WQ0044007_Application (FTSE)_20221220

December 19, 2022
Ms. Sarah Toppen
Environmental Specialist II
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
943 Washington Square Mall
Washington, NC 27889
RE: Fremont Meadows Subdivision
Fast Track Sewer Application
Wayne County
Dear Sarah,
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We are returning the application package to you with the original $480.00 check per our telephone
conversation last week. If you need anything else, please let me know.
Sincerely,
MUNICIPAL ENGINEERING, INC.
le —
Michael L. McAllister, M-ASCE
Principal Project Manager
MESCO.COM
Licenses: F-0812 & C-586

Project Narrative Sanitary Sewer
for
Fremont Meadows Subdivision
Phase I
Little JoCo Properties, LLC
Town of Fremont
November 10, 2022
Little JoCo Properties, LLC developer is constructing a 60-lot subdivision (at build -out), 31-lots within
Phase I. The subdivision will be east of Town along NC Hwy 222 in the Town of Fremont, situated in
northern Wayne County. The collection system will consist of 1,697 LF of SDR-32 PVC sanitary sewer lines
and 4-foot diameter pre -cast concrete manholes within the proposed roadway, with 4-inch diameter
sanitary sewer services with clean -outs installed at the right-of-way. The gravity sewer will discharge into
a new duplex submersible pump station near the property's rear behind the lots at the cul-de-sac, which
will be accessed by a utility/ingress/egress easement. The 1,654 LF of the. new 6-inch SDR-21 PVC force
main will utilize the same easement, with the remainder installed within the roadway, and discharge into
an existing 6-inch PVC force main along the shoulder of NC Hwy. 222. The existing force main runs
between the pump stations named "Eureka #2," which pumps 5,284 feet to the "Hillandale" pump station,
which pumps to the existing spray field for the Town of Fremont. A new cellular -based SCADA system will
be installed at Eureka #2 and the new pump station to prevent them from pumping at the same time.
Receiving Downstream Sanitary Sewer System, WQCS00298, Receiving Downstream WWTP WQ0034102.
The proposed pump station will be 180 GPM duplex solid handling (3-inch Sphere) submersible pumps
�480 VAC/3-Phase/60 Hz) in a new pre -cast concrete wet well with an access hatch and vent. New plug
and check valves will be installed within a new pre -cast valve vault. The station will have a new manual
hoist to remove the pumps mounted on the rail system. The new SCADA will also monitor the status of
the pump station and stand-by diesel generator with an automatic transfer switch. The station will be
located within a gravel area with a 6-feet high chain link perimeter fence. The station will be equipped
with a permanent by-pass pump connection with a plug valve to allow a portable pump to be connected
if needed. The pump control panel, motor starters, electrical main service connection, sub -panel, SCADA,
and automatic transfer switch will be mounted beneath an aluminum hood with an overhead LED light
fixture, alarm light, and speaker. A one -inch metered water service with an above -ground RPZ backflow
preventer within a fiberglass enclosure will provide water to a yard hydrant for wash -down.
Basis of Flow (15A NCAC 02T .0114)
120 GPD/Bedroom (360 GPD (3) bedroom homes).
Number of Homes
Phase 1 (31) three -bedroom Homes= 11,160 GPD.
Future Development
Phase II (29) three -bedroom Homes=10,440 GPD.
Gravity Sanitary Sewer
1,697 LF 8-inch diameter SDR-35 PVC.
No. of Manholes
(8) 4'-0: Dia. Pre -cast Concrete.
Pump Station
Duplex w/180 GPM Pumps (passing 3-inch Sphere)
180 GPM=Scour Velocity in 6-inch Dia. FM.
Force Main
6-inch diameter SDR-21 PVC (1,697 LF New).
6-inch diameter SDR-21 PVC (5,241 LF (Existing)).
Stand-by Power
Diesel Generator w/Automatic Transfer Switch.
Control
Floats (Low Water, Pump Off, Lead Pump On, Lag
Pump On, Highwater Alarm).
Cellular -based: Alarms (Run on/ofl)(Highwater)
SCADA
(Run/Fail) (Generator-Run/Fail) local alarms and
light.
1

