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HomeMy WebLinkAboutWQ0037620_Application (FTSE)_20150224M INC. MCDAVID ASSOCIATES, INC. Engineers • Planners • Land Surveyors CORPORATE OFFICE (252) 753-2139 • Fax (252) 753-7220 E-mail mai@mcdavid-inc.com 3714 N. Main Street • P.O. Drawer 49 Farmville, NC 27828 Mr. Al Hodge Environmental Regional Supervisor Washington Regional Office Division of Water Quality 943 Washington Square Mall Washington, North Carolina 27889 Subject: Dear Mr. Hodge: February 3, 2015 GOLDSBORO OFFICE (919) 736-7630 • Fax (919) 735-7351 E-mail: maigold@mcdavid-inc.com 109 E. Walnut Street • P.O. Box 1776 Goldsboro, NC 27533 RECEIVED/NCDENR/DWR FEB 24 2015 .1:2er-*iorr ^,«rylnrs elieletteigeon Regional Moe Fast Track Application Foodliner Property Fork Township Sanitary District Wayne County, NC A request has been made by the owner of the Foodliner property for connection to the central sewer system owned, operated and maintained by the Fork Township Sanitary District. An existing six (6) inch force main runs parallel along NC SR 1236/Rosewood Road on the opposite side of the road from the property. Service to the property can be made via pump station and force main. The property has long been a convenience store with food preparation served by an on -site septic system. A 1,750 SF portion of the existing building is undergoing renovations to reopen as a convenience store with food preparation. Also, the Owner has plans to construct an office building adjacent to the existing building that will serve an existing 50-unit self -storage facility to the rear. The office will be staffed by one (1) full time employee. Projected daily sewer flow from the site based on 2T rules will be 1,100 gallons (Convenience Store with Food Preparation - 60 gpm/100 SF * 1,750 SF = 1,050 gpd + Self Storage Office - 1 gpd/storage unit * 50units = 50 gpd).. Please find attached the following items supporting this application: 1. Fast -Track Application (FTA 08-13) 2. Check in the amount of $480.00 from Wells Fargo Advisors, LLC (Check No. 026209781, dated 01 /27/ 14) 3. Flow Tracking/Acceptance for Sewer Applications Form completed by Fork Township Sanitary District to address their downstream pump station 4. Flow Tracking/Acceptance for Sewer Applications Form completed by City of Goldsboro to address their downstream pump stations and their acceptance of the flow at the WWTP \\G-G4S01005\DEG\2015 1 150203 FTSD-CN228-Foodliner-FTA-LTR.docx J 5. USGS Topographic Map 6. Aerial and Street Level Views 7. Design Notes supporting Fast Track Application Please process the Fast Track Application as soon as possible. Should you have any questions, do not hesitate to call me. Sincerely, ASSOCIATES, INC. David E. Gurley, I ; P.E. Goldsboro Office DEG: Attachments cc: FTSD (w/attach) M \\G-G4S1D 1005\DEG\2015 2 FTSD-CN228-Foodliner-FTA-LTR.docx INC DWR Division of Water Resources State of North Carolina Department of Environment and Natural Resources Division of Water Resources FAST -TRACK APPLICATION (FTA 08-13) for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS General — When submitting this application, please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of requested additional information. For more information, visit the Surface Water Section's Collection Systems website or; contact the Regional Office serving your county Unless otherwise noted, the Applicant shall submit one original and one copy of the application and supporting documentation to the appropriate Regional Office (see page 3). A. Cover Letter: ❑ Include a brief project narrative describing the final design (i.e system and/or pump station to ultimately serve 500 homes, but flow for only 100 homes being requested now). For modifications, clearly explain the reason for the modification (i.e. adding another phase, changing line size, length, etc). B. Application Form (FTA 08-13): ❑ Submit the completed and appropriately executed Fast -Track (FTA 08-13) Application. Any unauthorized