20061515 Ver 1_COMPLETE FILE_20060918

Permit Class
MODIFICATION/MAJOR
7- 1 llfs ? :? l? 17,71
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u`C 2 0 2006
Permit Number
105-04
STATE OF NORTH CAROLINA
Department of Environment and Natural Resources
and
UEr;? - VMTER QUALITY
VIEiJ?;DSh'DST010!' ATE1EP+' lI _X
X
Coastal Resources Commission
exit
for
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0(0- 1515
Lwu -cL
Major Development in an Area of Environmental Concern
pursuant to NCGS 1.13A-118
Excavation and/or filling pursuant to NCGS 113-229.
Issued to Town of Hertford, PO Box 32, Hertford, NC, 27944
Authorizing development in Perquimans County at Perquimans River, SR 1 110, north of SR
1109 , as requested in the permittee's application dated 812/06. including the
attached workplan drawings (7) 1 dated 6/14/06 2 dated April 2006, 1 dated 6/27/02, and 3 dated 6/30/06.
This permit, issued on December 13, 2006 , is subject to compliance with the application (where consistent
with the permit), all applicable regulations, special conditions and notes set forth below. Any violation of these terms may
be subject to fines, imprisonment or civil action; or may cause the permit to be null and void.
Alternate Force Main Pipeline
1) At least two weeks prior to the onset of any construction, the permittee shall inform the Division of
Coastal Management, the Division of Water Quality, and the US Army Corps of Engineers in writing
of the site chosen for the pipeline (referred to as Preferred Discharge Point #1, or Alternate Discharge
Point #2 on the attached workplan drawings).
NOTE: Should Alternate Discharge Site #2 be chosen, a modification to The Division of Water
Quality (DWQ) National Pollutant Discharge Elimination System (NPDES) Permit No.
N00021849, .which was issued on 2/5/02, may be necessary. Contact DWQ directly for this
determination.
(See attached sheet for Additional Conditions)
This permit action may be appealed by the permittee or
other qualified persons within twenty (20) days of the issuing
date. An appeal requires resolution prior to work initiation or
continuance as the case may be.
This permit must be accessible on-site to Department
personnel when the project is inspected for compliance.
Any maintenance work or project modification not covered
hereunder requires further Division approval.
All work must cease when the permit expires on
December 31, 2009
Signed by the authority of the Secretary of DENR and the
Chairman of the Coastal Resources Commission.
l/ I/
Charles S. Jones, Director
Division of Coastal Management
This permit and its conditions are hereby accepted.
In issuing this permit, the State of North Carolina agrees
that your project is consistent with the North Carolina Coastal
. Signature of Permit[ee
Management Program
Town of Hertford Permit # 105-04
Page 2of2
ADDITIONAL CONDITIONS
2) No new vegetated wetlands shall be excavated or filled, even temporarily.
NOTE: The NC Division of Marine Fisheries and the NC Wildlife Resource Commission recommends
that the Town of Hertford utilize Alternate Discharge Point #2 because this area of the river is
wider and "more dynamic" than Preferred Discharge Point #1. The wind and wave action would
provide better mixing of the discharge with the adjacent waters.
Easement
3) Should Alternate Discharge Point #2 be selected, prior to the installation of the discharge pipe
underneath and within the Perquimans River, the permittee shall apply for and receive an Easement from
the Department of Administration's State Property Office, and a Utility Easement from the appropriate
railroad company, if necessary.
Sedimentation and Erosion Control
4) The permittee shall implement the "Planned Erosion and Sedimentation Control Measures" outlined in
the project narrative submitted with the permit application submitted for this project.
General
5) No attempt shall be made by the permittee to prevent the full and free use by the public of all navigable
waters at or adjacent to the authorized work.
6) The authorized structure and associated activity shall not cause an unacceptable interference with
navigation.
7) This modification shall be attached to the original of Permit No. 105-04, and copies of both documents,
shall be readily available on site when Division personnel inspect the project for compliance.
8) All conditions and stipulations of the active permit remain in force under this modification, unless
specifically altered herein.
NOTE: This permit does not eliminate the need to obtain any additional state, federal or local permits,
approvals or authorizations that may be required.
NOTE: Future development of the permittee's property may require a modification of this permit.
Contact a representative of the Division at [phone], prior to the commencement of any
such activity for this determination.
NOTE: The N.C. Division of Water Quality has authorized the proposed project by way of a General
Water Quality Certification 3400 (DWQ Project No. 06-1515), which was issued on 11/16/06.
NOTE: The U.S. Army Corps of Engineers authorized the proposed project under Permit No. 198000291
(COE Action Id. No. 2006-40783-172), which was issued on 10/5106.
O?O? V 4A
T ?9PG
Q "C
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
November 16, 2006
Town of Hertford
P.O. Box 32
Hertford, NC 27944
Subject Property:
Town of Hertford WWTP
Perquimans River [030152, 30-6-(3), C]
Alan W. Klimek, P.E. Director
Division of Water Quality
DWQ Project # 06-1515
Perquimans County
Approval of 401 Water Quality Certification (GC3400) with Additional Conditions
Dear Sir or Madam:
You have our approval, in accordance with the attached conditions, to disturb 0.000367 acres of Public
Trust Area (PTA), to construct the proposed alternate route installation of a force main and discharge, as
described in your application dated August 2, 2006, and received by the Division of Water Quality
(DWQ) 401 Oversight/Express Review Permitting Unit on September 18, 2006. After reviewing your
application, we have determined that the Division of Water Quality (DWQ) General Water Quality
Certification Number 3400 covers these water impacts. This Certification allows you to General Permit
No. 198000291 when issued by the US Army Corps of Engineers (USACE). In addition, you should get
or otherwise comply with any other federal, state and local requirements before you go ahead with your
project including (but not limited to) erosion and sediment control regulations and CAMA. Also, this
approval to proceed with your proposed impacts or to conduct impacts to waters as depicted in
your application shall expire upon expiration of the 404 or CAMA Permit.
