WQ0024373_Application (FTSE)_20040902

Baldwin & Associates
Engineering & Land Surveying
1015 Conference Drive
Greenville, NC 27858
252-756-1390
Letter Of Transmittal
Date:
9/2/04
Job No:
Attention:
To: NCDENR - Non Discharge Permitting Unit Robert Tankard
943 Washington Square Mall
Washington, NC 27889
We are sending you: x Attached
Plans
LJ Order
Drawings
Letter
Copies
2
1
1
9/2/04
8/30/04
9/2/04
Re:
Laurel Pointe, II
Under separate cover via
Prints
Other
Samples
Number Descri'.;
25648
Sewer Applications
Letter from City of Goldsboro
Check for $400.00
the following:
Specifications
RECEIVED
SEP - i 2004
DWQ-WARO
Transmitted as checked below:
Lx For approval I Approved as noted Resubmit copies for approval
C' For your use Approved as submitted Submit copies for distribution
As requested t I Returned for corrections Return corrected copies
For review Other
Remarks:
Signed: DazvnBacidotte Copy to: Steve SPnu I l

(Ii±g iif J= la!ti$Iwrlt
J.(0. Draftier A
North (Carolina
27533-9781
August 30, 2004
N.C. Department of Environment & Natural Resources
Washington Regional Office
943 Washington Square Mall
Washington, NC 27889
Re: Non -Discharge Permit Application
Laurel Pointe Phase II - Building Nos. 7, 8 and 9
To Whom It May Concern:
[phone]
RECEIVED
SEP - 7 2004
DWQ-W,#RO
The City of Goldsboro will accept approximately 7,680 GPD of wastewater generated by
the referenced project as shown on the plans prepared by J.S. Janowski, P.E., dated June
17, 2004. The sewer line that serves Building Nos. 7, 8 and 9 will be privately owned
and maintained.
If you have any questions or need additional information, please call me at (919) 580-
4342.
Sincerely,
V ij&Z<
V 1
Terry H. Gallimore, P.E.
City Engineer
trw

wA7
RECEIVED State of North Carolina
�f Department of Environment and Natural Resources
Division of Water Quality
- SEP - 7 2004-71
FAST -TRACK APPLICATION
DWQ-WAR& GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
(Pressure sewers systems are not to be included as part of this application package)
INSTRUCTIONS: Indicate that you have included the following list of required application package items by checking the
space provided next to each item. Failure to submit all required items will lead to your application being returned as
incomplete or additional processing and review time. This form may be photocopied for use as an original.
© I. Application Form - Submit one original and one copy of the completed and appropriately executed application
form. 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(12).
• II. Application Fee - Submit a check in the amount of $400 made payable to: North Carolina Department of
Environment and Natural Resources (NCDENR).
❑ III. 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(2a) of this application.
❑ IV. Operational Agreements — Submit one original and two copies of a properly executed operational agreement if
the sewer extension will be serving residential or commercial lots (e.g., houses, condominiums, townhomes,
outparcels, etc.) that will be owned by a homeowners' association or developer (Item B(2b)). If the applicant is a
homeowners' association, use Form HOA 02/03. If the applicant is a developer, use Form DEV 02/03. EVEN IF
THE PROJECT WILL BE TURNED OVER TO A MUNICIPALITY, FORM DEV 02/03 IS REQUIRED.
V. Flow Acceptance Letters — If the owner of the downstream sewers and/or WWTF is different from the applicant,
submit two copies of a flow acceptance letter from the owner of the downstream sewers and WWTF, if different.
Flow acceptance letters must contain the following minimum information: applicant and project name, amount of
flow accepted, and name and permit number of the receiving sewers/WWTF. The flow acceptance must not
expire prior to permit issuance and must be dated less than a year prior to the application date.
Intergovernmental agreements or other contracts will not be accepted in lieu of a project -specific flow acceptance
letter.
Ei VI. Map — Submit an 8.5-inch by 11-inch copy of the portion of a 7.5-minute USGS Topographic Map along with this
form. The map should identify the entire project area location as well as the closest downslope surface waters as
clearly as possible. Each map portion must be labeled with the map name and number, the identified location,
and be of clear and reproducible quality. For instance, if the project involves 4 miles of interceptor sewer that
traverses over or near several different waterbodies (or counties, basins, etc.), the map should have location ID's
for each different waterbody (where the sewer line is within 100 feet of such waterbody - see Instruction VII).
❑ VII. Watershed Classifications — Section C
• If any portion of the project is within 100 feet of any down slope surface water, Section C must be completed
for the pertinent sections.
• If the entire project area is a minimum of 100 feet away from any down slope surface waters BUT there is a
pump station involved where a history of power outage is to be used to provide adequate design storage
instead of dual feed or permanent or portable generator, Section C must be completed to demonstrate that
the closest down slope surface water is Class C (see 15A NCAC 2H .0219(h)(3)(D)).
• Use the guidance document entitled, "Determining Watershed Classifications for Form FTA 02/03 (Fast -Track
Sewer Systems)" available from http://h2o.enr.state.nc.us/ndpu or by contacting the appropriate regional
office.
INSTRUCTIONS FOR FORM FTA 02/03

