WQ0043908_WQ0043908 application_20231016

Charles R. Underwood. [nc.
2000 Boone'Frail JU
Sanford, NC 27330
R 919.773.2463
L
CITY OF SANFORD - CARR CREEK LIFT STATION - FIRM CAPACITY MODIFICATION
DATE: October 12, 2023 NC Dept of Erlrir0? rnej,ta1 Qiaaiity
FROM: Zach C. Hinnant, PE
TO: NCDEQ, Division of Wate Resources
Copy: Paul Weeks, PE, City of Sanford, NC
RE: Carr Creek Lift Station - Modification to Permitr.'lQ004[8#Coection
This technical memorandum provides a narrative description of the requested permitting
action for Carr Creek Lift Station. Other items included in this application package include:
1. Application Fee
2. Fast Track Application
3. Documentation of Registration with the NC Secretary of State
4. Existing Permit No. WQ0043908-Correction
S. USGS Topographic Map of the Project Area
6. Aerial Location Map
1. Carr Creek Lift Station — Firm Capacity Modification
Carr Creek Lift Station (CCLS) was permitted on January 17, 2022 and the Final Certification
was completed on July 17, 2023. CCLS was permitted for a firm capacity of 812 gallon per
minute (gpm) or 1.17 MGD. After performing field drawdown testing on September 12, 2023,
it was observed the firm capacity was measured to be 890_gpm or 1.28 MGD (see attached
letter to the City of Sanford).
Thus, the requested permitting action for this application is to increase the firm capacity from
1.17 MGD to 1.28 MGD. All previously permitted items shall remain in the permit and have
been certified to be in substantial compliance with permit requirements. No items are added
and/or modified. In addition, the receiving sewer has been evaluated and determined
adequate to accommodate this firm capacity increase.
Should you have any questions regarding this request, please contact me.
Sincerely,,
7"T`r-
Zach C. Hinnant, PE
Charles R. Underwood, Inc.
M
Page I of i

ErC4:c:7-
September 13, 2023
Ms. Mary DePina
City of Sanford
225 E. Weatherspoon St.
Sanford, NC 27331
Charles R. UndeiAvood, Inc.
7(X)O Boom Trail Rd
Sanford, NC: 27330
,1-775_?463
NC Dept o!"J'E.iror;t ,ental Quality
RE: Carr Creek Lift Station
Permit No. WQ0043908 Raleigii Regional Office
Certification of Firm Capacity
Dear Ms. DePina,
On 9/12/2023, to field verify the newfirm capacity of Carr Creek Pump Station after the improvements
made in Permit No. WQ0043908, I performed drawdown testing running (1) pump by itself and (2)
pumps in parallel. The results are as follows:
Single Pump Flow: 790 GPM
Parallel Pump Flow: 890 GPM
E
Carr Creek is a triplex pump station with identical pumps, so firm capacity of the pump station is the
pumping capacity of (2) pumps operating in parallel. Thus, the a field measured firm capacity of Carr
Creek Pumo Station is 890 GPM or 1.28 MGD.
A copy of the pump curve with these field measured points is attached to this letter.
Sk CA
incerely,
"{iq"epeeeeyeN
ach C. Hinnant, PE '� ,,�•.
I IP
Cc: Paul M. Weeks Jr PE '
SM t9
Ken W. Bright, PE 42054
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PENTAIR
f Iterr. Number ITags
Service
Quant ty
Quote numbfir
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Customer : try Ot` T."lrc*s7
Project name ,;;�L
Pump Performance Datasheet
EriMn ass 2 0 23 2 0
beiaul! Size : 4" 5436MV
Stages : 1
1 Based on curve number : 4-5435MV-1800-T4EIE Rev
201901is
Date last saved , 13 Sep 2023 8 17 AM
Operating Conditions Liquid
F ow, rated
: 765 0 USgpm
Liquid type
: Water
Differential head pressur0 ra ed req:tested[ 198 5 ft
Additional liquid description
Differential head pressure rated .actua 1
: 198 9 ft
Solids diameter, max
: 0.00 In
Suction pressure rated r" ax
.000 _ _ - Ds g
Solids diameter mkt
: 3.00 in
NPSH avallab a rated
Amp{e
Solids concentration, by volume
: 0.00 %
Site Supp y Frequency
60 Hz
Temperature. max
: 68,00 deg F
Parforrrunce
Fluid density. rated 1 max
: 1.000 11.000 SG
Speed criteria
Synchronous
Viscosity, rated
: 1.00 cP
Speed, rated
1780 rpm
Vapor pressure rated
: 0.34 psi.a
Impel er diameter rated
14 00 in
Material
Impel er diameter maximum
: 14 00 in
Material selected
: Cast Iron
Impel er diameter m n mum
11 00 in
Pressure Data
Efficiency
63 08 %
Maximum working pressure
: 103.8 psi.g
NPSH required - margin requ red
18.27 10.00 ft
Maximum allowable working pressure
125.0 psi.g
nq ('mp eye Slow. S (mp eye It 1w
241 129 Metric un'ts
Maximum allowable suction pressure
: NIA
Min mum Continuous Stable Flow
383.2 USgpm
Hydrostatic test pressure
: 190.0 psi.g
Head maximum rated d ameter
239 8 It
Driver r# Power Data (@ Max densHy)
Head rise to shutoff
20 55 %
Flow, best eff po nt
1.174 4 USgpm
Driver sizing specification
Rated power
Flow rat o, rated BEP
.55 14 %
Margin over specificaiton
0.00 %
Diameter ratio (rated max.
