WQ0041580_Application (FTSE)_20200320

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
15A NCAC 02T .0300 —FAST TRACK SEWER SYSTEM EXTENSI PLICATION
Division of Water Resources FTA 04-16 & SUPPORTING DOC TATION
Application Number: OV Lf IS Q O (to be completed by DWI Q
y,`°9���a warej Zee
All items must be completed or the application will be returnecsh%�yr.
I. APPLICANT INFORMATION:
1. Applicant's name: (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: per 15A NCAC 02T .0106(b)
Title: City Manager
4. Applicant's mailing address: P. O. Box 339
City: Kinston State: NC Zip: 28502-
5. Applicant's contact information:
Phone number: [phone] Email Address: [e-mail]
II. PROJECT INFORMATION:
1. Project name: Washington Avenue Sewer Line Replacement MLK Jr. Blvd. to Ouinerly Avenue
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: Lenoir
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.26627V Longitude:-77.5720570
5. Parcel ID (if applicable): NA
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Stephen Miller
Firm: City of Kinston
Mailing address: P. O. Box 339
City: Kinston State: NC
Phone number: 252) 939-3285
License Number: 027449
Zip: 28502-
Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Kinston Regional Water Reclamation Facility Permit Number: NC 0024236
Owner Name: City of Kinston
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ Downstream (Receiving) Sewer Size: 18 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS00022
Owner Name(s): City of Kinston
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
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))
�' 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 cony of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(fl)
Daily Design Flow "b
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: 0 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. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 706 DIP
➢ Section H & 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 slope requirement is not allowed and a violation of the MDC
VHI. 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: N/A
2. Approximate Coordinates (Decimal Degrees): Latitude: 0Longitude: - °
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)(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)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(_fl & (g) ® Yes ❑ No
➢ 15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
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 I 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 systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade vertical
36 inches
➢ 15A NCAC 02T.0305(a) contains alternatives where separations in 02T.0305(fl cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webpaee
➢ If noncompliance with 02T.0305( or (g). 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 2B.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 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? ® 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, siphon, or sewer
positioned parallel to streambanks 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 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, Pump Stations
Minimum Design Criteria for the Permitting of PuStations
and Force Mains (latest version), and the Gravity Sewer Minimum 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. Approval of the request is required prior to submittal of the Fast Track Application and supporting
documents.
2. Professional Engineer's Certification:
I, -X n t i,KZ attest that this application for
(Professional Engineer's name from Application Item III.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:
3. Applicant's Certification pSP15A NCACg02T .0106(b):
I,
's name & title from Application Item I.3.)
G A
SEAL
W-
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 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: Date:`��
FORM: FTA 04-16 Page 5 of 5

An
_ HARV
92CG 923 92N r x_
""� 92BZ iWASHINGT
{V 4 ! f 31f¢
owf E i
92P AL. 92R b r ;FIELD
cn-
i,..;,�.H O L LY LN - CpQ. L' 1
F S< �� t
Q ' 1
EY ST '
ON;AVE
4.
SS -
1� M
.. y
- THOMPSON
-� THOMPSON ST-
z
w Ill
�
W JI ,

State of North Carolina
Department of Environmental Quality
" 0. Division of Water Resources
Dhision of Water Res( UFCes Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: The City of Kinston
Project Name for which flow is being requested: Washington Avenue Sewer Replacement.
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for allpump
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: Kinston Regional Water Reclamation Facility (KRWRF)
b. WWTP Facility Permit #: NC0024236
All flows are in MGD
c. WWTP facility's permitted flow 11.85 MGD
d. Estimated obligated flow not yet tributary to the WWTP 1.1 MGD
e. WWTP facility's actual avg. flow 4.5 MGD
f. Total flow for this specific request 0.0 MGD
g. Total actual and obligated flows to the facility 5.6 MGD
h. Percent of permitted flow used 47.26 %
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 Average Daily Approx. Not Yet Total Current
Station Firm Flow** Current Avg. Tributary Flow Plus
(Name or Capacity, * (Firm / pf), Daily Flow, Daily Flow, Obligated Available
Number) MGD MGD MGD MGD Flow Capacity***
# 3 18.9 7.56 3.25 0.0 3.25 4.31
* 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 (pi) 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): KRWRF
Downstream Permit Number: NC0024236
Page 1 of 6
FTSE 04-16

III. Certification Statement:
I John A. Jarrell, III, 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 parry.
Signature of this form indicates acceptance of this wastewater flow.
W
r.
, �ARRE� %%
z-/1 Z111
Page 2 of 6
t�/

