20090573 Ver 1_401 Application_20090509

BLACK & VEATCH
Building a world of difference:
Winston-Salem/ Forsyth County Utility Commission
R.A. Thomas Water Treatment Plant Improvements
Cyndi Karoly
NC DWQ, 401/Wetlands Unit
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604
Subject: 401 Water Quality Certification
Dear Cyndi Karoly,
51 r ID
B&V Project 145730
B&V File D-1.4
May 18, 2009
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MAY 1 ? zoos
DEM-WA??ER01 M
WETW= W STID1iI ffflM WAVM
Black & Veatch is submitting on behalf of the Winston-Salem/Forsyth County Utility Commission a 401
Water Quality permit package for work required in the R.A. Thomas Water Treatment Plant
Improvements project. The following items are included with this package:
• Authorization Form
• Pre-Construction Notification Form (5 copies)
• Application Fee
• Location Map with identified stream impacts (5 copies)
• Contract Drawings (2 full size copies and 3 half size copies):
Sheet B1 -Existing Site Plan
Sheet B8 - Overall Site Plan
Sheet B 10 - Partial Site Plan Staking, Grading, & Erosion Control
Sheet B I 1 - Partial Site Plan Staking, Grading, & Erosion Control
Sheet B13 - Partial Site Plan Yard Piping
Sheet B14 - Partial Site Plan Yard Piping
Sheet B25 - Sitework Miscellaneous Yard Structures
Relevant approved permit correspondence
o Local stormwater approval - email correspondence from Joseph Fogarty of the City of
Winston-Salem dated February 15, 2008.
o Authorization to Construct (A to C No. 079821A02) from NC DWQ Construction Grants &
Loans Section dated June 23, 2008.
o Local floodplain approval - letter from Jeff Kopf of the City of Winston-Salem Inspections
Division dated November 28, 2007.
o Erosion and sedimentation control plan approval from Clif Whitfield of NCDENR Division
of Land Resources Land Quality Section dated March 26, 2008.
BLACK & VEATCH INTERNATIONAL COMPANY 9000 Regency Parkway, Suite 200 Cary, NC 27518 919-462-7501 - Fax [phone]
Page 2
Winston-Salem/ Forsyth County Utility Commission B&V Project 145730
R.A. Thomas Water Treatment Plant Improvements B&V File D-1.4
Sincerely,
A'O
Kurtis Proffit, P.E.
Enclosure[s]
cc: Terry Cornett, CCUC (w/o enclosures)
Bill Brewer, CCUC (w/o enclosures)
David Saunders, CCUC (w/o enclosures)
Jeff Davis, B&V (w/o enclosures)
SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. PLAN NO. PARCEL ID: 6845-02-0258.00
STREETADDRESS: 1201 South Martin Luther King Junior Drive
Winston-Salem, NC 27103
Please print:
PropertyOwner: City of Winston-Salem
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Kurtis Proffit of Black & Veatch
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized I
Date: Jr,
Authorized Signature
Date:
r .. r
A r
„' -r
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification PCN Form
A. Applicant Information 'JUIRA
1. Processing
1a. Type(s) of approval sought from the
Corps:
®Section 404 Permit ? Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: 39 or General Permit (GP) number:
1 c. Has the NWP or GP number been verified by the Corps? ® Yes ? No
1d. Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification - Regular ? Non-404 Jurisdictional General Permit
? 401 Water Quality Certification - Express ? Riparian Buffer Authorization
1 e. Is this notification solely for the record
because written approval is not required? For the record only for DWQ 401
Certification:
? Yes ® No For the record only for Corps Permit:

? Yes ® No
1f. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program. ? Yes ® No
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below. ? Yes ® No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes ® No
2. Project Information
2a. Name of project: R.A. Thomas Water Treatment Plant Improvements
2b. County: Forsyth
2c. Nearest municipality / town: Winston-Salem
2d. Subdivision name: N/A 19 L!5 L

