WQ0036580_Application (FTSE)_20130614

• , WATF DENR-FRO
0� JUN1�+2013
v
DWQ
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
FAST -TRACK APPLICATION
(FTA 12/07 ver5)
for GRAVITY 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://portal. ncdenr.ora/web/wq/swp/ps/cs/ext
® 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-contiguous 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 Maps — Include a street level map showing the downstream connection point, and the permit number for the
downstream sewer, if known. 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.
FTA1 2/07

❑ 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
01 C], 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, Onslow, 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://portal. ncdenr. or4/web/wo/s wp/ps/cs
or contact the Regional Office serving your county.
FTA 12/07

USE THE TAB KEY TO MOVE FROM FIELD TO FIELD! Application Number: i , , ^
(to be completed by DWQ) �{J (X(7 3 S
1. Owner/Permittee:
1 a. Campbell University
Full Legal Name (company, municipality, HOA, utility, etc.)
0 1 b. James O. Roberts, VP for Business and Treasurer
Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized signing officials!)
lc. The legal entity who will own this system is:
IIIndividual ■ Federal • Municipality • State/County IIPrivate Partnership ►4 Corporation • Other (specify):
0
Q ld. P.O. Box 897
1 e. Buies Creek
LL Mailing Address City
Z 1 f. NC
lg. 27506
Z State Zip Code
1 h. 910-893-1611 1 i. 910-890-1574 1j. [e-mail]
QTelephone Facsimile E-mail
o 2. Project (Facility) Information:
2a. Campbell University Stadium Expansion 2b. Harnett
d Brief Project Name (permit will refer to this name) County Where Project is Located
d
Q 3. Contact Person:
Q 3a. Fred Rash, PE, The Wooten Company
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b. 9109-828-0531 3c. [e-mail]
Phone Number E-mail
1. Project is New • Modification (of an existing permit) If Modification, Permit No.:
2. Owner is • Public (skip to Item B(3)) ►il 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 • Public Utility (Instruction C)
• Leasing units (lots, townhomes, etc. - skip to Item B(3)) ■ Homeowner Assoc./Developer (Instruction D)
• Selling units (lots, townhomes, etc. - go to Item B(2b))
3. Harnett County
Z Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
O 4a. North Harnett WWTP 4b. NC0021636
i—
Q Name of WWTF
WWTF Permit No.
2 5a. Harnett County
5b. 8"
L Gravity
5c. WQ0028647
CC Owner of Downstream Sewer
u. 6. The origin of this wastewater is
Receiving Sewer Size
(check all that apply):
■ Force Main
Permit # of Downstream Sewer (Instruction E)
Z
IIIResidential Subdivision
MIRetail
100 % Domestic/Commercial
I—
2 ■ Apartments/Condominiums
(Stores, shopping centers)
■Institution
0 % Industrial (attach
• Mobile Home Park
CC W • School
a ■ Restaurant
IN Office
■Hospital
• Church
• Nursing Home
►i4 Other (specify): Stadium
description.)
(RO: contact your Regional Office
Pretreatment staff)
m
% Other (specify):
7. Volume of wastewater to be allocated or permitted for this particular project: 25.000 gallons per day
*Do not include future flows or previously permitted allocations
8. 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.
■ 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).
5,000 seat stadium X 5 gallons per seat -day = 25,000 Gallons Per Day.
***NOTE: flow will be conveyed through private sewer and tie in to the public sewer at an existing manhole.
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary) (See *** NOTE in section 9 above)
Size (inches)
8
Length (feet)
226 (Private only)
New Gravity or Additional
Force Main
Gravity (Private)
11. Summary of Pump Stations w/ associated Force Mains to be Permitted (attach additional sheets as necessary)
W
ZPump Station Location ID N/A (self chosen - as shown on plans/map for
Design Flow Z Operational Point (MGD) GPM @TDH
0
0
Power Reliability Option
1 - permanent generator w/ATS; Force Main Size Force Main Length
2 - portable generator w/MTS
Z
0
QPump Station Location ID (self chosen - as shown on plans/map for reference)
Design Flow Operational Point Power Reliability Option
(MGD) GPM @TDH1 - permanent generator w/ATS; Force Main Size Force Main Length
2 - portable generator w/MTS
LL
H
C
W
O.
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 B,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
ZYes ❑No
❑ Yes ❑ No
® N/A
❑ N/A
® 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
Owner/Permittee's Certification: (Signature of Signing Official and Project Name)
1, James O. Roberts , attest that this application for Campbell Football University Stadium Expansion
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 returned as incomplete. Note: In accordance with North Carolina
General Statutes 143-215.6A and 143-215.68, 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.
,��
1 a. vi(l�/MA,
t R
g 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
N TO OTHER UTILITIES, DESIGN CALCULATIONS. ETC. REFER TO 15A NCAC 02T .0305
Z
O
Q2. Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
- 1, Frederic D. Rash , attest that this application for Campbell Football University Stadium Expansion
LL 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
CC knowledge the proposed design has been prepared in accordance with the applicable regulations, Gravity Sewer Minimum
W 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 143-215.68, 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. Frederic D. Rash
Professional Engineer Name
2b. The Wooten Company
Engineering Firm
2c. 120 North Boylan Ave.
Mailing Address
2d. Raleigh
City
2g. 919-828-0531 2h. 919-834-3589
2e. NC 2f. 27603
State Zip
2i. [e-mail]
Telephone Facsimile E-mail
taaaaoaay00
N A '
C •
I t4 SEAL -79 s
Z -n 9691.3 Iv
- c•-•[°� G,NGv•
FTA12/07

