WQCS00106_Renewal Application_20180422

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NORT CAROLINA
Davie County Public Utilities
336.753.6090
April 22, 2018 itEcEeVE
0 ©5 201
Attn: PERCS Unit ces
1617 Mail Service Center Supervisor Water�essectiorr
Raleigh,NC 27699 perm+tt+n9
To Whom It May Concern,
Please see the package attached for the Davie County Public Utilities Collection System Permit
(WQCS 000106). Attached in different formats are;
• Cover Letter addressed to PERCS unit supervisor(hard copy)
• Application printed original and a copy (hard copy)
• Pump station list(excel format)
• High Priority Lines (PDF)
• Davie County Annual Budget for 2018-2019
• Davie County Capital Improvement Plan
• SSO Response Action Plan and emergency contact number list
• Pump Station contingency plan(SOP)
S' cerely,
Johnny Lambert ,
Utilities Director
A bI
UN� 298 E. Depot St, Suite 200 I Mocksville, NC 27028 I www.DavieCountyNC.gov
Clitro

State of North Carolina
DW R Department of Environmental Quality
Division of Water Resources
15A NCAC 02T.0400—SYSTEM-WIDE WASTERWATER COLLECTION SYSTEMS
Division of Water Resources INSTRUCTIONS FOR FORM CSA 04-16&SUPPORTING DOCUMENTATION
Documents shall be prepared in accordance with 15A NCAC 02T .0100, 15A NCAC 02T .0400, and all relevant
Division Policies. Failure to submit all required items will necessitate additional processing and review time.
For more information, visit the System-wide Collection System Permitting website:
General—When submitting an application to the Pretreatment,Emergency Response,&Collection Systems(PERCS)Unit,
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.
The Applicant shall submit one original and one copy of the application and supporting documentation.
A. Cover Letter
El Submit a cover letter listing all items and attachments included in the permit application package
B. No Application Fee Required
D No application fee is necessary. The permittee will be billed an annual fee upon issuance of the permit
D The appropriate annual fee for systemwide wastewater collection system permits may be found at:
D Annual Non-Discharge Fees
C. System-Wide Wastewater Collection System (FORM: CSA 04-16)Application:
❑ Submit the completed and appropriately executed System-wide Wastewater Collection System (FORM: CSA 04-
16) 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.
❑ If the Applicant Type in Section 1.3 is a Privately-Owned Public Utility, provide the Certificate of Public
Convenience and Necessity(CPCN)from the North Carolina Utilities Commission demonstrating the Applicant is
authorized to hold the utility franchise for the area to be served by the wastewater collection system, 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.
❑ If the Applicant Type in Section I.3 is a corporation or company, provide documentation if it is registered for
business with the North Carolina Secretary of State.
D. General Information:
D The Authorized signing official listed in Section I.4 should match with that of the Applicant certification page 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).
> NOTE - Public Works Director's are not authorized to sign this permit application according to the rule
unless they are delegated.
INSTRUCTIONS FOR APPLICATION CSA 04-16&SUPPORTING DOCUMENTATION Page 1 of 5

E. Summary of Attachments Required:
® Instruction A: Cover Letter
® Instruction C: Application
❑ Instruction C: Ownership Documentation(i.e.CPCN)(If necessary)
❑ Instruction D: Delegation Letter(If necessary for signing official)
® Section IV.3 Pump Station List
® Section IV.4 High Priority Lines List
® Section V.4 Annual Budget for Collection System(Updated and Approved)
® Section V.6 Capital Improvement Plan(Updated and Approved)
® Section VI.2 Response Action Plan
® Section VI.4 Contingency Plan
❑ Section VI.6 Comprehensive Collection System Map
❑ Section VII Note Any Potential Compliance Issues
THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS,SHOULD BE SENT TO:
NCDEQ-DWR
Water Quality Permitting Section
PERCS UNIT
By U.S.Postal Service: By Courier/Special Delivery:
Attn: PERCS Unit Supervisor 512 N.SALISBURY ST.Suite 925
1617 MAIL SERVICE CENTER RALEIGH,NORTH CAROLINA 27604
RALEIGH,NORTH CAROLINA 27699-1617
TELEPHONE NUMBER: [phone]
INSTRUCTIONS FOR APPLICATION CSA 04-16&SUPPORTING DOCUMENTATION Page 2 of 5

L APPLICANT INFORMATION:
1. Applicant's name(Municipality,Public Utility,etc):Davie County Public Utilities
2. Facility Information: Name: Cooleemee Collection System Permit No.: WQCS00106
3. Applicant type: ❑ Municipal ❑ State ❑ Privately-Owned Public Utility
®County ❑Other:
4. Signature authority's name:John Eller per 15A NCAC 02T.0106(b)
Title: Davie County Manager
5. Applicant's mailing address: 123 S.Main Street
City:Mocksville State:N_C Zip: 27028
6. Applicant's contact information:
Phone number:[phone] Fax number: [phone] Email address:[e-mail]
H. CONTACT/CONSULTANT INFORMATION:
1. Contact Name:Johnny Lambert
2. Title/Affiliation: Director of Public Utilities
3. Contact's mailing address:298 E.Depot Street Suite 200
4. City: Mocksville State:N_C Zip:27028-
5. Contact's information:
Phone number:[phone] Fax number:[phone] Email address:Jlambert(a,daviecountync.gov
III. GENERAL REQUIREMENTS:
1. New Permit or Premit Renewal? ❑New ® Renewal
2. County System is located in: Davie County
3. Owner&Name of Wastewater Treatment Facility(ies)receiving wastewater from this collection system:
Owner(s)&Name(s):Davie County Public Utilities,Cooleemee Waste Treatment Plant
4. WWTF Permit Number(s): NC0024872
5. What is the wastewater type? 98%Domestic or 2%Industrial(See 15A NCAC 02T.0103(20))
Is there a Pretreatment Program in effect?®Yes or❑No
6. Wastewater flow: .768 MGD(Current average flow of wastewater generated by collection system)
7. Combined permitted flow of all treatment plants: 1.5 MGD
8. Explain how the wastewater flow was determined: ❑ 15A NCAC 02T.0114 or®Representative Data
9. Population served by the collection system: 35%
IV. COLLECTION SYSTEM INFORMATION:
1. Line Lengths for Collection System:
Sewer Line Description Length
Gravity Sewer 28.5(miles)
Force Main 11.7(miles)
Vacuum Sewer 0(miles)
Pressure Sewer (miles)
APPLICATION CSA 04-16 Page 3 of
5

