WQ0040734_Application (FTSE)_20190208

DWR
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: vt1 p d t �O %�) � (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
I. Applicant's name: Ed ecombe County (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ® State/County ❑ Municipal
3. Signature authority's name: Eric Evans per 15A NCAC 02T .010G b
Title: County Manager
4. Applicant's mailing address: PO Box 10
City: Tarboro State: NC Zip: 27886-
5. Applicant's contact information:
Phone number: ( 641-7834 Email Address: ericevans(&edeecombeco.com
H. PROJECT INFORMATION:
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❑ Privately -Owned Public Utility
❑ Other
1. Project name: Edaecombe County Courthouse Pump Station
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number. WQ00 and issued date:
If new construction but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Edgecombe
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.897206' Longitude:-77.532778'
5. Parcel ID (if applicable): 3799-74-7201
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
I. Professional Engineer: William A. Larsen, PE
License Number: 041415
Firm: The Wooten Com an
Mailing address: 301 West I4'` Street
City: Greenville State: NC zip: 27834-
Phone number: 252 757-1096 Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Tarboro WWTP Permit Number: NCO020605
Owner Name: Town of Tarboro
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
I. Permit Number(s): WQ Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS00045
Owner Name(s): Town of Tarboro
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FORM: FTA 04-16 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
n2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEV) been attached?
N
[_—]Yes []No ®N/A
3. If the Applicant is a flame; Pro perry Owners' Association, has an Operational Aereement (FORM-, IjQAJ 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 preparation/service ❑ Hotel and/or Motels
❑ School / preschool / day care ❑ Medical I dental veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
❑ Businesses I offices.' factories ❑ Nursing Home ® Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic,' Commercial 0 % Commercial
0 4o Industrial (See 15A NCAC 02T .0103(20})
bIs there a Pretreatment Program in effect? ❑ Yes [:]No
6. Hasa flow reduction been approved under l5A NCAC 02T .01 14(f) []Yes ® No
➢ If yes, provide a cony of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 021.2114{M
Daily Design Flow ''h
No. of Units
Flow
Edgecombe County Courthouse (Existing
Flow-byMeter
39,500 gal/day
1
39,500 GPD
gall
GPD
gal/
GAD
gall
GPD
gall
GPD
gal/
GPD
Total
0 GPD
a See 15A NCAC 02T.ALL4ffi
),_tdLLejL11 and e({27 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).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.0,114 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 DA_NCAC 02T .0114)
➢ Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
❑ Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit Number:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
® Other (Explain): Replacement of service lateral with Pump Staiton. No additional flow,
FORM: FTA 04-16 Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 15 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)
D Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Puma Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: Edgecombe County Courthouse Pump Station
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.89721 Longitude:-77,53278`
3. Design flow of the pump station: 0.094 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 50 gallons per minute at 20 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
2
30
PVC
6. Power reliability in accordance with 15A NCAC 02T .0305(h)(1}:
® Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(B)_
Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
D Must be permanent to facility
Or if the pump station has an average daily flow Iess than 15,000 gallons per day:
❑ Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .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 — (02B .0200 & I5A NCAC 02T.0305(f)):
1. Does the project comply with all separations found in 15A NCAC 02T.0305(f) & f �
➢ 15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems-
® Yes ❑ No
Setback Parameter"
Se aration Required
Storm sewers and other utilities not listed below (vertical)
24 inches
Water mains (vertical -water over sewer including in benched trenches)
18 inches
Water mains (horizontal)
10 feet
Reclaimed water lines vertical - reclaimed over sewer)
18 inches
Reclaimed water lines horizontal - reclaimed over sewer
2 feet
"Any private or public water supply source, including any wells, WS-I waters of Class I or
Class If impounded reservoirs used as a source of drinking water
100 feet
"Waters classified WS (except WS-I or WS-V), B, SA, ORW, HQW, or SB from normal
high water or tide elevation) and wetlands (see item 1X.2)
50 feet
*"Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
Any building foundation
5 feet
Any basement
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
➢ 15A N&AC 2T.4. 305( } contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ "Stream classifications can be identified using the Division's NC Surface Wafer Classifications webaaee
➢ If noncompliance with 02T.0305(f) or p , see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes ❑ No
➢ Seethe 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
➢ As built documents should reference the location of areas effected
3. Does the project comply with all setbacks found in the river basin rules per 15A NCAC 02B .0200? ® Yes ❑ No
➢ This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project comply with an individual 404 Permit or any 401 Certifications? ® Yes ❑ No
➢ WetIand-related permits shall be requested, obtained, and adhered to for projects that impact wetlands or surface waters
➢ Information can be obtained from the 40I & Buffer Permittin Branch
ranch
5. Does project comply with 15A_NCAC 02T.0105(c)(6) (additional permits/certifications)?
® Yes ❑ No
Per 15A NCAQ 0 T.0105(0(6), directly related environmental permits or certification applications are being prepared, have
been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion and
sedimentation control plans, stormwater management plans, etc.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per 15A NCAC 02T.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
❑ Yes ® No
➢ If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shall be inspected by the permittee or its representative at least once every six -months and
inspections documented per 15A NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: ETA 04-16 Page 4 of