100 00 %
Service factor
: 1.00
Head ratio (rated dia max dia)
100 00 !o
power, hydraulic
: 38.42 hp
Cg1ChCe1Cn [ANSI H 9 6 7.2010.
100 1 1 001 1 0011 00
Power, rated
: 60.91 hp
Se ectlon status
Acceptable
power, maximum, rated diameter
51.85 hp
M;nimum recommended motor rating
: 75.00 hp 155 93 kW
too
t 7S
i6 so
ti 25
0
300 -- —
270
240`
210 14.00 in 47 52 ci
180
ta0 ISO
d -
= 120 - - -
so
00
30
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POW
-- Min mum Cw*uous Stable Flow
Max abaw" flow
Ptgorpd qmetwVreran
Systern Curve 01
s9 Q�
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Flow - USgpm
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PE NTA I R KANSASIRBANKS CI Y, KANSAS 6610d
WW'N FAIRBANKSNIJHU S COW
PHONE •I.913.37t•50t)0 FAX

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
r FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources INSTRUCTIONS FOR FORM: FTA 10-23 & SUPPORTING DOCUMENTATION
This application is for sewer extensions involving gravity sewers, pump stations and force mains, or any combination that has been
certified by a professional engineer and the applicant that the project meets the requirements of : 5A WAC 02T and the Division's
Minimum Design Criteria (Gravity Sewcr & P-pjoT, Station- Force Mains and that plans, specifications and supporting documents
r have been prepared in accordance with 1.5A NCAC 02Tt 15A NCAC 02T .0300, Division policies, and o� od engipeerin�.practices.
i
While no upfront engineering design documents are required for submittal, in accordance with 15A NCAC 02T .0305(b), design
.� documents must be prepared prior to submittal of a fast track permit application to the Division. This would include plans, design
calculations, and project specifications referenced in 15A NCAC 02T .0305 and the applicable minimum design criteria. These
documents shall be immediately available upon request by the Division.
W
Projects that are deemed permitted (do not require a permit from the Division) are explained in 15A_NCA Q 02T.0303.
Projects not eligible for review via the fast track process (must be submitted for full technical review):
➢ Projects that do not meet any part of the minimum design criteria (MDC) documents;
➢ Projects that involve more than one variance from the requirements of 15A NCAC 02T;
➢ Pressure sewer systems utilizing simplex septic tank -effluent pumps (STEPS) or simplex grinder pumps;
➢ Simplex STEP or simplex grinder pumps connecting to pressurized systems (e.g. force mains);
➢ Vacuum sewer systems.
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. Failure to submit all required items will necessitate additional processing and review
time, and may result in return of the application. Unless otherwise noted, the Applicant shall submit one original and one copy of
the application and supporting documentation.
A. One Original and One Copy (second copy may be digital) of Application and Supporting Documents
® Required unless otherwise noted. Signatures on original must be "wet ink" or secure digital signatures.
Please do not submit engineering design plans with the application unless specifically requested.
B. Cover Letter/Narrative Description (Required for All Application Packages):
® List all items included in the application package, as well as a brief description of the requested permitting action.
➢ Be specific as to the system type, number of homes served, flow allocation required, etc.
➢ Include the permit number/status of any other required sewer permits (downstrcam/upstream)
➢ If necessary for clarity, include attachments to the application form.
C. Application Fee (All New and Modification Application Packages):
® Submit a check or money order in the amount of $600.00, dated no more than 90 days prior to application submittal.
➢ Payable to North Carolina Department of Environmental Quality (NCDEQ)
D. Fast Track Application (Required for All Application Packages, Form FTA 10-23):
® 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 1.2 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 1.2 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 flow acceptance letters, agreements, etc.
® The Professional Engineer's Certification on Page 5 of the application shall be signed, sealed and dated by a North Carolina
licensed Professional ,l jng nccr.
