WQ0034997_Application (FTSE)_20100914

pF NNAT9 State of North Carolina
Q Department of Environment and Natural Resources
DENR-FRO Division of Water Quality
SEP 1 4 2010 FAST -TRACK APPLICATION
law
RR (FTA 12/07 ver5)
DAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
(Pressure & Vacuum sewer systems are not to be included as part of this application package)
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 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. us/percs/Collection%20Systems/Collection SystemAppl ications. 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 plans and specifications unless you respond NO to Item B(13).
Separate applications should be made for non-contiquous 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.
❑ 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.
❑ 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.
® 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, and 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-10/07 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 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.
FTA 12/07

® G.
Stream Classifications — Watershed Classification Attachment (Form WSCAS-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.
❑ 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.
❑ 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.
® 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(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
Swannanoa, North Carolina 28778
[phone]
[phone] Fax
Avery, Buncombe, Burke, Caldwell, Cherokee,
Clay, Graham, Haywood, Henderson, Jackson,
Macon, Madison, McDowell, Mitchell, Polk,
Rutherford, Swain, Transylvania, Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Fayetteville, North Carolina 28301-5094
[phone]
[phone] Fax
Anson, Bladen, Cumberland, Harnett, Hoke,
Montgomery, Moore, Robeson, Richmond,
Sampson, Scotland
Mooresville Regional Office
610 E. Center Avenue
Mooresville, North Carolina 28115
[phone]
[phone] Fax
Alexander, Cabarrus, Catawba, Cleveland,
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
Stanly, Union
Raleigh Regional Office
1628 Mail Service Center
Raleigh, North Carolina 27699-1628
[phone]
[phone] Fax
Chatham, Durham, Edgecombe, Franklin,
Granville, Halifax, Johnston, Lee, Nash,
Northampton, Orange, Person, Vance, Wake,
Warren, Wilson
Washington Regional Office
943 Washington Square Mall
Washington, North Carolina 27889
[phone]
[phone] Fax
Beaufort, Bertie, Camden, Chowan, Craven,
Currituck, Dare, Gates, Greene, Hertford, Hyde,
Jones, Lenoir, Martin, Pamlico, Pasquotank,
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
[phone] Fax
Brunswick, Carteret, Columbus, Duplin, New
Hanover, Onsiow, Pender
Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, North Carolina 27107
[phone]
[phone] Fax
Alamance, Alleghany, Ashe, Caswell, Davidson,
Davie, Forsyth, Guilford, Rockingham, Randolph,
Stokes, Surry, Watauga, Wilkes, Yadkin
For more information, please visit our web site at:
http://h2o. enr state.nc. us/peres/Collection%20Systems/CollectionSystemsHome.html
or contact the Regional Office serving your county.
FTA 12/07