This approval is for the purpose and design that you described in your application. If you change your
project, you must notify us and you may be required to send us a new application. If the property is sold,
the new owner must be given a copy of this Certification and approval letter and is thereby responsible for
complying with all conditions. If total fills for this project (now or in the future) exceed one acre of
wetland or 150 linear feet of stream, compensatory mitigation may be required as described in 15A
NCAC 2H.0506 (h). This approval requires you to follow the conditions listed in the attached
certification and any additional conditions listed below.
The Additional Conditions of the Certification are:
1. Impacts Approved
The following impacts are hereby approved as long as all of the other specific and general
conditions of this Certification (or Isolated Wetland Permit) are met. No other impacts are
approved including incidental impacts:
Amount Approved (Units) Plan Location or Reference
PTA 0.000367 acres DCM Field Investigation Report
401 Ovcrsight/Express Permitting Unit
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / Internet: http://h2o.cnr.state.ne.us/ncwetlands
NOne Carolina
Natura!!U
An Equal Opportunity/Affirmative Action Employer- 50% Recycled/10% Post Consumer Paper
Town of Hertford
Page 2 of 2
November 16, 2006
2. Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable
Buffer Rules, and any subsequent modifications, the applicant is required to return the attached
certificate of completion to the 401 Oversight/Express Review Permitting Unit, North Carolina
Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699-1650.
3. Water Quality Certification
The proposed project must comply with all of the conditions of General Water Quality
Certification (GC) 3400.
Violations of any condition herein set forth may result in revocation of this Certification and may result in
criminal and/or civil penalties. The authorization to proceed with your proposed impacts or to conduct
impacts to waters as depicted in your application and as authorized by this Certification, shall expire upon
expiration of the 404 or CAMA Permit.
If you do not accept any of the conditions of this Certification (associated with the approved water
impacts), you may ask for an adjudicatory hearing. You must act within 60 days of the date that you
receive this letter. To ask for a hearing, send a written petition, which conforms to Chapter 150B of the
North Carolina General Statutes to the Office of Administrative Hearings, 6714 Mail Service Center,
Raleigh, N.C. 27699-6714. This certification and its conditions are final and binding unless you ask for a
hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water
Act. If you have any questions, please telephone Cyndi Karoly in the Central Office in Raleigh at 919-
733-9721 or Kyle Barnes in the DWQ Washington Regional Office at 252-946-6481.
AWK/ijm
Enclosures: GC 3400
Certification of Completion
Si cerely,
Alan W. Klimek, P.E.
cc: Doug Huggett, DCM
USACE Washington Regulatory Field Office
Kyle Barnes, DWQ Washington Regional Office
File Copy
Central Files
Mike Street, P.O. Box 769, Morehead City, NC 27557
Green Engineering, PLLC, P.O. Box 609, Wilson, NC 27893
Filename: 061515TOHertford W WTP(Perquimans)401_CAMA
AN'Tillm
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
September 14, 2006 L_ C ; J
MEMORANDUM: C3 1 5 1 5
TO: Cyndi Karoly `
Environmental Biological Supervisor
Division of Water Quality
006 ggett
FROM: MDoug ajor Pe wits Processing Coordinator yE1 _0S X1:0 sre a, NIE tt ?,CH
SUBJECT: CAMA/DREDGE & FILL Permit Application Review
Applicant: Town of Hertford Waste Water Treatment Plant
Project Location: At end of Meads Circle (SR 1109), off Center Hill Rd. (SR 1110), Hertford
Proposed Project: Alternate route installation of force main and discharge
Please indicate below your agency's position or viewpoint on the proposed project and return this
form by 10/05/06, to 400 Commerce Avenue, Morelti_ead_City,_NC ,28557. If you have any
questions regarding the proposed project, please contact Kim Hedrick at [phone]. When
appropriate, in-depth comments with supporting data are requested.
REPLY: This agency has no objection to the project as proposed.
This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes are
incorporated. See attached.
This agency objects to the project for reasons described in the attached
comments.
SIGNED DATE
1367 U.S.17 South, Elizabeth City, North Carolina 27909
Phone: [phone] FAX: [phone] Internet: www.nccoastaimanagement.net
An Equal Opportunity 1 Affirmative Action Employer - 30% Recycled by Fiber Weight
1
DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. APPLICANT'S NAME: Town of Hertford, WWTP Improvements, MP#105-04MM
2. LOCATION OF PROJECT SITE: At end of Meads Circle (SR 1109), off Center Hill Rd. (SR 1110),
Hertford, Perquimans County, adjacent to Perquimans River.
Photo Index - 2000: 236-1784 (0-1 to S-12) 1995: 160-1651 (B-13) to 160-1650 (G-8)
1989: 117-23 (N-6 to S-17) 1984: 116-806 (K-10 to near 0-1)
State Plane Coordinates - X: 2,746,000 Y: 900,600 Hertford, N.C., U.L.
GPS - B082919A
3. INVESTIGATION TYPE: CAMA
4. INVESTIGATIVE PROCEDURE: Date of Site Visit - 08/29/2006
Was Applicant Present - No
5. PROCESSING PROCEDURE: Application Received Complete - September 12, 2006
Office - Elizabeth City
6. SITE DESCRIPTION:
(A) Local Land Use Plan - Town of Hertford
Land Classification From LUP - Conservation
(B) AEC(s) Involved - PTA, PTS
(C) Water Dependent - Yes
(D) Intended Use - Public
(E) Wastewater Treatment: Existing - Wastewater Treatment Plant
Planned - Additional discharge pipe
(F) Type of Structures: Existing - Wastewater Treatment Plant, discharge pipe, and man-made
canal.