® The Applicant's Certification on Page 5 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).
INSTRUCTIONS FOR FORM: FTA 10-23 & SUPPORTING DOCUMENTATION
Pagel of 3

E. Flow Tracking/Acceptance Form (Form: FTSE 10-23) (If Applicable):
❑ Submit the completed and executed FTSE form from the owners of the downstream sewers and treatment facility.
➢ Multiple forms maybe required where the downstream sewer owner and wastewater treatment facility are different.
➢ The flow acceptance indicated in form FTSE 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 indicates that owner has adequate capacity and will not violate (1, S 143 21_5.67i al.
➢ Intergovernmental agreements or other contracts will not be accepted in lieu of a project -specific FTSE.
F. Site Maps (All Application Packages):
® Submit an 8.5-inch x I 1-inch color copy of a USGS Topographic Map of sufficient scale to identify the entire project area,
including the closest surface waters.
➢ General location of the project components (gravity sewer, pump stations, & force main)
➢ Downstream connection points and permit number (if known) for the receiving sewer
® Include an aerial location map showing general project area (such as street names or latitudellongitude) so that Division staff
can easily locate it in the field.
G. Existing Permit (Application Packages for Modifications to an Existing Permit):
® Submit a copy of the most recently issued existing permit.
® Include a descriptive and clear narrative identifying the previously permitted items to remain in the permit, items to be
added, and/or items to be modified (the application form itself should include only include items to be added/modified). The
narrative should also include whether any previously permitted items have been certified.
® The narrative should clearly identify the requested permitting action and accurately describe the sewers to be listed in
the final permit.
H. Power Reliability Plan (Required if portable reliability option utilized for Pump Station):
❑ Per 15A NCAC 02T .0305lh)(i }, 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)
1. Certificate of Public Convenience and Necessity (All Application Packages for Privately -Owned Public Utilities):
❑ Per I SA NCAC 02T .01 I Sig 1) provide the Certificate of Public Convenience and Necessity from the North Carolina I,Jliliti
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.
J. Operational Agreements (Applications from HOAIPOA and Developers for lots to be sold):
❑ Home/Property Owners' Associations
L ❑ Per 15A NCAC 02T .01 15ic1, submit the properly executed irrational A_qrccment� RM,._I I IAA.
❑ 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 .01 15(b), submit the properly executed O era ignal A�rcement tFORM: Di- VI_
LFor more information, visit the Division's collection systems tveb.we
INSTRUCTIONS FOR FORM: FTA 10-23 & SUPPORTING DOCUMENTATION
W
Page 2 of 3

THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee.
Water Quality Section
Swannanoa, North Carolina 28778-8211
Clay, Graham, Haywood, Henderson, Jackson
(828) 2964500
Macon, Madison, McDowell, Mitchell, Polk,
[phone] Fax
Rutherford, Swain, Transylvania, Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Harnett, Hoke,
Water Quality Section
Fayetteville, North Carolina 28301-5095
Montgomery, Moore, Robeson, Richmond,
[phone]
Sampson, Scotland
[phone] Fax
Mooresville Regional Office
610 E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
Water Quality Section
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone]
Stanly, Union
[phone] Fax
Raleigh Regional Office
3800 Barrett Drive
Chatham, Durham, Edgecombe, Franklin,
Water.Quailty Section
Raleigh, North Carolina 27609
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
(919) 5714718 Fax
Warren, Wilson
Washington Regional Office
943 Washington Square Mall
Beaufort, Bertie, Camden, Chowan, Craven,
Water {duality Section
Washington, North Carolina 27889
Currituck, Dare, Gates, Greene, Hertford, Hyde,
[phone]
Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] Fax
Perquimans, Pitt, Tyrrell, Washington, Wayne
WilminSton Regipnal.Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
Water Duality Section
Wilmington, North Carolina 28405
Hanover, Onslow, Pender
[phone]
[phone] Fax
Winston-Salem Regional. Office
450 W. Hanes Mill Road
Suite 300
Alamance, Allegheny, Ashe, Caswell, Davidson,
Davie, Forsyth, Guilford, Rockingham, Randolph,
Water Quality Section
Winston-Salem, North Carolina 27105
Stokes, Surry, Watauga, Wilkes, Yadkin
[phone]
[phone] Fax
INSTRUCTIONS FOR FORM: FTA 10.23 & SUPPORTING DOCUMENTATION
Page 3 of 3

_ State of North Carolina
DWR
Department of Environmental Quality
NC Dept of E[lvirollrletzlal Quality Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 10-23 & SUPPORTING DOCUMENTATION
Appl�g�alt�)H1�er0 (to be completed by DWR)
Ali items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: CITY OF SANFORD (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ StatelCounty ® Municipal ❑ Other
3. Signature authority's name: PAUL M. WEEKS, PE per 15A NC AC 02T .0106(b)
Title: UTILITIES & ENGINEERING DIRECTOR
4. Applicant's mailing address: P.O. Box 3729
City: Sanford State: NC Zip: 7331-3729
5. Applicant's contact information:
Phone number: 919 777-1119 Email Address: paul.weeks(@sanfordnc.net
11. PROJECT INFORMATION:
1. Project name: Carr Creek Lift Station Pumping improvements
2. Application/Project status: ❑ Proposed (New Permit) ® Existing Permit/Project
If a modification, provide the existing permit number: WQ0043908 and issued date: 1/1712023,
For modifications, also attach a detailed narrative description as described in Item G of the checklist.