2. Pump Stations for Collection System:
Pump Station Type Number
Simplex Pump Stations(Serving Single Building) 0
Simplex Pump Stations(Serving Multiple Buildings)
_Duplex Pump Stations 12
3. Submit a list of all major(i.e.not simplex pump station serving a single family home)pump stations. Include the following
information:
➢ Pump Station Name
D. Physical Location
D Alarm Type(i.e.audible,visual,telemetry, SCADA)
D Pump Reliability(Can convey peak hourly wastewater flow with largest single pump out of service)
> Reliability Source(permanent/portable generator,portable pumps)
> Capacity of Station(Pump Station Capacity in GPM)
4. Submit a list of all high priority lines according per 15A NCAC 02T .0402(2)known to exist in the collection system. Head
the list with"Attachment A for Condition V(4)"and include the system name.
> Use the same line identification regularly used by the applicant
> Indicate type of high priority line(i.e.aerial),material and general location
V. COLLECTION SYSTEM ADMINISTRATION:
1. Provide a brief description of the organizational structure that is responsible for management, operation and maintenance of
the collection system.
Please see attached organization chart.
2. Indicate the current designated collection system operators for the collection system per 15A NCAC 08G.0201
Main ORC Name: Raymond J Lambert Certification Number:999556
Back-Up ORC Name: Bradley E Prevette Certification Number:999507
See the"WQCS Contacts and ORC Report"for a current listing of the ORC(s)the Division has on file for WQCS permit
3. Approximate annual budget for collection system only: $ 1,518,968
4. Submit a copy of your current annual budget.
5. Approximate capital improvement budget for the collection system only: $ 19,000,000
6. Submit a copy of your current capital improvement plan.
7. Is this collection system currently a satellite system ❑Yes or®No
8. Do any satellite systems discharge to this collection system ®Yes or❑No(If yes complete table below)
Satellite System Contact Information(Name,Address,Phone Number)
Mocksville,Bear Creek Basin Marcus Abernethy, 171 S.Clement Street Mocksville,NC 27028
336-753-6700
Complete for Satellite Systems that have a flow or capacity greater than 200,000 GPD(Average daily flow)
9. List any agreements or ordinances currently in place to address flows from satellite systems:
Interlocal Joint Venture Agreement, Sewer Service Agreement
APPLICATION CSA 04-16 Page 4 of
5

VI. COLLECTION SYSTEM COMPLIANCE:
1. Is a Response Action Plan currently in place®Yes or❑No
2. If Yes,submit a copy of the Response Action Plan or see table 6 below.
3. Is a pump station contingency plan currently in place?®Yes or❑No
4. If Yes,submit a copy of the pump station contingency plan or see table 6 below.
5. Is a comprehensive collection system map currently in place? ®Yes or❑No
6. Submit a submit a copy of the collection system map(CD or hardcopy)or indicate a schedule for completion
7. Thoroughly read and review the System-Wide Collection System Permit Conditions. Typically compliance schedules
are only offered to NEW permit applicants and NOT permit renewals. Any compliance dates must be included within
the permit prior to issuance or the permit holder will be found in violation upon inspection.
Current If no, Indicate a Typical
Permit Condition Compliance Compliance
Compliance? Date Schedule
I(4)—Grease ordinance with legal authority to inspect/enforce ®Yes ❑No 12—18 mo.
I(5)— Grease inspection and enforcement program ®Yes ❑No 12—18 mo.
I(6)—Three to five year current Capital Improvement Plan. ®Yes ❑No 12—18 mo.
48)—Pump station contingency plan ®Yes ❑No 3 mo.
I(9)—Pump station identification signs. ®Yes ❑No 3 mo.
411)—Functional and conspicuous audible and visual alarms. ® Yes ❑No 3—6 mo.
11(5)—Spare pumps for any station where one pump cannot
handle peak flows alone(in a duplex station,the 2nd pump is ®Yes ❑No 6—9 mo.
the spare if pump reliability is met).
II(7)—Accessible right-of-ways and easements. ®Yes ❑No 6— 12 mo.
11(9)—Response action plan with Items 9(a—h). ®Yes ❑No 3 mo.
III(3)—Comprehensive collection system map ®Yes ❑No 10%per year
For conditions not listed,compliance dates are not typically offered. List any permit conditions that may be difficult for the
applicant to meet(attach clarification if needed):
VII. APPLICANT'S CCERTIFICATION per 15A NCAC 02T.0106(b):
I, Co..� 014.7- ]tea✓�t wnf p4,0„5attest that this application for G3402„.., %.)(..c4
(Signature Authority's Name&Title from Item 1.4) (Facility name from Item I.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 information and attachments are not included,this application package
will be returned to me as incomplete.
Note: In accordance with NC 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
$10,000 as well as civil penalties up to$<,..60—per—violation.
Signature: Date: /2-3//g
APPLICATION CSA 04-16 Page 5 of
5