USE THE TAB KEY TO MOVE FROM FIELD TO FIELD! Application Number:
(to be completed by DWQ) pv(0031997
1. Owner/Permittee:
1 a. Town of Bladenboro
Full Legal Name (company, municipality, HOA, utility, etc.)
Z 1 b. Delane Jackson, Town Manager
Signing
H
Q lc. The
2 ■
0 1d. 305
Official
legal entity
Individual
South Main
Name and
who will
INFederal
Street
Title (Please review
own this system
►1 Municipality
is:
■
15A NCAC
State/County
2T
■
.0106 (b) for authorized
Private Partnership
le. Bladenboro
■
signing officials!)
Corporation
IIOther (specify):
LL Mailing
Z 1f. North
Address City
Carolina 1g. 28320
Z State
0 1 h. 910-863-3655
Zip Code
1 i. 910-863-3738 1 j. [e-mail]
QTelephone
V 2. Project
Facsimile E-mail
(Facility) Information:
J 2a. Northwest
Sewer Basin I/1 Repairs 2b. Bladen
CI. Brief
a Q 3. Contact
Project Name (permit will refer to this name) County Where Project is Located
Person:
Q3a. Mark
Lacy, P.E., Hobbs, Upchurch & Associates, P.A.
Name
3b. 910-692-5616
and Affiliation of Someone Who Can Answer Questions About this Application
3c. [e-mail]
Phone
Number E-mail
1. Project
is
►i4
New
•
Modification (of an existing permit) If Modification, Permit No.:
2. Owner
is
►'4
Public (skip 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 one)
•
•
•
Retaining Ownership (i.e. store, church, single office, etc.) or
Leasing units (lots, townhomes, etc. - skip to Item B(3))
Selling units (lots, townhomes, etc. - go to Item B(2b))
•
•
Public Utility (Instruction C)
Homeowner Assoc./Developer (Instruction D)
3. Town of Bladenboro
Z Owner of Wastewater Treatment Facility (WVVfF) Treating Wastewater From This Project
0 4a. Town of Bladenboro WWTP 4b. NC0026352
I— Name of WWTF WWTF Permit No.
Q
2 5a. Town of Bladenboro
5b. 10-inch
►'4
Gravity
5c. WQCS00176
OOwner of Downstream Sewer
LL 6. The origin of this wastewater is
Z
Receiving
(check
Sewer Size
all that apply):
■ Force Main
Permit # of
Downstream Sewer (Instruction E)
100 %
1—
2
►il
•
•
Residential Subdivision
Apartments/Condominiums
Mobile Home Park
•
■
■
Retail (Stores, shopping centers)
Institution
Hospital
Domestic/Commercial
% Industrial (attach
W■
EL
School
• Restaurant
►i1 Office
►i
•
•
Church
Nursing Home
Other (specify):
description.)
(RO: contact your Regional Office
Pretreatment staff)
m
% Other (specify):
7.
Volume of wastewater to be allocated or permitted for this particular project: 0 gallons per day
8.
*Do not include future flows or previously permitted allocations
If the permitted flow is zero, indicate why:
• Pump Station, Outfall or Interceptor Line where flow will be permitted in subsequent permits that connect to this line
■ Flow has already been allocated in Permit No.
r
Rehabilitation or replacement of existing sewer with no new flow expected (see 15A NCAC 02T .0303 to determine if a
permit is required)
FTA 12/07

Provide the wastewater flow calculations used 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 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).
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches) Length (feet)
8 2,335
New Gravity or Additional
Force Main
New / Replacement
Gravity
W111. Summary of Pump Stations w/ associated Force Mains to be Permitted (attach additional sheets as necessary)
z
[Pump Station Location ID (self chosen - as shown on plans/map for reference)
H Design Flow Power Reliability Option
Z (MGD) Operational Point 1 - permanent generator w/ATS; Force Main Size Force Main Length
UGPM @TDH 2 - portable generator w/MTS
Z
O
elc H Pump Station Location ID (self chosen - as shown on plans/map for reference)
et Design Flow Operational Point Power Reliability Option
-- (MGD) GPM 0TDH 1 - permanent generator w/ATS; Force Main Size ! Force Main Length
2 - portable generator w/MTS
LL
1-
W
a
00
12. 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 2nd treatment facility
(RO — if "yes" to 6,12 please contact the Central Office PERCS Unit)
13. 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
variance is requested. SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS
PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
FTA 12/07

.14. Have the following permits/certifications been submitted for approval for the system or project to be served?
Wetland/Stream Crossings - General Permit or 401 Certification?
Sedimentation and Erosion Control Plan?
Stormwater?
❑ Yes ❑ No ® N/A
® Yes ❑ No ❑ N/A
❑ Yes ❑ No ® N/A
15. 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, Delane Jackson, attest that this application for the Northwest Sewer Basin 1&I Repairs 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 retumed 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 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
pe►(O!tie vup to $25,006-per vioktion.
1 a.
Signing Official Signature
Date
ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY
TO OTHER UTILITIES, DESIGN CALCULATIONS. ETC. REFER TO 15A NCAC 02T .0305
2. Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
1, Mark A. Lacy, P.E., attest that this application for the Northwest Sewer Basin 1&I Repairs has been 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 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, 2000 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
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.
2a. Mark A. Lacy, P.E.
Professional Engineer Name
2b. Hobbs, Upchurch & Associates
Engineering Firm
2c. PO Box 1737
Mailing Address
2d. Southern Pines
City
2g. 910-692-5616 2h. 910-692-7342
Telephone Facsimile
2e. NC 2f. 28388
State Zip
2i. [e-mail]
E-mail
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NC PE Seal, Signature & Date
FTA12/07