If new construction, but part of a master plan, provide the existing permit number: WQ00_
3. County where project is located: Lee
4, Approximate Coordinates (Decimal Degrees): Latitude: 35.4441" Longitude:-79.1172"
5. Parcel ID (if applicable): 9661-46-9626-00 (or Parcel ID to closest downstream sewer)
Ill. CONSULTANT INFORMATION:
L Professional Engineer: Zach C. Hinnant License Number: 42054
Firm: Charles R. Underwood, Inc.
Mailing address: 2000 Boone Trail Rd
City: Sanford State: NC Zip: 27330-
Phone number: [phone] Email Address: zhinnant(a,cruournps.com
TV, WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Big Buffalo WWTP Permit Number: N00024147
Owner Name. City of Sanford
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQNot Known
2. Downstream (Receiving) Sewer Information: 12 inch ® Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s) (if applicable). WQCS00047
Owner Name(s): City of Sanford
FORM: FTA 10-23 Page i of 5

VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
A ❑ Yes [--]No ® NIA
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORIM: DEVI been attached?
[]Yes []No ® NIA
3. If the Applicant is a Home/Property Owners' Association, has an HOA/POA Operational Agreement JFORM: HOA) and
supplementary documentation as required by 15A NCAC 02T.0115(c) been attached?
❑ Yes ❑ No ® NIA
4. Origin of wastewater: (check all that apply):
F ® Residential (Individually 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. Nature of wastewater: 75 % Domestic 15 % Commercial 10 % Industrial (See 15A NCAC 02T .0103f 201)
If Industrial, is there a Pretreatment Program in effect? ® Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .0114If1? ❑ Yes ® No
D If Yes, provide a copy of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0I14(f))
Daily Design Flow'•b
No. of Units
Flow
gal/
GPD
gal/
GPD
gall
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
0 GPD
a See 15A NCAC 02T Al 14Lbl,. d ejfl.j and fe)f21 for caveats to wastewater design flow rates (i.e. proposed unknown
non-residential development uses; public access facilities located near high public use areas; and residential property
located south or cast of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined in G.S. 42A-4).
b Per 15A NCAC 02T .0l 14(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01 14] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 0 GPD (per 15A NCAC 02T .01 14 and G.S. 143-215.1)
Do not include future flows or previously permitted allocations
If permitted flow is zero, please indicate why:
® Pump Station/Force Main or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line.
Please provide supplementary information indicating the approximate timeframe for permitting upstream sewers with flow.
❑ Flow has already been allocated in Permit Number: Issuance Date:
❑ Rehabilitation or replacement of existing sewers with no new flow expected
❑ Other (Explain):
FORM: FT'A 10-23 Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 027' .0305 & ..NI DC {Gravity Sewers):
A
w
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
➢ Section It & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirements is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: Carr Creek Lift Station
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.444I' Longitude:-79.1172'
3. Total number of pumps at the pump station: 3
3. Design flow of the pump station: 1.28 millions gallons per day (firm capacity)
➢ This should reflect the total GPM for the pump station with the largest pump out of service.
4. Operational point(s) per pump(s): 790 gallons per minute (GPM) at 200 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
8
5200
DIP
If any portion of the force main is less than 4-inches in diameter, please identify the method of solids reduction per
MDCPSFM Section 2.01C.1.b. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with 15A NCAC 02T _0305th)(1,1:
® Standby power source or ❑ Standby pump
➢ Must have automatic activation and telemetry - ISA 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 and may not be portable
Or if the pump station has an average daily flow less than 15,000 gallons per day 15A NCACO2T.0305(h)(1)(C):
❑ Portable power source with manual activation, quick -connection receptacle and telemetry -
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry:
➢ Include documentation that the portable source is owned or contracted by the applicant 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
as part of this permit application in the case of a multiple station power outage.
