WQ0044521_SSEA_20230816

w a 00 44,51A
Highfill Infrastructure Engineering, P.C.
3804 Park Avenue, Unit A
H I G H F I L L Wilmington, North Carolina 28403
Tel [phone] NC Firm License No. C-2586
June 19, 2023
PERCS Unit Supervisor
NCDEQ
512 N Salisbury St, Suite 925
Raleigh, NC 27604
RE: Sewer System Extension Application and Variance Request
House of Raeford Farms, Inc. — Rose Hill Pump Station & Force Main
HIGHFILL Project No.: HOR2201
Dear Mr. Tuvia:
The employee generated domestic wastewater at the House of Raeford Farms, Inc. (HOR) existing
processing plant located on US Hwy 117 between Rose Hill and Magnolia has historically been handled via
an onsite system. The existing onsite system includes grease traps, septic tanks and nitrification field. As a
result of imminent failure of the onsite system, HOR is entering an agreement with the Town of Rose Hill
for receipt of this wastewater. A 180 gpm duplex wastewater pumping station and approximately 9,200
LF of 6-inch force main will be constructed, operated and maintained by HOR in order to convey
wastewater form their facility to the Town's collection system.
HOR operates facilities to treat and land apply process wastewater generated at this facility and is familiar
with the operation of pumping facilities and force mains as a result. As a result of the industrial nature of
the facility that will be served by the new pump station, some variances from the requirements of 15A
NCAC 02T and Minimum Design Criteria (MDC) for the Permitting of Pump Stations and Force Mains are
requested as described below.
15A NCAC 02T .0305(h)(1)(B) Pump Station Reliability — Standby Power Source or Pump: Based
on the # of employees at the facility, an average daily flow of 17,500 gpd is calculated. A standby
power source or pump is required according to the regulation referenced. Potable water to the
facility is provided by wells at the site. A power failure to the proposed pump station would
impact the facility as well as these wells. As a result, power failure will disrupt the flow of potable
water which would prevent the generation of domestic wastewater within the facility. HOR
indicates that operations cease at the facility in the event of a power outage.
In addition, the configuration of the wastewater service will continue to utilize the existing grease
traps and septic tanks to receive flow from the facility. Effluent from these tanks is currently
pumped to the nitrification fields and in the future will pump to the new wet well at the proposed
pumping station. In the event of a power outage, wastewater from these tanks currently cannot
be conveyed to the nitrification fields. Similarly, a power outage will prevent wastewater from
being conveyed to the new wet well. Any wastewater generated from toilets flushed and/or
wastewater in pipelines during power outages will collect in the existing septic tanks as currently
occurs.
Engineering is our profession. Service is our passion.

Mr. Tuvia
June 19, 2023
2. 15A NCAC 02T .0305(h)(1)(E) Pump Station Telemetry System: This regulation requires that all
duplex pump stations have a telemetry system to provide remote notification problem
conditions. The facility is staffed on all three shifts and the location of the proposed pump station
will allow the mounting of alarm horn and light on a pole which will be in the direct line of sight of
the guard house which is staffed 24 hours/day, 7 days per week. Guard staff can notify the
appropriate emergency response personnel. See attached aerial image of the site with the
proposed pump station location and existing guardhouse identified.
Approval of the variance requests described above will not result in lesser treatment of the domestic
wastewater generated at the site, greater than acceptable risk to waters of the state or increased
potential for nuisance conditions from noise, odor or vermin. These factors are expected to improve as a
result of this project due to the current condition of the onsite nitrification fields. In addition, the
configuration of electric and plumbing utilities at the site will prevent the discharge of flow to the new
wet well that could threaten waters of the state due to an overflow when power is disrupted at the site.
Enclosed for your review and in support of these variance requests are the following items;
• Form VADC 10-14
• Engineering Plans (3 sets)
• Technical Specifications (2 sets)
• Engineering Calculations (2 sets)
• Aerial Site View for line -of -sight verification
• Form SSEA04-16 (one original and one copy)
• NC Secretary of State documentation for House of Raeford Farms, Inc.
• FTSE 04-16
• USGS Topographic and Street Level Maps of the Project Area
• Application Fee
If there is any additional information or detail needed in order for DWR to complete its review and
approval of the House of Raeford Farms, Inc. Sewer System Extension Application and associated variance
requests, please do not hesitate to contact me.
Sincerely,
HIGHFILL INFRASTRUCTURE ENGINEERING, P.C.
Chad D. Easter, PE
Senior Project Manager
enclosures
cc: Chris Murray, House of Raeford Farms, Inc.
HIGHFILL I Page 2

ENGINEERING CALCULATIONS &
SUPPORTING DOCUMENTATION
for
Rose Hill Pump Station & Force Main
HOUSE OF RAEFORD FARMS, INC,
\A ... CARD
/,y9•,
4� SEAL _
033743
4/-LY- 20 Z,3
'�FNGINE.�-Q
'
SEAL NOT VAUD UNLESS SIGNED AND DATED
Prepared by:
r -q""
,A %.*NHIGHFILL 3804 Park Avenue, Unit A
INFRASTRUCTURE Wilmington, North Carolina 28403
ENGINEERING, P.C. Tel[phone]
�'�M V NC Firm License No- C-2586

TABLE OF CONTENTS
1.0 Average Daily Flow Calculations
2.0 Force Main Calculations
3.0 Pump Station Calculations — Cycle / Run Times
4.0 Wet Well Buoyancy
5.0 TDH Calculation / System Curve
6.0 Pump Selection Information
7.0 Downstream Sewer Evaluation

1.0 AVERAGE DAILY FLOW CALCULATIONS

HIGHFILL INFRASTRUCTURE ENGINEERING, PC
AVERAGE DAILY FLOW CALCULATIONS
PROJ: Rose Hill Pump Station & Force Main
FOR: House of Raeford Farms, Inc.
BY: cde
DATE: 4/13/2023
Vance Brooks calculations dated 7/29/20222 provide design ADF = 17,500 GPD, PF = 4
Qty
gpd/unit
GPD
1st Shift Employees
325
25
8,125
2nd Shift Employees
50
25
1,250
3rd Shift Employees
325
25
8,125
17,500
Total
700
25
12 gpm ADF
From NCDENR Fast -Track Guidance Manual (Page 7, June 2000), matches 10-State Standards Method
POPULATION SERVED 700
SO ROOT OF "P" 0.84 (square root of population in thousands)
PF 3.89 (Use 4.0)
Note: The PF calculation above is appropriate for calculations based on realistic actual flows. When using the
NCDENR required design flows which are very consertavie, a PF of 2.5 is often more appropriate because there
is some PF built it the conservative NCDENR AD flow values.
Highest flow occurs durign 1st and 3rd shifts. Assuming each shift has a duration of 8 hours, average flow rate for 1st and 3rd shift =
8,125 gallons / ((8 hours))(60 min/hr)) = 16.93 gpm — say 20 gpm
Considering PF calculated above, peak flow rate for 1st and 3rd shift =
20 gpm x 4.0 = 80 gpm