❑ VIII. Environmental Assessments — If this project is subject to an Environmental Assessment (EA) ]15A NCAC
01C .0500], this application can not be used. Send the project application on Form PSFMGSA 10/99 to the
Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. Applications can not be
processed 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.
® IX. Certifications — Section D
The application must be certified by both the applicant and 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 2H .0200, 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. Certification by a PE who is unfamiliar with these documents
is subject to NC Board referral.
THE COMPLETED FTA 02/03 APPLICATION PACKAGE, INCLUDING ALL SUPPORTING DOCUMENTS AND $400
FEE, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
59 Woodfin Place
Asheville, North Carolina 28801
[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
[phone]
[phone] Fax
Mooresville Regional Office
Anson, Bladen, Cumberland, Harnett, Hoke,
Montgomery, Moore, Robeson, Richmond,
Sampson, Scotland
919 N Main Street
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
Washington Regional Office
Chatham, Durham, Edgecombe, Franklin,
Granville, Halifax, Johnston, Lee, Nash,
Northampton. Orange, Person, Vance, Wake,
Warren, Wilson
943 Washington Square Mall
Washington. North Carolina 27889
[phone]
[phone] Fax
Wilmington Regional Office
Beaufort, Bertie, Camden, Chowan, Craven,
Currituck, Dare, Gates, Greene, Hertford,
Hyde, Jones, Lenoir, Martin, Pamlico,
Pasquotank. Perquimans, Pitt, Tyrrell,
Washington, Wayne
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
[phone] Fax
Winston-Salem Regional
Office
585 Waughtown Street
Winston-Salem, North Carolina
27107
[phone]
[phone] Fax
Brunswick, Carteret, Columbus, Duplin, New
Hanover, Onslow, Pender
Alamance, Alleghany, Ashe, Caswell,
Davidson, David, Forsyth, Guilford,
Rockingham, Randolph, Stokes. Surry,
Watauga, Wilkes, Yadkin
For more information, visit our web site at: http://h2o.enrstate.nc.us/ndpu/
INSTRUCTIONS FOR FORM FTA 02/03

