WQ0015532_Permit (Issuance)_19980629

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State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Govemor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
June 29, 1998
Mr. Delane Jackson
Town of Bladenboro
P.O. Box 455
Bladenboro, North Carolina 28320
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021995
FAYETTEV L .f:
REG. OFF'iCE
Subject: Permit No. WQ0015532
Town of Bladenboro
Industrial Drive
Wastewater Collection System
Bladen County
Dear Mr. Jackson:
In accordance with your application received June 25, 1998, attached is Permit No. WQ0015532,
dated June 29, 1998, 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This permit shall be effective from the date of issuance until rescinded and you shall be subject to
the conditions and limitations as specified in the North Carolina Gravity Sewer Design Criteria adopted
February 12, 1996 and the attached 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 for the
construction and operation of approximately 880 linear feet of 8 inch gravity sewer to serve 100 office
employees at Industrial Drive, and the discharge of 17,500 GPD of collected domestic and industrial
wastewater into the Town of Bladenboro's existing sewerage system, pursuant to the application received
June 25, 1998, and in conformity with the North Carolina Gravity Sewer Design Criteria.
The sewage and wastewater collected by this system shall be treated in the Town of Bladenboro
Wastewater Treatment Facility (NPDES Permit No. NC0026352) prior to being discharged into the
receiving stream.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the
right to request an adjudicatory hearing upon written request within thirty (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, P.O. Drawer 27447,
Raleigh, NC 27611-7447. Unless such demands are made this permit shall be final and binding.
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 govemment agencies (local,
state, and federal) which have jurisdiction.
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

3
If you need additional information concerning this matter, please contact Marcia Eaddy at (919)
733-5083 extension 524.
Sincerely,
r A. Preston Howard, Jr., P.E.
cc: Bladen County Health Department
Fayetteville Regional Office, Water Quality Section
Universal Engineering & Design, L.L.P.

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
GRAVITY SEWER COLLECTION SYSTEMS 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 the Division of Water Quality Gravity Sewer Design Criteria adopted February 12,
1996.
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. This permit is not transferable. In the event there is a desire for the facilities to change ownership, or
there is a name change of the Permittee, a formal permit request must be submitted to the Division of
Water Quality (Division) accompanied by an application fee, documentation from the parties involved,
and other supporting materials as may be appropriate. The approval of this request will be considered
on its merits and may or may not be approved.
5. Construction of the gravity sewers 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 this permitted facility, a certification
and a copy of the record drawings (i.e., as constructed plans) must be received from a professional
engineer certifying that the permitted facility has been installed in accordance with the Division of
Water Quality Gravity Sewer Design Criteria adopted February 12, 1996, 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 fmal
certificate of completion once the entire project has been completed. A copy of the record drawings,
indicating the facilities constructed in the phase being certified, shall be submitted with each partial
certification. Mail the Certification and one (1) copy of the "Record Drawings" to the Non -Discharge
Permitting Unit, P.O. Box 29535, Raleigh, NC 27626-0535.
7. A copy of the Record Drawings shall be maintained on file by the Permittee for a minimum of five
years from the date of the completion of construction.
8. Failure to abide by the conditions and limitations contained in this general sewer permit or the North
Carolina Gravity Sewer Design Criteria may subject the Permittee to an enforcement action by the
Division, in accordance with North Carolina General Statute 143-215.6A to 143-215.6C.
9. 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.
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10. Noncompliance Notification:
The Permittee shall report by telephone to the Fayetteville Regional Office, telephone number
[phone], as soon as possible, but in no case more than 24 hours or on the next working day,
following the occurrence or first knowledge of the occurrence of either of the following:
a. Any process unit failure, due to known or unknown reasons, that renders the facility incapable of
adequate wastewater transport, such as mechanical or electrical failures of pumps, line blockage or
breakage, etc.; or
b. Any failure of a 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
five (5) 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 29th day of June, 1998
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
rQv A. Preston oward, Jr., P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0015532
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Permit No. WQ0015532
June 29, 1998
ENGINEER'S CERTIFICATION
Partial Final
I, , as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the
project, for the
Project Name Location and County
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, the certificate of coverage, the North Carolina Gravity Sewer Minimum Design Manual, and other
supporting materials.
Signature Registration No.
Date
The above Engineer's Certification must be completed and submitted to the address below with one (1)
copy of the "Record Drawings" (i.e., as -constructed plans) of the wastewater collection system This
project shall not be considered complete and allowed to operate until this Engineer's Certification and the
"Record Drawings" plans have been submitted. Any wastewater flow made tributary to the wastewater
collection system 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.
NORTH CAROLINA DIVISION OF WATER QUALITY
WATER QUALITY SECTION
PERMITS AND ENGINEERING UNIT
POST OFFICE BOX 29535
RALEIGH, NORTH CAROLINA 27626-0535
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State of North r nrolina
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.
1. 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. Applicant's Initials
1. One original and one copy of the completed and properly executed application form.
2. The appropriate pc. —:it processing fee, in accordance with 15A NCAC 2H .0205(c)(5). The fee for
sewer extensions is S.C.O. The fee for sewer extension by partially delegated municipalities
(applies only to these governmental jurisdictions that have specific delegation review authority,
as granted by the Division of Environmental Management) is S200.
3. If the owner/authority of the wastewater treatment facility (W l r) 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 leuer(s) should be recent (within one [11 year) and should
refer to the project by the same name as that identified on the application and the plans/specifications.
j—g----
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: SOC Project: Yes X No.
1. Application Number (will be completed by DEM): VOQV ‘653z
2. Specify whether project is: X new.modification.
3. If th;s 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: 31.1n a 16 , 19 9 8. 6. Fee Submitted: S !a t ; rt _ n n
7. County(ics) where project is located: B 1 a d e n
8. App:icant'sName (Please specify the name of the municipality, corporation, individual, ems.j;�'
Town of' Bladenboro �"
2 5 1998 )
FORM: GSPA 02J96 Page 1 of 4 izEc,:!Ji4Jr''"3.°'ar,AGEMENT
- ANCfi
1,400 copies of this do:umcnt were printed at a cost of SI 17.32, or SC2.082. per copy.