USE THE TAB KEY TO MOVE FROM FIELD TO FIELD! Application Number:
(to be completed by DWQ) WQ 0a 31777
1. Owner/Permittee:
la. Town of Bladenboro
Full Legal Name (company, municipality, HOA, utility, etc.)
Z 1 b. Delane Jackson, Town Manager
H
Q lc.
0
0 1 d.
Signing
The
IIIndividual
305
Official
legal entity
South Main
Name and
who will
■ Federal
Street
own
►1
Title (Please review
this system
Municipality
is:
IIIState/County
15A NCAC
2T
IIIPrivate
.0106 (b) for authorized
Partnership
1 e. Bladenboro
signing officials!)
■ Corporation IIOther (specify):
ZMailing
1f.
North
Address City
Carolina 1g. 28320
Z
0 1 h.
State
910-863-3655
Zip Code
1 i. 910-863-3738 1 j. [e-mail]
QTelephone
V 2.
Project
Facsimile E-mail
(Facility) Information:
, j 2a.
Northwest
Sewer Basin I/I Repairs 2b. Bladen
d
a Q 3.
Brief
Contact
Project Name (permit will refer to this name) County Where Project is Located
Person:
Q3a.
Mark
Lacy, P.E., Hobbs, Upchurch & Associates, P.A.
3b.
Name
910-692-5616
and Affiliation of Someone Who Can Answer Questions About this Application
3c. [e-mail]
Phone
Number E-mail
1.
Project
is
New
■ Modification (of an existing permit) If Modification, Permit No.:
2.
Owner
is
►1
Public (skip to Item 8(3))
• Private (go to Item 2(a))
2a.
If
private, applicant will be: 2b. If sold, facilities owned by a (must choose one)
•
•
IN
Retaining Ownership (i.e. store, church, single office, etc.) or
Leasing units (lots, townhomes, etc. - skip to Item B(3))
Selling units (lots, townhomes, etc. - go to Item B(2b))
■ Public Utility (Instruction C)
• Homeowner Assoc./Developer (Instruction D)
3. Town of Bladenboro
Z Owner of Wastewater Treatment Facility (WVVfF) Treating Wastewater From This Project
O 4a. Town of Bladenboro WWTP 4b. NC0026352
I— Name of WWTF WWTF Permit No.
Q
2 5a. Town of Bladenboro
5b. 10-inch
►l
Gravity
5c. WQCS00176
ce Owner of Downstream Sewer
0 6. The origin of this wastewater is
Receiving Sewer Size
(check all that apply):
I
INForce
Main
Permit # of Downstream Sewer (Instruction E)
HOBBS, ZZPC5-[Z12 Cif eb ASSOCIATES, EA.
CONSULTING ENGINEER
P.O. BOX 1737. 300 S.W. BROAD STREET
SOUTHERN PINES. NC 28388
[phone]
:xactly Four hundred eighty and no / 100 Dollars
DAY
rO THE
)RDER N . C . DENR
)F:
NC
BB&T
NORTH CAROLINA
66-112-531
70028
70028
DATE AMOUNT
9/10/2010 $480.00
FTER 90 DAYS
AUTHORIZED SIGNATURE
6

1rvQOos g7 97
jII
HOBBS, `UPCHU CHee ASSOCIATES, P.A.
CONSULTING ENGINEERSP.O. BOX 1737, 300 S.W. BROAD STREET
SOUTHERN PINES, NC 28388
[phone]
Exactly Pour hundred eighty and no / 100 Dollars
PAY
TO THE
ORDER N . C . DENR
OF:
NC
AA
70028
70028
NORTH CAROLINA
66-t12-531
DATE AMOUNT
9/10/2010 $480.00
9D FTER 90 DAYS
AUTHORIZED SIGNATURE
a
8

Central Files: APS SWP
09/23/10
Permit Number WQ0034997 Permit Tracking Slip
Program Category
Non -discharge
Status Project Type
Active New Project
Permit Type Version Permit Classification
Gravity Sewer Extension, Pump Stations, & Pressure Sewer 1.00 Individual
Extensions
Primary Reviewer Permit Contact Affiliation
trent.allen
Coastal SW Rule
Permitted Flow
0
Facility
Facility Name
Northwest Sewer Basin I/1 Repairs
Location Address
Owner
Major/Minor Region
Major Fayetteville
County
Bladen
Facility Contact Affiliation
Owner Name Owner Type
Town of Bladenboro Government - Municipal
Owner Affiliation
Delane Jackson
PO Box 455
Bladenboro
Dates/Events
NC 283200455
Orig Issue
09/23/10
App Received
09/14/10
Draft Initiated
Scheduled
Issuance
Public Notice Issue Effective
09/23/10 09/23/10
Regulated Activities Requested/Received Events
Wastewater collection Additional information received
Additional information requested
Outfall N ULl
Expiration
Waterbody Name Stream Index Number Current Class Subbasin