2e. NCDOT only, T.I.P. or state
project no: L;U
N/A
M
3. Owner Information
CfUULJ
3a. Name(s) on Recorded Deed: City of Winston-Salem INETLANDS AND WATER Q SMRA&u4=

3b. Deed Book and Page No.
Deed Book No. 429, Page No. 101 Q
3c. Responsible Party (for LLC if
applicable): David K. Saunders
3d. Street address: Suite 357, 101 N. Main Street
3e. City, state, zip: Winston-Salem, NC 27101
3f. Telephone no.: [phone]
3g. Fax no.: [phone]
3h. Email address: [e-mail]
Page I of 12
PCN Form - Version 1.3 December 10, 2008 Version
4. Applicant Information (if different from owner)
4a. Applicant is: ? Agent ? Other, specify:
4b. Name:
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
5. Agent/Consultant information (if applicable)
5a. Name: Kurtis Proffit
5b. Business name
(if applicable): Black & Veatch
5c. Street address: 9000 Regency Parkway, Suite 200
5d. City, state, zip: Cary, NC 27518
5e. Telephone no.: [phone]
5f. Fax no.: [phone]
5g. Email address: [e-mail]
Page 2 of 12
PCN Form - Version 1.3 December 10, 2008 Version
B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): 6845-02-0258.00
Latitude: 36.086572 Longitude: -
1b. Site coordinates (in decimal degrees): 80.220033
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size: 43.9 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to

proposed project: Unnamed tributary to Salem Creek
2b. Water Quality Classification of nearest receiving water: C
2c. River basin: Yadkin - Pee Dee
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
The existing R.A. Thomas Water Treatment Plant is located on the existing site so the existing land use is categorized as
1.06.03.01 Water Treatment.
3b. List the total estimated acreage of all existing wetlands on the property:
0
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
2500
3d. Explain the purpose of the proposed project:
To improve the existing R.A. Thomas Water Treatment Plant to meet regulatory treatment requirements and provide
hydraulic capacity to treat the plant's permitted capacity.
3e. Describe the overall project in detail, including the type of equipment to be used:
The existing 24-mgd water treatment plant will be demolished and and a new 18-mgd water treatment plant will be
constructed which will treat water from the Yadkin River and/or Salem Lake. The new water treatment plant includes an
operations building which will house the administrative and personnel areas, maintenance shop, control room, and
chemical feed and storage; an 18-mgd basin and filter complex consisting of rapid mix
flocculation
di
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ti
f
,
, se
men
a
on,
our
deep bed filters, and a filter pipe gallery; a finished water pumping station; two 1.5-million gallon prestressed concrete
finished water reservoirs; a 377,660 gallon wash water supply tank; a wash water equalization basin; a wash water
clarifier; expansion and modification of the two existing residuals storage lagoons; modernization of the existing residuals
pumping station; standby power; and sitework.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past? ? Yes ? No ®Unknown
Comments:
4b. If the Corps made the jurisdictional determination, what type
of determination was made?
? Preliminary ? Final
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company:
Name (if known): Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
Page 3 of 12
PCN Form - Version 1.3 December 10, 2008 Version
5. Project History
5a. Have permits or certifications been requested or obtained for ®Yes ? No Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
Local stormwater approval for this project was obtained from Joseph Fogarty of the City of Winston-Salem on February
15, 2008 as shown in the attachment. An Authorization to Construct (A to C No. 079821A02) was obtained from the
Division of Water Quality dated June 23, 2008 as shown in the attached letter. Local floodplain approval was obtained
from Jeff Kopf of the City of Winston-Salem Inspections Division dated November 28, 2007 as shown in the attached
letter. The erosion and sedimentation control plan for the project (Project ID Forsy-2008-033) was approved by Clif
Whitfield of NCDENR Division of Land Resources Land Quality Section dated March 26, 2008 as shown in the attached
letter.
6. Future Project Plans
6a. Is this a phased project? ? Yes ® No
6b. If yes, explain.
Page 4 of 12
PCN Form - Version 1.3 December 10, 2008 Version
C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
? Wetlands ® Streams - tributaries ? Buffers
? Open Waters ? Pond Construction
Page 5 of 12
PCN Form - Version 1.3 December 10, 2008 Version
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
Wetland impact Type of jurisdiction
number - Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWQ - non-404, other) (acres)
Temporary T
W1 ? P ? T ? Yes ? Corps
? No ? DWQ
W2 ? P ? T ? Yes ? Corps
? No ? DWQ
W3 ? P ? T ? Yes ? Corps
? No ? DWQ
W4 ? PEI T ? Yes ? Corps
? No ? DWQ
W5 ? P ? T ? Yes ? Corps
? No ? DWQ
W6 ? P ? T ? Yes ? Corps
? No ?DWQ
29. Total wetland impacts
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a. 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact
number -
Permanent (P) or (PER) or
i (Corps - 404, 10 stream length

