WQ0034010_Permit Renewal_20090520

(RECDIOMRIDM
MIR PROTECTION SCION
RESPONSE LETTER TO COMMENTS OF 05-20-09 MAY : 2 8.2009
APPLICATION NO. WQ0034010
All response items other than drawing items alrea ddress in the.reuiew=meeting of
05/20/09. Imo` XD
✓..14 t 0 2009
Application Items: (AI)
imiAAg10E
Eft
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9L
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1. Item was revised to 25'. See application s s
2. Item was revised to reflect a Grade III WWTP operator will be on 24 hour call. See lLT__t
application sheet 9 tabbed as item AI-2.
3. Item was amended to provide the additional information as specified. Application I. ' -
sheet number 10 is tabbed as item AI-3.
4. Item was discussed during the 20th meeting and it was agreed that all information
necessary to meet the Fayetteville Regions monitoring requirements would be
provided as an "as built" prior to the irrigation system going into operation. It is clear
that this information must be provided to your office and the region prior to putting the
system into operation.
5. Please find the requested letter included in this submittal and tabbed as item AI-5
6. The form RWDS 12-06 specified by the division was downloaded and completed as
requested. Item has been tabbed as item AI-6.
Detailed Plans Items: (DPI)
1. An addendum was added to the front of the Golf Course Irrigation Piping
Specification and the Section 15D Sewer Forcemains specifications that include all
items specified within this item. Both specifications are tabbed as item DPI-1. This
specification was also added to Irrigation Plans Detail Sheet 3 of 3 and Reclaimed
Water Forcemain Plans Detail Sheet 9 of 10.
2. Plans are included and tabbed as item DPI-2.
3. Find included an 81/2" x 11" sign that will be posted at four locations inside the golf
course pro shop and at both the first and tenth tee boxes. The sign is tabbed as item
DPI-3.
4. A note reflecting the requirement to provide the Division with all the easements
complete and properly executed with the Montgomery County Register of Deeds was
added to Reclaimed Water Forcemain sheets 2 through 8.
5. The Irrigation Plans were revised prior to the May 20th meeting and presented, at the
meeting. All items but Hole 11 and Hole 18 were resolved at the meeting on May
20th. The Fayetteville region has provided a letter stating that no state or federal
regulations will be violated if the Town of Troy fills in a small portion of the pond
water hazard on Hole number 11 and no state or federal permits are required. See
tabbed item DPI-5-11 letter for Fayetteville Region. Hole number 18 was revised to
move the spray irrigation system adjacent to the creek back from the creek to insure
that a 25 foot buffer will be maintained. However, when the system is installed the
actual creek bank will have been repaired and will be staked and a minimum 25 foot

buffer will be provided. The remaining two items on hole 18 were discussed at the
May 20th meeting and resolved at that time. Sheets 1 and 2 of the plans will
substantiate this statement. The driving range was revised prior to the meeting and the
comments were resolved.
Site Map:.
1. All plans required are included.
a. Includes a scaled site map showing germane features.
b. A topographic map is included.
c. A conscientious attempt was made to show all setbacks at all features requiring
a setback.
Specifications:
1. Specifications were amended as stated previously to include the additional
specifications required by the Division.
Operation and Maintenance Plan:
An O&M manual will be provided to the division.prior to commencement of the irrigation
operations ,and shall include items a. thru e. of the review document.

TOWN OF TROY
May 25, 2009
North Carolina Department of Environment and Natural Resources
Aquifer Protection Section
Land Application Unit
To Whom It May Concern:
ROY MANESS
MAYOR
JAMES HURLEY
MAYOR PRO-TEM
COMMISSIONERS:
ANGELA ELKINS.
BRUCE HAMILTON
WALLACE JONES
CHRIS WATKINS
GREG ZEPHIR
TOWN MANAGER
CATHY M. MANESS
TOWN CLERK
This letter is being written to authorize Mr. E. Gray Walls as being a designated
representative of the Town of Troy with regards to any and all affairs pertaining to the town's
request for permitting of its reclaimed wastewater project. In addition to serving as the Town
of Troy's Public Works Director, Mr. Walls, a licensed P.E., also serves as the town's
engineer as well, thus the authorization by the town for Mr. Walls to act on the town's behalf
regarding this permit.
If I can provide any further assistance please do not hesitate to call me at 910.572.3661.
With Regards,
seiduad
Ro Maness
Mayor
Q�S��` utJ `_rl V
315 NORTH MAIN STREET TROY, NC 27371
PHONE: [phone] FAX: [phone]
www.troy.nc.us

