WQ0015733_Application (FTSE)_19980812

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.
Applicant's Initials
1. One original and one copy of the completed and properly executed application form.l•j,/I3
2. The appropriate pennit 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. l.L
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 [1] year) and should refer
to the project by the same none as that identified on the application and the plans/specifications. I
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 detnonstrates 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.
N/A
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. N/A
II. PERMIT INFORMATION:
SOC Project: Yes No.
1. Application Number (will be completed by DEM): W QOI� ls'133
2. Specify whether project is: 4 new modification.
3. If this application is being submitted as a result of a modification to an existing pennit, please complete:
existing permit number and permit issue date
4. Specify whether the applicant is: 4 public private.
5. Application Date: July 8. 1998 6. Fee Submitted: $ 400.00
7. County(ies) where project is located: Harnett
8. Applicant's Name (Please specify the name of the municipality, corporation, individual
Town of Lillington
Mign
u4 1 ') 1998
FORM: GSPA 02/96 Page 1 of 4 } GIR; MANAGEMENT
1,400 copies of this document were printed at a cost of $117.32, or $0.t) flioalcopya -ANCH

4
III. GENERAL INFORMATION:
1. Print Owners or Signing Official's none and title (the person who is legally responsible for the facility and its compliance):
Neil Emory. County Manager, Harnett County
2. Mailing address: PO Box 759, 819 S. Main Street
City: Lillington State: NC Zip: 27546-0296
Telephone Number: ( 910 ) 893-7555
3. Project Name (Please specify the name of the subdivision, facility, or establishment. The none should he consistent with
the project name on plans, specifications, letters of flow acceptance. Operational Agreements, etc.):
FY `98 Community Development Project - Patterson Street/Bailev Way Revitalization
IV, INFORMATION ON WASTEWATER:
1. Nature of Wastewater. 100 % Domestic/Commercial % Industrial
% Other (specify)
2. Volume of wastewater generated by this project: 5,040 gnd
3. Explanation of how wastewater volume was determined: 14 units x 360 r;pd/unit = 5,040 cpd
4. Name of wastewater treatment facility receiving wastewater. Town of Lillington Wastewater Treatment Plant
Owner of wastewater treatment facility: Town of Lillington
Facility Permit Number: NCO() 21636 or WQ
5. Indicate any parameters (and their concentrations) which will he greater than normal domestic levels:
N/A
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? N/A Yes No. If Yes, please attach a copy of
the pretreatment permit. If No, when will one be issued? N/A
FORM: GSPA 02/96 Page 2 of 4

V. DESIGN INFORMATION:
1. Summary of GRAVITY SEWER to he permitted, by diameter and length:
Diameter (inches
Length (linear feet)
8
942
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? Yes 'l No. If Yes, please identify and explain:
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

VI. CERTIFICATIONS:
Name and Complete Address of Engineering Firm: The Wooten Company
120 North Boylan Avenue
City: Raleigh
State: N.C. Zip: 27603
Telephone Number: [phone]
Professional Engineer's Certification:
I, Luke T-L Kwong attest that this application for FY `98 Community
Development Proiect - Patterson Street/Bailev Wav Revitalization
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
proportions 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, Signature <u'id Date:
2
Applicant's Certification:
elkt
D=
I, Neil Emory, County Manager , attest that this application for FY `98 Community
Development Project - Patterson StreetBailev Wav Revitalization
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 re ired supporting information and attachments are not included, this application package
will be returned to me as i omplete. pon pproval and completed construction, I will operate this system in accordance with the
North Carolina wastewate llection en requirements.
Signature
Date
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

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
Ralph Summeral Mobley, Jr.
The Wooten Company
120 North Boylan Avenue
Raleigh, NC 27603
DENR
February 23, 1999
fa Lem
RE
Subject: Permit No. WQ0015733
Patterson Street/Bailey
Way
Sewer- Public
Harnett County
Dear Mr. Mobley:
The division's Non -Discharge Permitting Unit 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].
Sin erel
Pa umbo, E.I.T.
ironmental Engineer
cc: Fayetteville Regional Office, Water Quality Section
Central Files
Neil Emory, Town of Lillington
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

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
Town of Lillington
P.O. Box 759
Lillington, North Carolina 27546-0296
August 18, 1998
ATT:cAnoarictit0
Q ;' 20 1998
FAYE-am/11 e
REG. CE
Subject: Permit No. WQ0015733
Town of Lillington
Patterson Street/Bailey Way
Wastewater Collection System
Harnett County
Dear Mr. Emory:
In accordance with your application received August 12, 1998, attached is Permit No.
WQ0015733, dated August 18, 1998, to the Town of Lillington 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 942 linear feet of 8 inch gravity sewer to serve 14-three
bedroom homes at Patterson Street and Bailey Way, and the discharge of 5,040 GPD of collected domestic
wastewater into the Town of Lillington's existing sewerage system, pursuant to the application received
August 12, 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 Lillington
Wastewater Treatment Facility (NPDES Permit No. NC0021636) 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 government 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

If you need additional information concerning this matter, please contact Marcia Eaddy at (919)
733-5083 extension 524.
Sincere
. Preston Howard, Jr., P.
cc: Harnett County Health Department
Fayetteville Regional Office, Water Quality Section
The Wooten Company

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 final
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.
1

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 th 8th day of August, 1998
NORTH ' ' OLIN
AL MANAGEMENT COMMISSION
4_A. Preston Howard, Jr., P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0015733
2

Permit No. WQ0015733
August 18, 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
3

