WQ0041312_Application (FTSE)_20191112

State of North Carolina
` Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
VDIvIslonWater Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number'j _ (to be completed by DWR)
All items must be'coml2leted or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Town of Princeton (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ® Municipal ❑ Other
3. Signature authority's name: Marla Ashworth per 15A NCAC 02T .0106(b)
Title: Town Administrator NC Dept of Environmental Quality
4. Applicant's mailing address: 503 Dr. Donnie H. Jones Blvd West NOV 12
2019
City: Princeton State: NC Zip: 27569-
5. Applicant's contact information:
Raleigh Itcgional Office
Phone number: 919 936-817I Email Address: m.ashworthPmypricetonnc.com
II. PROJECT INFORMATION:
1. Project name: Town of Princeton Water and Sewer Rehabilitation
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: WQ00_ , and issued date: . _
If new construction but part of a master plan, provide the existing permit number: WQ00_ __
3. County where project is located: Johnston
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.464425' Longitude:-78.1632621
5. ParceI ID (if applicable): 04004065
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: C. Tyrus Clayton Jr_, PE License Number: 028909
Firm: Draper Aden Associates
Mailing address: 114 Edinburgh S. Drive
City: Ca State: NC Zip: 27511-
Phone number: 919 827-0864 Email Address: tclaytonOdaa.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Princeton W WTP Permit Number: NCO02662
Owner Name: Town of Princeton
V. RECEIVING DOWNSTREAM SEWER INFORMATION if different + •
( t than WWTI�. � ¢
1. PermitNumber(s): WQ Downstream (Receiving) Sewer Size: _ _ inch ^�
System Wide Collection System PermitNutnbNr(s) (if applicable?: WQCS._.
Owner Name(s):...
FORM: FTA 04-16 Page 1 of 5

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
I5A NCAC 02T .0300 — FAST TRACK SEWER SVSTENI EXTENSION APPLICATION
Dlvlslon of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: (to be completed by DWR)
All items must be completed or the aoalication will be returned
1. APPLICANT INFORMATION:
1. Applicant's name: Town of Princeton (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State.:County ® Municipal ❑ Other
3. Signature authority's name: Marla Ashworth per 15A NCAC 02T .0106(h)
Title: Town Administrator
4. Applicant's mailing address: 503 Dr. Donnie H. Jones Blvd West
City: Princeton State: NC Zip. 27569-
5. Applicant's contact information:
Phone number: (919) 6-8171 Email Address: m.ashworthOmvnricetonnc.com
li. PROJECT INFORMATION:
1. Project name: Town of Princeton Water and Sewer Rehabilitation
2. Application:Troject status; ® Proposed (New Permit) ❑ Existing Pennit/Project
If a modification, provide the existing permit number: WQ00 and issued date:
If new construction but part of a master plan, provide the existing permit number. WQ00
3. County where project is located: Johnston
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.464425= Longitude:-79.163262
5. Parcel ID (if applicable): 0400406
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: C. Tyrus Clayton Jr.. PE License Number: 028909
Firm: Draper Aden Associates
Mailing address: 114 Edinburgh S. Drive
City: Cary State: NC Zip: 27511
Phone number: [phone] Email Address: tclay tonta daa.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I. Facility Name: Princeton W WTP Permit Number: NCO02662
Owner Name: Town of Princeton
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
I. Permit Number(s); WQ Downstream (Receiving) Sewer Size: 8 inch
tis �1-4S
Svstem Wide Collection Svstem Permit Numher(s) (if applicable): WQCS
Owner Name(s):
FORM: FTA 04-16 Pagel of5

