WQ0034959_Application (FTSE)_20100824

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USE- TH9 TAB KEY TO MOVE FROM FIELD TO FIELDI Application Number: �41
(to be completed by DWQ) 1AJf �
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L Owner/Permittee: -- "- -_
h a. Town of Four Oaks
Full Legal Name (company, municipality, HOA, utility, etc.)
1 b. Linwood Parker - Mayor
Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized signing officials!)
1 c. The legal entity who will own this system is: —�
❑ Individual ❑ Federal ® Municipality ❑ State/County ❑ Private Partnership ❑ Corporation ❑ Other (specify)_
1 d.
304 N. Main Street
1e. Four Oaks
Mailing Address
City
- -
If.
NC _
1g. 27524
State
Zip Code
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1h.
(94) 963-3112 N/A
1j. NIA
_1i.
Telephone Facsimile
E-mail
Prolect (Facility) Information:
.2.
2a.
Four Oaks Business Park
2b. Johnston
1
Brief Project Name (permit will refer to this name)
County Where Project is Located
3.
Contact Person:
3a.
Chris L. Windley. PE -- McKim & Creed
ry ,:
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Name and Affiliation of Someone Who Can Answer Questions About this Application
3b.
919 233-8091
3c. CWindleyQrnckimcreed.com =
Phone Number
E-mail
1.
Project is ® New ❑ Modification (of an existing permit)
If Modification, Permit No.:
2. Owner is ® Public (skip to Item B(3)) ❑ Private (go to Item 2(a))
2a. If private, applicant will be:
❑ Retaining Ownership (i.e. store, church, single office, etc.) or
❑ Leasing units (lots, townhomes, etc. - skip to Item B(3))
❑ Selling units (lots, townhomes, etc. - go to Item B(2b))
facilities owned by a (must choose one
❑ Public Utility (Instruction C)
❑ Homeowner Assoc./Developer (Instruction D)
3. Johnston County
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
4a. Central Johnston County Regional Wastewater Treatment Facility 41b. NC 0030716
Name of WWTF WWTF Permit No.
5a. Town of Four Oaks 5b. 8" ®Gravity
Owner of Downstream Sewer Receiving Sewer Size ❑ Force Main
6. The origin of this wastewater is (check all that apply):
❑ Residential Subdivision
❑ Apartments/Condominiums
❑ Mobile Home Park
❑ School
❑ Restaurant
® Office
Permit # of Downstream Sewer (Instruction E)
❑ Retail (Stores, shopping centers)
❑ Institution
❑ Hospital
❑ Church
❑ Nursing Home
❑ Other (specify):
100 % DomesticlCommercial
% Industrial (attach
description.)
(RO: contact your Regional Office
Pretreatment staff)
% Other (specify):
7. Volume of wastewater to be allocated or permitted for this particular project: 12,219 gallons per day
"Do not include future flows or previously permitted allocations
8. If the permitted flow is zero, indicate why:
❑ Pump Station, Outfall or Interceptor Line where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit No.
❑ Rehabilitation or replacement of existing sewer with no new flow expected (see 15A NCAC 02T .0303 to determine if a
permit is required)
FTA 12f07