irm _
• -1111,0111T
. NORTH C R LINA
Davie County Public Utilities
336.753.6090
April 22, 2018
Attn: PERCS Unit Supervisor
1617 Mail Service Center
Raleigh,NC 27699
To Whom It May Concern,
Please see the package attached for the Davie County Public Utilities Collection System Permit
(WQCS 000106). Attached in different formats are;
• Cover Letter addressed to PERCS unit supervisor(hard copy)
• Application printed original and a copy (hard copy)
• Pump station list(excel format)
• High Priority Lines (PDF)
• Davie County Annual Budget for 2018-2019
• Davie County Capital Improvement Plan
• SSO Response Action Plan and emergency contact number list
• Pump Station contingency plan(SOP)
Sincerely,
Johnny Lambert
Utilities Director
'N./NV
AllOW
0 ,c 298 E. Depot St, Suite 200 I Mocksville, NC 27028 I www.DavieCountyNC.gov

NORT CAROLINA
Davie County Public Utilities
336.753.6090
April 24, 2018
Davie County High Priorty Sewer Lines;
To Whom It May Concern,
Davie County has several lines in the collections system that are high priority and need to inspected per
(15a NCAC 2t .0404(2)):
• Yadkin River Bridge pumping to Forsyth County this is an aerial line
• Cooleemee sewer along Yadkin River between Junction Road and the South Yadkin river dam this
line is parallel to a stream and the South Yadkin River
Note; all high priority lines must be visual inspected every six months. During this visual inspection
please note and retain on records all potential problems with lines and right of ways.
7cerel ,
Johnny Lambert
Utilities Director
Cc: Andy Atwood, Supervisor of Operations, Brandon Godbey Senior Line Maintenance Mechanic/
Pump Stations
v1836 'Cr
0UN"S- 298 E. Depot St, Suite 200 I Mocksville, NC 27028 I www.DavieCountyNC.gov

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05/23/2018 09:06 (COUNTY OF DAVIE P 8
jlambert YEAR-TO-DATE BUDGET REPORT glytdbud
FOR 2018 13
ORIGINAL REVISED AVAILABLE PCT
APPROP BUDGET YTD ACTUAL MTD ACTUAL ENCUMBRANCES BUDGET USED
57040 WASTE TREATMENT PLANT
57040 510010 SALARIES 46,343 47,490 41,945.38 .00 .00 5,544.62 88.3%
57040 520050 FICA 3,545 3,633 2,730.10 .00 .00 902.90 75.1%
57040 520060 GRP HOSP 9,900 9,900 11,360.22 .00 .00 -1,460.22 114.7%*
57040 520070 RETIREMENT 3,513 3,600 3,171.06 .00 .00 428.94 88.1%
57040 520080 WKR COMP 1,212 1,353 1,353.00 .00 .00 .00 100.0%
57040 520110 GRP L=EE 89 89 80.84 .00 .00 8.16 90.8%
57040 520120 401K EMPL 1,390 1,424 1,258.32 .00 .00 165.68 88.4%
57040 530120 POSTAGE 275 275 .00 .00 .00 275.00 .0%
57040 530300 VEH TIRES 500 500 448.80 .00 .00 51.20 89.8%
57040 530310 VEH GAS 1,500 1,500 1,109.98 .00 .00 390.02 74.0%
57040 530320 OFF SUPPLY 500 500 .00 .00 .00 500.00 .0%
57040 530330 DEPT SUPPL 3,000 3,000 2,622.55 .00 .00 377.45 87.4%
57040 530331 CHEMICALS 30,000 30,000 10,809.96 .00 3,836.40 15,353.64 48.8%
57040 530360 UNIFORMS 500 500 330.00 .00 .00 170.00 66.0%
57040 530370 TOOLS EO 2,000 2,000 240.87 .00 .00 1,759.13 12.0%
57040 540100 ED & TRN 2,000 2,000 1,020.97 .00 .00 979.03 51.0%
57040 540110 TELEPHONE 3,300 3,300 2,099.54 .00 .00 1,200.46 63.6%
57040 540130 UTILITIES 106,000 106,000 72,267.13 .00 .00 33,732.87 68.2%
57040 540440 WASTEWATER 25,000 25,000 19,427.00 .00 .00 5,573.00 77.7%
57040 540450 PURCH SVCS 5,000 5,000 .00 .00 .00 5,000.00 .0%
57040 541550 CONSULTANT 15,000 15,000 .00 .00 10,000.00 5,000.00 66.7°%
57040 541900 INDIR COST 3,260 3,260 .00 .00 .00 3,260.00 .0%
57040 550150 BLD & GRDS 23,400 23,400 20,586.10 .00 265.40 2,548.50 89.1%
57044_550400 HEAVY EO M 75,000 73,644 54,651.28 .00 8,621.75 10,370.97 85.9%
57040 551190 SYS MAINT 130,000 121,189 61,246.49 .00 52,290.00 7,652.51 93.7%
57040 560530 DUES & SUB 7,500 7,500 6,630.80 .00 .00 869.20 88.4%
57040 560560 CHAR & PEN 2,500 2,500 .00 .00 .00 2,500.00 .0%
57040 580900 CAP OUTLAY 18,000 40,490 14,185.00 .00 22,490.00 3,815.00 90.6%
TOTAL WASTE TREATMENT PLANT 520,227 534,047 329,575.39 .00 97,503.55 106,968.06 80.0%

