WQ0037203_Permit (Issuance)_20140619

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MEM
North Carolina Department of Environment and Natural Resources
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Pat McCrory John E. Skvaria, III
Govemor Secretary
June 19, 2014
Kevin Pinder, Managing Member
Provo Land Exchange III, L.C.
130 W. Center Street
Orem, Utah 84057
Subject: Permit No. WQ0037203
Wayne Preparatory Academy — Phase 1
Wastewater Collection System Extension
Wayne County
Dear Mr. Pinder:
In accordance with your application received June 16, 2014, we are forwarding herewith Permit No.
WQ0037203, dated June 19, 2014, to Provo Land Exchange III, L.C., for the construction and operation of
the subject wastewater collection system 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issuance until rescinded, and shall be subject to the conditions and limitations as specified therein. This
cover letter and supplement shall be considered a part of this permit and are therefore incorporated
therein by reference.
Please pay particular attention to the following conditions contained within this permit:
Condition 11.4:
Requires that the wastewater collection facilities be properly operated and maintained in
accordance with 15A NCAC 2T .0403 or any individual system -wide collection system
permit issued to the Permittee.
It shall be the responsibility of Provo Land Exchange III, L.C. to ensure that the as -constructed project meets
the appropriate design criteria and rules. Failure to comply may result in penalties in accordance with
North Carolina General Statute §143-215.6A through §143-215.6C, construction of additional or
replacement wastewater collection facilities, and/or referral of the North Carolina -licensed Professional
Engineer to the licensing board.
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 30 days following receipt of this permit. This
request must be in the form of a written petition, conforming to Chapter 150E of North Carolina General
Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC 27699-
6714. Unless such demands are made, this permit shall be final and binding.
Division of Water Resources — Water Quality Regional Operations Section — Washington Regional Office
943 Washington Square Mall, Washington, NC 27889
Phone: [phone] Fax: [phone] Internet: www.ncdenr.gov
An Equal opportunity 1 Aflhmative Action Employer — Made In part by recycled paper

Wayne Preparatory Academy — Phase 1
WQ0037203
June 19, 2014
If you need additional information concerning this matter, please contact Allen Clark at [phone] or
via e-mail at allen.clark@@ncdenr.gov
Sincerely,
12A.4-
for Thomas A. Reeder; Director
Division of Water Resources, NCDENR
By Robert Tankard
Assistant Regional Supervisor
Water Quality Regional Operations Section
Washington Regional Office
cc: Tony M. Whitaker, PE(tonv.whitakerPcivil-consultants.com )
Karen Brashear, City of Goldsboro ( [e-mail] )
Water Resources Central Files
electronic copy)

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RbEWIt
STATE OF NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
WASTEWATER COLLECTION SYSTEM EXTENSION 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 the
Provo Land Exchange III, L.C.
Wayne County
for the construction and operation of a 190-gallon per minute pump station with duplex pumps, on -site
audible and visual high water alarms, telemetry, and permanent generator with automatic transfer switch;
as well as approximately 1,243 linear feet of 6-inch gravity sewer, and approximately 320 linear feet of 4
inch force main to serve school with no gym or cafeteria (578 students) plus, pre -kindergarten facility (47
persons) as part of the Wayne Preparatory. Academy — Phase 1 project, and the discharge of 6,955 gallons
per day of collected domestic/commercial wastewater into the City of Goldsboro's existing sewerage
system, pursuant to the application received June 16, 2014 and in conformity with 15A NCAC 2T; the
Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as applicable; the Division's
Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1,
2000 as applicable; and other supporting data subsequently filed and approved by the Department of
Environment 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 specified
conditions and limitations contained therein.
Permit issued this the 19th day of dune, 2014.
for Thomas A. Reeder, Director
Division of Water Resources, NCDENR
By Authority of The Environmental Management Commission
Permit Number: WQ0037203