2.0 FORCE MAIN CALCULATIONS

HIGHFILL INFRASTRUCTURE ENGINEERING, PC
AVERAGE DAILY FLOW CALCULATIONS
PROJ Rose Hill Pump Station & Force Main
FOR: House of Raeford Farms, Inc.
BY: cde
DATE: 4/13/2023
Pumping distance required: 9170 LF
Calculated Peak Flow: 80 gpm
From NCDENR MDC Fast -Track Permitting of Pump Stations and Forcemains (Page 18, June 2000), Minimum Velocity = 2.0 ft/sec
FM Dia. in
Velocity ft/sec
Comment
"Headloss friction /1,000 LF
lComment
4
2.05
ok
3.31
japprox 30 ft cumulative
6
0.91
too low
N/A
8
0.51
too low
N/A
`from spreadsheet "Darcy Weisbach headloss calculator"
High cumulative friction loss warrants evaluation of 6-inch pipe nominal pipe diameter.
Proposed flow increases to 180 gpm to maintain 2.0 ft/sec.
FM Dia. in
Velocity ft/sec
Comment
'Headloss friction /1,000 LF
Comment
4
4.60
ok
16.74
too high
6
2.05
ok
2.21
approx 20 ft cumulative
8
1.15
too low
N/A
'from spreadsheet "Darcy Weisbach headloss calculator'
Force Main Flushing
Calculated Average Flow: 17500 gpd
Volume of FM: 13500.53 gallons
USE
Average daily flow volume exceed total force main volume there for force main is expected to be completely flushed in 24 hours => OK

3.0 PUMP STATION CALCULATIONS - CYCLE / RUN TIMES

PUMP STATION CALCULATIONS - CONNECTED FLOWS AT P.S. START-UP
PROJ: Rose Hill Pump Station & Force Main
FOR: House of Raeford Farms, Inc.
BY: cde
DATE: 4/13/2023
1. PUMP SIZE
AVG DAILY FLOW: 17,500 GPD =
PEAKING FACTOR: 4
PEAK FLOW: 70,000 GPD =
PUMPING CAPACITY TO USE:
FORCE MAIN SIZE:
CHECK FM VELOCITY:
HIGHFILL INFRASTRUCTURE ENGINEERING, PC
12.2 GPM (calculations attached)
(calculations attached)
48.6 GPM
(pumping capacity req'd)
180 GPM
6 INCHES
2.04 FPS
(2.0 fps, minimum)
2. WETWELL VOLUME
AVG DAILY FLOW:
12.2 GPM
DESIGN CYCLES/HOUR:
2
CYCLE TIME:
30.0 MIN
VOL:
341 GALLONS
WETWELL DIA:
6 FT
UNIT VOLUME:
211.5 GAL/FT
REQ'D STORAGE DEPTH:
1.6 FEET
3. CHECK CYCLE TIME
FILL TIME:
28.0 MIN
PUMP RUN TIME:
1.9 MIN
OVERRUN 1:
0.1 MIN
OVERRUN 2:
0.0 MIN
TIME FOR ONE CYCLE:
30.0 MIN
CYCLES PER HOUR:
2.0 CY/HR PER PUMP
NO. OF PUMPS:
2
PUMP CYCLES/HR:
1.0 CY/HR
3. EMERGENCY STORAGE AVAILABLE
ALARM ON ELEV:
75.5 FT
OVERFLOW ELEV:
83.5 FT
WETWELL UNIT VOL:
211.5 GAL/FT
STORAGE VOL AVAIL:
1692 GAL
AD FLOW:
12 GPM
RESPONSE TIME AVAIL:
2.3 HOURS
RESPONSE TIME NEEDED:
0.75 HOURS
CHECK:
OK
4. PUMP STATION KEY ELEVATIONS
TOP WETWELL:
83.5 FT
GRADE:
83.0 FT
INV. IN:
76.5 FT
HIGH ALARM:
75.5 FT
BOTH PUMPS ON:
74.5 FT
LEAD PUMP ON:
73.5 FT
PUMPS OFF:
71.5 FT
INV. OF WETWELL:
68.5 FT
GRADE TO W.WELL INVERT: 14.5 FT
(must be between 2 and 8 at AD flow)
(per Section 2.04 equation, NCDENR PS Guidance Manual)
(@ 8 Ft dia. , 0.9 VF needed)
1.0 ft below Inv. In
1.0 ft below high alarm
1.0 ft below both pumps on
2.0 R below lead pump on
3.0 ft below pump off
GRADE
INV IN
HIGHA ARM
I AG ON
ROTH OFF
W.WELL INVERT
SCHEMATIC

4.0 WET WELL BUOYANCY

HIGHFILL INFRASTRUCTURE ENGINEERING, PC
BOUYANCY CHECK
PROJ: Rose Hill Pump Station & Force Main
FOR: House of Raeford Farms, Inc.
BY: cde
DATE: 4/13/2023
Volume of Concrete
Bouyancy:
MH ID:
6 FT
MH OD:
7.00 FT
MH SIDE WALL HEIGHT
15 FT
FLOOD ELEV:
83.5 FT
WALL THICKNESS
0.50 FT
BOTTOM MH ELEV:
68.5 FT
TOP THICKNESS
0.50 FT
VOL OF WATER DISPLACED:
577.27 CF
EXTENDED BASE DIA:
8.00 FT
UNIT WT CONC.
62.4 #/CF
EXTENDED BASE THK:
0.67 FT
BOUYANT FORCE:
36022 #
VOL OF CONC:
205.9 CF
UNIT WT CONC.
150 #/CF
CONC. WEIGHT:
30888 #
Add Soil Weight (if extended base)
MH OD: 7.00 FT
EXTENDED BASE DIA: 8 FT
DEPTH OF BURY: 15 FT
VOL OF SOIL ANCHOR: 170.82 CF (NO REFRACTION ANGLE = S.F.)
UNIT WT SOIL: 65 #/CF (BOUYANT DENSITY)
SOIL WEIGHT: 11104 #
Total Weight = 41992 # Total Bouyancy = 36022 #
SF: 1.00
Check: OK

