WQ0013176_Application (FTSE)_20230703

M� McDAVIDAssoCUTES,
INC.
INC. CORPORATE OFFICE
GOLDSBORO OFFICE
Engineers • Planners • Land Surveyors
Engineers • Planners
[phone] • Fax [phone]
[phone] • Fax [phone]
E-mail: [e-mail]
E-mail: [e-mail]
3714 N. Main Street • P.O. Drawer 49
109 E. Walnut Street • P.O. Box 1776
Farmville, NC 27828
Goldsboro, NC 27533
LETTER AND ATTACHMENTS SUBMITTED ELECTRONICALLY — CHECK MAILED
SEPARATELY WITH COPY OF COVER LETTER
June 22, 2023
RECEIVED
Mr. Michael Montebello, Supervisor
NCDEQ/DWR
Water Quality Permitting
1617 Mail Service Center
512 N. Salisbury Street
Raleigh, NC 27699-1617
Dear Mr. Montebello:
NCDEQ/DWR/NPDES
Subject: Permit Modification Application
Permit No. WQ0013176
Town of Warsaw
Duplin County
Attached please find the following for your review and permitting/approval:
1. Signed Application Form
2. Check Made Payable to NCDEQ for $480.00.
3. Final Plans signed by a North Carolina Professional Engineer
4. Final Specifications signed by a North Carolina Professional Engineer
5. Flow Tracking Form
6. Project Narrative Description and Attachments
a. Phase 1 Project Map — Proposed Force Main Extension
b. Phase 2 Project Map — Proposed Town of Warsaw Pump Station 11 and Force Main
Improvements — Proposed C2NC Pump Stations and Force Mains
c. Warsaw WWTP Flow Data (1987 — 2023)
d. Pump Station 11 and Force Main DEHNR Permit No. WQ0013176 Dated February
5, 1997
e. Permit WQ0043109 dated January 27, 2022 for Extension of Pump Station 11
Existing Force Main
f. Hydraulic Analysis of Warsaw Pump Station 11 and C2NC Pump Stations utilizing
common force mains
g. Pump Station Cycles/Hr. Calculations
W:\D10XX_GEN\D100X_MSW\D1005_CORRES_MSW\FTL\2023\WARSAW PUMP STATION 11 & FM TRANSMITTAL OF SEWER
PERMIT MOD APPLICATION.DOCX

Please reference the Project Narrative attachment for background information and a description of
the project. We appreciate your consideration of this project. Should you have any questions regarding
this project, do not hesitate to give me a call.
Sincerely
McDAVID ASSOCIATES, INC.
Tyndall Lewis
Goldsboro Office
Attachments
cc: C2NC (w/Attachments)
Town of Warsaw (w/Attachments)
W:\D10XX_GEN\D100X_MSW\D1005_CORRES_MSW\FTL\2023\WARSAW PUMP STATION 11 & FM TRANSMITT _
PERMIT MOD APPLICATION.DOCX
INC.

TOWN OF WARSAW
3U41i5
Date Inv No./Desc
06/21/2023 06212023/C2NC PUMP STATION 11
Check:
30418 06/21 /2023
TOWN OF WARSAW
i o A�J P.O. Box 464 Warsaw, NC 28398 Phone: [phone]
"This disbursement has been approved as required by the
Local Government Budget and Fiscal Control Act"
Four Hundred Eighty Dollars and 00 Cents
PAY
P.O. No. Amount
$480.00
Total Amt: $480.00
30418
® 30418
Southerngank
Warsaw
66-258/531
Y
a
0
q
m
0
DATE AMOUNT a
06/21 /2023 $480.00
a
N

6/22/23, 4:03 PM
Submission Completed
Nlon-Dischar g c� Bleach Upload/Submittal I.0rFr1
NORTH CAROLINA
Environmental Quality
Version 2 - Revised June 23, 2020
Project Contact Information
Please provide information on the person to be contacted by NDB Staff regarding electronic submittal, confirmation of receipt, and other correspondence.
_.............._................_................................................_.............................................................._._....._...................................................................._........................................................................................................................................................................._..._...................................._.............................._.............
Name * Tyndall Lewis
Email Address*
[e-mail]
Project Information
Application/Document Type*
Phone Number*
919-736-7630
New (Fee Required)
Modification - Major (Fee Required)
Renewal with Major Modification (Fee
Required)
Annual Report
Additional Information
Other
Modification - Minor
Renewal
GW-59, NDMR, NDMLR, NDAR-1,
N DAR-2
Residual Annual Report
Change of Ownership
https://edocs-deq.nc.gov/Forms/Form/Submit 1/3

6/22/23, 4:03 PM
Submission Completed
Permit Type: *
Permit Number: *
Applicant/Permittee *
Applicant/Permittee Address*
Facility Name*
Wastewater Irrigation
Other Wastewater
Closed -Loop Recycle
Single -Family Residence Wastewater
Irrigation
WQ0013176
Has Current Existing permit number
Town of Warsaw
High -Rate Infiltration
Reclaimed Water
Residuals
Other
PSMod; 3 pumps;common FM
P. O. Box 464, 121 S. Front Street, Warsaw, NC 28398
Warsaw Pump Station 11 and Force Main
Please provide comments/notes on your current submittal below.
Proposed project involves modification of existing Warsaw Pump Station 11 and force main to accommodate proposed new privately owned (Carbon
Cycle North Carolina LLC, aka C2NC) office grinder pump station and Pretreated Wastewater Pump Station to serve new C2NC Biogas industrial
plant currently in construction. Upon completion there will be three pump stations (two privately owned by C2NC and Pump Station 11 owned by the
Town) connected to common force mains.
A separate Permit application for the C2NC wastewater pump stations and force mains is being submitted at the same time as this application.
At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg at
[e-mail].
Please attach all information required or requested for this submittal to be reviewed here.
(Application Form, Engineering Plans, Specifications, Calculations, Etc.)
Warsaw-23-PS11-Transmittal of Sewer Modification-Appli... 40.56MB
Upload only 1 PDF document (less than 250 MB). Multiple documents must be combined into one PDF file unless
file is larger than upload limit.
https://edocs.deq.nc.gov/Forms/Form/Submit 2/3

6/22/23, 4:03 PM
Submission Completed
By checking this box, I acknowledge that I understand the application will not be accepted for pre -review until the fee (if required) has
been received by the Non -Discharge Branch. Application fees must be submitted by check or money order and made payable to the
North Carolina Department of Environmental Quality (NCDEQ). I also confirm that the uploaded document is a single PDF with all parts
of the application in correct order (as specified by the application).
Mail payment to:
NCDEQ — Division of Water Resources
Attn: Non -Discharge Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Signature*
Submission Date June 22, 2023
Is filled in automatically once submitted.
https://edocs.deq.ne.gov/Forms/Form/Submit 3/3

�400) 317 � State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
15A NCAC 02T .0300 — SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources INSTRUCTIONS FOR FORM: SSEA 04-16 & SUPPORTING DOCUMENTATION
Plans, specifications and supporting documents shall be prepared in accordance with, 15A NCAC 02T .01009 15A NCAC 02T
.0300, Division Policies and good engineering practices. Failure to submit all required items will necessitate additional
processing and review time, and may result in return of the application.
For more information, visit the Water Quality Permitting Section's collection systems website
General — When submitting an 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.
A. One Original and One Copy of Application and Supporting Documents
E Required unless otherwise noted
B. Cover Letter (Required for All Application Packages):
® List all items included in the application package, as well as a brief description of the requested permitting action.
➢ If necessary for clarity, include attachments to the application form.
C. Application Fee (All New and Major Modification Application Packages):
® Submit a check or money order in the amount of $480.00 dated within 90 days of application submittal.
➢ Payable to North Carolina Department of Environmental Quality (NCDEQ).
D. Sewer System Extension (Form: SSEA 04-16) Application (Required for All Application Packages):
® Submit the completed and appropriately executed application.
➢ If necessary for clarity or due to space restrictions, attachments to the application may be made.
❑ If the Applicant Type in Item I.2 is a corporation or company, provide documentation it is registered for business with
the North Carolina Secretary of State.
❑ If the Applicant Type in Item I.2 is a partnership or d/b/a, enclose a copy of the certificate filed with the Register of
Deeds in the county of business.
® The project name in Item 11.1 shall be consistent with the project name on the plans, specifications, flow acceptance
letters, agreements, etc.
® The Professional Engineer's Certification on Page 6 of the application shall be signed, sealed and dated by a North
Carolina licensed Professional En ig neer.
® The Applicant's Certification on Page 6 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).
E. Flow Tracking/Acceptance Form (Form: FTSE 04-16) (If Applicable):
E Submit the completed and appropriately executed Flow Tracking/Acceptance for Sewer Extension Permit Form from the
owners of the downstream sewers and treatment facility.
➢ The flow acceptance indicated in form FTSE 04-16 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 04-16 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 04-16.
INSTRUCTIONS FOR FORM: SSEA 04-16 & SUPPORTING DOCUMENTATION Pagel of 4