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05/23/2018 09:06 'COUNTY OF DAVIE IP 9
jlambert YEAR-TO-DATE BUDGET REPORT glytdbud
FOR 2018 13
ORIGINAL REVISED AVAILABLE PCT
APPROP BUDGET YTD ACTUAL MTD ACTUAL ENCUMBRANCES BUDGET USED
57050 EASTERN DAVIE SEWER
57050 510010 SALARIES 36,414 36,414 32,495.56 .00 .00 3,918.44 89.2%
57050 520050 FICA 2,786 2,786 2,485.88 .00 .00 300.12 89.2%
57050 520060 GRP HOSP 9,900 9,900 7,398.77 .00 .00 2,501.23 74.7%
57050 520070 RETIREMENT 2,760 2,760 2,456.64 .00 .00 303.36 89.0%
57050 520080 WKR COMP 952 952 952.00 .00 .00 .00 100.0%
57050 520110 GRP LIFE 70 70 61.93 .00 .00 8.07 88.5%
57050 520120 401K EMPL 1,092 1,092 974.84 .00 .00 117.16 89.3%
57050 530300 VEH TIRES 600 600 .00 .00 .00 600.00 .0%
57050 530310 VEH GAS 3,500 3,500 2,432.01 .00 .00 1,067.99 69.5%
57050 530330 DEPT SUPPL 3,000 3,000 961.38 .00 .00 2,038.62 32.0%
57050 530331 CHEMICALS 2,500 2,500 1,292.52 .00 .00 1,207.48 51.7%
57050 530360 UNIFORMS 500 500 224.82 .00 .00 275.18 45.0%
57050 540110 TELEPHONE 3,500 3,500 2,412.53 .00 .00 1,087.47 68.9%
57050 540130 UTILITIES 40,000 40,000 23,549.61 .00 .00 16,450.39 58.9%
57050 540450 PURCH SVCS 2,500 2,500 .00 .00 .00 2,500.00 .0%
57050 540471 WSFC UTIL 900,000 1,007,000 839,656.38 .00 107,343.62 60,000.00 94.0%
57050 541550 CONSULTANT 15,000 15,000 3,472.75 .00 .00 11,527.25 23.2%
57050 541900 INDIR COST 3,673 3,673 .00 .00 .00 3,673.00 .0%
57050 550150 BLD & GRDS 12,500 12,500 .00 .00 .00 12,500.00 .0%
57050 550170 VEH MAINT 500 500 453.05 .00 .00 46.95 90.6%
57050 550400 HEAVY HO M 95,000 102,941 76,202.52 .00 6,754.00 19,984.48 80.6%
57050 560530 DUES & SUB 500 500 .00 .00 .00 500.00 .0%
57050 581120 SEW IMPROV 20,000 22,500 15,825.00 .00 .00 6,675.00 70.3%
TOTAL EASTERN DAVIE SEWER 1,157,247 1,274,688 1,013,308.19 .00 114,097.62 147,282.19 88.4%

2018-2027 Projected Spending Davie County 5/23/2018
Project Cost Form
Current 1 2 3 4 5 6 7 8 9 10
Project Cost Estimates 2016-17 2017-18 2018-19 2019-20 2020-21 2021-22 2022-23 2023-24 2024-25 2025-26 2026-27 Total
Planning 27,000 $27,000
Land Acquisition 11,000 $11,000
Construction 180,000 $180,000
Equip/Furnishings $0
Other $0
Contingencies 22,000 $22,000
Project Total $240,000 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $240,000
Operating Impact ,
Personnel $0
Utilities $0
Operating Costs $0
Capital $0
Minus Savings $0
Net Additional Expenses $0 SO $0 $0 $0 $0 $0 SO $0 $0 $0 $0
Minus New Revenues $0
Operating Total $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
Funding Available
Grants $0
Donations $0
Other(Specify) $0
Funding Total $0 $0 $0' $0 $0 $0 $0 $0 $0 $0 $0 $0
Project Title: Remove Jeffco Lift Station
Start Date/Comp.Date: 11/1/2016 to 6/30/2017
Department: Public Utilities
Project Manager: Johnny Lambert
Project Cost Form
For existing capital projects,please provide any changes/updates needed to the operating costs section only.
Information needed for the Project Cost Form for all new projects is as follows,
Project Title: As appropriate
Start Date/Completion Date:Indicate the starting month/year and ending month/year for new or existing project.
Operating Impact:All departments are asked to supply estimated annual operating costs for all projects(new or existing).Some departments may have already
developed operating impact costs for existing projects and are welcome to use updated versions of those for the appropriate project.
Other departments may need to work with the Finance Office and Development Services to generate some reasonably accurate estimates for all capital projects.
Additional Expenses: Please calculate significant annual costs associated with a project that would otherwise not occur.
Include personnel(maintenance,public safety),utilities,operating(cleaning supplies,etc.),and capital(IT needs,equipment)costs.
Do not use an inflation factor in computing these costs.
Minus Savings: Will implementation of this project result in a lower operating cost than if we were not to implement it?(Example,would the
construction of a consolidated facility to replace smaller facilities result in reduced personnel costs?)Include an estimate of savings in personnel,
operating and capital costs.DO NOT PUT IN A NEGATIVE NUMBER.
Net Additional Expenses: This number will be automatically calculated by subtracting Savings from Additional Expenses.
Minus New Revenues: What types and amounts of revenue could the County receive each fiscal year if this project is implemented?
Include not only traditional revenues,but also new fees or charges that might be appropriately associated with this project.
DO NOT PUT IN A NEGATIVE NUMBER.
Funding Available: If you plan to apply for grant funding,use donation funds or pay for this project in whole or in part using other funds,please
include those amounts here.