Temporary (T) ntermittent
(I NT)? DWQ - non-404, width (linear
f
t
other) (feet) ee
)
Demolition of the
existing and
construction of a
S1 ®P ? T new Plant Outlet Unnamed ® PER ® Corps

Structure in the
Tributary
? INT
? DWQ 20 51
same location in a
branch off the
stream
Culvert extension
and construction
S2 ®P ? T of a concrete Unnamed ® PER ® Corps

endwall with rip-
Tributary
? INT
? DWQ 13 40
rap outlet
stabiliziation
12" Lagoon

S3 ®P ? T Decant creek
crossing with rip- Unnamed ® PER
® Corps

rap stream
Tributary
?INT
?DWQ 10 38
stabilization
S4 ? P ? T ? PER ® Corps
? INT ? DWQ
S5 ? P ? T ? PER ? Corps
? INT ? DWQ
S6 ? P ? T ? PER ? Corps
? INT ?DWQ
3h. Total stream and tributary impacts 129
Page 6 of 12
PCN Form - Version 1.3 December 10, 2008 Version
3i. Comments:
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a.
Open water
impact number -
Permanent (P) or
Tem ora T 4b.
Name of waterbody
(if applicable) 4c.

Type of impact 4d.

Waterbody type 4e.

Area of impact (acres)
01 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
4L Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If and or lake construction proposed, then complete the chart below.
5a.

Pond ID 5b.

Proposed use or purpose 5c.
Wetland Impacts (acres) 5d.
Stream Impacts (feet) 5e.
Upland
(acres)
number of pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
K Total
5g. Comments:
5h. Is a dam high hazard permit required?
? Yes ? No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
Page 7 of 12
PCN Form - Version 1.3 December 10, 2008 Version
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If an impacts require mitigation, then you MUST fill out Section D of this form.
6a.
? Neuse ? Tar-Pamlico ? Other:
Project is in which protected basin? ? Catawba ? Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number- Reason Buffer Zone 1 impact Zone 2 impact
Permanent (P) or for Stream name mitigation (square feet) (square feet)
Temporary T impact required?
B1 ?P?T ?Yes
? No
B2 ?P?T ?Yes
? No
B3 ?P?T ?Yes
? No
6h. Total buffer impacts
6i. Comments:
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Stream impact No. S3 crosses the creek at an angle less than 75 degrees in order to avoid conflict with the existing 15"
sanitary sewer line on the east side of Brushy Fork Creek and connect to the proposed Wash Water Equalization Basin on the
west side of the creek.
The structures associated with stream impacs S1 and S2 are essential for the water treatment plant improvements but were
designed to minimize stream impacts as much as possible.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
In accordance with Contract Drawing B11 Note 3, the existing creek is to be intercepted and bypassed around stream impacts
S2 and S3 such that no water flows through any distrubed area until construction of these facilities is complete. Rip-rap
stabilization is shown for these structures to protect the stream-bank during and after construction.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for ? Yes ® No
impacts to Waters of the U.S. or Waters of the State?
2b. If yes, mitigation is required by (check all that apply): ? DWQ ? Corps
? Mitigation bank
2c. If yes, which mitigation option will be used for this
El P
t t
i
li
f
project? aymen
o
n-
eu
ee program
? Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) Type Quantity
Page 8 of 12
PCN Form - Version 1.3 December 10, 2008 Version
3c. Comments:
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached. ? Yes
4b. Stream mitigation requested: linear feet
4c. If using stream mitigation, stream temperature: ? warm ? cool ?cold
4d. Buffer mitigation requested (DWQ only): square feet
4e. Riparian wetland mitigation requested: acres
4f. Non-riparian wetland mitigation requested: acres
4g. Coastal (tidal) wetland mitigation requested: acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) - required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation? ? Yes ® No
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.

