WQ0040913_Application (FTSE)_20190531

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TIMMONS GROUP
YOUR VISION ACHIEVED THROUGH OURS.
TRANSMITTAL
TO: NCDEQ Date: 5-28-19 Job #: 43394
Allen Clark Project: Automotive & Collision Repair Bldg
934 Washington Square Mall
Washington, NC 27889
❑ ENCLOSED PLEASE FIND:
Reference: Sanity Submittal
Copies Sent To:
COPIES
DATE
NUMBER
DESCRIPTION
1
Utility Plan
1
Sanitary Sewer Profile
1
$480.00 Check
1
Fast Track Application
COMMENTS:
Please find the enclosed information for the Automotive & Collision Repair Building submittal.
Please contact me at 919-866-4938 with any questions.
Thank you,
Will Altman
SIGNED: / !� `�--t7'�
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Will Altman, PE
RECEIVED/NCDENR/DWR
MAY 2 9 2019
Water aUa!ig, Regional
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TIMMONS GROUP
YOUR VISION ACHIEVED THROUGH OURS.
May 31, 2019
NCDEQ
Att. Allen Clark
WCC- Automotive & Collision Repair Bldg
The new building is entirely reallocated space for existing campus programs and
existing students. This will add no additional flow to the system.
Sincerely,
Will Altman, PE
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State of North Carolina
DWR Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number:
(to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Wayne Community College (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: Derek Hunter per 15A NCAC 02T .0106(b)
Title: Assoc Vice President, Administrative Services
4. Applicant's mailing address: PO Box 8002
City: Goldsboro State: NC Zip: 27534
5. Applicant's contact information:
Phone number: [phone] Email Address: mdhunter(iDwaynecc.edu
II. PROJECT INFORMATION:
1. Project name: Automotive & Collision Repair Bide
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: W000_ and issued date:
If new construction but part of a master plan, provide the existing permit number: W000_
3. County where project is located: Wayne
4. Approximate Coordinates (Decimal Degrees): Latitude:3541 ° Longitude: -77.94 °
5. Parcel ID (if applicable): 3610426791, 3610537753
(or Parcel ID to closest downstream sewer)
III, CONSULTANT INFORMATION:
1. Professional Engineer: Blake Hall, PE License Number: 38616
Firm: Timmons Group
Mailing address: 5410 Trinity Road, Suite 102
City: Raleigh State: NC Zip: 27607-_
Phone number: [phone] Email Address: blake.hallna,timmons.com
IV. WASTEWATER TREATMENT FACILITY (W WTF) INFORMATION:
1. Facility Name: Goldsboro Waste Water Plant
Owner Name: City of Goldsboro
Permit Number: NCO023949
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQCS00023 Downstream (Receiving) Sewer Size: inch
System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s): City of Goldsboro
FORM: FTA 04-16 Pagel 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 Operational Agreement (FORM: HOA) 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 / 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 % Commercial
_ % Industrial (See 15A NCAC 02T .0103(20)1
►,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
7. Summarize wastewater generated by project:
Establishment Type (see 02T.01140
Daily Design Flow',"
No. of Units
Flow
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
GPD
a 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).
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: _ GPD (per 15A 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):
FORM: FTA 04-16 Page 2 of 5

VII
Vlll.
GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 0 T 305 &MDC (Gravity Sewers):
L Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
6 443 DI
➢ 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 siope requirement is not allowed and a violation of the MDC
PUMP STATION DESIGN CRITERIA (►f Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Puntp station number or name: _
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: -
3. Design flow of the pump station: _ millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): _ gallons per minute at _ feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
6. Power reliability in accordance with I5A NCAC 02T 0305(h)(1):
❑ Standby power source or ptunp with automatic activation and telemetry - ISA NCAC 02T.0305(h)(1)(B)-.
➢ Required for all punnp stations with an average daily flow greater than or equal to 15,000 gallons per day
➢ Must be permanent to facility
Or if the punnp station has an average daily flow less than 15,000 gallons per day:
❑ Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T.0305(h)(I)(C):
➢ It shall be demonstrated to (lie 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 ewgl(,�1�g�tgf;�(I O>etggla)p/e(4tions'storage
capacities and the rotation schedule of the portable power source or pump, iuclu mg travel tinteframes, shall be provided
in the case of a multiple station power outage.
MAY 2 9 2019
Watp•h
FORM: FTA 04-16 G Pag
e
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IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(0):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(0 & (g) ® Yes ❑ No
➢ ISA NCAC 02T.0305(f) Contains nriuinuun separations that shall he nmvided for sewer systems -
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-1 waters of Class I or
Class 11 inn ounded reservoirs used as a source of drinking water
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 see item IX.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
An swimmin ools
10 feet
Final earth grade vertical
36 inches
➢ 15A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305(D cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications weboage
➢ If noncompliance with 02T.0305(f)or (a). see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes ❑ No ❑ N/A
➢ See the Division's draft separation requirements for situations where separation cannot be meet
➢ No variance is required if the alternative design criteria specified is utilized in design and construction
➢ As built documents should reference the location of areas effected
3. Does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? ® Yes ❑ No [-]N/A
➢ This would include Trout Buffered Streams per 15A NCAC 213.0202
4. Does the project require coverage/authorization under a 404 Nationwide or ® Yes ❑ No
individual permits or 401 Water Quality Certifications?
➢ Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with ISA NCAC 02T.0105(e)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105fc)(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 oil issuance of dependent permits (erosion and
sedimentation control plans, storntrvater management plans, etc.).
6. Does this project include any sewer collection lines that are deenned "high -priority?"
Per 15A NCAC 02T.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streanubanks that is subject to erosion that undermines or deteriorates the sewer.
❑ Yes ® No ❑ N/A
➢ If yes, include an attachment with details for each line, including type (aerial line, size, material and I a' i
REGENEDINeoroll��
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 perntitee's individual System -Wide Collect' pen lt,
MAY 9 20��
FORM: FTA 04.16
Page 4 of 5
Wast inOtrn r,oio-nai Office

X. CERTIFICATIONS:
I. Does the submitted system comply with 15A NCAC 02'f, the Minimum Design Criteria for the Permitting of PuungStations
and Force Ma its 11 rl sl version) and the OMMity Sewer Mininunn Design Criteria (latest version) as applicable?
® Yes ❑ No
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents for
review. Annrovol of the reouest Is reaulred m9m• to submittal of the Fast Track 5nollcallon and siumorling. document~
2. Professional Engineer's Certification:
name from Application Item Ill.1.)
__attest that this application for
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans, specifications,
engineering calculations, and all other supporting documentation to the best of my knowledge. 1 further attest that to the best
of my knowledge the proposed design has been prepared in accordance with the applicable regulations, Gravity Sewer
Minimum Design Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria for the Fast -Track Permitting
of Pump Stations and Force Mains (latest version). Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and
have judged it to be consistent with the proposed design.
NOTE — In accordance with General Statutes 143.215.6A and 143-215.6B, 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 tip to $25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date:
naR616 ;.
3. Applicant's Certification per 15A NCAC 02T .0106(b):
cx. , V t' n t>Iw tN , IZVt (Jt attest that this application for
name & title from Application Item 1.3.)
has been reviewed by me and is accurate and complete to the best of my knowledge. 1 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. 1 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: ` 1 1 r — Date: _ C> p
MAY 29 2019
FORM: FTA 04-16
Page 5 of i
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