State of North Carolina
p7 Department of Environment and Natural Resources
Division of Water Quality
RECLAIMED WATER CONJUNCTIVE SYSTEMS APPLICATION
FORM: RWCS 12-06
(THIS FORMMAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL)
Application Number: - (to be completed by DWQ)
I. GENERAL INFORMATION:
1. Applicant's name (See Instruction A): Town of Troy
Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately Owned Public Utility
0 Federal ❑ State ® Municipal ❑ County
Signature authority's name: (per 15A NCAC 2T .0106) Title:
Applicant's mailing address: 315 North Main Street
City: Troy State: N.C. Zip: 27371
Telephone number: [phone] Fax number: [phone] Email Address: egraywalls(2iyahoo.com
2. Facility name (name of the subdivision, shopping center, etc.): Densons Creek Golf Course
Facility's physical address: 1235 NC Highway 134 North
City: Troy, State: NC Zip: 27371 County: Montgomery
Wastewater Treatment Facility: Latitude:,35° 22' 25" Longitude: -79° 51' 33" USGS Map Name: Star
3. Consulting Engineer's name: E. Gray Walls License Number: 8467 Firm: Town of Troy
Engineer's mailing address: 315 North Main Street
City: Troy State: NC Zip: 27371
Telephone number: [phone] Fax number: [phone] Email Address: egraywalls(a,yahoo.com
4. Consulting Soil Scientist's name: Ricky Pontello License Number: 1232 Firm: Soils-& Environmental Consultants, PA
Soil Scientist's mailing address: 11010 Raven Ridge Road
City: Raleigh State: NC Zip: 27614
Telephone number: [phone] Fax number: [phone] Email Address: [e-mail]
5. Consulting Agronomist's name: Mark Allen • Firm: Soils & Environmental Consultants, P.A.
Agronomist's mailing address: 11010 Raven Ridge Road
City: Raleigh State: NC Zip: 27614
Telephone number: [phone] Fax number: [phone] Email Address: [e-mail]
FORM: RWCS 12-06 Page 5

II. PERMIT INFORMATION:
1. Project is: ® New ❑ Major Modification ❑ Minor Modification
2. Fee submitted: (See Instruction C) > Existing Permit No.: WQ00 issue date:
3. Facility status: El Existing ❑'Proposed
Was this system approved for reclaimed disposal under 15A NCAC 2H .0219(k)? ❑ Yes or
4. Does this project utilize: ® public funds and/or ❑ private funds; ® public lands and/or ❑ private lands
5. What is the status of the following appropriate permits/certifications?
No
Permit/Certification
Submitted
Approved
Permit/Certification No.
Agency Reviewer
Erosion & Sedimentation
Control Plan
Nationwide 12 or 404
Wetlands 401
Stormwater Management Plan
Dam Safety
Sewer System
Other:
6. Does the project comply with all setbacks found in the river basin rules (15A NCAC 2B .0200)? ® Yes or 0 No
If no, list non -compliant setbacks:
FORM: RWCS 12-06 Page 6

III. INFORMATION ON WASTEWATER GENERATION:
1. What lithe origin of the wastewater (Le., school, subdivision, hospital, municipality, shopping center, industry, apartments,
condominiums, etc.)? Troy WWTP
Volume of wastewater flow for this project: 150,000 gallons per day (GPD)
3. Explanation of how wastewater flow was determined (15A NCAC 2T .0114(c)):
Type of Establishment
Basis of Flow
Flow Per Unit
Number of Units
Total
Troy WWTP
Gallons/Day
250,000
1
250,000
Gallons/
Gallons/
Gallons/
Gallons/
Gallons/
Gallons/
Total
250,000
FORM: RWCS 12-06 Page 7

4. Nature of wastewater:
❑ 100% Domestic Waste (residential, commercial, etc)
❑ 100% Industrial
® Combination of Industrial and Domestic Waste: 85% Domestic 15% Industrial
® (Municipal waste (town, city, etc.)
y Is there a Pretreatment Program in effect? E Yes or ❑ No
Wastewater characteristics (See 15A NCAC 2T .0906(a)):
Parameter
Estimated Influent
Concentration
Designed Effluent
Concentration
(monthly average)
Designed Effluent
Concentration
(daily maximum)
Biochemical Oxygen Demand
(BOOS)
225 mg/1
<2 mg/1
400 mg/1
Total Suspended Solids (TSS)
280 mg/1
4.5 mg/1
300 mg/1
Ammonia Nitrogen (NH3-N)
23 mg/1
<0.1 mg/1
35 mg/1
Nitrate Nitrogen (NO3-N)
: 30 mg/1
19.0 mg/1
Nitrite Nitrogen (NO2-N)
<1 mg/1
<.1 mg/1
Total Nitrogen
28.9 mg/1
20.7 mg/1
_ Total Phosphorus
10.5 mg/1
3.04 mg/1
Total Kjeldhal Nitrogen
.79 mg/1
Turbidity
2.95 NTiJ
Fecal Coliforms
6.6 per 100 ml
80 per 100 ml
FORM: RWCS 12-06 Page 8

IV. GENERAL PROJECT INFORMATION:
1. Brief project description: Pump effluent water from Troy's WWTP to the Densons Creek golf course less than 2 miles away.
C
/
2.: In accordance with 15A NCAC 2T .0901 and .0910, what is the intended beneficial utilization of this reclaimed water?
Irrigation of the Densons Creek Golf course. Specifically all the greens, tee boxes, and fairways will be irrigated.
3 In accordance with 15A NCAC 2T .0912, provide the minimum distance in feet from the facility's utilization system and
treatment/storage units to each parameter (distances greater than 500 feet may be marked N/A):
Setback Parameter
Utilization System
Treatment/Storage
Units
Any habitable residence or place of assembly under separate ownership or not
to be maintained as part of the project site
150
'Any private or public water supply source :
NA
Surface waters (streams — intermittent and perennial, perennial waterbodies,
and wetlands) not classified SA
25'
N/
``
Surface waters (streams — intermittent and perennial, perennial waterbodies,
and wetlands) classified SA
N/A
N/A
Any well with exception of monitoring wells
100'
N/A
Any property line
50 .
4. The treatment facilities must be secured to prevent unauthorized entry. Details and notations of restricted access measures
shall be shown on submitted plans and specifications. Briefly describe the measures being taken: Gated & Locked
5 What is the 100-year flood elevation? 450 feet mean sea level. Source: NC Flood Maps
✓ Are any treatment units or utilization areas located within the 100-year flood plain? ® Yes or El No
If yes, briefly describe which treatment units and/or utilization areas are affected: sprinkler heads on .4 holes, and the
measures being taken to protect them against flooding: WA
If yes, does the Applicant have documentation of compliance with § 143 Article 21 Part 6? ❑ Yes or ❑ No
6. Method to provide system reliability per 15A NCAC 2T .0907(d) (See Instruction R): N/A
7. A certified operator of a grade equal or greater than the facility classification is on call 24 hrs/day? El Yes or ❑ No
8. What is the specified method of disinfection? UV
✓ If chlorine, specify detention time provided: minutes (30 minutes minimum required). Pleaseindicate in what
part of the wastewater system chlorine contact time occurs (Le. chlorine contact chamber):
✓ If ultraviolet (UV), specify the number of banks: 2 total lamps: 8 and maximum capacity: 1,041 gpm.
FORM: RWCS 12-06 Page 9