5.0 TDH CALCULATION / SYSTEM CURVE

SYSTEM CURVE CALCULATOR
PROJECT
FOR
PROJECT #
PUMP SYSTEM
CALC. BY
DATE
FILENAME
Rose Hill Pump Station & Force Main
House of Raeford Farms, Inc.
HOR2201
Domestic Sanitary Sewer
cde
4/13/2023
LlProjectslHouse of Raefo 4HOR1101- Rose Hill PS & FMienglLS Design Oatal(3-inch piping_System Curve with bun/on Hydraulies 2011-02-23 v6a1=1Calculator
DESIGN PUMPING RATE
GPM
MAX. DISCH. WATER SURF. ELEV.
IA25
FT.
MIN. SUCTION WATER SURF. ELEV.
FT.
MAXIMUM STATIC HEAD
FT.
LENGTH
MIN. DISCH. WATER SURF. ELEV. LAFT.
FT.
MAX. SUCTION WATER SURF. ELEV. FT,
MINIMUM STATIC HEAD
% OF TOT.
VELOCITY HEAD HEAD
ITEM DIA. OR CITY. COEFF. 1 COEFF.2 FLOW FLOW VEL. HEAD LOSS 1 LOSS 2
(IN) (FT) (C or K) (C or K) (GPM) (FPS) (FT) (FT) (FT)
FLUSH PIPE ENTRANCE
PIPE (H/W EQUATION)
90 BEND
SWING CHECK VALVE
GATE VALVE
TEE BRANCH TO LINE
REDUCER
90 BEND
PIPE (H/W EQUATION)
PIPE EXIT
45 BEND
3
1
0.5
n/a
100
3
30
130
110
100
3
2
0.3
n/a
100
3
1
2.5
n/a
100
3
1
0.2
n/a
100
3
1
1
n/a
100
6
1
31
1.70
100
6
4
0.3
n/a
100
6
8928
130
110
100
6
1
1
n/a
100
6
2
0.2
n/a
100
Source of input data and assumptions:
A. Design Plans, dated 4/10/2023
B.
C.
D.
E.
F.
G.
H.
180.00
8.17
1.04
0.52
0.52
180.00
8.17
1.04
2.73
3.72
180.00
8.17
1.04
0.62
0.62
180.00
8.17
1.04
2.59
2.59
180.00
8.17
1.04
0.21
0.21
180.00
8.17
1.04
1.04
1.04
180.00
8.17
2.04
1.65
1.65
180.00
2.04
0.06
0.08
0.08
180.00
2.04
0.06
27.85
37.93
180.00
2.04
0.06
0.06
0.06
180.00
2.04
0.06
0.03
0.03
48.45
CI C2
Therefore, design duty condition Is:
180 GPM at 74 FT TDH

SYSTEM CURVE CALCULATOR
PROJECT
FOR
PROJECT#
PUMP SYSTEM
CALC.BY
DATE
FILENAME
EWER LOW FLOW RANGE FOR PLOT 0 GPM
EWER HIGH FLOW RANGE FOR PLOT 250 GPM
Q
[GPMI
MINIMUM
STATIC
HEAD
[FT]
MAXIMUM
STATIC
HEAD
FRICTION
HEAD
C1
FTI
FRICTION
HEAD
C2
[FT]
TDH
C1
MIN
[FT]
TDH
C1
MAX
IFT]
TDH
C2
MIN
[FT[
TDH
C2
MAX
[FT]
0
21.5
25
0.00
0.00
21.50
25.00
21.50
25.00
12.5
21.5
25
0.18
0.23
21.68
25.18
21.73
25.23
25
21.5
25
0.72
0.93
22.22
25.72
22.43
25.93
37.5
21.5
25
1.62
2.10
23.12
26.62
23.60
27.10
50
21.5
25
2.88
3.74
24.38
27.88
25.24
28.74
62.5
21.5
25
4.51
5.84
26.01
29.51
27.34
30.24
75
21.5
25
6.49
8.41
27.99
31.49
29.92
33.41
87.5
21.5
25
8.83
11.45
30.33
33.83
32.95
36.45
100
21.5
25
11.53
14.95
33.03
36.53
36.45
39.95
112.5
21.5
25
14.60
18.92
36.10
39.60
40.42
43.92
125
21.5
25
18.02
23.36
39.52
43.02
44.86
48.36
137.5
21.5
25
21.81
28.27
43.31
46.81
49.77
53.27
150
21.5
25
25.95
33.64
47AS
50.95
55.14
58.64
162.5
21.5
25
30.46
39.48
51.96
$5.46
60.98
64.48
175
21.5
25
35.33
45.79
56.83
60.33
67.29
70.79
187.5
21.5
25
40.55
52.57
62.05
65.55
74.07
77.57
200
21.5
25
46.14
59.81
67.64
71.14
81.31
84.81
212.5
21.5
25
52.09
67.52
73.59
77.09
119.02
92.52
225
21.5
25
58.40
75.70
79.90
83.40
97.20
100.70
1
237.5
21.5
25
65.06
84.34
86.56
90.06
105.84
109.34
250
1 21.5
25
72.09
93.45
93.59
97.09
114.95
1 118.45
PUMP PUMP PUMP PUMP PUMP PUMP
CURVE CURVE CURVE CURVE CURVE CURVE
#1 #2 #3 #4 #5 #6
77.02
87.97
97.94
108.07
119.98
131.93
75.65
86.04
96.12
106.44
117.41
129.56
74.37
84.26
94.39
104.85
115.07
127.33
73.15
82.61
92.76
103.30
112.96
125.25
71.99
81.09
91.21
101.79
111.05
123.29
70.89
79.67
89.73
100.31
109.32
121.45
69.84
78.35
88.33
98.88
107.75
119.72
68.84
77.12
87.00
97.49
106.34
118.10
67.87
75.97
85.73
96.14
105.05
116.57
66.94
74.88
84.51
94.83
103.87
115.14
66.03
73.94
83.34
93.56
102.78
113.78
65.14
72.85
82.22
92.33
101.77
1 112.50
64.27
71.89
81.13
91.14
100.81
111.29
63.40
70.95
80.07
89.99
99.89
110.13
62.54
70.01
79.03
88.88
98.99
109.02
61.67
69.08
78.01
87.81
98.09
107.96
60.79
68.13
77.01
86.79
97.17
106.93
59.90
67.15
76.01
85.80
96.21
105.93
58.98
66.14
75.01
84.85
95.20
104.94
58.04
65.08
74.00
83.94
94.12
103.97
57.06
63.96
72.98
1 83.07
92.95
103.00
180 GPM (6-inch Force Main) - System Curve with Gorman Rup T3A Pump Curve
140
Izo
IW
w
w
2150 RPM
50 RPM
-x.'
Notes:
(1) AOR/POR markers plotted above should be ignored on parallel pump curves and pump curves at speeds less than full speed.
(2) AOR/POR markers plotted above are based on 70% and 120% of BEP (typical centrifugal pump). Adjust for high energy column pump.
Z:IProlecfsWouse o/Raebrt7WOR2207 -Rose Hill PS 6 F4RengLLS Design Date04nch piping_Systam Cune n#h Suctlon Hydreu/ka_2022-02-23_v8

6.0 PUMP SELECTION INFORMATION

7.0 DOWNSTREAM SEWER EVALUATION
To be provided by Town of Rose Hill

State of North Carolina
Department of Environmental Quality
WG Division of Water Resources
,�,,r� 15A NCAC 02T .0300 — SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources I1 t I TIONS FOR FORM: SSEA 04-16 & SUPPORTING DOCUMENTATION
. ,-,\ I -.A
Plans, specifications and supporting documprepared in accordance with, 15A NCAC 02T .0100, 15A NCAC 02T
.0300, Division Policies and good�en ' actices. Failure to submit all required items will necessitate additional
processing and review time, and r f.W— return of the application.
For more n for��on, 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 revi Etimpinduce the
amount of requested additional information. :aL��L I/ED
A. One Original and One Copy of Application and Supporting Documents
® Required unless otherwise noted
JUN 2 2 2023
B. Cover Letter (Required for All Application Packages):
® List all items included in the application package, as well as a brief description of the regriDW*V("iFWVM
➢ If necessary for clarity, include attachments to the application form. 401 & BUFFER PERtMI T1fq(3
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 Engineer.
® The Applicant's Certification on Page 6 of the application shall be signed in accordance with 15A NCAC 02T .0106(w
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):
N 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 penrrit 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(t) 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 Engineer, 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 15ANCAC 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