✓ FAST TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
PAGE 1
USE THE TAB KEY TO MOVE FROM FIELD TO FIELD!
1. Owner:
la. Laurel Pointe, LLC
Full Legal Name (company, municipality, HOA, utility, etc.)
Application Number:
(to be completed by DWQ) w Q a a 2.4- 3?3
Z 1 b. Frankie Pendergraph, Manager
Signing Official Name and Title (Please review 15A NCAC 2H .0206(b) for authorized signing officials!)
2
1 c. The legal entity who will own this system is:
® Individual ❑ Federal ❑ Municipality ❑ State/County ❑ Private Partnership 0 Corporation 0 Other (specify):
W ld. P.O. Box 18863 le. Ralei.h
0 Street Address City
Z 1f. NC 1g. 27619
Z State Zip Code
lh. 919-847-8162 li. 1j.
QTelephone Facsimile
(„) 2. Project (Facility) Information:
CL a 2a. Laurel Pointe, II 2b. Wa ne
Q. Brief Project Name (permit will refer to this name) County Where Project is Located
B. PERMIT INFORMATION
3. Contact Person:
3a. J.S. Janowski, PE
E-mail
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b. 252-756-1390
Phone Number
3c. [e-mail]
E-mail
1. Project is ® New 0 Modification (of an existing permit) If Modification, Permit No.:
2. Owner is ❑ Public (skip to Item B(3))
2a. If private, applicant will be:
0 Retaining Ownership (i.e. store, church, single office, etc.)
® Leasing units (lots, townhomes, etc. - skip to Item B(3))
0 Selling units (lots, townhomes, etc. - go to Item B(2b))
® Private (go to Item 2(a))
3. City of Goldsboro
2b. If sold, facilities owned by a (must choose one)
❑ Public Utility (Instruction III)
❑ Homeowner Assoc./Developer (Instruction IV)
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
4a. City of Goldsboro 4b. NC0023949
Name of WWTF WWTF Permit No.
5a. City of Goldsboro
.5b. 8"
Owner of Downstream Sewer Receiving Sewer Size
5c. Unknown
Permit Number of Downstream Sewer
6. The origin of this wastewater is (check all that apply):
❑ Residential Subdivision 0 Car Wash
® Apartments/Condominiums ❑ Institution
❑ Mobile Home Park ❑ Hospital
❑ School ❑ Church
❑ Restaurant 0 Nursing Home
❑ Office ❑ Other (specify):
7. Volume of wastewater to be permitted in this project: 7680 gallons per day
100 % Domestic/Commercial
% Industrial
% Other (specify):
8. If the permitted flow is zero, indicate why:
❑ Interceptor Line - Flow will be permitted is 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
FTA 02/03

FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 2
B. PERMIT INFORMATION (CONTINUED)
9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2H
.0219(1) for Item B(7) or the design flow for line or pump station sizing if zero flow in the space below. Values other than
that in 15A NCAC 2H .0219(1)(1-2) must be approved prior to submittal of this application. Submit a separate request to
the Division of Water Quality, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617 in
accordance with 15A NCAC 2H .0219(1)(3).
8 one bedroom units x 240 gpd + 24 two bedroom units x 240 gpd = 7,680 gpd
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches) Length (feet) Gravity or Force Main
(pull down menu)
8" 396 Gravity
6 92 Gravity
Gravity
Gravity
Gravity
Gravity
Gravity
ENTER TOTAL LINE LENGTH IN MILES 0.09
11. Summary of Pump Stations to be Permitted (attach additional sheets as necessary)
Location ID Design Flow
(as shown on plans) (MGD)
Operational Point
GPM @ TDH
Power Reliability Option
(dual line feed, permanent generator,
portable generator, wet well storage)
12, 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 2H .0200 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
13. Have the following permits/certifications been submitted for approval?
Wetland/Stream Crossings - General Permit or 401 Certification? ['Yes ❑ No ® N/A
Sedimentation and Erosion Control Plan? ® Yes ❑ No ❑ N/A
Stormwater? ❑ Yes ® No ❑ N/A
FTA 02/03

FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 3
Z
0
F—
Q
C. WATERSHED CLASS
D. CERTIFICATIONS
1. Use the Division's guidance document entitled, "DETERMINING STREAM CLASSIFICATIONS FOR FORM FTA 02/03
(FAST -TRACK SEWER SYSTEMS)" to collect and record the stream classification data below (attach additional sheets as
necessary). This document is available from our web site or by contacting the appropriate Division of Water Quality
regional office (see instructions for addresses) OR indicate the following:
® A Watershed Classification is not needed because all parts of the project are at least 100 feet away from any down
slope waterbody; AND,
A Watershed Classification is not needed because the design does not depend on wet well storage as a power
reliability option for any pump station near a Class C down slope waterbody.
Location ID Name of Waterbody Stream Waterbody
on Map Waterbody County River Basin Index Classification
Submit the 8.5" x 11" topographic map as required in Instruction VI regardless of whether a classification is provided!
1.
1a.
Applicant's Certification:
i attest that this application for Laurel Pointe, 11 has been reviewed by me and is
accurate and complete to the best of my knowledge. 1 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
143-215.6B. 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
$25,0 0 per violation.
Signing Official Signature
6/z.f/may
Date
2. Professional Engineer's Certification:
I attest that this application for Laurel Pointe, 11 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. 1 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 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 certain portions of this submittal
package may have been developed by other professionals, inclusion of these materials under my signature and seal
signifies that 1 have reviewed this material and have judged it 10 be consistent with the proposed design. Note: in
accordance with NC General Statutes 143-215.6A and 143-215.6B, 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. J.S. Janowski, PE
Professional Engineer Name
2b. Baldwin & Associates
Engineering Firm
2c. 1015 Conference Drive
Address
2d. Greenville
City
2g. 252-756-1390
2h. 252-321-1412
2e. NC 2f. 27858
State Zip
2i. , ,a,awsk,@baldwnandassocialesnc corn
Telephone Facsimile E-mail
`apluiUIirrry�r
`N0,-N C.ARO�7,'a
,2
• d'Tp!UGINV�o�`
,,,,��HEN�� �►+ 00
Seal, Signature & Date
FTA 02/03

43.•,0
--
3

PERMIT NUMBER: NC0023949
FACILITY NAME: City of Goldsboro - Goldsboro WWTP
CITY: Goldsboro
COUNTY: Wayne
PERIOD ENDING MONTH: 7 - 2004
REGION: Washington
DMR 12 Month Calculated
PAGE 4 OF 9
01077
ug/1
Silver, Total
(as Ag)
01092
ug/1
Zinc, Total
(as Zn)
31616
#/100m1
Coliform,
Fecal MF, M-FC
Broth,44.5C
31616
mg/1
Coliform,
Fecal MF, M-FC
Broth,44.5C
50050
mgd
Flow, in conduit
or thru
treatment plant
50060
ug/1
Chlorine,
Total Residual
71900
ug/1
Mercury, Total
(as Hg)
80082
mg/1
BOD,
Carbonaceous
05 Day, 20C
8-03
10.8
4
0
37.8
12.670972
9.399355
0
0
0.095238
9-03
10.8
4
4.558445
6.800667
0
0.361905
10 - 03
10.8
4
5.288469
5.604839
5.5
0.095652
11-03
108
8
0
56.3
2.678252
5.59
0
12 - 03
10.8
8
0
52.6
2.459341
7.142258
0.765
1 - 04
10.8
8
0
72.1
3.996552
6.406774
0
0.31
2-04
(4.2
$
1.402251
7.594138
0
0.105
3 - 04
14.2
8
2.619957
6.784516
0
0
4-04
2.484221
6.055667
0
0.147619
5-04
14.2
4
2.122896
7.930645
0.22
6 - 04
14.2
32.498136
8.700333
0
0.227273
7 - 04
14.2
4.894421
8.266129
5.5
0.195238

PERMIT NUMBER: NC0023949
FACILITY NAME City of Goldsboro - Goldsboro WWTP
CITY: Goldsboro
COUNTY: Wayne
PERIOD ENDING MONTH
7 - 2004
REGION: Washington
DMR 12 Month Calculated
PAGE 3 OF 9
00665
mg/1
Phosphorus,
Total (as P)
00720
ug/1
Cyanide, Total
(as Cn)
00940
mg/1
Chloride (as C1)
01027
mg/1
Cadmium, Total
(as Cd)
01034
mg/1
Chromium,
Total (as Cr)
01042
ug/1
Copper, Total
(as Cu)
01051
mg/1
Lead, Total
(as Pb)
01067
mg/1
Nickel, Total
(as Ni)
8-03
0
0
2.04
9-03
0.25
0
10-03
0.032
0
11-03
0
0
0
12-03
0.07
0
0
1 - 04
0
0
0
2-04
0.0875
3-04
0.05
4-04
0.022
5-04
0.0975
6-04
0.045
7-04
0.046

