WQ0041418_Application (FTSE)_20200116

DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300— FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number:
Ito be rampleteci by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Town of Clayton (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ❑ State.County © Municipal
3. Signature authority's name. Adam Lindssa per I5A NCAC 02T .0106(b)
Title: Town Manager
4. Applicant's mailing; address: 1 I I E. Second Street
City: Clayton State: NC Zip: 27520-
5. Applicant's contact information:
Phone number: [phone] Email Address: crowland a townofclavton.or
II. PROJECT INFORMATION:
❑ Privately -Owned Public Utility
❑ Other
I. Project name: Amelia Point
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: Johnston
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.65092 Longitude!-78,48372-
5. Parcel ID (if applicable): 165918-32-3144
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Andrew Hodge, PE License Number: 21094
Firm: Adams & Hodge EngineeringPC Finn #C4187
Mailing; address. 314 E. Main Street
City: Clayton State: NC Zip: 27520-
Phone number: [phone] Email Address: andrew0)adamsandhodge.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I. Facility Name: Little Creek WRF Permit Number: 00-25453
Owner Name: Town of Clayton
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s). WQ� Downstream (Receiving) Sewer Size- 8 'nch
Svstem Wide Collection System Permit Numbers if appile.,blc : WQCS _47 0O f
Owner Name(s): 'Fawn of Clayton
FORM: FTA 04-16 Page I of

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 ®NIA
2. If the Applicant is a Developer of lots to be sold, has a Develop�r�s OperatioG7al Areemem f FORA#. . DEVI been attached?
❑ Yes ❑No ®N.:A
3. If the Applicant is a H pm - Qwms'.Associatiog, has an Oneraljqnjjl A re ent ( FORN-1: I IOAI been attached?
❑ Yes ❑No ON..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 ;' offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: % Domestic. -Commercial 100 °fo Commercial
% Industrial (See I SA NCAC 0 _010 20
7b Is there a Pretreatment Program in effect? ❑ Yes [:]No
6. Hasa Flow reduction been approved under 15A NCAC 02T .01 14(a ® Yes ❑ No
if vesprovide n copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02?'^ 0114[ 1)
Daily Design Flow A u
No. of Units
Flow
Single Family Townhomes (3 bedrooms)
250 gal?day
18
4,500 GPD
gal!
GPD
gal!
GPD
gal?
GPD
gal'
GPD
gal'
GPD
Total
4,500 GPD
a See 15A NCAC 02T .0114 b d e 11 and L21 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.. 42A-4).
b Per 15A NCAC 02T .0I 14(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.
Wastewater generated by project: 4.500 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

VI1. GRAVITY SEINER DESIGN CRITERIA (if Applicable) - 02T .0305 & MDC (Gravity Sewers):
I. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8" 155 PVC
Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
Section 111 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
1. Pump 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 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
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)(I)(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-I6 Page 3 of 5

IN. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
I. Does the project comply with all separations found in 15A NCAC 02T _0305i f} ia1 ®Yes ❑ No
i 15A NCAC 02T.0305(f) contains minimum se arations that shall be Drovided for sewers stems:
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
24 inches
Water mains (vertical -water over sewer including in benclied 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 1 or
Class 11 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 buildina foundation
5 feet
Any basement
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainages stems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
ow 116 NCAC 02T.9305(g contains alternatives where separations in 02T_0305(f} cannot be achieved.
i **Stream classifications can be identified using the Division's NC Surface Water Classifrcgtions weboage
If noncompliance with 1T,030Lp.or.(s1, see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes ❑ No ® N;'A
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
i 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.'autliorization 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 15A NCAC 02T.01056-.W61(additional perm itsicertifications)? ® Yes ❑ No
Per ISA UCAC 02T.01054001, 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 ❑ 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