2018-2027 Projected Spending Davie County 5/23/2018
Project Cost Form
Project Title: Remove Jeffco Lift Station
Department: Public Utilities
Project Manager: Johnny Lambert
Project Description: Remove Jeffco lift station and replace with a gravity line that was installed in the hospital project.This will eliminate a lift station from the Eastern
Davie Sewer system and add gravity line.
Project Justification: This will eliminate pump cost,electrical cost and maintenance cost from the system.This lift station was installed in 1998 and has become too
small for the growth in the area.Jeffco has no backup power source and has become a maintenance issue due to grease and flows from the
commercial sites that discharge to it.
1. What problem or service deficiency is this project designed to alleviate?To what extent will it alleviate the problem? Will it improve efficiency or effectiveness?
Flow issues,security,grease and odor,ongoing maintenance issues.This will resolve all issues 100%and will make a more efficient system.
2. What segment and size of the population will this project serve?
3. Will this project reduce or increase your annual operating cost in some way?
No,this will decrease operating expenses.
4. Is this project required by federal,state or local legislation?
No
5. Why is your proposed timetable appropriate? What effect could changing your timetable have on this project?
Project Alternatives: Upgrade the current lift station
Project Status/Updated:
Relationship to other pro'ects:
Explanation of Annual Operating Costs and Operations Related to Project:

2018-2027 Projected Spending Davie County 5/23/2018
Project Cost Form
Current 1 2 3 4 5 6 7 8 9 10
Project Cost Estimates 2016-17 2017-18 2018-19 2019-20 2020-21 2021-22 2022-23 2023-24 2024-25 2025-26 2026-27
Planning 262,000 952,000 699,200 185,000
Land Acquisition 650,000 91,000
Construction 13,442,000
Equip/Furnishings
Other
Contingencies $1,344,000
Project Total $262,000 $1,602,000 $15,576,200 $185,000 $0 $0 $0 $0 $0 $0 $0
Operating Impact
Personnel
Utilities
Operating Costs
Capital
Minus Savings
Net Additional Expenses $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
Minus New Revenues
Operating Total $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
Funding Available
Grants $2,000,000
Donations
Other(Specify)
Funding Total $0 $2,000,000 $0 $0 $0 $0 $0 $0 $0 $0 $0
Project Title: I Easter Davie Sewer Collection System Upgrade i
Start Date/Comp. Date: i 1/1/2016 to 9/1/2020
Department: 1Public Utilities/Eastern Davie Sewer
Project Manager: Highfill Engineering
L._____

2018-2027 Projected Spending Davie County 5/23/2018
Project Cost Form
Project Cost Form
For existing capital projects,please provide any changes/updates needed to the operating costs section only.
Information needed for the Project Cost Form for all new projects is as follows,
Project Title: As appropriate
Start Date/Completion Date: Indicate the starting month/year and ending month/year for new or existing project.
Operating Impact:All departments are asked to supply estimated annual operating costs for all projects(new or existing).Some departments may have already
developed operating impact costs for existing projects and are welcome to use updated versions of those for the appropriate project.
Other departments may need to work with the Finance Office and Development Services to generate some reasonably accurate estimates for all capital projects.
Additional Expenses: Please calculate significant annual costs associated with a project that would otherwise not occur.
Include personnel(maintenance,public safety), utilities,operating(cleaning supplies,etc.),and capital(IT needs,equipment)costs.
Do not use an inflation factor in computing these costs.
Minus Savings: Will implementation of this project result in a lower operating cost than if we were not to implement it?(Example,would the
construction of a consolidated facility to replace smaller facilities result in reduced personnel costs?) Include an estimate of savings in personnel,
operating and capital costs. DO NOT PUT IN A NEGATIVE NUMBER.
Net Additional Expenses: This number will be automatically calculated by subtracting Savings from Additional Expenses.
Minus New Revenues: What types and amounts of revenue could the County receive each fiscal year if this project is implemented?
Include not only traditional revenues, but also new fees or charges that might be appropriately associated with this project.
DO NOT PUT IN A NEGATIVE NUMBER.
Funding Available: If you plan to apply for grant funding,use donation funds or pay for this project in whole or in part using other funds,please
include those amounts here.