F. Engineering Plans (Required for All Application Packages):
® Per 15A NCAC 02T .0305(b)(1), submit two sets of detailed plan sets that have been signed, sealed and dated by a North
Carolina licensed Professional Engineer, and shall include at a minimum:
➢ Table of contents with each sheet numbered.
➢ A general location map with at least two geographic references and a vicinity map.
➢ Plan and profile views of the sewer extension as well as the proximity of the sewer extension to other utilities and natural
features
➢ Detail drawings of all items pertinent to the sewer extension and pump stations.
➢ The location of all wells (including usage and construction details if available), streams (ephemeral, intermittent, and
perennial), springs, lakes, ponds, and other surface drainage features within 100 feet of the project.
➢ Minimum separations required per 15A NCAC 02T.0305(f), and where separations cannot be maintained, alternative
criteria per 15A NCAC 02T.0305(g).
➢ Minimum cover for sewer extensions required per 15A NCAC 02T.0305(f) must also be shown clearly on the plans.
® Plans shall represent a completed design and not be labeled with preliminary phrases (e.g., FOR REVIEW ONLY, NOT
FOR CONSTRUCTION, etc.) that indicate they are anything other than final plans. However, the plans may be labeled
with the phrase: FINAL DESIGN - NOT RELEASED FOR CONSTRUCTION.
G. Specifications (Required for All Application Packages):
® Per 15A NCAC 02T .0305(b)(3), submit specifications that have been signed, sealed and dated by a North Carolina
licensed Professional En ig neer, and shall include at a minimum:
➢ Table of contents with each section/page numbered.
➢ Detailed specifications for all items pertinent to the sewer extension and pump stations
➢ Site Work (i.e., earthwork, clearing, grubbing, excavation, trenching, backfilling, compacting, fencing, seeding, etc.)
➢ Materials (i.e., force main, gravity, concrete, method of construction, etc.)
➢ Electrical (i.e., control panels, transfer switches, automatically activated standby power source, etc.)
➢ Means for ensuring quality and integrity of the finished product in accordance with the Minimum Design Criteria,
including leakage and pressure testing for the sewer extension.
® Specifications shall represent a completed design and not be labeled with preliminary phrases (e.g., FOR REVIEW
ONLY, NOT FOR CONSTRUCTION, etc.) that indicate they are anything other than final specifications. However, the
specifications may be labeled with the phrase: FINAL DESIGN - NOT RELEASED FOR CONSTRUCTION.
❑ Specifications for standard equipment may only be omitted for municipalities with approved standard specifications, but
the use of the standard specifications must be noted on each sheet of the plans.
H. Engineering Calculations (All Application Packages):
® Per 15A NCAC 02T .0305(b)(2) and 15A NCAC 02T .0305(i)(1), submit engineering calculations that have been signed,
sealed and dated by a North Carolina licensed Professional Engineer, and shall include at a minimum:
➢ Friction/Total Dynamic Head calculations and system curve analysis (with one pump running, two pumps running, etc.)
➢ Pump selection information including pump curves, manufacturer's information, and recommended installation
guidelines.
➢ Pump station cycle times and pump run times.
➢ Minimum velocities in the sewer extension in accordance with the Minimum Design Criteria
➢ Flotation calculations for all units constructed partially or entirely below grade (i.e. pump stations)
Note that upon completion of the review process and prior to permit issuance, a request for the final plans and
specifications will be requested on digital media (CD, DVD, Jump Drive, etc.) for our records. You will be notified
when this information is requested, as the review may necessitate changes.
INSTRUCTIONS FOR FORM: SSEA 04-16 & SUPPORTING DOCUMENTATION Page 2 of 4

I. Downstream Sewer Evaluations (All Application Packages)
❑ Per 15A NCAC 02T .0305(b)(2) and 15A NCAC 02T .0304(h)(1), submit engineering calculations that have been signed,
sealed and dated by a North Carolina licensed Professional En ig Weer, for receiving collection systems:
❑ For connection to a gravity sewer, submit:
An evaluation of the gravity sewer based on peak flow from the proposed project and peak flows already tributary to the
existing gravity sewer. Provide calculations and detail how existing peak flows were determined.
❑ For connection to a pump station, submit:
An evaluation of the existing pump station to pump peak flow from the proposed project and peak flows already tributary
to the existing pump station. Provide calculations and detail how existing peak flows were determined.
® For connection to a force main/low pressures sewer, submit:
An evaluation of the existing system based on peak flows from the proposed project and peak flows already tributary to
the existing system. In addition, evaluate the ability of each pump station tributary to the existing system to pump against
additional head created by greater flows through the system. Evaluation may include alternative designs such as telemetry
to coordinate pumping between pump stations (provided sufficient storage is available). Also include an evaluation of
the discharge point of the existing force main/pressure sewer.
J. Site Maps (All Application Packages):
® Submit an 8.5-inch x I I -inch color copy of a USGS Topographic Map of sufficient scale to identify the entire project
area and closest surface waters.
➢ Location of the project (gravity sewer, pump stations & force main)
➢ Downstream connection points and permit number (if known) for the receiving sewer
❑ Include a street level map showing general project area
K. Existing Permit (All Modification Packages):
® Submit the most recently issued existing permit.
® Provide a list of any items within the permit the Applicant would like the Division to address during the permit
modification (i.e., permit description, flow allocation, treatment facility, etc.).
L. Power Reliability Plan (If Applicable)
® Per 15A NCAC 02T .0305(h)(1), submit documentation of power reliability for pumping stations.
➢ This alternative is only available for average daily flows less than 15,000 gallons per day
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant and is compatible
with the station. The Division will accept a letter signed by the applicant (see 15A NCAC 02T .0106(b)) or proposed
contractor, stating that "the portable power generation unit or portable, independently -powered pumping units, associated
appurtenances and personnel are available for distribution and operation of this pump station."
➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump
stations' storage capacities and the rotation schedule of the portable power source or pump, including travel
timeframes, shall be provided in the case of a multiple station power outage. (Required at time of certification)
M. Final Environmental Document (If Applicable):
❑ Per 15A NCAC 02T .0105(c)(4), submit one copy of the environmental assessment and three copies of the final
environmental document (i.e., Finding of No Significant Impact or Record of Decision).
❑ Include information on any mitigating factors from the Environmental Assessment that impact the design and/or
construction of the subject sewer.
N. Certificate of Public Convenience and Necessity (All Application Packages for Privately -Owned Public Utilities):
❑ Per 15A NCAC 02T .0115(a)(1) provide 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 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.
INSTRUCTIONS FOR FORM: SSEA 04-16 & SUPPORTING DOCUMENTATION Page 3 of 4

O. Operational Agreements (Applications from HOA/POA and Developers for lots to be sold):
❑ Home/Property Owners' Associations
❑ Per 15A NCAC 02T .0115(c), submit the properly executed Operational Agreement (FORM: HOA 04-16).
❑ 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 (FORM: DEV 04-16).
THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION SHALL BE SUBMITTED TO:
NCDEQ/DWR
WATER QUALITY PERMITTING
PERCS UNIT
By U.S. Postal Service:
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1636
TELEPHONE NUMBER: [phone]
By Courier/Special Delivery:
512 N. SALISBURY ST. SUITE 925
RALEIGH, NORTH CAROLINA 27604
INSTRUCTIONS FOR FORM: SSEA 04-16 & SUPPORTING DOCUMENTATION Page 4 of 4

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — SEWER SYSTEM EXTENSION APPLICATION
SSEA 04-16 & SUPPORTING DOCUMENTATION
Application Number:
I. APPLICANT INFORMATION:
(to be completed by DWR)
1. Applicant's name: Town of Warsaw
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ❑ State ® Municipal
3. Signature authority's name: A. J. Connors per 15A NCAC 02T .0106(b)
Title: Mayor
4. Applicant's mailing address: P. O. Box 464
City: Warsaw State: NC Zip: 28398-
5. Applicant's contact information:
Phone number: 910 293-7814 Email Address: [e-mail]
H. PROJECT INFORMATION:
❑ Privately -Owned Public Utility
❑ County
1. Project name: Pump Station 11 and Force Main Modifications
2. Application/Project status: ❑ Proposed (New Permit) ® Existing Permit/Project
3. If a modification, provide the existing permit number: WQ0013176 and issued date: February 5, 1997
4. If new construction but part of a master plan, provide the existing permit number: WQ00
5. County where project is located: Duplin
6. Approximate Coordinates (Decimal Degrees): Latitude: 35.009167o
III. CONSULTANT INFORMATION:
1. Professional Engineer: F. Tyndall Lewis License Number: 7469
Firm: McDavid Associates, Inc.
Mailing address: P. O. Box 1776
City: Goldsboro State: NC Zip: 27530-
Phone number: 919 736-7630 Email Address: ftl@a,mcdavid-inc.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Warsaw Municipal WWTP
Owner Name: Town of Warsaw
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): NA
System Wide Collection System Permit Number(s): WQCS00159
Owner Name(s): Town of Warsaw
Permit Number: NCO021903
Longitude:-78.125492o
FORM: SSEA04-16 Page 1 of

VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been submitted?
❑ Yes ❑No ®N/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEV) been submitted?
❑ Yes ❑No ®N/A
3. If the Applicant is a Home/Property Owners' Association, has an Operational Agreement (FORM: HOA) been submitted?
❑ Yes ❑No ®N/A
4. Origin of wastewater: (check all that apply):
❑ Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential Leased ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑ School / preschool / day care ❑ Medical / dental / veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
® Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Is/was an Environmental Assessment required under 15A NCAC 01 C? ❑ Yes ® No
If yes, submit the appropriate final environmental document (FONSI, ROD, etc.)
6. Nature of wastewater: 100 % Domestic/Commercial % Other waste — specify: .
% Industrial (See 15A NCAC 02T .0103(20))
7. Wastewater generated by project: 3,400 GPD (per 15A NCAC 02T .0114)
Hasa flow reduction been approved under 15A NCAC 02T .0114(t)? ❑ Yes ®No
If yes, provide a copy of flow reduction approval letter
8. Summarize wastewater generated by project:
Establishment Type
Daily Design Flow a,b
No. of Units
Flow
Three existing businesses
3,400 gal/day
NA
3,400 GPD
Design flow based on SCADA-Magmeter
gal/
GPD
Flow History for PS 11 for 2022
gal/
GPD
Allowance for future connections and/or
increases in flow
3,000 gal/day
NA
3,000 GPD
gal/
GPD
gal/
GPD
Total
6,400 GPD
a See 15A NCAC 02T 0114(b) (d). (e)(1) and (e)(2) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use areas;
and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G.S. 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified below shall be determined using available
flow data, water using fixtures, occupancy or operation patterns, and other measured data.
FORM: SSEA 04-16 Page 2 of 6

VII. GRAVITY SEWER DESIGN CRITERIA - 15A NCAC 02T .0305:
1. Summarize Gravity Sewer to be permitted:
Size (inches) Length (feet) Material
N/A N/A N/A
VIII. PUMP STATION DESIGN CRITERIA — 02T .0305 & MDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
Pump station number or name: PS 11
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.009167' Longitude:-78.125492'
3. What is the nearest 100-year flood elevation to the facility? 128.6 feet mean sea level. Source: FRIS Map
Is any of the proposed project located within the 100-year flood plain? ❑ Yes ® No
4. If Yes, are the following items provided per 15A NCAC 02T .0305(e):
Water -tight seals on all station hatches and manholes; and
Control panels vents extend two feet above the 100-year flood plain elevation?
❑ Yes ❑ No ® N/A
If No, what measures are being taken to protect them against flooding? N/A
5. Finish grade elevation of the pump station: 143.0
6. Design flow of the pump station: .0418 millions gallons per day (firm capacity)
7. Operational point(s) of the pump(s): 29 gallons per minute at 193.4 feet total dynamic head (TDH)
8. Number of pumps provided: 2
9. Number of pump cycles at average daily flow: 2 cycles per hour
10. Power reliability in accordance with 15A NCAC 02T .0305(h)(1):
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(B):
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
➢ Must be permanent to facility
Or if the pump station has an average daily flow less than 15,000 gallons per day:
® Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(1)(C):
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
and is compatible with the station.
➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be provided
in the case of a multiple station power outage.
FORM: SSEA 04-16 Page 3 of 6

VHI. PUMP STATION DESIGN CRITERIA (continued)
11. Summarize the pump station design elements:
Design Element
Plan Sheet
Reference I
Specification
Reference
Power Reliability Source and Associated Elements
5
Plan Sheet
Screened Wet Well Vent
EXISTING
EXISTING
Check Valves, Gate Valves, etc.
5
Plan Sheet
Control Panel
EXISTING
EXISTING
Restricted Access Elements (Fence, Wet Well Lock, etc)
EXISTING
EXISTING
Audible and Visual Alarms
EXISTING
EXISTING
Telemetry/SCADA
EXISTING
EXISTING
Level Controls
EXISTING
EXISTING
Weatherproof Sign with Required Information
EXISTING
EXISTING
Air Relief Valves
N/A
N/A
12. Summarize the force main to be permitted:
Size (inches)
Length (feet)
Material
High
Elevation (feet)
Discharge
I Elevation (feet)
Pump -Off
Elevation (feet)
2"
2,704
PVC
149.5
149.5
130.75
13. Air release valve station locations per 15A NCAC 02T .0305(i):
Air Release Valve #
Station
Plan Sheet Reference
N/A
N/A
N/A
FORM: SSEA 04-16 Page 4 of 6

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T.0305(f)):
1. Does the project comply with all separations found in 15A NCAC 02T.0305(f) & (a) ® Yes ❑ No
1 iA NCAAC'. 02T_0305(f) contains minimum senarations that shall be provided for sewer systems:
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below vertical
24 inches
Water mains vertical -water over sewer including in benched trenches
18 inches
Water mains(horizontal)
10 feet
Reclaimed water lines vertical - reclaimed over sewer
18 inches
Reclaimed water lines(horizontal - reclaimed over sewer
2 feet
**Any private or public water supply source, including any wells, WS-I waters of Class I or
Class H impounded reservoirs used as a source of drinking water
100 feet
**Waters classified WS (except WS-1 or WS-V), B, SA, ORW, HQW, or SB from normal
high water or tide elevation and wetlands see item IX.2
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
Any building foundation
5 feet
Any basement
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade vertical
36 inches
➢ 15A NCAC 02T.0305(a) contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webpace
➢ If noncompliance with 02T.0305(f) or (g), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes ❑ No ® N/A
➢ See the Division's draft separation requirements for situations where separation cannot be meet
➢ No variance is required if the alternative design criteria specified is utilized in design and construction
➢ As built documents should reference the location of areas effected
3. Does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? ❑ Yes ❑ No ® N/A
➢ This would include Trout Buffered Streams per 15A NCAC 213.0202
4. Does the project require coverage/authorization under a 404 Nationwide or ❑ Yes ® No
individual permits or 401 Water Quality Certifications?
➢ Information can be obtained from the 401 & Buffer PermittingBranch
ranch
5. Does project comply with 15A NCAC 02T.0105(cl(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105(c)(6), directly related environmental permits or certification applications are being prepared, have
been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion and
sedimentation control plans, stormwater management plans, etc.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per 15A NCAC 02T.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
❑ Yes ® No
➢ If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shall be inspected by the permittee or its representative at least once every six -months and inspections
documented per 15A NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: SSEA 04-16 Page 5 of 6

IX. CERTIFICATIONS:
Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains (latest version), and the Gravitv Sewer Minimum Design Criteria (latest version) as applicable?
101yes J,-No
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents for
review. Approval of the request is required prior to submittal of the Fast Track Application and supporting documents.
2. Professional Engineer's Certification:
F.
Engineer's name from Application Item M.1.)
,W,oy� I l avil Force- Mam-
(Facility name from Application Item 11.1.)
attest that this application for
lzcl t " -C60. �0 V1 S
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans, specifications,
engineering 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 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:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
I, ht J L O YIA01
c (Signature
PV >M� •�'t0.C�`ur�
& title from Application Item I.3.)
be AAa to
(Facility name from Application Item II.1.)
attest that this application for
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
Resources 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.
NOTE — In accordance with 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.
--�� Date: 9 dvkj
FORM: SSEA 04-16 Page 6 of 6

State of North Carolina
Department of Environmental Quality
Division of Water Resources
",I)Mslon of Water, Resources Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Carbon Cycle North Carolina LLC
Project Name for which flow is being requested: C2NC Pump Stations and Force Mains
More than one FTSE may be required for a singleproject if the owner of the WWTP is not responsible for allpump
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: Town of Warsaw Municipal WWTP
b. WWTP Facility Permit #: NC0021903
All flows are in MGD
c. WWTP facility's permitted flow 0.915
d. Estimated obligated flow not yet tributary to the WWTP 0
e. WWTP facility's actual avg. flow 0.281
f. Total flow for this specific request 0.250
g. Total actual and obligated flows to the facility 0.531
h. Percent of permitted flow used 58.0%
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)
Design
Pump
Pump
Average
Approx.
Station
Station
Firm
Daily Flow**
Current
(Name or
Permit
Capacity, *
(Firm / pf),
Avg. Daily
Number)
No.
MGD
MGD
Flow, MGD
WWTP
NPDES
3.024
0.915
0.281
NC0021903
(C)
(D)=(B+C)
(E)=(A-D)
Obligated,
Not Yet
Total Current
Tributary
Flow Plus
Daily Flow,
Obligated
Available
MGD
Flow
Capacity* * *
0.250
0.531
0.384
* The Firm Capacity (design flow) of any pump station is defined as the maximum pumped now
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, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** 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.
Downstream Facility Name (Sewer):
Downstream Permit Number:
Page 1 of 6
FTCF. 1(1-1 R