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE —10/07)
Project Applicant Name: Town of Bladenboro
Project Name for which flow is being requested: Northwest Sewer Basin I&I Repairs
More than one FTSE-10/07 may be required for a single project if the owner of the WWTP is not responsible for all
pump 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: Town of Bladenboro WWTP
b. WWTP Facility Permit #: NC0026352
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
All flows are in MGD
0.500
0.000
0.409
0.000
0.409
82%
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
WWTP Influent PS 0.500 0.409
III. Certification Statement:
I, Delane Jackson, certify that, to the best of my knowledge, the addition of the volume of wastewater
to be permitted in this project has been evaluated along the route to the receiving wastewater treatment
facility and that the flow from this project is not anticipated to cause any capacity related sanitary sewer
overflows or overburden any downstream pump station en route to the receiving treatment plant under
normal circumstances. This analysis has been performed in accordance with local established policies and
procedures using the best available data. This certification applies to those items listed above in Sections I
and II for which I am the responsible party. Signature of this form indicates acceptance of this
wastewater ow.
Signing Official Signature
7-6-to
Date

Northwest Sewer Basin I/1 Repairs
for the Town of Bladenboro
Watershed Classification Attachment
Unnamed Tributary
to Bryant Swamp
Bryant Swamp
DWQ Index: 14-22-15
Class: C;Sw
•
1,000 2,000
t

•
FORM WSCAS-12/07
WATERSHED CLASSIFICATION ATTACHMENT
FOR SEWER SYSTEMS
Applicant Name
Project Name
Town of Bladenboro
Northwest Sewer Basin I/1 Repairs
Professional Engineer Name
Engineering Firm Name
Mark A. Lacy, P.E.
Hobbs, Upchurch & Associates, P.A.
Location
ID
Name of Waterbody'
County
River
Basin
Waterbody Stream
Index No.
Waterbody
Classification
S-1
UT to Bryant Swamp
Bladen
Lumber
N/A
N/A
S-2
UT to Bryant Swamp
Bladen
Lumber
N/A
N/A
Bryant Swamp
Bladen
Lumber
14-22-25
C;Sw
•
' If unnamed, indicate "unnamed tributary to X", where X is the named waterbody to which the unnamed tributary joins.
I certify that as a Registered Professional Engineer in the State of
North Carolina that I have diligently followed the Division's instructions
for classifying waterbodies and that the above classifications are
inclusive of the stated project, complete and correct to the best of my
knowledge and belief.
PE Seal, Signature and Date
*** END OF FORM WSCAS-12/07 ***
FORM: WSCAS-12/07
Page 1 of 1

1:10) Hobbs Upchurch Associates
engineering ; planning ! surveying
September 13, 2010
Ms. Belinda Henson
NCDENR — Fayetteville Regional Office
225 Green Street, Suite 714
Fayetteville, NC 28301
Re: Northwest Sewer Basin I/I Repairs
Town of Bladenboro, Bladen County, North Carolina
HUA No. BL0902
Ms. Henson:
Dap
SEp 1 4�`
42010
DWO
Please find enclosed two (2) original copies of the Fast -Track Application, Flow
Tracking/Acceptance for Sewer Extension Permit Application and Watershed Classification
Attachment for the above referenced project. Also enclosed is a check for the permit fee in the
amount of $480.00
If you should have any questions or concerns regarding this information, please do not hesitate to
contact this office.
Sincerely,
HOBBS, UPHURCH & ASSOCIATES, P.A.
Mark Lacy, P.E.
Project Manager
Enclosures
T: 910.692.5616 I F: 910.692.7342 ( 300 SW BROAD STREET I SOUTHERN PINES, NC 28387 I WWW.HOBBSUPCHURCH.COM
SUPERIOR PERFORMANCE THROUGH INNOVATIVE DESIGN