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: Campbell University
Project Name for which flow is being requested: Campbell University Football Stadium
Expansion
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: _North Harnett Regional WWTP
b. WWTP Facility Permit #: NC0021636
c. WWTP facility's permitted flow
Fuquay Varina Allocated Flow
Lillington Allocated Flow
Harnett County
Angier Allocated Flow
d. Estimated obligated flow not yet tributary to the WWTP
FV Obligated Flow NYT
Lillington Obligated Flow NYT
HC Obligated Flow NYT
Angier Obligated Flow NYT
Erwin Obligated Flow NYT
e. WWTP facility's actual avg. flow
FV Actual Flow
Lillington Actual Flow
HC Actual Flow
Angier Actual Flow
Erwin Actual Flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
FV Actual Avg. + Obligated Flow
Lillington Actual Avg. + Obligated Flow
HC Actual Avg. + Obligated Flow + Request
Angier Actual + Obligated Flow
Erwin Actual Avg. + Obligated NYT
h. Percent of permitted flow used
Fuquay Varina - (1.413207 MGD / 2.6 MGD)
Lillington — (0.772800 MGD / 1.2 MGD)
HCDPU - (0. 8142500 MGD / 1.8 MGD)
5.6 MGD
2.60 MGD
1.20 MGD
1.80 MGD
1.008 MGD
1.068 MGD
0.584207 MGD
0.163800 MGD
0.180510 MGD
0.050950 MGD
0.092900 MGD
3.230 MGD
0.974 MGD
0.609 MGD
0.637 MGD
0.440 MGD
0.570 MGD
0.025 MGD
4.323 MGD
1.413207 MGD
0.772800 MGD
0.842500 MGD
0.490950 MGD
0.662880 MGD
77.19% (Overall)
54.35%
64.40%
45.23%

Angier — (0.490950 MGD/ 1.008 MGD)
Erwin — (0.662880 MGD/ 1.2 MGD)
48.70%
55.24%
*Erwin Flow is now tributary to NHR WWTP flows were averaged for this calendar year.
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
HCDPU SLS # 10B
HCDPU Regional SLS # 120
Approx. Current Avg.
(Firm/Design) Daily Flow MGD
2.6MGD
13.0 MGD
0.321 MGD
1.957 MGD
III. Certification Statement:
I, _Steve Ward — Director of Public Utilities_, certify that 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 will not cause any capacity
related sanitary sewer overflows or overburden any downstream pump station en route to the
receiving treatment plant. This certification applies to those items listed above in Sections I and
II for which I am the responsible a y. Signature of this form indicates acceptance of this
wastewater flow.
Signing Official Signature
Date