III. GENERAL INFORMATION:
1. Print Owners or Sicning Official's name and agile (the person who is legally responsible for the facility and its compliance):
Delane Jackson, Town Manager
2. Mailing address: Post Office Box 455
City: Bladenboro State:North Carolina Zip: 28320
Telephone Number ( 910
863-3655
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.):
Sanitary Sewer Extension For the Town of Bladenboro — Industrial Drive
IV. INFORMATION ON WASTEWATER:
1. Nature of Wastewater: 14 % Domestic/Commercial 86 % Industrial
% Other (specify)
2. Volume of wastewater generated by this project: 17 , 500 gallons per day.
3. Explanation of how wastewater volume was determined:
Domestic : 100 employees x 25 gpd/ern.. _ 25nn
Process : 15,000 gpd
gpd
4. Name of wastewater treatment facility receiving wastewater. Town of Bladenboro W W T P
Owner of wastewater treatment facility:
Town of Bla'denboro
Facility Permit Number: NCO() 26352 or WQ
5. Indicate any parameters (and their concentrations) which will be greater than normal domestic levels: N/A
6. If wastewater is not domestic in nature, what level of pretreatment has been provided to ensure protectioat of the receiving
wastewater treatment facility?
7. Ira pretreatment permit is required, has one been issued? Yes No. If Yes, please atuch a copy of
the pretreatment permit. If No, when will one be issucd?
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)
Leneth (linear feet)
8
880
i
2. Are there any sections of the Gravity Sewer Minimum Design Criteria or 1SA NCAC 2H .0200 with which the subject
wastewater collection system will not be able to comply? Yes X No. If Yes, please identify and explain:
. . IMPORTANT:.
If you responded Yes to question V.2 above, the completed application package,
jncluding two (21 copies of plans. specifications, supporting information and
anv other materials, should be submitted for an individual permit.
FORM: GSPA 02/96 Page 3 of 4

VI. CERTIFICATIONS:
Name and Complete Address of Engineering Firm:
1622 South Madison Street
City: Whiteville
Universal Engineering & Design, L.L.P.
State: North f'arn1 i na Zip: 28472
Telephone Number: ( 910 ) 6 4 1 - 0 311
Professional Engineer's Certification:
R. Allen Waddell
I
, attest that this application for Sanitary Sewer Extension
For the Town of Bladenboro - Industrial Drive
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 desigti.
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North Carolina Professional Engineer's Seal, Signature, and Date:
Applicant's Certification:
Delane Jackson
'= 023004 s
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attest that this application for Sanitary Sewer Extension
For the Town of Bladenboro - Industrial Drive
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required pare of this
application arc not completed and that if all required supporting information and attachments are not included, this application package
will be returned to me as incomplete. Upon approval and completed construction. I will operate this system in accordance with the
North Carolina wastewater cone,: 'on gcrmit requirements.
)LJahtQd
Signature
Date
6-(7-q,(
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORM1AT7ON 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

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
R. Allen Waddell
Universal Engineering & Design, L.L.P.
1622 South Madison Street
Whiteville, NC 28472
Dear Mr. Waddell:
DENR
RECEIVED
December 1, 1998 DEC 0 2 199E
FAYETTEV LLE
REG. OFFICE
Subject: Permit No. WQ0015532
Industrial Drive
Sewer- Public
Bladen County
The division's Regional/Program Management Coordination Branch has received
your signed and sealed certification with as builts. This will be forwarded on to the
Fayetteville Regional Office for approval.
If it would be helpful to discuss this matter further, I would suggest that you
contact the. Water Quality Regional Supervisor at the Fayetteville Regional Office at
[phone].
n Palumbo, E.I.T.
nvironmental Engineer
cc: Fayetteville Regional Office, Water Quality Section
Central Files
Delane Jackson, Town Manager, Town of Bladenboro
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