WQ0042553_Application (FTSE)_20210628

Permit Number WQ0042553
Program Category
Non -discharge
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
dean.hunkele
Coastal SWRule
Permitted Flow
Facility
Facility Name
Gore Street Pump Station Relocation
Location Address
Owner
Owner Name
Town of Tabor City
Dates/Events
Scheduled
Orig Issue App Received Draft Initiated Issuance
5/26/2021
Central Files: APS _ SWP _
5/27/2021
Permit Tracking Slip
Status
Project Type
In review
New Project
Version
Permit Classification
A
Individual
Permit Contact Affiliation
Major/Minor Region
Minor Wilmington
County
Columbus
Facility Contact Affiliation
Owner Type
Government - Municipal
Owner Affiliation
Al Jack Leonard Jr.
PO Box 655
Tabor City
Public Notice Issue Effective
NC 2846306.
Expiration
Regulated Activities Requested /Received Events
Additional information requested
Additional information received

May 25, 2021
Mr. Tom Tharrington, Environmental Program Supervisor
NCDEQ Wilmington Regional Office
127 Cardinal Drive Ext.
Wilmington, NC 28405
Re: Gore Street Pump Station Relocation and Flood Protection Project No. SAP-W-0036
Town of Tabor City, Columbus County, North Carolina
LKC Project No.: Tabor 20.01
Dear Mr. Tharrington,
RECEIVED
MAY 2 6 2021
NCDEQ
WILMINGTON RO
Please find enclosed one original and one copy of the Fast Track Application package, a USGS project
layout map, an aerial map and one check in the amount of $480 for the above referenced project.
The proposed project includes the replacement and relocation of the existing Gore Street Pump Station
to an adjacent site outside of the 100-year floodplain. This will be a like -for -like sized replacement (80
gpm capacity) and include a new wet well, electrical and SCADA components, new duplex above -ground
pumps, and a new emergency stand-by generator. In addition, the nearby manholes located within the
floodplain will be raised to 2 ft. above base flood elevation where applicable and converted to
watertight where raising is not feasible and vented as required by NCDEQ.
If you have any questions, please do not hesitate to contact me at [phone] or by email at
[e-mail].
Sincerely,
LKC Engineering, PLLC
Stephen Francis, P.E.
LKC Enginecring, PLLC, 140 Aqua Sited Court, Aberdeen, North Carolina 28315
PI 1: 910/420-1437 * FAX: [phone] * License No. P-1095

State of North Carolina
DWR Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Dlvlslon of Water Resources ETA 04-16 & SUPPORTING DOCUMENTATION
Application Number: (,,Ilrc Q9463 (to be completed by DWR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
1. Applicant's name: Town of Tabor City (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ® Municipal ❑ Other
3. Signature authority's name: Al Leonard per 15A NCAC 02T .0106(b)
Title: Town Manaser
4. Applicant's mailing address: 1108 East 51h Street
City: Tabor City State: NC Zip: 28463-_
5. Applicant's contact information:
Phone number: [phone] Email Address: yammanAtaborcity.org
II. PROJECT INFORMATION:
1. Project name: Gore Street Pump Station Relocation and Flood Protection
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: W000_ and issued date:
If new construction but part of a master plan, provide the existing permit number: W000_
3. County where project is located: Columbus
4. Approximate Coordinates (Decimal Degrees): Latitude: 34.159722' Longitude:-78.871111 °
5. Parcel ID (if applicable):
(or Parcel ID to closest downstream sewer)
111. CONSULTANT INFORMATION:
I. Professional Engineer: Stephen Francis License Number: 049975
Firm: LKC Engineerine. PLLC
Mailing address: 140 Aqua Shed Court
City: Aberdeen State: NC Zip: 28315
Phone number: [phone] Email Address: steohenglkceneineering.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Tabor City Wastewater Treatment Plant Permit Number: NCO026000
Owner Name: Town of Tabor City
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ_ Downstream (Receiving) Sewer Size: inch
System Wide Collection System Permit Number(s) (if applicable): WQCS_
Owner Name(s):
FORM: ETA 04-16 Page I of 5

VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
[-]Yes [:)No NN/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEV) been attached?
❑ Yes ❑No NN/A
3. If the Applicant is a Home/Property Owners' Association, has an Operational Agreement (FORM: FICA) been attached?
❑ Yes [—]No NN/A
4. Origin of wastewater: (check all that apply):
N Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential Leased ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑ School / preschool / day care ❑ Medical / dental / veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
❑ Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater : 0 % Domestic/Commercial 0 % Commercial
0 % Industrial (See 15A NCAC 02T .0103(20))
"Is there a Pretreatment Program in effect? ❑ Yes N No
6. Has a flow reduction been approved under 15A NCAC 02T .0114(f)? ❑ Yes N No
➢ If yes, provide a copv of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 021.0114(fl)
Daily Design Flow a"
No. of Units
Flow
No New Flow Planned in this Project
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
GPD
a See 15A NCAC 02T .0114(b), (d), (e)(1) and (e)(2) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use areas;
and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G.S. 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 0 GPD (per 15A NCAC 02T .0114)
➢ Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
❑ Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit Number:
N Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 04-16 Page 2 of 5