content changes to this form shall result in the application being returned. If necessary for clarity or due to space restrictions, attachment to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer. You do not need to submit detailed plans and specifications unless you respond NO to item B(13). ❑ The Professional Engineer's Certification of the application shall be signed, sealed and dated by a North Carolina licensed Professional Engineer. ❑ The Applicant's Certification of the application shall be signed in accordance with 15A NCAC 02T .0106(b). Per 15A NCAC 02T .0106(c), an alternate person may be designated as the signing official if a delegation letter is provided from a person who meets the criteria in 15A NCAC 02T .0106(b). C. Application Fee: O Submit a check in the amount of $480 to: North Carolina Department of Environment and Natural Resources (NCDENR). ➢ Checks shall be dated within 90 days of application submittal. D. Certificate of Public Convenience and Necessity (For Privately -Owned Public Utilities Only): ❑ Per 15A NCAC 02T .0115(a)(1), provide two copies of the Certificate of Public Convenience and Necessity from the North Carolina Utilities Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served by the sewer extension, or ❑ Provide two copies of a letter from the North Carolina Utilities Commission's Water and Sewer Division Public Staff stating an application for a franchise has been received and that the service area is contiguous to an existing franchised area or that franchise approval is expected. ❑ The project name in the CPCN or letter must match that provided in Item A(2)a of this application. E. Operational Agreements (For Home/Property Owners' Associations and Developers of lots to be sold): ➢ Home/Property Owners' Associations ❑ Per 15A NCAC 02T .0115(c), submit the properly executed Operational Agreement (HOA 08-13). ❑ Per 15A NCAC 02T .0115(c), submit a copy of the Articles of Incorporation, Declarations and By-laws. ➢ Developers of lots to be sold ❑ Per 15A NCAC 02T .0115(b), submit the properly executed Operational Agreement (DEV 08-13). Even if the project may be turned over to a municipality upon completion, Form DEV 08-13 is required. INSTRUCTIONS FOR APPLICATION FTA 08-13 & SUPPORTING DOCUMENTATION Page 1 of 6 F. Downstream Sewer, WWTF Capacity and Flow Tracking/Acceptance Form (FTSE 08-13) ❑ Submit the completed and appropriately executed Flow Tracking/Acceptance for Sewer Extension Permit (FTSE 08-13) Form for all applications. ➢ The applicant (and owners of downstream sewers, pump stations and/or treatment facilities submitting form FTSE 08-13 certifies that the addition of the volume of wastewater to be permitted in this project has been evaluated along the route to the receiving treatment plant, and that the flow from this project will not cause capacity related sanitary sewer overflows or overburden any downstream pump station en route to the receiving wastewater treatment plant. ➢ Where the applicant is not the owner of the downstream sewer, submit two copies of form FTSE 08-13 from the owner of the downstream sewer and owner of the WWTF, if different. ➢ The flow acceptance indicated in form FTSE 08-13 must not expire prior to permit issuance and must be dated less than one year prior to the application date. ➢ Submittal of this application and form FTSE 08-13 indicates that owner has adequate capacity and will not violate G.S. 143-215.67(a). )> Intergovernmental agreements or other contracts will not be accepted in lieu of a project - specific FTSE 08-13. G. Site Map (All Application Packages): ❑ Submit an 8.5-inch x 11-inch color copy of a USGS Topographic Map of sufficient scale to identify the entire project area and closest surface waters. Each map must include at a minimum: ➢ The location of the sewer line and pump stations and be of reproducible quality. ➢ Downstream connection points and the permit number for the receiving sewer (if known) ➢ Pump Station Locations and the longitude and latitude for