CAMPBELL UNIVERSITY — FOOTBALL STADIUM EXPANSION
Buies Creek, North Carolina
Context and General Information:
This application has been prepared for a North Carolina Department of Environment and Natural
Resources — Division of Water Quality Fast Track Application for Gravity Sewer. The following
narrative is being provided to assist staff at DWQ with review the subject project, "Campbell
University - Football Stadium Expansion," for the requested Permit. The Project is located on
77.4 acres of property located along Wade Stewart Circle and US Hwy 421 South at approximate
Latitude: 35°24'17"N; Longitude 78°44'35"W with access via Wade Stewart Circle and Perry Q.
Langston Lane.
Buies Creek is located approximately 1,100 feet west of the project site. The project site
ultimately drains toward Buies Creek via overland flow; but there are no tributaries onsite that
drain directly to Buies Creek and no stream impacts are proposed. No wetlands impacts are
proposed.
Harnett County owns and maintains an 8-inch gravity sewer on the property adjacent to the
project site.
Proposed Site
The Project consists of a new 5,000 seat stadium on the home side (west) of the existing synthetic
turf field. In addition to bleachers, the project includes a press -box tower with areas for coaches,
Officials, VIP, and broadcast radio and television crews; restroom facilities located on the
concourse area under the bleachers; and paved parking lot located adjacent and behind the new
stadium improvements.
Wastewater flows from the project will be collected into private gravity sewer at the new stadium
and will be discharged into the existing 8-inch gravity sewer publicly owned and maintained by
Harnett County. No public sewer is being proposed with this project.

Proposed Stadium
Project Area
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Produced by the United States Geological Survey
in cooperation with the North Carolina Department
of Environment and Natural Resources
Topography compiled by photogrammetric methods from aerial
photographs taken 1972. Planimetry derived from imagery taken
1997 and other sources. Survey control current as of 1973
North American Datum of 1983 (NAD 83). Projection and
1 000-meter grid: Universal Transverse Mercator, zone 17
2 500-meter ticks: North Carolina Coordinate System of 1983
North American Datum of 1927 (NAD 27) is shown by dashed
comer ticks. The values of the shift between NAD 83 and
NAD 27 for 7.5-minute intersections are obtainable from
National Geodetic Survey NADCON software
Landmark buildings verified 1973
Dashed elliptical outline represents Carolina Bay
07
814°
151 MILS
1°20'
24 MILS
UTM GRID AND 2000 MAGNETIC NORTH
DECLINATION AT CENTER OF SHEET
'08 42'30•
1000
1000 0
� 20%
tot TOTAI. RECOVERED FIRER

35° 22'30"
78°45'00*
This map was compiled by U.S. Department of Agriculture,
Soil Conservation Service and cooperating agencies on 1973
and 1976 photography obtained from U.S. Department of
Interior, Geological Survey.
5000 4000 3000
i N
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[HE WOOTEN COMPANY
Belinda Henson
Regional Supervisor
Surface Water Protection Section
Fayetteville Regional Office
225 Green Street, Suite 714
Fayetteville, NC 28301
TRANSMITTAL
DENR-FRO
JUN 1 4 2013
DwQ
Transmittal Sent Via:
❑ Regular Mail ❑ FedEx ® UPS
❑ Certified Mail ❑ Courier 0 Pick-up
❑ Electronic
DATE: June 12, 2013 TWC No.: 3044-G
RE: Campbell University Stadium Expansion -
Gravity Sewer Fast Track Application
WE ARE SENDING: ® Attached ❑ Under separate cover via the following items:
❑ Shop Drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications
❑ Copy of Letter ❑ Change Order ❑ Other
COPIES
DATE
NO.
DESCRIPTION
1
Original Fast Track Application for Gravity Sewers
1
Copy of Fast Track Application for Gravity Sewers
1
Check in amount of $480.00 for Application Fee
THESE ARE TRANSMITTED as checked below:
❑ For Approval ❑ Reviewed ❑ Revise and Resubmit
❑ For Your Use ❑ Rejected ❑ Submit Copies for Distribution
❑ As Requested ❑ Corrected ❑ Return Corrected Print
❑ For Review and Comment ❑ Other:
❑ For Bids Due [ ] ❑
REMARKS:
COPY TO: File
SIGNED:
Project Engineer
If enclosures are not as noted, kindly notify us at once.