Zone 6c.
Reason for impact 6d.
Total impact
(square feet)
Multiplier 6e.
Required mitigation
(square feet)
Zone 1 3 (2 for Catawba)
Zone 2 1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund).
6h. Comments:
Page 9 of 12
PCN Form - Version 1.3 December 10, 2008 Version
E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified ? Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
El Yes No
?
Comments:
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project? 10.8%
2b. Does this project require a Stormwater Management Plan? ® Yes ? No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
Stormwater management in terms of detention and treatment was waived for this site because the change in impervious
area from existing to proposed conditions is minor and thus there is only a minor increase in stormwater runoff. This
waiver is documented in an email from Joseph Fogarty of the City of Winston-Salem dated February 15, 2008. The site
will include a new storm drain system similar to the existing system which discharges into the unnamed tributary (which
drains into Salem Creek) at the existing discharge location through a new Plant Outlet Structure. This storm drain system
is designed to handle the 10-year storm. Drainage area outside of the storm drain system sheet flows directly to Salem
Creek or to the unnamed tributary which drains into Salem Creek.
® Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan? ? DWQ Stormwater Program
? DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project? City of Winston-Salem
? Phase II
3b. Which of the following locally-implemented stormwater management programs ? NSW
? USMP
apply (check all that apply): ? Water Supply Watershed
® Other: Phase 1
3c. Has the approved Stormwater Management Plan with proof of approval been ® Yes ? No
attached?
4. DWQ Stormwater Program Review
? Coastal counties

4a. Which of the following state-implemented stormwater management programs apply ? HQW
? ORW
(check all that apply):
? Session Law 2006-246
? Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
attached? ? Yes ? No
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements? ? Yes ? No
Page 10 of 12
PCN Form - Version 1.3 December 10, 2008 Version
5b. Have all of the 401 Unit submittal requirements been met? ? Yes ? No
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1a. Does the project involve an expenditure of public (federal/state/local) funds or the ® Yes ? No
use of public (federal/state) land?
1 b. If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State ? Yes ® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter.) ? Yes ? No
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, ? Yes ® No
or Riparian Buffer Rules (15A NCAC 213 .0200)?
2b. Is this an after-the-fact permit application? ? Yes ® No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in ? Yes ® No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
A new sanitary sewer system will be constructed on the site to convey all sewage generated on the site to existing
sanitary sewer manholes located on-site which are part of the City of Winston-Salem's sanitary sewer collection system.
Spent filter backwash water and filter-to-waste is treated in a wash water equalization basin and wash water clarifier and
discharged to the unnamed tributary at the Plant Outlet Structure in accordance with the NPDES permit. This treatment
process and discharge was approved by DWQ in the Authorization to Construct A to C No. 079821A02.
Page 11 of 12
PCN Form - Version 1.3 December 10, 2008 Version

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or ? Yes ® No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act ? Yes ® No
impacts?