each pump station (if applicable) El Include a street level map showing all relevant project areas. H. Stream Classification (WSCAS 08-13) El Submit the completed and appropriately executed Watershed Classification Attachment form (WSCAS 08-13) if any portion of the sewer system project is within 100 feet of any surface water or wetlands. ➢ A variance must be requested for encroachment within required setbacks or buffers pursuant to 15A NCAC 02T .0305(f) I. Environmental Assessments (Projects subject to an Environmental Assessment (EA)): ➢ Projects involving an Environmental Assessment per 15A NCAC 01 C .0408, must be submitted for a full technical review and must be submitted to the PERCS Unit on application forms provided by the Division. J. Alternative Sewer Systems ➢ Projects involving low pressure sewer systems, vacuum sewer systems and other altemative sewer systems must be submitted for a full technical review and must be submitted to the PERCS Unit on application forms provided by the Division. K. Flow Direction ➢ Many wastewater treatment systems are entering into agreements for regionalization efforts and emergency treatment capacity. Parts of the system are installed so that the wastewater flow can be directed to more than one treatment facility. If this is the case with the project, please indicate in B(12) and give the permit number of the second facility. L. Certifications — Section C ➢ The application must be certified by both the applicant and the design engineer who is 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 Chapter 2T, The Gravity Sewer Minimum Design Criteria (most recent version) and the Minimum Design Criteria for the Permitting of Pump Stations and Force Mains (most recent version), as applicable to the project. INSTRUCTIONS FOR APPLICATION FTA 08-13 & SUPPORTING DOCUMENTATION Page 2 of 6 THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND MATERIALS, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE: REGIONAL OFFICE ADDRESS COUNTIES SERVED Asheville Regional Office Water Quality Section 2090 US Highway 70 Swannanoa, North Carolina 28778 (828) 296-4500 (828) 299-7043 Fax Avery, Buncombe, Burke, Caldwell, Cherokee, Clay, Graham, Haywood, Henderson, Jackson, Macon, Madison, McDowell, Mitchell, Polk, Rutherford, Swain, Transylvania, Yancey Fayetteville Regional Office Water Quality Section 225 Green Street Suite 714 Fayetteville, North Carolina 28301-5094 (910) 433-3300 (910) 486-0707 Fax Anson, Bladen, Cumberland, Harnett, Hoke, Montgomery, Moore, Robeson, Richmond, Sampson, Scotland Mooresville Regional Office Water Quality Section 610 E. Center Avenue Mooresville, North Carolina 28115 (704) 663-1699 (704) 663-6040 Fax Alexander, Cabarrus, Catawba, Cleveland, Gaston, Iredell, Lincoln, Mecklenburg, Rowan, Stanly, Union Raleigh Regional Office Water Quality Section 1628 Mail Service Center Raleigh, North Carolina 27699-1628 (919) 791-4200 (919) 788-7159 Fax Chatham, Durham, Edgecombe, Franklin, Granville, Halifax, Johnston, Lee, Nash, Northampton, Orange, Person, Vance, Wake, Warren, Wilson Washington Regional Office Water Quality Section 943 Washington Square Mall Washington, North Carolina 27889 (252) 946-6481 (252) 975-3716 Fax Beaufort, Bertie, Camden, Chowan, Craven, Currituck, Dare, Gates, Greene, Hertford, Hyde, Jones, Lenoir, Martin, Pamlico, Pasquotank, Perquimans, Pitt, Tyrrell, Washington, Wayne Wilmington Regional Office Water Quality Section 127 Cardinal Drive Extension Wilmington, North Carolina 28405 (910) 796-7215 (910) 350-2004 Fax Brunswick, Carteret, Columbus, Duplin, New Hanover, Onslow, Pender Winston-Salem Regional Office Water Quality Section 585 Waughtown Street Winston-Salem, North Carolina 27107 (336) 771-5000 (336) 771-4630 Fax Alamance, Alleghany, Ashe, Caswell, Davidson, Davie, Forsyth, Guilford, Rockingham, Randolph, Stokes, Surry, Watauga, Wilkes, Yadkin INSTRUCTIONS FOR APPLICATION FTA 08-13 & SUPPORTING DOCUMENTATION Page 3 of 6 USE THE TAB KEY TO MOVE FROM FIELD TO FIELD Application