WQ0037464_Permit (Issuance)_20141118

ATA
AMMITt
North Carolina Department of Environment and Natural Resources
Pat McCrory
Govemor
November 18, 2014
Henry Braswell, Chairman
Fork Township Sanitary District
PO Box 1515
Goldsboro, NC 27533
Subject: Permit No. WQ0037464
Fork Township Sanitary District
Goldsboro Veterinary Hospital
Wastewater Collection System Extension
Wayne County
Dear Mr. Braswell:
John E, Skvarla, III
Secretary
In accordance with your application received November 14, 2014, we are forwarding herewith Permit No.
WQ0037464, dated November 18, 2014, issued to Fork Township Sanitary District, 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date of issuance until rescinded, and shall be subject to the conditions and limitations as specified therein.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 Fork Township Sanitary District 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 Opporhmlty 1 AfArmaflve Actlon Employer — Made in part by recycled paper

Fork Township Sanitary District
Goldsboro Veterinary Hospital
WQ0037464
November 18, 2014
If you need additional information concerning this matter, please contact Allen Clark at [phone] or
via e-mail at [e-mail]
Sincerely,
for Thomas A. Reeder, Directo
Division of Water Resources, NCDENR
By David May
Regional Supervisor
Water Quality Regional Operations Section
Washington Regional Office
cc: Tony McCabe ( [e-mail] )
David E. Gurley, III, PE ([e-mail] )
Karen Brashear, City of Goldsboro ( kbrashear([e-mail] )
Water Resources Central Files
PERCS (electronic copy)

l�CDErA
NR
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
Fork Township Sanitary District
Wayne County
for the construction and operation of a 13.75—gallon per minute pump station with duplex pumps, on -site
audible and visual high water alarms, and a portable generator with manual transfer switch; as well as
approximately 85 linear feet of 1.25-inch force main to serve as part of the Goldsboro Veterinary Hospital
project, and the discharge of 500 gallons per day (veterinary facility with 2 practitioners) of collected
domestic wastewater into the City of Goldsboro's existing sewerage system, pursuant to the application
received November 14, 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 18th day of November, 2014.
for Thomas A. Reeder, Director
Division of Water Resources, NCDENR
By Authority of The Environmental Management Commission
Permit Number: WQ0037464

SUPPLEMENT TO PERMIT COVER SHEET
Fork Township Sanitary District 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 the Fork Township Sanitary District 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. 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. Thls 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.
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 facilitles 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 least once per every six -months and Inspections are
documented.
f. A general observation of the entlre 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 Notification:
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 filed 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 protect 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 thls 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 government 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: Fork Township Sanitary District Permit No: WQ0037464
Project: Goldsboro Veterinary Hospital Issue Date: 11/18/2014
Complete and submit this form to the permit Issuing regional office with the following:
• One copy of the project record drawings (plan & proflle 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.
Thls project shall not be considered complete nor allowed to operate until the Division has received thls 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 protect has been constructed
pursuant to the applicable standards & requirements, the. Professional Engineer below has provided applicable design/construction
Information to the Permlttee, 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 13.75-gallon per minute pump station with duplex pumps,
on -site audible and visual high-water alarms, and a portable generator with manual transfer switch; as well as approximately 85 linear
feet of 1.25-Inch force main as part of the Goldsboro Veterinary Hospital project, for the Permlttee 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:
I
I SEND THIS FORM & SUPPORTING DOCUMENTATION
IWITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
DWR-WATER QUALITY OPERATIONS SECTION SUPERVISOR
I WASHINGTON REGIONAL OFFICE
I 943 WASHINGTON SQUARE MALL
i 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: