WQ0045123_WQ0045123_Application_20240208_20240123

Stoltzfus
TRANSMITTAL MEMO
To: Jennifer Graznak
Asst. Regional Supervisor
NCDEQ
Winston-Salem Regional Office
450 W. Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
From: Aden Stoltzfus, PE
Engineering, Inc.
Nr
Environmental Q ality
Received
J .'2 3 2n(�,,44
Date: 01/23/2024 Winston Rem
\ft, 9 '►�bfflce
Re ion -Office
Subject: Pump and Haul App�licafion
Villas at Pinewood Townhomes Phase 1
WQ0044298-Gravity Sewer Permit Ref.
Attached is the revised pump and haul application and supporting information. The developer is
requesting a pump and haul permit until the Seagrove/Ulah downstream sewer pump station is
connected to the City of Asheboro. A force main is currently being constructed to re-route sewer from
Seagrove WWTP to the City of Asheboro WWTP for treatment due to Seagrove being at capacity.
The pump and haul is proposed so that the developer can start construction of homes. Randolph
County building inspections is requiring the pump and haul permit before building permits are issued.
The homes will gradually come online meaning that the force main should be well in -place before the
full 27 lots are constructed. Note that they currently only have +/- 5 homes under contract at the
moment and the build time is +/- 4 months.
The force main proposed for the downstream pump station is permitted with a contractor selected.
The pump and haul location is selected at a downstream manhole location as shown on the attached
plans.
me at
witti any questions or
is
683 Gralin Street ♦ Kernersville, NC 27284 ♦ [phone]

Delk Septic Service
1770 Bescher Chapel Rd.
Denton, NC 27239
Bill To
NOVA PINEWOOD LLC
206 N. SPRUCE ST, SUITE 2 B
WINSTON SALEM, NC 27101
Description
DELK SEPTIC SERVICE HEREBY AGREES TO PUMP AND HAUL WASTE WATER FROM TH E
VILLAS AT PINEWOOD PROJECT AS NEED, (2500 GAL. CAPACITY) PER LOAD.
SINCERELY,
KENNETH J. DELK

Water Resources Division
146 N Church Street
PO Box i1o6
Asheboro, NC 27204-11o6
November 10, 2023
Mr. Keith Duncan
Stoltzfus Engineering Inc
683 Gralin St
Kernersville, NC 27284
OTY OF
_ S Igo
NO R T H CARO L INA
Re: Pump and Haul Permit for Villas at Pinewood Townhomes.
Mr. Duncan:
Tel: [phone] Ext. 2358
Fax: [phone]
The City of Asheboro Water Resources Division hereby permits Delk Septic Company to pump
and haul wastewater from the Villas at Pinewood Townhomes. The project is permitted up to
14,000 gallons per day. The hauler will be required to discharge at the City of Asheboro
Wastewater Treatment Plant, 1032 Bonkemeyer Dr, Randleman, NC 27317. This permit will be
terminated when the proposed sanitary sewer lift station is operational.
I will be glad to answer any further questions you may have. Please feel free to contact me at 336-
626-1201 Ext. 2358 if you need any additional infonnation or assistance.
Sincerely,
Michael D. Rhoney, PE
Water Resources Director
cc: Mike Wiseman, City of Asheboro Wastewater Treatment Plant Manager
Home of the NC Zoological Park

