WQ0041426_Application_20200313

State of North Carolina
Department of Environmental Quality
DWR 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: IL(�y(to be by DWR)
,�&Oq completed
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
I . Applicant's name: City of Henderson (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: Clark Thomas. P.E. per 15A NCAC 02T .0106(b)
Title: City Engineer
4. Applicant's mailing address: 900 S. Beckford Drive. PO Box 1434
City: Henderson State: NC Zip: 27536-
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5. Applicant's contact information:
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Phone number: (252) 425-51 7 Email Address: cthomasaa.ci.henderson.nc.us
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H. PROJECT INFORMATION:
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1. Project name: Henderson Vance Industrial Park Expansion
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2. Application/Project status: ®Proposed (New Permit) El Existing Permit/Project
If a modification, provide the existing permit number: WQ00 and issued date:
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If new construction but part of a master plan, provide the existing permit number: WQ00
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3. County where project is located: Vance
4. Approximate Coordinates (Decimal Degrees): Latitude: 36.273323° Longitude: -7 .3981 3'
5. Parcel ID (if applicable): 0453 05005
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Adam Kiker. P.E. License Number: 35038
Firm: LKC Engineering PLLC
Mailing address: 140 Aqua Shed Court
City: Aberdeen State. NC Zip: 28315-
Phone number: [phone] Email Address: adam0ftcengineerine.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Henderson Water Reclamation Facile Permit Number: NCO020559
Owner Name: City of Henderson
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ
System Wide Collection System Permit Number(s) (if applicable): WQCS00055
Owner Name(s): City of Henderson
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))
4Is there a Pretreatment Program in effect? [:)Yes' [:]No
6. Hasa flow reduction been approved under 15A NCAC 02T .0114(f)? ❑ Yes ®No
➢ If Yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 021.01140
Daily Design Flow t,b
No. of Units
Flow
Vance County Industrial Park
880 gal/Acre
79
69,520 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
69,520 GPD
a See 15A NCAC 02T .01 14(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.01 14] shall
be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
Wastewater generated by project: 69.520 GPD (per 15A NCAC 02T .0114) /
➢ Do not include future flows or previously permitted allocations V/
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 2,890 PVC & DIP
➢ Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
VIII. 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: Industrial Park #2
2. Approximate Coordinates (Decimal Degrees): Latitude: 36.273320 Longitude: -7 .39810'
3. Design flow of the pump station: 0.734 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 5 10 gallons per minute at 85 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
8
3,565
PVC, DIP
6
1,300
PVC
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(f) & (g)
➢ 15A NCAC 02T.0305 contains minimum se arations that shall be provided for sewers stems,
® 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 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 swimmingpools
10 feet
Final earth grade vertical
36 inches
➢ 15A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305(f1 cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications weboage
➢ If noncompliance with 02T.0305(1) or (a), 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 02 B .0200? ® Yes ❑ No
➢ This would include Trout Buffered Streams per 15A NCAC 2B.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 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
➢ 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 sic -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 Permitting „of_Pump Stations
and Force Mains (latest Fersion), 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. Avvroval of the re nest is required Brior to submittal of the Fast Track Avolication and supporting
documents.
2. Professional Enst neer's Certification:
I,
P.
(Professional Engineer's name from Application Item I1I.1.)
attest that this application for
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans, specifications,
engineering calculations, and all other supporting documentation to the best of my knowledge. 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 dat
3. Applicant's Certification per 15A NCAC 02T ,0106(b):
I, t--Aa-V- C • Cil-If GNf h l N C— 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/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: ffal / • 1, Date:
3 -/o -Zo2 o
FORM: FTA 04-16 Page 5 of 5

NC Dept of Environmental Quality
MAR 13 2020 State of North Carolina
" Department of Environmental Quality
"r
Raleigh Regional Office Division of Water Resources
r ; Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: City of Henderson
Project Name for which flow is being requested: Vance Industrial Park Expansion PS#2
More than one FTSE 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 flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Henderson Water Reclamation Facility
b. WWTP Facility Permit #: NCO020559
All flows are in MGD
c. WWTP facility's permitted flow 4.14
d. Estimated obligated flow not yet tributary to the WWTP .014
e. WWTP facility's actual avg. flow 2.183
f. Total flow for this specific request .06952
g. Total actual and obligated flows to the facility 2.266
h. Percent of permitted flow used 54.734
1I. 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 / pi),
Daily Flow,
Daily Flow,
Obligated
Available
Number)
MGD
MGD
MGD
MGD
Flow
Capacity***
Ind Park
D S' 447
0.734
.2936
0
.06952
.06952
.2240
Martin PS
1.173
Al ; 099 _
0.254
.06952
.3235
.1455
Sandy PS
3.960
1.5840
1.100
.06952
1.1695
.3888
* 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):
Downstream Permit Number:
Page 1 of 6
FTSE 04-16

111. Certification Statement:
I H.Lamont Allen certify to the best of my knowledge that the addition of
the volume of wastewater to be pernutted 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
pf 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 flow.
f�
Signing Officia Signature D to
Page 2 of 6
FTSE 04-16

? aye-NniA
Lis
tAtion
Discharge Location of !Y
New 8-inch Force Main
N LYNNS&W-RO
�y � � a r r - .� � i s � --- r � •
2,890 Linear Feet of t �r
i 8-inch Gravity Sewer �--�. -- �� Industrail Park f
Expansion Property s r
New 3,565 LF of
8-inch Force Main 3
-. New 1,300 LF of 6-inch Force Main -„ wLNFOR LN N
to Divert Flow to New Pump Station
f 5
u� � � � • N RWOOD W �
x New Industrial Park ti--' -
- Pump Station BEAVERDgM-RD
t
LEGEND
PUMP STATION
Ilk
i ,j� -ti ^V GRAVITY SEWER
8-IN FORCE MAIN
3i '"�PETER GILLRD`
*_ 14—
{ 6-IN FORCE MAIN
Roads
Industrial Park Expansion Property
N
VANCE COUNTY INDUSTRIAL PARK EXPANSION
VANCE COUNTY, NC W E
LKC ENGINEERING, PLLC USGS TOPOGRAPHIC MAP S

