WQ0009758_Application (FTSE)_19940725

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MEMO TO: State Review Group Division of Environmental
Management
FROM: Ricky Revels
Environmental Technician
RJ,, Re.,_„4_-
SUBJECT: Procedure Four (4)
WQ0009758
Juniper Swamp Outfall Line
Sewer Extension - Public
PWC/City of Fayetteville
Cumberland County
Fayetteville Regional
Office
8/11/94
Date
State Review Group Review
Engineer Randy Kepler
Regional Office
Contact Ricky Revels
1) Name of wastewater treatment plant to receive the wastewater:
PWC of Fayetteville - Rockfish Creek Wastewater Treatment Plant
2) WWTP design capacity 12.0 MGD
3) NPDES Permit No.: NC0050105 Expiration Date: 05/31/96
4) Compliance Information:
Present treatment plant performance
for previous 12 months - beginning 7/93
(See attached self -monitoring data)
5) Quantity and type of wastewater from proposed sewers: 92.880 GPD
domestic 100% ; industrial ; other
6) Volume from previously approved projects not yet tributary to
WWTP 3.689.393 GPD
7) Regional Recommendations: Approval X Denial
RR/rr
Enclosure

GKEX88/MP
COMPLIANCE EVALUATION ANALYSIS REPORT
08/ii/94
PAGE i
PERMIT--NC005Oi05 PIPE--00i REPORT PERIOD: 9307-9406 LOC---E
FACILITY--FAYETTEVILLE - PWC ROCKFISH CK DESIGN FLOW-- i2.0000 CLASS--4
LOCATION--FAYETTEVILLE REGION/COUNTY--06 CUMBERLAND
50050 0000 00530 00610 3i6i6 50060 00300 TGP3B
MONTH Q/MGD DOD RE%/T%% NH3-N FEC COLI CHLORINE DO CERI7DPF
LIMIT F 7.0000 F ii.00 F 30.0 F i.08 F 200.0 NOL NOL NOL
93/07 5.8709 2.49 4.0 is 172.3 .643 8.53 i
93/08 5.5774 2.07 3.2 .06 45.6 .597 8.43
93/09 6.3933 1.74 i.5 .08 79.7 .325 8.2O
93/iO 6.8741 2.00 .9 .ii 15.0 .367 9.ii i
LIMIT F 7.0000 F 22.00 F SO.O F 2.00 F 200.0 NOL NOL NOL
93/ii 6.9400 1.88 .9 .i0 Will .278 9.28
9302 6.8225 1.39 .9 .ii 29.7 .604 9.68 i
LIMIT Fi2.0000 F 12.00 F 30.0 F 2.00 F 200.0 NOL NOL NOL
94/0i 7.1354 2.53 i.2 .51 12.3 .324 iO.52 i
94/02 7.1000 2.73 1.4 .21 51.3 .349 iO.46
94/03 7.5709 3.71 1.2 46.2 .363 9.52
LIMIT F12.0000 F 6.00 F 30.0 F i.08 F 200.0 NOL NOL NOL
94/04 7.0600 2.13 i.o .04 95.9 8.57 i
94/05 6.7483 3.20 i.5 .47 24.7 9.56
94/06 6.8833 2.90 1.2 .04 25.9 9.i8
AVERAGE 6.7480 2.39 i.5 .16 62.4 .427 9.25 1
MAXIMUM 9.5000 6.70 8.6 2.80 5500.0 i.00 11.60 i
MINIMUM 4.5000 .20 .i .02 .O .020 6.20 i
UNIT MGD MG/L MG/L MG/L 0080ML UG/L MG/L PA%%/FAI