SUPPLEMENT TO PERMIT COVER SHEET
Provo Land Exchange III, L.C. is hereby authorized to:
Construct, and then operate upon certification the aforementioned wastewater collection extension. The
sewage and wastewater collected by this system shall be treated in the City of Goldsboro's WWTP
(NC0023949) prior to being discharged into the receiving stream.
Permitting of this project does not constitute an acceptance of any part of the project that does not meet
15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as
applicable; and the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and
Force Mains adopted June 1, 2000 as applicable, unless specifically mentioned herein. Division approval is
based on acceptance of the certification provided by a North Carolina -licensed Professional Engineer in the
application. It shall be the Permittee's responsibility to ensure that the as -constructed project meets the
appropriate design criteria and rules.
Construction and operation is contingent upon compliance with the Standard Conditions and any Special
Conditions identified below.
I. SPECIAL CONDITIONS
1. This permit shall become voidable unless the agreement between Provo Land Exchange III, L.C. and the
City of Goldsboro for the collection and final treatment of wastewater is in full force and effect.
2. If, at any time, the additional wastewater flow volume made tributary to this sewer extension is
believed to exceed the value permitted herein, a modification shall be requested for this permit from
the Division of Water Resources to properly allocate the subject wastewater flow.
3. Gravity sewers installed greater than ten percent below the minimum required slope per the Division's
Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be certified until
corrected. If there is an unforeseen obstacle in the field where all viable solutions have been examined,
a slope variance can be requested from the Division with firm supporting documentation. This shall be
done through a permit modification with fee. Such variance requests will be evaluated on a case -by -
case basis. Resolution of such request shall be evident prior to completing and submitting the
construction certification.
4. The abandonment of any existing wastewater facilities including septic systems being replaced by new
sewer infrastructure shall be done in accordance with the applicable agency having compliance
oversight on such facilities.
II. STANDARD CONDITIONS
1. This permit shall not be transferable. In the event there is a desire for the wastewater collection
facilities to change ownership, or there is a name change of the Permittee, a formal permit request
shall be submitted to the Division accompanied by documentation from the parties Involved, and other
supporting materials as may be appropriate. The approval of this request shall be considered on its
merits and may or may not be approved.

2. This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2T; the Division's Gravity Sewer Minimum
Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the
Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and other
supporting materials unless specifically mentioned herein.
3. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data.
4. The wastewater collection facilities shall be properly maintained and operated at all times. The
Permittee shall maintain compliance with an individual system -wide collection system permit for the
operation and maintenance of these facilities as required by 15A NCAC 2T .0403. If an individual permit
is not required, the following performance criteria shall be met as provided In 15A NCAC 2T .0403:
a. The sewer system shall be effectively maintained and operated at all times to prevent discharge to
land or surface waters, and to prevent any contravention of groundwater standards or surface
water standards.
b. A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan including pump station inspection frequency, preventative
maintenance schedule, spare parts inventory and overflow response has been developed and
implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e. 365
days per year). Pump stations that are connected to a telemetry system shall be inspected at least
once per week.
e. High -priority sewer lines shall be inspected at leastonce per every six -months and inspections are
documented.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Overflows and bypasses shall be reported to the appropriate Division regional office in accordance
with 15A NCAC 2B .0506(a), and public notice shall be provided as required by North Carolina
General Statute §143-215.1C.
h. A Grease Control Program is in place as follows:
1. For public owned collection systems, the Grease Control Program shall include at least biannual
distribution of educational materials for both commercial and residential users and the legal
means to require grease interceptors at existing establishments. The plan shall also include
legal means for inspections of the grease interceptors, enforcement for violators and the legal
means to control grease entering the system from other public and private satellite sewer
systems.
2. For privately owned collection systems, the Grease Control Program shall include at least bi-
annual distribution of grease education materials to users of the collection system by the
Permittee or its representative.

3. Grease education materials shall be distributed more often than required in Parts (1) and (2) of
this Subparagraph if necessary to prevent grease -related sanitary sewer overflows.
i. Right-of-ways and easements shall be maintained in the full easement width for personnel and
equipment accessibility.
j. Documentation shall be kept for Subparagraphs (a) through (i) of this Rule for a minimum of three
years with exception of the map, which shall be maintained for the life of the system.
5. Noncompliance Notifiication:
The Permittee shall report by telephone to a water resources staff member at Washington Regional
Office, telephone number [phone], 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 SSO and/or spill over 1,000 gallons; or
c. Any SSO and/or spill, regardless of volume, that reaches surface water
Voice mail messages or faxed information is permissible, but this shall not be considered as the initial
verbal report. Overflows and spills occurring outside normal business hours may also be reported to
the Division of Emergency Management at telephone number [phone] or [phone].
Persons reporting any of the above occurrences shall file a spill report by completing and submitting
Part I of Form CS-SSO (or the most current Division approved form) within five 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. Part II of Form CS-SSO (or the most current Division approved
form) can also be completed to show that the SSO was beyond control.
6. Construction of the gravity sewers, pump stations, and force mains 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.
7. Per 15A NCAC 2T.0116, upon completion of construction and prior to operation of these permitted
facilities, the completed Engineering Certification form attached to this permit shall be submitted with
the required supporting documents to the address provided on the form. A complete certification is
one where the form is fully executed and the supporting documents are provided as applicable. Any
wastewater flow made tributary to the wastewater collection system extension prior to completion of
this Engineer's Certification shall be considered a violation of the permit and shall subject the Permittee
to appropriate enforcement actions.
If the permit is issued to a private entity with an Operational Agreement, then a copy of the Articles
of Incorporation, Declarations/Covenants/Restrictions, and Bylaws that have been appropriately
flied with the applicable County's Register of Deeds office shall be submitted with the certification.