III. Certification Statement:
I Lea Turner 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 certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
Signing Official Signature
Title of Signing
Date
Page 2 of 6
'PTCF. 1 (1_1 R

TOWN OF WARSAW
2023 PUMP STATION 11 AND FORCE MAIN
MODIFICATIONS
JUNE 19, 2023
Background
Carbon Cycle North Carolina LLC (hereinafter C2NC) is constructing an agricultural waste
processing facility at 855 Penny Branch Road across the road from the Villari Brothers meat
processing facility. The proposed C2NC facility will receive agriculture and food wastes to
be composted and digested to create biogas. The gas will be captured and piped into an
existing Duke Energy gas line that runs through Warsaw. Wastes to be digested may
include hog manure, chicken manure, diseased animals, food wastes and/or other organic
wastes. C2NC will provide a method for the local food and agricultural communities to get
rid of their waste products, and subsequently turn the waste products into energy.
The C2NC facility is estimated to cost approximately $90,000,000 and projected to create
approximately 19 jobs. Construction is expected to be completed by July 2023. The C2NC
facility is consistent with the goals of the Federal Energy and Independence Act enacted in
2007. Goals of the legislation include the promotion of greenhouse gas capture, increasing
the production of clean renewable fuels, and moving the United States toward greater
energy independence and security.
C2NC will have a wastewater byproduct. The Town has agreed to accept pretreated
wastewater from C2NC in accordance with the Town's Pretreatment Program. The Town
has advised C2NC that it will not accept an instantaneous discharge rate greater than 200
gpm and no more than 250,000 GPD.
Existing Town wastewater facilities in the vicinity of the proposed C2NC site include Pump
Station 11 (Permit No. WQ0013176 dated February 5, 1997) located on the north side of
Penny Branch Road approximately 2000 feet west of the C2NC site. Pump Station 11
consists of two submersible pumps rated at 180 gpm each. Wastewater from Pump Station
11 is pumped approximately 10,000 feet along Penny Branch Road and West Plank Road
and discharged to a manhole on West Plank Road between Pershing Street and Jordan
Street. Pump Station 11 averages pumping approximately 3,400 GPD.
Pump Station 11 was constructed in 1997 to serve a small 20 acre Duplin County Industrial
Park along with several hundred acres of surrounding property considered as prime future
industrial sites. It is noted the site is adjacent to the intersection of Penny Branch Road and
Interstate Highway 140. To date the pump station only serves three customers. The first is
a County owned Multi -Tenant Center (business incubator), the second is the James Sprunt
Training Center, and the third is bathroom wastewater from Villari Brothers meat
processing facility. Practically all the surrounding developable property has been developed
into one of the largest solar farms in the United States. Inasmuch as the surrounding
property has been developed in a manner not requiring wastewater services, Pump Station

11 now has significant unused capacity. The Town proposes to re -deploy the unused Pump
Station 11 capacity to accommodate the proposed C2NC project.
The Town must reduce its 180 gpm pumping rate at Pump Station 11 in order to allow
C2NC to pump up to 200 gpm through the existing 6" force main. The purpose of this
application is for modification of Warsaw's Permit No. WQ0013176 dated February 5,
1997 to replace the two existing 180 gpm submersible pumps at Pump Station 11 with
two submersible 29 gpm grinder pumps along with associated force main
modifications. The existing 6" force main from Pump Station 11 to the proposed point of
connection of C2NC's discharge will be replaced with approximately 2,700 LF of 2"
diameter force main. Pump Station 11 will have the firm capacity to handle approximately
41,760 gpd with the proposed 29 gpm grinder pumps. The average daily flow from Pump
Station 11 of approximately 3,400 GPD (2.35 gpm) is not expected to increase significantly
in the future; however, for design purposes a flow of 6,400 GPD is assumed to provide for
potential future increases in flow.
The existing point of discharge of the 6" force main from Pump Station 11 is to an 8" gravity
sewer line on Plank Road in Warsaw. The existing point of discharge requires relocation
to handle the higher flow rate expected from C2NC. NCDEQ Permit No. WQ0043109
dated January 27, 2022 was issued for the construction of approximately 3,007 linear feet
of 6-inch force main to change the discharge location from Pump Station 11 as the first
phase of the work associated with handling the proposed discharge from C2NC.
Construction is expected to be completed by late July, 2023. The proposed new 6" force
main will connect to an existing 12" PVC gravity sewer line constructed in 2001 at the
Plank Road - Gum Street intersection. From that point the wastewater will travel through
approximately 1,300 feet of 12" PVC gravity sewer lines constructed in 2001, followed by
approximately 3,200 feet of 20" and 21" PVC and ductile iron gravity sewer lines
constructed in 2014 to reach the Warsaw WWTP.
The Town has developed a Pretreatment Program and has issued a Pretreatment Permit to
C2NC as of June 20, 2023. In addition to extending the existing force main, renovating
Pump Station 11, replacing approximately 2,700 LF of 6" force main with 2" force main,
and implementing the Pretreatment Program, the Town recognizes its average wastewater
flow is expected to increase such that its WWTP may require an expansion in the near
future. Average daily flows for the past five years through 2022 are .628 MGD, .506 MGD,
.526 MGD, .467 MGD, and .281 MGD. State regulations require towns to formally begin
planning for expansion of WWTPs once flows reach 80% of design capacity. Plans and
specifications for improvements must be submitted by the time average flows reach 90% of
WWTP capacity. Failure to comply with these milestones may result in a State imposed
moratorium on new connections to the Town's sewer system.
The Town will construct, own, operate and maintain all required improvements off the
C2NC site. C2NC will be required to construct, own, operate and maintain all the
wastewater facilities on the C2NC site.
Proposed improvements on the C2NC site include two pump stations and force mains.
Pump Station No. 1 is a duplex grinder pump (9.8 gpm firm capacity) that will serve the
Administration Office. All 19 employees (25 gpm per employee) will have access to the

Administration Office. The Administration Office pump station will discharge via a 1.25"
PE force main and connect to the proposed 6" PVC force main coming from the Pretreated
Wastewater Duplex Pump Station. The Pretreated Wastewater Duplex Pump Station will
include two VFD controlled inline (or equal) pumps with a primary controlled 200 gpm
operating condition, with a maximum capability of 300 gpm at full speed.
A Hydraulic Analysis depicting anticipated pumping rates and operating conditions of the
three pump stations under various scenarios is included in the Appendices.
Project does not qualify for "Fast Track" Permit Issuance
The proposed project does not fit standard NCDEQ Fast Track Permit Application
criteria. An individual review by NCDEQ staff is required for the Permit to be issued
since the project involves three pump stations connected via a common force main.
A Hydraulic Analysis depicting anticipated pumping rates and operating conditions of the
three pump stations under various scenarios is included in the Appendices.
APPENDICIES
Phase 1 Project Map — Proposed Force Main Extension
Phase 2 Project Map — Proposed Town of Warsaw Pump Station 11 and Force Main
Improvements — Proposed C2NC Pump Stations and Force Mains
Warsaw WWTP Flow Data (1987 — 2023)
Pump Station 11 and Force Main DEHNR Permit No. WQ0013176 dated February 5, 1997
Permit WQ0043109 dated January 27, 2022 for extension of Pump Station 11 Existing Force
Main
Hydraulic Analysis of Warsaw Pump Station 11 and C2NC Pump Stations utilizing common
force mains

F
r
PUMP S
CAPACITY 0 gp
yip
/ --EXIST
6" FOB MAIN
C2-NC
SITE
82 ACRES
PARK DR �QO
EXISTING
"10" VCP WITH
CURED -IN -PLACE
- LINER (1994)
i�
IE COSTIN RD WATER TANK RD
EXISTING
10" VCP-
§LIPINED z EXISTING
(1992) c+
c MANHOLE
EXISTING - �'
u sT EXISTING
8" GRAVITY - E DUDS 12" GRAVITY /
SEWER LINE -� z q SEWER LINE*'
(SLIP LINED 1992) y o 4
46
o �^
EXISTING i D W - saw
6" FORCE MAIN '`
WALNUT ST
EXISTING �v sT z �T ZO
R
10" PVC (1 q CNE ^ I s
.5
z
\/ EXISTING 4 Z 24 h j'
- \AAAILIPII C 0
Bus `
24
COLLEGE SITCOLLEGE ST j
EXISTING �
DISCHARGE -
:,f TO MANHOLE
so,
s
150—
Q -
-'\
EC,\
ar, S.&W
E 8Ao
'so
i
GE sT
6ER
0
c
s m ;Irk
_— i
EB
ST R
ST Cr C mi
�o
NIP
s�
1
P S 1
4
EXISTING
PR SED
WWTP SITE
6" RC Al
PHAS
A
EXISTING
20"GRAVITY
Ju
ROPOSED
��+
SEWER LINE
ISCHARGE,- -
TO MAN HOLK
0
z
z
z
o ,
P �
124
x
Q
t J —
PHASE 1 PROJECT MAP
SCALE IN FEET: 1" = 2000' PROPOSED FORCE MAIN EXTENSION
2000 0 2000 4000 FORCE MAIN IMPROVEMENTS
(USGS QUAD MAP EXTRACT)