5c. If yes, indicate the USFWS Field Office you have contacted. ?
Raleigh
? Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
In a telephone conversation with John Thomas of the US Army Corps, he indicated that our site will not impact
Endangered Species or Designated Critical Habitat.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ? Yes ® No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
In a telephone conversation with John Thomas of the US Army Corps, he indicated that our site will not impact Essential
Fish Habitat.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation ? Yes ® No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
hftp://www.hpo.ncdcr.gov/nrfist.htm
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? ® Yes ? No
8b. If yes, explain how project meets FEMA requirements: Local floodpfain approval in accorance with the Winston-Salem
Unified Development Ordinance (UDO) was obtained from Jeff Kopf of the City of Winston-Salem Inspections Division.
The LIDO requires no more than 50% encroachment into the FEMA floodway fringe, and our site only encroaches on
27%.
8c. What source(s) did you use to make the floodpfain determination? Jeff Kopf of the City of Winston-Salem Inspections
Division and the Winston-Salem Unified Development Ordinance.
ts
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? // -XI-10f
r
•
?
Applicant/Agent's Printed Name ppl' an gent's Signature Date
(Agent's signature i id only if an authorization letter from the applicant
is rovided.
Page 12 of 12
PCN Form - Version 1.3 December 10, 2008 Version
Profit, Kurtis
From: Joseph Fogarty [[e-mail]]
Sent: Friday, February 15, 2008 1:38 PM
To: Fred Bowen
Cc: Proffit, Kurtis; Scott Angell
Subject: Stormwater Approval for R.A. Thomas Water Treatment Plant
I have reviewed and approve the plans for the above referenced project. The site is
located off Martin Luther King Jr. Blvd near the intersection with Reynolds Park Road. The
projects consists of demolishing the old water treatment plant and re-building a new one
on the same site. The engineer has submitted a report along with the plans that indicates
that the changes in impervious area are minor and thus only a minor increase in stormwater
runoff. Based on his report I am waiving any need for stormwater management at this
facility.
Please note that this correspondence relates to the stormwater management study only and
does not relieve the developer from conformance with any site plan requirements or
conditions.
Joe Fogarty PE
Stormwater Engineer
City of Winston-Salem
E-mail: [e-mail]
Tel: [phone]
07-01- 08 39:50AM FROM-Construction Grants And Loans
OHO \ NA
QG
C
o ?
9197156229 T-480 P.001/004 F-498
Michael F. Fancy, Governor
William G. Roar Jr., Secretary
North Carolina Deprtmr nt ol'Environmcat and Natural Resources
Coleen IL Sullins, Director
Division of Water Quality
June 23, 2008
Ir. David K_ Saunders
'inston-Salem/Forsyth County Utility Commission
)I North Main Street, Suite 357
'inston-Salem, North Carolina 27101
SUBJECT: Authorization to Construct
A to C No. 079821 A02
Winston-Salem/Forsyth County Utility
Commission
R.A. Thomas WTP
Forsyth County
Diar Mr. Saunders:
A letter of request for Authorization to Construct was received February 15, 2008, by the
D LJ n, and final plans and specifications for the subject project have been reviewed and found
to tisfactory. Authorization is hereby granted for the construction of modifications to the
ex g Water Treatment Plant, with discharge of treated wastewater into Salem Creek in the
Y -Pee Dee Rive r Basin.
This authorization results in no increase in design or permitted capacity and is awarded
the construction of the following specific modifications:
Installation of a 545,285 gallon flow equalization basin, four (4) 10 Hp, 730 gpm
equalization basin pumps, a 75 ft diameter clarifier, three (3) 10 tip, 250 gpm
pumps to be installed in the existing residuals pumping station, a ten (10) ft
diameter metering manhole, expansion of the two (2) existing residuals storage
lagoons to a total of 2,08 million gallons and a new reinforced concrete and clay
liner, in conformity with the project plans, specifications, and other supporting
data subsequently filed and approved by the Department of Environment and
Natural Resources.
This Authorization to Construct is issued in accordance with Part III, Paragraph A of
Permit No. N00079821 issued July 14, 2004, a9d shall be subject to revocation unless
tewater treatment facilities are constructed in accordance with the conditions and
ms specified in Permit No. N0007982I.
The sludge generated from these treatment facilities must be disposed of in accordance
I G.S. 143-215.1 and in a manner approved by the North Carolina Division of Water Quality.
NponhCaro a
?Vatunrt?
North rolina givision of Water Quality 1617 Mail Scrvice Center Rslcigb. NC 27699-1617 Phone [phone] CustomerService
Inremel: ewAte uall .0 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
An Fnjia1 tnnnrmnihllAfA-tkm Aneinn r-t„nVA-o eno/