2018-2027 Projected Spending Davie County 5/23/2018
Project Cost Form
Project Title: Easter Davie Sewer Collection System Upgrade
Department: Public Utilities/Eastern Davie Sewer
Project Manager: Highfill Engineering
Project Description: The Eastern Davie Sewer area covers approximately 7.6%of the County's area and is a higher growth area for Davie County.The project involves planning,
design and construction of new collection system and two new lift stations in Eastern Davie County.
Project Justification: he proposed project was necessitated by several factors related to Eastern Davie Sewer Area(EDSA).The Eastern Davie wastewater collection system
currently discharges into the Tanglewood Pump Station which is owned and operated by Winston Salem/Forsyth County-City County Utilities(CCUC).The
needs of EDSA are increasing as the area is poised for growth and CCUC has only approved a short-term agreement for additional capacity at which point a
significant fee will be charged.An agreement has been reached with CCUC whereby if Davie County constructs a pipeline to the Muddy Creek WWTP,CCUC
will not charge two times the Inside rates for conveyance.
1. What problem or service deficiency is this project designed to alleviate?To what extent will it alleviate the problem? Will it improve efficiency or effectiveness?
Capacity restrictions,paying two times the inside rates of CCUC.
2. What segment and size of the population will this project serve?
7.60%
3. Will this project reduce or increase your annual operating cost in some way?
Adding additional pumpstation this would slightly increase operating cost.
4. Is this project required by federal, state or local legislation?
5. Why is your proposed timetable appropriate? What effect could changing your timetable have on this project?
The proposed time table was provided by the consulting engineer during design.

2018-2027 Projected Spending Davie County 5/23/2018
Project Cost Form
Project Alternatives: Other alternatives have been studied by engineering firms and examined by the board of commissioners and determined that this is the best solution for
Eastern Davie County.
Project Status/Updated: Project is in desighn and have applied for SRF funding,project shedule is avaiable upon request.
Relationship to other projects:
Removal of Jeffco lift staion.
Explanation of Annual Operating Costs and Operations Related to Project:
ect:

2018-2027 Projected Spending Davie County 5/23/2018
Project Cost Form
Total
$2,098,200
$741,000
$13,442,000
$0
$0
$1,344,000
$i6252:10
$0
$0
$0
$0
$0
$0
-$0
$2,000,000
$0
$0
42,000,000

DAVIE COUNTY
Water and Wastewater System
Memorandum
TO: All Davie County Maintenance Personnel
SUBJECT: Sanitary Sewer Overflow(S.S.O.)Response Procedures
Purpose
The purpose of this document is to protect the citizens and environment of Davie County,North
Carolina by establishing written procedures for responding to Sanitary Sewer Overflows
(S.S.0.). These procedures apply to all Maintenance Personnel,who in the course of their work
may deal with S.S.O.'s. These procedures will be reviewed at least semiannually or whenever
revised guidance from County, State or Federal authorities dictate modifications are necessary.
Response Summary
1. I. Sanitary Sewer Overflows endanger our environment and the health of any citizens
or employees that come into contact with an S.S.O. Unchecked S.S.O.'s can result in
significant penalties from State and Federal environmental regulatory agencies as well.
The procedures below were designed to protect our environment, citizens, and employees
from an S.S.O. event. These procedures pertain to Davie County Maintenance Personnel.
2. Upon discovery of an S.S.O., an initial'response will be made by the Maintenance Crew
Foreman. Upon arrival, the foreman will make an immediate assessment to determine if a
S.S.O. event has taken place. If art event has taken place or is in progress, the
maintenance crew will attempt to eliminate the source of the S.S.O. and notify the
County's S.S.O. Contact Person,the Director of Water and Wastewater Systems or Senior
Operators of the System.
3. The S.S.O. Contact Person or his alternate will respond to the event location without
delay. Upon arrival,the S.S.0 Contact Person will make an assessment of the S.S.O,

� � I
determine what is required to mitigate the event, and establish a course of action for
clean-up and-restoration of the S.S.O. site.
4. If a blockage has occurred and an overflow is in progress,the S.S.O. Contact Person will:
• Call the County General Maintenance Supervisor to mobilize additional
manpower resources, if assistance is needed.
• Arrange for a Sewer Jet\Vacuum Truck crew or Pump Truck.
• Contact the on-call Utility Repair Crew for mobilization of personnel and
equipment.
5. The S.S.O. Contact Person will record all events as NC Division of Environmental
Management regulations require and will serve as the primary contact with State of North
Carolina authorities.
Caution
Rapid reaction is critical in the event of a S.S.O.,but employees are cautioned to maintain
proper safety precautions, especially as they pertain to confined space entry and hazardous
material handling

SPILL ON ASPHALT OR CONCRETE
1. Set up containment at or near the storm drainage system. Do not allow the spill enter
the storm drainage system.
2. Cordon off the area around the sanitary sewer overflow(S.S.O.) area with a black on
red "Danger Do Not Enter" tape.
3. Spread lime over the spillage
4. After removing the contaminated material, wash down the area with high water
pressure and a sodium hypochlorite bleach(such as Clorox, etc.) Pump the wash
water back into the sewer system for treatment.
5. If the spill gets into the storm drainage system, refer to the SPILL IN A STREAM
procedure.
SPILL IN A STREAM
1. Take conductivity readings of the creek to determine the proper placement of a
containment dam. The dam needs to be constructed near a manhole or a location that
is accessible to the Sewer Jet/Vacuum Truck. Placement of the dam should be at the
point where the lowest conductivity reading is measured, if possible. Build the dam
with dirt that is capable of handling creek and hydrant water without dam failure. At
the dam, station a pump capable of handling the creek flow. At all times, have extra
dirt and a backhoe at the site, so the dam can be rebuilt if a breach occurs. Also,there
must always be two workers at the pump site during pumping operations. Pump the
containment water from the dam into a sanitary sewer manhole for treatment.
2. 2. Put up black on red "Danger Do Not Enter" warning tape from the S.S.O. site to
the pump site on both sides of the creek in populated areas. Use the same method to
restrict access in unpopulated areas, if there is any chance of people coming in
contact with the S.S.O.