ROY COOPER
Governor
ELIZABETH S. BISER
seawary
RICHARD E. ROGERS, JR.
Dl w"
Mike McAllister, PE
Municipal Engineering, INC
68 Shipwash Drive
Garner, NC 27529
NORTH
INA
stW�L
November 14, 2022
Subject: Return of Application
Fremont Meadows Subdivision
Dear Mr. McAllister
RECirED
DEC REC'D
lcIElBV(l3 pp
Per our conversation, you are waiting to receive the new Flow Tracking for Sewer Extension Applications forms.
Once you send the forms and a revised application (page 2 out of 5) that has the correct box marked for #2 under
General Requirements, we can move forward on the review and Issuance of the permit. I am returning the entire
package.
If you should have any questions regarding the acceptance of your application, please contact Sarah Toppen at
[phone] or via e-mail at [e-mail].
enclosure: Application Package
cc:
Sincerely,
s6w� &AWU
Sarah Toppen, Environmental Specialist II
Water Quality Regional Operations Section
Washington Regional Office
Division of Water Resources, NCDEQ
North Carolina Department of Environmental Quality Division of Water Resources
Washington Regional Office - 943 Washington Square Mall - Washington, North Carolina, 27889
V 252-946fi481
a.+v

November 10, 2022
Ms. Sarah A. Toppen
Environmental Specialist II
NC Department of Environmental Quality
Division of Water Resources
Washington Regional Office
943 Washington Square Mall
Washington, NC 27609
RE: Fremont Meadows Subdivision
Fast Track Sewer System Application (FTA)
Fremont, North Carolina
Wayne County VIA EMAIL
Dear Sarah
NOV 15 2022
Water Qua ft
Regional Operatons Section
Washington Regional Office
RECE[VED/NCDENR/DWR
DEC 2 0 '022
water Quality
Regional Operations Section
Washington Regional office
We have one copy of the corrected application documents for the above -referenced project, as requested
per our October 11, 2022, telephone conversation and email. My apologies for taking longer to get the
corrections back to you, as I was waiting on the FTSE from the City of Goldsboro.
• Revised Page 1 of Flow Tracking Form FTSE 10-18 showing the correct permit number for the
waste treatment facility (Spray Field) in Fremont (NCG034102).
• The FTSE form from the City of Goldsboro is enclosed as requested
• Corrected Page 2 of 5 Form FTA 06-21 Correction of flow information to 11,160 GPD (31 3-
bedroom residences @ 360 GPD)
• Corrected Page 3 of 5 Form FTA 06-21 Correction of Force Main Length to reflect only the new
force main to be installed.
• The Applicant is the Town of Fremont, and the box checked on page two has been corrected.
Please find the following documents enclosed for your review and comment:
• Corrected FTA 06-21 Application Document
• A check for $480.00 for the permit fee
• USGS Quad map showing the location of the project
• FTSE Form (Town of Fremont)
•. FTSE Form (City of Goldsboro)
• Two hard copies of the application package
• One Compact Disc (CD) with the entire application package
MESCO.COM
Licenses: F-0812 & C-586

Fremont Meadows
Sanitary Sewer Fast Track Application
Page No. 2
If you have questions or need additional information, please don't hesitate to contact our office.
Sincerely,
MUNICIPAL ENGINEERING, INC.
Michael L. McAllister, M-ASCE
Principal Project Manager
CC: D. Anthony Howell, Fremont Town Administrator
Ben Clawson, PE, MESCO