/ — W PARK
o h
EXISTING
f .0 - _ -�'+ 10" VCP WITH
mho pia ,,:CURED -IN -PLACE
L-1NER (1994)
TANK RO
o SRU �E COSTIN RD \ WATER "1
EXISTIN �EXISTING -
PUMP S T)ON 10" VCP-
- ORIGINAL �APACIT = 1 0 gpm-"-vP-&NED Z
ROPOSED CAi A21TY = 29 g m S`) (1992) - _ c EXISTING
i
MANHOLE
_ vo
EXISTING l EXISTING - �� EXISTING
h° 6" FORCE-MAI S7
BE CED W/ 8" GRAVITY s 12" GRAVITY
�. 2' F R E IN SEWER LINE z �'a \C SEWER LINE
PHASE 2 'IF: (SLIP LINED 1992) ` o f
PROPOSED EXISTING >`?- Warsaw
C2NC ADMIN � z \ 50 _!
6" FORCE MAIN
OFFICE PUMP TO REMAIN \ ' '\� f� iq�.0 `WgLNU7 Sj
STATION
�\ of EXISTING /` 1YVi _. °� ,ST R.
9:8 gpm 7-PR0POSED�ti�f 10" PVC (1992 W cHE
PHASE 2 1.25" FORCE ��e�q 1 �; �-% i Bus
PROPOSED MAIN s " \; EXISTING 24
C2NC PUMP ST TIO F �;o >�MANHOLE 5 `.,-��> C�,L\.
PROPOSED
200 gpm OPERATING N o
300 gpm MAX TE w eLaNK Sr
C2-NC PS
SITE82 ACRES ! pRp5PEC757 —. _— O G i ` \� E GEOROj-
Bus ,, W � '^ � \ fir" `c•" /-' .
24 S7 S
�,
� 1
-� 1
A
� .•''� A/ r Z �� �E� Cf C m
COLLEGE ST o �\ \
COLLEGE ST N ate~,
EXISTING //
— ) DISCHARGE PI( S 1
' EXISTING
TO MANHOLE PRpP6SED Y WWTP SITE _
EXISTING
1 = PHASE° o� 20"GRAVITY
yo 1s0---% ROPOSED `; + SEWER LINE
/ o ISCHARGE,-- _
TO MANHOLE��'' 11
m --
A
z
,24
A
x
-7
CHASE 2 PRO ECT M P
PROPOSED TOWN OF WARSAW PUMP STATION 11 AND
SCALE IN FEET: 1" = 2000' FORCE MAIN IMPROVEMENTS
2000 0 2000 4000 PROPOSED C2NC PUMP STATIONS AND FORCE MAINS
(USGS QUAD MAP EXTRACT)

1987
1988
1989
1990
1991
1992
1993
015
2016
2017
2018
2019
2020
2021
2022
2023
January
0.348
0.824
0.419
0.878
0.809
0.566
0.821
(777
0.795
0.631
0.444
0.675
0.576
0.954
0.380
0.234
Febnimy
0.368
0.608
0.554
0.657
0.524
0.450
0.536
(777
1.068
0.449
0.514
0.578
0.874
1.094
0.387
0.456
March
0.533
0.482
1.005
0.619
0.556
0.511
0.599
(885
0.552
0.437
0.498
0.616
0.575
0.626
0.341
0.321
April
0.699
0.446
0.810
0.714
0.400
0.429
0.697
(739
0.491
0.630
0.630
0.632
0.422
0.522
0.326
May
0.379
0.525
0.783
0.619
0.217
0.321
0.505
(718
0.589
0.534
0.728
0.310
0.686
0.263
0.264
June
0.458
0.472
0.529
0.444
0.191
0.285
0.421
1465
0.499
0.398
0.588
0.262
0.587
0.260
0.236
MY
0.426
0.407
0.758
0.317
0.487
0.273
0.418
1467
0.453
0.332
0.580
0.247
0.302
0.355
0.304
August
0.549
0.416
0.565
0.422
0.731
0.646
0.382
(492
0.399
0.394
0.952
0.425
0.369
0.612
0.256
September
0.445
0.586
0.587
0.306
0.567
0.381
0.402
(822
0.546
0.464
0.782
1.052
0.309
0.261
0.254
October
0.290
0.400
0.673
0.379
0.503
0.360
0.391
797
0.610
0.281
0.395
0.304
0.338
0.216
0.231
November
0.295
0.347
0.531
0.440
0.393
0.501
0.410
.850
0.335
0.249
0.513
0.397
0.560
1 0.210
0.199
December
0.382
0.350
1.050
0.413
0.390
0.629
0.486
851
0.422
0.327
0.909
0.579
0.710
0.231
0.194
Average Daily Flow
0.431
0.489
0.689
0.517
0.481
0.446
0.506
1 .720
0.563
0.427
0.628
0.506
0.526
0.467
0.281
Highest Average
Month) Flow
0.699
0.824
1.050
0.878
0.809
0.646rO.4
.885
1.068
0.631
0.952
1.052
0.874
1.094
0.387
0.456
Lowest Average
Month) Flow
0.290
0.347
0.419
0.306
0.191
0.273
.465
0.335
0.249
0.395
0.247
0.302
0.210
0.194
0.234
High -Low Difference
a roa.
0.409
0.477
0.631
0.572
0.618FO.373
420
0.7329
0.3817
0.557
0.805
0.572
0.884
0.193
0.222
Average Daily Flow
Plus .25 MGD 0.681 0.739 0.939 0.767 0.731 0.696 0.756 0.970 0.813 0.677 0.878 0.756 0.776 0.717 0.531 0.250
UG-G10S1D 10121FTLV020
WARSAW-AVERAGE-DAILY-FLOW-MONTH.)ds 200237

E State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B. Hunt, Jr.; Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
February 5, 1997
The Honorable John L. Powell, Jr., Mayor
Town of Warsaw
Post office Box 464
Warsaw, North Carolina .28398
Subject: Permit No. WQ0013176
Town of Warsaw
Duplin County Industrial Park
Pump Station and Force main
Sewer Extension
Duplin County
Dear Mayor Powell:
In accordance with your application received November 15, 1996, we are forwarding herewith
Permit No. WQ0013176 dated February 5, 1997, to the Town of Warsaw for the construction and
operation of the subject wastewater collection extension. It is understood this permit is only for the
construction of the subject industrial park pump station and force main. And that, any flows made tributary
to this pump station must be authorized by future sewer extension permits.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
conditions and limitations as specified therein.
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 thirty (30) days following receipt of
this permit. This request must be in the form of a written petition, conforming to Chapter 150B of the
North Carolina General Statutes, and filed with the Office of Administrative Hearings, P.O. Drawer
27447, Raleigh, NC 27611-7447. Unless such demands are made this permit shall be final and binding.
One set of approved plans and specifications is being forwarded to you. If you need additional
information concerning this matter, please contact Mr. John Seymour at [phone] extension 546.
Sincerely,
' jvv
Preston Howard, Jr., P.E.
cc: Duplin County Health Department
Wilmington Regional Office, Water Quality Section
E�! aDavi&- ssoKP ates; Inc.
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer . 50% recycled/ 10% post -consumer paper

