WQ0041230_Application (FTSE)_20190930

State of North Carolina
%
nWR Department of Environmental Quality
Division of Water Resources
f `--- ...I'.15A NCAC 02T.0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-I6 & SUPPORTING DOCUMENTATION
Application Number: VJ0 ti 5 Q ale he complc1cd by Dwtt)
All items must be comnleted or the annlication will be returned
I. APPLICANT INFORMATION:
I. Applicant's name: Town of Nashville. (company, municipality, I-IOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ❑ State/County ® Municipal
3. Signature authority's name: Randy Lansing per 1 SA NAjZftZT.0106 b
Title: Town Manager
4. Applicant's mailing address: Po Box 987
City: Nashville State: NC Zip: 27856-
5. Applicant's contact information:
Phone number: [phone] Email Address: randy.lansin g Q townofnashvillene.gov
I.I. PROJECT INFORMATION:
❑ Privately -Owned Public Utility
❑ Other
NC Dept of Environmental Quay
-�yl /I- S/W
SEP 3 0 2019
Raleigh Regional Office
I. Project name. Aviation Lift Station Abandonment
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing pen -nit 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: Nash
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.9770' Longitude:-77.9557-
5. Parcel ID (if applicable): 38012091 1915
(or Parcel ID to closest downstream sewer)
111. CONSULTANT INFORMATION:
I. Professional Engineer: Stocks Engineering, P.A. License Number: 19843
Finn: C-1874
Mailing address: PO Box 1 108
City: Nashville State: NC Zip: 27856-
Phone number. C252) 459-8196 Email Address: kvarnell a,stocksengineerin_
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Tar River Regional WWTP
Owner Name: Cif of Rocky Mount
Permit Number: NCO030317
V. RECEIVINC DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQUnknown Downstream (Receiving) Sewer Size: & inch
System Wide Collection System Penn it Number(s) (if applicable): WQCSUnknown
Owner Name(s): Town of Nashville
I-ORM: FTA 04-16 Page I of5

VI. GENERAL REQUIREMENTS
I. 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 Agreerncnt_(FORM: f VJ been attached?
[:]Yes ❑No ®NIA
3. If the Applicant is a Home-Tror}erty Owners' Association, has an 0peratiuniil Lkg[eement (FORh4: I IOA) been attached'?
❑ Yes [-]No ON. -A
4. Origin ofwastewater. (check all that apply):
® Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash
® Residential Leased ❑ Retail with food preparationlservice ❑ I lotel andior Motels
❑ School 1 preschool 1 day care ❑ Medical I dental 1 veterinary facilities ❑ Swimming Pool lClubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool?Filter Backwash
❑ Businesses i offices 1 factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater, 100 % DomesticTommercial % Commercial
_ % Industrial (See 15A NCAC 02T .0103(20))
4 Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 02T ,4114(f}? ® Yes ❑ No
Ifvesprovide a copy or flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(fl)
Daily Design Flow ° r'
No. of Units
Flow
Municipal
gal/day
NIA
0 GPD
gal/
GPD
gal/
GPD
gall
GPD
gal/
GPD
gal/
GPD
Total
0 GPD
a See 15A NCAC 02T .0114(b). d e I 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 .01 14(c), design flow rates for establishments not identified [in table 15A NCAC 02T.0114] 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 I SA 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 now expected
❑ Other (Fxplain):
FORM: rTA 04-1 G Page 2 of 5

Vil. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC(Gravity Sewers
I. Summarize gravity sc%ver io be permitted:
Size (inches) Length (feet) Material
ft 596 PVC
Section 11 & III of the MDC for Pennitting of Gravity Sewers contains infonmation related to design criteria
Section III contains information related to minimum slopes for gravity sewer(s)
Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
Vill. PUMP STATION DESIGN CRITERIA (if Applicable) — 02T .0305 & MDC(Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
I. Pump station number or name: _
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude:
3. Design (low 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 (TD14)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
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)(13)!
Required far all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
Must be permanent to facility
Or if the pump 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)(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: i-rA 04-1 G Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & I5A NCAC 02T .0305(f)):
I. Does the project comply with all separations found in 15A NCAC 02T .0305(f) & (e)
i 15A NCAC 02T.0305(f) contains minimum separations that shall he nrovidert fnr cewer cvctPmc•
® Yes ❑ No
Setback Parameter*
Separation 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 II impounded reservoirs used as a source of drinking water
100 feet
**Waters classified WS (except WS-1 or WS-V), B, SA, ORW, I-IQW, or S13 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
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
I5A NCAC 02T.0305(tr) contains alternatives where separations in 02T.0305(f3 cannot be achieved.
**Stream classifications can be identified using the Division's NC Surface Water Classifications web a e
:- If noncompliance with 02T.0305(f) or(g). see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes ❑ No
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 all setbacks found in the river basin rules per 15A NCAC 02B .0200? ® Yes [—]No
:- This would include Trout Buffered Streams per I5A NCAC 213.0202
4. Does the project comply with an individual 404 Permit or any 401 Certifications? ® Yes ❑ No
Wetland -related permits shall be requested, obtained, and adhered to for projects that impact wetlands or surface waters
Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with I5A NCAC 02T.0105(c)(6) (additional permitslcertifications)?
® Yes ❑ No
Per 15A NCAC 02T.0105(c)(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, siplion, or sewer
positioned parallel to streambanks that is subject to erosion that underlines or deteriorates the sewer.
❑ Yes ® No
Ifyes, 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- IJA 04-16 Page 4 o f 5

