WQ0043032_Application (FTSE)_20211119

NC Dept of Environmental Qualify
NOV 19 2021 State of North Carolina
DWRRaleigh Regional Office Department of Environmental Quality
Division of Water Resources
ISA NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Dlvlslon of Water Resources i''I'A 04-16 & SUPPORTING DOCUMENTATION
Application Number: q _ (to be completed by DWR)
All ilgml Mu.11U 12MI21eted or the atoolication will be returned
1. APPLICANT INFORMATION:
1. Applicant's name: Town of Clavton (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: Joshua Baird per 15A NCAC 02T ;0106(bl
Title: 'r f Eggineering
4. Applicant's mailing address: PO Bgx 879
City: Clayton State: NC Zip: 27528
5. Applicant's contact information:
Phone number: [phone] Email Address: en inR eerin&@townofclaytonnc.or¢
11. PROJECT INFORMATION:
(. Project name: Walk al East Village - Phase 3
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Projeci
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: 5. 42508 - Longitude: -7 .4g 43186
5. Parcel lD(ifapplicable): 16&8Q7-59-0985
(or Parcel ID to closest downstream sewer)
111. CONSULTANT INFORMATION:
1. Professional Engineer: Brian O'Kane License Number: 037468 NC Dept of Environmental Quality
Firm: The Nau Company, PLLC NOV 19 2021
Mailing address: PO Box 810
City: Rolesville State: NC Zip: 27571
Phone number: Raleigh Regional Office
(�,,5 ) M-1910 Email Address: man rr thenauco.com
1V. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Little Creek WRF Permit Number: 0025453
Owner Name: 12wn gf!21flyton
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
I. Permit Number(s): WQ003869g Downstream (Receiving) Sewer Size: 8 inch
sled. Wide Coll c�i� n 4 Strra� Pemtii aainbcr s _(i . pplicabie): WQCS0014Z
Owner Name(s): Town of Clayton
FORM: FTA 04-16 Pagel of 5

VI. GENERAL REQUIREMENTS
L If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
[]Yes []No ®N/A
2. If the Applicant is a Developer of lots to be sold, has a Develop.!LF girer4iWi41 A + ni ni 1=i Rt DI. V been attached?
❑ Yes ❑No ®N/A
3. If the Applicant is a Ili tis`%Pr„Nrf% Owii As ociation hati an.{l rational rlgr emem tFOii!w9: H[.}; i been attached?
❑ Yes [:]No ®N/A
4. Origin of wastewater: (check all that apply):
® Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential Leased ❑ Retail with food preparationiservice ❑ Hotel and/or Motels
❑ School i preschool / day care ❑ Medical I dental I veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church
El Businesses !offices 1 factories Swimming Pool/Filter Backwash
❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: J&Q/o DomesticlCommercial _ % Commercial
_ %Industrial (See L.A 'CA(- {t?_f -0LQ_3 2 1}}
bls there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A V_AC.i}?_I'_:0 t I.+if)? ® Yes ❑ No
co u v ll letler
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0I 14(f71
Daily Design Flow •.n
No. of Units
Flow
83 Single Family Homes
250 gal?day
83
20,750 GPD
gall
GPD
gal/
GPD
gal/
GPD
gall
GPD
gal/
GAD
Total
20,750 GPD
a See ] ]? -pi. Ibig { 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 (, 42A.-.a ).
b Per I SA NCAC 02T .0114(c), design flow rates for establishments not identified [in table I: j.1-%' _AC: 0:1',f� 1 I -z j shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
S. Wastewater generated by project: 20,750 GPD (per 15 L 1L 02 ' , 1 14)
Y 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:
NC Dept of Environmental Quality
❑ Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
NOV 19 2021
Raleigh Regional Office
FORM: FTA 04-16 Page 2 of 5

V11. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - Its i .�J, 0,J,; & Nr 'C * LI , ,„
I. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 895 C-900 PVC
8 934 SDR-35 PVC
➢ Section II & 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
VII1. PUMP STATION DESIGN CRITERIA (If Applicable)— 02T .030,1r. & 10DC Mump Statiops/Force'Mainsl:
COMPLETE FOIL EACH PUMP §IATION INCLUDED IN THIS CROJECT
I . 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 NC'A( 0 F 1 0305�1i,. :
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(f3)_
➢ 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 - I SA NCAC 02T .0305(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 stations, 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 -- (020.0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations found in I-; ^, N:C#C tk?�t1 iO4(f)] ®Yes ❑ No
t 4�N<_'A(0'�T.f Iftg) contains alternatives where separations in 02 t' 03.S��fi3 cannot be achieved,
*'"Stream classifications can be identified using the Division's \t'Soriacr'A ats.r Cla,sificatic�ns «rttsp�ge
> If noncompliance with o21Lg.3.it,3tf} ur W, see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes [-]No ❑ NIA
Y See the Division's draft separation requirements for situations where separation cannot be meet
No variance is required if the alternative design criteria specified is utilized in design and construction
Y As built documents should reference the location of areas effected
3. Does the project comply with setbacks found in the river basin rules per 1LAt±L,.IC D2 .t�=.�a�; ® Yes ❑ No ❑ N.-'A
Y This would include Trout Buffered Streams per r CAC' 2B_011 2
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 40l 1i Buffer Permitting @ranch
5. Does project comply with 15 NCAC 021_0WJ OLO (additional permits/certifications)? ® Yes ❑ No
Per 14A .[AC WT.O� t�5;, i, 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 , "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.
❑ Yes ® No ❑ N/A
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(ax5) or the permltee's Individual System -Wide Collection permit.
FORM: FTA 04- I6 Page 4 of 5