A complete certification is one where the form is fully executed and the supporting documents are
provided as applicable. Supporting documentation shall include the following:
•
a. One copy of the project construction record drawings (plan & profile views of sewer lines & force
mains) of the wastewater collection system extension. Final record drawings should be clear on the
plans or on digital media (CD or DVD disk) and are defined as the design drawings that are marked
up or annotated with after construction information and show required buffers, separation
distances, material changes, etc.
b. One copy of the supporting pump station design calculations (selected pumps, system curve,
operating point, buoyancy calculations, available storage if portable generator(s) or storage greater
than longest past three year outage reliability option selected) for any pump stations permitted as
part of this project.
c. Changes to the project that do not result in non-compliance with this permit, regulations, or the
Minimum Design Criteria should be clearly identified on the record drawings, on the certification in
the space provided, or in written summary form.
Prior to Certification (Final or Partial): Permit modifications are required. for any changes resulting in
non-compliance with this permit (including pipe length increases of 10% or greater, increased flow,
pump station design capacity design increases of 5% or greater, and increases in the number/type of
connections), regulations, or the Minimum Design Criteria. Requested modifications or variances to the
Minimum Design Criteria will be reviewed on a case -by -case basis and each on its own merit. Please
note that variances to the Minimum Design Criteria should be requested and approved during the
permitting process prior to construction. After -construction requests are discouraged by the Division
and may not be approved, thus requiring replacement or repair prior to certification & activation.
8. A copy of the construction record drawings shall be maintained on file by the Permittee for the life of
the wastewater collection facilities.
9. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2T; the Division's
Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design
Criteria for the Fast -Track Permitting of Pump Station and Force Mains adopted June 1, 2000 as
applicable; and other supporting materials may subject the Permittee to an enforcement action by the
Division, in accordance with North Carolina General Statutes §143-215.6A through §143-215.6C,
construction of additional or replacement wastewater collection facilities, and/or referral of the North
Carolina -licensed Professional Engineer to the licensing board.
10. In the event that the wastewater collection 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 facilities.
11. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances that may be imposed by other govemment agencies (local, state and
federal) which have jurisdiction, including but not limited to applicable river buffer rules in 15A NCAC
2B .0200, erosion and sedimentation control requirements in 15A NCAC Ch. 4 and under the Division's
General Permit NCG010000, and any requirements pertaining to wetlands under 15A NCAC 2B .0200
and 15A NCAC 2H .0500.

Fast Track Engineering Certification
Permittee: Provo Land Exchange III, L.C. Permit No: WQ0037203
Project: Wayne Preparatory Academy — Phase 1 Issue Date: 6/19/2014
Complete and submit this form to the permit issuing regional office with the following:
• One copy of the project record drawings (plan & profile views and detail drawings of sewer lines) of the wastewater
collection system extension. Final record drawings should be clear on the plans or on digital media (CD or DVD disk) In pdf
format. Record drawings should Indicate the design and the marked up changes during construction.
• Supporting design calculations (selected pumps, system curve, operating point, available storage If portable generator(s) or
storage greater than longest past three year outage reliability option selected) for any pump stations permitted as part of
this project
• Changes to the project should be clearly identified on the record drawings or in written summary form. Permit
modifications are required for any changes resulting in non-compliance with this permit, regulations or minimum design
criteria. Modifications should be submitted prior to certification.
This project shall not be considered complete nor allowed to operate until the Division has received this Engineer's Certification
and all required supporting documentation. Therefore, it is highly recommended that this certification be sent in a manner
that provides proof of receipt by the Division.
PERMITTEE'S CERTIFICATION
I, , the undersigned agent for the Permittee, hereby state that this project has been
constructed pursuant to the applicable standards & requirements, the Professional Engineer below has provided
applicable design/construction information to the Permittee, and the Permittee is prepared to operate & maintain the
wastewater collection system permitted herein or portions thereof.
Printed Name, Title
Signature
Date
ENGINEER'S CERTIFICATION
❑ Partial ❑ Final
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 a 190-gallon per minute pump
station with duplex pumps, on -site audible and visual high water alarms, telemetry, and permanent generator with
automatic transfer switch; as well as approximately 1,243 linear feet of 6-inch gravity sewer, and approximately 320 linear
feet of 4 Inch force main to serve as part of the Wayne Preparatory Academy — Phase 1 project, for the 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 of this permit; 15A NCAC 02T; the Division's Gravity
Sewer Minimum Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the
Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting
materials.
North Carolina Professional Engineer's
Seal, signature, and date:
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
DWR-WATER QUALITY OPERATIONS SECTION SUPERVISOR
WASHINGTON REGIONAL OFFICE
943 WASHINGTON SQUARE MALL
WASHINGTON, NC 27889
The Permittee is responsible for tracking all partial certifications up until a final certification is received. Any wastewater
flow made tributary to the wastewater collection system extension prior to completion of this Engineer's Certification
shall be considered a violation of the permit and shall subject the Permittee to appropriate enforcement actions.
DWR Use Only
Flow from this project is tributary to: