WQ0012503_Application (FTSE)_19960607

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MEMO TO: State Review Group Division of Environmental
Management
FROM: Ricky Revels Fayetteville Regional
Environmental Technician Office
SUBJECT: Procedure Four (4) 6/25/96
WQ0012503 Date
King's Plantation
Sewer Extension - Public
Town of Bladenboro
Bladen County
State Review Group Review
Engineer Andy Oakley
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: 12/31/99
4) Compliance Information:
Present treatment plant performance
for previous l2 months - beginning 5/95
(See attached self -monitoring data)
5) Quantity and type of wastewater from proposed sewers:
26,640 GPD
domestic 100% ; industrial ; other
6) Volume from previously approved projects not yet tributary to
WWTP 13,464 GPD
7) Regional Recommendations: Approval X Denial
RR/rr

COMPLIANCE EVALUATION ANALYSIS REPOR�
PERMIT--NC0026352
FACILTTv--BLADENBORO WWTP, TOWN OF
LOCAT! ON--BLADENBORO
LIMIT
F
Q/M0D
REPORT PERIOD. 9505-9604
DESIGN FLOW--
REjION/COUNTY--06 BLADEN
06/24/96
PAGE i
LGC--- E
00530 0000 31616 5006G
%/T%% NH3+NH4- FEC COLI CHLORINE DO CERI71PF
4.0C F
.2507 .0
.371i
7.66
4.65
.332G 4.3G
.2854 3.3i
95/15 .290'
LIMIT
.zwov r
.3575
.4i34
vo.0� F
3.��
6.5 .65
2.8
3.6
.24
4.0C F
4.3
NOL
.i30
.232
NOL
.235
NOL
i8.04
i0.48
ii.22
i0.0i
.368S 4.06 3.7 .69 .175 10.ii i
i.i020 3.20 160A.0 .400 i2.i0 �
.2i00 LE%%THAN LE%%THAN LE%%THAN LE%%THAN LE%%THAN |
HC/L PW%/",

COMPLIANCE EVALUATIGK ANALYSIS REPDS�
P[RMIT--NC0026352 PIPE--00i REPORT PERIOD, 9505-5604
10�.7LITY--BLADENBORC YWTP, TOWN OF DE%IGK FLGU'--
-OCATION--BLADEKBORG
<ONTS
TEM�
KOL
23.56
A n A G,::�
IMIT NOL NOL
24.45 1.300
27.90
7.2-6.2
20.2:.'
;5/�0 7 7.784
�GL
2.711
M/w:M 30.00
{INIMUH 3.0�
6.200
4
33.20�
M�/L
/
PRO
.7700
NOL
..50C .8500
LOC---E
.5OOO
CLA%%--3

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 7, 1996
MS. ALISON C. COPE
TOWN OF BLADENBORO
PO BOX 455; 305 S. MAIN ST.
BLADENBORO. NORTH CAROLINA 28320
Dear MS. COPE:
AiviccirvAP
z-7,1!
JUN 10 1996
ENV. MANAGEMENT
FAY TTEVILLE REG. OFFICE,
L\
Subject: Application No. WQ0012503
King's Plantation
Sewers -Public
Bladen County
The Division's Permits and Engineering Unit acknowledges receipt of your permit application and
supporting materials on June 7, 1996. This application has been assigned the number listed above.
Your project has been assigned to Andy Oakley for a detailed engineering review. Should there be any
questions concerning your project, the reviewer will contact you with a request for additional
information.
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 Andy Oakley at [phone] extension 533. If the engineer
is unavailable, you may leave a message on their voice mail and they will respond promptly.
PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAKING
INQUIRIES ON THIS PROJECT.
cc: Fayetteville Regional Office
Robert M. Bennett, P.E.
Sincerely,
e&a-66
Carolyn D. McCaskill
Supervisor, State Engineering Review Group
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
GRAVITY SEWER COLLECTION SYSTEMS
This form may be photocopied for use as an original. Pump Stations, force mains and low pressure sewers
(including S.T.E.P. systems) are not to be included as part of this application package.
Any changes made to the content of this form shall not be allowed and will result in the
application being returned.
This application will not be accepted by DEM unless all of the applicable items are included
with the submittal.
I. REQUIRED ITEMS CHECKLIST:
Please indicate that you have read the following list of application requirements by signing your initials in the space provided
next to each item.
1. One original and one copy of the completed and properly executed application form.
2. The appropriate permit processing fee, in accordance with 15A NCAC 2H .0205(c)(5). The fee for
sewer extensions is $400. The fee for sewer extensions by partially delegated municipalities
(applies only to those governmental jurisdictions that have specific delegation review authority,
as granted by the Division of Environmental Management) is $200.
3. If the owner/authority of the wastewater treatment facility (WWTF) and/or collection system that will be
accepting the wastewater flow from this project is different from the applicant of the project, then a letter(s)
must be provided from the owner/authority of the WWTF and/or collection system specifying the
volume of flow that will be accepted. The letter(s) should be recent (within one [1] year) and should
refer to the project by the same name as that identified on the application and the plans/specifications.
4. If the application is being submitted in the name of a privately owned public utility, written
documentation must be submitted from the Utilities Commission which demonstrates that the utility
is authorized to hold the franchise for the area to be served. In the case of contiguous service areas,
written documentation must be provided from the Utilities Commission acknowledging these areas
are covered under an existing franchise.
5. One original and two copies of a properly executed Operational Agreement must be submitted if the
sewer extension will be serving single family residences, condominiums, or town houses AND if the
subject sewer extension is owned by the individual residents, a homeowners association, or a developer.
II. PERMIT INFORMATION: ` \
1. Application Number (will be completed by DEM): )JQ `Z-SC3
SOC Project: Yes x No.
2. Specify whether project is: X new modification.
3. If this application is being submitted as a result of a modification to an existing permit, please complete:
existing permit number and permit issue date
4. Specify whether the applicant is: X public private.
5. Application Date: 6. Fee Submitted: $ 4 0 0.0 0
7. County(ies) where project is located: Bladen
8. Applicant's Name (Please specify the name of the municipality, corporation, individual, etc.):
Town of Bladenboro
FORM: GSPA 02/96 Page 1 of 4
1,400 copies of this document were printed at a cost of $117.32, or $0.084 per copy.

r M. GENERAL INFORMATION:
1. Print Owners or Signing Official's name and title (the person who is legally responsible for the facility and its compliance):
Alison C. Cope, Town Administrator
2. Mailingaddress: PO Box 455, 305 S. Main Street
city: Bladenboro
Telephone Number. ( 910
State: N. C.
Zip: 28320
)863-3655, FAX [phone]
3. Project Name (Please specify the name of the subdivision, facility, or establishment. The name should be consistent with
the project name on plans, specifications, letters of flow acceptance, Operational Agreements, etc.):
King's Plantation
IV. INFORMATION ON WASTEWATER:
1. Nature of Wastewater: 10 0 % Domestic/Commercial % Industrial
% Other (specify)
2. Volume of wastewater generated by this project: 26,640 gallons per day.
3. Explanation of how wastewater volume was determined:
x 120 GPD = 26,640 GPD
74 mobile homes x 3 bedrooms each
4. Name of wastewater treatment facility receiving wastewater.
Owner of wastewater treatment facility: Tower of B L Oeti�3eP o
Facility Permit Number: NC00 2 3 B2- or WQ
5. Indicate any parameters (and their concentrations) which will be greater than normal domestic levels:
None
6. If wastewater is not domestic in nature, what level of pretreatment has been provided to ensure protection of the receiving
wastewater treatment facility? N/A
7. If a pretreatment permit is required, has one been issued?
the pretreatment permit. If No, when will one be issued?
Yes No. If Yes, please attach a copy of
FORM: GSPA 02/96 Page 2 of 4

V . DESIGN INFORMATION:
1. Summary of GRAVITY SEWER to be permitted, by diameter and length:
Diameter (inches)
8"
. Length (linear feet)
2501.53
i
10"
1036.40
2. Are there any sections of the Gravity Sewer Minimum Design Criteria or 15A NCAC 2H .0200 with which the subject
wastewater collection system will not be able to comply? X Yes No. If Yes, please identify and explain:
The proposed 1036.40' of 10" dia. Sewer on "B" St. is oversized.
A slope of 0.28% is maintained for the 10" pipe and the energy
gradient is maintained at the "B" St. M H (sta 12+46.21) where
the pipe changes to 8" dia. The reason for 1036.40' of 10" pipe
is to obtain adequate depth to serve lots 68-74 with gravity sewer.
IMPORTANT:
If you responded Yes to question V.2 above, the completed application package,
Including two (2) copies of plans. specifications. supporting information and
any other materials, should be submitted for an individual permit.
FORM: GSPA 02/96 Page 3 of 4

r
VI. CERTIFICATIONS:
Name and Complete Address of Engineering Firm: Robert M. Bennett, PE
Bennett Engineering, 120 Gillespie St., 2nd Floor
City: Fayetteville
State: NC Zip: 28301-9644
Telephone Number. ( 910 ) 484-997 — FAX (A1 fl) 4R4-1077
Professional Engineer's Certification:
',Robert M. Bennett, PE , attest that this application for King ' s Plantation —
Sanitary Sewer Extension
has been reviewed by me and is accurate and complete. I further attest the proposed design has been prepared in accordance with the
applicable regulations and the North Carolina Gravity Sewer Minimum Design Criteria adopted February 12, 1996. 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 Seal, Si Signature, and Date:��n99e„(
!� � q Ma y 4lo,����H CARP /4 .tt..
roissiair
SEAL
3823
WItciplict-%0tit
Applicant's Certification:
I,
4- V l5t'lrl O o P e , attest this application for
ri S ? l u (� T f� PT.(
lit S r
has been reviewed by Ali 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 to as incomplete. Upon approval d completed construction, I will operate this system in accordance with the
North Carolina wcollection permit
Signature
Date 5 3 6 --��
THE COMPLETED 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
RALEIGH, NORTH CAROLINA 27626-0535
TELEPHONE NUMBER: [phone]
FORM: GSPA 02/96 Page 4 of 4