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 Engineer, 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 11-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 04-1!0.
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

State of North Carolina
DWR Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources SSEA 04-16 & SUPPORTING DOCUMENTATION
Application Number: WV9 44 ,5V (to be completed by DWR)
I. APPLICANT INFORMATION:
1. Applicant's name: House of Raeford. Inc
2. Applicant type: ❑ Individual ® Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State ❑ Municipal ❑ County
3. Signature authority's name: Chris Murray per 15A NCAC 02T .0106(b)
Title: Corporate Environmental Manager
4. Applicant's mailing address: P.O. Box 40
City: Rose Hill State: NC Zip: 28458-
5. Applicant's contact information:
Phone number: 9( 10) 990-7921 Email Address: Chris.MurrgyOHouseofRaeford.com
H. PROJECT INFORMATION:
1. Project name: Rose Hill Pump Station & Force Main
2. Application/Proiect status: ® Proposed (New Permit) ❑ Existing Permit/Project
3. If a modification, provide the existing permit number: W000 and issued date:
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: 34.858786o Longitude:-78.030680o
III. CONSULTANT INFORMATION:
1. Professional Engineer: Chad D. Easter License Number: 033743
Firm: Highfill Infrastructure Engineering, PC
Mailing address: 3804 Park Ave Ste A
City: Wilmington State: NC Zip: 28403-
Phone number: 910 313-1516 Email Address: ceasterna.hiepc.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Town of Rose Hill WWTP Permit Number: NCO056863
Owner Name: Town of Rose Hill
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s):
System Wide Collection System Permit Number(s):
Owner Name(s): Town of Rose Hill
FORM: SSEA 04-16 Page I of 6

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 01C? ❑ 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: 17,500 GPD (per 15A NCAC 02T .0114)
Has a flow reduction been approved under 15A NCAC 02T .0114(f) ❑ Yes ® No
If yes, provide a copy of flow reduction approval letter
S. Summarize wastewater generated by project:
Establishment Type
Daily Design Flow
No. of Units
Flow
Factories, excluding industrial waster
25 gal/employee
700
17,500 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
1 17,500 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 .0I 14(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 021'.0305:
1. Summarize Gravity Sewer to be permitted:
Size (inches) Length (feet) Material
N/A
VIII. PUMP STATION DESIGN CRITERIA — 02T .0305 & MDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: House of Raeford Domestic Wastewater Pumping Station
2. Approximate Coordinates (Decimal Degrees): Latitude: 34.858786' Longitude:-78.030680'
3. What is the nearest 100-year flood elevation to the facility? N/A feet mean sea level. Source: flood.NC.gov
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():
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?
5. Finish grade elevation of the pump station: 83.0
6. Design flow of the pump station: 0.07 millions gallons per day (firm capacity)
7. Operational point(s) of the pump(s): 180 gallons per minute at 74 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:
❑ Portabic powcr sourcc with manual activation, quick-conncction rcccptacic and tcicmctry - 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

VIII. PUMP STATION DESIGN CRITERIA (continued)
11. Summarize the pump station design elements:
Design Element
Plan Sheet
Reference
Specification
Reference
Power Reliability Source and Associated Elements
N/A
N/A
Screened Wet Well Vent
C-1.0
N/A
Check Valves, Gate Valves, etc.
C-1.0
40 05 60
Control Panel
C-1.0
33 32 11
Restricted Access Elements (Fence, Wet Well Lock, etc)
C-1.0
33 32 11
Audible and Visual Alarms
C-1.0
33 32 11
Telemetry/SCADA
N/A
N/A
Level Controls
C-1.0
33 32 11
Weatherproof Sign with Required Information
N/A
33 32 11
Air Relief Valves
sd-2.0
40 05 60
12. Summarize the force main to be permitted:
Size (inches)
Length (feet)
Material
High
Elevation (feet)
Discharge
Elevation (feet)
Pump -Off
Elevation (feet)
6
9170
PVC
94
83.3
71.5
13. Air release valve station locations per 15A NCAC 02T .03056):
Air Release Valve #
Station
Plan Sheet Reference
1
39+20
FM-1.2
2
99128
FM-1.6
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(i) & (a) ® Yes ❑ No
➢ 15A NCAC 02T.0305(t) 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 II impounded reservoirs used as a source of drinking water
100 feet
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, HQW, or SB from normal
hiRh 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(fl cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surfacc Water Classifications webpa_e
➢ 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 2B.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 Permitting Branch
5. Does project comply with 15A NCAC 02T.0105(c)(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 sball 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

M CERTIFICATIONS:
1. 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 Gravity Sewer Minimum Design Criteria (latest version) as applicable?
❑ Yes ® 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:
Chad D. Easter
attest that this application for
(Professional Engineer's name from Application item 111.1.)
Rose Hill Pump Station & Force Main
(Facility name from Application Item II.1.)
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: GlOSE
��lr,��
033743 -
-L,/-Za ZJ
449'Ai
3. Applicant's Certification per 15A NCAC 02T .0106(b): SM NOT V" UNLESS SIGNED AND UITED
I Chris Murray, Corporate Environmental Manager attest that this application for
(Signature Authority's name & title from Application Item I.3.)
Rose Hill Pump Station & Force Main
(Facility name from Application Item II.1.)
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 t xceed $10,000 as ell as civil penalties up to $25,000 per violation. /� r��
Signature:L Date: f-{� LY 73
FORM: SSEA 04-16 Page 6 of 6

ENGINEERING CALCULATIONS &
SUPPORTING DOCUMENTATION
for
Rose Hill Pump Station & Force Main
HOUSE OF RAEFORD FARMS, INC,
,`\`,,,t,ltI I lilfu,,,,,.
CARDS
SEAL =
033743 -
ENGINEER
00l111111111N00
SEAL NOT VALID UNLESS SIGNED AND DATED
Prepared by:
H I G H F I L L 3804 Park Avenue, Unit A
19 INFRASTRUCTURE Wilmington, North Carolina 28403
ENGINEERING, P.C. Tel[phone]
14- V
NC Firm License No. C-2586

TABLE OF CONTENTS
1.0 Average Daily Flow Calculations
2.0 Force Main Calculations
3.0 Pump Station Calculations — Cycle / Run Times
4.0 Wet Well Buoyancy
5.0 TDH Calculation / System Curve
6.0 Pump Selection Information
7.0 Downstream Sewer Evaluation