State of North Carolina -�
Department of Environmental Quality
�(1'J �� Division of Water Resources
` = FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Diftion of Water Resources INSTRUCTIONS FOR FORM: FTA 06-21 & SUPPORTING DOCUMENTATION
This application is for sewer extensions involving gravity sewers, pump stations, and force mains, or any combination that has been
certified by a professional engineer and the applicant that the project meets the requirements of 15A NCAC 02T and the Division's
Minimum Design Criteria (GravitySSewer & Pump Stations/Force Mains) and that plans, specifications and supporting documents
have been prepared in accordance with 15A NCAC 02T, 15A NCAC 02T .0300, Division policies, and good Mginmin practices,
While no upfront engineering design documents are required for submittal, in accordance with 15A NCAC 02T .0305(b), design
documents must be prepared prior to submittal of a fast track permit application to the Division. This would include plans, design
calculations, and project specifications referenced in 15A NCAC 02T .0305 and the applicable minimum design criteria These
documents shall be immediately available upon request by the Division.
Projects that are deemed permitted (do not require a permit from the Division) are explained in 15A NCAC 02T.0303.
Projects not eligible for review via the fast track process (must be submitted for full technical review):
➢ Projects that do not meet any part of the minimum design criteria (MDC) documents;
➢ Projects that involve more than one variance- from the requirements of 15A NCAC 0217;
➢ Pressure sewer systems utilizing simplex septic tank -effluent pumps (STEPS) or simplex grinder pumps;
➢ Simplex STEP or simplex grinder pumps connecting to pressurized systems (e.g. force mains);
➢ Vacuum sewer systems.
General — When submitting an application, 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. Failure to submit all required items will necessitate additional processing and review
time, and may result in return of the application. Unless otherwise noted, the Applicant shall submit one original and one copy of
the application and supporting documentation.
A. One Original and One Copy (second copy may be digital) of Application sad Supporting Documents
® Required unless otherwise noted. Signatures on original must be -wet ink" or secure digital signatures.
Please do not submit engineering design plain with the application unless specifically requested.
B. Cover Letter/Narrattve Dew iptioa (Required for All Application Packages):
® List all items included in the application package, as well as a brief description of the requested permitting action.
➢ Be specific as to the system type, number of homes served, flow allocation required, etc.
➢ Include the permit number/status of any other required sewer permits (downstream/upstream)
➢ If necessary for clarity, include attachments to the application form..
C. Application Fee (All New and Modification Application Packages):
® Submit a check or money order in the amount of $480.00, dated no more than 90 days prior to application submittal.
➢ Payable to North Carolina Department of Environmental Quality (NCDEC)
D. Fast Track Application (Required for All Application Packages, Form F17A 05-21):
® Submit the completed and appropriately executed application.
➢ If necessary for clarity or due to space restrictions, attachments to the application may be made.
❑ If the Applicant Type in Item 1.2 is a corporation or company, provide documentation it is registered for business with the
North Carolina Secretary of State
❑ If the Applicant Type in Item L2 is a partnership or d/b/a, enclose a copy of the certificate filed with the Register of Deeds in
the county of business.
® The Project Name in Item II.1 shall be consistent with the project name on the flow acceptance letters, agreements, etc.
® The Professional Engineer's Cation on Page 5 of the application shall be signed, sealed and dated by a North Carolina
licensed Professional Engineer.
® The Applicant's Certification on Page 5 of the application shall be signed 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).
INSTRUCTIONS FOR FORM: FTA 06-21 & SUPPORTING DOCUMENTATION Page 1 of 3

E. Flow Tracking/Acceptance Form (Form: FTSE 04-16) (If Applicable):
® Submit the completed and executed FTSE form from the owners of the downstream sewers and treatment facility.
➢ Multiple forms maybe required where the downstream sewer owner and wastewater treatment facility are different.
➢ The flow acceptance indicated in form FTSE must not expire prior to permit issuance and must be dated less than one year
prior to the application date.
➢ Submittal of this application and form FTSE indicates that owner has adequate capacity and will not violate G.S. k 43-215.67(a).
➢ Intergovernmental agreements or other contracts will not be accepted in lieu of a project -specific FTSE.
F. Site Maps (All Application Packages):
® Submit an 8.5-inch x 11-inch color copy of a USGS Topographic Map of sufficient scale to identify the entire project area,
including the closest surface waters.
➢ General location of the project components (gravity sewer, pump stations, & force main)
➢ Downstream connection points and permit number (if known) for the receiving sewer
® Include an aerial location map showing general project area (such as street names or latitude/longitude) so that Division staff
can easily locate it in the field.
G. Existing Permit (Application Packages for Modifications to an Existing Permit):
❑ Submit a copy of the most recently issued existing permit.
® Include a descriptive and clear narrative identifying the previously permitted items to remain in the permit, items to be
added, and/or items to be modified (the application form itself should include only include items to be addedhnodified). The
narrative should also include whether any previously permitted items have been certified.
® The narrative should clearly identify the requested permitting action and accurately describe the sewers to be listed in
the final permit.
H. Power Reliability Plan (Required if portable reliability option utilized for Pump Station):
® Per 15A NCAC 02T .0305(h)(l), submit documentation of power reliability for pumping stations.
➢ This alternative is only available for average daily flows less than 15,000 gallons per day
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant and is compatible with
the station. The Division will accept a letter signed by the applicant (see 15A NCAC 02T .0106(b)) or proposed contractor,
stating that "the portable power generation unit or portable, independently -powered pumping units, associated appurtenances
and personnel are available for distribution and operation of this pump 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. (Required at time of certification)
L Certificate of Public Convenience and Necessity (All Application Packages for Privately -Owned Public Utilities):
❑ Per 15A NCAC 02T .0I 15(a)(1) provide the Certificate of Public Convenience and Necessity from the North Carolina Utilities
Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served by the sewer
extension, 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.
J. Operational Agreements (Applications from HOA/POA and Developers for lots to be sold):
❑ Hoime/Property Owners' Associations
❑ Per 15A NCAC 02T .0115(c), submit the properly executed Operational Agreement (FORM: HOA).
❑ Per 15A NCAC 02T .0115(c), submit a copy of the Articles of Incorporation, Declarations and By-laws.
❑ Developers of lots to be sold
❑ Per 15A NCAC 02T .0115(b), submit the properly executed Operational Agreement (FORM: DEV).
For more 01fbrmation, visit the Division's collection systems websire
INSTRUCTIONS FOR FORM: FTA 05-21 & SUPPORTING DOCUMENTATION Page 2 of 3

THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Ressionai Office
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
Water Quality Section
Swannanoa, North Carolina 28778-8211
Clay, Graham, Haywood, Henderson, Jackson,
(828) 29645M
Macon, Madison, McDowell, Mitchell, Polk,
[phone] Fax
Rutherford, Swain, Transylvania, Yancey
FavetlwAle Resaloml Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Hamett, Hoke,
Water Quality Section
Fayetteville, North Carotin 2830145095
Montgomery, Moore, Robeson, Richmond,
[phone]
Sampson, Scotland
(910) 48"M7 Fax
Mooresville Regional Office
610 E. Center Avenue
Alexander, Cabanus, Catawba, Cleveland,
Water Quality Sect$on
Mooresville, North Carolina 28115
Gaston, Iredell, Lkxmtn, Meddenburg, Rowan,
[phone]
Stanly, Union
(7-04) 663-6040 Fax
RaW ah Resalonal Office
38M Barrett Drive
Chatham, Durham, Edgecombe, Frm*Dn,
Water Quality Section
Raleigh, North Carolina 27609
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] Fax
Warren, Wilson
WashinaWn Reoivnal Office
943 Wasi@n&n Square Mall
Beaufort, Bertle, Camden, Chowan, Craven,
Water Quality Section
Washt ngton, North Carotins 27889
Currttucc, Dare, Gates, Greene, Hertford, Hyde,
[phone]
Jones, Lendr, Martin, Pamlico, Pasquotank,
[phone] Fax
Perqulrnans, Pitt, Tyrrell, Washington, Wayne
Wllminraton Regional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
Winter Quaffly Section
V1 ln*igton, North Carolina 28405
Hanover, Onslow, Pender
(910) 79&7215
[phone] Fax
Winston-Salem Regional Office
450 W. Hanes Mill Road
Alamance, Allegheny, Ashe, Caswell, Davidson,
Water Quality Sectlon
Suite 300
Davie, Forsyth, Guilford, Rockingham, Randolph,
Winston-Salem, North Carolina 27105
Stokes, Surry, Watauga, Wilkes, Yad Idn
(&W 776-98M
[phone] Fax
INSTRUCTIONS FOR FORM: FTA 05-21 & SUPPORTING DOCUMENTATION Page 3 of 3

V\) a00 H q 00 -1- State of North Carolina
Department of Environmental Quality
DWR. Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 06-21 dt SUPPORTING DOCUMENTATION
Application Number.
(to be completed by DWR)
All Items must he completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Town of Fremont (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ❑ State/County ® Municipal
3. Signature authority's name: D. Anthony Howell per 15A NCAC 02T .0106(b)
Title: Town Administrator
4. Applicant's mailing address: 126 East Main Street
City: Fremont State:INQ Zip: 27830-
5. Applicant's contact information:
Phone number. [phone] Email Address: dahoweHC2ff montnc.goy
1T. PROJECT INFORMATION:
❑ Privately -Owned Public Utility
❑ Other
1. Project name: Fremont Meadows Subdivision Phase I
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number. WQ00 and issued date:
For modifications, also attach a detailed narrative description as described in Item G of the checklist.
If now construction, but part of a master plan, provide the existing permit number. WQ00
3. County where project is located: Wayne
4. Approximate Coordinates (Decimal Degrees): Latitude: 3553 7° Longitude: -77 5°
5. Parcel ID (if applicable): 3615020389 (or Parcel ID to closest downstream sewer)
IM CONSULTANT INFORMATION:
1. Professional Engineer: Benjamin D. Clawson, PE License Number. 33710
Firm: Municipal Enszineerinu, Inc
Mailing address: 68 Shipwash Drive
City: Game State: NC Zip: 27529-
Phone number: 919 =1 - 35,9 . Email Address: mmcallister aAmesco.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Town of Fremont WWTP Surat' Irdggfjon Facility Permit Number: W00034102
Owner Name: Town of Fremont
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ903A 1
2. Downstream (Receiving) Sewer Information: 6 inch ❑ Gravity ® Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00298
Owner Name(s): Town of Fremont
FORM: FTA 06-21 Pagel of 5