V. DESIGN INFORMATION FOR NEW OR MODIFIED PORTIONS OF 'HIE WASTEWATER TREATMENT FACILITY
1. Type of existing treatment system (fixed film, suspended growth, etc): Extended Aeration
2. If treatment units in addition to existing units are needed to produce reclaimed water, provide the number and dimensions of
each treatment unit, and provide their location in the specifications and plans:
a. ADDITIONAL TREATMENT (i.e., membrane filtration, disinfection, scalping facilities, etc.):
Treatment Unit
Number
of Units -
Manufacturer
or Material
Dimensions (ft)
/ Spacings (in)
Volume
(gallons)
Plan Sheet
Number
Specification
Page Number
b. PUMPS
Location
Number
of Pumps
Purpose
Manufacturer /
Type
Capacity
Plan Sheet
Number
Specification
Page Number
GPM
TDH
WWTP
2 with one
as backup
Pump
WWTP
effluent to
golf course
Flygt
312
174
10
-
On plans
-
Golf Course
2 running
in parallel
Irrigate
fairways, tee
boxes, and
greens
Goulds
350 ea.
Total
700
277
In Specs
1-6
c. BLOWERS
Location
No. of
Blowers
Units Served
Manufacturer /
Type
Capacity
(CFM)
Plan Sheet
Number
Specification,' ill
Page Numbe
d. MIXERS
Location
No. of
Mixers
Units Served
Manufacturer /
Type
Power
(hp)
Plan Sheet
Number
Specification
Page Number
•
e. RECORDING DEVICES & RELIABILITY (i.e., flow meters, turbidimeter, etc.)
Device
Number
of Units
Maximum
Capacity
Manufacturer
Location
Plan Sheet
Number
Specification
Page Number
Turbidimeter
1
0-20
Hach
Old CCC
/PS
Select
FORM: RWCS 12-06
Page 10

Select
u
Select
r
FORM: RWCS 12-06 Page 11

VI. DESIGN INFORMATION FOR STORAGE IMPOUNDMENTS
1. In accordance with 15A NCAC 2T .0907(f), will storage be necessary for the proposed reclaimed utilization project?
® Yes or❑No
✓ If Yes, complete Items VI(2) through VI(6).
✓ If No, what other permitted means of disposal ace available?
2. Provide the number of storage impoundments in the system: 1
3. Are any storage impoundments designed to receive adjacent surface runoff? ❑ Yes or ® No
If Yes, please specify which impoundment: and the drainage area: ft
2.
4. Are storage impoundment(s) designed to include a discharge point (pipe, emergency spillway, etc)? 0 Yes or ® No
5. Provide the design measures proposed for storage impoundment liner protection from wind driven wave action: 300' x 200'
6. Provide the location of each design element in the specifications and engineering plans for each storage unit:
Storage Impoundment c
Plan Sheet
Number
Specification
Page Number
Liner material (15A NCAC 2T .0908(f) and (g))?
�� Synthetic
❑Clay
❑ Concrete
❑ Steel
Liner installation and testing requirements
Existing Pond
Inside berm surface dimensions (L x W x H)
ft
ft
ft
Bottom dimensions (L x W)
275
ft
175 ft
Embankment side slope
2 1
Mean seasonal high water table depth *
20+ ft
Finished grade elevation
515.5 ft
Depth from bottom to top of embankment
8 ft
Total volume
133,690 ft3
1,000,000
gallons .
Design freeboard
1.5 ft
Depth of minimum liquid level (above permanent
liquid level)
1.5 ft "
Effective volume provided **
10
ft0250
750,000 gallons
Effective storage time provided
4 days
**
NOTE: The liner shall be protected from impacts of the seasonal high water table as necessary.
NOTE: The storage volume should be calculated between the top of any permanent liquid level (as indicated by outlet
pipe) and maximum allowable liquid level in the impoundment.
FORM: RWCS 12-06 Page 12