X. CERTIFICATIONS:
I. Does the submitted system comply with 1.5A NCAC 021, the Minimum Dgsign Criteria for 1k. Pc minIatjclliw
and Fnrce in latest version and the Gravity Sewer Mi i um Design Criteria Catesi version as applicable?
® Yes ❑ No
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents for
review_ Approval of the reguest Is re ulred prior to submittal of the Fast Track ADglication and SURRorting documents.
2. Professional Engineer's Certification:
attest that this application for
(Professional Engineer's name from Application Item III.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 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 up to $25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date: ti+�¢�NA CARO"',,�
SEAL r
19343
• r
v • C,�`
,.
3. Applicant's t ton per 15A NCAC 02T .0106(b)•
I, 1
oo'4YJftr,001 9"ct�r�� attest that this application for
gnature AtUk6rily's nama title from Applicati tem I.3.)
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. 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 143-215.6 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 $10,090 as well as civil penalties up to $25,000 per violation.
Signature:
Date: L 7'
FORM: FTA 04-16 Page 5 of 5

DWR,
State of North Carolina
Department of Environmental Quality
Division of Water Resources
f3l'.6iun of %Valor lirs,.�i s. k's FIow Tracking/Acceptance for Sewer Extension Applications
(FTS E 04-16)
Entity Requesting Allocation: Town of Nashville
Project Name for which flow is being requested: Aviation Lift Station Abandonment
More than one FISE 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 low.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: City of Rocky Mount - Tar River Regional WWTP
b. WWTP Facility Permit #: NCO030317
All flows are in MGD
c. WWTP facility's permitted now 21.00
d. Estimated obligated flow not yet tributary to the WWTP 0.531
e. WWTP facility's actual avg. flow 10.83
L Total flow for this specific request 0
g. Total actual and obligated flows to the facility 11.366
h. Percent of permitted flow used 54.124%
Il. 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)
Design
Pump
Average Daily
Station
Firm
flow"
(Name or
Capacity, '
(Firm / pf),
Number)
MOD
MOD
97 Lift St.
30.00
12.0
(B)
(C)
(D)=(B+C)
(E)=(A-D)
Obligated,
Approx.
Not Yet
Total Current
Current Avg.
Tributary
Flow Plus
Daily Flow,
Daily flow,
Obligated
Available
MOD
MOD
Flow
Capacity***
6.5
_ 0.2
6.7
5.3
* 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): Tar River Regional
Downstream Permit Number: NC 0030317
Page 1 of 6
FTSE 04-16

Ili. Certification Statement:
I William B. Kerr 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 now.
411ing Official Sis na"f'W-L --- - —._. — bare, ---
Page 2 0l' h
FTSE 04-16

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Sewer Project Narrative
For
Aviation Lift Station Abandonment
The Aviation Lift Station Abandonment Project is abandoning an existing small Lift
Station by installing +/-596 LF of 8" Sewer Line along Aviation to connect to the
existing seer in the Cottages @ Davis Farms Sewer System. As this project simply
eliminates a Lift Station and short force main, there is no additional flow being added to
the sewer system with this project.
NC Dept of Environmental Quality
SEp 3 0 20
Raleigh Regional O ffi c e