VL
GENERAL REQUIREMENTS
1. 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 Developer's Operational Agreement (FORM: DEV) been attached?
[:]Yes ❑ No ® N/A
3. If the Applicant is a Home/Property Owners' Association, has an HOA/POA Operational Agreement (FORM: HOA) and
supplementary documentation as required by 15A NCAC 02T.0115(c) been attached?
❑ Yes ❑ No ® N/A
4. Origin of wastewater. (check all that apply):
® Residential (Individually Owned) ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential (Leased) ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑ School / preschool / day care ❑ Medical / dental / 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: 100 % Domestic % Commercial % Industrial (See 15A NCAC 02T .0103(20))
If Industrial, is there a Pretreatment Program in effect? ❑ Yes ® No
6. Hasa flow reduction been approved under 15A NCAC 02T .0114(7 ❑ Yes ® No
➢ If yea, provide a copy of flow reduction appmal letter with this application
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow','
No. of Units
Flow
Residential Homes
360 gal/3 Bedroom Residential
31
11,160 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
11,160 GPD
a See 15A NCAC 02T .0114(b), (d), (e)(1) and (e)(2) for caveats to wastewater design flow rates (Le., 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. 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data
8. Wastewater generated by project: 11,160 GPD (per 15A NCAC 02T .0114)
➢ Do not include future flows or previously permitted allocations
If permitted flow is zero, please indicate why:
❑ Pump Station/Force Main or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line.
Please provide supplementary information indicating the approximate timefiame for permitting upstream sewers with flow.
❑ Flow has already been allocated in Permit Number. Issuance Date:
❑ Rehabilitation or replacement of existing sewers with no new flow expected
❑ Other (Explain):
FORM: FTA 06-21
Page 2 of 5

M
VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
1,697
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 requirements is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: Fremont Meadows Pump Station
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.548047° Longitude:-77,984739°
3. Total number of pumps at the pump station: 2
3. Design flow of the pump station: 0.26 millions gallons per day (firm capacity)
➢ This should reflect the total GPM for the pump station with the largest pump out of service.
4. Operational point(s) per pump(s): IN gallons per minute (GPM) at 62-34 feet total dynamic head (TDI-I)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
6
1,654
PVC
If any portion of the force main is less than 4-inches in diameter, please identify the method of solids reduction per
MDCPSFM Section 2.01 C. Lb. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with 15A NCAC 02T .0305(h)(1):
® Standby power source or ❑ Standby pump
➢ Must have automatic activation and telemetry - 15A NCAC 02T.0305(h)(1)(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 and may not be portable
Or if the pump station has an average daily flow less than 15,000 gallons per day 15A NCACO2T.0305(hxl)(C):
❑ Portable power source with manual activation, quick -connection receptacle and telemetry -
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry:
➢ Include documentation that the portable source is owned or contracted by the applicant 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
as part of this permit application in the case of a multiple station power outage.
FORM: FTA 06-21 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations/alternatives found in 15A NCAC 02T .0305(i) & W? ® Yes [—]No
15 A NCAC 02T 0105(fl enntnins minimum separations that shall be vrovided for sewer systems:
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
18 inches
2Water mains (vertical - water over sewer preferred, including in benched trenches)
18 inches
2Water mains (horizontal)
10 feet
Reclaimed water lines (vertical - reclaimed over sewer)
18 inches
Reclaimed water limes (horizontal - reclaimed over sewer)
2 fit
**Any private or public water supply source, including any wells, WS-I waters of Class I or
Class H impounded reservoirs used as a source of drinking water, and associated wetlands.
100 feet
**Waters classified WS (except WS-1 or WS-V), B, SA, ORW, HQW, or SB from normal
high water (or tide elevation) and wetlands associated with these waters (see item 1X.2)
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches, as well as wetlands associated with these waters or classified as WL.
10 feet
Any building foundation (horizontal)
5 feet
Any basement (horizontal)
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
➢ If noncompliance with 02T.W05(f) or (Q), see Section M1 of this application
* 15A NCAC 02T.0305(0 contains alternatives where separations in 02T.0305(f) cannot be achieved. Please check `yes"
above if these alternatives are used and provide narrative information to explain.
**Stream classifications can be identified using the Division's NC Surface Water Classifications webMe
2. Does this project comply with the minimum separation requirements for water mains? ® Yes ❑ No ❑ N/A
➢ If no, please refer to 15A NCAC 18C.0906(f) for documentation requirements and submit a separate document,
signed/sealed by an NC licensed PF, verifying the criteria outlined in that Rule.
3. Does the project comply with separation requirements for wetlands? ❑ Yes ❑ No ® N/A
➢ Please provide supplementary information identifying the areas of non-conformance.
➢ See the Division's draft separation requirements for situations where separation cannot be met.
➢ No variance is required if the alternative design criteria specified is utilized in design and construction.
4. Is the project located in a river basin subject to any State buffer rules? ® Yes Basin name: Neuse ❑ No
If yes, does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? ® Yes ❑ No
➢ This includes Trout Buffered Streams per 15A NCAC 2B.0202
Does the project require coverage/authorization under a 404 Nationwide/individual permits ❑ Yes ® No
or 401 Water Quality Certifications?
➢ Please provide the permit number/permitting status in the cover letter if coverage/authorization is required
6. Does project comply with 15A NCAC 02T.0105(cX6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105(c)(6), directly related environmental permits or certification applications must be 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.).
7. Does this project include any sewer collection limes that are deemed "high -priority?" [:]Yes ® No
Per 15A NCAC 02T.0402, "high -priority sewer" means any aerial sewer, sewer contacting surface waters,
siphon, or sewers positioned parallel to streambanks that are subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interference/conflict boxes require a variance approval.
➢ If yes, include an attachment with details for each Tine, including type (aerial line, size, material, and location).
High priority lines shall he inspected by the permtttee or its representative at least once every six -months and
inspections documented per 15A NCAC 02T.0403(a)(5) or the permittee's individual System -Wide Collection permit.
FORM: FTA 06-21 Page 4 of 5

