WQ0041414_Application (FTSE)_20200113

DWR
State of North CarGlina
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: 140.io_�l ",—(to be completed by DWR)
1
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All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1.
Applicant's name: Town of Four Oaks (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: Linwood Parker per 15A NCAC 02T.0 106(b)
Title: Mayor
4.
Applicant's mailing address: P.O. Box 610
City: Four Oaks State: NC Zip: 27524-
5.
Applicant's contact information:
Phone number: 919 963-3112 Email Address: fofdcarl(@Rmaii.com
I1. PROJECT INFORMATION:
1.
Project name: NC 96 / Keen Road Sewer Extension for Town of Four Oaks
2.
Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: WQOO_ and issued date:
If new construction but part of a master plan, provide the existing permit number: WQOO
3.
County where project is located: Johnston
iv
CY
4.
Approximate Coordinates (Decimal Degrees): Latitude: 35.43384" Longitude:-78.40920�
5.
Parcel ID (if applicable): NC PIN 167110-25-5895
S CD 73
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
W
1.
Professional Engineer: Brian R. Leonard, PE, PLS License Number: 25487
°0
Firm: BRL Enizineering & Surve in
Mailing address: 112 East Johnston Street
z
City: Smithfield State: NC Zip: 27577-
Phone number: 919 989-9300 Email Address: brlen in�aOearthlink.net
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Benson WWTF Permit Number: NC 0020389
Owner Name: Town of Benson
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
I. Permit Number(s): WQ0019649MOD (Johnston Co. Pump Sta.) Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Number(s) (if appIicable: WQCSD0013 (Town of Four Oaks)
Owner Name(s): Town of Four Oaks -(Pump Station & Gravity Collection System) & Johnston County (Pump —Station
FORM: FTA 04-16 Pagel of 5

THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
Water Quality Section
Swannanoa, North Carolina 28778
Clay, Graham, Haywood, Henderson, Jackson,
[phone]
Macon, Madison, McDowell, Mitchell, Polk,
[phone] Fax
Rutherford, Swain, Transylvania, Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Harnett, Hoke,
Water Qualily Section
Fayetteville, North Carolina 28301-5094
Montgomery, Moore, Robeson, Richmond,
[phone]
Sampson, Scotland
[phone] Fax
Mooresville Regional Office
610 E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
Water Quality Section
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone]
Stanly, Union
[phone] Fax
Raleigh Regional Office
1628 Mail Service Center
Chatham, Durham, Edgecombe, Franklin,
Water uali Section
Raleigh, North Carolina 27699-1628
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] Fax
Warren, Wilson
Washington Regional Office
943 Washington Square Mail
Beaufort, Bertie, Camden, Chowan, Craven,
Water Quality Section
Washington, North Carolina 27889
Currituck, Dare, Gates, Greene, Hertford, Hyde,
-'
[phone]
Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] Fax
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
Water Quality Section
Wilmington, North Carolina 28405
Hanover, Onslow, Pender
[phone]
[phone] Fax
Winston-Salem Regional Office
450 W. Hanes Mill Road
Alamance, Allegheny, Ashe, Caswell, Davidson,
Water Quality Section
Suite 300
Davie, Forsyth, Guilford, Rockingham, Randolph,
Winston-Salem, North Carolina 27105
Stokes, Surry, Watauga, Wilkes, Yadkin
[phone]
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page 3 of 3

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 ®NIA
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEV) been attached?
❑ Yes [:]No ®NIA
3. If the Applicant is a Home. Proneriy Owners'_Association,.has an Operational Agreement ffQRM_.HOA) been attached?
❑ Yes []No ®NIA
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 / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic/Commercial 0 % Commercial
0 % Industrial (,See 15A NCAC 02T 4103(20))
1ls there a Pretreatment Program in effect? ❑ Yes ® No
6. Hasa flow reduction been approved under 15A NCAC 02T .0114(fl? ❑ Yes ®No
➢ If yes, provides cony of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.01 IAA
Daily Design Flow "•b
No. of Units
Flow
General Business and Office Facilities
25 gal/employee/shift
143 empl.
3,575 GPD
gal/
GPD
gall
GPD
gal/
GPD
gall
GPD
gal/
GPD
Total
3,575 GPD
a See 15A NCAC 02T .0114fb1. 01 feX_1J gnd_(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.01 141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 3,575 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

