXTENSION
I. GENERAL INFORMATION:
1. Applicant (corporation, individual, or other ): Town of Bladenboro
2. Print Owners or Signing Official's Name and Title (the person who is legally
responsible for the facility and its compliance): Livingston Lewis, Mayor
3. Mailing Address: P.O. Box 455
City: Bladenboro
State: NC Zip: 28320
Telephone No.: ( 919 ) 863-3655
4. Project Name (subdivision, facility, or establishment name - should be consistent with
project name on plans/specs., letters of flow acceptance, Operational Agreements, etc.):
Sewer Extension to Serve Hardees Site
5. Application Date: 6/7/94
6. Fee Submitted: $ 400
7. County where project is located: Bladen
II. PERMIT INFORMATION:
A)c0009
1. Permit No. (will be completed by DEM): �� 5
2. Specify whether project is: X new; renewal*; modification.
*If renewal, complete only sections I through III and applicant signature
(on pg.5). Submit only pgs. 1, 2, 5 (original and 3 copies of each). Engineer
signature not required for renewal.
3. If this application is being submitted as a result of a renewal or modification to an
existing permit, list the existing permit number and issue date
4. Specify whether the applicant is x public or private.
FORM: GSEA 4/91 Page 1 of 6

GRAVITY SEWER EXTENSION
PAGE 2 (4/91)
III. INFORMATION ON WASTEWATER:
1. Nature of Wastewater: % Domestic; 100 % Commercial;
% Industrial; % Other waste (specify):
2. Please provide a one or two word description specifying the origin of the wastewater,
such as school, subdivision, hospital, commercial, industrial, apartments, etc.:
Business- Fast Food
3. Indicate any parameter (and its concentration) that will be greater than normal domestic
levels: None
4. If wastewater is not domestic in nature, what level of pretreatment has been provided to
ensure protection of the receiving wastewater treatment facility?
None
5. Volume of wastewater generated.by this project: 61 200 gallons per day
6. Explanation of how wastewater volume was determine
1530 SF of Dining Area x 40 qpd= 61,200 GPD
IV. DESIGN INFORMATION:
1
--. 1 jh,s 5" --(a' d �y
do 5? /154-
15 30 x 4o .
is
1. Brief project description: 10" Sewer Line to Serve the Hardees Site
2. Name of wastewater treatment facility receiving wastewater: Bladenboro WWTP
a. Facility permit no.: NPDES NC0026352
b. Engineer should provide statement of his evaluation of downstream sewers to
accept the wastewater: Down*trpam spwwr Si 7P ApGLY1rJ43C - • w
and adequate for this flow
2 of 6

GRAVITY SEWER EXTENSION
PAGE 3 (4/91)
3. Summary of sewer pipe by diameter size and pipe material. Indicate here whether C
factor or N factor is used and circle C or N below: C
Dia. Length Pipe C or N Min. Max. Minimum Max. Minimum
(In.) (Lin. Ft) Material Factor Slope % Slope % Velocity (fps) Vel.(fps) Cover (in)
10 1702.82 pvc 120 0.28 0.28 2.0 -- 36
NOTE: The minimum velocity must not be Less than 2 fps.
For public sewers the minimum diameter is 8 inches.
4. Anchors shall be provided for sewers with slopes greater than 20 %. The anchor
spacing shall be as follows:
a. 36 feet separation for slopes of 21% to 35%;
b. 24 feet separation for slopes of 36% to 50%;
c. 16 feet separation for slopes of 50% and greater.
For velocities greater than 15 fps, it is strongly recommended that measures be
considered which will protect the sewers and manholes from erosion. For velocities
greater than 20 fps, erosion control measures must be specified.
For any excessive slopes or velocities that will occur in any sewer line segment, what
measures have been taken to protect the sewer pipe and manholes?
N/A
5. Maximum sewer reach length between manholes: 361 .77 linear feet.
6. This sewer line segment occurs between manhole no. 6 and manhole no. 7
7. Does the owner/operator have the ability to clean this length? X Yes No.
8. Sewer subject to existing or planned traffic bearing loads? X Yes No.
If yes, what measures are being taken to enable the sewers to withstand the loads?
Adequate depth to prevent damage to pipe has been provided
9. Outside drop manholes are provided where invert separations exceed: N/A feet.
10. Identify (by manhole number) those manholes that have drop connections:
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11.
GRAVITY SEWER EXTENSION
PAGE 4 (4/91)
Maximum allowable infiltration/exfiltration test rate: •
Note: Must not exceed 200 GPD/ pipe dia. in./ mile. 100 GPD/ pipe dia. in./ mile.
12. Minimum separation distances as shown on the plans or addressed in the specifications:
a) 100 ft. horizontal separation from wells or other water supplies? x Yes — No
b) 12 in. vertical separation from storm sewer or ferrous pipe
sanitary sewer specified? X Yes _ No
c) 10 ft. horizontal separation from water mains or 18 in. vertical
separation (water over sewer) or ferrous pipe specified? X Yes _ No
13. Are manholes subject to flooding? Yes X No
14. If yes, are manhole rim elevations 1 foot above 100-year flood level, _ Yes _ No
(100 year flood elevation should be indicated on plans)
15. Or are manholes watertight and vented 1 foot above the 100-year
flood elevation ( should be shown on plans): _Yes _ No
16. Identify (by manhole number) those manholes that are vented: N/A
17. Does this project involve any stream crossings? yes X no. If yes, what precautions
or special features have been utilized to ensure protection of the sewer line and not
restrict stream flow? Identify the sheet of the plans and station number where stream
crossings are located:
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE
DIVISION OF ENVIRONMENTAL MANAGEMENT UNLESS ALL OF
THE APPLICABLE ITEMS ARE INCLUDED WITH THE SUBMITTAL
Required Items
a. One original and three copies of the completed and appropriately executed application form.
b. Three sets of detailed plans and specifications signed and sealed by a North Carolina
Professional Engineer. The plans must include a general location map, a plan view of the
sewer extension, a profile of the sewer extension, and must show the proximity of the
sewer extension to other utilities and natural features. Specifications may be omitted for
delegated authorities. Each sheet of the plans and the first page of the specifications must be
signed and sealed. Three copies of the existing permit if a renewal or modification.
c. The appropriate permit processing fee, in accordance with 15A NCAC 2H .0205(c)(5).
d. If the owner/authority of the wastewater treatment facility (WWTF) that will be accepting
the wastewater flow from this project is different from the applicant of the project, then a
letter must be provided from the owner/authority of the WWTF specifying the volume of
flow that will be accepted. The letter should be a recent letter and should refer to the project
by the same name as that identified on the application and the plans/specifications.
e. An Operational Agreement (original and two copies) must be submitted if the sewer
extension will.be serving single family residences, condominiums, mobile homes, or town
houses and if the subject sewer extension is owned by the individual residents, a
homeowners association, or a developer.
4of6