X. CERTIFICATIONS:
I. Does the submitted system comply with 156 CAC 921, the Manitnw%p��, C:riLcria Far �}� . pt & ions
F test v and the as applicable??
® Yes ❑ No
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents
for review. Anunvai ortheu t i r n r t I f theF T A 1'
c ents.and SUDIDOrt.1119
2. Professional Engineer's Certification:
I' A. �'A q� � - attest that this application for
(Professional Engineer's name from Application 7im 11I.1.)
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans, specifications,
engineering calculatiom 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 time 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 143215.6A 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.
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
I, ERfG vans (.. -WrY HArJA46;&/;
(Signature Authority's name a title from Application Item U.)
45 :-+
' �.19. tq
.�
attest that this application for
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 wastewster 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 arc not included, this application package will be returned to
me as incomplete.
NOTE -- In accordance with General Statutes (43-2 C 5.6A and t 4) _2 I. . ., 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;
FORM: F!'A 04-16
Date: 9/1Zia
Page 5 of 5

or'envlr0174nent.1
Fast Track Application for: "i
"ejgh Reg1pnal
0f�ce
dgecom e County Courthouse Pump
Station
Edgecombe County, North Carolina
Application Contents:
1. Cover Letter
2. Application Fee
3. Fast Track Application Form (FTA 04-16)
4. Flow Tracking/Acceptance Form (FTSE 04-16) (Not Applicable — No New
Flow)
5. Site Map
6. Existing Permit (Not Applicable — New Construction)
7. Power Reliability Plan
8. Certificate of Public Convenience and Necessity (Not Applicable)
9. Operational Agreements (Not Applicable)
February 2019
TV
THE WOOTEN COMPANY
301 West 14th Street Greenville, NC 27834
Firm License: F-0115
TWC Project No. 3264-F

OTT
THE
WOOTEN
COMPANY
t�
301 West 14'" Street
Greenville, NC 27834
9 252.757.1096
Fax [phone]
February 7, 2019
NC Dept of Environmental Quality
Division of Water Resources
NC Department of Environmental Quality
3800 Barrett Drive Raleigh Re
Raleigh, NC 27609 g'°nal OF ice
RE: Application for Pump Station for Edgecombe County Courthouse
Edgecombe County, NC
TWC Project No. 3264-F
Mr. Smith:
On behalf of Edgecombe County, we are sending you the following documents for your
review and approval for the above -referenced project:
• One (I) check for $480.00 made payable to NCDEQ (Submitted under separate
cover);
• One (1) original and one (1) copy of the FTA 04-16 permit application wl
appendices;
o A — Cover Letter
o B — Application Fee
o C — Application Form FTA 04-16
o E — Site Map
o G — Power Reliability Plan
The project will involve the construction of a new 50-GPM pump station on the grounds
of the Edgecombe County Courthouse in the Town of Tarboro. The work will on a
parcel owned by Edgecombe County and in Town of Tarboro right-of-way.
I trust the above information is sufficient for your review; however, if you should have
any questions or require additional information, please do not hesitate to contact us.
Best Regards,
THE WO TEN COMPANY
William A. Larsen, PE
Enclosures: As noted above
cc: Eric Evans, Edgecombe County Manager
TWC File