7. In accordance with 15A NCAC 2T .0907(c), will 5-day upset storage be necessary for the proposed reclaimed utilization
project? ❑ Yes or ® No
✓ If Yes, complete Items VI(8) through VI(12).
✓ If No, what other permitted alternate wastewater management options are available?
8. Provide the number of 5-day upset impoundments in the system:
9. Are any 5-day upset impoundments designed to receive adjacent surface runoff? ❑ Yes or ❑ No
If Yes, please specify which impoundment: and the drainage area: ft2.
10. Are the 5-day upset impoundment(s) designed to include a discharge point (pipe, emergency spillway, etc)? ❑ Yes or '❑ No
11. Provide the design measures proposed for the 5-day upset impoundment liner protection from wind driven wave action:
12. Provide the location of each design element in the specifications and engineering plans for each storage unit:
5-day Upset Impoundment
Plan Sheet
Number
Specification
Page Number
Liner material (15A NCAC 2T .0908(f))?
❑Synthetic
❑Clay
❑ Concrete
❑. Steel
Liner installation and testing requirements
Inside berm surface dimensions (L x W x H)
ft
ft
ft
Bottom dimensions (L x W)
ft
ft
Embankment side slope
Mean seasonal high water table depth *
ft
Finished grade elevation
ft
Depth from bottom to top of embankment
ft
Total volume
ft3
gallons
Design freeboard
ft
Depth of minimum liquid level (above permanent
liquid level)
ft
Effective volume provided **
ft3
gallons
Effective storage time provided
- days
* NOTE: The liner shall be protected from impacts of the seasonal, high water table as necessary.
** NOTE: The storage volume shouldbecalculated between the top of any permanent liquid level (as indicated by outlet
pipe) and maximum allowable liquid level in the impoundment. ,
FORM: RWCS 12-06 Page 13

VII. DESIGN INFORMATION FOR UTILIZATION SYSTEM
1. The utilization system is: ® Spray Irrigation
2. Utilization system is: ® existing ® proposed.
3: If applicable, provide the location of each design element in the specifications and engineering plans:
0
❑ Drip Irrigation
Utilization Pump Tank
Plan Sheet
Number
Specification
Page Number
Internal dimensions (L x W x H or (p x H)
ft
ft
ft
Total volume
ft
gallons
Dosing volume
ft3
gallons -
Audible & visual alarms
Equipment to prevent utilization during rain events
4. List any equipment (note sheet number of the plans or page number in the specifications) not specifically mentioned above
(pump hoist, odor control equipment, etc.):
5. Loading rates recommended by the Soil Scientist Evaluation:
Soil Series
Fields within
Soil Area
Recommended Loading
Rate
(in/hr)
Recommended Loading
Rate
(in/yr)
_ Loading
Recommended
If Seasonal,
list
appropriate
months
❑ Annual
❑ Seasonal
❑ Annual
❑ Seasonal
❑ Annual
❑ Seasonal
❑ Annual
❑ Seasonal
❑ Annual
❑ Seasonal
6. Design loading rates are equal or less than the loading rates recommended by Soil Scientist? ® Yes or ❑ No
If No, explain why 15A NCAC 2T .0907(g) is not met:
7. In accordance with 15A NCAC 2T .0910(a)(1) and (b)(1), how will the public and/or employees be notified of the use of
reclaimed water? Signs posted at the golf course.
8. In accordance with 15A NCAC 2T .0910(a)(3), what education materials will be provided to property owners of utilization
sites not owned by the generator? N/A
FORM: RWCS 12-06 Page 14

9. ' Provide the following location information for the approximate center of each utilization field / zone:
Field / Zone
Latitude
Longitude
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✓ Level of accuracy?
✓ Method of measurement?
✓ Datum?
FORM: RWCS 12-06
Page 15

10. Utilization Design (fill in theappropriate information for either a spray or drip utilization system):
(7)
a. Spray Utilization:
Field / Zone
Design Area (ft2)
Number of
Nozzles
Maximum Precipitation
Rate (in/hr)
Design Annual Loading
Rate (in/yr)
1
4,008,480 -
106 /243
34.4/50
N/A
l
.
Total
Spray Utilization Design Element
Plan Sheet
Number
Specification
Page Number
Wetted diameter of nozzles
' ft
Wetted area of nozzles
ft
Nozzle capacity
gpm
Nozzle manufacturer / model
/
Elevation of highest nozzle
ft
FORM: RWCS 12-06
Page-16

b. Drip Utilization:
0
1
Field / Zone
Design Area (ft)
Number of
Emitters
Maximum Precipitation
Rate (inlhr)
Design Annual Loading
Rate (in/yr)
Total
Drip Utilization Design Element
•
Plan Sheet
Number
Specification
Page Number
Wetted area of emitters - -
ft2
Distance between laterals
ft
Distance between emitters
ft
Emitter capacity
gpm
Emitter manufacturer / model
/
Elevation of highest emitter
ft
FORM: RWCS 12-06
Page 17

11. Cover crop information:
. Use the Nutrient Management in North Carolina's Realistic Yield Expectations webpage
(http://www.soil.ncsu.edu/nmp/ncnmwg/yields/index.php#county) to determine the PAN (lbs/acre) and Phosphorus removal
(lbs/acre) rates for each cover crop.
Cover Crop
Soil Series
%Slope
Nitrogen Removal Rate
(lbs/acre)
Phosphorus Removal
Rate (Ibs/acre)
✓ Proposed mineralization rate: and volatilization rate:
✓ Utilization area based upon the nitrogen balance: ft
✓ Utilization area based upon the phosphorus balance: if
✓ Utilization area based upon the water balance: ft2
Utilization sites are: ❑ hydraulically limited ❑ nutrient limited
FORM: RWCS 12-0.6 Page 18