1.0 AVERAGE DAILY FLOW CALCULATIONS

HIGHFILL INFRASTRUCTURE ENGINEERING, PC
AVERAGE DAILY FLOW CALCULATIONS
PROJ: Rose Hill Pump Station & Force Main
FOR: House of Raeford Farms, Inc.
BY: cde
DATE: 4/13/2023
Vance Brooks calculations dated 7/29/20222 provide design ADF = 17,500 GPD, PF = 4
Qty
gpd/unit
GPD
1st Shift Employees
325
25
8,125
2nd Shift Employees
50
25
1,250
3rd Shift Employees
325
25
8,125
17,500
Total
700
25
12 gpm ADF
From NCDENR Fast -Track Guidance Manual (Page 7, June 2000), matches 10-State Standards Method
POPULATION SERVED 700
SQ ROOT OF "P" 0.84 (square root of population in thousands)
PF 3.89 (Use 4.0)
Note: The PF calculation above is appropriate for calculations based on realistic actual flows. When using the
NCDENR required design flows which are very consertavie, a PF of 2.5 is often more appropriate because there
is some PF built it the conservative NCDENR AD flow values.
Highest flow occurs durign 1st and 3rd shifts. Assuming each shift has a duration of 8 hours, average flow rate for 1st and 3rd shift =
8,125 gallons / ((8 hours))(60 min/hr)) = 16.93 gpm - say 20 gpm
Considering PF calculated above, peak flow rate for 1 st and 3rd shift =
20 gpm x 4.0 = 80 gpm

2.0 FORCE MAIN CALCULATIONS

HIGHFILL INFRASTRUCTURE ENGINEERING, PC
AVERAGE DAILY FLOW CALCULATIONS
PROJ: Rose Hill Pump Station & Force Main
FOR: House of Raeford Farms, Inc.
BY: cde
DATE: 4/13/2023
Pumping distance required: 9170 LF
Calculated Peak Flow: 80 gpm
From NCDENR MDC Fast -Track Permitting of Pump Stations and Forcemains (Page 18, June 2000), Minimum Velocity = 2.0 ft/sec
FM Dia. in
Velocity ft/sec
Comment
*Head loss friction /1,000 LF
Comment
4
2.05
ok
3.31
approx 30 ft cumulative
6
0.91
too low
N/A
8
0.51
too low
N/A
*from spreadsheet "Darcy Weisbach headloss calculator"
High cumulative friction loss warrants evaluation of 6-inch pipe nominal pipe diameter.
Proposed flow increases to 180 gpm to maintain 2.0 fUsec.
FM Dia. in
Velocity ft/sec
Comment
*Headloss friction /1,000 LF
Comment
4
4.60
ok
16.74
too high
6
2.05
ok
2.21
approx 20 ft cumulative
8
1.15
too low
N/A
*from spreadsheet "Darcy Weisbach headloss calculator"
Force Main Flushing
Calculated Average Flow: 17500 gpd
Volume of FM: 13500.53 gallons
USE
Average daily flow volume exceed total force main volume there for force main is expected to be completely flushed in 24 hours => OK

3.0 PUMP STATION CALCULATIONS - CYCLE / RUN TIMES

HIGHFILL INFRASTRUCTURE ENGINEERING, PC
PUMP STATION CALCULATIONS - CONNECTED FLOWS AT P.S. START-UP
PROJ: Rose Hill Pump Station & Force Main
FOR: House of Raeford Farms, Inc.
BY: cde
DATE: 4/13/2023
1. PUMP SIZE
AVG DAILY FLOW: 17,500 GPD =
12.2 GPM
(calculations attached)
PEAKING FACTOR: 4
(calculations attached)
PEAK FLOW: 70,000 GPD =
48.6 GPM
(pumping capacity req'd)
PUMPING CAPACITY TO USE:
180 GPM
FORCE MAIN SIZE:
6 INCHES
CHECK FM VELOCITY:
2.04 FPS
(2.0 fps, minimum)
2. WETWELL VOLUME
AVG DAILY FLOW:
12.2 GPM
DESIGN CYCLES/HOUR:
2
CYCLE TIME:
30.0 MIN
VOL:
341 GALLONS
WETWELL DIA:
6 FT
UNIT VOLUME:
211.5 GAL/FT
REQ'D STORAGE DEPTH:
1.6 FEET
3. CHECK CYCLE TIME
FILL TIME:
28.0 MIN
PUMP RUN TIME:
1.9 MIN
OVERRUN 1:
0.1 MIN
OVERRUN 2:
0.0 MIN
TIME FOR ONE CYCLE:
30.0 MIN
CYCLES PER HOUR:
2.0 CY/HR PER PUMP
NO. OF PUMPS:
2
PUMP CYCLES/HR:
1.0 CY/HR
3. EMERGENCY STORAGE AVAILABLE
ALARM ON ELEV:
75.5 FT
OVERFLOW ELEV:
83.5 FT
WETWELL UNIT VOL:
211.5 GAL/FT
STORAGE VOL AVAIL:
1692 GAL
AD FLOW:
12 GPM
RESPONSE TIME AVAIL:
2.3 HOURS
RESPONSE TIME NEEDED:
0.75 HOURS
CHECK:
OK
4. PUMP STATION KEY ELEVATIONS
TOP WETWELL:
83.5 FT
GRADE:
83.0 FT
INV. IN:
76.5 FT
HIGH ALARM:
75.5 FT
BOTH PUMPS ON:
74.5 FT
LEAD PUMP ON:
73.5 FT
PUMPS OFF:
71.5 FT
INV. OF WETWELL:
68.5 FT
GRADE TO W.WELL INVERT: 14.5 FT
(must be between 2 and 8 at AD flow)
(per Section 2.04 equation, NCDENR PS Guidance Manual)
(@ 8 Ft dia. , 0.9 VF needed)
1.0 ft below Inv. In
1.0 ft below high alarm
1.0 ft below both pumps on
2.0 ft below lead pump on
3.0 ft below pump off
GRADE
INV IN
HIGH ALARM
W.WELL INVERT
SCHEMATIC

4.0 WET WELL BUOYANCY

HIGHFILL INFRASTRUCTURE ENGINEERING, PC
BOUYANCY CHECK
PROJ: Rose Hill Pump Station & Force Main
FOR: House of Raeford Farms, Inc.
BY: cde
DATE: 4/13/2023
Volume of Concrete
Bouyancy:
MH ID:
6 FT
MH OD:
7.00 FT
MH SIDE WALL HEIGHT
15 FT
FLOOD ELEV:
83.5 FT
WALL THICKNESS
0.50 FT
BOTTOM MH ELEV:
68.5 FT
TOP THICKNESS
0.50 FT
VOL OF WATER DISPLACED:
577.27 CF
EXTENDED BASE DIA:
8.00 FT
UNIT WT CONC.
62.4 #/CF
EXTENDED BASE THK:
0.67 FT
BOUYANT FORCE:
36022 #
VOL OF CONC:
205.9 CF
UNIT WT CONC.
150 #/CF
CONC. WEIGHT:
30888 #
Add Soil Weight (if extended base)
MH OD: 7.00 FT
EXTENDED BASE DIA: 8 FT
DEPTH OF BURY: 15 FT
VOL OF SOIL ANCHOR: 170.82 CF (NO REFRACTION ANGLE = S.F.)
UNIT WT SOIL: 65 #/CF (BOUYANT DENSITY)
SOIL WEIGHT: 11104 #
Total Weight = 41992 # Total Bouyancy = 36022 #
SF: 1.00
Check: OK