Project Narrative for the
Ed ecombe County Courthouse Pump
Station
Edgecombe County, North Carolina
JANuaRY 2019
Prepared By:
TV
THE WOOTEN COMPANY
301 West 14th Street. Greenville, NG 27834
Firm License: F-0115
TWC Project No. 3264-F

�J
•
A. DESCRIPTION OF PROJECT
Location of Project
The Town of Tarboro is located geographically within Edgecombe County. The Town is 72 miles
from Raleigh, the State capital, 25 miles from Greenville, a primary eastern NC hub, and two hours
from the Outer Banks. Major transportation corridors include Highway US 64 and Interstate 95
allow for strategic accessibility to and from the East Coast's major markets.
Sewer main installations will take place within the Edgecombe County property and Town of
Tarboro right-of-way (below):
• E. Pitt Street
Topography within the project area is generally flat with slopes between 0-5 percent. Manmade
drainage features such as curbs and gutters and catch basins collect and remove stormwater runoff.
The proposed area of work will be in the southeast lawn of the Edgecombe County Courthouse. The
site is generally clear and open with trees, shrubbery, and a 5-foot brick retaining wall adjacent to
the area of work.
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Figure 1: Vicinity Map
Edgecombe County Courthouse
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Page 11

Project Background
r The Edgecombe County Courthouse regularly experiences flooding of its ground floor during
periods of excessive rainfall, such as during Hurricane Matthew. This flooding is primarily the
result to water and/or sewage backup from the existing 8-inch service lateral Iocated to the southeast
of the building. During Hurricane Matthew in October 20I6, the flooding resulted in the damage of
heating, ventilation, and air conditioning (HVAC) and electrical equipment located in ground floor
mechanical room.
In addition to the cost repairing or replacing water damaged HVAC and electrical equipment,
sewage backup into the ground floor inmate detention facilities could pose a serious health hazards
to the occupants. Therefore, the proposed sanitary sewer project will involve the construction a new
pump station to intercept flow to the existing 8-inch sewer lateral, in order to prevent surcharging of
the basement of the courthouse. No new flow will be added to the sewer system or wastewater
treatment plant.
B. TYPE of DEVELOPMENT
Gravity Sewer
The proposed sanitary sewer project will consist of extending 15 LF of 8-inch gravity sewer main with i
manhole into the pump station to reduce sewerage backup into the mechanical room and detention area of
the courthouse. There is zero increase in sewer flow as the pump station will serve to prevent sewer
backflow into the courthouse. All flow is anticipated to be institutional in nature.
Pump Station & Force Mains
A new wastewater pump station will be constructed between the courthouse and E. Pitt Street. The pump
station will have an operational capacity of 50 GPM (72,000 GPD) at 20-ft TDH, a firm capacity of 0.094
MGD and a designed average daily flow of 0.038 MGD. The pump station will receive wastewater
discharge from the building's existing gravity -flow sewer system prior to discharging to the Town's
collection system. Given the average daily wastewater input from the courthouse is less than 15% of the
station's firm capacity (0.014 MGD), the station has sufficient capacity to meet the needs of the courthouse.
In addition to the new pump station, approximately 30 LF of 2-inch force main will be extended out and
connected to existing gravity sewer on E. Pitt Street.
Treatment
Wastewater collected from the existing courthouse service line will be conveyed through an existing
gravity collection network to the Tarboro Wastewater Treatment Plant (WWTP). The current project will
not include any improvements or direct impacts to the Town's treatment facility.
Page 12