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'VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes []No ®NIA
2. if the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement FORM: DEV been attached?
❑ Yes ❑No ®NIA
3. If the Applicant is a Home;'Pro a Owners' Association has an Operational Agreement FORM: HOA been attached?
❑ Yes [:]No ®NIA
4. Origin of wastewater: (check all that apply):
® Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential Leased ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑ SchooI / preschool / day care ❑ Medical I dental I veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
❑ Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 1000 % Domestic/Commercial % Commercial
% Industrial (See 15A NCAC_02T .0103(29))
�hIs there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T .0114(f)? ❑ Yes ®No
➢ If yes, provide a cony of (low reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.01140
Daily Design Flow °''
No. of Units
Flow
Homes (per bedroom) I - 3 bedroom units
120 gal/daylbedroom
3 bedrooms
360 GPD
gall
GPD
gall
GPD
gal/
GPD
gal/
GPD
gall
GPD
Total
360 GPD
a See 15A NCAC 02T .0114 d e 1 and e 2 for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use areas;
and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G.S. .
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.0114i shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 360 GPD (per 15A NCAC 02T .0I 141
➢ Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
❑ Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit Number:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 04-16 Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (if Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
8"
Length (feet)
Material
180
SDR-35 PVC
➢ Section H & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
VIIL PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude. _- Longitude: -
3. Design flow of the pump station: . millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): _ gallons per minute at feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
6. Power reliability in accordance with 15A NCAC 02T .0305(h)(1):
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(I)(B)_
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
➢ Must be permanent to facility
Or if the pump station has an average daily flow less than 15,000 gallons per day:
❑ Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T A305(h)(1)(C):
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
and is compatible with the station.
➢ If the portable power source or pump is dedicated to multiple pump xtations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be provided
in the case of a multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

IX. SETBACKS & SEPARATIONS, (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations found in 15A NCAC 03T .0305(f) & (g) ® Yes ❑ No
> 15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below ( vertical)
24 inches
Water mains vertical -water over sewer including in benched trenches)
18 inches
Water mains (horizontal)
10 feet
Reclaimed water lines vertical - reclaimed over sewer)
18 inches
Reclaimed water lines horizontal - reclaimed over sewer)
2 feet
**Any private or public water supply source, including any wells, WS-1 waters of Class 1 or
Class II im ounded reservoirs used as a source of drinking water
100 feet
**Waters classified WS (except WS-I or WS-V), B, $A, ORW, HQW, or SB from normal
high water or tide elevation) and wetlands see item 1X.2)
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
Any building foundation
5 feet
Any basement
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainages stems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
i I5A NCAC 02T.0305fe1 contains alternatives where separations in 03T.0305(f) cannot be achieved.
"Stream classifications can be identified using the Division's NC Surface Water Classifications wehl2age
i If noncompliance with 02T 0105(f) or (g), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) [:]Yes ❑ No ® N.A
i Seethe Division's draft separation requirements for situations where separation cannot be meet
i No variance is required if the alternative design criteria specified is utilized in design and construction
> As built documents should reference the location of areas effected
3. Does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? ❑ Yes ❑ No ® N.--A
�- This would include Trout Buffered Streams per I5A NCAC 213.0202
4. Does the project require coverage/authorization under a 404 Nationwide or ❑ Yes ® No
individual permits or 401 Water Quality Certifications?
> Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits:'certifications)'? ® Yes ❑ No
Per 15A NCAC 02T.0105(c)(6), directly related environmental permits or certification applications are being prepared, have
been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion and
sedimentation control plans, stormwater management plans, etc.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per 15A NCAC 02T.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer. e
fl-
❑ Yes ®No ❑ N:'A �5
> If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shall be inspected by the permittee or its representative at least once every six -months and inspections
documented per 15A NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Dmign Criteria for the Permittinc of Pump stations
and Force Mains Vatest version and the Gravi ewer Minimum Desi n Criteria latest version as applicable?
® Yes ❑ No
IfNo, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents for
review. Approval of the request is required Prior to submittal of the Fast Track Application and supporting documents.
2. Professional Engineer's Certification:
attest that this application for
(Prof sional Engineer's dme fro Application Item III.1.)
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans, specifications,
engineering calculations, and all other supporting documentation to the best of my knowledge. I further attest that to the best
of my knowledge the proposed design has been prepared in accordance with the applicable regulations, Gravity Sewer
Minimum Design Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria for the Fast -Track Permitting
of Pump Stations and Force Mains (latest version). Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and
have judged it to be consistent with the proposed design.
NOTE - In accordance with General Statutes 143-215.6A and 143-215.613, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misd r, hi"hay
include a fine not to exceed $1 O,000, as well as civil penalties up to $25,000 per violgtntT �`;""' ` ':Te17w
North Carolina Professional Engineer's seal, signature, and date: t�•
SEAL
02 '
8909 ,
CLA`CCq�.�`'�'��
3. Applicant's Certification per 15A NCAC 02T .0106(b):
"lsll9
I� Marla Ashworth, Town Clerk _ attest that this application for
(Signature Authority's name & title from Application Item I.3.)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of
this application are not completed and that if all required supporting documentation and attachments are not included, this
application package is subject to being returned as incomplete. I understand that any discharge of wastewater from this non -
discharge system to surface waters or the land will result in an immediate enforcement action that may include civil penalties,
injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Resources should a condition
of this permit be violated. I also understand that if all required parts of this application package 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 General Statutes 143-215.6A and 143-215.68any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: L-A 6dG061,63� Date:
11.5.2019
FORM: FTA 04-16 Page 5 of