5.0 TDH CALCULATION / SYSTEM CURVE

SYSTEM CURVE CALCULATOR
PROJECT
FOR
PROJECT #
PUMP SYSTEM
CALC. BY
DATE
FILENAME
Rose Hill Pump Station & Force Main
House of Raeford Farms, Inc.
HOR2201
Domestic Sanitary Sewer
cde
4/13/2023
LI ProjectslHouse ofRaef-AHOR1101 -Rose Hill PS & FMIengILS Design DataV3-inch piping_System Curve with Suction Hydmulks_2022-01-23_K.xismJCakulotor
DESIGN PUMPING RATE
GPM
MAX. DISCH. WATER SURF. ELEV.
FT.
MIN. SUCTION WATER SURF. ELEV.
U25
FT.
MAXIMUM STATIC HEAD
FT.
MIN. DISCH. WATER SURF. ELEV. 95 FT.
MAX. SUCTION WATER SURF. ELEV. 73.5 FT.
MINIMUM STATIC HEAD 21.5 FT.
LENGTH % TOT. VELOCITY HEAD HEAD
ITEM DIA. OR QTY. COEFF. 1 COEFF.2 FLOW FLOW VEL. HEAD LOSS 1 LOSS 2
(IN) (FT) (C or K) (C or K) (GPM) (FPS) (FT) (FT) (FT)
FLUSH PIPE ENTRANCE
PIPE (H/W EQUATION)
90 BEND
SWING CHECK VALVE
GATE VALVE
TEE BRANCH TO LINE
REDUCER
90 BEND
PIPE (H/W EQUATION)
PIPE EXIT
45 BEND
3
1
0.5
n/a
100
3
30
130
110
100
3
2
0.3
n/a
100
3
1
2.5
n/a
100
3
1
0.2
n/a
100
3
1
1
n/a
100
6
1
31
1.70
100
6
4
0.3
n/a
100
6
8928
130
110
100
6
1
1
n/a
100
6
2
0.2
n/a
100
Source of input data and assumptions:
A. Design Plans, dated 4/10/2023
B.
C.
D.
E.
F.
G.
H.
180.00
8.17
1.04
0.52
0.52
180.00
8.17
1.04
2.73
3.72
180.00
8.17
1.04
0.62
0.62
180.00
8.17
1.04
2.59
2.59
180.00
8.17
1.04
0.21
0.21
180.00
8.17
1.04
1.04
1.04
180.00
8.17
2.04
1.65
1.65
180.00
2.04
0.06
0.08
0.08
180.00
2.04
0.06
27.85
37.93
180.00
2.04
0.06
0.06
0.06
180.00
2.04
0.06
0.03
0.03
TOT. FRICTION HEAD (FT)
37.37
48.45
TDH HIGH (FT)
62.37
73.45
TDH LOW (FT)
58.87
69.95
CI
C2
Therefore, design duty condition is:
180 GPM at 74 FT TDH

SYSTEM CURVE CALCULATOR
PROJECT
FOR
PROJECT R
PUMP SYSTEM
CALL. BY
DATE
FILENAME
ENTER LOW FLOW RANGE FOR PLOT 0 GPM
ENTER HIGH FLOW RANGE FOR PLOT 250 GPM
Q
[GPM]
MINIMUM
STATIC
HEAD
[FT]
MAXIMUM
STATIC
HEAD
[FTj
FRICTION
HEAD
C1
[FTj
FRICTION
HEAD
C2
[FT]
TDH
C1
MIN
[FT]
TDH
C1
MAX
[FT]
TDH
C2
MIN
[FT]
TDH
C2
MAX
[FT]
0
21.5
25
0.00
0.00
21.50
25.00
21.50
25.00
12.5
21.5
25
0.18
0.23
21.68
25.18
21.73
25.23
25
21.5
25
0.72
0.93
22.22
25.72
22.43
25.93
37.5
21.5
25
1.62
2.20
23.12
26.62
23.60
27.10
50
21.5
25
2.88
3.74
24.38
27.88
25.24
28.74
62.5
21.5
25
4.51
5.84
26.01
29.51
27.34
30.84
75
21.5
25
6.49
8.41
27.99
31.49
29.91
33.41
87.5
21.5
25
8.83
11.45
30.33
33.83
32.95
36.45
100
21.5
25
11.53
14.95
33.03
36.53
36.45
39.95
112.5
21.5
25
14.60
18.92
36.10
39.60
40.42
43.92
125
21.5
25
18.02
23.36
39.52
43.02
44.86
48.36
137.5
21.5
25
21.81
28.27
43.31
46.81
49.77
53.27
150
21.5
25
25.95
33.64
47.45
50.95
55.14
58.64
162.5
21.5
25
30.46
39.48
51.96
55.46
60.98
64.48
175
21.5
25
35.33
45.79
56.83
60.33
67.29
70.79
187.5
21.5
25
40.55
52.57
62.05
65.55
74.07
77.57
200
21.5
25
46.14
59.81
67.64
71.14
81.31
84.81
212.5
21.5
25
52.09
67.52
73.59
77.09
89.02
92.52
225
21.5
25
58.40
75.70
79.90
83.40
97.20
100.70
237.5
21.5
25
65.06
84.34
86.56
90.06
105.84
109.34
250
21.5
25
72.09
93.45
93.59
97.09
114.95
118.45
PUMP PUMP PUMP PUMP PUMP PUMP
CURVE CURVE CURVE CURVE CURVE CURVE
kl h2 h3 !t4 MS 86
77.02
87.97
97.94
108.07
119.98
131.93
75.65
86.04
96.12
106.44
117.41
129.56
74.37
84.26
94.39
104.85
115.07
127.33
73.15
82.61
92.76
103.30
112.96
125.25
71.99
81.09
91.21
101.79
111.05
123.29
70.89
79.67
89.73
100.31
109.32
121.45
69.84
78.35
88.33
98.88
107.75
119.72
68.84
77.12
87.00
97.49
106.34
118.10
67.87
75.97
85.73
96.14
105.05
116.57
66.94
74.88
94.51
94.83
103.87
115.14
66.03
73.84
83.34
93.56
102.78
113.78
65.14
72.85
82.22
92.33
301.77
112.50
64.27
71.89
81.13
91.14
100.81
111.29
63.40
70.95
80.07
89.99
99.89
110.13
62.54
70.01
79.03
88.88
98.99
109.02
61.67
69.08
78.01
87.81
98.09
107.96
60.79
68.13
77.01
86.79
97.17
106.93
59.90
67.15
76.01
85.80
96.21
105.93
58.98
66.14
75.01
84.85
95.20
104.94
58.04
65.08
74.00
83.94
94.12
103.97
57.06
63.96
72.98
83.07
92.95
103.00
190 GPM (41nch Force Main) - System Curve with Gorman Rup T3A Pump Curve
IQ
2150 RPM
1950 RPM
Notes:
(1) AOR/POR markers plotted above should be ignored on parallel pump curves and pump curves at speeds less than full speed.
(2) AOR/POR markers plotted above are based on 70% and 120%of BEP (typical centrifugal pump). Adjust for high energy column pump.
2: WryectsWouse otRRePordU10R2201 -Rose Hill PS 8 FA/IengLLS Design Datal3-inch pipinp_Sys2em Curve with Suction Flydreulks_2022-02-23_v6