State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0200 — WASTEWATER PUMP AND HAUL SYSTEMS
Division of Water Resources INSTRUCTIONS FOR FORM P&H 11-23 & SUPPORTING DOCUMENTATION
Documents shall be prepared in accordance with 15A NCAC 02T .0100. 15A NCAC 02T .0200, and Division policies. Failure to submit
all required items will necessitate additional processing and review time. For more information, visit the Wastewater Branch's
website or contact the Regional Office serving your county.
General —This permit application applies to all pump and haul activities of wastewater under the authority of the Division on Water
Resources. Permit coverage is required for the system producing the wastewater. This permit does not apply to the transport of
animal waste from an animal waste management systems, nor the transport of wastewater residuals or biosolids.
NOTE: Pump and haul permits are not acceptable long term domestic wastewater treatment alternatives and shall only be issued
in cases of environmental emergencies, nuisance conditions, health problems, or for unavoidable delays in construction of system
previously permitted by the Division.
The Applicant shall submit one original and one copy of the application and supporting documentation.
A. Pre -submittal Contact & Cover Letter
® Contact the appropriate Regional Office prior to submittal
® Submit a cover letter explaining the circumstances associated with this pump and haul permit request
B. Application Fee (Domestic Wastewater Only)
® Submit a check made payable to: North Carolina Department of Environmental Quality (NCDEQ)
y The appropriate application fee is: $1,160.00 for flows < 10,000 GPD and $1,760.00 for flows > 10,000 GPD
C. Wastewater Pump and Haul (FORM: P&H 11-23) Application:
® Submit the completed and appropriately executed Wastewater Pump and Haul (FORM: P&H 11-23) application. Any
unauthorized content changes to this form shall result in the application package being returned. If necessary for clarity or
due to space restrictions, attachments to the application may be made, as long as the attachments are numbered to
correspond to the section and item to which they refer
D. Receiving Facility Letter:
® Submit a letter from the owner/authority of the receiving wastewater treatment facility, as required by 15A NCAC 02T .0204
(b), stating that the pumped and hauled wastewater will be accepted and specifying the volume and type of wastewater that
will be accepted. The letter should be signed by an authorized signing official in accordance with 15A NCAC 02T .0106(b)
E. Contract Hauler Letter:
Submit a letter from the hauler stating their capability and willingness to peFferm the purnp and haul aetivity
® Letter shall include: Owner/Company Name, Contact Information, & Hauling Volume of Vehicle(s)
F. Certifications:
® The Applicant's Certification on Page 4 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)
® The Professional Engineer's Certification on Page 5 of the application shall be signed, sealed and dated by a North Carolina
licensed Professional Engineer (if required)
G. Plans and Specifications (Required for activities that result in the Practice of Engineering per G.S. 89C-3):
® Submit one set of printed plans and specifications (signed, sealed and dated by a N.C. Licensed Professional Engineer) and
provide one copy in digital electronic format (PDF file)
® Plans must include:
A general location map
Y Diagram of the components associated with the pump and haul activity (drains, piping, tanks, pumps, etc)
Tank Details that indicate high water alarm
Other items as required
INSTRUCTIONS FOR APPLICATION P&H 11-23 Page 1 of

Industrial Pump and Haul Activities
Per 15A NCAC 02T .0203(A)(2), Industrial pump and haul activities are deemed permitted provided the following criteria is met:
➢ The facility notifies the appropriate Division regional office in writing advising of the type of operation, type and quantity of
wastewater generated, location, and the receiving wastewater treatment facility. A letter from the facility accepting the
wastewater (type and quantity) specifically agreeing to accept wastewater from the applicant shall be included.
The wastewater does not contain any human waste.
➢ The waste is collected and discharged into a sewer or treatment system designed and permitted to accept the type of
wastewater being pumped and hauled.
➢ The pump and haul activity is not to alleviate a failing wastewater system.
➢ The Division regional office concurs in writing that the activity meets the criteria in this Rule.
CONTACT THE REGIONAL OFFICE PRIOR TO INITIATING ANY INDUSTRIAL PUMP AND HAUL ACTIVITIES. SUBMITTAL OF THIS
APPLICATION/DOCUMENTS AND WRITTEN APPROVAL IS STILL REQUIRED FOR INDUSTRIAL PUMP AND HAUL ACTIVITIES
THE COMPLETED APPLICATION PACKAGE INCLUDING 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 Operations
Swannanoa, North Carolina 28778
Clay, Graham, Haywood, Henderson, Jackson,
[phone]
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 Operations
Fayetteville, North Carolina 28301
Montgomery, Moore, Robeson, Richmond,
[phone]
Sampson, Scotland
[phone] Fax
Mooresville Regional Office
610 E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
Water Quality Operations
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone]
Stanly, Union
[phone] Fax
Raleigh Regional Office
1628 Mail Service Center
Chatham, Durham, Edgecombe, Franklin,
Water Quality Operations
Raleigh, North Carolina 27699-1628
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
Washington Regional Office
943 Washington Square Mall
Beaufort, Bertie, Camden, Chowan, Craven,
Water Quality Operations
Washington, North Carolina 27889
Currituck, Dare, Gates, Greene, Hertford, Hyde,
[phone]
Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] Fax
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
Water Quality Operations
Wilmington, North Carolina 28405
Hanover, Onslow, Fender
[phone]
[phone] Fax
Winston-Salem Regional Office
450 W. Hanes Mill Road
Alamance, Alleghany, Ashe, Caswell, Davidson,
Suite 300
Davie, Forsyth, Guilford, Rockingham, Randolph,
Winston-Salem, North Carolina 27105
Stokes, Surry, Watauga, Wilkes, Yadkin
(336)-776-9800
INSTRUCTIONS FOR APPLICATION P&H 11-23 Page 2 of 5