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
I. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8"
1,520 ft
PVC
8"
1,860 R
DIP
3 d
Section 11 & 111 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 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: Keen's Crossroads Pump Station
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.43384' Longitude:-78.40920`
3. Design flow of the pump station: 189,200 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 330 gallons per minute at 12I.0 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
6"
4,785 ft
PVC
6"
445 ft
DIP
30
6. Power reliability in accordance with 15A NCAC 02T .0305(hX I ):
® Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(13),
i- Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
i- 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: FTA 04-16 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B.0200 & 15A NCAC 02T.0305(f)):
I. Does the project comply with all separations found in 15A NCAC 02T .0305(0 & s
➢ 15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
® 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-I waters of Class l or
Class II 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 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 s stems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade vertical
36 inches
D 15A NCAC 02T_0305(a) contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ *Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
➢ If noncompliance with 02T_03�t) it { , 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 ❑ NIA
➢ 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 40I & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105(c1(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 021.0402, "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 ❑ NIA
➢ 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: FTA 04-16 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permittin! of Pump Stations
and Force Mains (latest version), and the Gravity Sewer Minimum Design Criteria- li test_version as applicable?
® Yes ❑ No
If No, complete and submit the VariancefAlternative Design Request application (VADC I0-14) and supporting documents for
review. Approval ofthe request is required prior to submittal of the Fast Track Application and supportine documents.
2. Professional Engineer's Certification:
I, r+' r► R . I-Connrd , P E , P L5 attest that this application for
(Professional Engineer's name from Application Item IIL1.)
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 143-2I5.6A 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 $25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date:yCARo li
-���,,.,
2a .OFtiSS/�2 q i
�r4 '
Applicant's Certification per 15A NCAC 02T .0106(b):
,It I, L I n t,,) LA , MQ Uf attest that this application for
(Signature Authority's name & title from Application Item 1.3.)
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. 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: Data: 1 a J 31
FORM: FTA 04-16 Page 5 of 5

N( I)zptorFn�-iruno! P1)1;;.MP,%
State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resourc��lgb Regional Office�'low Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Town of Four Oaks
Project Name for which flow is being requested: NC 96 / Keen Road Sewer Extension
More than one FTSE maybe required for a single project if rite owner of the WWTP is not responsible far al! 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:
b. WWTP Facility Permit 9:
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
Pump
Station
Station Firm
(Name or
Permit Capacity,
Number)
No. MGD
iJ,fAvA,JA6&
Southside
(,q , it -in 1978) D 3024
(A)
(B)
(C)
(D)=(B+C)
(E)=(A-D)
Design
Obligated,
Average
Approx.
Not Yet
Total Current
Daily Flow**
Current
Tributary
Flow Plus
(Firm / pf),
Avg. Daily
Daily Flow,
Obligated
Available
MGD
Flow, MGD
MGD
Flow
Capacity***
D. J Z 10
0.. o7vo
0.0036
D. e73lo
o- ag 7-f
* The Firm Capacity (design flow) 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
(pi) not less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** 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): �v�r Daxs LvJlcr�:v-� ,� sfir.-�
Downstream Permit Number: t.uac-S Dvi> 13
Page I of 6
>:TSE 10-18

III. Certification Statement:
I Barry Stanley _ _ 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 certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
O 0
Signing Official Signature Date
0%Lr
Title of 'Signing Official
Page 2 of 6
rTSE 10-18

{
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Town of Four Oaks
Project Name for which flow is being requested: NC 961 Keen Road Sewer Extension
More than one FTSE may be required for a single project Wie owner of the WWTP is riot responsible far all punip
stations along lire route of the proposed svasteivaterJlow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name:
b. WWTP Facility Permit #:
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
All flows are in MGD
II. 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 Pump Average
Approx. Not Yet Total Current
Station Station Firm Daily Flow**
Current Tributary Flow Plus
(Name or Permit Capacity, * (Firm i p0,
Avg. Daily Daily Flow, Obligated
Available
Number) No. MGD MGD
Flow, MGD MGD Flow
Capacity***
Four
19649Mod 0.864 0.346
0.207 0.0140 0.221
0.127
* The Firm Capacity (design flow) of any pump station is defined as the maximum pumped now
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
(pi) not less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** 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): Four Oaks to Benson PS/FM
Downstream Permit Number: 19649Mod
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I Chandra C. Farmer, P.E. 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 certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
Signature
MW
Title of Signing Official
Page 2of6
FTSE 10-18