X CERTIRCATIONS.
1. Does the submittal system comply with 15A NCAC 03T. the Minimum Design Criteria tbir the Pcrmilling of Pismo Sindwis
and Fore Mains (latest version). and the Gravity Sewer MIDImum Design Criteria (latest version) as applicable?
® Yes ❑ No
if no, for projects requiring a single variance, complete and submit the Variance/Alternative Design Request application
(VADC 10-14) and supporting documents for review to the Central Office. Approval of the rearrest will be resod
_tIly with Hi 1 f the if nP4 prole ds ,.a....ideg a variance arAmm l mmy be gubL d to longer
�L.71—11fC4nRAY niui �wc apuiii�a■ of ...� uc�.T.sa. - - - -- -
r eAow times. For oroira.% rmndri_iz tyro or more variances or where the vartance is delesmi"d by the DlvWon to be a
shmificant portion of the project. the full techolml review is reaalred,
2. Professional Engineer's Certifcation:
1, BenjamW M Clawson- PE attest that this application for Fremoet Meadows Subdivision Phase 1
(PmPoasiorW Engineet's rmme from Appticadon Tram 111.1.) (Project Nam ft= AppliceHon Item IL 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 bother
attest that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations,
Minimum Design Criteria for Ormdly Sewors (latest version) and the Minimum Design Criteria for the Fast -Track Pemnitting
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 notto exceed $10,000, as well as civil penalties up to $25,000 per violation. Misropraentation of the applioadou
information, including faihtre to disclose any design non-compliance with the applicable Rules and design criteria, may subject
the North Carolina -licensed Professional Engineer to referral to the licensing board. (21 NCAC 56.0701)
North Carolina Professional Engineer's seal, signature, and date: .�] f I
3. Applicants Certification per 15A NCAC 02T .0106(b): I I{ i',�`�"
I, D. Anthony Howell, Town Administratorattest that this application for Freutopt Meadows Subdivision Prase I
(SWmhue Authority Name Brom Application item 73.) (Project Nome from Application Item ILL)
attest that this application 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• retamed as incomplete. I understand that any
discharge of wastewater from this non4ischarge 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 Resourcos 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 143-215,611 any person who knowingly makes any false
statement, representation, or ontifloation in any application package shall be guilty of a Claw 2 misdemeanor, which may
include a flne not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: 1 Date:
FORM: FTA 06-21 Page 5 of 5