h
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL RESOURCES
RALEIGH
WASTEWATER COLLECTION 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 GRANIT TO
Town of Warsaw
Y Duplin County
FOR THE
construction and operation of approximately 45 linear feet of 10 inch gravity sewer, a 180 GPM pump
station with duplex pumps, high water alarms with an emergency auto dialer system, a receptacle -for a
portable emergency generator, and approximately 9,960 linear feet of 6 inch force main to serve the Town
of Warsaw's Duplin County Industrial Park and the discharge of no GPD of collected wastewater into the
Town of Warsaw's existing sewerage system; pursuant to the application received November 15, 1996,
and, in conformity with the project plan, specifications, and other supporting data subsequently filed and
approved by the Department of Environment, Health 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
following specified conditions and limitations:
1. This permit shall become voidable unless the facilities are constructed in accordance with the
conditions of this permit, the approved plans and specifications, and other supporting data.
2. This permit is effective only with respect to the nature and volume of wastes described in the
application and other supporting data:
3. The facilities must be properly maintained and operated at all times.
4. The sewage and wastewater collected by this, system shall be treated in the Town of Warsaw
Wastewater Treatment Facility prior to being discharged into the receiving stream.
5. This permit is not transferable. In the event there is a desire for the facilities to change ownership,
or there is a name change of -the Permittee, a formal permit request must be submitted to the
Division of Water. Quality accompanied by an application fee, documentation from the parties
involved, and other supporting materials as may be appropriate. The approval of this request will
be considered on its merits and may or may not be approved.
6.. Construction of the sewers, pump stations) and force main 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 . . Upon completion of construction and prior to operation of this permitted facility, a certification
must be received from a professional engineer certifying that the permitted facility has been
installed in accordance. with this permit,, the approved plans and specifications, and other
supporting_ materials. Mail the Certification to the Water Quality Permits and Engineering Unit,
P.O. Box 29535, Raleigh, NC 27626-0535.
8 . A copy of the approved plans and specifications shall be maintained on file by the Permittee for a
minimum of five years from the date of the completion of construction.
9. Failure to abide by the conditions and limitations contained in this permit may subject the Permittee
to an enforcement action by the Division of Water Quality, in accordance with North Carolina
General Statute 143-215.6(a) to 143-215.6(c).
10. The issuance of this permit does not preclude the Permittee from complying with any and all
statutes, rules, regulations, or ordinances which may be imposed by other government agencies
(local, state, and federal) which have jurisdiction.
11. The Pennittee shall provide for the pump station and force main the following items:
-8 pumping cycles may be achieved per hour in the
a. Pump on/off elevations located so that 2
pump station,
b. An air relief valve located at all high points along the force main,
c. A screened vent for the wet well,
d. Fillets located in the wet well at the intersection of the flooring and sidewalls,
e. Three feet of cover (minimum) over the force main or the use of ferrous material where three
feet cannot be maintained,
f. Sufficient devices which will protect the pump station from vandals, and
g . is located below the 100-year flood elevation.
Flood protection if the pump station
12. In the event that the 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 of Water Quality, such as the construction of additional or replacement wastewater
collection facilities.
13. NONCOMPLIANCE NOTIFICATION:
The Permittee shall report by telephone to the Wilmington Regional Office, telephone.number 910/
395-3900 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 failure of a pumping station or sewer line resulting in a by-pass directly to receiving.
waters without treatment of all or any portion of the influent to such station or facility.
Persons reporting such occurrences bytelephone shall. also file a written report in letter form within
five (5) 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.

14.. A. stormwater management plan must be submitted to and. approved by the Wilmington Regional
Office in accordance with 15 NCAC 2H .1000.
15. The residuals generated from the pump station wet well trash basket must be disposed in
accordance with General Statute 143-215.1 and in a manner approved by the North Carolina
Division of Water Quality.
Permit issued this the 5th day of February, 1997
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION .
Preston Howard, Jr., P.E., Director
ivision of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0013176
3

)ocuSign Envelope ID: 13111BD5C-F70D-456C-AEA7-8B5C698FOD14
ROY COOPER n�
Governor j
ELIZABETH BISER
Secretary
S. DANIEL SMITH NORTH CAROLINA
Environmental Qualify
Director
January 27, 2022
Scotty Summerlin, Town Manager
Town of Warsaw
PO Box 464
Warsaw, NC 28398-0464
Subject: Permit No. WQ0043109
Town of Warsaw
Pump Station 11 Force Main Reroute
Wastewater Collection System Extension
Duplin County
Dear Mr. Summerlin:
In accordance with your application received January 10, 2022 we are forwarding herewith Permit No.
WQ0043109 dated January 27, 2022 to the Town of Warsaw (Permittee) for the construction and
operation upon certification 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 shall be considered a part of this permit and is therefore
incorporated therein by reference.
Please Note: The Town needs to examine the files of two of its existing sewer permits (WQ0012085
and WQ0013176) both designed by the same firm to determine if they are basically
describing the same system or different It is believed that one of these are likely the
approval of original pump station and force main associated with this project. If
accurate then this permit would be the one modified and corrected for Phase 3 of the
overall proposed proiect.
Please pay particular attention to the following conditions contained within this permit:
Standard Conditions:
Condition 11.1: This permit shall not be automatically transferable; a request must be made and
approved.
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.
Division of Water Resources —Wilmington Regional Office

)ocuSign Envelope ID: B111BD5C-F70D-456C-AEA7-8B5C698FOD14
Condition 11.7: Upon completion of construction and prior to operation of these permitted facilities, the
completed Engineering Certification form with checklist attached to this permit shall be
submitted with the required supporting documents to the address provided on the form.
Permit modifications are required for any changes resulting in non-compliance with
this permit, regulations, or the Minimum Design Criteria. [15A NCAC 02T.0116]
Condition 11.13: if the Permittee/Applicant holds a system -side collection system operation,
maintenance and management permit (WQCS-prefix) from the Division, then the
following applies: For all newly constructed, modified and rehabilitated pump stations,
all equipment and components shall be sealed within a corrosion -resistant coating or
encasement to the extent practicable and equivalent to the minimum design criteria
unless the permittee can demonstrate it is not practicable or another form of corrosion
resistance is employed. [15A NCAC 02T .0108 (b)]
It shall be responsibility of the Permittee 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 150B 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.
If you need additional information concerning this matter, please contact Dean Hunkele at [phone]
or via e-mail at Dean.Hunkele(@ncdenr.gov.
Sincerely,
DocuSigned by.
PTOµ
7F141 E73B6F3456.VV.
Tom Tharrington, Assistant Regional Supervisor
Water Quality Regional Operations Section
Wilmington Regional Office
Division of Water Resources, NCDEQ
Cc: David Gurley, McDavid Associates
.Upload to Laserfiche
(Laserfiche info via email)
Permit No. WQ0043109 January 27, 2022 Page 2 of 9

)ocuSign Envelope ID: B1 11 BD5C-F70D-456C-AEA7-8B5C698FOD14
.+ SFATE
r�
2�
NORTH CAROLINA
Environmental Quality
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
TOWN OF WARSAW
DUPLIN COUNTY
for the construction and operation upon certification of approximately 3,007 linear feet of 6-inch force
main to change the discharge location of an existing pump station (#11) to a larger gravity sewer line as
the first phase of a multi -phase public/private called the Pump Station 11 Force Main Reroute project with
no additional discharge of collected wastewater into the Town of Warsaw's existing sewerage system,
pursuant to the application received January 10, 2022 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
Environmental Quality 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 Number:
Issued Today:
by:
[Do"Signed
oµ TVAe.rrIA,
7FI M E7386F3456...
WQ0043109
January 27, 2022
Tom Tharrington, Assistant Regional Supervisor
Wilmington Regional Office
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
By Authority of the Director and The Environmental Management Commission
Permit No. WQ0043109 January 27, 2022 Page 3 of 9

3ocuSign Envelope ID: B111BD5C-F70D-456C-AEA7-8B5C698FOD14
SUPPLEMENT TO PERMIT COVER SHEET
TOWN OF WARSAW 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 Warsaw Wastewater Treatment
Facility in accordance with Permit Number NC0021903.
Permitting of this project does not constitute an acceptance of any part of the project that does not meet
15A NCAC 2T; the Division of Water Resources' (Division) 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.
II. STANDARD CONDITIONS
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. [15A NCAC 02T.0104; G.S 143-215.1(d3)]
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. 115A NCAC 02T.0110]
3. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data. [15A NCAC 02T .0110]
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: [15A NCAC 02T .0108(b)]
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.
Permit No. WQ0043109 January 27, 2022 Page 4 of 9

iocuSign Envelope ID: B111BD5C-F70D-456C-AEA7-BB5C698FOD14
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 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 Notification:
The Permittee shall report by telephone to a water resources staff member at the Wilmington
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:
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. [G.S.143-215.1C(a1)]
Permit No. WQ0043109 January 27, 2022 Page 5 of 9

�ocuSign Envelope ID: 13111BD5C-F70D-456C-AEA7-8B5C698F0D14
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. [15A NCAC 02T.0108(b)]
7. Upon completion of construction and prior to operation of these permitted facilities, the completed
Engineering Certification form with checklist 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 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 in accepted electronic format 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 applicable design calculations including pipe and pump sizing, velocity,
pump cycle times, and level control settings, pump station buoyancy, wet well storage, surge
protection, detention time in the wet well, and force main, ability to flush low points in force
mains with a pump cycle, and downstream sewer capacity analysis. If a portable power source or
pump is dedicated to multiple stations, an evaluation of all the pump stations' storage capacities
and the rotation schedule of the portable power source or pump, include travel timeframes, shall
be provided.
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 changes of 10% or greater by type & size,
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. [15A NCAC 02T .0116)
8. 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.
Permit No. W00043109 January 27, 2022 Page 6 of 9

�DcuSign Envelope ID: 13111BD5C-F70D-456C-AEA7-8B5C698FOD14
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. [ 15A NCAC 02T.0105(n)]
9. A copy of the construction record drawings shall be maintained on file by the Permittee for the life of
the wastewater collection facilities. [15A NCAC 02T .01161
10. 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. [15A NCAC 02T .0104; 15A NCAC 02T
.0108(b-c)]
11. 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.
[15A NCAC 02T .0110; 15A NCAC 02T .0108(b)]
12. 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 the Division any other Federal, State, or Local
government agencies which have jurisdiction or obtaining other permits which may be required by
the Division or any other Federal, State, of Local government agencies. [G.S. 143-215.1(b)]
13. If the Permittee/Applicant holds a system -side collection system operation, maintenance and
management permit (WQCS-prefix) from the Division, then the following applies: For all newly
constructed, modified and rehabilitated pump stations, all equipment and components shall be sealed
within a corrosion -resistant coating or encasement to the extent practicable and equivalent to the
minimum design criteria unless the permittee can demonstrate it is not practicable or another form
of corrosion resistance is employed. [15A NCAC 02T .0108 (b)]
Permit No. WQ0043109 January 27, 2022 Page 7 of 9