I. PRESUBMITTAL INFORMATION:
1. Contacted representative from regional office (Pre -submittal)?: ® Yes ❑ No
2. Contact name (For Regional Office): Jennifer F. Graznak
II. APPLICANT INFORMATION:
1. Applicant's name (Municipality, Individual, Corporation, etc): Nova Pinewood, LLC
2. Applicant type: ❑ Municipal ❑ State ❑ Privately -Owned Public Utility
❑ County ® Other: Corporation
3. Origin of Wastewater:
® Residential Subdivision
❑ Retail (Stores, Shopping Centers) Domestic:
❑ Apartments/Condominiums
❑ Institution Commercial
❑ Mobile Home Park
❑ Hospital Industrial:
❑ School
❑ Church Other:
❑ Restaurant
❑ Nursing Home
❑ Office
❑ Other (specify)
4. Signature authority's name: Andrew Dreyfuss per 15A NCAC 02T .0106 b
Title: Managing Member
5. Applicant's mailing address: 206 N. Spruce
Street, Suite 2B
City: Winston-Salem State: NC
Zip: 27101-2747
6. Applicant's contact information:
Phone number: [phone] Email: [e-mail]
III. CONTACT/CONSULTANT INFORMATION:
1. Contact name: Aden R. Stoltzfus, PE, Stoltzfus Engineering Inc.
Title/Affiliation: Civil Engineer
2. Contact's information:
Phone number: [phone]
IV. RECEIVING FACILITY INFORMATION:
Email: [e-mail]
100 %
If me.re than 1 facility has agreed te accept the wastewater, please list a" the owners, facility names, and permit
numbers as a separate attachment)
1. Owner: City of Asheboro
2. Facility name: City of Asheboro WWTP
3. Facility permit number:
4. WWTF permit number: NC00026123
5. WWTF contact name: Mike Wiseman
Title/Affiliation: Wastewater Treatment Plant Manager/City of Asheboro
6. WWTF contact information:
Phone number: [phone]
Email: mwisemanPci.asheboro.nc.us
APPLICATION P&H 11-23 Page 3 of 5

V. PROJECT INFORMATION:
1. Project Name: Villas at Pinewood Phase 1
2. Project Location: Randolph County, behind Pinewood Country Club off of Pinewood Road
3. Duration of Pump and Haul Request (not to exceed 6 months): 6 Months
4. Has a prior permit been issued?
® New ❑ Prior Pump & Haul Permit
Permit No.:
5. Permanent Method of Wastewater Disposal: Gravity Sanitary Sewer
6. Date Permanent Disposal will be available: Approx. July 2024
7. Have permits / approvals for permanent disposal been obtained?
a. ❑ Yes ❑ No Permit Number: WQ00044298
8. Is there a Pretreatment Program in effect? ❑ Yes ❑ No
9. Describe any pretreatment prior to pumping and hauling: N/A
10. Volume of Wastewater Generated: 5,250 Gallons per Day
11. Explain how the wastewater flow was determined: ® 15A NCAC 02T .0114 or ❑ Representative Data
If representative data, describe: or 75 gpd/bedroom, if applicable (House Bill 600 Section 18)
11 townhomes, 2 bedroom at 150 GPD and 16 townhomes, 2 bedroom at 225 GPD
12. Describe Tank / Container wastewater will be pumped from (attach description if necessary):
Gravity sanitary sewer lines for Villas at Pinewood, total storage to high water alarm = 7,571 Gallons.
Maximum storage above high water alarm to lowest mh elevation = 2,316 Gallons.
13. Is Tank / Container in place or will it be installed (attach description if necessary):
b. In -Place
14. What type of high water alarm does the container have:
2. ❑ Audible and Visual ® Telemetry (Auto Dialer / SCADA)
VI. CERTIFICATION:
1. Applicant's Certification: (Signature of Signing Official and Project Name)
(,_Andrew Dreyfuss , attest that this application for Villas at Pinewood, Phase 1 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 issuance of a permit will require pump and haul facilities or activities to be inspected at least
daily by me or a designated representative. Note: In accordance with North Carolina General Statutes 143-215.6A and 143-
215.613, any person who knowingly makes any false statement, representation, or certification in any application shall be guilty
of a Class 2 m' emeanor, which may include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
1a.
Signing Official Signature Ilatel
,APPLICATION P&I-I I l -23 Page 4 of 5