FORM: FTA 10-23
Page 3 of 5

1X. SETBACKS & SEPARATIONS — (028 .0200 & 15A NCAC 02T.0305(f)):
1. Does the project comply with all separations/alternatives found in 15A NCAC 02T .0305(fl & fgh ❑ Yes ❑ No
15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
18 inches
'Water mains (vertical - water over sewer preferred, 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 11 impounded reservoirs used as a source of drinking water, and associated wetlands.
100 feet
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, HQW, or SB from normal
high water (or tide elevation) and wetlands associated with these waters (see item IX.2)
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches, as well as wetlands associated with these waters or classified as WL.
10 feet
Any building foundation (horizontal)
5 feet
Any basement (horizontal)
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
➢ If noncompliance with 02T.0305(f) or [ k,,L see Section X.1 of this application
* 15A NCAC 02T.0305(U) contains alternatives where separations in 02T.0305( t) cannot be achieved. Please check "yes"
above if these alternatives are used and provide narrative information to explain.
**Stream classifications can be identified using the Division's Surface Wattions Aebpag
2. Does this project comply with the minimum separation requirements for water mains? ® Yes ❑ No ❑ N/A
➢ If no, please refer to 15A NCAC 18C.0906(0 for documentation requirements and submit a separate document,
signed/sealed by an NC licensed PE, verifying the criteria outlined in that Rule.
3. Does the project comply with separation requirements for wetlands? ® Yes ❑ No ❑ NrA
➢ Please provide supplementary information identifying the areas of non-conformance.
➢ Seethe Division's draft separation requirements for situations where separation cannot be met.
➢ No variance is required if the alternative design criteria specified is utilized in design and construction.
4. Is the project located in a river basin subject to any State buffer rules? ❑ Yes Basin name: ® No
If yes, does the project comply with setbacks found in the river basin rules per 15A NCAC 02B _0200? ❑ Yes ❑ No
➢ This includes Trout Buffered Streams per 15A NCAC 2B.0202
5. Does the project require coverage/authorization under a 404 Nationwide/individual permits ❑ Yes ® No
or 401 Water Quality Certifications?
~ ➢ Please provide the permit number/permitting status in the cover letter if coverage/authorization is required.
6. Does project comply with I SA NCAC 02T,01 051cj{6} (additional permits/certifications)? ®Yes ❑ No
Per 15A. NCAC 02T.0105fc)(6), directly related environmental permits or certification applications must be 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.).
7. Does this project include any sewer collection lines that are deemed "high -priority?" ❑ Yes ® No
Per 15A NCAC 02T.0402, "high -priority sewer" means any aerial sewer, sewer contacting surface waters,
siphon, or sewers positioned parallel to streambanks that are subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interference/conflict boxes require a variance approval.
➢ 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 permitiee or its representative at least once every six -months and
inspections documented per 15A NCAC 02T.0403(a)(5) or the permittee's individual System -Wide Collection permit.
FORM: FTA 10-23
Y
Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with ISA NCA{; 02T, the Minimum Dosiy_}n.C_ri na for lbe Perniittin g of Pump Station)
,. and Force Mains i latest verii9n), and the Q.ravi Sewer Mini,nlutn Desirr. Criteria ( latest version) as applicable?
❑ Yes ❑ No
If no, for projects requiring a single variance, complete and submit the Variance/Alternative Design Request application
F (VADC 10-14) and supporting documents for review to the Central Office, Approval of the request will be issued
concurrently with the approval of the permit, and proiects requiring a variance approval may be subiect to loneer
review times. For projects requiring two or more variances or where the variance is determined by the Division to be a
sienificant portion of the project, the full technical review is required.
2. Professional Engineer's Certification:
1, Zach C. Ninnani, PE , attest that this application for Carr Creek Litt Station Pumping improvements
1.) (Professional Engineer's name from Application Item Ill.(Project Name from Application Item 11.1)
has been reviewed by we 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 the applicable regulations,
Minimum Design Criteria for Gravity Sewers (latest version), and the \linimtim Design Criteria for the Fast -Track Permitting
of MI Stations and Force Mains (latest version). 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 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. Misrepresentation of the application
r' information, including failure to disclose any design non-compliance with the applicable Rules and design criteria, may subject
the North Carolina -licensed Professional Engineer to referral to the licensing board. (21 NCAC 56.0701)
North Carolina Professional Engineer's seal, signature, and date: otN CA,A
r,
6 420
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3. Applicant's Certification per 15A NCAC 02T .0106(b):
Paul M. Weeks, PE pP Carr Creek Lift Station Pumping Improvements
I, ,attest that this application for _ P 9 P
` (Signature Authonty Name from Application Item 13 (Project Name from Application Item II, l )
P.
attest that this application has been reviewed by me and is accurate and complete to the best of my knowledge.