07-01-21008 09:50AM FROM-Construction Grants And Loans
Mr. David K. Saunders
June 23, 2008
Pane 2
9197156229 T-489 P.002/004 F-406
In the event that the facilities fail to perform satisfactorily, including the creation of
isance conditions, the Permittee shall take immediate corrective action, including those as may
required by this Division, such as the construction of additional or replacement wastewater
atment or disposal facilities.
The Winston-Salem Regional Office, telephone number [phone], shall be notified
least forty-eight (48) hours in advance of operation of the installed facilities so that an on site
Tection can be made. Such notification to the regional supervisor shall be made during the
rmal office hours from 8:00 am. until 5:00 p.m. on Monday through Friday, excluding State
1irtnve
Upon completion of construction and prior to operation of this permitted :facility, a
Wification must be received from a professional engineer certifying that the permitted facility
is been installed in accordance with the NPDES Permit, this Authorization to Construct and the
)proved plans and specifications. Mail the Certification to: Construction Grants & Loans,
WQ/DENR,1633 Mail Service Center, Raleigh, NC 27699-1633.
Upon classification of the facility by the Certification Conunission, the Permittee shall
oy a certified wastewater treatment plant operator to be in responsible charge (ORC) of the
,water treatment facilities. The operator must hold a certificate of the type and grade at
equivalent to or greater than the classification assigned to the wastewater treatment
ties by the Certification Commission.
The Permittee must also employ a certified back-up operator of the appropriate type and
to comply with the conditions of T15A:8G.0202. The ORC of the facility must visit each
I facility at least weekly and each Class II, III and IV facility at least daily, excluding
,nds and holidays, must properly manage the facility, must document daily operation and
°nance of the facility, and must comply with all other conditions of T1 5A: 8G.0202.
A copy of the approved plans and specifications shall be maintained on file by the
ee for the life of the facility.
During the construction of the proposed additions/modifications, the perm.ittee shall
inue to properly maintain and operate the existing wastewater treatment facilities at all times,
in such a manner, as necessary to comply with the effluent limits specified in the NPDES
You are reminded that it is mandatory for the project to be constructed in accordance
the North Carolina Sedimentation Pollution Control Act, and when applicable, the North
lina Dam Safety Act. In addition, the specifications must clearly state what the contractor's
)nsibiliries shall be in complying with these Acts.
Prior to entering into any contract(s) for construction, the recipient must have obtained all
51c permits from the State.
07-01-108 JOIN FROM-Construction Grants And Loans 9197166229 T-489 P.003/004 F-496
. David K. Saunders
it 23, 2008
;e 3
Failure to abide by the requirements contained, in this Authorization to Construct may
Lbject the Permittee to an enforcement action by the Division of Water Quality in accordance
ith North Carolina General Statute 143-215.6A to 143-215.6C.
The issuance of this Authorization to Construct does not preclude the Peram.ittee from
lying with any and all statutes, rules, regulations,' or ordinances which may be imposed by
government agencies (local, state, and federal) which have jurisdiction.
One (1) set of approved plans and specifications is being forwarded to you. If you have
questions or need additional information, please contact Ken Pohlig, P.E. at telephone
Aber [phone].
Sincerely,.
/f q"- Coleen XI. Sullins
cc Kris Pennewell, P.E. - Black & Veatch, Charlotte
Forsyth County Health Department
DWQ Winston-Salem Regional Office, Surface Water Protection
Technical Assistance and Certification Unit
Point Source Branch, NPDES Program
Daniel Blaisdell, P.E.
Ken Pohlig, P.E.
Michelle McKay, E.I.
ATC File
07-01-208 09:59AM FROM-Construction Grants And Loans
mston-Salern/Forsyth County Utility Commission
To C No. 079821 A02
;ued June 23, 2008
9197156229 T-489 P.004/004 F-496
0
Engineer's Certuication
1' as a duly registered Professional Engineer in
State of North Carolina, having been authorized to observe (periodically/weekly/full time)
construction of the modifications and improvements to the R.A. Thomas WTp, located on
rtin Luther King, Jr. Drive in Forsyth County for the Winston-Salem/Forsyth County Utility,
-by state that, to the best of my abilities, due care and diligence was used in the observation
he following construction:
Installation of a 545,285 gallon flow equalization basin, four (4) 10 Hp, 730 gpm
equalization basin pumps, a 75 ft diameter clarifier, three (3) 10 Hp, 250 gpm
pumps to be installed in the existing residuals pumping station, a ten (10) ft
diameter metering manhole, expansion of the two (2) existing residuals storage