PERMIT NUMBER: NC0023949
FACILITY NAME: City of Goldsboro - Goldsboro WWTP
CITY: Goldsboro
COUNTY: Wayne
PERIOD ENDING MONTH: 7 - 2004
REGION: Washington
DMR 12 Month Calculated
PAGE 2 OF 9
00530
mg/1
Solids, Total
Suspended
00545
ml/1
Solids,
Settleable
00600
lbs/yr
Nitrogen,
Total (as N)
00600
mg/1
Nitrogen,
Total (as N)
00610
lbs/day
Nitrogen,
Ammonia Total
(as N)
00610
mg/1
Nitrogen,
Ammonia Total
(as N)
00625
mg/1
Nitrogen,
Kjeldahl,
Total (as N)
00630
mg/1
Nitrite plus
Nitrate Total
1 DET. (as N)
8 03
30
734
2
0.485714
2.8175
0.052857
9 - 03
30
734
2
2.17619
3.81
0.088095
10 - 03
30
7 34
2
2.256522
3.022
0.025652
11 03
30
734
4
0.447059
3
0.306471
12 - 03
30
734
4
1.435
3.895
0.759
1 - 04
30
724
4
2.13
2.97
0.5085
2 04
30
734
4
1.665
5.465
0.7555
3.8675
3 04
30
734
4
2.23913
3.405
0.076087
2.275
4 04
30
734
2
2.438095
2.514
0.021905
1.514
5 04
30
734
2
1.435
2.2475
0.088
0.7075
6 04
30
734
2
0.85
1.795
0.276818
0.665
0.63
7 - 04
30
734
2
0.780952
1.982
0.013333
0
0.982

PERMIT NUMBER: NC0023949
FACILITY NAME: City of Goldsboro - Goldsboro WWTP
CITY: Goldsboro
OUTFALL: 001
EFFLUENT
COUNTY: Wayne
PERIOD ENDING MONTH: 7 - 2004
REGION: Washington
DMR 12 Month Calculated
PAGE 1 OF 9
00010
deg c
Temperature,
Water Deg.
Centigrade
00300
mg/1
DO, Oxygen,
Dissolved
00310
lbs/day
BOD, 5-Day (20
Deg. C)
00310
mg/1
BOD, 5-Day (20
Deg. C)
00340
mg/1
COD, Oxygen
Demand, Chem.
(High Level)
00400
su
pH
00500
mg/1
Solids, Total
00530
lbs/day
Solids, Total
Suspended
8 03
26.52381
7.295238
1.134
30
6.3 - 6.8
2.002
9 - 03
25.809524
7.447619
1.134
30
6.3 - 6.9
2.002
10 - 03
23.478261
7.8
1.134
30
6.4 - 7
2,002
11 - 03
21.882353
7.941176
1.134
30
6.3 - 6.8
2,002
12 - 03
16.45
8.245
1.134
30
6.1 - 7.1
2,002
1 -04
15
8.74
1,134
30
6.4 - 6.9
2,002
2 04
13.9
8.465
1,134
30
6.4 - 6.7
2.002
3-04
16.391304
8.63913
1,134
30
6.4 - 6.8
2,002
4 - 04
19.285714
8.17619
1,134
30
6.6 - 6.9
2,002
5 - 04
23.55
7.575
1.134
30
6.5 - 6.9
2,002
6-04
26.181818
7.822727
1.134
30
6.5 - 6.8
2.002
7-04
28.428571
7.547619
1,134
30
6.4 - 6.8
2.002