X. CERTIFICATIONS:
Does the submitted system comply with 15A NCA(. 02T, the \4Inimpyi Design Criteria for the Permitting of Puma Stations
and Frsrse Mains -(latest version, and the , vi Sewer Minimun Desi n Criteria latest version as applicable?
® Yes ❑ No
If No, complete and submit the Variance/Alternative Design Request application (VADC ]0-14)and supporting documents for
review. A+ =val of the request it rtguired Prior to Submittal of the Fpst Track Ape cplion and sumw—flog documen u,
2. Professional Engineer's Certification:
r �
1, -- �• �� _ _attest that this application for
(Professional Engineer's name from Application Item 111_ I.)
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 sea] 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 143-215.6B, any 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 S10,000, as well as civil penalties up to $25,000 per violation.
North Carolina Professional Engineer's seal, signature. and date: �.•`'����"11ej�/""��
ti
ti
~•••.........
3. Applicant's Certification per 15A NCAC 02T .0106(b):
1, - - ...Yfi�� +t{ d�✓ __ attest that this application for
(Signature Authority'same&4ite from Application Item 1.3-)
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 4 -215. A and 143-21,�.GIi, any 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.
t
Signature: - Date: 11L2-1
FORM: FTA 04-16 Page 5 of 5

X. CERTIFICATIONS:
Does the submitted system comply with ISA NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains latest version and the Gravit • Sewer Minimum Deshzn Criteria latest version as applicable?
® Yes ❑ No
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents for
review. A roval of the re nest is reguired Prior to submittal of the Fast Track ADDliCStion and sUvorting documents.
2. Professional Engineer's Certification:
attest that this application for
(Professional Engineer's name from Application Item Ill. I.)
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. 1 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 misdemeanor, which may
include a fine not to exceed S 10,000, as well as civil penalties up to $25,000 per violation.
....................:............... _.......... ..... .. _.........
North Carolina Professional Engineer's seal, signature, and date:OIL
%j
��+ = y .9
2.'IL- SEAL r
0. 0374168 =
5. -! ,GIN �•P�`�.
1-2021
3. Applicant's Certification per ISA NNCAC 02T .0106(b):
1' - t w ++� !4✓ _.. - attest that this application for
(Signature Authority's ame tle from Application Item 1.3.)
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 143-215-613, any 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 tine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
r Signature: _ -- . _ _- . Dane: l Z 2Q�
FORM: FTA 04-16 Page 5 of 5

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Town of Clayton
Project Name for which flow is being requested: _ Walk at East Villa&e Ph. 3
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all pump
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: _ Little Creek_ WRF
b. WWTP Facility Permit #: 0025453
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
It. Percent of permitted flow used
All flows are in MC
tr
LCWRF 2.5 + JoCo 1.4 +
Raleigh 1.0 = 4.9 MGD
0.7732
3.019
0.0208
3.8130
.;
0.778 -
11. Complete this section for each pump station you are responsible for along the route of this 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 Flow Plus
(Name or Permit Capacity, * (Firm / pf),
Avg. Daily Daily Flow, Obligated
Available
Number) No. MGD MGD
Flow, MGD MGD Flow
Capacity***
Arbors WQ36203 0.5688 0.2275
0.0312 0.0197 0.0509
0.I766
* 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
(pi) 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 a 0.
Downstream Facility Name (Sewer): Walk at East Village
Downstream Permit Number: W 0038698
t7
Page 1 of 6
HSI: 10-I9

I11. Certification Statement:
I Joshua Baird 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.
--
Title of igning Official
Date
Page 2 of b
FTS!: 10-1

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The Nau Company
Consulting Civil Engineers
Deliver to
TRANSMITTAL
Sender
PO Box 810
Rolesville, NC 27571
919-435-6395
NCDEQ Raleigh Regional Office
Brian O'Kane PE
Water Quality Section
3800 Barrett Drive
252-702-1910 NC Dept of Environmentatau�
[e-mail]
Raleigh NC 27609
919-791-4200
Date NOV 1 g 2021
1 Delivery method
Project name Walk at East Village -Phase 3 Raleigh Regional office
Submittal type Sanitary Sewer Permit
Project number
Quantity
Date
Description
1
Cover Letter
2
Fast Track Application (FTA)
1
Check for $480
1
Flow Tracking/Acceptance Form (FrSE)
1
USGS Quad Map
1
Aerial Map
Comments/Notes