WQ0012123_Permit (Issuance)_19960328

4tate 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
Mr. Victor Ganjehsani, P.E.
PWC of Fayetteville
P. O. Drawer 1089
Fayetteville, North Carolina 28302-1 89,
March 28, 1996
APR 4
ENV. MAN AC:.r t,iiu:iq'i
FAYETTEVILLE R . OFFICE
Avf:A
EDEHNR
Subject: Permit No. WQ0012123
PWC of Fayetteville
Buckhead Plaza
Sewer Extension
Cumberland County
Dear Mr. Ganjehsani:
In accordance with your application received February 29, 1996, we are forwarding herewith
Permit No. WQ0012123 dated March 28, 1996 to the PWC of Fayetteville for the construction and
operation of the subject wastewater collection extension.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
conditions and limitations as specified therein.
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 the
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.
One set of approved plans and specifications is being forwarded to you. If you need additional
information concerning this matter, please contact Mr. Jay Lucas, P.E., at [phone], ext. 502.
Sincerely,
A. Prest Howard, J ., P.E.
cc: Cumberland County Health Department
Fayetteville Regional Office, Water Quality Section
Mr. James M. Kizer, P.E.; Moorman, Kizer, & Reitzel, Inc.
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

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL RESOURCES
RALEIGH
WASTEWATER COLLECTION 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 TO
PWC of Fayetteville
Cumberland County
FOR THE
construction and operation of approximately 313 linear feet of 8 inch gravity sewer to serve six office
buildings with a total of 100 employees in Buckhead Plaza, and the discharge of 2,500 GPD of collected
domestic wastewater into the PWC of Fayetteville's existing sewerage system, pursuant to the application
received February 29, 1996, and in conformity with the project plan, specifications, and other supporting
data subsequently filed and approved by the Department of Environment, Health and Natural Resources
and considered a part of this 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 this permit, the approved plans and specifications, and other supporting data.
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. The sewage and wastewater collected by this system shall be treated in the PWC of Fayetteville -
Rockfish Wastewater Treatment Facility prior to being discharged into the receiving stream.
5. 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 Environmental Management 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.
6. Construction of the sewers, pump station(s) and force main 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.
1

7. Upon completion of construction and prior to operation of this permitted facility, a certification
must be received from a professional engineer certifying that the permitted facility has been
installed in accordance with this permit, the approved plans and specifications, and other
supporting materials. Mail the Certification to the Water Quality Permits and Engineering Unit,
P.O. Box 29535, Raleigh, NC 27626-0535.
8. A copy of the approved plans and specifications shall be maintained on file by the Permittee for a
minimum of five years from the date of the completion of construction.
9. Failure to abide by the conditions and limitations contained in this permit may subject the Permittee
to an enforcement action by the Division of Environmental Management, in accordance with North
Carolina General Statute 143-215.6(a) to 143-215.6(c).
10. 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.
11. 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.
12. Noncompliance Notification:
The Permittee shall report by telephone to the Fayetteville Regional Office, telephone number
910/486-1541, 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 pumping station or 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
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 the 28th day of March, 1996
NORTH CAROLINA ENVIRONMENTAL MANAG MENT COMMISSION
A. Preston
Division of
G r aIh
,ward, r., P.E, Director
vironmental Management
By Authority of the Environmental Management Commission
Permit Number WQ0012123

Permit No. WQ0012123
March 28, 1996
ENGINEER'S CERTIFICATION
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
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 and
intent of this permit, the approved plans and specifications, and other supporting materials.
Signature Registration No.
Date
3

•
MEMO TO: State Review Group
FROM: Ricky Revels
Environmental Technician
RAur
Division of Environmental
Management
Fayetteville Regional
IV Office
SUBJECT: Procedure Four (4)
WQ0012123
Buckhead Plaza/Condo Off. Complex
Sewer Extension - Public
PWC/City of Fayetteville
Cumberland County
3/15/96
Date
State Review Group Review
Engineer Jay Lucas
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.: NC00501Q5 Expiration Date: 5/31/96
4) Compliance Information:
Present treatment plant performance
for previous 12 months - beginning 1/95
(See attached self -monitoring data)
5) Quantity and type of wastewater from proposed sewers: 2.500 GPD
domestic 100% ; industrial ; other
6) Volume from previously approved projects not yet tributary to
WWTP 10.657.759 GPD
7) Regional Recommendations: Approval X Denial
RR/rr
Enclosure