. (JENR-FI
USE THE TAB KEY TO MOVE FROM FIELD TO FIELD! Application Number:
(to be completed by DWQ) JUN 1 4 201
1. Owner/Permittee:
1 a. Campbell University ��]�
Full Legal Name (company, municipality, HOA, utility, etc.) WYw
Z
O 1b. James O. Roberts, VP for Business and Treasurer
Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized signing officials!)
lc. The legal entity who will own this system is:
• Individual ■ Federal ■ Municipality ■ State/County • Private Partnership Corporation • Other (specify):
cc
0 ld. P.O. Box 897 le. Buies Creek
LL Mailing Address City
Z 1 f. NC 1 g. 27506
Z State Zip Code
0 lh. 910-893-1611 1 i. 910-890-1574 1 j. [e-mail]
QTelephone Facsimile E-mail
o 2. Project (Facility) Information:
J 2a. Campbell University Stadium Expansion 2b. Harnett
0- Brief Project Name (permit will refer to this name) County Where Project is Located
d a 3. Contact Person:
Q 3a. Fred Rash, PE, The Wooten Company
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b. 9109-828-0531 3c. [e-mail]
Phone Number E-mail
1. Project is ►i New ■ Modification (of an existing permit) If Modification, Permit No.:
2. Owner is ■ Public (skip to Item B(3)) ►X1 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 ■ Public Utility (Instruction C)
• Leasing units (lots, townhomes, etc. - skip to Item B(3)) ■ Homeowner Assoc./Developer (Instruction D)
• Selling units (lots, townhomes, etc. - go to Item B(2b))
3. Harnett County
Z Owner of Wastewater Treatment Facili+"i' " '' ' —
0 • -
JERRY M WALLACE , PRESIDENT BBC 66-112/531
;AMPBELL P.O.BOX 97 DATE 0082910
N I V E R S I T Y BUIES CREEK, NC 27506 05/01/13 , CHECK NO
nowyr
PAY -THE
FOUR HUNDRED EIGHTY AND 00/100 DOLLARS
SUM OF
PAY
TO THE
ORDER
OF
NCDENR
1634 Mail Service Center
Raleigh NC 27699-1634
********480.00
CAMPBELL UNIVERSITY
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Permit Tracking Slip
Program Category
Non-discharge
Active New Project
Status Project Type
Permit Type 'n°� 'y � Version Permit Classification
Gravity Sewer Extension, Pump Stations, & Pressure Sewer 1.00 Individual
Extensions
Primary Reviewer Permit Contact Affiliation
Coastal SW Rule
Permitted Flow
25000
Facility
Facility Name
Campbell University Stadium Expansion
Location Address
�wner
Major/Minor Region
Minor Fayetteville
County
Harnett
Facility Contact Affiliation
Owner Name
Campbell University Inc
0a1os/Events
Owner Type
Non -Government
Owner Affiliation
James O.Roberts
P0Box 807
Buies Creek
NC 27506
oriuusue
OO/2013
06/14/13
AppRp:eivod Draft Initiated
Sohoouwu
mnuunro
Public Notice |nouo Effective Expiration
06/20V13 08/20/13
RoSw)atedAudvihms Reqvesrrd/RecmvodEven|u
Wastewater collection Additional information requested
Additional information received
Ou�sU ^
Waterbody Name Stream Index Number Current Class Subbasin