Draper Aden Associates
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December 23, 2019
Erin Deck
Department of Environmental Quality
Division of Water Resources
Raleigh Regional Office
3800 Barrett Dr.
Raleigh, NC 27609
RE: Town of Princeton Water and Sewer Rehabilitation
Draper Aden Associates Project No. R14141 N-03
Dear Ms. Deck:
Per your comments in the December 16" email, we are providing the following responses:
1. Project Narrative: This project is an overall water and sewer rehabilitation project funded
partially by a USDA Rural Development Grant. A majority of the project will replace existing
aging gravity sewer lines by pipe bursting and slip lining throughout the Town with new HDPE
piping. In addition, the project will include replacement or lining of select existing manholes.
In one location, approximately 180 If of new 8" gravity sewer and one manhole will be installed
on South Elm Street, between West Second St and West Third Street to replace a shared
service connection and another long sewer service that has been plagued with issues. This
new line will also include a new service to serve an existing vacant residential lot. We are
assuming that the future home will be a max of 3 bedrooms. This will be the only new gravity
sewer installed as part of the project.
2. A portion of the USGS Quad.....
3. Application V.1.: Due to the downstream sewer not being different than the WWTF listed in
Item IV, this information was not included per the title associated with item V. However, this
page is attached and now shows the size of the receiving sewer. If you need additional
information please let us know.
4. Yes, the only flow generated with this project is due to a 3-bedroom home. See Project
Narrative above
5. Item IX.6 has been revised accordingly. Please see the attached revised page. The project does
not include any high priority lines.
)tltlt'litiitlp�''t �llil!'Inllt'�l'lllt' * i/(Nltri�'(!�' *.`('h'J�(11'1 �.l'lf 1 f j;r�irl4hf '- Ill�r111li1 IjL'tll'i!
Pau !!('sills' + di(de( ,,h

Erin Deck
December 23, 2019
Page 2 of 2
Please review the responses above and the attached documents. Should you need anything else from us
or the Town, please do not hesitate to reach out.
Sincerely,
Draper Aden Associates
C. Tyrds Clayton, Jr., PETearn Leader/Senior
Associate
Attachments: USGS Quad Exhibit
Revised Application Pages 1 and 4
Cc- Marla Ashworth, Town of Princeton
Alex Amavizca, DAA
P %R74k100\R14141PAA14141N-03NWORKIPertnits\SewerNI9 1223 Deck -Comment Response - CTC Jr doo