I understand that if all required parts of this application are not completed and that if all required supporting documentation
and attachments are not included, this application package is subject to being returned as incomplete. 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.
Signature:
FORM: FTA 10-23
Date: I Q I l ;i, � 'D, ,:�
Page 5 of 5

BUSINESS CORPORATION ANNUAL REPORT
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NAME OF BUSINESS CORPORATION: Charles R. Underwood, Inc.
- SECRETARY OF STATE ID NUMBER: 027%77 STATE OF FORMATION: NC
REPORT FOR THE FISCAL YEAR END. 9/30/2022
SECTION A: REGSTERED AGENT'S INFORMATION
1. NAME OF REGISTERED AGENT: Underwood, Russell D
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C.
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E - Filed Annual Report
0279677
CA202310001091
4/1012023 09:15
® Changm
2. SIGNATURE OF THE NEW REGISTERED AGENT:
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
2000 Boone Trail Rd 2000 Boone Trail Rd
Sanford, NC 27330 Lee County Sanford, NC 27330
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Charles R Underwood, Inc
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] 3. PRINCIPAL OFFICE EMAIL: Privacy_ Redaction
4. PRINCIPAL OFFICE STREET ADDRESS S. PRINCIPAL OFFICE MAILING ADDRESS
2000 Boone Trail Rd 2000 Boone Trail Rd
Sanford, NC 27330 Sanford, NC 27330 '
6. Select one of the fallowing If applicable, (Optional sss Instructional
❑ The company Is a veteran -owned small business
❑ The company Is a service -disabled veteran -owned smal business
SECTION C: OFFICERS (Enter additional officers in Section E )
NAME: Susan Petty
TITLE: Secretal'+
ADDRESS:
2000 Boone Trail Rd
NAME: Russell Dean Underwood
TITLE: President
ADDRESS-
2000 Boone Trail Rd
0
NAME: Susan U Stallings____.._ _
TITLE: Treasurer
ADDRESS:
7nnn rQMnm TraiI Dd
Sanford, NC 27330 Sanford, NC 27330 Sanford, NC 27330
SECTION D: CER71FICATION_QE ANNUAL REPORT. Section D must be completed In Its entirety by a personibusiness
entSw.
usan U Stallings 4110/2023
SIGNATURE
Forts mast be signed by an officer listed under Section C of ft farm
Susan U Stallings Treasurer
Print or Type Name of oficar Print or Type Title of Officer
This Annual Report has been filed electronically.
MAIL TO. Secretary of State. business Regmtrubm Diviscn, Post Office Box 29525. Ra-suh. NC 27626-OS2S
DATE
■

ROY COOPER
Cm 01 nor
ELIZABETH S BISER
Secrerury
RICHARD E. ROGERS 1R.
r)irecrur
NORTH CAROL INA
Environmental Quality
January 17, 2023
Pau; Weeks, City Engineer
City of Sanford
PO Box 3729
Sanford, NC 27331-3729
Subject: Permit No_ WQ0043908-Correction
City of Sanford
Carr Creek L'ft Station Pumping Improvements
Wastewater Col ection System Extension Permit
Lee County
Dear Permittee:
r In accordance with your application received October 11, 2022, we are forwarding herewith Permit No.
i WQ0043908-Correction dated January 17, 2022, to the City of Sanford (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 shall replace the original permit of the same
�y number issued December 16, 2022 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.
This permit is being reissued to correctly identify the operational point of the triplex pump station w:th
two pumps in service (largest pump out of service), from 760 to 812 gallons per minute.
r
Please pay particular attention to the following conditions contained within this permit:
Condition 11.1: This permit shall not be automatically transferable; a request must be made and
approved.
Condition IIA: Requires that the wastewater collection facilities be properly operated and maintained
in accordance with 15A NCAC 02T .0403 or any individual system -wide collection system
permit issued to the Permittee.
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
l submitted with the required supporting documents to the address provided on the form_
L Permit modifications are required for any changes resulting in non-compliance with
E this permit, regulations, or the Minimum Design Criteria. [1SA NCAC 02T.01161
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4

_ City of Sanford
Permit No. WQ0043908—Correction
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 w.th 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 1SOB 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 Cassidy Kurtz via e-mail at
Cassidy. [e-mail].
Sincerely,
DocuSigned by:
Ua1n.t.SSa -E. Nl.avud
82916E6AB52144F
for Richard E. Rogers, Jr.
