WQ0045432_Application_20240516

�L the
LANE engineering
architecture
JGROUP environmental
www.thelanegroupinc.com
May 16, 2024
Ms. Caitlyn Williams, Environmental Program Consultant
NCDEQ — Division of Water Resources
Winston-Salem Regional Office
450 West Hanes Mill Road, Suite 300
Winston-Salem, NC 27015
Re: I-77 Welcome Center WWTP
Surry County
Dear Ms. Williams:
Please find enclosed a completed Wastewater Pump and Haul Form P&H 11-23 and check for the $1,160
application fee.
The I-77 Welcome Center in Surry County is served by an existing permitted 30,000 GPD WWTP (NC0029190).
The existing WWTP has failed and has been taken off-line for repairs. The Welcome Center facility has been closed
until alternate means of wastewater disposal is available. Accordingly, NCDOT would like to implement temporary
pump and haul measures so that the Welcome Center facility can be reopened.
NCDOT has received confirmation (attached) that the City of Mount Airy WWTP is willing to receive and treat
wastewater hauled from the Welcome Center. The City has also provided NCDOT with the list of approved septic
haulers who are currently authorized to discharge at the Mount Airy WWTP:
P.D Quik - Donald Goins — 336-401-0459
V & S Septic Service — Benny Stamper — 336-786-2402
JW Septic Service — Jeremy Williamson — 336-325-0899
Donald Beck Jr Septic Service — Donald Beck Jr. — 336-353-8060
Bare's Backhoe & Septic — Matthew Bare — 336-401-7195
Septic 911 —Reid Fulk — 336-985-7051
Foothill's Septic Service — Kamron Naylor — 336-618-5904
NCDOT has contacted the first firm on the list, P.D. Quick, and confirmed that they have the capability of providing
the required pump and haul services (copy of email attached). NCDOT would also like to have the ability to call
upon any of the other approved haulers to provide assistance if needed.
NCDOT's I-77 Welcome Center WWTP includes two (2) parallel 15,000 GPD package treatment plants. One of
these units will be used to temporarily store the wastewater for the pump/haul operations while the other treatment
unit can be repaired and placed back in service.
Water billing records for the Welcome Center indicate that the facility's average daily flow has been about 5,100
gallons/day. The approximate holding volume of one package plant unit is estimated to be about 22,000 gallons
(aeration basin plus clarifier compartment plus sludge holding compartment). When the Welcome Center is open,
facility maintenance staff members are on -site and available to monitor liquid level in the tank. The required
duration for the pump and haul operations is unknown and will be dependent upon how long it takes to complete the
WWTP repairs, but it is estimated to be at least one month. It is understood that pump and haul permits are not
issued for durations longer than 6 months. NCDOT would like to have the ability to utilize the pump and haul
solution any time it becomes necessary within the next 6 months. NCDOT intends to get the WWTP back in
operation as soon as possible, but unknowns related to availability or delivery time of key components may impact
that timeline and there's always the possibility of a future breakdown after it goes back into operation.
1 19 North Main Street Galax, Virginia 24333
p:276.236.4588 f:276.236.0458

Ms. Caitlyn Williams, Environmental Program Consultant
Page 2
Please let us know if you have any questions or require anything additional in order to process NCDOT's request to
initiate pump and haul operations. If at all possible, NCDOT would like to have the requested authorization in place
early in the week of May 20`h so that the Welcome Center facility can be re -opened in advance of the Memorial Day
holiday weekend.
Sincerely,
THE LANE GROUP
1(0 •"
Kevin Heath, P.E.
cc: Brandon Whitaker, P.E., NCDOT — North Wilkesboro
Paul Stankiewicz, NCDOT — Raleigh
KH/slp
1 19 North Main Street Galax, Virginia 24333
p:276.236.4588 f:276.236.0458

State of North Carolina
Department of Environmental Quality
DIU 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)
➢ 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 perform the pump and haul activity
® 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
➢ 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 Pagel of 5

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 ACTIVITES. 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,
[phone] Fax
Warren, Wilson
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, Pender
[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): Lon Snider
II. APPLICANT INFORMATION:
1. Applicant's name (Municipality, Individual, Corporation, etc): NCDOT
2. Applicant type: ❑ Municipal ® State ❑ Privately -Owned Public Utility
❑ County ❑ Other:
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) 1-77 Welcome Center
4. Signature authority's name: Brandon Whitaker P.E. per 15A NCAC 02T .0106(b)
Title: Division 11 Maintenance Engineer
S. Applicant's mailing address: 801 Statesville Road
City: North Wilkesboro State: NC Zip: 28659-
6. Applicant's contact information:
Phone number: [phone] Email: bwhitaker3(@NCDOT.gov
III. CONTACT/CONSULTANT INFORMATION:
1. Contact name: Kevin Heath, P.E.
Title/Affiliation: Proiect Engineer
2. Contact's information:
Phone number: [phone]
IV. RECEIVING FACILITY INFORMATION:
Email: [e-mail]
100
If more than 1 facility has agreed to accept the wastewater, please list all the owners, facility names, and permit
numbers as a separate attachment)
1. Owner: City of Mount Airy
2. Facility name: City of Mount Airy WWTP
3. Facility permit number: NCO021121
4. WWTF permit number: NCO021121
S. WWTF contact name: Chris Marion
Title/Affiliation: WWTP Supervisor
6. WWTF contact information:
Phone number: [phone] Email: [e-mail]
APPLICATION P&H 11-23 Page 3 of 5