GKEX88/MP
!FRAYED
i=
Et' V. MAW, C3E '7 1T
F.YETTE :LL
COMPLIANCE EVALUATION ANALYSIS REPORT
PERMIT--NC00501C55
FACILITY-tfAYETTEVILLE_,
LOCATION--FAYETTEVILLE
03/06/96
PAGE 1
PIPE--001 REPORT PERIOD: 9502-9601 LOC---E
PWC ROCKFISH CK DESIGN FLOW-- 12.0000 CLASS--4
REGION/COUNTY--06 CUMBERLAND
50050 00310 00530
MONTH Q/MGD
LIMIT F12.0000 F 12.00 F
95/02 8.1214 4.90
LIMIT F12.0000 F 12.00 F
95/03 8.5129 5.39
LIMIT F12.0000 F
95/04 7.5166
95/05 7.5967 3.83 1.7
95/06 9.2566 2.91
95/07 8.2483 2.44
95/08 7.6000 2.97
95/09 7.5600 3.34
95/10 8.0096 3.17
LIMIT F12.0000 F 12.00 F
95/11 7.5700 3.35
95/12
7.1806
AVERAGE 7.9247
MAXIMUM 13.2000
MINIMUM 6.1000
UNIT MGD
1.3
1 .0
1.1
1.3
1.3
00610 31616 50060
00300 TGP3B
BOD RES/TSS NH3-N FEC COLI CHLORINE DO CERI7DPF
30.0 F 2.00 F 200.0 NOL
1.8 .04 18.9 388.000
30.0 F 2.00 F 200.0 NOL
1.4 .23 12.5 271.652
6.00 F 30.0 F 1.00 F 200.0 NOL
4.43 1.4 .08 32.4 285.315
.08 20.6 365.954
.07 6.9 302.181
.04 10.1 235.750
.05 11.4 188.913
.07 48.5 231.500
.07 4.0 310.454
30.0 F 2.00 F 200.0 NOL
1.6 .05 8.3 234.750
4.00 1.4 .08 4.7 213.421
3.70
7.30
1.40
MG/L
1.3
3.8
.4
MG/L
.07 16.2
1.20 500.0
.03 LESSTHAN
MG/L #/100ML
275.262
600.000
40.000
UG/L
NOL
9.73
NOL
9.56
NOL
9.85
9.40
8.84
8.70
8 .39
8.75
8 .83
NOL
9.40
9.63
NOL
NOL
1
1
NOL
9.18 1
11.00 1
• 8.10 1
MG/L PASS/FAI

' State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Managem
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
OR G EHSANI
PWC/FAYE 1"1'hVli .i
PO 'DRAWER
F A VM-TE ITT T E, NORTH rAPPT IN e
MAR 0 1996
Dear MR. GANJEHSANI:
HNR
9/' pel'A
ge
March 1, 1996 )
Elication No. %120 -12.I-2
uckhead Plaza/Condo Office Comple
Sewers -Public
Cumberland County
FA'Y l_.1 i L ILt E REG. OFFICE
The Division's Permits and Engineering Unit acknowledges receipt of your permit application and
supporting materials on February 29, 1996. This application has been assigned the .1-umber listed
Your project has been assigned t ay Lucfor a detailed engineering review. Should there be any
questions concerning your project, the reviewer will contact you with a request for additional
information.
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 Jay Lucas at [phone] extension 502. If the engineer is
unavailable, you may leave a message on their voice mail and they will respond promptly.
PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAKING
INQUIRIES ON THIS PROJECT.
ffez.ze.o
Carolyn D. cCaskill
Supervisor, State Engineering Review Group
cc: Wilmington Regional Office
Moorman, Kizer & Reitzel
Pollution Prevention Pays
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