Planned - Subterrain and subaqueous discharge pipe
(G) Estimated Annual Rate of Erosion - NA
Source - NA
7. HABITAT DESCRIPTION: (AREA)
T.'., %?nrnr1 Mllart Disturbed
(A) Public Trust Area (PTA) NA 16 sq. ft. NA

(B) Uplands outside PTA
NA
NA Open cut installation
54,800 sq. ft.
(D) Total Area Disturbed - 54,816 sq. ft. (1.26 acres)
(E) Primary Nursery Area - No
(F) Water Classification - SC Open - No
Town of Hertford, WWTP Improvements, MP#105-04MM
Field Investigation Report
Page 2
8. PROJECT SUMMARY:
The Town of Hertford wastewater treatment plant is located at the end of Meads Circle (SR 1109),
Hertford, and on the west side of Perquimans River, Perquimans County. The applicant was
authorized under CAMA Major Permit #105-04 to construct a 2,525-ft., 10-inch maximum diameter
force main pipeline (route #1), from the existing wastewater treatment plant heading northeast
adjacent to an existing ditch to Perquimans River with the outfall located west of the Perquimans
River railroad track crossing. The applicant is now requesting, under a major modification, to have
the option to instead construct an alternate 3,855-ft., 10-inch maximum diameter force main pipeline
(route #2) from the wastewater treatment plant heading east, across spray irrigation fields and the
railroad tracks to Perquimans River, with the outfall located southeast of the Perquimans River
railroad track crossing. The applicant is seeking authorization to choose between these two routes,
route #1 authorized under CAMA Major Permit #105-04, or route #2 currently being proposed,
pending upon contractor bids.
PROJECT SETTING
The project site is the existing wastewater treatment plant for the Town of Hertford, located off Center
Hill Rd. (SR 1110), approximately one-third of a mile down Meads Circle (SR 1109), in the northwest
section of Hertford, Perquimans County, adjacent to the western shore of Perquimans River. The plant is
located on a one and one-half acre lot that has an elevation of approximately 13-feet above normal water
level (NWL). The tract contains indigenous weeds and grasses and has AltaVista soils. The Town of
Hertford owns 166.5 acres, which includes the plant lot, adjacent farm fields, and bottomland hardwood
forest classified as Section 404 Wetlands. The fields were historically planted with row crops, and are
currently overgrown with native weeds and grasses, and are the sites of future spray irrigation area for
the wastewater treatment plant. The proposed alternate route #2 will require the crossing of Norfolk-
Southern railroad tracks to the east and maple, gum, and cypress swamp fringe owned by Phillip and
Mitzi Francis prior to entering Perquimans River. The applicant is currently obtaining a utility easement
for the proposed alternate route #2.
The authorized route #1 was in a northerly direction through a utility easement to Perquimans River,
adjacent to an existing ditch through wetlands, which connects with the Perquimans River in an area that
has a maximum water depth of approximately -19-feet below NWL and a width of approximately 500-
feet. The existing, approximate 2,000-foot long by 25-foot wide by 2-foot deep ditch through wetlands is
currently being used as the effluent discharge outfall in close proximity to existing 0.40 MGD wastewater
treatment plant. The proposed alternate route #2 would connect with the Perquimans River in an area that
has a maximum water depth of approximately -15-feet below NWL and a width of approximately 850-
feet.
The adjacent riparian properties consist of a continuation of the wooded swamp. The railroad track and
trestle crossing the Perquimans River is located approximately 2,200-feet east of authorized route #1 and
approximately 3,000-feet north of proposed alternate route #2 discharge point into Perquimans River.

The applicant was authorized under CAMA Major Permit #105-04 on July 22, 2004, and Division of
Water Quality National Pollutant Discharge Elimination System (NPDES) Permit No. N00021849 on
February 5, 2002, General Water Quality Certification (DWQ Project No. 040946) on July 14, 2004, and
•? Town of Hertford, WWTP Improvements, MP#105-04MM
Field Investigation Report
Page 3
U.S. Army Corps of Engineers Nationwide Permit No. 12 (COE Action Id. No. 200411575) on July 14,
2004, to construct a 2,525-foot, 10-inch maximum diameter force main pipeline (route #1) from the
existing wastewater treatment plant heading northeast through a utility easement to the Perquimans River.
There was no observed presence of submerged aquatic vegetation or shellfish in the vicinity of the
alternate route #2 discharge point into Perquimans River on August 29, 2006. Reviews of available
information suggest that there are no known archeological sites or geologic formations associated with the
applicant's property. The waters of Perquimans River at the proposed alternate route #2 are classified as
SC, and the waters at the authorized route #1 are classified as C Sw by the Division of Environmental
Management and are closed to shellfish harvesting.
DEVELOPMENT PROPOSAL
The applicant proposes to make improvements to the existing municipal wastewater treatment plant that
consists of construction of an effluent force main pipeline to a discharge point approximately 13-feet
below NWL in the channel of the Perquimans River. Construction will include the extension of 2,740
linear feet of 10-inch PVC (open cut) and 1,115 linear feet of 12-inch HDPE (directional bore) force
main from the Town of Hertford wastewater treatment facility through utility easement alternate channel
#2 to the channel of the Perquimans River. In comparison, the authorized construction under CAMA
Major Permit #105-04 was for the extension of 400 linear feet of 8-inch PVC (open cut) and 2,125 linear
feet of 10-inch HDPE (directional bore) force main from the plant northward adjacent to the existing
ditch to Perquimans River. Construction will begin on Town of Hertford property, then alternate route
#2 is proposed via directional bore with a utility easement beneath Norfolk-Southern Railway Co. and
Phillip and Mitzi Francis' properties prior to directional bore under the Perquimans River. Unlike the
authorized route #1, the majority of alternate route #2 will be installed by open cut across uplands.