)ocu5ign Envelope ID: B111BD5C-F70D-456C-AEA7-8B5C698FOD14
FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE: Town of Warsaw
PERMIT #: WQ0043109
PROJECT: Pump Station 11 Force Main Reroute
ISSUE DATE: January 27, 2022
COUNTY: Duplin
This project shall not be considered complete nor allowed to operate in accordance with Condition 7 of this permit until
the Division has received this Certification and all required supporting documentation. Consequently, it should be
submitted in a manner that documents the Division's receipt. Send the required documentation to the Wilmington
Regional Supervisor, Water Quality Section at the address at the bottom.
The Permittee is responsible for tracking all partial certifications up until a final certification is received. Certifications
shall include Phase/Section covered line size & lengths installed and listing of lots/connections to be served and pump
station design, if applicable. A Final Certification shall be a complete set of record drawings and design calculations
regardless of whether partials have been submitted.
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
ENGINEERS CERTIFICATION
1, as a duly re istered Professional Engineer in the State of North Carolina, having been
authorized to ( periodically, ❑ weekly, ( full time) observe the construction of the project name and location as
referenced above for the above Permittee hereby state that, to the best of my abilities, due care and diligence was used
in the observation of the following construction:
approximately 3 007linear feet of 6-inch force main to change the discharge location of an existing pump station (#11)
to a larger gravity sewer line as the first phase of a multi -phase public/private called the Pump Station 11 Force Main
Reroute project with no additional discharge
such that the construction was observed to be built in compliance of this permit; 1SA NCAC 2T; the Division of Water
Resources' (Division) 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 w/signature & date
❑ Final ❑ Partial (include description)
Certification Comments/Qualifiers (attach if necessary): `...................... •....•........

DocuSign Envelope ID: B111BD5C-F70D-456C-AEA7-8B5C698FOD14
SEWER ENGINEERING CERTIFICATION CHECKLIST
To be completed by the certifying engineer prior to operation of the permitted sewers, per 15A NCAC 02T.0116.
Certifying Engineer:
Certification Review Date:
Project Name:
WQOQ
Project County:
1) Has permittee information changed since the permit was issued (or last modified): change of mailing address,
change of ownership, transfer from developer to HOA/POA, etc. ❑ Yes ❑ No
• If yes, please provide either a change of ownership form or new contact information. Note that transfer of
permits from the developer to the HOA/POA must occur with the first certification.
2) Have the as -built drawings have been signed, sealed, and dated by an N.C. PE? ❑ Yes ❑ No
3) Final Engineering certification? ❑ Yes ❑ No
• If Partial Engineering certification, provide detailed narrative including what is being certified in the current
phase, what was previously certified (if applicable), and what is left to be certified.
4) Adequate information related to sewer lines: ❑ Yes ❑ No ❑ N/A
• Three feet minimum cover has been provided for all sewers unless ferrous pipe was installed.
• Minimum diameters for gravity sewers are 8-inches for public lines and 6-inches for private lines.
• Manholes have been installed: At the end of each line, at all changes in grade, size, or alignment, at all
intersections, and at distances not greater than 425 feet; minimum diameter shall be 4 feet (48-inches).
5) Adequate information related to pump stations: ❑ Yes ❑ No ❑ N/A
• Ensure power reliability option was selected per 15A NCAC 02T.0305(h).
6) Was project construction completed in accordance with all of the following: ❑ Yes ❑ No ❑ N/A
• 15A NCAC 02T, Minimum Design Criteria (MDC) for the permitting of Gravity Sewers (latest version), and MDC
for the Permitting of Pump Stations and Force Mains (latest version)?
If not, a variance approval is required in accordance with 15A NCAC 02T.0105(b), prior to certification and operation.
Contact the Central Office to discuss the variance to determine a course of action.
Applicant must submit two copies of the variance request form, plans, specifications, calculations, and any other
pertinent information to the Central Office (one hard copy, one digital copy).
The central office will review the variance request, and if approvable, specific language regarding the variance
will be incorporated into the permit, either via a special condition or a supplementary letter. A copy of the
reissued permit with variance language or the variance letter must be maintained with the original documents.
7) Does the project contains high priority lines (15A NCAC 02T .0402(2))? ❑ Yes ❑ No
• If yes, ensure that the permit already contains the necessary condition related to high priority lines 15A NCAC
02T.0403 (a)(5). If the permit does not include this language, the Fast Track reviewer will reissue the permit with
the appropriate language.
8) Are Permit modifications are required for any changes resulting in non-compliance with this permit (including pipe
length difference of 10% or greater, change in flow, pump station design capacity design change of 5% or greater, and
change in the number/type of connections)? ❑ Yes ❑ No
• If yes, a permit modification request must be submitted to the appropriate Regional Office, and a modified
permit with revised certification must be issued prior to certification and operation.

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Series a-80
Close -coupled in -line
mounted pump available in
1-1/2" through 8" sizes. 1/4 to
50 HP at 1750 RPM and 5 to
PREMIUM 60 HP at 3500 RPM. Available
EFFICIENCY in stainless steel fitted
PRODUCT
construction. Flows to 2500
GPM, heads to 380 feet The Series e-80
is an efficient, heavy-duty, close -coupled
pump designed for horizontal and vertical
in -line mounting. Internally flushed Buna/
Carbon -Ceramic mechanical seals are
Series a-80S
A split -coupled vertical in -line
pump available in 1-1/2"
through 14" discharge sizes.
Motors range from 1 to 300
PREMIUM HP at 1750 RPM with flowsto
EFFICIENCY 8500 GPM and heads to 202
PRODUCT feet. Available in stainless
steel fitted construction, with working
pressures up to 250 psig.
Standard features include a unitized EPR/
Carbon -Ceramic mechanical seal, ANSI/
OSHA compliant guard, stainless steel
pump shaft and a shaft jacking coupling
to simplify maintenance,
Series VTP
Multi -stage Vertical Turbine Pumps with
bronze or stainless steel impellers and
cast iron bowls. The. lineshaft turbine
pumps have above -ground discharge
with water -lubricated lineshaft bearings.
The column pipe coupling has bronze
centering spiders with fluted -rubber
lineshaft bearings. The bowls are vitra-glass
Series a-SV
The Goulds Water
Technology Series e-SV
Vertical Multi -stage Pump
distributed, applied, and
PREMIUM- warranted by your local Bell
EFFICIENCY & Gossett representative.
PRODUCT Available in eleven models
with motors ranging from 1/2 -75 HP in
both 3600 and 1800 RPM with flows to
725 GPM and head to
standard. The internal flushed seal
provides five times the flushing flow of
pumps designed with externally flushed
seals. Available in 17S#, 250# and 300#
working pressure. Factory installed
variable speed drives for censored or
sensorless variable flow pumping.
APPLICATIONS;
HYDRONIC HEATING AND COOLING
SYSTEMS, GENERAL SERVICE
AND LIGHT INDUSTRIAL PROCESS
Designed for space savings and easy
servicing, thee-80SC allows mechanical
seal maintenance without disturbing the
pump, motor or piping. The wide access.
motor bracket will accept TC, HP, and
IEC motors. Factory installed variable
speed drives for sensored or sensorless
variable flow pumping.
APPLICATIONS:
HYDRONIC HEATING & COOLING
SYSTEMS, LIGHT INDUSTRIAL PROCESS,
- GENERAL SERVICE, PRESSURE
BOOSTING
coated in the waterways for improved
efficiencies. Capacities up to 10,000
GPM with heads to 150 feet per stage.
APPLICATIONS:
COOLING TOWERS, PRESSURE
BOOSTING AND GENERAL WATER
SERVICE
1200 feet The e-SV design has industry
leading pump efficiencies and a
design that allows for mechanical seal
replacement without removing the
motor to minimize downtime.
APPLICATIONS:
HYDRONIC HEATING & COOLING,
BOILER FEED, CONDENSER WATER,
WATER TREATMENT, PRESSURE
BOOSTING
Impact Submersible Wastewater Pumps
Our unique, self-cleaning impeller and
casing are specifically configured to
process solids more easily and reduce
clogging. This reduces costly maintenance
and minimizes downtime.The air -filled
motor, dual -mechanical seal and
specifically designed seal chamber
improve pump efficiency and durability.
APPLICATIONS:
COMMERCIAL BUILDING SEWAGE
SYSTEMS, DEWATERING/EFFLUENT
HANDLING, WATER.TRANSFER
3