Deck, Erin M
From: Kevin Varnell <[e-mail]>
Sent: Tuesday, November 12, 2019 1:48 PM
To: Deck, Erin M; [e-mail]
Subject: [External] RE: Aviation Lift Station Abandonment Fast Track Sewer Extension
External email`. do not`eiick.links or.open attachments unless.you verify. Send all suspicious email as an attar rrtent to
Erin,
I appreciate you following up. I apologize. I let this one slip by me.
The Downstream Permit Number is WQ0020986 (Cottages @ Davis Farms, Ph II).
The WWTP (City of Rocky Mount WWTF) Permit Number is NC0030317.
Let me know if there is anything else you need.
Sincerely,
J. KEvLm, varv+.el.l.
ENGINEERING !PV
Our Competitive Advanta e
We build long term relationships with our clients by being Creative,
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From: Deck, Erin M <[e-mail]>
Sent: Tuesday, November 12, 2019 1:23 PM
To: Kevin Varnell <[e-mail]>; [e-mail]
Subject: FW: Aviation Lift Station Abandonment Fast Track Sewer Extension
I am following up on the email below. Thank you.
Erin Deck
Department of Environmental Quality
Division of Water Resources
Raleigh Regional Office
Office: 919-791-4258

Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed
to third parties.
From: Deck, Erin M
Sent: Wednesday, November 6, 2019 12:28 PM
To: Kevin Varnell<[e-mail]>; [e-mail]
Subject: Aviation Lift Station Abandonment Fast Track Sewer Extension
Good Afternoon,
Please provide the receiving sewer and system wide collection system permit numbers for the subject project. Once this
information is received we can move forward drafting the permit.
Erin Deck
Department of Environmental Quality
Division of Water Resources
Raleigh Regional Office
Office: 919-791-4258
Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed
to third parties.

Sewer Project Narrative
For
Aviation Lift Station Abandonment
The Aviation Lift Station Abandonment Project is abandoning an existing small Lift
Station by installing +/-596 LF of 8" Sewer Line along Aviation to connect to the
existing seer in the Cottages @ Davis Fauns Sewer System. As this project simply
eliminates a Lift Station and short force main, there is no additional flow being added to
the sewer system with this project.

Robinson, Jason
From: Kevin Varnell <[e-mail]>
Sent: Monday, September 30, 2019 8:10 AM
To: Cashion, Ted
Cc: Robinson, Jason
Subject: RE: [External] Nashville Aviation Lift Station Abandonment
�MWIRLIPExternal imill. Do not click 11Wk-s-or open attaahn ents unless you vettify. Senif all susplcious enas an attachment -to
e o�t.s am�nc.
Ted,
I really appreciate it. Thanks.
Sincerely,
J. 1-evi.w Varv+tLL
ENGINEERING
Our Competitive Advantage
We build long term relationships with our clients by being Creative,
Personable, Accessible, Responsive, and Knowledgeable.
From: Cashion, Ted <[e-mail]>
Sent: Monday, September 30, 2019 8:O6 AM
To: Kevin Varnell <[e-mail]>
Cc: Robinson, Jason <[e-mail]>
Subject: RE: [External] Nashville Aviation Lift Station Abandonment
Ok thanks Kevin. We have a backlog of 6-8 weeks but we'll get this one out sooner if we can.
Contact us in a couple of weeks and see where we are on it.
ted
Ted Cashion
Water Quality Regional Operations
Division of Water Resources
NC Department of Environmental Quality
Raleigh Regional Office
919-791-4254
[e-mail]

1628 Mail Service Center
Raleigh, NC 27699-1628
3800 Barrett Drive
Raleigh, NC 27609
Subscribe to Collection System & Sewer Permitting Updates
Email correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties unless the content is exempt by statute or other regulation.
From: Kevin Varnell <kvarnell stocksen ineerin .com>
Sent: Friday, September 27, 2019 10:27 AM
To: Cashion, Ted <[e-mail]>
Subject: [External] Nashville Aviation Lift Station Abandonment
aliments unres'yol� �rer€fy.enti esuspiiuus email es an:a cMA
Ted,
I hate asking for things like this and I know you guys are overwhelmed, but the Town is in a bind and I told them I would
ask. The Town of Nashville currently has a Lift Station that the pumps have begin causing major issues. The pumps are
having to be pulled nearly everyday and unclogged or worked on to keep them running. We have a plan to abandon the
Lift Station completely. Town Council has agreed to fund immediately. The design is complete and ready to be
permitted and no other permits are needed, other than the sewer permit. Attached is the sewer permit and the
documentation I am Fed Exing to you today. Any help to get this one approved quickly would be most appreciated. Do
not hesitate to let me know any way either the Town or I can help.
Sincerely,
i- V-e•,r� var",,r
• 7
ENGINEERING
Our Competitive Advantage
We build long term relationships with our clients by being Creative,
Personable, Accessible, Responsive, and Knowledgeable.