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9. Provide the wastewater flow calculations used in determining the permitted Flow in accordance with 15A NCAC 2T .0114 for
the value in Item 13(7) AND/OR the design flow for line or pump station sizing if a reduced or zero flow is being requested in
Item 13(7). Values other than that in 15A NCAC 2T .0114 (b) and (c) must be supported with actual water or wastewater use
data in accordance with 15A NCAC 2T .0114 (f).
(101 loading bays x 100 gal/bay) + (17,662 sf office x 120 gal/1,000 so
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches)
8"
4"
Length (feet) New Gravity or Additional
Force Main
5086 Gravity
4000 Force Main
11. Summary of Pump Stations w/ associated Force Mains to be Permitted (attach additional sheets as necessary)
Pump Station Location ID 1 (self chosen - as shown on planslmap for reference)
Design Flow Operational Point Power Reliability Option
(MGD) GPM @TDH 1 - permanent generator w1ATS; Force Main Size Force Main Length
2 - portable generator w/MTS
0.13 95 gpm @ 70' TDH
4"
Pump Station Location ID (self chosen - as shown on plans/map for reference)
Design Flow Operational Point Power Reliability Option
(MGD) GPM @TDH 1 -permanent generator w/ATS; Force Main Size Force Main Length
2 - portable generator wIMTS
Pump Station Location ID
Design Flow
(MGD)
(self chosen - as shown on planslmap for reference)
Operational Point Power Reliability Option
GPM @TDH 1 -permanent generator w/ATS; Force Main Size Force Main Length
2 - portable generator w/MTS
12. Will the wastewater flow in the proposed sewer lines or pump stations be able to be directed to another treatment facility?
❑ Yes ® No If Yes, permit number of 2`d treatment facility
(RO — if "yes" to B.12 please contact the Central Office PERCS Unit)
13. Does the sewer system comply with the Minimum Design Criteria for the Fast Track Permitting of Pump Stations and Force
Mains (latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC Chapter 2T as
applicable?
® Yes ❑ No If No, please reference the pertinent minimum design criteria or regulation and indicate why a
variance is requested. SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS
PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
FTA 1 `07

r 14. Have the following permits/certifications been submitted for approval for the system or project to be served? ~
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Wetland%Stream Crossings - General Permit or 401 Certification?
❑ Yes
[]No
® NIA
Sedimentation and Erosion Control Plan?
® Yes
❑ No
❑ NIA
Stormwater?
❑ Yes
❑ No
® NIA
15. Does this project include any high priority lines, [see 15A NCAC 02T .0402 (2)] involve aerial lines, siphons, or interference
manholes)? These lines will be considered high priority and must be checked once every six months
Check if Yes: ❑ and provide details
1. Owner/Permittee's Certification: (Signature of Signing Official and Project Name)
18.
1, Linwood Parker, attest that this application for Four Oaks Business Park has been reviewed by me and is accurate
and complete to the best of my knowledge. l 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. Note: In accordance with North Carolina General Statutes 143-215.6A and 143-215.6B,
any person who knowingly makes any false statement representation, or certification in any application 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.
a ,//,
Date
ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROX
TO OTHER UTILITIES, DESIGN CALCULATIONS. ETC. REFER TO 15A NCAC 02T .0305
2. Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
I, Chris L. Windlev. attest that this application for Four Oaks Business Parts has been reviewed by me and is accurate,
complete and consistent with the information in the engineering plans, 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 adopted February
12, 1996, and the Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June
1, 2000 and the watershed classification in accordance with Division guidance. 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 NC
General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement, representation, or
certification in any application 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.
2a. Chris L. Windley, PE _ _ �eV.- C 0'��s,
Professional Engineer Name x`�• �'•e�
2b. McKim & Creed, P.A. •`
Engineering Firm
2c. 1730 Varsity Drive, Suite 500 _ _ w 03M68 I
Mailing Address . �c SIN�V-,IQ~o
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2d. Raleigh 2e. NC 2f. 27606 x
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City State Zip f�i�e;l±FRr92 01�,15pC
2g. [phone] 2h. [phone] 2i. Cwndley@mckimcreed_eom
Telephone Facsimile E-mail NC PE Seal
nature & Date
FTA 12/07

O�•V►IAT�� State of North Carolina
`Grp PG Department of Environment and Natural Resources
co r Division of Water Quality
o Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE —10/07)
Project Applicant Name: Town of Four Oaks
Project Name for which flow is being requested: Four Oaks Business Park
More than one FTSE-10107 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: Central Johnston CoM Regional Wastewater Treatment Facility
b. WWTP Facility Permit #: NC0030716
All flows are in MGD
c. WWTP facility's permitted flow 7.0000
d. Estimated obligated flow not yet tributary to the WWTP 2.3334
e. WWTP facility's actual avg. flow 3.7700
f. Total flow for this specific request 0.047t
g. Total actual and obligated flows to the facility 6.1504
h. Percent of permitted flow used 87.86%
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
Pump Station Name Approx. Capacity, MGD Approx. Current Avg.
(Firm/Design) Daily Flow, MGD
Four Oaks Equalization and
Pumping Facility 0.432 0.1574
Indicates future estimated flow for buildout of Park.
r * cation Statement:
I, ivK A� �L. certify that, to the best of my knowledge, the addition of the
volume of was water to be permitted in this project bas 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. 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 H for which I am the responsible party. Signature of this form indicates
acce of this w tewater flow.
Signing lief.Scial Signature Date