Directional bore under wetlands and the Perquimans River will also be performed, but will be
approximately 1,000 linear feet less than that required for authorized route #1. A 20-foot wide corridor
will be disturbed throughout the open cut section, and a minimum of 3-foot depth will be maintained
during directional bore throughout the entire wetlands and under the Perquimans River for the tertiary
treated wastewater pipeline.
The total area that will be disturbed during construction of the effluent force main is approximately 1.26
acres of upland area (2,740-feet by 20-feet) by open cut. All areas where directional bore will take place
will remain completely undisturbed, with the exception of the end of the effluent pipe at the outfall
diffuser, which is estimated to be approximately 16 square feet. The pipe will enter the Perquimans
River at approximately 294-feet waterward of NWL at -13-foot depth. Approximately 20-feet of pipe will
extend to the diffuser, which will lie on the river bottom. The diffuser will contain eleven 4-inch flanged
end valves staggered 4-inches apart and will be marked with a lighted pilon approximately 10-feet above
NWL.
Sedimentation and erosion control methods used will include temporary silt fencing, rock check dams,
and inlet protection. Silt fence will be installed along farm ditch areas adjacent to the open cut portion of
the project. Rock check dams will be installed as a temporary measure throughout the project to restrict
the velocity within the disturbed roadside ditches or channels affected thereby reducing the potential of
erosion. These check dams will also serve as temporary sediment traps and will be placed wherever
necessary as shown on the construction plans. However, rock check dams will not likely be necessary
Town of Hertford, WWTP Improvements, MP#105-04MM
Field Investigation Report
Page 4
due to flat grade of the property. Inlet protection will be provided on all existing drainage pipes and
inlets on the project to ensure proper sediment containment.
ANTICIPATED IMPACTS
The development proposal will disturb approximately 16 square feet of Public Trust Area, Area of
Environmental Concern (AEC), river bottom and approximately 54,800 square feet of upland area outside
the Public Trust Shoreline AEC by open cut installation of the pipeline. The project does not appear to
present a hazard to navigation in this area due to the significant water depths, width of Perquimans River,
and proposal to properly mark the diffuser with a lighted pilon. Localized turbidity during construction
can be expected as well as during operation. The effluent through the proposed pipeline will meet current
water quality standards for existing conditions which currently discharge directly into a canal to
Perquimans River. A proposed spray field area will be utilized for discharge of the effluent. Therefore,
the amount of discharge into Perquimans River is expected to decrease with use of the proposed spray
field in conjunction with the pipeline and diffuser discharge into Perquimans River until population
pressure increases the demand for more gallons per day of treated wastewater.

Submitted by: Kimberly A. Hedrick
Date: 09/13/2006
r

PROJECT NARRATIVE
ALTERNATE EFFLUENT FORCE MAIN ROUTE r
WASTEWATER TREATMENT IMPROVEMENTS "- f I CITY
TOWN OF HERTFORD, NC
MAJOR MODIFICATION TO CAMA MAJOR PERMIT 11105-04
Proiect Description
of 3' depth cover will be maintained throughout the entire wetlands crossing.
Site Description '
The project will be constructed on the existing wastewater treatment facility site directly
northwest of the Town of Hertford. The total area that will be disturbed during '
construction of the effluent force main in the Perquimans River is approximately 0.004
acres. This disturbance includes the proposed diffuser that is to be permanently installed
in the channel of the Perquimans River. The topography in the project area consists of
flat wetland areas with the only significant elevation above normal water level being`at
the existing wastewater treatment plant site. A 20.0 ft. wide construction corridor was
used in estimation of area to be disturbed by installation of effluent force main by open-
cut method. All areas where directional-bore is to take place will remain undisturbed.,
As a portion of the proposed Wastewater Treatment Improvements project, the Town of
Hertford is constructing an alternate route of an extension of effluent force main to a
discharge point deep in the channel of the Perquimans River. This alternate route reflects .
a major modification to CAMA Major Permit #105-04. Construction will include the
extension of 2,740 LF of 10" ? PVC (open-cut) and 1,115 LF of 12"? HDPE (directional-
bore) force main from the Town of Hertford Wastewater Treatment Facility to the
channel of Perquimans River. All construction, with the exception of force main buried
beneath Perquimans River, will take place either on property owned by _or easements
maintained by the Town of Hertford. There will be one railroad crossing on this route
that will be installed in the directional bore portion of pipe required'by this project: All
force main installed beneath wetlands will be by directional-bore only.: The remaining .
ortion of force main in upland areas will be installed by open-cut method. A minimum
Planned Erosion and Sedimentation Control Measures
1. Silt Fencing - Silt Fence will be installed as shown on the construction plans
or as- deemed necessary by visual inspection. This will be done by the
contractor and inspected by the engineer to ensure all sediment is properly
contained ;.. ---=-
--
2. Rock Check Dams - Rock Check Dams will be installed as a temporary
measure throughout the project to restrict the velocity within the disturbed.
roadside ditches or channels affected thereby reducing the potential of
erosion. These check dams will also serve as temporary sediment traps and..
will be placed wherever necessary as shown on the construction plans.
3. Temporary Inlet Protection - Inlet protection will be provided on all existing-
drainage pipes • and inlets on the project to ensure proper sediment
containment.
VAW005\05027\05027-CAMAnar.doc
Proiect Bid Process - Base Bid and Alternate Bid for Force Main Route
This project will include a base bid for the entire construction proposed. The
proposed construction will include line items for construction of the effluent
force main on the northerly route to the Perquimans River at the existing
discharge point.