Y. CERTIFICATIONS:
1. Does the submitted system comply with 15A NC AC 02 the Minimum Dcsi n Critcri:� for the Permi�ting.of Purno Stations
and E orcc 4lains (latest version), and the Gravity. Sewer Minimum Dcsign Criteriaa (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. Approval of the request is required prior to submittal of the Fast Track Application and supporting documents
2. Professional Engineer's Certification:
Andrew Hodge, PE attest that this application for
(Professional Engineer's name from Application Item Ill.1.)
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 143-215.613, 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: r 0T. ­'r"
�HCA R�
11,
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QSEL
219
3. Applicant's Certification per 15A NCAC 02T.0106(b): 11/26/2019
1, Adam Lindsay, Town Manager
_ attest that this application for
(Signature Authority's name & title from Application Item 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. 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::orcriminal prosecution. I will make no claim against the Division of Water Resources should a condition
of this permit be violated. 1 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 143-215.613, 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.
Signature: _ f /� Dater -11 Lft
JaS Ur, l�a;l�, (-ro Enfttr{✓� W" !" 4m t t--4Sc�.1/
FORM: FTA 04-16 Page 5 of 5

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Town of Clayton
Project Name for which flow is being requested: Amelia Point
More than one FTSE maybe 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: Little Creek WRF
b. WWTP Facility Permit #: 0025453
All flows are in MGD
c. WWTP facility's permitted flow LCWRF 2.5 + JoCo 1.4 +
RaIei 1.0 = 4.9 MGD
d. Estimated obligated flow not yet tributary to the WWTP 0.7927
e. WWTP facility's actual avg. flow 2.4138
f. Total flow for this specific request .0045
g. Total actual and obligated flows to the facility 3.2110
h. Percent of permitted flow used 65.53%
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 ! pt),
Avg. Daily
Daily Flow,
Obligated Available
Number)
No_
MGD MGD
Flow, MGD
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
(pf) 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): Southwest Wastewater Fac. Improv. - 8"
Downstream Permit Number: Unknown - approx year 1991
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I Joshua Baird 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 capacit to transport and treat the proposed new wastewater.
/Z/z
Signature
[dwrt
Title of Signing
Date
Page 2 of 6
FTSE 10-18

9
11

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"ECEIVED JUL 0 " 2001
State of North Carolina s
Department of Environment amml
and Natural ResourcesaDivision of Water Quality
Michael F. Easley, Governor NCDENR
William G. Ross Jr., Secretary
Kerr T. Stevens, Director NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL REsOURCEB
July 2, 2001
NC Dept ofEnvironmentai Qu;iII«
Mr. Steve Biggs, Town Manager JAN 16 ?P In
Town of Clayton
Post Office Box 879 Raleigh Regional OlTicc
Clayton, North Carolina 27520
Subject: Town of Clayton
Flow Reduction Approval
Johnston County
Dear Mr. Biggs:
On January 3, 2001, the Division of Water Quality received your flow reduction request for new
single-family dwellings in the Town of Clayton. The letter requests approval of a residential flow value of 250
GPD/residence for any future dwellings that may become tributary to the subject wastewater collection system.
The Division also received additional information on April 3, 2001
The information provided flow records between January 1998 and November 2000 for the WWTP.
The evaluation also included the daily wastewater flows for a 33 day period from February 19 through March
23, 2001 for a select 97 homes in accordance with 15A NCAC 2H .0219(1)(3).
Based upon the information submitted, the Division hereby approves the use of 250 GPD per single-
family residence in all applicable non -discharge permit applications for future sewer line extensions for the
Town of Clayton. This consideration applies to any applicable future projects submitted to the Division as well
as any projects which are currently under review. Regardless of the adjusted design daily wastewater flaw rate,
at no time shall the wastewater flows exceed the effluent limits defined in the Town's NPDES permit for the
treatment facility or exceed the capacity of the sewers downstream of any new sewer extension.
If you have any questions or comments regarding this matter, please contact Mr. Kim H. Colson at
[phone] ext. 540.
Si ly,
'. /�/Z'/
/ Kerr T. Stevens
cc: Raleigh Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post -consumer paper