►giCcd Survey
irolina Geodetic Survey
aerial photographs
d 1983
arolina coordinate
Id, zone 18
itum 1983
.ks
ind field lines where
information is unchecked
ork buildings are shown
I
I
tGN
7'/2° 1111
133 MILS 1*29'
26 MILS
1
UTM GRID AND 1993 MAGNETIC NORTH
DECLINATION AT CENTER OF SHEET
5454 l/ NE
SCALE 1:24 000
1 .5 0 KILOMETERS 1 2
1000 0 METERS 1000 2000
1 .5 0 1
MILES
1000 0 1000 2000 3000 4000 5000 6000 7000 8000 9000 10 000
FEEF
CONTOUR INTERVAL 2 METERS
NATIONAL GEODETIC VERTICAL DATUM OF 1929
E CONTROL ELEVATIONS SHOWN TO THE NEAREST 0.1 METER
OTHER ELEVATIONS SHOWN TO THE NEAREST 0.5 METER
I-V -1-1
THIS MAP COMPLIES WITH NATIONAL MAP ACCURACY STANDARDS
FOR SALE BY U. S. GEOLOGICAL SURVEY, RESTON, VIRGINIA 22092
A FOLDER DESCRIBING TOPOGRAPHIC MAPS AND SYMBOLS IS AVAILABLE ON REQUEST
32'30" '69
CONTI
V*H) 7*' AV Zj

Permit Number WQ0041580
Program Category
Non -discharge
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
robert.tankard
Coastal SWRule
Permitted Flow
Facility
Central Files: APS _ SWP _
3/26/2020
Permit Tracking Slip
Status
Project Type
In review
New Project
Version
Permit Classification
A
Individual
Permit Contact Affiliation
Facility Name Major/Minor Region
Washington Avenue Sewer Line Replacement MLK Jr. Blvd. to Quinerly Avenue Minor Washington
Location Address County
Lenoir
Facility Contact Affiliation
Owner
Owner Name Owner Type
City of Kinston Government - Municipal
Owner Affiliation
Tony Sears
City Manager
PO Drawer 339
Dates/Events Kinston NC 28501
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
THIS CHECK IS VOID WITHOUT A BLUE & GREEN BACKGROUND AND AN ARTIFiciAL WATERMARK ON THE BACK - HOLD AT AN ANGLE TO VIEW
1[ -1OlEr37
+i€mstOa_-'_ — AI�€'gRU - --- _ - _ -
-I ox 339 _ - = x�-
66-30153 t
Kinston, NC 28502-0339 Check Date Check Amount
01/02/20
Jni. Check vow After 180 D.v,
zR
_ This disbursement has been approved as required by
AY �_ �- the local government and fiscal control act.
**Four Hundred Eighty &
TO THE ORDER OF
F NCDEQ
1612 Mail Service Center
Raleigh NC 27699
£INANC D EGTOR/DEPIJ F . ANCE OFFICER
_ _-- M R/CITY MANAGER:.
SIGNA NRE HAS A COLORED BACKGROUND • BORDER CONTAINS MICROPRINTING
ll'00 18 1 2 3 Ill• i:0 5 3 L00 3001:00 IS 12L.887 2 L uo

� t ("-�SE-IJNICIS�
Kidt I�;�,P Bll
NU
KIN Tkm -�Diu.
Buildings &Grounds, Business Office, Electric, Engineering, Environmental Services, 2009
4h4 k
Fleet Maintenance, Meter Reading, Stormwater, Streets, Wastewater, and Water
. Kinston, the right place ... Kinston Public Services, the right choice.
January 28, 2020
Mr. David May, Regional Supervisor
North Carolina Division of Environmental Quality
Water Quality Section
Washington Regional Office
943 Washington Square Mall
Washington, North Carolina 27889
RE: URGENT - Wastewater Collection System Improvements
Washington Avenue Sewer Line Replacement
City of Kinston
Lenoir County
Dear Mr. May;
In the last six months, the City of Kinston has experienced several joint failures on an eight inch diameter
sewer main under Washington Avenue between Hwy 11 (Dr. Martin Luther King Jr. Blvd) and Quinerly
Street. Video from inside the pipe has confirmed several joints are failing and the old terra cotta pipe has
longitudinal cracking as well. The length of pipe in distress is 706 feet long. The city is preparing bid
documents to replace this section of pipe. All work will be in accordance with the Gravity Sewer
Minimum Design Criteria. No new flow will be added.
Enclosed are two copies of the Fast Track Sewer Extension Application for this project and a check for
$480.00, payable to the North Carolina Department of Environmental Quality for the plan review fee.
Anything that can be done to expedite the review would be appreciated.
Thank you for your consideration. We will be anxiously awaiting your approval of the permit application.
Should you have any questions or comments, please do not hesitate to contact me by email at
[e-mail] or by telephone at 252-939-3285.
Sincerely,
�C
Steve filler, P.E.
Assistant Director of Public Services
attachment