In addition to the base bid items there will be an alternate bid item included
below the base bid that describes the construction of the effluent force main
on the easterly route to the Perquimans River and at a newly proposed
discharge location.
The Town of Hertford reserves the right to choose which route will be
accommodated, based on the prices received on the base bid and the alternate
bid for the alternate force main route. The Town will most likely choose the
most economically feasible route for construction. The awarded contract will
only include one (1) force -main route, depending on which route the -Town -
deems most feasible. Once that route is chosen and the contract is awarded,
the remaining route that was not chosen by the Town will be dropped from
consideration and a CAMA permit will no longer be necessary for that
location.
In essence, only one route to the Perquimans River is proposed and only one
route to the Perquimans River will exist in the future. Thus, the Town will
only need a CAMA permit for construction of one (1) route once bids are
received and the contract is awarded. The Town of Hertford merely has to
decide on which route is most feasible as to which route will be constructed.
VAW005\05027W5027-CAMAnar.doc
SEP 1 8 2006

Form DCNi-NIP-1
DENR-WATER QUALITY iiiJCr7 1 1 ?!';,J
WETLANDS AIND STORVOTER EMNICH
AX r LffC'ATffON
(To be completed by all applicants)
b. City, town, community or landmark
1. APPLICANT llertford N C. Perquimanc River
a. Landossmcr-
c. Street address or secondary road number
SR 1110..1 pprox 1/3 ,lfile ,N'ortli of SR 1109
Narne Town o Hertford
Address Post Office Box 32. 114 West Grubb St.
City Hertford State AV
Zip 27944 Day Phone [phone]
Fax [phone]
b. Authorized Agent:
Name Green Engineerin, P.LI_C.
(1{: Landon }'ounce, P.E.)
Address Post Office Box 609
303 N. Goldsboro Street
City 1171soit State JVC
Zip 27893 Day Phone [phone]
Fax [phone]
c. Project nante (if any) Town of llertford
11'as1ewa1cr Treatment Improrcincnts
,1'u:e: Permit u dt he issreJ nr ru.??e njlln.lruner(s), ar:,-Col
t;rojccl name.
2. LOCATION OF PROPOSED
PROJECT
a. County Iserquimans
11 n iscd 03+'95
d. is proposed work within city limits or planning
jurisdiction? Y Yes No
c. Name of body of water nearest project (e.g. river,
creek, sound, bay) I'erquimans River
w
3. DESCRIPTION AND PLANNED USE
OF PROPOSED PROJECT
a. List all development activities you propose (e.g.
building a home, motel, marina, bulkhead, pier, and
excavation and/or filling activities.
Alternate Route installation 42,740 Lr of 10" diet
PVC (open-cut) and 1,115 LF of 12" dia. IIDPii
(direct. bore) force inain front the Hertford WWII'
Frith discharge into the channel of Perquimans Rivei
b. Is the proposed activity maintenance of an existing
project, new work, or both? Ne)v construction
c. Will the project be for public, private or commercial
use? slunicipal effluent
d. Give a brief description of purpose, use, methods of
construction and daily operations of proposed
project. If more space is needed, please attach
additional pages. Installation is proposed for the
Transmission of tertiary treated ;vastewaler to a
di,charge point into the main run of Perquinnins
River. installation is-ill be by open-cut method on
upland areas and bra directional bore through
;vedand areas. "1 his dischar a %yvem OR he used
in conjunction with a land application i flucvit
spraysystent DailpJlo;vs ;rill varyfrorn 0 Gill) to
1,000,000 GPD at ultimate design conditions.
Variations in flow are dependant upon ;veddry
;s-cwher conditions.
;,....,+t.\LT-IMR-:0x:5
4. LAND AND WATER
CHARACTERISTICS
m. Describe existing wastewater treatment facilities.
0.40;11GD Wastewater Treatment Plant
with effluent discharge fiv oulfall canal into
Perquttnaus River.
1-11 I •5 Acres
a. Size of entire tract 1.80 -acres (Alternate Route) n.
b. Size of individual lot(s) Utility casement
c. Approximate elevation of tract above M1IW or
NWL 13fL
d. Soil types(s) and texture(s) of tract
State, Altivista and Dorovan Muck
e. Vegetation on tract ex}stinp Alaple and Cypress
Gun: wooded swamp
f. Man-made features now on tract 0.40 A1GD I M'TP,
Chesapeake &A lbemarle Railroad
g. What is the CAMA Land Use Plan land
classification of the site? (Comult the local land use plan.)
X Conservation 'fransitional
Developed Community
Rural Other
h. I low is the tract zoned by local government?
12/.1 (Residential/Agricultural)
i. Is the proposed project consistent with the applicable
zoning? X Yes No
(.trla(h coning compliance cer[rfrcate, Jarplicabh)
j. I las a professional archaeological assessment been
done for the tract? _ Yes X No
If yes, by whom?
k. Is the project located in a National Registered
I Iistorie District or does it involve a National
Register listed or eligible property?
Yes X No
1. Are there wetlands on the site? X Yes No
Coastal (marsh) Other X (.Section - 404)
If yes, has a delineation been conducted? Aa
(.duaelr ekxume•nrulron, jenudablc)
it r-.iacd 01,)5
Describe location and type of discharges to waters
of the state. (For example, surface runoff, sanitary
wastewater, industrial/commercial effluent, "wash
down" and residential discharges.) Municipal
wastewater discharge into e-ristinp channel
of Perquinians River.
o. Describe existing drinking water supply source.
Town of 1lertford Water Treatment Plant with
existing water supply coning from two wells.
Those wells' combined capacity at 0.322 A1GD.