Professional Engineer's Certification:
I,E. Gray Walls , attest that this application for Irrigation of the Town of Troy Densons
'Creek Golf Course has been reviewed by me and is accurate, complete and consistent with the information supplied in the engineering
plans, calculations, and all other supporting documentation to the best of my knowledge. I further attest that to the best of my
knowledge the proposed design has been prepared in accordance with this application package and its instructions as well as all
applicable regulations and statutes. 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 143-215.6B, any person who knowingly
makes any false statement, representation, or certification in any application package 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.
North Carolina Professional Engineer's seal, signature, and date:
Applicant's Certification (signing authority must be in compliance -with 15A NCAC 2T .0106(b)):
I, E Gray Walls Town of Troy Engineer/Public Works Director
(title)
(signing authority name)
attest that this application for Town of Troy, Densons Creek Golf Course (facility name)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that any discharge of wastewater
from this non -discharge system to surface waters or the land will result in an immediate enforcement action that may include civil
penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Quality should a condition
of this permit be violated. I also understand that if all required parts of this application package 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. I
further certify that the applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater
facility without proper closure, does not have an outstanding civil penalty where all appeals have been exhaustedorabandoned, are
compliant with any active compliance schedule, and do nothave any overdue annual fees under Rule 2T .0105. 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 package 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 $2,000 per violation.
Signature
Date: 05-06-09
FORM: RWCS 12-06 Page 19

0F\NATi9 State of North Carolina
Department of Environment and Natural Resources
r- Division of Water Quality
;' . > .-1
RECLAIMED WATER DISTRIBUTION SYSTEM APPLICATION
FORM: RWDS 12-06
(THIS FORMMAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL)
Application Number: (to be completed by DWQ)
I. GENERAL INFORMATION:
1. Applicant's name (See Instruction A): Town of Troy
Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately Owned Public Utility
❑ Federal ❑ State ® Municipal ❑ County
Signature authority's name: E. Gray Walls .(per 15A NCAC 2T .0106) Title:
Applicant's mailing address: 315 N. Main Street
City: Troy State: NC Zip: 27371-
Telephone number: [phone] Fax number: [phone] Email Address: egraywailsAyahoo.com
2. Project name (name of the subdivision, shopping center, etc.): Densons Creek Golf Course
Project County: Montgomery USGS Map Name: Troy
3. Consulting Engineer's name: E. Gray Walls License Number: 8465 Firm: Town of Troy
Engineer's mailing address: Town of Troy 315 N. Main. Street
City: Troy State: NC Zip: 27371-
Telephone number: [phone] Fax number: [phone] Email Address: [e-mail]
II. PERMIT INFORMATION:
1. Project is: ® New , ❑ Modification—) Existing Permit No.: WQ00 , issue date:
2. Fee submitted: $1409 (See Instruction B) 1
3. Does this project utilize: ® public funds and/or ❑ private funds; ® public lands and/or D private lands
4> . What is the_status of the following appropriate permits/certifications?
Permit/Certification
Submitted
Approved
Permit/Certification No.
Agency Reviewer
Erosion & Sedimentation
Control Plan
•
Nationwide 12 or 404
Wetlands 401
Other:
'
5. Does the project comply with all setbacks found in the river basin rules (15A NCAC 2B .0200)? ® Yes or ❑ No
If no, list non -compliant setbacks:
FORM: RWDS 12-06 Page 4

III. INFORMATION ON RECLAIMED WATER:
1. Provide a description specifying the destination of the reclaimed water (e.g., residential lawns, golf courses, parks, landscape
areas, industrial process/cooling water, etc.): Densons Creek Golf Course
2. Volume of reclaimed water utilized by this project: 250,000 gallons per day (GPD)
3. Explanation of how reclaimed water flowwasdetermined: This is what we have available to pump in the summer months.
IV. GENERAL PROJECT INFORMATION:
1. Brief project description: Pump effluent water from Troy's WWTP to the Densons Creekgolf course less than 2 miles away.
2. In accordance with 15A NCAC 2T .0901 and .0910, what is the intended beneficial utilization of this reclaimed water?
Irrigation of the Densons Creek Golf course. Specifically all the greens, tee boxes, and fairways will be irrigated.
3. In accordance with 15A NCAC 2T .0912, provide the minimum distance in feet from the facility's utilization system to each
parameter (distances greater than 500 feet may be marked N/A):
Setback Parameter
Utilization System
Treatment/Storage
Units
Surface waters (streams — intermittent and perennial, perennial waterbodies,
and wetlands) not classified SA
25'
Surface waters (streams — intermittent and perennial, perennial waterbodies,
and wetlands) classified SA
N/A
Any well with exception of monitoring wells
100'
4. Owner and name of wastewater treatment facility providing reclaimed water: Town of Troy WasteWater Treatment Plant
5. WWTF permit number: NC0028916 or WQ00
6. List the owner(s) of any intermediate reclaimed water lines if different from applicant or owner of WWTF: n/a
7. Permit number for reclaimed water line immediately upstream: N/A
8. Pipe diameter of reclaimed water line immediately upstream: N/A
9. Engineering evaluation of the upstream -reclaimed water lines' ability to deliver the flow to this project (See Instruction J) is
provided on Page 3=4 of the calculations.
10. In accordance with 15A NCAC 2T .0910(a)(1) and (b)(1), how will the public and/or employees be notified of the use of
reclaimed water? Signs will be posted at golf course stating, "Caution, irrigating golf course with reclaimed water DO
NOT DRINK" Signs will be in pro shop and at Tees number one and ten.
11. In accordance with 15A NCAC 2T .0910(a)(3), what education materials will be provided to property owners of utilization
sites not owned by the generator? N/A
FORM: RWDS 12-06 - Page 5

