WQ0044679_Application (FTSE)_20230712

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July 6, 2023
NCDEQ
Washington Regional Office
Water Quality Section
943 Washington Square Mall
Washington, NC 27889
252-975-3716
900 West Trade Street, Suite 71S
Charlotte, NC 28202-1144
o. 704.372.188S I f. 704 372.3393
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Subject: 15A NCAC 02T .0300 — Fast Track Sewer System Extension Application; Greenville Utilities Commission,
NCDOT Project W5702M, Intersection of SR 1711 (Worthington Road) and SR 1709 (Corey Road)
To Whom it May Concern,
STV has completed the design of the subject project as part of the Greenville Utilities Commission's and NCDOT's roadway
improvement efforts at the intersection of Worthington Road and Corey Road. This submittal includes one paper original and
one copy of the following items:
1. Fast Track Sewer System Extension (Form FTA 06-21) Application
2. Flow Tracking/Acceptance for Sewer Extension (Form FTSE 04-16)
3. Site Maps (street and aerial map)
4. Engineering Plans (I Ix17 size)
5. S480 application fee
The proposed design includes relocation of approximately 511 LF of 8" PC350 DIP w/P401 force main sewer. No additional
flow is anticipated as a result of the relocation work. proposed torce main will be installed by open cut.
All environmental permitting will be performed by NCDOT or its consultant. There are no wetlands impacts to this project.
Please refer to NCDOT's "Standard Specifications for Roads and Structures", dated January 2018, for specifications of the
project.
Should you have any questions or need additional documents or information, please feel free to contact me at (704)-816-2547
or by email at andrew.van e(i�stvinc.com. Your help is greatly appreciated!
Sincerely,
Andrew S. Vane, P.E.
Sr. Engineering Operations Manager
Cc: Scott Farmer, GUC

DWR
Division of Water Resources
l a00 q&t7State of North Carolina
I Department of Environmental Quality
Division of Water Resources
Application Number:
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 06-21 & SUPPORTING DOCUMENTATION
(to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Greenville Utilities Commission (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: J Scott Farmer, P.E. per 15A NCAC 02T .0106(b)
Title: Water Resources Systems Engineer
4. Applicant's mailing address: 3355 NC 43 North PO Box 1847
City: Greenville State: NC Zip: 27835-
5. Applicant's contact information:
Phone number: 252) 551-1529 Email Address: farme 's a guc.com
IL PROJECT INFORMATION:
1. Project name: W-5702M
2. Application/Project oposed (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 new construction, but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Pitt County
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.528946' Longitude:-77.361390'
5. Parcel ID (if applicable): (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Andrew S. Vane License Number: 025221
1
Firm: STV Engineers, Inc
Mailing address: 900 West Trade St. Suite 715
City: Charlotte State: NC Zip: 28202-
Phone number: 704 816-2547 Email Address: Andrew.vane(d�stvinc.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION: jscla) )
1. Facility Name: Greenville Utilities Commission Permit Number.�l
Owner Name: Greenville Utilities Commission
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ0035654
2. Downstream (Receiving) Sewer Information: 8 inch ❑ Gravity ® Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00014
Owner Name(s): Greenville Utilities Commission
FORM: FTA 06-21 Page 1 of 5

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 ® 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: 70 % Domestic 30 % 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(f)? [:]Yes ®No
➢ If Yes, provide a copy of flow reduction approval letter with this application
Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow °,b
No. of Units
Flow
No Wastewater Generated
0 gal/day
0
0 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
GPD
See 15A NCAC 02T .0114(b) (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. 42A-4).
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: 0 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 timeframe 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