3. Take Fecal Coliform samples at the S.S.O. site, 100 feet upstream from the site(for a
background count), and at 400 foot downstream intervals from the pump site. Bring
the samples to the Director's office.
4. Flush the stream with water from a sufficient number of hydrants to remove the waste
product from the creek. Continue flushing and sample every 24 hours until the results
are less than or equal to 400 colonies/ml or the background count from the upstream
sample, if it is greater than 400 colonies/ml. Notify the Cooleemee and Sparks Road
Water Treatment Plants when beginning or ending the stream flushing.
5. If rip rap is in the creek, wash it down with high pressure water until there is no waste
residue remaining on or within the rip rap structure.
6. If sludge is in the creek, sweep the creek bottom and sides with a broom until there is
no waste residue remaining.
7. If creek flows into a body of water used for recreation or drinking, notify the affected
County and Local officials as soon as the problem is discovered. Also,refer to the
SPILL IN A POND OR LAKE Procedure.
SPILL IN A POND OR LAKE
1. Put up warning tape, black on red "Danger Do Not Enter", on the shoreline at the
contaminated area.
2. In a pond, collect Fecal Coliform samples and Dissolved Oxygen(D.O.) readings around
the entire circumference. Set up pumping operations below the dam as described above in
the SPILL IN A STREAM procedure.
3. In a large lake, sample Fecal Coliforms two feet off the bottom. D.O readings are to be
taken one foot under the surface of the water. Take equal samples around the
circumference of the lake.
4. If the Fecal Coliform counts are greater than 8,000 colonies/ml from the first sampling
results, contact the Director for appropriate action.

5. Continue pumping until Fecal Coliforms of 400 colonies/ml or less are obtained at the
pumping impoundment site.
6. Keep monitoring Fecal Coliform counts until the North Carolina Department of Water
Quality or the County Public Health Department determines that monitoring is no longer
required.
SPILL ALONG AN OUTFALL
1. Put up warning tape, "Danger Do Not Enter" around the S.S.O. site.
2. In an open area, lime (powder)heavily and till thoroughly. Repeat the procedure,then
seed and put down straw.
3. In an area where there is undergrowth or small trees,wash the area with large amounts of
water. Push into a creek towards the pumping impoundment site. Do this until no waste remains.
Wait for 12 to 24 hours, then lime the area heavily. Do not get lime in the creek. Also, do not
lime when the weather forecast is predicting rainfall.
SPILL ON A RESIDENT'S YARD
1. Clean area with water and apply lime, seed, and straw.
2. If unable to till, apply lime and two inches of topsoil,then mix thoroughly. Lime again
lightly, seed, and cover with straw.

S.S.O. REPORTING PROCEDURES
1. During normal business hours if a S.S.O. is discovered,notify the Director of the
Water and Wastewater System or Maintenance Crew Forman at the telephone
numbers below:
Mr. Johnny Lambert 336-753-6090 or 336-749-6313
Mr. Bradley Prevette 336-753-6090 or 336-477-5019
2. After normal business hours, contact Davie County Communications 336-751-0896
to dispatch the person on-call.
3. The S.S.O Contact Person will be the primary interface between the County, the State
of North Carolina Department of Water Quality, and the Davie County Health
Department on all S.S.O. matters.
4. The contact person will report the bypass of any wastewater treatment component or
system and/or overflow from any sewer line or pump station. This requirement
applies in the following cases:
• Any spill of 1000 gallons or more.
• Any spill regardless of the volume, if any waste reaches the surface waters of the
State. Please note that conveyances such as drainage ditches and storm sewers are
considered waters of the state.
• S.S.O. Contact person is required to provide oral notification regarding reportable
spills to the Winston-Salem Regional Office- 336-776-9800 as soon as possible,
but in no case later than 24-hours following the spill event.
• Additionally, if a spill occurs after normal business hours,the event must be
reported during the next working day. Should a spill occur after hours that reaches
surface waters and/or may be considered as either an environmental or health
hazard the report must be made immediately to the Division of Emergency
management- 919-825-2685. Their office will contact the appropriate staff of the
Division of water Quality.
• A written report(see attached form) must be submitted to the appropriate regional
office within five (5) days of the time that the County becomes aware of the spill
occurrence. All parts of the form must be completed in detail. It is highly
recommended that the form be completed on BIMS, then followed up by a
telephone call to confirm the report has been submitted and to provide any
additional information that may be needed.

• In the event of a discharge of 15,000 gallons or more of untreated wastewater to
the surface waters of the State, a notice must be published in a newspaper having
general circulation in the county where the discharge is located and in each
significantly affected county downstream from the point of discharge. The
Secretary shall have sole discretion to determine which counties are affected by
the discharge and shall approve the form and content of the notice and the
newspapers in which it is published. The notice shall be captioned "NOTICE OF
DISCHARGE OF UNTREATED SEWAGE". The notice must be published
within 10 days after the Secretary has determined the counties that are
significantly affected by the discharge, approved the form and content of the
notice, and Selected the newspapers in which it will be published A copy of the
notice and proof of publication must be filed with the Department within 30 days
after the notice is published. The publication of a notice of discharge is in addition
to a issuance of the press release described in the section above.
5. The owner or operator of any wastewater collection or treatment works, operated
primarily to collect or treat municipal or domestic wastewater and which has a permit
issued by the State, must provide the users or customers and the Department an
annual report which summarizes the performance of the collection system or
treatment works. In addition,the report must specify the extent that the collection
system or treatment works has violated the permit or Federal or State laws,
regulations, or rules related to the protection of water quality. The report must be
prepared and provided within 60 days after the end of the calendar or fiscal year.