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Address ofthe Courthouse: 31St Andrew Street
New Edgecombe County Pump Station(Latitude: 35: ;Longitude: - 7 533)
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REFERENCE
GiS BASE LAYERS WERE OBTAINED FROM THE 2017 NCONEMAP AERIAL ORTHOIMAGERY
LAYER AND THE SITE PLAN, FIGURE 1 BY S&ME . THIS MAP IS FOR INFORMATIONAL
PURPOSES ONLY. ALL FEATURE LOCATIONS DISPLAYED ARE APPROXIMATED. TkEY ARE
NOT BASED ON CIVIL SURVEY INFORMATION, UNLESS STATED OTHERWISE.
M
—� UTILITY LOCATION EXHIBIT
1 SCALE:
= 30
FIGURE NO
I = EDGECOMBE COUNTY COURTHOUSE
DATE:
11-5-18
1
301 ST. ANDREWS STREET
PROJECTNUMBER
TARBORO. EDGECOMBE COUNTY, NORTH CAROUNA
4305-18-164

THE WOOTEN COMPANY
301 West 14th Street, Greenville, NC 27834
TO: Danny Smith, PE
LETTER OF
TRANSMITTAL
DATE
February 7, 2019
RE: Edgecombe County
Pump Station for Ed ecc
NO
Division of Water Resources
NC Department of Environmental Quality ATTENTION:
3800 Barrett Drive
Raleigh, NC 27609
WE ARE SENDING: ❑ Attached ❑ Under separate cover via the following items:
❑ Shop Drawings ❑ Prints ❑ Plans ❑ Samples
❑ Copy of Letter ❑ Change Order El Other.
p ❑Specifications
DATE NO. I DESCRIPTION
2 217119 1 Application for Pump Station for Edgecom
qt;C
G8
•o®a
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THESE ARE TRANSMITTED as checked below:
❑ For Approval ❑ Reviewed ❑ Revise and resubmit
® For your use ❑ Rejected ❑ Submit copies for distribution
❑ As Requested ❑ Corrected ❑ Return corrected print
❑ For Review and comment ❑ Drawings
❑ FOR BIDS DUE f ] ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS Please find enclosed 2 two copies of the Apl2lication for Pump Station for Ed ecombe
County Courthouse. If you should have any questions olease feel free to contact our office.
Thank you. r
SIGNED:
COPY TO: Will A. Larsen, PE

Cashion, Ted
From: Will Larsen <[e-mail]>
Sent: Tuesday, March 26, 2019 8-45 AM
To: Cashion, Ted
Cc: Robinson, Jason
Subject: [External] RE: Edgecombe County Courthouse pump station fast track application
-External email: Dc not click links or open attachments unless you verlfy. Send all suspicious email as an attachment to
peo�rr_saam C�nC.�tov
You are correct.
I. The proposed station will intercept an existing sanitary~ lateral and utilize the proposed pump station
in lieu of gravity flow. No new flow is anticipated or requested by this application.
?. The proposed station will utilize a duplex grinder pump set-up.
Regards,
William A. Larsen, PE
Project Engineer
The Wooten Company
301 West 14th Street
Greenville, NC 27834
252,757,1096
Fax 252,757.3221
www.thewootencompany.com
-}
THE WOOTEN COMPANY
From: Cashion, Ted [mailto:[e-mail]]
Sent: Tuesday, March 26, 2019 8:45 AM
To: Will Larsen
Cc: Robinson, Jason
Subject: Edgecombe County Courthouse pump station fast track application
Hi Will,
We're reviewing the subject application and need to confirm some info.
1. There is no additional flow with this application, correct? (Item V1.7 shows 39,500 gpd).
2. The pumps utilized will be grinder pumps, correct?
Thanks Will, we'll continue drafting the permit upon submittal of the above info.
ted