A& ADAMS & HODGE
92*@ E1VGIIVEER1rdG, PC
January 15, 2020
Ted Cashion
NC DWQ
3800 Barrett Dr
Raleigh, North Carolina 27609
Subject: Amelia Point
Town of Clayton
Johnston County
NC Dept of Environmental Quality
JAN 16 2020
Raleigh Regional Office
Attached is one original and one copy of a complete Fast Track Application for Gravity Sewers,
Pump Stations, and Force Mains, which includes the following:
I. Complete Fast Track Application for Gravity Sewers, Pump Stations, and Forcemains
(Form FTA 04-16), signed by Engineer & Town
2. Flow reduction letter from NCDENR
3. $480.00 Check for Application Fee
4. Flow Tracking/Acceptance for Sewer Extension (Form FTSE 04-16)
5. USGS Quad Map showing approximate site location
6. Street Level Map
This application is for an extension of the gravity sewer system of the Town of Clayton to serve
Amelia Point. This extension will add approximately 155 if of 8" gravity sewer and will connect to an
existing Town of Clayton gravity sewer system. The sewer system will serve 18 townhomes in this
proposed subdivision, which is the basis for flow for this project.
If you have any questions or comments, please give me a call at 980-253-5773 or
email to [e-mail].
Sincerely,
t
Eva King, PE
ADAMS & HODGE ENGINEERING, PC • 314 East Main street, Clayton, NC 27520 • Office: 919.243-1332 a Firm License k C-4187

UiQo 6 4 41 g
Cashion, Ted
From: Cashion, Ted
Sent: Tuesday, February 18, 2020 11:08 AM
To: 'Andrew Hodge; '[e-mail]'; Adam Lindsay
Cc: Robinson, Jason; Deck, Erin M
Subject: Amelia Point fast track sewer extension application, WQ0041418
All,
We are reviewing the subject application that we received January 16. Please provide the information required in item
V. of the application (permit number of downstream sewer, system wide collection system permit number).
We'll continue drafting the permit after submittal of this information.
Thx
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
.�1
c�ur,.e¢cllmrym;rtalw,liY\ /�
Subscribe to Collection System $ Sewer Permitting U12dates
Email correspondence to and from this address may be subject to the North Carolina Public Records Low and may be
disclosed to third parties unless the content is exempt by statute or other regulation.

Cashion, Ted
oo� �� K
From: Andrew Hodge <[e-mail]>
Sent: Tuesday, February 18, 2020 12:58 PM
To: Cashion, Ted; Eva King; Adam Lindsay
Cc: Robinson, Jason; Deck, Erin M
Subject: [External] RE: Amelia Point fast track sewer extension application, WQ0041418
Attachments: AMELIA POINT - REVISED SHEET 1 OF 5 - 02182020.pdf
1-FAUQIg External, email. Do not dick links or open attachments unless you verify. Send a!! susplcious email as an attar-hment to
ori<.s am nc ow
Hey Ted,
Please find attached the updated sheet 1 of 5.
Sorry for any inconvenience. Let me know if you need anything else.
Thanks!
Airdr•ew Hodge, PE
Adams & Hodge Engineering, PC
314 E. Main Street
Clayton, NC 27520
(M) 919-369-1938
Firm # C4187
From: Cashion, Ted <[e-mail]>
Sent: Tuesday, February 18, 202011:08 AM
To: Andrew Hodge <[e-mail]>; Eva King <[e-mail]>; Adam Lindsay
<[e-mail]>
Cc: Robinson, Jason <[e-mail]>; Deck, Erin M <[e-mail]>
Subject: Amelia Point fast track sewer extension application, WQ0041418
All,
We are reviewing the subject application that we received January 16. Please provide the information required in item
V. of the application (permit number of downstream sewer, system wide collection system permit number).
We'll continue drafting the permit after submittal of this information.
Thx
ted
Ted Cashion
Water Quality Regional Operations
Division of Water Resources
NC Department of Environmental Quality
Raleigh Regional Office
919-791-4254