Project Narrative Sanitary Sewer
for
Fremont Meadows SubdlvWon
Phase I
Little JoCo Properties, LLC
Town of Fremont
November 10, 2022
Little JoCo Properties, LLC developer is constructing a 604ot subdivision (at build -out), 31-lots within
Phase I. The subdivision will be east of Town along NC Hwy 222 in the Town of Fremont, situated In
northern Wayne County. The collection system will consist of 1,697 LF of SDR-32 PVC sanitary sewer lines
and 4-foot diameter pre -cast concrete manholes within the proposed roadway, with 4-inch diameter
sanitary sewer services with clean -outs installed at the right-of-way. The gravity sewer will discharge into
a new duplex submersible pump station near the property's rear behind the lots at the cul-de-sac, which
will be accessed by a utility/ingress/egress easement The 1,654 LF of the new 64nch SDR-21 PVC force
main will utilize the same easement, with the remainder installed within the roadway, and discharge into
an existing 6-inch PVC force main along the shoulder of NC Hwy. 222. The existing force main runs
between the pump stations named "Eureka #2," which pumps S,284 feet to the "Hiffandale" pump station,
which pumps to the existing spray field for the Town of Fremont A new cellular -based SCADA system will
be installed at Eureka #2 and the new pump station to prevent them from pumping at the same time.
Receiving Downstream Sanitary Sewer System,WQCS00298, Receiving Downstream WWTP W040034102.
The proposed pump station will! be 180 GPM duplex solid handling (3-inch Sphere) submersible pumps
(480 VAC/3-Phase/60 Hz) in a new pre -cast concrete wet weR with an access hatch and vent New plug
and check valves will be installed within a new pre -cast valve vault. The station wUl have a new manual
hoist to remove the pumps mounted on the rail system. The new SCADA will also monitor the status of
the pump station and stand-by diesel generator with an automatic transfer switch. The station will be
located within a gravel area with a 6-feet high chain fink perimeter fence. The station will be equipped
with a permanent by-pass pump connection with a plug valve to allow a portable pump to be connected
ff needed. The pump control panel, motor starters, electrical main service connection, sub -panel, SCADA,
and automatic transfer switch wfll be mounted beneath an aluminum hood with an overhead LED light
fixture, alarm light, and speaker. A one -Inch metered water service with an above -ground RPZ backflow
preventer within a fiberglass enclosure will provide water to a yard hydrant for wash -down.
Bask of Flow 15A NCAC 02T .0114
120 GPD/Bedroom 360 GPD 3 bedroom homes .
Number of Homes
Phase 131 three -bedroom Homes=11,160 GPD.
Future Development
Phase II 29 three -bedroom Homes=10 GPD.
Gravity Sankary Sewer
1,697LF 84nch diameter SDR-35 PVC.
No. of Manholes
8 4'-0: Dia. Pre -cast Concrete.
Pump Station
Duplex w/180 GPM Pumps (passing 3-Inch Sphere)
180 GPMdcour Velocity in 64nch Dia. FM.
Force Main
6-Inch diameter SDR-21 PVC (1,697 LF New).
6-inch diameter SDR-21 PVC (5,241 LF Existi
Stand-by Power
Diesel Generator w/Automatic Transfer Switch.
Control
Floats (Low Water, Pump Off, Lead Pump On, Lag
Pump On, Hi hwater Alarm).
SCADA
Cellular -based: Alarms (Run on/off)(Highwater)
(Run/Fain (Generator-Run/Fall) local alarms and
1

2021
Fremont
January
15,289,139
gallons
February
15,988,292
gallons
March
11,474,131
gallons
April
8,153,037
gallons
May
3,497,218
gallons
June
11,071,779
gallons
July
8,010,550
gallons
August
9,172,184
gallons
September
3,174,416
gallons
October
1,819,770
gallons
November
2,006,577
gallons
December
1,818,024
gallons
Total Gallons 91,475,117 gallons
Avg. Gallons/Day 250,617 gallons

v
M. Cei-tiification Sta ment:
caffy to the best of my knowledge that the addition of
the volume ofwagfewabir to be permitted in this projecthas been evahu tad along the route to the receiving
wastewater t =Wient facility and that the flow from this project is not andclpated to cause any capacity
related sanitary sewer overflows or overburden any downstmarn pump station en mute to the receiving
treaftnent plant under normal circumstances, given the implernmtation of the planned improvements
identified in the planning assessment whm W icable. Tins analysis has been performed in accordance
with local established policies and procedures using the beet available data. This certification applies to
those items listed above in Sections I and II phis all attached planning assessmat 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 wastcwatex.
Signtng- � SiE
Yule of
Page 2 of 6
FrTSE IO-lS