5. ADDITIONAL INFORMATION
In addition to the completed application form, the
following items must be submitted:
© A copy of the decd (kith state application only) or
other instrument under which the applicant claims
title to the affected properties. If the applicant is not
claiming to be the owwner of said property, then
forward a copy of the decd or other instrument under
which the owner claims title, plus written permission
from the owner to carry out the project.
© An accurate, dated work plat (including plan view
and cross-sectional drawings) drawn to scale in
black ink on an 8 1/2" by 11 " white paper. (Refer to
Coastal Resources Commission Rule 7J.0203 for a
detailed description.)
0 Please note that original drawings arc preferred and
only high quality copies will be accepted. Blue-line
prints or other larger plats are acceptable only if an
adequate number of quality copies arc provided by
applicant. (Contact die U.S. Army Corps of
Engineers regarding that agency's use of larger
drawings.) A site or location map is a part of plat
requirements and it must be sufficiently detailed to
guide agency personnel unfamiliar with the area to
the site. Includ,: highway or secondary road (Sit)
numbers, I:utdmarks, and the like.
US'•'11Y-I.C-UIh 6: ..t n,U.T-i tit Rane)za
S 0 A Stormwater Certification, if one is necessary.
0 A list of the names and complete addresses of the
adjacent waterfront (riparian) landowners and
signed return receipts as proof that such owners
have received a copy of the application and plats
by certified mail. Such landowners must be advised
that they have 30 days in which to submit comments
on the proposed project to the Division of Coastal
Management. Upon signing this form, the applicant
further certifies that such notice has been provided.
Name 31arjorie & Ann Tucker Clgvton
Address Post Office !lox 311, Roxboro, AV 27573
Phone
Name Jesse Lee Harris
Address 100 Clark Street, Hertford, AV 27944
Phone [phone]
Name
6. CERTIFICATION AND PERMISSION
TO ENTER ON LAND
I understand that any permit issued in response to this
application will allow only the development described in
the application. "Ilse project will be subject to conditions
and restrictions contained in the permit.
1 certify that to the best of my knowledge, the proposed
activity complies with the State of North Carolina's
approved Coastal Management Program and will be
conducted in a manner consistent with such program.
I certify that I ant authorized to grant, and do in fact
grant permission to representatives of state and federal
review agencies to enter on the aforementioned lands in
connection with evaluating information related to this
pennit application and follow-up monitoring of the
project.
Address
Phone v?I further certify that the informa{ion prov?dcd_in this
application is truthful to the best of my knowledge.
0 A list of previous state or federal permits issued for
work on the project tract. Include permit numbers,
permittee, and issuing dates.
'Ibis is the Z day of .d zeros i- 20 06
Print Name John Christensen
Due to project not being located in US Arnry Corps
of Engineers Federal Project Area, A'ation ivide 7 and
12,1 pplicauon is to be made jointl?' with 01,11A.
0 A check for S250 made payable to the Department of
Environment, Ifcalth, and Natural Resources
(DEIINR) to cover the cost of processing the
application.
0 A signed AEC hazard notice for projects in
oceanfront and inlet areas.
0 A statement of compliance with the N.C.
Environmental Policy Act (N.C.G.S. 113A-1 to 10)
If the project invokes the ctpenditure of public funds
or use of public lands, attach a statement
documenting compliance with the North Carolina
Environmental Policy Act.
Ito ked 03!95
Manager - T In of Hertford, A C.'
Signature ?l ff
Iw, lowuvur.luthcuccJ,tent
Please indicate attachments pertaining to your proposed
project.
DCM MP-2 Excavation and Fill Infon-nation
DCh1141P-3 Upland Development
X I)CM h111-4 Structures Information
_DCM MP-5 Bridges and Culverts
DC%1 MP-6 Marina Development
NOTE: Plecnse 51411 and tkile each attachment in the
space provided at the bollvttt of each form.
!:.4?: ;.":'I:r,(-N-MP-1-CAM N7.t,.;.v a;,.:uaS-;{Al_7-Itlk.,!,)i1,
Foy, DCM-MP-t
S""R U C r U iiUU 1 1
(Construction within Public Trust Areas) Attach this form to Joint Application for LAMA Major
Permit, Form DC:%t-41P-1. Be sure to complete all other
sections of the Joint Application which relate to this
proposed proiect.
a. Docks(s) and/or Picr(s) NI t c. Mooring buoys N1,I
Community _Privatc
(1) Commercial (1) Commercial -Community _Private
-
(2) Number (2)1 umbcr
(3) Length (3) Description of buoy
(4) Width (Color, inscription, size, anchor, etc
(5) Finger Piers -Yes _No
(i) Number
(ii) Length
(iii; Width (4) Width of water body
Yes No
(6) Platforni(s) (5) Distance buoy(s) to be placed beyond
-
(i)-Numbct -shoreline--
(ii) Length
(iii; Width f. Mooring structure (boatliR, mooring pilings, etc.)
(7) Number of slips proposed (1) Conuncrcial _Community Privatc
(8) Proximity of structure to adjacent riparian (2) Number
property lines (3) Length AM
(9) Width of water body (4) Width
(10; Water depth at waterward end of pier at
MLW or NWL ;;. Other ((;j; e coniplae Je scripnun)
b. Boathouse (including covered lifts) N/A
(1) Commercial Private
(2) Length
(3) Width
,Iltcrnale route installation of 2,740 LF of 10"
dia. PVC (open-cut) and 1,115 LFof 12" diet
IIDPE (directional-bore) force ntaiu from the Tim-n
of llertford Wastewater Treatment I•acilitr with
discharge into the channel of Perquintuns Hirer.