ENGINEERING DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL.
ACTIVITIES SHALL BE INSPECTED AT LEAST DAILY BY THE PERMITTEE OR IT'S REPRESENTATIVE PER 15A NCAC 02T .0204(d).
THE ENGINEER'S CERTIFICATION IS REQUIRED FOR ACTIVITIES THAT RESULT IN THE PRACTICE OF ENGINEERING PER G.S. 89C-3.
ENGINEERING DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL. IF CERTIFICATION BY AND ENGINEER IS REQUIRED,
THIS PAGE IS NOT NECESSARY.
2. Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
I, Aden R. Stoltzfus, PE ,attest that this application for Villas at Pinewood, Phase 1 has been reviewed by me and is accurate,
complete and consistent with the information in the engineering plans, calculations, and all other supporting documentation
to the best of my knowledge. I further attest that to the best of my knowledge the proposed design has been prepared in
accordance with all the applicable regulations. Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and
have judged it to be consistent with the proposed design. Note: In accordance with NC General Statutes 143-215.6A and 143-
215.613, any person who knowingly makes any false statement, representation, or certification in any application shall be guilty
of a Class 2 misdemeanor which may include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
2a. Aden R. Stoltzfus, PE
Professional Engineer Name
.2b. Stoltzfus Engineering, Inc.
Engineering Firm
2c. 683 Gralin Street
Mailing Address
2d. Kernersville
2e. NC 2f. 27284
City State Zip
2g. [phone] 2h. 2i. [e-mail]
Telephone Facsimile E-mail
NC PE Seal, Signature & Date
EAS
APPLICATION P&H 1 1-23 Page 5 of 5