State of North Carolina
Department of Environmental Quality
Division of Water Resources
[)ivlsMon of water Resources Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Town of Fremont `
Project Name for which flow is being requested: Fremont Meadows Subdivision
More than one F7SE maybe required for a single project if the owner of the WWTP Is nor responsible for all pump k
statlons along the route of the proposed. wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Town of Fremont WWTF Wastewater Irrigation Facility
b. WWTP Facility Permit #: NCO034102
i
All flows are in MGD
c. WWTP facility's permitted flow 0.0916
I Estimated obligated flow not yet tributary to the WWTP 0.0104 (Phase II)
e. WWTP facility's actual avg. flow 0.04498
E Total flow for this specific request 0.0112
,
g. Total actual and obligated flows to the facility 0.0658
h. Percent of permitted flow used 71.8%
i
H. Complete this section for each pump station you are responsible for along the route of this
proposed
wastewater flow.
i
List pump stations located between the project connection point and the WWTP:
(A) (B) (C) (D)—(B+C)
Design
(9)-(A-D)
Average Approx. Obligated, Total
Pump Pump Daily Current Not Yet Current
Station Station Firm Flow** Avg. Daily ThNitary Flow Plus
(Name or Permit Capacity, * (Firm / p fl, Flow, Daily Flow, Obligated
Available
Number) No. MGD MGD MGD MGD Flow
Capacity* * *
Hillandale WQCS00298 0.72 0.29 0.14 0.0216 0.161
0.129
* The Firm Capacity (design flow) of any pump station is defined as the maximum pumped flow
that can be achieved with the largest pump tapes out of service.
** Design Average -Daffy Flow is the firm capacity of the pump station divided by a peaking factor
(pi) not less than 2.5, per Section 2.02(Ax4)(c) of the Minimum Design Criteria.
* * * A Planning Assessmeat Addendum shall be attached for each pump station located
between the project connection point and the WW rP where the Available Capacity is < 0.
Downstream Facility Name (Sewer): Town of Fremont Collection System
Downstream Permit Number. WQCS00298
Page 1 of 6
FTSE 10-18
i

III. Certification Statement:
I D. Anthony Howell 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 fivm 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 circwns races, given the implementation of the planned improvements
identified in the planning assessment where applicable. This analysis has bran 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 11 plus all attached planning assftsnent 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.
7-0;A/ O�A/AW7J6&
Title of Signing Wetal
Page 2 of 6
FTSE 10-18

s„(E/,(, US URIRMO SiMEIN R00. Mn 110M10.� ;,E
��ii�u{aiw��
w
�S
°ff ' PROPOSED FREMONT MEADOWS
J If SUBDIVISION PUMP STATION
I 2 Y?
r V
- 7 1� '. YV MAI • �"
FAY x r.
0V
K da+
q V f.,
Y^ I I i v
f
X .Et•, rg r �' �,i
IRITM 4•p 4 { `t � '•• � A l 1�
�1r,�

DWR
Divislon of Water Resources
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 Fremont
Project Name for which flow is being requested: Fremont Meadows Subdivision
More than one FTSE maybe 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.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Goldsboro Water Reclamation Facili
b. WWTP Facility Permit #: NC0023949
All flows are in MGD
c. WWTP facility's permitted flow 14.2
d. Estimated obligated flow not yet tributary to the WWTP 0.2040
e. WWTP facility's actual avg. flow 11.3858
f. Total flow for this specific request 0.0112
g. Total actual and obligated flows to the facility 11.6010
h. Percent of permitted flow used 81.697%
II. 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)
(fl)
(C) (D)=(Bi'C)
(E)(A-D)
Design
Average
Approx.
Obligated, Total
Pump Pump
Daily
Current
Not Yet Current
Station Station Firm
Flow**
Avg. Daily
Tributary Flow Plus
(Name or Permit Capacity, *
(Firm / pf),
Flow,
Daily Flow, Obligated
Available
Number) No. MGD
MGD
MGD
MGD Flow
Capacity***
Gold #1 WQCS00298 0.72
0.29
0.14
0 0.14
0.15
Golds #2 WQCS00298 1.08
0.43
0.20
0 0.20
0.23
Westbrook 40 16 10.62 0.213 10.833 5.167
* 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): Goldsboro Wastewater Plant
Downstream Permit Number: NC0023949
Page 1 of 6
FTSE 10-18

Average Yearly Flow for:
Jan.2021
Feb.2021
Mar.2021
Apr.2021
May2021
Jun2021
Ju12021
Aug2021
Sept2021
Oct2021
Nov2021
Dec2021
Facility name, Permit #
Permitted Flow:
47693.90323
72790.83333
61779
73053.13333
56382.24171
47249.96774
75030.66667
29613.93548
53212.5
18617.33333
Town of Fremont
WQ0034102
44618.62624 Avg. Flow
2021 % of Permitted Flow:
91629 _
0.486948742
(<80%/90% 0K)

Average Yearly Flow for: Facility name, Permit # City of Goldsboro WWTP
NCO023949
Jan.2021
Feb.2021
Mar.2021
Apr.2021
May2021
Jun2021
Ju12021
Aug2021
Sept2021
Oct2021
Nov2021
Dec2021
Permitted Flow:
16.7329032
19.2810714
14.6806452
10.967
8.6070968
12.9946667
12.7383871
12.4403226
7.9796667
7.0009677
6.5183333
6.6854839
11.38554538 Avg. Flow
2021 % of Permitted Flow:
14.2
0.801798971
(< 80% / 90% 0K)