Number: , w �f , O, , rQ 7 2 (to be completed by DW R) Z 0 I• — a 2 0 LL. Z Z 0 QTelephone V J CL C' a Q • 1. Owner/Permittee: la. Fork Township Sanitary District Full Legal Name (company, municipality, HOA, utility, etc.) lb. Henry Braswell, Chairman Signing Official Name and Title 1 c. The legal entity who will own this (Please system review 15A NCAC 2T .0106 (b) for authorized signing officials) is: Private Partnership le. lg. 1j. 2b. • Individual • Federal ■ Municipality ■ State/County ■ • Corporation Other (specify): San.Dist ld. P.O. Box 1515 Goldsboro Mailing Address 1 f. NC City 27533 State 1 h. 919-736-2551 1 i. 919-735-6565 Zip Code ftsd2@bellsouth.net Facsimile 2. Project (Facility) Information: E-mail Wayne 2a. Foodliner Sewer Brief Project Name (permit will 3. Contact Person: refer to this name) County Where Project is Located 3a. Tony McCabe Name and Affiliation of Someone Who Can Answer Questions About 3b. 919-736-2551 3c. ftsd2@bellsouth.net this Application Phone Number E-mail Z 0 %— < re 0 LL Z l- 2 Ce W a CO 1. Project is r New • Modification (of an existing permit) If Modification, Permit No.: 2. Owner B(3)) (go to Item 2(a)) is @ Public (skip to Item • Private 2a. If private, applicant will be: Retaining Ownership (i.e. store, church, single office, etc.) or units (lots, townhomes, etc. - skip to Item B(3)) units (lots, townhomes, etc. - go to Item B(2b)) 2b. If sold, facilities owned by a (must choose one) (Instruction D) Assoc./Developer (Instruction E) • ■ Public Utility • Leasing • Homeowner ■ Selling 3. City of Goldsboro Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project 4a. Goldsboro WWTP 4b. NC 0023949 5a. Fork District WW TF of WWTF Permit No. Township Sanitary 5b. 6" ■ Gravity ►Z� Force (Stores, Home (specify): this particular allocations will Main shopping c. Unknown Receiving (check Sewer Size all that apply): Owner 6. The of Downstream Sewer origin of this wastewater is Residential Subdivision Apartments/Condominiums Mobile Home Park School Restaurant Office of wastewater to be allocated Permit # of centers) Downstream Sewer (Instruction F) 100% Domestic/Commercial ■ J Retail • • Institution • Hospital % Industrial IN (Attach Description) % Other • • Church • • Nursing • Other or permitted for • (Attach Description) gallons per day 7. Volume *Do 8. If the be permitted project: 1,100 not include future flows or previously permitted flow is zero, indicate why: Pump Station, Outfall or Interceptor Flow has already been allocated in Rehabilitation or replacement of existing (see 15A NCAC 02T .0303 permitted Line where flow Permit No. in subsequent permits that connect to this line • ■ • sewer with to determine no new flow expected if a permit is required) FTA 08-13 APPLICATION Page 4 of 6 Cl W Z 9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2T .0114 for the value in Item B(7) AND/OR the design flow for line or pump station sizing if a reduced or zero flow is being requested in Item B(7). Values other than that in 15A NCAC 2T .0114 (b) and (c) must be supported with actual water or wastewater use data in accordance with 15A NCAC 2T .0114 (f). Proposed facility is a 1,750 SF convenience store with food preparation and an office building with one full time employee to serve an existing self -storage facility, From 15A NCAC 02T .0114, daily flow is projected to be 60 gpd/100 SF floor space *1,750 SF/100 SF = 1,050 gpd + 1 gpd/unit * 50 units = 50 gpd Total = 1,100 gpd 10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary) Size (inches) 1.25 Length (feet) New Gravity or Additional Force Main 240 Force Main 1— 11. Summary of Pump Stations w/ associated Force Mains to be Permitted (attach additional sheets as necessary) Z O Pump Station Location ID: 1 (self chosen - as shown on plans/map for reference) V Longitude: 35.413098 Latitude: -78.071423 Z 0 Design Flow Operational Point Power Reliability Option Q (MGD) GPM @TDH 1 - permanent generator w/ATS; Force Main Size E 2 - portable generator w/MTS IY O 0.0011 13.5 @ 28' 2 1.25" 240 LL Z Pump Station Location ID: (self chosen - as shown on plans/map for reference) Force Main Length B. PERMIT Longitude: Latitude: Design Flow (MGD) Operational Point GPM @TDH Power Reliability Option 1 - permanent generator w/ATS; 2 - portable generator w/MTS Force Main Size Force Main Length 12. Will the wastewater flow in the proposed sewer lines or pump stations be able to be directed to another treatment facility? ❑ Yes ® No If Yes, permit number of 2nd treatment facility : (RO — if "yes" to B,12 please contact the Central Office PERCS Unit) 13. Does the sewer system comply with the Minimum Design Criteria for the Permitting of Pump Stations and Force Mains (latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC Chapter 2T 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 FTA 08-13 APPLICATION Page 5 of 6 14. Have the following permits/certifications been submitted for approval for the system or project to be served? Wetland/Stream Crossings - General Permit or 401 Certification? Sedimentation and Erosion Control Plan? Trout Buffer Waiver? Stormwater? ❑ Yes ❑ No ® N/A ❑ Yes ❑ No Z N/A ❑ Yes ❑ No ®N/A ❑ Yes ❑ No Z N/A 15. Does this project include any high priority lines (15A NCAC 02T .0402 (21) involve aerial lines, siphons, or interference manholes)? These lines will be considered high priority and must be checked once every six months Check if Yes: ❑ and provide details: 1. 1 a. Owner/Permittee's Certification: (Signature of Signing Official and Project Name) 1, Henry Braswell, Chairman , attest that this application for Foodliner Sewer _ 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 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 143-215.68, 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. Signing Official Signature Date ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY TO OTHER UTILITIES, DESIGN CALCULATIONS, ETC. REFER TO 15A NCAC 02T .0305 2. Professional Engineer's Certification: (Signature of Design Engineer and Project Name) 1, David E. Gurley, III, P.E. ,attest that this application for Foodliner Sewer _ 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 other professionals may have developed certain portions of this submittal package, 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. Note: in accordance with NC General Statutes 143-215.6A and 143-215.68, 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 penalti25,000 per 2a. David E. Gurley, III Professional Engineer Name 2b. McDavid Associates, Inc. Engineering Firm 2c. P.O. Box 1776 Mailing Address 2d. Goldsboro 2e. NC City State 2g. 919-736-7630 2h. 919-735-7351 2i. deg@mcdavid-inc.com Telephone Facsimile E-mail 2f. 27533 Zip �till►1/ ,2�3 �'��Ss�104, y�i 9' zx SEAL r: _ :. 22956 O • /0; SZRA Gv�\� NC PE Seal, Signature & Date FTA 08-13 APPLICATION Page 6 of 6 Division of Waxer Resources State of North Carolina Department of Environment and Natural Resources Division of Water Resources Flow Tracking/Acceptance for Sewer Extension Applications (FTSE 08-13) Project Applicant Name: Fork Township Sanitary District Project Name for which flow is being requested: Foodliner More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all pump stations along the route of the proposed wastewater flow. I. Complete this section only if you are the owner of the wastewater treatment plant. a. WWTP Facility Name: b. WWTP Facility Permit #: c. WWTP facility's permitted flow d. Estimated obligated flow not yet tributary to the WWTP e. WWTP facility's actual avg. flow f. Total flow for this specific request g. Total actual and obligated flows to the facility h. Percent of permitted flow used All flows are in MGD II. Complete this section for each pump station you are responsible for along the route of this proposed wastewater flow. List pump stations located between the project connection point and the WWTP: (A) (B) (C) (D)=(B+C) (E)=(A-D) Design Obligated, Pump Average Daily Approx. Not Yet Total Current Station Firm Flow** Current Avg. Tributary