i
O� wArE9 1 �, State of North Carolina
•J) � 'Department of Environment and Natural Resources
j r W Division of Water Quality
to Y Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE—10/07)
Project Applicant Name: Town of Four Oaks
Project Name for which flow is being requested: Four Oaks Business Park Phase I
More than one FTSE-10107 may be required for a single project if the owner of the WWTP is not ? wsponsible 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: _
b. WWTP Facility Permit #:
All flows are in MGD
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
h. Percent of permitted flow used
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
Pump Station Name Approx. Capacity, MGD Approx. Current Avg.
(Finn/Design) Daily Flow, MGD
Four Oaks
Southside Pumv Station 0.132 0.13'
Includes current tributary flow (0.0852 MGD) plus future estimated project flow (0.047 MGD).
2Includes upgrade to existing station
III. Certiticati Statement:
I, certify that, to the best of my knowledge, 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. 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 11 for which 1 am the responsible party. Signature of this form indicates
acceptance ff this wastewater flow.
Signing Official Siinature
Date

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FORM WSCAS-12/07
WATERSHED CLASSIFICATION ATTACHMENT
FOR SEWER SYSTEMS
_o�pF W A rF�OG
0 -%�
Applicant Name
Project Name
Johnston County
Four Oaks Business Park
Professional Engineer Name
Engineering Firm Name
Jason C. Allen, PE, LEED AP
McKim & Creed
Location
ID
Name of Waterbody'
Coun
River
Basin
Waterbody Stream
Index No.
Waterbody
Classification
Unnamed Tributary to
Juniper Swamp
Johnston
Neuse
27-52-6-6
C, NSW
' If unnamed, indicate "unnamed tributary to X", where X is the named waterbody to which the unnamed tributary joins_
l certify that as a Registered Professional Engineer in the State of
North Carolina that 1 have diligently followed the Division's instructions
for classifying waterbodies and that the above classifications are
inclusive of the stated project, complete and correct to the best of my
knowledge and belief.
PE Seal, Signature and Date
*** END OF FORM WSCAS-12/07 ***
C A RO���ii
033748
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FORM: WSCAS-12107 Page 1 of 1

v�IvT�IQM &CREED
TO: NCDWQ
1628 Mail Service Center
Raleigh, NC 27699-1628
ATTEN`11ON: Barry Herzberg
LETTER OF TRANSMITTAL
DATE: August 20, 2010
PROJECT NO: 3445-0004
TASK NO;
RE Four Oaks Business Park
Fast -Track Sanitary Sewer Application
TRANSMITTAL NO:
PAGE 1 t - 1
WE ARE SENDING: ® Originals ❑ Prints ❑ Shop Drawings ❑ Samples
❑ Specifications ❑ Calculations ® Other
Quantity
Drawing No.
Rev
Description
Status
2
1 original & 1 copy of the fast -track application
1
$480 Check to cover review fees
1
FTSE Form from the Town of Four Oaks
1
FTSE Form from Johnston County
1
8.5"x11" USGS Map
1
Watershed Classification Attachment
Issue Status Code:
Remarks
A. Preliminary B. Fabrication Only C. For Information D. Bid
E. Construction F. For Review & Comments G. For Approval H. See
Action Status Code: 1. No Exceptions Taken 2. Make Corrections Noted 3. Other
4. Amend & Resubmit 5. Rejected - See Remarks
REMARKS:
See attached documents for the proposed Four Oaks Business Park at I-95 and Keen Rd. in Four Oaks. Per
our discussion, the previous permit will be rescinded by the County. Feel free to call me at [phone]
with any questions or comments.
Thanks,
1730 Vanity Drive, Suite 500, Raleigh, INC 27606 9191233-WI Fax 919/233-ffi31
_ McKIM & CREED, PA
I_ AUG 242010 Signed
.//,
I Jason C. Allen, PE, LEED AP
e