Deck, Erin M
From: Deck, Erin M
Sent: Wednesday, February 19, 2020 8:41 AM
To: [e-mail]; [e-mail]; [e-mail]
Subject: Henderson Vance Industrial Park Expansion
Good morning,
We are in the process of reviewing the subject sewer extension fast track application and require additional information.
• The narrative lists the length of 6 inch force main as 1,350 If, however, section VIII.5. requests 1,320 If of 6 inch
force main. Please revise the appropriate section.
• A flow Tracking/Acceptance form was not included in the application.
• A query of our database does not list the City Engineer as having signatory authority. Please verify that Clark
Thomas, City Engineer, has signatory authority (please review 15A NCAC 02T.016 if clarification is needed.)
• Per General instruction F. Site maps, a street level map (aerial) showing the general project area was not
included in the application.
• Section IX.4. is checked "yes" that the project requires coverage under a 404/401. A review of our database
does not show an application matching this project. Is the application being prepared, has been applied for or
has been obtained?
• Due to the length of the project, please verify that there are no high priority lines.
Please note that incomplete applications increase review time, require that we send requests for additional information,
and delay the issuance of permits. Please ensure all applications are fully completed prior to submittal to expedite
issuance of permits.
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.

Deck, Erin M
From:
Jackson Maples <[e-mail]>
Sent:
Monday, March 16, 2020 2:27 PM
To:
Deck, Erin M
Cc:
Logan Parsons
Subject:
[External] Henderson Vance Industrial Park Resubmittal
Follow Up Flag:
Follow up
Flag Status:
Flagged
i xterr►al email. Do not cliffs ltnks or open attachments unless you verify. Send all suspicious email as an attachment to
re arts am nc.
Good Morning Erin,
Sorry about the inconvenience, I was not aware a narrative was needed for the resubmittal. Below is the revised
narrative, please let me know if you have questions or there is anything else I can do.
The project features an addition to the City of Henderson sewer collection system by installing new gravity
sewer, duplex pump station, force main, and associated appurtenances to serve a new portion of the Vance
County Industrial Park. The new sewer infrastructure includes the installation of approximately 2,890 feet of 8"
gravity sewer, one new duplex pump station with a design point of 510 GPM at 85' TDH, and approximately
3,565 feet of 8" force main discharging to Henderson's existing collection system. The project also features the
installation of approximately 1,300 feet of 6" force main that will divert flow from an existing pump station to
the new pump station for operation and maintenance purposes. The additional wastewater generated from
the proposed project is approximately 69,520 GPD as shown in the application.
Thank you
Jackson Maples, E.I.
L,K(C
LKC Engineering, PLLC
140 Aqua Shed Court
Aberdeen, NC 28315
Ph: [phone]
Fax: [phone]
Cell: [phone]
www.lkcengineering.com [Ikcen ineering coml
1

1*
March 10, 2020
*C
Deck, Erin M _,eptonl
NCDEQ Raleigh
Drive
Office
3800 Barrett � �`�pb�ejitat
Raleigh, NC 27609 Q4ality
Rol
le 2®
Re: Henderson Vance Industrial Park Expansion
City of Henderson g �b�io17a
Fast -Track Sewer Application Re -submittal (Response to Comments) to fnc'e
Dear Ms. Deck:
Regarding the above referenced project, please find the below itemized responses to each of the
received comments. For clarity, all comments are listed below with our responses bold and italicized
under each.
• The narrative lists the length of 6 inch force main as 1,350 If, however, section VIII.5. requests
1,320 If of 6 inch force main. Please revise the appropriate section.
The length of the 6" force main was revised to 1,300 If and has been updated on the revised
application enclosed.
• A flow Tracking/Acceptance form was not included in the application.
FTSE application for associated project is enclosed with the attached resubmittal.
• A query of our database does not list the City Engineer as having signatory authority. Please
verify that Clark Thomas, City Engineer, has signatory authority (please review 15A NCAC
02T.016 if clarification is needed.)
A delegation letter has been prepared by the City of Henderson to allow the City Engineer
signing authority. This delegation letter is enclosed with this resubmittal.
• Per General instruction F. Site maps, a street level map (aerial) showing the general project area
was not included in the application.
A site map with an aerial is now enclosed with the attached resubmittal as indicated on the
attached application.
• Section IX.4. is checked "yes" that the project requires coverage under a 404/401. A review of
our database does not show an application matching this project. Is the application being
prepared, has been applied for or has been obtained?
This box was checked incorrectly on the last submittal. This project does not require a 401 /
404 permit. The attached application has been revised accordingly.
LKC Engineering, PLLC, 140 Aqua Shed Court, Aberdeen, North Carolina 28315
PII: 910/420-1437 * FAY: 910/637-0096 * License No. P-1095

• Due to the length of the project, please verify that there are no high priority lines.
No high priority lines will be installed as part of this project.
One paper copy of all revised documents is included with this response document. In addition, an email
is being sent to [e-mail] and will include a PDF copy of all revised documents mentioned
above.
Please do not hesitate to contact me at [phone] or [e-mail] if you have any
questions.
Sincerely,
LKC Engineering, PLLC
Jackson Maples, E.I.