Davie Co Public Utilities Sewer Collection System
24 HOUR CONTACT LIST
Davie County OFFICE WORK CELL CELL HOME
Andy Atwood 336-753-6097 336-909-4034 336 345 3866 336 998 3588
Austin Hill 336-940-8783 336-9092880 336-492-2102
Bradley Prevette 336-477-5019 336-462-3911 336-492-6013
Brandon Godbey 336-909-4001 336-909-3686
Bruce Strickland 336-909-3948
Jake Potts 336-345-3692 336-909-5393 336-492-2617
Johnny Lambert 336-753-6091 336-749-6313
Josh Collins 336-909-4023 336-4092697
Josh McChesney 336-753-6096 336-909-3955 336-671-6514
Melanie McClamrock 336-753-6092
Mike Leonard 336-909-3914 336-998-3379
Nathan Spry 336-345-3620 336-909-4401
Pam Roberson 336-753-6093
Randall Head 336-399-9050 336-970-3350
Cooleemee Water Plant 336-284-2028
Virginia Nergart 336-345-5248 336-413-9538
Rodney Mcdaniel 336-909-0850 336-998-8411
Radenka Dragas 704-245-3582 704-645-1281
Sparks Water Plant 336-998-9763
Mike Linville 336-244-2120 336-463-3331
Matt Seats 336-345-5374 336-817-4696 336-940-4053
Mike Miller 336-978-8596 336-998-3822
Mike Weir 336-753-6098 336-477-5037 336-655-4653
Aaron Burris 336-480-6829
Cooleemee Sewer Plant 336-284-6680
Tim Smith 336-284-6680 336-477-5096

Communications 336-751-0896
ULOCO 24 Hour 811
Office 800-632-4949
After 5:00 800-338-6307
Sprint 611
Ted Rudisill(Sprint) 336-526-3271
Yadkin Valley Telephone [phone]
Energy United 336-751-2136
Time Warner Cable 336-751-1667
Piedmont Natural Gas 704-633-9066
Piedmont Natural Gas 336-761-8303
Winston
Duke Power 800-777-9898
Richard Snyder(Supervisor) 336-917-2533 336-817-0592
Duke Power After Hours 336-294-3323
SEPTIC PUMP TRUCKS
Page Septic Services 336-284-4362 336-940-7910
Miller Septic Services
Randy Miller 336-399-7261 336-284-2826
Rusty Miller 336-399-6862 336-284-4663
Transou Septic Services 336-765-1161 336-766-5058
Dillard Septic Tank Service 336-751-6369
ELECTRICAL
Jim West 336-909-3832 336-284-2797
Roger West 336-692-5218
Kemp 24 hrs 828-478-3040
Kemp Ron Stevens 704-201-8768
GENERATOR REPAIR
Premium Power System 704-786-5318
Ted(Service man) 704-783-8380
LIFT STATION REPAIR
Kemp 828-478-3040
Ron Stevens-Ron 704-201-8768
Randall Supply-Joel 704-289-6479

. . .
LIFT STATION CONTROLS
Fortech-John Forrest 704-333-0621
Tencarva-Tom Wood 336-210-7600
Chemical Leaks 800-424-9300
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL
RESOURCES
Gary Hudson DWQ 336-776-9800
DEQ 336-771-4600
After hour spills that reach waterway 800-858-0368

DAVIE COUNTY PUMP STATION CONTINGENCY PLAN
SOP UNDER NORMAL CONDITIONS
1. Open wet well hatch and visually inspect for failures or abnormal operations.
2. Turn each pump on in hand one at a time to verify normal operation
3. Make sure each pump is pumping by verifying the flow is dropping visually in wet well
4. Replace pump settings back in auto.
5. Any questions please contact Brandon Godbey,Andy Atwood, Bradley Prevette or Johnny
Lambert
SOP UNDER HIGH WATER ALRAM CONDITIONS
1. Open wet well hatch to visually inspect for failures
2. Confirm both pumps are running in auto
3. If pumps are not running check and reset breakers followed by reset all pump resets
4. If power is out make sure generators are running
5. Visually inspect pole breakers to be sure they have not kicked out.
6. If station still has no power call Duke Power refer to emergency number page
7. Contact supervisor or senior operators.
SOP UNDER PUMP FAILURE
1. Confirm pump failure by resetting all breakers and resets on panels.
2. Confirm other pump is operating properly and move this pump to lead operation on panel.
3. Contact supervisor or senior pump station operator
Davie Count Public Utilities has active contracts with Kemp, Premium Power Systems, Randall Supply,
Randy Miller, Transous, Pages Septic and Fortech Automation Controls. An emergency contact number
list is provided in SOP for SSO'S. Each Lift station owned and operated by Davie County Public Utilities
has a spare pump located at 298 E. Depot Street Mocksville NC. Also, spare float balls and other general
replacement parts to make minor repairs for all pumping stations. Davie County also has a contract with
EMA Resources if a pump and haul would ever need to be started to prevent overflow and SSO.
If Davie County needs other repairs that cannot be completed by Davie County Employees contact Kemp
Inc.This number is all available on the emergency contact list. Kemp can do any major repair that shall
be needed to have pump station back to normal operation.