GKEX88/MP
. ~
COMPLIANCE EVALUATION ANALYSIS REPORT
08/ii/94
PAGE 2
PERMI'--NC0050105 PIPE--OOi REPORT PERIOD: 9307-9406 LOC--- E
FACILITY--FAYEliEVlLLE - PWC ROCKFISH CK DESIGN FLOW-- 12.0000 CLASS --A
LOCATION--FAYETTFVTllF REGION/COUNTY--06 CUMBERLAND
000i0 00400 00600 80665 01042 0105i
MONTH TEMP PH TOTAL N PHO%-TOT COPPER LEAD
LIMIT NOL 9.0 6.0 NOL NOL NOL NOL
93/87 24.66 7.8-7.0 i8.00O i.7000 .0000 .0000
93/08 25.13 8.0-7.4 17.iOO 1.8000 46.0000 .80OO
93/09 24.19 8.0-7.3 14.100 2.1000 .00OO .00OO
93/i0 21.57 7.9-6.8 i6.600 i.9OOo 118.0000 .00OO
LIMIT NOL 9.0 6.0 NOL NOL NOL NOL
9301 20.70 7.8-7.4 i2.300 2.0000 3i.0000 .0OOO
9302 i8.55 7.7-7.0 14.900 1.8000 35.0000 .00OO
LIMIT NOL 9.0 6.0 NOL NOL NOL NOL
94/01 i6.55 8.i-7.0 12.300 1.7000 .00OO .00OO
94/02 16.20 i7.300 1.6200 .0000 .000O
94/03 17.47 7.4-6.6 14.700 i.5000 .00OO .0OOO
LIMIT NOL 9.0 6.0 NOL NOL NOL NOL
94/04 19.60 7.9-7.0 15.608 i.5600 .00OO .00OO
94/05 21.33 7.7-6.7 17.800 1.000 .0000 .0000
94/06 24.31 8.3-6.9 13.600 1.6100 .0000 .0000
AVERAGE 20.85 ....... i5.358 1.7583 19.1666 .00OO
MAXIMUM 27.00 8.300 18.000 2.1000 118.0000 ________
MINIMUM 15.00 6.600 12.300 1.5000 3i.0000
UNIT DEG.0 %U MG/L MG/L UG/L UG/L

State of North Carolina
' Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
July 25, 1994
MR M.J. NOLAND
FAYETTEVILLE PUBLIC WORKS COMMISSION
PO DRAWER 1089 508 PERSON ST
FAYE fI'EVILLE, NORTH CAROLINA 28302
Dear MR NOLAND:
QEHN1�
Lts, ,EGLi 11, it
' JU! 2719941 i .l
Subject:
ENV. MANAGEMENT
FAYETTEVILLE REG. OFFICE
Application No. WQ0009758
Fayetteville Public Works Commission
Sewers -Public
Cumberland County
The Division's Permits and Engineering Unit acknowledges receipt of your permit application and
supporting materials on July 22, 1994. This application has been assigned the number listed above.
PLEASE REFER TO THE ABOVE WATER QUALITY NUMBER WHEN MAKING INQUIRES
ON THIS PROJECT.
Your project has been assigned to Randy Kepler for a detailed engineering review. Should there be any
questions concerning your project, the reviewer will contact you with an additional information letter.
Be aware that the Division's regional office, copied below, must provide recommendations from the
Regional Supervisor or a Procedure Four Evaluation for this project, prior to final action by the
Division.
If you have any questions, please contact Randy Kepler at [phone].
Sincerely,
/6w\
Carolyn McCaskill
Supervisor, State Engineering Review Group
cc: Fayetteville Regional Office
Pollution Prevention Pays
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