::$ ..." 14, DEM-P a E Fax:[phone] Rug 13 '98 13:28 P.01/01
§§ Procedure 4 Request Form
TO FROM: , Water Quality Supervisor
Fayetteville Regional Office, Water Quality Section 1) Eli /E®
TO FROM: Thelma Williams
V
State Engineering Review Group
Telephone [phone] extension 524 FAX [phone]t9 1 3 1998
Application Number: W Q Do f 5133 County: G�rr1elf
Applicant: 'T0 W n o'C L i I I iA fp
Project Name: Y a erso n S{-. / Sal lei 'v i -f-ea i za,� ayt
Receiving Facility: e %J n o 1 i l l; n 9p n Permit Number IJ C OQ 2.l (0 3 to
Flow Volume: ! 5 ()LLD GPD Flow Type: X Domestic Commercial Industrial
Approval: Denial: i L R; -Ied " j'- L K.w o &
Comments: J
FAYETTEVILLE
REG. OFFICF
Regional Signature: y-l3 "7
Application Number: County:
Applicant:
Project Name:
Receiving Facility: Permit Number.
Flow Volume: GPD Flow Type: Domestic Commercial Industrial
Approval: Denial: ; nea:
Comments:
Regional Signature:
Application Number: County:
Applicant:
Project Name:
Receiving Facility: Permit Number:
Flow Volume: GPD Flow Type: Domestic Commercial Industrial
Approval:
Comments:
Denial:
Regional Signature:

FILE MODE
P. 1
* * * COMMUNICATION RESULT REPORT ( AUG.13.1998 3:28PM ) * * *
TTI ENVIRONMENTAL MGMT
OPTION ADDRESS (GROUP) RESULT PAGE
576 MEMORY TX
19197330719
OK P. 1/1
REASON FOR ERROR
E-1) HANG UP OR LINE FAIL
E-3) NO ANSWER
DENT-P & E Fax:[phone]
E-2) BUSY
E-4) NO FACSIMILE CONNECTION
Aug 13 '98 13:28 P.01/01
Pi rcedure 4 Request Form
FROM: hGeheeMekert MilLter Quality Supervisor
Fayetteville Region a1 Office, Water Quality Section
TO FROM: Thelma Williams
State Engineering la .eview Group
Telephone [phone] extension 524
Doe.'FlEeE7$VED
FAX [phone]ID 1 3 1998
Application Number: _Wot Dot 51 13 County: Aa ne+F Fib. o ' L
Applicant -ta wr1 rsC L i /1141.6n _
hoject Name: , 7&'N-erso n_ _Cf. r Sa4169'P Vl haL t T4 $1 •1
Receiving Pacii}ty: _ ,,,1 n r l 01,LisIt4ALL ± Permit Number. N (49 z L(
Flow Volume: I _ 6010 GM Flow X
Type: Domestic � Commercial Industrial
Approval: ! /...""° De
Comments:
Regional Signature:
Application Number:
Applicant; _
Project Name:
Receiving Facility:
Flow Volume: / ri
County:
Permit Numbs:

s11k`t11 t ;,/
`919.r
o-
The �c oo
Ilooten
Company
Engineering
Planning
Architecture
120 N Boylan Avenue
Raleigh. NC
27603
0
MEMORANDUM
TO: NC Department of Environmental and
Natural Resources
Water Quality Section
Permits and Engineering Unit
PO Box 29535
Raleigh, NC 27626-0535
FROM: Ralph S. Mobley, Jr.
The Wooten Company
120 N. Boylan Avenue
Raleigh, NC 27603
SUBJECT: Patterson Street/Bailey Way
Wastewater Collection System
Harnett County
Division of Water Quality
Permit No. WQ0015733
Town of Lillington
Dated: August 18, 1998
919-828-0531
Fax:[phone] DATE: January 27, 1999
Since 1936
r
I, Ralph S. Mobley, Jr., as a duly registered Professional Engineer in the State of
North Carolina, do hereby certify to the best of my knowledge and belief that
construction of these permitted facilities have been completed in substantial accordance
with the approved plans and specifications.
Signature
s tnAtei
cc: Mr. George Jackson, County of Harnett
Mr. Neil Emory, County of Harnett
TWC file
The Division of Water Quality bath,
acknowledges receipt and acceptance of tilis &tttaarF
Certification
z V4._ / Z/z 3/ 9 7
474
•, .
,'
•
•

•
417A
KCDENR
JAMES B. HUNT JR.
GOVERNOR
BILL HOLMAN
SECRETARY
KERR T. STEVENS
DIRECTOR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
FAYETTEVILLE REGIONAL OFFICE
December 23, 1999
Mr. Neil Emory
County of Harnett
P.O. Box 249
Lillington, North Carolina 27546-0296
Subject: 'Permit No. WQ0015733
Patterson Street/Bailey Way
Sewer Extension - Public
County of Harnett- Owner
Harnett County
Dear Mr. Emory:
The Fayetteville Regional Office has accepted the engineers signed and
sealed certification with as built plans for Patterson Street/Bailey Way, which is
tributary to the Town of Lillington WWTP # NC0021636. This information will
be forwarded to our Central Office for their records
If it would be helpful to discuss this matter further, please do not hesitate
to contact me at [phone].
Sincerely,
Ricky Revels
Environmental Technician
/rr
Enclosure
cc: Non -Discharge Permitting Unit / enclosure
Central Files / enclosure
Ralph S. Mobley, Jr., P.E.- The Wooten Company
225 GREEN STREET, SUITE 714 / SYSTEL.BLD. FAYETTEVILLE, NORTH CAROLINA 28301-5043
PHONE [phone] FAX [phone]
AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER - 50% RECYCLED/10% POST -CONSUMER PAPER