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T AM dt MDC (Gravttr Sewers):
1. Summarize gravity sewer to be permittied:
Sires (inebes) Leagtb (feet) Material
eog}p Ruolfl U01BWLIMI,
uopwS swop Ado Ieuol6eH
4180 JerBM
Roz 81 9nd
> Section II dt III of the MIx for Permitting of Gravity Sewers contains information related to design criteria
> Section III contains. information related to mfnimum elopes fbr gravity sewers)
> Overstzing lines to meet ninimnm dope >requhvmeats is not allowed and a violation of the MDC
VIIL PUMP STATION DESIGN CRrPERIA (If Applicable) -- 021.M
ienn�� s r. Q f = nA riEVOI 'rxecw PUW STy MN INCL• UD9 IN THIS FRQ
rnv � wC .-..�.. C�r I Vi' i nas� rn��
1. Pump station number or name: .
2. Approximate Coord;naW (Decimal Degreesr. Latitude: 0L4ngftude: -
3. Total -number of pumps at the pump station:
3. Design flow of the pump station.: 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 pofrt(s) per Pump(s� gallons per minute (GPM) at feet total dynamic head (TDIl)
5. Summarize the farce main to be permitted (far this Pump Station):
Size (inches) LengtL (fed) Material
8 511 DI
If my,portion of the force main Is less than 44nchm in diameter, please kbmffy the method of solids redaction-pr
MDCPSF)Vi'Section 2.01 C. Lb. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (pleeso apeoffy)
6. Power reliability in accordance with ESA NGAC 021.&AV11:
❑ Standby Power source or ❑ Standby pump
> . Must have automatic adivatian and tel metry 15A NCAC 02T.0305ftl)(B)�
> Required for all pump stations with an average daily flow greater than or equal to 15,0M gallons per day
> h iut be pernaaent to fac ty and may not be portable
Or if the pump station has an average daily flaw lass than 15,000 gallons per day 15A NCACO2T.0305(hX1XC):
❑ Portable power source with manual activation, quick-oommction receptacle and telemetry 1
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry:
> Include documentation that the portable source Is owned or contracted by fire applicant and is cable whh.the station.
> if the portable power source,or pump is dedicated to multiple pump stations, an,evahration of all the pump stations' storage
cities and the rotation schedule of the portable power source as pump, Including travel timeb awes, 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

RECEIVED/NCDENRMR
IX. SETBACKS & SEPARATIONS — (02B .02M & 15A NCAC 02T .0305(f))-.
1. Does the prom with all al>ranativea found in 15A NCAh 6r (tl? Yea El No
1 c w wrn w r+ W nlnsl4l ...v,fvinc mfnirn,nn vnweatieina that khall he Movided fac BeWer si/st
Setback Parametaer# Regional 0peraffions
ILequired
Storm sewers and other utilities not Hated below (veutical)
18 inches
zwater mains (vortical - water over sewer preferred, inchx1ing in benched trenches)
18 inches
2water mains (horizontal)
10 feet
Reclaimed water lines (vertical - reclaimed over sewer)
18 inches
Reclaimed water limos (horizontal - reclaimed over sewer).
2 fee
**Any private or public water supply source, including any wells, WS-1 waters of Class I or
Class lI imp reservoita used as a source of drinking water, and associated wethmds. _
100 fled
**waters classified ws (except WS-I or WS-V), B, SA, ORw, HQW, or SB from, normal
high water (or tide elevation) and we8ands associated with these waters (see item IX2)
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches, as well as wetlands associated with time waters or classified as WI..
10 feet
Any building foundation (horizontal)
5 feet
Any basement (horizon
10 feet
Top slope of embankment or carts of 2 feet or more vertical height
10 feet
Drainage. systems and interceptor drains
5 feet
Any swimming pooh
10 fed
Final earth grade (vertical)
36 inches
➢ If noncompliance with 02T.0305(t) or(" see section )C i of ttus appticarnon �
*aSA NCAC 02T.030 W cis alter whore separations in Q2tM5M 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
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(A for documentation requirements and submit a separate document,
sigped/sealed by an NC licensed PE, verifying the criteria outlined in that Rule.
3- Does the project comply with separation requirements for wetlands? ® Yes [:]No ❑ N/A
➢ Please provide supply information identifying the areas of non-conformance.
➢ See the Division's 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: ® No
If yes, does the project comply with setbacks found in the river basin roles per ISA�NCAC 02B .0200? ❑ Yea ❑ No
➢ This mchxks Trout Buffered Streams per-15A NCAC22:0=
5., Does the project require coveaige/aothorization ender a 404 Nationwic individual permits ❑ Yes ®No
or 401 Water Quality Certifications?
➢ Please provide the permit numberfpemiittiag status in the cover tearer if ooveragelautharization is required,
6. Does project comply with lJ. N�_021=0103(¢x6) (additional permits/Harts)? Yes [--]No
Per l SA NCAC 02TA 103(c)ffl, directly related environmental permits or won applicatim must be being prepared,
have been applied for, or have bean obtained Issuance of this permit.is contingent on issuance of dependent permits (aro$ion
and sedimentatlon control plans, stormwater mkt plans, etc.).
7. Does this project inchWe any sewer collection lines that are deemed"High-priority?" Yes ®No
Per 15A-NCAC 02T.0402, "high-prio sewer" means any aerial sewer, sewer contacting surface waters,
siphon, or sewers positioned parallel to streambanks that are subject to erosion that undermines or deh rk rates the sewer.
Siphons and sewers suspended through hrhwfemce/cDxMd boxes require a variance approval.
➢ If yea, include an attachment with details for each line, inchuding type (aerial line, size, matel, and location).
High priority Una shall be inspected by the permittee or its representative at lout once every st:-meatus and
inspections documented per 15A NCAC 02T.0403(ax5) or tke perrnitaee's individual System -Wide Coiledim peranit.
FORM: FTA 06-2 i Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02L the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains (latest version), and the Gravity Sewer Minimum 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 request will be issued
concurrently with the approval of the permit, and projects requiring a variance approval may be subject to longer
review times. For projects requiring two or more variances or where the variance is determined by the Division to be a
significant portion of the project, the full technical review is required.
2. Professional Engineer's Certification:
I, &)J (Lta S VA► )E , attest that this application for �J - S ?0?-M
(Professional Engineer's name from Application Item 111.1.) (Project Name from Application Item 11.1)
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,
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 $10,000, as well as civil penalties up to S25,000 per violation. Misrepresentation of the application
information, including failure 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: ���` 0A R
SS•4,
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OEW S.
3. - Applicant's Certification per 15A NCAC 02T .0106(b):
1, ` , attest that this application for W - 15-7 0-& KA
(Signature Authority Name from Application Item I.3.) (Project Name from Application Item II.1)
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 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 143-215.6B, 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 $10,000 as well as civil penalties up to $25,000 per violation.
Signature: WVWV V Date:
FORM: FTA 06-21 Page 5 of 5