V. DISTRIBUTION LINE INFORMATION
1. Summary of distribution line to be. permitted, by diameter and length:
Diameter
(inches)
Length
(linear feet)
High Elevation
(feet)
Discharge Elevation
(feet)
Pump -Off Elevion
(feet)
Golf Cour 8" SDR-21
587
N/A
N/A
514.50 (il
Golf Cour 6" SDR-21
137
N/A
N/A
514.5 2--
Golf Cour 4" SDR-21
2931
N/A
N/A
514.5
Golf Cour 3" SDR-21
r
22023
N/A
N/A
514.5
Golf Cour 2" SDR-21
886
N/A
N/A
514.5
•
2. Station location of air -release valves (15A NCAC 2T .0305(h)(5)): N/A
Note: Air -release valves must be provided at all high points along the line where the elevation difference exceeds
10 feet,
3. Provide the location of each design element in the specifications and/or plans [15A NCAC 2T .0909]:
DESIGN ELEMENT
Sheet Number of the
Plans
Page Number in the
Specifications
Labeling on Reclaimed Water Valves, Storage Facilities
and Outlets
3
15D-Addenda
Color Coding or. Labeling on Reclaimed Water Piping,
Valves, Outlets, etc.
3
15D-Addenda
Secured Reclaimed Water Valves and Outlets
3
15D-Addenda
Below Grade Hose Bib Vaults
3
15D-Addenda
Cross -Connection Control
3
15D-Addenda
FORM RWDS 12-06 Page 6

V. DISTRIBUTION LINE INFORMATION
1. Summary of distribution line to be permitted, by diameter and length:
Diameter
(inches)
Length
) (linear feet)
High Elevation
(feet)
Discharge Elevation
(feet)
Pump -Off Elevation
(feet).
WWTP 8" C-900
10,390
561 AO
511.00
514.5
2. Station location of air -release valves (15A NCAC 2T .0305(h)(5)): N/A
Note: Air-release_valves must be provided at all high points along the line where the elevation difference exceeds
10 feet.
3. Provide the location of each design element in the specifications and/or plans [15A NCAC 2T .0909];
DESIGN ELEMENT
Sheet Number of the
Plans
Page Number in the
Specifications
Labeling on Reclaimed Water Valves, Storage Facilities
and Outlets
9
15D-Addenda
Color Coding or Labeling on Reclaimed Water Piping,
Valves, Outlets, etc.
9
15D-Addenda
Secured Reclaimed Water Valves and Outlets
9
15D-Addenda
Below Grade Hose Bib Vaults
9
15D-Addenda
Cross -Connection Control
9
15D-Addenda
FORM: RWDS 12-06 Page 6

VI. PUMP STATION INFORMATION (Complete Section VI for each pump station included in this project).
1. Pump station number or name: Chlorine Contact Chamber
(Tj 2. hi accordance with 15A NCAC 2T .0305(h)(1), describe the measures that are being implemented to prevent impacts on
downslope surface waters should a power failure occur at this pump station (See Instruction J): N/A
3. Design flow of the pump station:,250,000 gallons per day
4. Operational point(s) of the pump(s): 312 gallons per minute at 174 feet total dynamic head (TDH)
5. Number of pumps provided (15A NCAC 2T .0305(h)(1)(A)): 2
6. Number of pumping cycles at average daily flow: 2 cycles per hour
7. Provide the location of each design element in the specifications and/or engineering plans:
Design Element
Sheet Number of the
' Plans
Page Number in the
Specifications
Portable Generator (telemetry and receptacle required)
Plant has generator
N/A
On -Site Generator (automatic transfer switch required)
Plant has manual transfer
switch
N/A
Wet Well Vented with Screen
Chlorine Contact Chamber
used as wetwell & is open
N/A
Fillets in Wet Well
N/A
N/A
Check Valves and Gate Valves
10
N/A
Security Fencing
Existing
Existing
Lockable Wet Well Cover and Dead Front Control Panel
Open Structure
Open. Structure
Area Light
Existing
Existing
110-Volt Electrical Convenience Outlet
10
N/A
High Water Audible Alarm
Not Required with true
SCADA per State Regs.
N/A
High Water Visual Alarm
Not Required with true
SCADA per State Regs
N/A
Auto -Dialer / Telemetry
10
1-3 .
Non -Corrosive Guide Rails/Lift Chains
10
15R
All -Weather Access Road
Existing
N/A
8. List any equipment (note sheet number of the plans or page number in the specifications) not specifically mentioned above
(hoist, etc.):
9. Flood Plain Information
a. 100-year flood elevation: 415 feet mean sea level
b. Finish grade elevation of the pump station: 412.25 feet
c. Measures taken to protect the pump station against flooding (15A NCAC 2T .0305(e)): Troy Lake Dam put back into
service.
FORM: RWDS 12-06 Page 7