6.0 PUMP SELECTION INFORMATION

7.0 DOWNSTREAM SEWER EVALUATION
To be provided by Town of Rose Hill

Entity Requesting Allocation:
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
House of Raeford
Project Name for which flow is being requested: Rose Hill Pump Station and Force Main
More than one FTSE maj, be required for a single project if the owner of the WWTP is not responsible for all punip
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name:
b. WWTP Facility Permit #
Rose Hill WWTP
: NCO056863
All flows are in MGD
c. WWTP facility's permitted flow
0.45
d. Estimated obligated flow not yet tributary to the WWTP
0
e. WWTP facility's actual avg. flow
0.156
f. Total flow for this specific request
0.01750
g. Total actual and obligated flows to the facility
0.1735
h. Percent of permitted flow used
38.5°
II. Complete this section for each pump station you are responsible for along the route of this
proposed
wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A) (B)
(C) (D)=(B+C)
(E)=(A-D)
Design
Obligated,
Pump Pump Average Approx.
Not Yet Total Current
Station Station Firm Daily Flow** Current
Tributary Flow Plus
(Name or Permit Capacity, * (Firm / pfl, Avg. Daily
Daily Flow, Obligated
Available
Number) No. MGD MGD Flow, MGD
MGD Flow
Capacity***
First St 2 0.432 0.144 0.045
0 0.045
0.099
* The Firm Capacity (design flow) of any pump station is defined as the maximum pumped flow
that can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor
(pi) 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): Rose Hill Collection Sewer
Downstream Permit Number: WQCS00198
Page 1 of 6
FTSE 10-18

III. Certification Statement:
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 Date
Teu)v, f (-A .1�, , n, \ �Ar k r
Title of Signing Official
Page 2 of 6
FTCF tn_IR

If %# a in i\ QUICK LINKS FORKS FAQS FEES NEWS & EVENTS A150131 CONTACT APPOINTMENTS SIGN IN
Secretary of State
1
9 Elaine F. Marshall Home I Want To. Divisions 10 Topics Online Services —
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Cooperative Association
Legal, Name
House of Raeford Farr-L5, Inc
Prev Legal Name
PIVO [PG00P0(311V0 IX
Information
Sosid: 007113.10
Status: CUrrpml Arb.-P. G
Date Formed: 4'2 1; 1975
Citizenship: Dornesl<
Fiscal. Month: D(iCbMtx,,'
Annual, Report Due Date:
Registered Agent: Jones -htnry
Addresses
Reg Office
1951 G afk Akenu 9
Roeigli Nr-' 203C,5-11fjtiFj
Nnelpat Office
1125 Us HiNy 117 South
Rost, I I ill NC 2�4G3
Malting
P 0 130-x 15199
RcA-A I lill INC, 2ZIA,5
Reg Mailing
Post Offico Nix 1060
RFik;iiqh NIC 27605 Chic)

STATE OF NORTH CAROLINA ROSE HILL OUADRANOLE
UNITED STATES DEPARTMENT OF NATURAL RESOURCES NORTH CAROUNA-DUPLIN CO.
3 DEPARTMENT OF THE INTERIOR AND COMMUNT•RTH DEYELOPMEHT T.S MINUTE' SERIES (T� RAPHR:1
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m
Abner's RV Park© m Duplin County
Solid Waste;
9Ho 'of Raeford Farms `.
®
Nash Johnson Nas Johnson�—
oduction
PROJECT
hnsonNashQ LOCATION Rose ill-Magnolia0
Sons' Farms Eleme ary School
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1
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`pour County Electric
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-0Sinn � Sw* 9 W 4.Ey Rd_ Q '+ 1 Ir W;Ch.l�v Rd
The Chapel at
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DISCLAIMER:
Mailing Address:ADDRESS
The information gathered from
Deeded Acres: DEED _ACRES
this site is for informational
Deed Ref: DeedRef
purposes only and the map(s)
Last Sale Date:SALE DATE TEXT
printed from this sfle should NOT
Last Sale Price:SALE PRICE
be teal as or .T peace of an
actual survey.The map(s)
Assessed Value:TOTAL VALU E
should NOT be used in sates
Property Class: PROP CLASS
or conveyances.
Heat SQ Feet: HT_SQ--PT
3
t -r�a�i� ..ems"=`..+1''�..•
Line of Sight.
Aporoximately 850 feet
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MB
40 Acres
Town Code:TOWN CODE
Account #:ACCT NUM
Misc. lmprv:$MIS-C_IMP VALUE
Year Built: EFF YEAR BUILT
Land Value:$ TOTAL aND_VAL
Fire Code:FIRE CODE
YearBuilt:YEAfT BUILT
Ump
ation
'e
0 "•45 90 180 270 "

HOUSE OF
FCI
November 17, 2016
To Whom It May Concern,
Chris Murray, our Corporate Environmental Manager has the authority to sign Division of Water
Quality permit applications/modifications for our Rose Hill Facility.
Regards,
Robert ohnson
CEO
House of Raeford Farms, Inc.
P.O. Box 40.3333 US Hwy 117 South • Rose Hill, NC 28458 • 800-POULTRY • 910-289-3191