Director, Division of Water Resources
for by Scott Vinson, Regional Supervisor
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources, NCDEQ
I cc: Zach C. Hinnant ([e-mail])
Raleigh Regional Office Files
DWR Laserfiche
Lee County Health Department
Page 2 of 9
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NORTH CAROLINA
Environmental Quality
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations, permission is hereby granted to the
City of Sanford
Lee County
for the construction and operation of a 812—gallon per minute pump station with triplex pumps, on -site
audible and visual high water alarms, telemetry, and a permanent generator with automatic transfer
switch; as well as approximately S,200 linear feet of 8-inch force main as part of the Carr Creek Lift Station
Pumping Improvements project, and the discharge of zero additional gallons per day of collected
r
domestic, commercial, industrial wastewater into the City of Sanford's existing sewerage system,
pursuant to the application received October 11, 2022 and in conformity with 15A NCAC 02T; the
Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 and updated in March 2008,
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.
i This permit is being reissued to correctly identify the operational point of the triplex pump station with
1 two pumps in service (largest pump out of service), from 760 to 812 gallons per minute.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the specified
conditions and limitations contained therein.
UocuSipned by,
i/atn t.SSa f. ka"a
82916EfiA812344=
for Richard E. Rogers, Jr.
Director, Division of Water Resources
By Authority of The Environmental Management Commission
Permit Number: WQ0043908-Correction
Permit Issued: January 17, 2023
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Page 3 of 9

SUPPLEMENT TO PERMIT COVER SHEET
City of Sanford is hereby authorized to:
_ Construct, and then operate upon certification the aforementioned wastewater collection extension. The
sewage and wastewater collected by this system shall be treated in the City of Sanford's Big Buffalo
Wastewater Treatment Faci'ity in accordance with Permit Number NC0024147.
Permitting of this project does not constitute an acceptance of any part of the project that does not meet
15A NCAC 02T; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as
applicable; and the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and
Force Mains adopted June 1, 2000 as applicable, unless specifically mentioned herein. Division approval
is based on acceptance of the certification provided by a North Carolina -licensed Professional Engineer in
the application. It shall be the Permittee's responsibility to ensure that the as -constructed project meets
the appropriate design criteria and rules.
Construction and operation is contingent upon compliance with the Standard Conditions and any Special
Conditions identified below.
I. SPECIAL CONDITIONS
No flow in excess of the quantity permitted herein, zero additional GPD, shall be made tributary to
the subject sewer system until an application for permit modification for an increase in flow or a new
upstream application with flow has been submitted to and approved by the Division. [1SA NCAC
02T.0304(b)i
2. Each pump station shall be clearly and conspicuously posted using a weatherproof sign with a pump
` station identifying name/number, 24-Hour Emergency telephone number, and name of the
owner/operator of the sewer system/pump station and instructions to call the number in the event
of alarm activation or other emergency. Simplex pump stations or vacuum sewer pits serving a single-
family residence may have a placard or sticker on the control panel in lieu of a sign. [15A NCAC 02T
.0305(h)(2)]
II. STANDARD CONDITIONS
1. This permit shall not be transferable. In the event there is a desire for the wastewater collection
facil"ties 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
R
on its merits and may or may not be approved. [15A NCAC 02T.0116; 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 02T; the Division's Gravity Sewer Minimum
Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for
the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and
other supporting materials unless specifically mentioned herein. [15A NCAC 02T.01101
Page 4 of 9

3. This permit shall be effective only Wth respect to the nature and volume of wastes described in the
appl:cation and other supporting data_ 115A NCAC 02T .0110J
4. The wastewater collection facilities shall be properly ma-intained 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 02T .0403. If an individual
r permit is not required, the following performance criteria shall be met:
a. The sewer system shall be effectively maintained and operated at all times to prevent discharge
to land or surface waters, and to prevent any contravention of groundwater standards or surface
water standards.
b. A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan including pump station inspection frequency, preventative
maintenance schedule, spare parts inventory and overflow response has been developed and
implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e. 365
days per year). Pump stations that are connected to a telemetry system shall be inspected at
least once per week.
e. High -priority sewer lines shall be inspected at least once per every six -months and inspections are
documented.
t 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
`r include legal means for inspections of the grease interceptors, enforcement for violators and
F 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. The Permittee shall report by telephone to a water resources staff member at the Raleigh Regional
b Office, telephone number [phone], as soon as possible, but in no case more than 24 hours,
following the occurrence or first knowledge of the occurrence of either of the following:
Ilk
Page 5 of 9
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a- Any process unit failure, due to known or unknown reasons, that renders the facility incapable
of adequate wastewater transport, such as mechanical or electrical failures of pumps, line
blockage or breakage, etc.; or
b. Any SSO and/or spill over 1,000 gallons; or
c. Any SSO and/or spill, regardless of volume, that reaches surface water
Voice mail messages or faxed information is permissible, but this shall not be considered as the initial
verbal report. Overflows and spills occurring outside normal business hours may also be reported to
the Division of Emergency Management at telephone number [phone] or [phone].