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ALL PROPOSED RCP PIPES FOR THIS SUBDIVISION TO BE REPLACED WITH
HDPE OR PP PIPE DUE TO AN ONGOING SUPPLY SHORTAGE OF RCP. PLEASE
SEE LIST BELOW FOR WHICH PIPES WILL BE HDPE OR PP.
HDPE PIPE (AASHTO M294): P-1, P-4, P-5, P-6, P-11, P-14A, P-14, P-19, P-20,
P-21, P-22 & P-23
PP PIPE (AASHTO M330 OR ASTM F2764): P-2, P-3, P-7, P-8, P-9, P-10, P-12,
P-13, P-15, P-16, P-17 &P-18
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TYPICAL DETACHED TOWNHOME LOT LAYOUT
TYPICAL DUPLEX TOWNHOME LOT LAYOUT
NOTE: SCALE 1"=50'
NOTE: SCALE 1"=50'
LTA ANGLE
1. PROPOSED TOWNHOME LOT WIDTH OF 63'
1. SEE LOT DATA THIS SHEET FOR PROPOSED LOT
'35 59
MEASURED AT THE BUILDING LINES.
DIMENSION STANDARDS.
'04 17
2. SEE LOT DATA THIS SHEET FOR PROPOSED LOT
DIMENSION STANDARDS.
M
rn •., A.B.C.
5" MIN COMPACTED ABC I
2'-6"
VILLAS AT PINEWOOD CURB
STANDARD
VALLEY 5' TRANSITION CATCH BASIN 5' TRANSITION
C & G W/HOOD, GRATE VALLEY
& FRAME C & G
TOP OF CURB TOP OF CURB
— ------ ----- — —
____-- _ _
EXPANSION JOINT „-
EXPANSION JOINT
EDGE OF-/
NORMAL PAVEMENT NORMAL
GUTTER LINE GUTTER LINE
DEPRESSED NOTE:
GUTTER LINE TOP OF HOOD TO BE AT SAME
ELEVATION AS TOP OF CURB.
TRAINSITION FROM VALLEY CURB & GUTTER TO STANDARD HOOD, GRATE & FRAME
10'-0"
50.0' R/W
1014"
UTILITY
I
UTILITY
ESMT
11'-6"
27'-0" BOC TO BOC
11'-6"
ESMT
3'
S.
1/4,
1�4'�
LOPE 3:1 1/z"7FT.
1/2"
/Ff.
1 °"/FT' LOPE 3:1
PAVEMENT & STONE TYPICAL
2'-6" VALLEY CURB & GUTTER
5' SIDEWALK, 4" THICK
9" ABC STONE
CONCRETE TO BE NCDOT CLASS "B" MIX
CONCRETE SIDEWALK, 6"
2" S9.56
EXPANSION JOINT EVERY 90 '
THROUGH DRIVEWAYS.
1" 59.56
CONTRACTION JOINT EVERY 10'
EXPANSION JOINT EVERY 50'
ALL WORK SHALL COMPLY WITH N.C. DOT STANDARD SPECIFICATIONS
TYPICAL SECTION
15' SPACING FOR MACHINE POUR.
CONTRACTION JOINT EVERY 5'
N.T.S.
MIN. 5" ABC UNDER CURB
REFERENCE NCDOT STD. 848.01
REFERENCE NCDOT STD. 846.01
aN MUST IJTUITY pR0 o
CP 61F �� 0
BEFORE YOU DIG!
CALL 811 N.C. ONE -CALL CENTER
IT'S THE LAW!
NC Department of NC Department of
Environmental Quality Environmental Quality
�g
Received ,, Received
JAN 2 3 2024 JAN 16 2024
Winston-Salem Winston-Salem
Regional Office Regional Office
GRAPHIC SCALE
60 0 30 60 120
( IN FEET)
1 inch =60 ft.
240 1
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DRAWN BY: AGB
CHECKED BY: ARS
DATE: 01/05/202,e
PROJECT NO.: 203
REF. NO.:
SCALE: 1"=60'
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NOTES:
AUTO DIALER TO BE CONNECTED TO
HIGH WATER ALARM FLOAT WITH
PROGRAMMING TO AUTO -DIAL BOTH SITE
RIM: 816.95 INSPECTOR AND SEPTIC PUMP COMPANY
UPLINK 5500M AUTO DIALER TO BE UTILIZED
STORAGE
VOLUME
2,316 GALLONS
STORAGE
VOLUME
7,571 GALLONS
MOUNT STAINLESS STEEL
BRACKET FOR FLOAT SUPPORT
FLOAT CONNECTED TO
AUTO DIALER
LOWEST PHASE 1 MANHOLE INVERT: 810.00
HIGH WATER ALARM FLOAT: 806.50
G INVERT OUT OF MANHOLE
GRAPHIC SCALE
3 0 1.5 3 6
( IN FEET )
1 inch =3 ft.
INV. OUT: 797.10
VILLAS AT PINEWOOD PHASE 1
PUMP & HAUL EXHIBIT
DEVELOPER INFORMATION:
NOVA PINEWOOD, LLC
206 N. SPRUCE STREET, SUITE 2A
WINSTON-SALEM, NC 27101
Stoltzfus Engineering Inc. DRAWN BY SDT SCALE 1"=3'
Civil Engineering Consultants CHECKED BY ARS DATE 02/06/2024
683 GRALIN STREET, KERNERSVILLE, NC 27284 PH: [phone] COUNTY Randolph PROJECT# 2036.30