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Town of Four Oaks
Project Name for which flow is being requested: NC 96 ; Keen Road Sewer Extension
More than one FTSE )nay be required for a sissgle project if Ilse owner of lice IVIVTP is not responsible for all pnsup
stallons along the route of llte proposer) wavlewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: 6 W h n -� & o So n Lu w-1—
b. WWTP Facility Permit ##: 020259
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
AilfJows are in MGD
I. goo
0.0036
II. 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)
Design
Pump
Pump
Average
Approx.
Station
Station
Firm Daily Flow**
Current
(Name or
Permit
Capacity, * (Firm i pf),
Avg. Daily
Number)
No.
MGD MGD
Flow, MGD
(C)
(D)=(B+C) (E)=(A-D)
Obligated,
Not Yet
Total Current
Tributary
Flow Plus
Daily Flow,
Obligated Available
MGD
Flow Capacity***
* The Firm Capacity (design flow) 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
(pl) not less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** 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):
Downstream Permit Number:
Page 1 of 6
FTSE 10-18

1I1. Certification Statement:
I � rt a V. 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 certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
Signing Ofjr is al Signature
� 1
Title of Signing Ofjicial
W w-r"?
Date
Page 2of6
)~TSE 10-18

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BRL ENGINEERING & SURVEYING
112 East Johnston Street Providing Civil Engineering & Surveying Services Brian R. Leonard, PE, PLS
Smithfield, NC27577
[phone] brieingineeringPearthfink.net
-----
January 10, 2020
Mr. Jason Robinson JHIV 13 its?p
NCDEQ—Water Resources, Regional Water Quality Section
1628 Mail Service Center (Mail) R01elgh RegipIIal Office
Raleigh, NC 27699-1628 ==L
Re: NC 96 / Keen Road Sewer Extension for Town of Four Oaks, in Johnston County
Gravity Sewer, Pump Station & Forcemain Plans —"Fast -Track" Review
Dear Mr. Robinson:
The Town of Four Oaks plans to construct an extension to its sewer collection system along multiple properties
located in the vicinity of NC 96, Keen Road (SR 1178), and 1-95 in the planning jurisdiction of the Town of Four
Oaks, in Johnston County. Construction activities include a new gravity sewer extension, pump station, and
Forcemain, and therefore requires approval by NCDEQ. The proposed sewer facilities will initially serve a
separately -developed furniture distribution, call center and retail facility, which generates the flow requested
within this application. We are hereby applying for a "Fast Track" review process; with an initial flow request
of 3,575 GPD (or 0.0036 MGD) and a built -out pump station design based on 189,000 GPD for a future
developing basin area. Enclosed herewith are the following documents foryour review:
1) Fast Track Sewer System Extension Application, Form FTA 04-16 —1 original + 1 copy signed
by myself as Engineer, and signed by Applicant.
2) Check in the amount of $480 for the required Fast Track Application review fee
3) Flow Tracking Acceptance Forms, Form FTSE 04-16 —1 signed original + 1 copy for each of the
downstream owners/operators (from project to treatment plant) as follows...
Town of Four Oaks — Downstream Collection System (Gravity Sewer & Pump
Station/Forcemain)
• Johnston County— Downstream Collection System (Pump Station/Forcemain)
• Town of Benson —Wastewater Treatment Facility
41 Site Maps —1 original + 1 copy of each of the following...
• 8.5" x 11" Color Copy of USGS Topographic Map, showing entire project area and
adjacent surface waters
0 8.5" x 11" Street Level, Aerial Map, showing general project area

BRL ENGINEERING & SURVEYING
112 East Johnston Street Providing Civil Engineering & Surveying Services Brian B. Leonard, PE, PLS
Smithfield, NC27577
[phone] hrleingineeririRPearthlink.net
On behalf of the Town of Four Oaks, I would appreciate your review and approval of the attached
Construction Drawings and other related documents. Please contact me if you have any questions.
Sincerely,
7Z�Rz
BRL ENGINEERING & SURVEYING
Brian R. Leonard, PE, PLS
SKIM
Cc: BarryStanley
Attachments: As Noted