lagoons to a total of 2.08 million gallons and a new reinforced concrete and clay
liner, in conformity with the project plans, specifications, and other supporting
data subsequently filed and approved by the Department of Environment and
Natural Resources.
that the constriction of the above referenced project was observed to be built within
ial compliance and intent of the approved plans and specifications.
Registration No.
?N
to: Construction Grants & Loans
DENR/DWQ
1633 Mail Service Center
Raleigh, NC 27699-1633
? 1
_cE111/ft?tr
s? n
City Hill South
November 28, 2007 100 E Fiat St.. Suite 328
Ro. Box 2511
Wmaon•Salem. NC TN02
Tel [phone]
Fax [phone]
www,ciryof'wa.or8
Kris J. Pennewell, P.E. Ref. B&V Project 134090.120
Black & Veatch Int. Co. B&V File D-1.4
8520 Cameron Drive R.A. Thomas WTP
Suite 210 Improvements
Charlotte, N.C. 28259
Dear Ms. Pennewell:
Thank you for submitting the site work plans for the R.A.Thomas Water Treatment Plant
improvements.
The proposed site work will, in several places, encroach into the FEMA mapped 100
Year Flood Fringe of Salem Creek. Based upon the plans prepared and the analysis
performed by Black & Veatch Int. Co., it is my opinion that the proposed site work will
be in compliance with the Floodway and Floodway Fringe Regulations contained in
Chapter C, Article II of the City of Winston-Salem, Unified Development Ordinances.
Thank you for your work and cooperation with the project approval process.
Sincerely; )
l/
Jeffrey P. Ko
Erosion Control Engineer
Cc: Terry Cornett; Utilities Commission
DEC 4 9G7 01
Black & Veatch
i,
A14 ".T
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Land Resources
James D. Simons, PG, PE Land Quality Section Michael F. Easley, Governor
Director and State Geologist William G. Ross Jr., Secretary
March 26, 2008
LETTER OF APPROVAL WITH MODIFICATIONS
Winston-Salem/Forsyth County Utility Commission
Attn: David Saunders
PO Box 2511
Winston-Salem, NC 27102
RE: Project Name: R.A. Thomas Water Treatment Plant Improvements
Project ID: Forsy-2008-033
County: Forsyth
River Basin.: Yadkin
Stream Classification: Other
Submitted By: Black & Veatch International Company
Date Received by LQS: 3-25-08
Plan Type: Revised
Dear Mr. Saunders:
This office has reviewed the subject erosion and sedimentation control plan. We find the
plan to be acceptable with modifications and hereby issue this letter of Approval With
Modifications. The Modifications Required for Approval are listed on the attached page. This
plan approval shall expire three (3) years following the date of approval, if no land-disturbing
activity has been undertaken, as is required by Title 15A NCAC 4B .0129.
Please be advised that Title 15A NCAC 4B .0118(a) requires that a copy of the approved
erosion control plan be on file at the job site. Also, you should consider this letter to give the
Notice required by G.S. 113A-61.1(a) of our right of periodic inspection to insure compliance
with the approved plan.
North Carolina's Sedimentation Pollution Control Program is performance-oriented,
requiring protection of existing natural resources and adjoining properties. If, following the
commencement of this project, it is determined that the erosion and sedimentation control plan is
inadequate to meet the requirements of the Sedimentation Pollution Control Act of 1973 (North
Carolina General Statute 113A-51 through 66), this office may require revisions to the plan and
implementation of the revisions to insure compliance with the Act.
Winston-Salem Regional Office
585 Waughtown Street, Winston-Salem, Ncrth Carolina 27107 • Phcne: 336-771-5000 I FAX. [phone]
Letter of Approval with Modifications
Winston-Salem/Forsyth County Utilities Commission
March 26, 2008
Page 2 of 3
Acceptance and approval of this plan is conditioned upon your compliance with Federal
and State water quality laws, regulations, and rules. In addition, local city or county ordinances
or rules may also apply to this land-disturbing activity. This approval does not supersede any
other permit or approval.
Please be aware that your project will be covered by the enclosed NPDES General
Stormwater Permit NCGO1000 (Construction Activities). You should first become familiar with
all of the requirements for compliance with the enclosed general permit.
Please note that this approval is based in part on the accuracy of the information provided
in the Financial Responsibility Form, which you have provided. You are requested to file an
amended form if there is any change in the information included on the form. In addition, it
would be helpful if you notify this office of the proposed starting date for this project. Please
notify us if you plan to have a preconstruction conference.
Your cooperation is appreciated.
Sincerely,
C.
Clif Whitfield, P.G.
Assistant Regional Engineer
Land Quality Section
Enclosures: Certificate of Approval
Modifications Required for Approval
NPDES Permit
e
cc: Black & Veatch International Company
......WSRO Files
WSRO DWQ

Letter of Approval with Modifications
Winston-Salem/Forsyth County Utilities Commission
March 26, 2008
Page 3 of 3
MODIFICATIONS REQUIRED FOR APPROVAL
Project Name: R.A. Thomas Water Treatment Plant Improvements
Project ID: Forsy-2008-033
County: Forsyth
A preconstruction conference is required before work may begin on this project. The
preconstruction conference must be attended by a representative of the NC DENR Land Quality
Section, a representative of the responsible party, and the grading contractor. Please contact this
office at 336-771-5000 to arrange the preconstruction conference.
2. The proper maintenance of inlet protection will be critical to prevent off-site sediment for this
project. Sediment should be removed from behind the inlet protection and the washed stone
should be refreshed when any accumulation exceeds 4 inches in depth.
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NOTICE
INCREASE IN SEDINIENATION AND EROSION
CONTROL PLAN REVIEW FEE
S65.00 PER ACRE OR ANY PART OF AN ACRE
EFFECTIVE AUGUST 1, 2007'.
G.S. 113A-54.2(a) reads as re?x ; it en:
"(a) An application fee of sixty-five dollars ($65.00) per acre of disturbed
land shown on an erosion and sedimentation control plan or of land actually
disturbed during the life of the project shall be charged for the review of an
erosion and sedimentation control plan under this Article."
This section becomes effective August 1, 2007, and applies to applications
submitted on or after that date.
15A NCAC 04B.0126 PLAN REVIEW FEE
(b) Each plan shall be deemed incomplete until the plan review processing
fee is paid.
(c) The plan review processing fee shall be based on the number of acres, or
any part of an acre, of disturbed land shown on the plan.
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