NON NPDES FACILITY AND PERMIT DATA
UPDATE OPTION TRXID 50U KEY W00009758
PERSONAL DATA FACILITY APPLYING FOR PERMIT APP/PERMIT FEE-$ 200.00 REGION
FACILITY NAME> FAYETTEVILLE PUBLIC WORKS COM1 COUNTY> CUMBERLAND 06
ADDRESS: MAILING (REQUIRED) ENGINEER: LARRY KING AND ASSOCIATES
STREET: PO DRAWER 1089 508 PERSON ST STREET: PO BOX 53787 1333 MORGANTON RD
CITY: FAYETTEVILLE ST NC ZIP 28302 CITY: FAYETTEVILLE ST NC ZIP 28305
TELEPHONE [phone] TELEPHONE: [phone]
STATE CONTACT> KEPLER FACILITY CONTACT M.J. NOLAND
TYPE OF PROJECT> SEWERS -PUBLIC LAT: LONG:
DATE APP RCVD 07/22/94 N=NEW,M=MODIFICATION,R=REISSUE> N
DATE ACKNOWLEDGED 07/25/94 DATE REVIEWED / / RETURN DATE / /
REG COMM REQS / / DATE DENIED / / NPDES #-
REG COMM RCVD / / DATE RETURNED / / TRIB 0 .0000 MGD
ADD INFO REQS / / OT AG COM REQS / / TRIB DATE- / /
ADD INFO RCVD / / OT AG COM RCVD / /
END STAT APP P 10/20/94 DATE ISSUED / / DATE EXPIRE / /
FEE CODE()1=(>1MGD),2=(>10KGD),3=(>1KGD),4=(<1KGD+SF),5=(S>300A),6=(S<=300A),
7=(SENDEL),8=(SEDEL),9=(CLREC),0=(NO FEE) DISC CODES ASN/CHG PRMT
ENG CERT DATE / / LAST NOV DATE / / CONBILL( )
COMMENTS:
MESSAGE: *** DATA ADDED SUCCESSFULLY ***

State of North Carolina
. Department of Environment, Health and Natural Resources
Division of. Environmental Management
Non -Discharge Permit Application
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
GRAVITY SEWER EXTENSION
I. GENERAL INFORMATION:
1. Applicant's name (please specify the name of the municipality, corporation, individual, etc.):
FAYETTEVILLE PUBLIC WORKS COMMISSION
2. Print Owners or Signing Official's name and title (the person who is legally responsible for the facility and its compliance):
M.J.NOLAND, P.E., DIRECTOR, WATER RESOURCES DEPARTMENT
3. Mailing address: P.O. DRAWER 1089, 508 PERSON STREET
city: FAYETTEVILLE State: N.C. Zip: 28302
Telephone Number. ( 910 ) 483-1401
4. Project Name (please specify the name of the subdivision, facility, or establishment - should be consistent with project
name on plans, specifications, letters of flow acceptance, Operational Agreements, etc.):
JUNIPER SWAMP OUTFALL LINE
5. Application Date: 7-15-94
6. Fee Submitted: $
200.00
.4.
6. County where project is located: CUMBERLAND
II. PERMIT INFORMATION:
1. Application No. (will be completed by DEM):
4ono c115�
2. Specify whether project is: X new; modification.
3. If this application is being submitted as a result of a modification to an existing permit, please complete:
existing permit number and the issue date
4. Specify whether the applicant is X public or private.
III. INFORMATION ON WASTEWATER:
1. Nature of Wastewater. 100 % Domestic/Commercial ; % Industrial;
% Other waste (specify):
2. Please provide a one or two word description specifying the origin of the wastewater, such as school, subdivision, hospital,
commercial, industrial, apartments, etc.: RESIDENTIAL AREA
3. Indicate any parameters) (and their concentration) that will be greater than normal domestic levels: N/A
4. 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
5. 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
FORM: GSA 11/93 t Page 1 of 6

6. Volume of wastewater generated by this project 92.880 gallons per day.
7. Explanation of how wastewater volume was determined:
258 LOTS X 3 BEDROOMS/LOT X 120 GPD/BEDROOM = 92,880 GPD
IV. DESIGN INFORMATION:
I. Brief project description: NEARLY 5, 480 LF OF 12" SANITARY SEWER OUTFALL TO
SERVE A FUTURE 258 LOT SUBDIVISION
2. Name of wastewater treatment facility receiving wastewater. ROCKFISH WWTP
a Facility Permit Number: NC 0050105
b. Engineer should provide statement of his evaluation of downstream sewers ability to accept the wastewater:
THIS SANITARY SEWER OUTFALL WILL DISCHARGE INTO THE EXISTING 48" LITTLE
ROCKFISH INTERCEPTOR. THIS INTERCEPTOR HAS ADEQUATE RESERVE CAPACITY
TO RECEIVE THIS ADDITIONAL FLOW.
c. Permit Number for sewers immediately downstream:
d Pipe diameter of sewers immediately downstream: 48"
3. Summary of sewer pipe to be permitted, by diameter size and pipe material:
Diameter
Cm)
Length
(linear feet)
Pipe
Material
Circle C or
®Factor &
Specify
Value
Minimum
Slope (%)
Maximum
Slope (%)
Minimum
Velocity
(fs)
Maximum
Velocity
(4s)
Minimum
Cover (in)
12"
136
DIP
0.013
0.25
0.25
2.25
2.25
12
12"
5,3344.24
VCP
0.013
0.25
4.79
2.25
9.7
36
•
NOTE: The minimum velocity must not be less than 2 fps.
For public sewers the minimum diameter Is 8 inches.
For private sewers the minimum diameter is 6 inches.
4. Anchors shall be provided for sewers with slopes greater than 20 %. The anchor spacing shall be a maximum of: 36 feet
separation for slopes of 21% to 35%; 24 feet separation for slopes of 36% to 50%; 16 feet separation for slopes greater than
50%.
For velocities greater than 15 fps, it is strongly recommended that measures be considered which will protect the sewers and
manholes from erosion. For velocities greater than 20 fps, erosion control measures must be specified.
For any excessive slopes or velocities that will occur in any sewer line segment, what measures have been taken to protect
the sewer pipe and manholes? N/A
%FORM: GSA 11/93 Page 2 -7; .�

5. Maximum sewer reach length between manholes: 400 linear feet
6. This sewer line segment occurs between manhole no. 0+00 and manhole no. 4+00 .
SHT 20F7 SHT 20F7
7. Does the owner/operator have the ability to clean this length? X Yes No. For sewer reach lengths greater
than 425 feet, please provide a letter from the owner/operator, stating the ability to clean the specified reach and include the
equipment specifications.
8. • Sewers subject to existing or planned traffic bearing loads? Yes X No. If yes, what measures are being
taken to enable the sewers to withstand the loads?
9. Outside drop manholes are provided where invert separations exceed: 2.5 feet (provide for separations > or = 23)
10. Identify (by manhole number) those manholes that have drop connections: 0+00 SHT 2 OF 7
11. Maximum allowable infiltration/exfiltration test rate: 100
NOTE: Must not exceed 100 GPD/pipe diameter inch/mile of pipe.
12. Minimum separation distances as shown on the plans or addressed in the specifications. If a, b, or c below is no, explain
in an attachment
a) 100 ft horizontal separation from wells or other water supplies? X Yes No
b) 12 in. vertical separation from storm sewer or ferrous pipe sanitary sewer specified? X Yes No
c) 10 ft. horiz. sep. from water mains or 18 in vertical sep. (water over sewer) or ferrous pipe specified? X Yes _No
13. Are manholes subject to flooding? X Yes No. If yes, are manhole rim elevations 1 foot above 100-year flood
level, (100 year flood elevation should be indicated on plans) X Yes No; Or, are manholes watertight and vented 1
foot above the 100-year flood elevation ( should be shown on plans): Yes No
14. Identify (by manhole number) those manholes that are vented: N/A
GPD/pipe diameter inch/mile of pipe.
15. Does this project involve any stream crossings? X Yes No. If yes, what precautions or special features have been
utilized to ensure protection of the sewer line and not restrict stream flow? Identify the sheet of the plans and station
number where stream crossings are located: CROSSING WILL UTILIZE DIP WITH 12" (MIN) COVER
FROM BANK TO BANK. SHT 2 OF 7 STA 2+75
Please note: The Division recommends all stream crossings be located three (3) feet below the stream bed or ferrous
material pipe specified. In addition, all aerial stream crossings must be located above the 25-year flood elevation. Both the
25-year flood elevation and the 100-year flood elevation should be indicated on the plans.
16. Wastewater collection systems mu its be installed in WS-I watersheds. Are any of the subject wastewater collection
systems located in a WS•1 watershed? Yes, X JVo.
FORM: GSA 11/93 Page 3 of 6

THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION OF ENVIRONMENTAL
MANAGEMENT UNLESS ALL OF THE APPLICABLE ITEMS ARE
INCLUDED WITH THE SUBMITTAL
Required Items
a. One original and one copy of the completed and appropriately executed application form. If modifications to the form are
required as a result of additional information requests by the Division, the additional information must be transmitted under
the signature of the applicant and the actual modification must be initialed by the NC Professional Engineer.
b. Two (2) sets of detailed plans and specifications signed and sealed by a North Carolina Professional Engineer. The plans must
include a general location map, a plan view of the sewer extension, a profile of the sewer extension, and must show the
proximity of the sewer extension to other utilities and natural features. Specifications may be omitted for delegated
authorities. Each sheet of the plans and the first page of the specifications must be signed and sealed. Two (2) copies of the
existing permit if a modification. The plans and specifications must not contain phrases (such as: FOR REVIEW ONLY,
NOT FOR CONSTRUCTION, etc.) that indicate that they are anything other than final plans and specifications. However,
the plans and specifications may contain: FINAL DESIGN - NOT RELEASED FOR CONSTRUCTION.
c. The appropriate permit processing fee, in accordance with 15A NCAC 2H .0205(c)(5). The fee for sewer extensions for
nondelegated municipalities is $400. The fee for sewer extensions for delegated municipalities (applies only to those
governmental jurisdictions that have specific delegation review authority. as granted by the Environmental Management
Commission) is $200. Name changes without other modifications are $100.
d. If the owner/authority of the wastewater treatment facility (WWTF) that will be accepting the wastewater flow from this
project is different from the applicant of the project, then a letter must be provided from the owner/authority of the WWIF
specifying the volume of flow that will be accepted. The letter should be a recent letter and should refer to the project by the
same name as that identified on the application and the plans/specifications.
e. If the application is being submitted in the name of a privately owned public utility, evidence 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, evidence must be provided from the Utilities Commission acknowledging these areas are
covered under an existing franchise.
f. A properly executed Operational Agreement (original and one copy - form provided by DEM) must be submitted if the sewer
extension will be serving single family residences, condominiums, mobile homes, or town houses and if the subject sewer
extension is owned by the individual residents, a homeowners association. or a developer.
A cover letter, which briefly describes the project, should be included with each application package. If necessary for clarity,
feel free to include attachments to the application form. Such attachments will be considered as part of the application and
should be numbered to correspond to the section to which they refer.
h. All materials and fees submitted in support of this request for a permit become the property of the Division of Environmental
Management; therefore. if the permit is not issued for any reason, the Division will return submitted materials only at its
option.
g•
•
FORM: GSA 11/93 Page 4 of 6

Name and Complete Address of Engineering Furn: j,tiRRY KTNG AND ASSOCIATES,
P.O. BOX 53787, 1333 MORGANTON ROAD, SUITE 201
R.L.S, P.A.
City: FAYETI'EVILLE State: N.C. Zip: 28305
Telephone Number. ( 910 ) 483-4300
Professional Engineer's Certification:
I, PARKER L. LAMBERT , attest that this application for JUNIPER SWAMP OUTFALL LINE
has been reviewed by me and is accurate and complete 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. 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 design.
North Carolina Professional Engineer's Seal, Signature, and Date:
`,O#YtIflllf,,#
E O9y •
�. 4 '
I Q' SEAL
L
18126 i
\"<,s�F ....... M, °°
7-/6-94
Applicant's Certification:
I, M.J. NOLAND , attest that this application for JUNIPER SWAMP OUTFALL LINE
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 information and attachments are not included, this application package
will be returned to me as incomplete. z �/ d
Signature G� Date / /l (!
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: GSA 11/93 Page 5 of 6

DIVISION OF ENVIRONMENTAL MANAGEMENT REGIONAL OFFICES (11/93)
Asheville Regional WQ Supervisor
59 Woodfn Place
Asheville. NC 28801
[phone]
Fax [phone]
Avery
Buncombe
Budoe
Caldwell
Cherokee
Clay
Graham
Haywood
Henderson
Jackson
Macon
Madison
McDowell
Mitchell
Polk
Rutherford
Swain
Transylvania
Yancy
Fayetteville Regional WQ Supervisor
Wachovia Building, Suite 714
Fayetteville, NC 28301
[phone]
Fax [phone]
Anson
Bladen
Cumberland
Harnett
Hoke
Montgomery
Moore
Robeson
Richmond
Sampson
Scotland
Winston-Salem Regional WQ Supervisor
8025 North Point Boulevard, Suite 100
Winston-Salem. NC 27106
[phone]
Fax [phone]
Alamance
Alleghany
Ashe
Caswell
Davidson
Davie
Forsyth
Guilford
Rockingham
Randolph
Stokes
Surry
Watauga
Wilkes
Yadkin
Washington Regional WQ Supervisor
Post Office Box 1507
Washington, NC 27889
[phone]
Fax [phone]
Beaufort Jones
Bernie Lenoir
Camden Martin
Chowan Pamlico
Qaven Pasquotank
Currituck Peaquimans
Dare Pitt
Gates TYrell
Greene Washington
Hertford Wayne
Hyde
Mooresville Regional WQ Supervisor
919 North Main Street
Mooresville, NC 28115
[phone]
Fax [phone]
Alexander
Cabanas
Catawba
Gaston
bu ll
Lincoln
Mecklenburg
Rowan
Stanly
Union
Cleveland
Raleigh Regional WQ Supervisor
Post Office Box 27687
Raleigh, NC 27611
[phone]
Fax [phone]
Chatham Nash
Durham Northampton
Edgecombe Orange
Franklin Person
Granville Vance
Halifax Wake
Johnston Warren
Lee Wilson
Wilmington Region. WQ Supervisor
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
[phone]
Fax [phone]
Brunswick
Carteret
Columbus
Duplin
New Hanover
Onslow
Pleader
FORM: GSA 11/93 Page 6 of 6

tames G. Marlin, Governor
William W. Cobey, Jr., Secretary
Memorandum
To: Delegated Municipalities
From: Steve W. Tedder. Chief(`
Water Quality Section k)
Subject: Delegated \Tunic.paiiiies Ch..cdisi for Revised Non -Discharge Permit Appiiiit oii:,
The Division of Environmental Management's Water Quality Section has revised the
Gravity Sewer Non -Discharge Permit Application Form. The form now incorporates the basic
information that the Division feels is necessary in order for the delegated municipalities to pert -oral
review on a gravity sewer project for the Division: therefore, the Division will no longer require that
the "Delegated Municipalities Gravity Sewer Design Checklist" be completed and submitted. We do,
however, require that the delegated municipality perform the same type of review as always required
and complete the bottom portion of this page and attach it as the last page of all gravity sewer
applications that are being submitted as a delegated municipalities project. If you have any questions
on this matter, please contact Mr. Randy Jones at 919/733-5083.
DELEGATED MUNIICIPALITY GRAVITY SEWER CERT;FIC.ATION
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
Applicant: PCIRT.T(' W()RVS C MMTSgTON ()F THF_CTTY lF FAYFTTFVTI-f F
Project Name: JUNIPER SWAMP OUTFALL LINE
Delegated Municipality Reviewer's Certification:
I, VT(:TfR GAN.TEHSANT , attest that the subject plans and
specifications have been reviewed under my supervision and that those plans and specifications are
consistent with the information that has been specified on the Non -Discharge Application and the.
Division of Environmental Management's minimum design requirements for gravity sewer projects.
Delegated Municipality Reviewer's NC Professional Engineer's Registration Np.: 1436$
State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Environmental Management
512 North Salisbury Street • Raleigh. North Carolin:: 27626-t►5 5
G.:or,:c i . E' r, u.
May 1, 1991
Seal and Signature (specify daze):
FORM: DMGS 4/91
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