VI. PUMP STATION INFORMATION (Complete Section VI for each pump station included in this project).
1. Pump station number or name: Golf Course Pump Station
C.) 2. In accordance with 15A NCAC 2T .0305(h)(1), describe the measures that are being implemented to prevent impacts on
downslope surface waters should a power failure occur at this pump station, (See Instruction J): N/A
3. Design flow of the pump station: 250.000 gallons per day
4. Operational point(s) of the pump(s): 350 gallons per minute at 277 feet total dynamic head (TDH)
5. Number of pumps provided (15A NCAC 2T .0305(h)(1)(A)): 2
6. Number of pumping cycles at average daily flow: 3 cycles per hour
7. Provide the location of each design element in the specifications and/or engineering plans:
Design Element
Sheet Number of the
Plans
Page Number in the
Specifications
Portable Generator (telemetry and receptacle required)
Not Required
N/A
On -Site Generator (automatic transfer switch required)
Not Required
N/A
Wet Well Vented with Screen
Flooded suction from
pond no wetwell
N/A
Fillets in Wet Well
Flooded suction no
wetwell
N/A -
Check Valves and Gate Valves
Existing inside bldg
N/A
Security Fencing
'Building Locks
Existing
Lockable Wet Well Cover and Dead Front Control Panel
Flooded suction no
wetwell
Open Structure
Area Light
Existing lights in bldg'
Existing
110-Volt Electrical Convenience Outlet
Existing inside bldg
N/A
High Water Audible Alarm
Not Required with true
SCADA per State Regs.
N/A
High Water Visual Alarm
Not Required with true
' SCADA per State Regs
N/A
Auto -Dialer / Telemetry
9 of forcemain plans
1-3 of forcemain
Non -Corrosive Guide Rails/Lift Chains
Flooded suction no
wetwell
15R
All -Weather Access Road
Existing golf course
N/A
I
8.. List any equipment (note sheet number of the plans or page number in the specifications). not specifically mentioned above
(hoist, etc.):
9. Flood Plain Information
a. 100-year flood elevation: 450 feet mean sea level at creek approximately 1200 feet north of this pump station site.
b. Finish grade elevation of the pump station top of slab: 499.5 feet
c. Measures taken to protect the pump station against flooding (15A NCAC 2T .0305(e)): Not a factor at this location.
FORM: RWDS 12-06 Page 7

Professional Engineer's Certification:
attest that this application for Irrigation of Denson Creek Golf Course
has been reviewed by me and is accurate, complete and consistent with the information supplied in the engineering plans,
calculations, and all other supporting documentation to the best of my knowledge. I further attest that to the best of my knowledge the
proposed design has been prepared in accordance with this application package and its instructions as well as all applicable regulation
and statutes. 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 proposeddesign.
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 package 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.
North Carolina Professional Engineer's seal, signature, and date:
Applicant's Certification (signing authority must be in compliance with 15A NCAC 2T .0106(b)):
I, E. Gray Walls
Town Engineer/Public Works Director
(signing authority name) (title)
attest that this application for Densons Creek Golf Course
(facility name)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that any discharge of wastewater
from this non -discharge system to surface waters or the land will result in an immediate enforcement action that may include civil
penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Quality should a condition
of this permit be violated. I also understand that if all required parts of this application package 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. I
further certify that the applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater
facility without proper closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are
compliant with any active compliance schedule, and do not have any overdue annual fees under Rule 2T .0105. 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 package 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.
,gym �o�ao
Signature: � � � ��� i.vW--ram Date: O,3 -- 8 4 `- �
FORM: RWDS 12-06 Page 8

ADDENDA TO 15D SEWER FORCEMAINS
FORCEMAIN FROM WWTP TO GOLF COURSE & GOLF COURSE
IRRIGATION PIPING SPECIFICATION
1. All reclaimed water valves, storage facilities and outlets shall be tagged or labeled
to warn the public or employees that the water is not intended for drinking.
2. All reclaimed water piping, valves, outlets and other appurtenances shall be color -
coded, taped, or otherwise marked to identify the source of the water as being
reclaimed water as follows:
(a) All reclaimed water piping and appurtenances shall be either colored
purple (Pantone 522) and embossed or integrally stamped or marked
"CAUTION: RECLAIMED WATER — DO NOT DRINK" or be
installed with a purple (Pantone 522) identification tape or polyethylene
vinyl wrap. The warning shall be stamped on opposite sides of the pipe
and repeated every 3 feet or less.
(b) Identification tape shall be at least 3 inches wide and have white or black
lettering on purple (Pantone 522) field stating "CAUTION:
RECLAIMED WATER — DO .NOT DRINK". Identification tape shall
be installed on top of reclaimed water pipelines, fastened at least every 10
feet to each pipe length and run continuously the entire length of the pipe.
(c) Existing underground distribution systems retrofitted for the purpose of
utilizing reclaimed water shall be taped or otherwise identified as specified
in items (a) or (b) above. This identification need not extend the entire
length of the distribution system but shall be incorporated within 10 feet of
crossing any potable water supply line or sanitary sewer line.
3. All reclaimed water valves and outlets shall be of a type, or secured in a manner,
that permits' operation by authorized personnel only.
4. Hose bibs shall be located in locked, below grade vaults that shall be labeled as
being of non -potable quality. As an alternative to the use of locked vaults with
standard hose bib services, hose bibs which can only be operated by a tool, may
be placed above ground and labeled as non -potable water.
5. Cross -Connection Control
(a) There shall be no direct cross -connections between the reclaimed water
and potable water systems.
(b) Where both reclaimed water and potable water are supplied to a reclaimed
water use area, a reduced pressure principle backflow prevention device or
an approved air gap separation pursuant to NC State Regulatory Rule
15A NCAC 18C shall be installed at the potable water service connection
to the use area. The installation of the reduced pressure principle backflow
prevention device shall allow proper testing.
(c) Where potable water is used to supplement a reclaimed water system,
there shall be an air gap separation, approved and regularly inspected by
the potable water supplier, between the potable water and reclaimed water
systems.