C. Groin (c.g. wood, shcctpile, etc.) N'/A
(1) Number
(2) Length(s)
d. Breakwater (e.g. wood, shcctpile, etc.) AM
(1) Length
(2) Average distance from Mt 1W, NWL or
wetlands
(3) %Iaxinium distance beyond %IIIW, N WI. or
wetlands
Torn of Ifertford, North Carolina
{iaAlenwter Treatment Improvements

Applicant or Pr q t Name
Sign: ture John Chri"stensenr - Town,tlunmger
Uat? fff
.. Revised 03i95 _
MAJOR PERMIT FEE MATRIX
Applicant: Town of Hertford, WWTP Improvements, 4105-04MM
Selection Development Type Fee DCM % DWQ %
(14300 1601 435100093 1625 6253) (24300 1602 435100095 2341)
1. Private, non-commercial
® development that does not $250 100%($250) 0%($0)
involve the filling or MAJOR MODIFICATION
excavation of any wetlands
FEE
or o en water areas:
II. Public or commercial
development that does not $400 100% ($400) 0%($0)
involve the filling or
excavation of any wetlands
or o en water areas:
III. For development that
involves the filling and/or
excavation of up to 1 acre
of wetlands and/or open
water areas, determine if A,
B, C, or D below a lies:
III(A). For Private non-
commercial development, if $250 100%($250) 0%($0)
General Water Quality
Certification No. 3301 (see
attached can be applied:
III(B). For public or
commercial development, if $400 100%($400) 0%($0)
General Water Quality
Certification No. 3301 (see
attached can be a lied:
III(C). If General Water
Quality Certification No. $400 60%($240) 40%($160)
3301 (see attached) could
be applied, but DCM staff
determined that additional
review and written DWQ
concurrence is needed
because of concerns
related to water quality or
aquatic life:
III(D). If General Water
Quality Certification No. $400 60%($240) 40%($160)
3301 (see attached) cannot
be applied:
IV. For development that
involves the filling and/or $475 60%($285) 40%($190)
excavation of more than
one acre of wetlands and/or
open water areas:
RBC
TOWN OF HERTFORD F=CEEMMABANK 1 7 95 6
RO. BOX 32 66-nmi
HERTFORD, NC 27944
` THIS DISBURSEMENT HAS BEEN APPROVED AS REQUIRED BY THE LOCAL
GOVERNMENT BUDGET AND FISCAL CONTROL ACT.
09/07/2006 17956 ****250.00
Exactly Two hundred fifty and 0/100
c
PAY NCDENR - DCM
TO THE C 8
ORDER
OF
n'0 1,795611, 1:053 L00850i:0 LL, 20 L L44 2V
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EFFLUENT oc."L ?'-..",?::,
WATEEL WASTEWATER SUT&YNQ PLANM'%<X PnO ECf LW"Cl"3,ChT L} t"! . , 'i ' --c
=K 1110 Sir. rm ?= mil=? TOWN OF HERTFORD DISCHARGE ? ?'
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WASTEWATER SYSTEM IMPROVEMENTS
t{' J-2200
®F HERTFORD rsTn 1A5HTI?cI, C '1? ?' PE
T®N ,iz?,? AmANs_
NIYIG aR]
PEROUIMANS COUNTY, NORTH CAROLINA
APRIL 2006
PROJECT FINANCING
USDA - RURAL DEVELOPMENT
NORTH CAROLINA RURAL ECONOMIC DEVELOPMENT CENTER, INC
CWB PROJECT No E-SRG-T 01-0118
CnAG No 02-C-1022
MAYOR
Sidney Eley
TOWN MANAGER P CHAP
John Christensen
COMMISSIONERS - -
Horace Reid
Carlton Davenport o?cRT
Anne White y cA?
Marvin Hunter
GREEN ENGINEERING
WATER, WASTEWATER, SURVEYING, PLANNING, PROJECT MANAGEMENT
303 R GOLDSBORO ST. P.O. BOX 809 WILSON, N.C. 27883
TEL [phone] FAX [phone] OF19CE 0 CaREENENC LOOM
LOCATION MAP
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MARJORIE & ANN TUCKER CLAYTON PHILLIP & MITZI FRANCIS
POST OFFICE BOX 311 / 256 AQUA COURT I l
ROXBORO, NC 27573 NAPLES, FL 34102
/ EFFLUENT DISCHARG
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114 WEST GRUBS ST. ? ? OF HERTFORD
114 WEST GRUBB ST. 1 Vz (D \
HERTFORD, NC 27944 HERTFORD, NC 27944 -1
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GREEN ENGINEERING WASTEWATER TREATMENT IMPROVEMENTS
WATER w, c T EFFLUENT OUTFALL
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WASTEWATER TFEATMENT IMPROVEMENTS ALTERNATE ROUTE
TOWN OF HERTFORD EFFLUENT OUTFALL
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(SEE PROFILE BELOW)
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PHILLIP M. & MITZI
H. FRANCIS
DB 164, Pg 606
Pin #7849-59-9559
PROPOSED 20'
UTILITY EASEMENT
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EROSION CONTROL NOTES:
SEEDING AND MULCHING TO BE APPLIED WITHIN 15 DAYS OF ALL LAND
DISTURBING ACTIVITIES NOT PREVIOUSLY STABILIZED.
SILT FENCE TO BE INSTALLED AS SHOWN OR AS DEEMED NECESSARY BY
VISUAL OBSERVATION.
SILT FENCE - -
INLET PROTECTOR
ROCK CHECK DAM Q
NOTE:
ALL CONSTRUCTION SHALL COMPLY WITH ALL APPLICABLE
SPECIFICATIONS OF THE LOCAL GOVERNING BODY.
UTILITIES SHOWN ON PLANS ARE LOCATED APPROXIMATELY. CONTRACTOR
SHALL BE RESPONSIBLE FOR VERIFYING THE LOCATION OF ALL EXISTING
UTILITIES AND SERVICES WHETHER SHOWN ON PLANS OR NOT.