V IL GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8-inch 2141.E PVC
➢ Section 11 & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
VI11. PUMP STATION DESIGN CRITERIA (If Applicable)-02T.0305 & MDC (Puma Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
I. Pump station number or name: Gore Street Pump Station
2. Approximate Coordinates (Decimal Degrees): Latitude: 34.159722' Longitude:-78.871111 °
3. Design flow of the pump station: 0.1152 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 80 gallons per minute at 3600 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
4-inch
1751.E
PVC
6. Power reliability in accordance with 15A NCAC 02T.0305(h)(1):
® Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(13)_
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
➢ Must be permanent to facility
Or if the pump station has an average daily flow less than 15,000 gallons per day:
❑ Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(1)(C):
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
and is compatible with the station.
➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be provided
in the case of a multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T.0305(f)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(f) & (g) N Yes [--]No
➢ 15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below vertical
24 inches
Water mains vertical -water over sewer including in benched trenches
18 inches
Water mains horizontal
10 feet
Reclaimed water lines vertical - reclaimed over sewer
18 inches
Reclaimed water lines horizontal - reclaimed over sewer
2 feet
**Any private or public water supply source, including any wells, WS-I waters of Class 1 or
Class 11 impounded reservoirs used as a source of drinking water
100 feet
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, HQW, or SB from normal
high water or tide elevation and wetlands see item IX.2
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
Any building foundation
5 feet
Any basement
10 feet
Top sloe of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pool s
10 feet
Final earth grade vertical
36 inches
➢ 15A NCAC 02T.0305(e) contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
➢ If noncompliance with 02T.0305(f) or (a). see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) N Yes [:]No ❑ N/A
➢ See the Division's draft separation requirements for situations where separation cannot be meet
➢ No variance is required if the alternative design criteria specified is utilized in design and construction
➢ As built documents should reference the location of areas effected
3. Does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? N Yes ❑ No ❑ N/A
➢ This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project require coverage/authorization under a 404 Nationwide or ❑ Yes N No
individual permits or 401 Water Quality Certifications?
➢ Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? N Yes [-]No
Per 15A NCAC 02T.0 1 05(c)(6), directly related environmental permits or certification applications are being prepared, have
been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion and
sedimentation control plans, stormwater management plans, etc.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per 15A NCAC 02T.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
❑ Yes ❑ No N N/A
➢ If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shall be inspected by the permittee or its representative at least once every six -months and inspections
documented per 15A NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains (latest version), and the Gravity Sewer Minimum Design Criteria (latest version) as applicable?
H Yes ❑ No
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents for
review. Approval of the request is required prior to submittal of the Fast Track Application and supporting documents.
2. Professional Engineer's Certification:
name from Application Item 111.1.)
that this application for
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans, specifications,
engineering 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 (latest version), and the Minimum Design Criteria for the Fast -Track Permitting
of Pump Stations and Force Mains (latest version). 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 General Statutes 143-215.6A and 143-215.613, any person who knowingly makes any false
statement, representation, or certification in any application package 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.
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
I, AI l_ea w-6 i -r Ln MQLANAe(' attest that this application for
(Signature Authority's name & title from Application Item 1.3.)
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. I understand that any discharge of wastewater from this non -
discharge system to surface waters or the land will result in an immediate enforcement action that may include civil penalties,
injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Resources should a condition
of this permit be violated. I also understand that if all required parts of this application package are not completed and that if
all required supporting information and attachments are not included, this application package will be returned to me as
incomplete.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.613 any person who knowingly makes any false
statement, representation, or certification in any application package 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.
Signature: Date: S N 2
FORM: FTA 04-16 Page 5 of 5

F..
PROJECT LAYOUT MAP
" `
GORE STREET PS RELOCATION
AND FLOOD PROTECTION
cassRE7r�,•
TABOR CITY, NC
Proposed Relocation of Gore Street
Pump Station at Same Capacity (80 GPM)
Approximately 1751. U. 4-inch
-
•�
' ' :,"`
�,_- ,'i
•--., * ,� ---
Forcemain Extension
Approximately 214 l.f. of 8-inch
Gravity Sewer Extension
Y
e • �------�
,�
"' •; �
Existing Pump Station II�trr" c
^�
" •
,"� `� r
to be Decommissioned f
'
1
- -
and Removed
: -
Manholes to be Coated with
x
Epoxy and Converted to
Watertight Manholes and
• -;;' -
Vented where Possible'--
' •
• • m
•�,- _
and Required
k.
-
_
y
=
- _
Legend
Proposed Manholes Proposed Forcemain
_. �,�,
• \-
0 Proposed Pump Station Proposed Gravity
-
s ,'' `A : ~
\ '
O Existing Pump Stations
/'�/ Existing Gravity Sewer
'
�,
•
-;°
�` '�✓gPRg'I
• Existing Manholes y� Existing Forcemain
.. s
•
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-
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MFIRehab
Parcels
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.
)
0 150 300 600
'•
Feet
BARRY

USGS MAP
f x—F GORE STREET PS RELOCATION
- AND FLOOD PROTECTION
TABOR CITY, NC
■ °.
r
Proposed Relocation of Gore Street
+>f� Pump Station at Same Capacity (80 GPM) \
.n
-,-'"'• —f' - i Z Approximately 175 U. 4-inch �-
333 Approximately 2141.f. of 8-inch PP Y
■ _ Gravity Sewer Extension ! j .`� Forcemain Extensionlip
`
r
y
1 - �'�- •—�� ` � � °°�—�J -Existing Pump Station
be Decommissioned
�r !� •� and Removed
NN
r Manholes to be Coated with -46,
•,__:`m
4+i Epoxy and Converted to ��` tt-�' �'\_,
Watertight Manholes and ILi — _
Vented where Possible _
_ and Required°
(3 r _
i ®y
PI
� r L � ''�•. � � Legend
* Proposed Manholes i Proposed Forcemain
0 Proposed Pump Station proposed Gravity
i \
0 Existing Pump Stations � Existing Gravity Sewer
• Existing Manholes �
/ i Existing Forcemain
,� -X I ,+ .■ MH Rehab
�° ! I ■ !� 0 300 600 1,200
■ Feet