NC Dept of FnvironmNntal Quality
State of North Carolina
NIJV 12 7�i�9 Department of Environmental Quality
Division of Water Resources
DWK%L
Division of Water Resouru sleigh Rcgional Offict low Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Town of Princeton
Project Name for which flow is being requested: Princeton Water and Sewer Rehab
More than one FTSE nlay be required for a single project if the owner of the lVfVTP is not responsible for all prnup
stations along the route of the proposed wastewater flow.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Princeton WWTP
b. WWTP Facility Permit #: NC0026662
All floips are in MGD
c. WWTP facility's permitted flow 0.275
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow 0.208
f. Total flow for this specific request 0.00036
g. Total actual and obligated flows to the facility 0.20836
h. Percent of permitted flow used 75.8%
II. Complete this section for each pump station you are responsible for along the route of proposed
wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A) (B) (C) (D)=(B+C) (E)=(A-D)
Design Obligated,
Pump Pump Average Approx. Not Yet Total Current
Station Station Firm Daily Flow** Current Tributary Plow Plus
(Name or Permit Capacity, * (Firm;` pQ, Avg. Daily Daily Plow, Obligated Available
Number) No. MGD MGD Flow, MGD MGD Flow Capacity"*
* The Firm Capacity (design flow) of any pump station is defined as the maximum pumped flow
that can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor
(pf) not less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer): Princeton WWTP
Downstream Permit Number: NCO026662
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I Marla Ashworth certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity
related sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant under normal circumstances, given the implementation of the planned improvements
identified in the planning assessment where applicable. This analysis has been performed in accordance
with local established policies and procedures using the best available data. This certification applies to
those items listed above in Sections I and II plus all attached planning assessment addendums for which I
am the responsible party. Signature of this form certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
Signing Official Signature
Town Administrator
Title of Signing Official
11.5.2019
Date
Page 2 of 5
FTSE 10-18

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Draper Aden Associates
Engineering • Sunreyi»g . Em�ironmental Services
To: NCDEQ - Division of Water Resources
Water Quality Section
3800 Barrett Drive
Raleigh, NC 27609
cc: File
NC Dept of Environmental Quality
NOV 19 7mq
L6%Wffl itta
Date:
Project Number:
Project Name:
Phone No.
11.5.2019
R14141 N-03
Town of Princeton Water
and Sewer Rehab
919.826.0864
We are sending you via: ® UPS ❑ USPS ❑ Hand Delivered ❑
®
Attached ❑
Under separate cover
❑
Shop Drawings
❑ Prints ❑
❑
Copy of letter
❑ Plats ❑
❑
Other:
Plans ❑ Specifications ❑ Samples
Proposal ❑ Change Order ❑ Report
Copies
Date
No.
T Description
2
11.05.19
1
Fast Track Application for Gravity Sewer Extension (FTA 04-16)
2
11.05.19
2
Downstream Flor Tracking Form (FTSE 4-16)
2
11.05.19
3
$480 Application Fee
USGS Exhibit Map
2
11.05.19
4
2
11.05.19
5
Street Level Vicinity Map
! 2
11.05.19
6
1 Plan Set w/applicable sheets
These are transmitted as checked below:
® For approval ❑ Returned for corrections
❑ For your use
❑ As requested
® For review and comment
❑ FOR BIDS DUE:
❑ Resubmit _ copies for review
❑ Submit .. __ copies for distribution
❑ Return corrected prints
❑ Prints returned after loan to us
❑ Other:
REMARKS: _
Please contact me directly (919-827-0876; [e-mail]) should you have any immediate
questions, concerns, or if you determine anything is missing and I will fix it as soon as possible.
Thank you,
Printed Name: Alex C. Amavizca, EIT Signature:
Title: Project Engineer
PNR14\100\R14141N\R14141N 031CORRESP�LOT 19 110S - NCDEQ DWR Sewer.docx
114 Edinburgh South Drive • Suite 200 - Cary, NC • 27511 • 919.827.0864 • www.daa.com
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