CONTRACTOR TO BE RESPONSIBLE FOR REMOVAL AND REPLACEMENT OF
THESE FACILITIES IF DAMAGED.
I
SYMBOL LEGEND
EXISTING CAP
EXISTING ELECTRICAL BOX
EXISTING FIRE HYDRANT
EXISTING SEWER MANHOLE
EXISTING VALVE
EXIST, TREE LINE
EXIST, RIGHT-OF-WAY
EXIST. EDGE OF PAVEMENT
PROPOSED CAP
PROPOSED FIRE HYDRANT
NEW IRON PIPE
PROPOSED SEWER MANHOLE
PROPOSED TEE
PROPOSED VALVE
PROPOSED 10"0 PVC FORCE MAIN
PROPOSED 10"0 I.D. DIR FORCE MAIN
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GREEN ENGINEERING
WATER, W CiEMENT
WASTEWATER TREATMENT IMPROVEMENTS
TOWN OF HERTFORD

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10'1 HOPE DISCHARGE
FORCE MAIN FROM
EFFLUENT PUMP STATION
MECHANICAL JOINT SUP
GLAND, TYP FOR DIFFUSER
AND FORCEMALY
12'0 FLANGE FUSED TO PIPE,
(NO BOLT HOLES) TYP FOR
DIFFUSER AND FCRCEMAN
10'0 HOPE DISCHARGE
FORCE MAIN FROM
EFFLUENT PUMP STATION
MECHANICAL JOINT SUP
GLAND, TYP FOR DIFFUSER
AND FORCEMAIN
14'-0'
2'-0' V-0'
2'-0' TYP TYP
1• STAGGER SPACING FOR 4' FLANGED
-0- It END 'DUCKBILL' ELASTONETFJC CHECK
VALVES, SEE SPECIFICATION (11 TOTAL)

2-0' 4' FLANGED END'DUCKBII'
2-0- TYP ELASTOMETRIC CHECK VALVES,
SEE SPECIFICATION (11 TOTAL)
4'0(10) NIPPLE FUSED
FLANGE FUSED TO ?ENO WITH
7 1/2
- -L- -
12'0 FLANGE FUSED TO PIPE,
(NO BOLT HOLES) TYP FOR
DIFFUSER AND FORCEMAIN -
Of
0
1
B \--10'0 HOPE PIPE, (10' ID W.N)
N30
!} CONCRETE ANCHOR BLOCK,
TYP EACH END, SEE DETAIL
OUTFALL DIFFUSER PLAN VIEW
Iv me .1. 'IL-
X10'0 HOPE PIPE, (10' ID WN)
CONCRETE ANCHOR BLOCK,
OUTFALL DIFFUSER TIP EACH END, SEE DETAIL
SECTION A
JJ8'•I'-0' MJO
60'
CONCRETE ANCHOR BLOCK
?,„nnuuu??? DETAIL i
ssd,?'?Y? CARO/NO SCALE M30
SEAL
4495 GREEN ENGINEERING
:4/G 1 NE`??: 4 c WATER, WASTEWATER, SURVEY9JCi, PLANPCNa PROJECT MANAGE
FD„GRE? 713.. [phone] FAX (252) 2a?S-Xis C CiF??- @XZC0A1
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SECTION e
3/9tF-O' MJO
STAGGER SPACING FOR 4' FLANGED
END 'DUCKS L' ELASTOMETRIC CHECK
VALVES, SEE SPECIFICATION (II TOTAL)
4'0(ID) NIPPLE FUSED TO PIPE WITH
7 1/2' FLANGE FUSED TO END
CONCRETE ANCHOR
BLOCK BEYOND
10'0 HOPE PIPE, (10' ID MIN)
4
03
o?
OUTFALL DIFFUSER, SEE
DETAILS, THIS SHEET BOTTOM OF 11

CLASS 'B' WOOD PILING
W/PRESERVATIVE TREATMENT
ACCORDANCE WITH
N.C.D.O.T. ARTICLE 1081-1
N
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a
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NA4ICATION WARNING LIGHT
DETAIL 3
NO SCALE MJO
WASTEWATER TREATMENT IMPROVEMENTS
TOWN OF HERTFORD OUTFALL DIFFUSER
DETAILS
PERW,,,MW COUNTY NORTH CAROLINA
2'-0'
1'-0'
SOLID PLUG FUSED
TO PIPE END
f-0'
alp l,, . .
-I- -
SOLID PLUG FUSED
TO PIPE END
2' ORANGE
REFLECTIVE BORDER
WHITE BACKING -
3'-0' X 3'-0' ALUM.
3' BLACK LETTERS
6' BLACK LETTERS
3' BLACK LETTERS
F1.ASHiNG W41TE SOLAR
POWERED MARINE LANTERN
TIDELAND SIGNAL FJL-155 OR
EQUAL; TO INCLUDE LANTERN,
SOLAR PANEL, LAMP BATTERY
AND ALL HARDWARE.
3' X 3' DAYMARK SCN
(SEE DETAIL 2/M30) VARIES
2' X 6' CREOSOT? NN .3 5/8'0 GALV, BOLTS
FRAME k BRACE CONTINUOUS THRU POST -
A5 5/8' 0 x 10' Ig. (JOSLYN
STEP (OR EQUAL))ED GAILY.
rl M F?-t-
° WATER ELEVATION (VAR;ES)
PLAN
NO SCALE
Wi5 APR. 200!
SCALE PA N.:0 -027
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ASCII FILE 5Z!
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P5115 H
PLOT GTE: i
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DAYMARK'SIGN DETAIL
DETAIL ! 2
NO SCALE u3D