ADDENDA TO IRRIGATION PIPING SPECIFICATION FOR DENSONS
CREEK GOLF COURSE
FORCEMAIN FROM WWTP TO GOLF COURSE & GOLF COURSE
IRRIGATION PIPING SPECIFICATION
1. All reclaimed water valves, storage facilities and outlets shall be tagged or labeled
to warn the public or employees that the water is not intended for drinking.
2. All reclaimed water piping, valves, outlets and other appurtenances shall be color -
coded, taped, or otherwise marked to identify the source of the water as being
reclaimed water as follows:
(a) All reclaimed water piping and appurtenances shall be either colored
purple (Pantone 522) and embossed or integrally stamped or marked
"CAUTION: RECLAIMED WATER = DO NOT DRINK" or be
installed with a purple (Pantone 522) identification tape or polyethylene
vinyl wrap. The warning shall be stamped on opposite sides of the pipe
and repeated every 3 feet or less.
(b) Identification tape shallbe at least 3 inches wide and have white or black
lettering on purple (Pantone 522) field stating "CAUTION:
RECLAIMED WATER — DO NOT DRINK". Identification tape shall
be installed; on top of reclaimed water pipelines, fastened at least every 10
feet to each pipe length and run continuously the entire length of the pipe.
(c) Existing underground distribution systems retrofitted for the purpose of
utilizing reclaimed water shall be taped or otherwise identified as specified
in items (a) or (b) above. This identification need not extend the entire
length of the distribution system but shall be incorporated within 10 feet of
crossing any potable water supply line or sanitary sewer line.
3. All reclaimed water valves and outlets shall be of a type, or secured in a manner,
that permits operation by authorized personnel only.
4. Hose bibs shall be located in locked, below gradevaults that shall be labeled as
being of non -potable quality. As an alternative to the use of locked vaults with
standard hose bib services, hose bibs which can only be operated by a tool, may
be placed above ground and labeled as non -potable water.
5. Cross -Connection Control
(a) There shall be no direct cross -connections between the reclaimed water
and potable water systems.
(b) Where both reclaimed water and potable water are supplied to a reclaimed
water use area, a reduced pressure principle backflow prevention device or
an approved air gap separation pursuant to NC State Regulatory Rule
15A NCAC 18C shall be installed at the potable water service connection
to the use area. The installation of the reduced pressure principle backflow
prevention device shall allow proper testing.
(c) Where potable water is used to supplement a reclaimed water system,
there shall be an air gap separation, approved and regularly inspected by
the potable water supplier, between the potable water and reclaimed water
systems.

CAUTION:
IRRIGATING GOLF COURSE
WITH
RECLAIMED WATER
DO
NOT
DRINK

rage 1 of 1
From: Averitte, Ken 0
To: [e-mail]
Date: Tuesday, May 26, 2009 5:54:53 PM
Cc: Henson, Belinda; Barber, Jim
Subject: Pond question
Mr. Walls,
As we discussed this morning, the small pond immediately in front of the #11 green at Denson's Creek
Golf Club in Troy appears to be an excavation in high ground with no discrete inlet from surface waters
of the state (although some surface runoff does enter the pond). Although an overflow pipe has been
installed to protect the areas down slope in the event of overflow, it is evident that this pond has no
hydrologic connection to surface waters. It is the therefore the determination of this office that this water
hole is not subject to regulation under Section 401 of the Clean Water Act. No permit will be required
from DWQ for the placement of earthen fill in the water as you have described. Although no permit is
required for this activity; we suggest that care be taken to avoid the possibility of off -site water quality
issues if turbid water is allowed to overflow during the course of this work.
Also, with regard to the bank stabilization proposed on the creek on hole #18, this work can be done
without written concurrence from DWQ as long as the following conditions are met.
1) The length of streambank involved is less than 500 linear feet.
2) All other conditions of GC 3589 are met. This General Certification can be found at the
following web link:
http://dem.ehrir.state. nc. us/ncwetlands/documents/WQC3689.pdf
Should the cumulative streambank impacts exceed 500 feet, or if you are unable to comply with the
General Certification, written authorization will be required. Also, the Corps of Engineers Nationwide
Permit No. 13 applies in this situation. It can be viewed at thefollowing site: _
http://www.saw.usace.army.mil/WETLANDS/NWP2007/PDF-SAW-NWP2007/NWP13 6-07.pdf,
li
If you have questions, or if I can be of assistance, please advise.
Ken Averitte
Ken Averitte
Environmental Senior Specialist
Fayetteville Regional Office
[phone].
PLEASE NOTE MY NEW E-MAIL ADDRESS
Ken.Averitte(a.ncdenr.gov
E-mail correspondence to and from this address may be subject to theNorth Carolina Public Records
Law and may be disclosed to third parties.
•
http://us.mg2.mail.yahoo.corn/dc/launch?.rand=586533919&action=chnwT attPrRrhnv=r„l, c/1Kinnnn