Persons reporting any of the above occurrences shall file a spill report by completing and submitting
Part I of Form CS-SSO (or the most current Division approved form) within five days following first
knowledge of the occurrence. Th s report must outline the actions taken or proposed to be taken to
ensure that the problem does not recur. Part It 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.lC(al)]
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. [1SA 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
r
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:
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 on digital media (CD or DVD disk) and are defined as the design drawings that are
marked up or annotated with after construction information and show required buffers,
separation distances, material changes, etc-
b. One copy of the supporting 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.
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c Changes to the project that do riot result :n non compliance w-th 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 wr tten summary form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting
in non-compliance with this permit (including but not limited to pipe length changes of 10% or
greater, increased flow, pump station design capacity design increases of 5% or greater, and
increases in the number/type of connections), regulations, or the Minimum Design Criteria.
Requested modifications or variances to the Minimum Design Criteria will be reviewed on a case -by -
case basis and each on its own merit. Please note that variances to the Minimum Design Criteria
�. should be requested and approved during the permitting process prior to construction. After -
construction requests are discouraged by the Division and may not be approved, thus requiring
replacement or repair prior to certification & activation. [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 cert fred until
F 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. 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 individual permit and 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 02T; 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
r the North Carolina -licensed Professional Engineer to the licensing board. [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)]
N.
Page 7 of 9
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CERTIFICATION CHECKLIST
To be completed by the certifying engineer prior to operation of the permitted sewers, per 15A NCAC 02T 0116.
f
t
Certifying Engineer;
Certification Review Date:
Project Name:
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
r- 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
IL 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 f MDC) for the permitting of G�avity Sewers jlatest version), and 1_01L)C
for the Permittinj&of Pump Stations and Force Mains (latest version)?
f`
If not, a variance approval is required in accordance with 15A NCAC 0?T.0105;b}}, prior to certification and operation.
I • Contact the Central Office to discuss the variance to determine a course of action.
L • Appl!cant 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.
4 7) Does the project contains high priority lines (15A NCAC 02T .0402121)? ❑ Yes ❑ No
• if yes, ensure that the permit already contains the necessary condition related to high priority lines 15A NCAC
r 02T.0403 (a)(5). If the permit does not include this language, the Fast Track reviewer will reissue the permit with
L the appropriate language.
8) Are Permit modifications are required for any changes resulting in non-compliance with this permit (including but not
L limited to pipe length changes of 10% or greater, charge in flow, pump station design capacity design change of 5% or
greater, and/or 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.
North Carolina Department of Env,ronmentai Qunlit7 Division of Water Resources
Raleigh Regional Office 1628 Ntail Service Center, Raleigh. NC 27699.1628
Physical Address 3800 Barrett Drive. Raleigh. NC 27609 919-791-4200
1-

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE: City of Sanford
PERMIT #: WQ0043908-Correction
PROJECT: Carr Creek Lift Station Pumping Improvements
ISSUE DATE: January 17, 2023
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. It
should be submitted in a manner that documents the Division's receipt, Send the required documentation
the Regional Supervisor, Water Quality Regional Operations Section at the address at the bottom.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions. The Permittee is responsible for tracking all partial certifications up
until a final certification is received. A Final Certification shall be a complete set of record drawings and
design calculations regardless of whether partials have been submitted.
PERMITTEE'S CERTIFICATION
1, 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.
r
r-
Printed Name, Title Signature Date
ENGINEER'S CERTIFICATION
as a duly registered Professional Engineer in the State of North Carolina,
having been authorized to observe (❑ periodically, ❑ weekly, full time) 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:
i a 812zgallon per minute pump station With triplex pumps, on -site audible and visual high water alarms,
telemetry, and a permanent generator with automatic transfer switch; as well as approximately 5,200
linear feet of 8-inch force main; such that the construction was observed to be built within substantial
compliance of this permit; 15A NCAC 02T; 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:
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❑ Final ❑ Partial (include description)
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Certification Comments/Qualifiers (attach if necessary):
North Carolina Department of Environmental Quality. Divis on of Water Resources
Raleigh Regional Office 1628 Mail Service Center, Raleigh, NC 27699-1628
Physical Address: 3800 Barrett Drive, Rale gh, NC 27609 919-791-4200
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Esri Community Maps Contnbutors, Lee County, NC, I%toore Ceunt; GIS (MC). State of }forth Carolina DOT, ?- OpeiStreet,tap, -Microsoft, Esri, HERE,
Garmin, SafeGraph, GeoTerhnologies, Inc, METS/MASA, USGS, EPA, NPS, US Census Bureau, USDA
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