CiRAV11 Y SEWER EXTENSION
PAGE 5 (4/91)
Name and Complete Address of Engineering Firm: NCDC Corporation
4190 Highway 16 S.
City: Newton State: NC Zip: 28658
Telephone No. [phone]
Professional Engineer's Certification:
I, Recil H. Wright , attest that this application for Town of Bladenboro
Sewer Extension to Hardees
has been reviewed by me and is accurate
and complete to the best of my knowledge. I further attest that to the best of my knowledge the
proposed design has been prepared in accordance with the applicable regulations. Although certain
portions of this submittal package may have been developed by other professionals, inclusion of
these materials under my signature and seal signifies that I have reviewed this material and have
judged it to be consistent with the proposed design.
North Carolina Professional Engineer's Registration No. 7278
Print Name of Engineer Recil, Yt•t, P.E.
\'' _.e.'''''ck:e, . ...',..c / 1. Ofe
'l ,`N CA. q ,
Seal and Signature (specify dateh`,.... "4r .%�� .�
7.
f .7.
t 61l6lq
e n a
Applicant's Certification: "'�**4x*0°„
I, Livingston Lewis , attest that this application for Town of Bladenboro
Sewer Extension to Hardees
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
information and attachments are not included, this application package will be returned as
incomplete.
Signature
rn_.JDate 6 - %- 9y-
THE COMP "`TED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
INFORMATION AND MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
PERMITS AND ENGINEERING UNIT
POST OFFICE BOX 29535
512 NORTH SALISBURY STREET
RALEIGH, NORTH-CAROLINA 27626-0535
TELEPHONE NUMBER: 919/733-5083
5 of 6

VPV1 Y 1 1 1 JL YY L' 1� L:/11 G1NJ1 J1N
PAGE 6 (4/91)
PERMIT APPLICATfON`PROCESSING FEES
(effective October 1, 1990)
CATEGORY NEW APPLICATIONS/ RENEWALS WITHOUT
MODIFICATIONS MODIFICATIONS
> 1,000,000 GPD
Industrial $400 $300
Domestic/Cooling Water $400 $300
10,001 - 1,000,000 GPD
Industrial $400
Domestic/Cooling Water $400
$250
$250
1,001 - 10,000 GPD
Industrial $400 $200
Domestic/Cooling Water $400 $200
< or = 1,000 GPD and
Single Family Dwelling
$240 $120
Sludge < or = 300 Acres $400 $250
Sludge > 300 Acres $400 $250
Sewer Extensions
(nondelegated) $400 0
Sewer Extensions
(delegated) $200 0
Closed -Loop Recycle
or Evaporative $400 $200
NOTE: The Fees for Soil Remediation Projects are the same as for Sludges.
Under the Sewer Extension Fee, "delegated to municipalities" applies
only to those governmental jurisdictions that have specific delegation
review authority, as granted by the Division of Environmental
Management.
6 of 6