Flow Plus (Name or Capacity,* (Firm / PO, Daily Flow, Daily Flow, Obligated Available Number) MGD MGD MGD MGD Flow Capacity*** PS #1 0.576 0.230 0.021 0.000 0.021 0.209 * The Firm Capacity of any pump station is defined as the maximum pumped flow that can be achieved with the largest pump taken out of service. ** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor (pf) not less than 2.5. *** A Planning Assessment Addendum shall be attached for each pump station located between the project connection point and the WWTP where the Available Capacity is < 0. Page 1 of 6 FTSE 08-13 III. Certification Statement: I Henry Braswell, Chairman certify to the best of my knowledge that the addition of the volume of wastewater to be permitted in this project has been evaluated along the route to the receiving wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity related sanitary sewer overflows or overburden any downstream pump station en route to the receiving treatment plant under normal circumstances, given the implementation of the planned improvements identified in the planning assessment where applicable. This analysis has been performed in accordance with local established policies and procedures using the best available data. This certification applies to those items listed above in Sections I and II plus all attached planning assessment addendums for which I am the responsible party. Signature of this form indicates acceptance of this wastewater flow. Signing Official Signature Date Page 2 of 6 FTSE 08-13 F�1F,q State of North Carolina PG Department of Environment and Natural Resources 7 Division of Water Quality < Flow Tracking/Acceptance for Sewer Extension Permit Applications (FTSE —10/07) Project Applicant Name: Fork Township Sanitary District Project Name for which flow is being requested: Foodliner More than one FTSE-10/07 may be required for a single project if the owner of the WWTP is not responsible for all pump stations along the route of the proposed wastewater flow. I. Complete this section only if you are the owner of the wastewater treatment plant. a. WWTP Facility Name: City of Goldsboro Water Reclamation Facility b. WWTP Facility Permit #: NC 0023949 c. WWTP facility's permitted flow d. Estimated obligated flow not yet tributary to the WWTP e. WWTP facility's actual avg. flow f. Total flow for this specific request g. Total actual and obligated flows to the facility h. Percent of permitted flow used All flows are in MGD 14.2 1.583843 9.67 0.0011 11.254943 79.26 % 11. Complete this section for each pump station you are responsible for along the route of this proposed wastewater flow. List pump stations located between the project connection point and the WWTP Pump Station Name Approx. Capacity, MGD Approx. Current Avg. (Firm/Design) Daily Flow, MGD Little Cherry Pump Station 0.65 mgd Big Cherry Pump Station 1.0 mgd Highway 117 Pump Station 7.1 mgd/firm Westbrook Pump Station 18 mgd/firm 0.243 MGD 0.31 MGD 4.495 MGD 9.12 MGD III. Certification Statement: I, Scott A. Stevens , certify that, to the best of my knowledge, the addition of the volume of wastewater to be permitted in this project has been evaluated along the route to the receiving wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity related sanitary sewer overflows or overburden any downstream pump station en route to the receiving treatment plant under normal circumstances. This analysis has been performed in accordance with local established policies and procedures using the best available data. This certification applies to those items listed above in Sections I and II for which I am the responsible party. Signature of this form indicates acceptance of this wastewater flow. Signing Official Signature City Manager Date 'euse2R 1Ue'lri 5' Unnamed Tributary (to Charles Branch WS-IV;NSW tq NeuseIRrU '68 Northwest Goldsboro 2013 /75\ Existii,,, Force Main Proposed Force Main Proposed Pump Station Foodliner Aerial View Foodliner Street Level View Goosic earth 3 5 2 `A a o 17