State of North Carolina
Department of Environment, Health and Natural Resources
Division of. Environmental Management
Non -Discharge Permit Application •1?`
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
GRAVITY SEWER EXTENSION
I. GENERAL INFORMATION: RECEIVED FEB 2 9 199fi
1. Applicant's narne (pl specify the name of the municipality, corporation, individual, etc.):
Public Works Commission of the City of Fayetteville, NC
2. Print Owners or Signing Official's name and title (the person who is legally responsible for the facility and its compliance):
Victor Ganjehsani, PE - Chief Engineer Water Resources
3. Mailingaddress: PO Drawer 1089
city: Fayetteville
Telephone Number. ( 910 ) 483-1382
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.):
Buckhead Plaza - A Condominium/Office Complex
5. ApplicationDate: January 1996
6. County where project is located Cumbe rl and
Stan: NC Zip: 28302-1089
6. Fee Submitted: S 200.00
II. PERMIT INFORMATION:
1. Application No. (will be completed by DEM): WQ C C t a) L a 7
2. Specify whether project is: ��. 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. X % 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: Professional - Commercial/Offices
3. Indirate any parameter(s) (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? Yes; No. If yes, please attach a copy of the
pretreatment permit_ If No, when will one be issued:
FORM: GSA 11/93 Page 1 of 6

6. Volume of wastewater generated by this project 2500
gallons per day.
7. Explanation of bow wastewater volume was determined: 6 office buildings with a total of 100
• employees @ 25 GPD/employee = 2500 GPD
IV. DESIGN INFORMATION:
1. Brietpmjectdescripaon: 8" PVC SDR-26 sewer line and appurtenances to serve an
office complex from an existing 8" line designed for the area.
2. Name of wastewater treatment facility receiving wastewater.
a.. Facility Permit Number. NC00
Rockfish Treatment Plant
b. Engineer should provide statement of his evaluation of downstream sewers ability to accept the wastewater:
This proposed sewer extension will tie into an existing 8" line which is
designed to serve this area.
c. Permit Number fcr sewer; immediately downstream: 14310
d Pipe diameter of sewers immediately downstream:
8 "
3. Summary of sewer pipe to be permitted, by diameter size and pipe material:
Diameter
(m)
- Length
(linear feet)
Pipe
Material
Circle C or
N Factor &
Specify
Value
Minimum
Slope (%)
Maxiinum
Slope (%)
Minimum
Velocity
()
`Maximum "
Velocity
()
. ;`Mi .um
Cover (m)
8
223
PVC SDR-26
0.013
0.40
0.40
2.2
2.2
36
8
90
D.I.
0.013
0.40
0.40
2.2
2.2
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 of 6

5. Maximum sewer reach length between manholes: 153 linear feet.
6. This sewer line segment occurs between manhole no.1+60 S h t . 3 9 f frind manhole no.3+13 S h t . 3 of 6
7. Does the owner/operator have the ability to clean this length? X Yes No. For sewer reach lengths greats
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?
taken to enable the sewers to withstand the leis?
X Yes No. If es what measures easlrrs are being
Minimum of 36" of cover with suitably compacted fill.
9. Outside drop manholes are provided where invert separations exceed: N/A feet (provide for separations > or = 2_5)
10 Identify (by manhole number) those manholes that have drop connections:
N/A
11. Maximum allowable infiltration/exfiltration test rate: 100
NOTE: Must not exceed 100 GPD/pipe diameter inch/mile of pipe.
M1wev
„e %Na-1
GPD/pipe diamtex 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. hotiz. sep. from water mains or 18 in vertical sep. (water over sewer) cr ferrous pipe specified? X Yes No
13. Are manholes subject to flooding? Yes X No. If yes, are manhole rim elevations 1 foot above 100-year flood
level, (100 year flood elevation should be indicated on plans) 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:
15. Does this project involve any stream crossings? Yes X 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:
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 ID ay >at21 be installed in WS-I watersheds. Are any of the subject wastewater collection
systems located in a WS-1 watershed? Yes, X No.
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 hems
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 tinder
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(cX5). 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 (WWII•) 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 WWTF
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
covczed 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 Firm:
Moorman, Kizer & Reitzel, Inc.
115 Broadfoot Avenue, PO Box 53774
City: Fayetteville State: NC zip: 28305
Telephone Number. ( 910 ) 48 4- 5191
Professional Engineer's Certification:
Buckhead Plaza - A
L James M. Kizer, Jr., PE attest that this application far Condominium/Office Complex
has been reviewed by me and is accurate and complete to the best of my knowledge. I further auest 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 desk}
North Carolina Professional Engineer's Seal, Signature, and Date: ,.•' kl Cfi ,''.
KIZ
Acpii,;ant'5 Certification:
Buckhead Plaza - A
I, Victor Gan jehsani , PE , attest that this application for Condominium/Office Complex
has lx-:n mvitwed 'oy .ne 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.' ,4
Signature ,
/ //' . ., �. Imo''�,, , izj�Z{`,o�� Dart - o�) —�%
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 11193 Page 5 of 6