FJX�FVEpNCDENRMWR State of North Carolina
Department of Environmental Quality
JUL 12 2023 Division of Water Resources
i7,4'�S:UtI O� �r4f2. �' ?lesoerr Flow Tr Afceptance for Sewer Extension Applications
Fle&rd operations Section (FTSE 04-16)
Ww;n,ngtno.8e ira-ml cxf tie
Entity Requesting Allocation: Greenville Utilities Commission
Project Name for which flow is being requested: W-5702M
More than one ME 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.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Greenville Utilities Commission
b. WWTP Facility Permit #: NC0023931
All flows are in MGD
c. VWVTP facility's permitted flow 17.5
d. Estimated obligated flow not yet tributary to the WWTP 2.747
e. WWTP facility's actual avg. flow 9.779
f. Total flow for this specific request 0
g. Total actual and obligated flows to the facility 12.544
h. Percent of permitted flow used 71.681
H. 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 Average Daily Approx. Not Yet Total Current
Station Firm Flow** Current Avg. Tributary Flow Plus
(Name or Capacity, * (Firm / pfl, Daily Flow, Daily Flow, Obligated Available
Number) MGD MGD MGD MGD Flow Capacity***
Southside 30.259 12.104 5.791 1.330 7.121 4.983
Fork 6.513 2.605 1.38 .123 1.503 1.102
* The Firm Capacity 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.
*** 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): Chicod School Pump Staion and FM
Downstream Permit Number: WQ0035654
Page 1 of 6
FTSE 04-16

III. Certification Statement:
I J. Scott Farmer, PE 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 indicates acceptance of this wastewater flow.
Signature
3
Page 2 of 6
FTSE 04-16

soo 1,000 2,000 3,OOeet W-5702M
1 in = 1000 ft Intersection of SR 1711 (Worthington Rd) s7h
and SR 1709 (Corey Rd)

0
N
A
Site Location
N,nrti4ui
Sources: Esri, HERE, Gamin, Intermap, increment P Corp., GEBCO, USGS, FAO, NPS, NRCAN,
GeoBase, IGN, Kadaster NL, Ordnance Survey, Esri Japan, METI, Esri China (Hong Kong), (c)
OpenStreetMap contributors, and the GIS User Community
soo 1,000 2,000 3,00
eet W-5702M
1 in = 1000 ft Intersection of SR 1711 (Worthington Rd) SIA
and SR 1709 (Corey Rd)