Bell & Gossett
a xylemb and
i Pump Selection Summary
i Pump Capacity 300 US gpm
RFN @ Duty Point
Pump Head 115 ft
Impeller Diameter
34.5 ft
Control Head
NPSHr
f Duty Point Pump Efficiency 69 %
Motor Power
0.0 %
Motor Speed
pump PLEVv Efficiency
Minimum Shutoff Head
?DutypolntPower 13 bhp
Fluid Type
?Minimum Flow at RPM 90.4 US gpm
Fluid Temperature
! Flow @ BEP 452 US gpm
— ibs
Floor Space
Weight{arox -consult rep. —
pp
X}4em mc.
x f l em 67iK; 12 AUSIr. Ave-4,"anor Gsova. IL C:k'!S's
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if 7 30 v
17so'
11 ini
4i
20 hp!
160D rpm:
12S it'
Water!
68 "Fi
_fta

Bell & Gossett
e-80SC
Performance Curve
4x4xI1B
I Pump Selection Summary
I
Capacity300 US 9pm
RPM @Duty Point
,'pump
pump Head 115 it
impeller Diameter
loontrotHead 34.5 It
NPSHr
pump Efficiency 68.9./.
Motor Power
Duty point
Pump PLEW Eftency 60,9 %
Motor Speed
i Duty point Power 12-6 hhp
Minimum Shutoff Head
1 Minimum Flow at RPM 89.6 US gpm
Fluid Type
Flow@ BEP 448 US gpM
Fluid Temperatu re
iy!elght (.PR-!: ... . . ..... lbs
e
FloorSpa.c..........
XNAem Mj ;W!ON Avprn�e UnIm nmm. IL SM53
PI.—: fW, YA& V 03 F.U; I W, 93 TO
. tw%.IIOUt
li in
3.93i
20 hp!
1800 rpm' ,
123 fti
Wateki
68 T-,
ft':

Customer
/J Pump
Performance Datasheet
� P E N.�.Q� I R
Project name :
2C) ,) 3 Real esr9
Encompass 2.0 - 23.1.1
VICrs)oh 015._.
Size
Hydromatic- HPGB/HPGBX 100p
Item Nimberl Tags
: DeFault
1
Service
Stages
Based on curve number
AH;002_C 2 Rev
; SUB_G V_00
Quantity
-_
: 1
2012-03-23
_
Quote number
Date last saved
: 05 Jun 2023 2:38 PM
Operating Conditions
Liquid .__
: Water
Flow, rated
: 45.00 USgpm
Liquid type
Head, rated (requested)
. 187.0 ft
Additional liquid description
: 0.00 in
Head, rated (actual)
187.2 ft
Solids diameter, max
0.00 in
:
Suction pressure, rated I max
: 0.0010.00 psi.g
Solids size limit
Solids concentration, by volume
: 0.00 %,
NPSH available
: Ample
: 60 Hz
Temperature
: 80.00 deg F
Site Supply Frequency
Fluid density
: 0.997/ 0.997 SG
Performance
,
_ .... ....._..._ _
�, .. Viscosity
Speed cnteria
Synchronous
Vapor pressure, rated
: 0.57 psi.a
Speed
p
: 3500 rpm.
Material
Impeller dia.
Impeller diameter, maximum
: 7.38 in
: 7.38 in
Material selected
- -
: Standard
Impeller diameter, minimum
: 6.50 in
Pressure Data
Efficiency
-
Maximum working pressure
: 90.06 Psi.g
NPSH required / margin required
: - / 0.00 ft
Maximum. allowable working pressure : NIA
nq (imp. eye flow) ! S (imp. eye flow)
: 181- Metric units
Maximum allowable suction pressure : NIA
Minimum Continuous Stable Flow
Hydrostatic test pressure
: NIA
Head max.
: 208.6 ft
Driver 8-Power Data (@Ma)4 density)
Head rise to shutoff
: 11.56 %
Driver sizing specification
: Rated power
Flow, best eff. point
Margin over specification
: 0-00 %
Flow ratio, rated / .BEP
Service factor
:1.00
Diameter ratio (rated / max)
: 100.00 %
Power, hydraulic
: 2.12 hp
Head ratio (rated dia / max dia)
: 99.B7 %
Power, rated
: 9.86 hp
Cq/Ch%Ce/Cn [ANSI/HI 9.6.7-20101
: 1.00 / 1.00 / 1.00 / 1.00 Power, maximum
: 9.88 hp
Selection status
: Acceptable
Motor rating
: 10.00 hp / 7.46 kW (Fixed):
12
Power
Q9
-C
... ..-
0) 5
-
O
�.. 3
0
250
225
200
175
150
M
125
N
=
100
75
50
25
G
1b>yZ5
H C>s
g 4-5
75 7 2—
'0
0 10 20 30 40 50 bu to -
Flow - USgpm
PUBLICUSER ORGUNIT PHONE: • FAX:
�! PENTAD '

Grinder Pump Performance Characteristics
80
75
70
65
60
55
50
a 45
= 40
Q
35
U
Q 30
z
25
J
Q
0 O 20
15
10
5
— 0
(60 Hz) -
CONSULT FACTORY -
FOR INTERMITTENT
USE ABOVE 60 psi
OR 138 FEET TDH
LOW PRESSURE SYSTEM DESIGN PRESSURE
0 2 4 5 8 10 12 14 16
DISCHARGE (Q), GPM
190
180
170
160
150
cc
140 w
Q
130
LL
120 00
w
W
110 LL
z_
100 e
a
w
90 S
U_
80 2
E
z
70 c
60
0
50 ~
4D
30
2D
10
0
o 15
1447, 8 9
2
CJ

SUBMERSIBLE PUMP STATION CYCLES/HR CALCULATIONS
PROJECT AND STATION INFORMATION
Project Name: Warsaw PS 11
Project Number:
Owner: Town of Warsaw
Owner Contact: Greg Hughes
Telephone Number:
Station Name: 11
Station Number: 11
Case Number: 1
Case Description: Discharge at C2NC 6" Force Main
Calculated By: FTL
DESIGN CAPACITY
Average Daily Flow = 6,400 gpd = 4.44 gpm
Peaking Factor Method
I (� Manual Entry Q Service Population
Peaking Factor Entry = 4.50 DWQ PS -FM MDC, 2.02 A.4.c. requires a minimum peaking factor of 2.50.
Design Hourly Peaking Factor = 4.50 (manually entered)
Peak Hourly Flow = 20.00 gpm
Design Pumping Capacity = 29.00 gpm
10xx_gen\D101x_excel\D1012_gen_excel\FTL\2023\Warsaw PS 11.xls
1 of 2 8:54 AM 6/22/2023

WET WELL DESIGN
DWQ PS -FM MDC, 2.04 A.2. requires that the wet well volume be set to provide 2 to 8 pumping cycles per hour at
average daily flow.
In order to reduce equipment wear, the wet well volume should be set to minimize the number of pumping cycles
per hour at maximum cycling. Maximum cycling occurs at peak hourly flow or when the influent flow rate is exactly
equal to one-half the pumping rate, whichever is smaller. Not more than eight (8) pumping cycles per hour at
maximum cycling is recommended for design.
Minimum cycles per hour at average daily flow =
Maximum cycles per hour at average daily flow =
Maximum cycles per hour at maximum cycling =
Average Daily Flow = 4.44 gpm
Peak Hourly Flow = 20.00 gpm
Design Pumping Capacity = 29.00 gpm
2 DWQ PS -FM MDC, 2.04 A.2.
8 DWQ PS -FM MDC, 2.04 A.2.
8
Maximum Wet Well Volume = 112.90 gallons at Average Daily Flow
Minimum Wet Well Volume = 28.22 gallons at Average Daily Flow
Minimum Wet Well Volume = 54.38 gallons at maximum cycling which occurs
when the influent flow rate is one-half the pumping rate
Wet Well Type
I DQ circular 0 Rectangular
Wet Well Inside Diameter =
Wet Well Volume =
Maximum Cycle Depth =
Minimum Cycle Depth =
Design Cycle Depth =
Design Wet Well Volume =
Cycles per hour at average flow =
Cycles per hour at max. cycling =
Minimum Wet Well Liquid Depth =
Influent Pipe Invert Elevation =
High Water Alarm Elevation =
Lag Pump On Elevation =
Lead Pump On Elevation =
Pumps Off Elevation =
Wet Well Invert Elevation =
6.00 feet
12.00
211.51 gallons per vertical foot
0.53 feet
0.26 feet
0.50 feet
105.75 gallons
2.14 [complies with DWQ PS -FM MDC, 2.04 A.2.]
4.11 [influent flow at one-half Design Pumping Capacity]
2.10 feet (invert to pumps off)
132.33 feet
131.90 feet
131.50 feet
131.25 feet
130.75 feet
126.87 feet
10xx_gen\D101x_excel\D1012_9en_excel\FTL\2023\Warsaw PS 11.xis
2 of 2 8:54 AM 6/22/2023