DIVISION OF ENVIRONMENTAL MANAGEMENT REGIONAL OFFICES (11/93)
Asheville Regional WQ Supervisor
59 Woodfin Place
Asheville, NC 28801
[phone]
Fax [phone]
Avery
Buncombe
Bwioe
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
Maiden
Cumberland
Harnett
Hoke
Montgomery
Moors
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 Janes
Bate Lenoir
Camden Martin
Chown Pamlico
Craven Pasquotank
Currituck Perguimans
Doe Pitt
Gates Tytell
Groene Washington
Hertford Wayne
HYde
Mooresville Regional WQ Supervisor
919 North Main Street
Mooresville, NC 28115
[phone]
Fax [phone]
Alexander
Cabantis
Catawba
Gaston
irede11
Lincoln
Mecklenburg
Rowan
Stanly
Union
Cleveland
Raleigh Regional WQ Supervisor
Post Office Box 27687
Raleigh, NC 27611
[phone]
Fax [phone]
Chatham
Durham
F4lgeconbe
Franklin
Granville
Halifax
Johnston
Lee
Nash
Northampton
Orange
Person
Vance
Wake
Ware n
Wilson
Wilmington Region. WQ Supervisor
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
[phone]
Fax [phone]
Brunswick
Carteret
Columbus
Duplin
New Hanover
Onslow
FORM: GSA 11/93 Page 6 of 6

•
State of North Carolina
Department of Environment, Health, and Natural Recuu'cc,
Division of Environmental Management
512 North Salisbun Street • Ralei,th. North C:irolin.: 2 62(‘
tames G. Marun. Govcrnor
\\ ilhani \\'. Cobcy. Jr.. S::c:ecuy
Memorandum
To: Delegated Municipalities
From: Steve W. Thdder_ Chief
Water Quality Section 1,
Sub ct Delegated Munic::)�la.cs t2`:-c':ifs; for Revised Non-Disch:tre Peniu
The Division of Environmental Management's Water Quality Section has revised
Gravity Sewer Non -Discharge Permit Application Form. The form now incorporates the
information that the Division feels is necessary in order for the delegated municipalities to perform
review on a gravity sewer project for the Division; therefore. the Division will no longer require th,lt
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 sever
applications that are being submitted as a delegated municipalities project. If you have any questions
on this matter, please contact Mr. Randy Jones at 919f733-5083.
DELEGATED MUN'ICIPA L.ITY GRAVITY SEWER CF,RTIrTC
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
Applicant: puBt-TC umirS t71mrSSTON OF THE CITY (lr' FAYFTTFVTI I F
Project Name: Buckhead Plaza — A Condominium/Office Complex
•
Delegated Municipality Reviewer's Certification:
I, VICTOR GAN.TF.HSANT , attest that the subject plans and
specifications have been reviewed under my supervision and that those plans and specifications arc
consistent with the information that. has been specified on the Non -Discharge Application and tile'
Division of Environmental Management's minimum design requirements for gravity sev,'cr pro)::c -.
Delegated Municipality Revic-.vcr's NC Professional Engineer's Registrnnon No. 1068
May 1, 1991
Seal and Signature (specify da:et
EORiM: DMGS 4I91
PAGE 1 OF I