V. PROJECT INFORMATION:
1. Project Name: 1-77 Welcome Center Emergency Pump & Haul
2. Project Location: 1-77 Welcome Center — Surry Countv
3. Duration of Pump and Haul Request (not to exceed 6 months): As lone as needed until the WWTP can be
placed back in service. Estimate 1 month.
4. Has a prior permit been issued? No.
❑ New ❑ Prior Pump & Haul Permit
Permit No.:
5. Permanent Method of Wastewater Disposal: WWTP
6. Date Permanent Disposal will be available: TBD — Estimate June 2024
7. Have permits / approvals for permanent disposal been obtained?
a. ® Yes ❑ No Permit Number: NCO029190
8. Is there a Pretreatment Program in effect? ❑ Yes ® No
9. Describe any pretreatment prior to pumping and hauling: None- wastewater collected in WWTP tanks
10. Volume of Wastewater Generated: 5,100 Gallons per Dav
11. Explain how the wastewater flow was determined: ❑ 15A NCAC 02T .0114 or ® Representative Data
If representative data, describe: Water Billing Records for 2023 or 75 gpd/bedroom, if applicable House Bill
600 Section 18)
12. Describe Tank / Container wastewater will be pumped from (attach description if necessary):
Wastewater from the Welcome Center will gravity flow into one of the existing package plant aeration basins
for holding until pumped. Approximate tank holding volume is 22,000 gallons
13. Is Tank / Container in place or will it be installed (attach description if necessary):
b. Existing tank is in place. The WWTP facility has two parallel treatment units One unit will be used for
temporary pump storage while the other unit is repaired so it can be placed in service
14. What type of high water alarm does the container have: Visual observation of tank level by facility staff is only
means available.
2. ❑ Audible and Visual ❑ Telemetry (Auto Dialer / SCADA)
VI. CERTIFICATION:
1. Applicant's Certification: (Signature of Signing Official and Project Name)
I, Brandon Whitaker, attest that this application for 1-77 Welcome Center Emergency Pump & Haul 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 143-215.6B, 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.
DoocuSignn^e-d by: /' 1 1
D�� W. Uufok v' 05/16/2024
1a. 7006989F2F4F450
Signing Official Signature Date
APPLICATION P&H 11-23 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 CERTFICATION 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, Kevin Heath, P.E. ,attest that this application for 1-77 Welcome Center Emergency Pump & Haul 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. Kevin Heath
Professional Engineer Name
2b. The Lane Group
Engineering Firm
�2c. 119 North Main Street
�Mailing Address
2d. Galax
City
2g. 276-236-4588
Telephone
2e. VA
State
2f. 24333
Zip
2h. N/A 2i. [e-mail]
Facsimile E-mail
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NC PE Seal, Signature & Date
APPLICATION P&H 11-23 Page 5 of 5

CITY of MOUNT AIRY
PUBLIC WORKS DEPARTMENT
Physical: 440 East Pine Street Mailing: Post Office Box 70
Mount Airy, North Carolina 27030
Phone: [phone] Fax: [phone]
www.mountairy.org
May 15, 2024
Paul Stankiewicz
Rest Area Section Supervisor
NCDOT / Roadside Environmental Unit
1557 MSC, Raleigh NC,27699
RE: Interstate 77 North Carolina Welcome Center
Dear Paul:
[e-mail]
This purpose of this letter is to certify that the City of Mount Airy will accept and treat
the wastewater from the above referenced site. NCDOT septic tank haulers can
transport up to 10,000 gallons per day of domestic wastewater from the site to the City
of Mount Airy Wastewater Treatment Plant. The Plant is open Monday -Friday from
8am-5pm, no weekends or holidays.
If you need any additional information, please let me know.
Respectfully,
Mitch Williams, P.E.
Public Works Director

Kevin Heath
From: donald goins <[e-mail]>
Sent: Thursday, May 16, 2024 4:47 PM
To: Kevin Heath
Subject: Re: [External] Fwd: 1-77 Welcome Center WWTP
Mr. Paul Stankiewicz, Rest Area Section Supervisor
NCDOT Roadside Environmental Unit
1557 Mail Service Center
Raleigh, North Carolina 27699
Re: 1-77 Welcome Center
Dear Mr. Stankiewicz:
In followup to our recent telephone discussions, PD Quick Septic Hauling is agreeable to provide septic tank
pumping and hauling services to NCDOT at the 1-77 Welcome Center WWTP on an as -needed basis. It is our
understanding that the Welcome Center's WWTP is temporarily out of service and will remain off-line until
necessary repairs can be made. The existing WWTP treatment unit tanks will be used as temporary storage
basins to hold wastewater from the Welcome Center. We will pump the wastewater from these tanks and
transport it to the City of Mount Airy's WWTP for treatment.
PD Quick Septic Hauling is an approved septic hauler permitted to discharge at the City's WWTP. We
operate using 4 pumper trucks from 2000 to 4000 Gallons in size. We understand that the wastewater flows
generated at the Welcome Center will fluctuate on a day-to-day basis, but historical water billing records
indicate that the flows typically average 4,000 - 7,000 gallons per day. Wastewater deliveries to the City's
WWTP will be coordinated with the WWTP operators and will be completed in accordance with the City's
standard requirements for receipt of septage.
Let me know if you need anything additional and we look forward to assisting the NCDOT.
Donald Goins - (336)-401-0459
PD Quick Septic Hauling
133 Mason Rd.
Mount Airy, NC 27030

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