State of North Carolina
Department of Environment and Natural Resources
VV� 2 V0 Division of Water Resources
t Z 15A NCAC 02T .0105 — VARIANCE/ALTERNATIVE DESIGN REQUEST
Division of Watesmesources %,C9gXRUCTIONS FOR FORM: VADC 10-14 & SUPPORTING DOCUMENTATION
�f'1PX`EPer' v�
Plans, specificati���porting documents shall be prepared in accordance with, 15A NCAC 02T .0100, 1 CAC 02T
.0300, Division Pi s and good engineering practices. Failure to submit all required iill . eete nesiitaadditional
processing and review time, and may result in return of the request. 1N .
For more information, visit the Wastewater Branch's websitesat. 1�►�`' N�C
h yp://aortal.ncdenr.org/web/wq/swp/ps/cs/ext
�G
General — When submitting a request, please use the following instructions as a checklist in order ts-ensure all required items are
submitted. Adherence to these instructions and checking the provided boxes will help produce a quicker review ti reduce the
amount of requested additional information. Unless otherwise noted, submit one original and one Vop� `of` a request and
supporting documentation.
A. Cover Letter (Required for All Request Packages):
® List all items included in the request package and a brief description of the requested permitting action.
® Submit a detailed description of specific criteria that a variance request is submitted for.
15A NCAC 02T, Minimum Design Criteria (MDC for the permitting of Gravity Sewers, &
Minimum Design Criteria (MDC) for the Permittingof Pump Stations and Force Mains
® Submit a detailed description why the project cannot comply with 15A NCAC 02T or adopted design criteria.
® Submit a detailed description of how the alternative design will meet the requirements of 15A NCAC 02T .0105(n)
B. Request Form (VADC 10-14) (Required for All Request Packages):
® Submit the completed and appropriately executed VADC 10-14 request form.
® The Applicant's certification of the request shall be signed in accordance with 15A NCAC 02T.106(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).
® The Professional Engineer's Certification of the request shall be signed, sealed and dated by a North Carolina licensed
Professional Engineer.
C. Engineering Plans (Required for All Request Packages):
® Submit one set of detailed plans that have been signed, sealed and dated by a North Carolina licensed Professional
Engineer, pertinent to the variance request. Individual plan sheets related to the request may be submitted instead of
complete plan sets.
® 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.
D. Specifications (Required for All Request Packages):
® Per 15A NCAC 02T .0304(b)(2), submit specifications that have been signed, sealed and dated by a North Carolina
licensed Professional Engineer, pertinent to the variance request.
® 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.
E. Engineering Calculations (All Request Packages):
® Per 15A NCAC 02T .0305(b)(3), submit engineering calculations that have been signed, sealed and dated by a North
Carolina licensed Professional Engineer, pertinent to the variance request.
F. Applicable Sewer Extension Application and Supporting Documentation
(Required if submitted in conjunction with a variance request)
® Submit the completed and appropriately executed application if provided in conjunction with the request.
➢ This is exclusive to projects requiring a full technical review (ASEA 08-13 & SSEA 08-13).
➢ Submission of FTA 10-14 and supporting documents to the regional office is only allowed once the variance has
been approved by the Ccntral Office. Submission prior will result in the application being returned.
INSTRUCTIONS FOR FORM: VADC 10-14 & SUPPORTING DOCUMENTATION Page 1 of 2

15A NCAC 02T.0105 — Select Code Related to Variance / Alternative Design Criteria
(b)... The applicant shall provide adequate documentation to the Division to ensure that the proposed system will meet all
design and performance criteria as required under this Subchapter and other applicable rules, be operated as a non -discharge
system, and protect surface water and groundwater standards. Variances to this Subchapter or adopted design criteria must
be specifically requested in the application and, if approved pursuant to Paragraph (n) of this Rule, incorporated into
the permit. The Division may accept certification from a licensed or certified professional (e.g. Professional Engineers,
Licensed Soil Scientist, Licensed Geologist, Technical Specialist) that the design meets or exceeds minimum design criteria
applicable to the project. Division acceptance of certifications by the applicant or by licensed or certified professionals
preparing reports for the application shall not constitute approval of a variance to this Subchapter or applicable minimum design
and performance criteria unless specifically requested in the application and approved in the permit.
(n) The Director shall approve alternative Design Criteria in cases where the applicant can demonstrate that the alternative
design criteria will provide the following:
(1) equal or better treatment of the waste;
(2) equal or better protection of the waters of the state; and
(3) no increased potential for nuisance conditions from noise, odor or vermin.
THE COMPLETED REQUEST AND SUPPORTING DOCUMENTATION SHALL BE SUBMITTED TO:
ATTENTION: PERCS UNIT SUPERVISOR
By U.S. Postal Service:
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699
TELEPHONE NUMBER: [phone]
By Courier/Special Delivery:
512 N. SALISBURY ST. SUITE 925
RALEIGH, NORTH CAROLINA 27604
FAX NUMBER: [phone]
INSTRUCTIONS FOR FORM: VADC 10-14 & SUPPORTING DOCUMENTATION Page 2 of 2

' State of North Carolina
Department of Environment and Natural Resources
DWR Division of Water Resources
15A NCAC 02T .0105 — VARIANCE/ALTERNATIVE DESIGN REQUEST
Division of Water Resources VADC 10-14 & SUPPORTING DOCUMENTATION
Application Number:(if applicable, tobecompleted byDWR)
I. APPLICANT INFORMATION:
1. Applicant's name: House of Raeford, Inc
2. Applicanttype: ❑ Individual ® Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State ❑ Municipal ❑ County
3. Signature authority's name: Chris Murray per 15A NCAC 02T .0106(b) Title: Corporate Environmental Manager
4. Applicant's mailing address: P.O. Box 40
City: Rose Hill State: NC Zip: 28458-
5. Applicant's contact information:
Phone number: [phone] Email Address: Chns.MurraynaHouseofRaeford.com
11. PROJECT INFORMATION:
1. Project name: Rose Hill Pump Station & Force Main
2. Project status: ® Proposed ❑ Existing (if existing, Permit Number:
III. CONSULTANT INFORMATION:
1. Professional Engineer: Chad D. Easter License Number: 033743
Firm: Highfill Infrastructure Engineering, PC
Mailing address: 3804 Park Ave Ste A
City: Wilmington State: NC Zip: 28403-_
Phone number: [phone] Email Address: ceaster hiepc.com
IV. VARIANCE REQUEST:
1. Provide a detailed list of specific criteria that a variance request is submitted for:
(e.g., NCAC 02T.0305(f) - Separation, MDC for Pump Stations / Force Mains 3.04(A)(1)(b) — Discharge Piping Velocity, etc)
1 15A NCAC 02T 0305(h)(1)(B) Pump Station Reliability - Standby Power Source or
Puma
2 15A NCAC 02T .0305(h)(1)(E) Pump Station Telemetry System
FORM: VADC 10-14 Page l of

Applicant's Certification per 15A NCAC 02T .0106(b):
Chris Murray, Corporate Environmental Manager
I, attest that this request for
(Signature Authority's name & title from Request Item 1.3.)
Rose Hill Pump Station & Force Main
(Project name from Request Item 11.1.)
has been reviewed by me and is accurate and complete to the best of my knowledge. I also understand that if all required parts of
this request package are not completed and that if all required supporting information and attachments are not included, this
request package will be returned to me as incomplete. I understand that by certifying this variance request, I shall adhere to the
requirements of the variance approval should it be approved and all permit conditions should the permit be approved.
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 request package shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed $10,000 as well as civil penalties p to $25,000 per violation.
Signature: 0�n� ��/ , Date:V, Z. (,,-��
Professional Engineer's Certification:
Chad D. Easter
that this request for
(Professional Engineer's name from Request Item 111.1.)
Rose Hill Pump Station & Force Main
(Project name from Request Item 11.1.)
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 in accordance with 15A NCAC 02T.0105(n) will provide; equal or better treatment of the
waste; equal or better protection of the waters of the state• and no increased potential for nuisance conditions from noise, odor,
or vermin. I further attest as been prepared in accordance with this request 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 143-215.613, any person who knowingly makes any false statement,
representation, or certification in any request 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:
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033743
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FORM: VADC 10-14 Page 2 of 2