WQ0041535_Application (FTSE)_20200309

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 Resources15A
04-16 & SUPPORTING DOCUMENTATION
Application Number: �'`�q 0o{ (w be completed by pWR)
All items must be com leted or the application will be returned
I. APPLICANT INFORMATION:
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L Applicant's name: Town of Smithfield (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: Ted Credle per 15A NCAC 02T .o I o6 b1
Title: Public Utilities Director
4. Applicant's mailing address: 230 Hos itai Road
City: Smithfield State: NC Zip: 27577-_
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Applicant's contact information:
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Phone number: [phone] Email Address: ted.credle .smithfield-nc.com
II. PROJECT INFORMATION:
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I. Project name: Tima Sewer Extension
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2. Application Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
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If a modification, provide the existing permit number: WQ00and 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: Johnston
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.52996' Longitude:-78.33117
5. Parcel ID (if applicable): I69408-98-6016
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
I. Professional Engineer: Andrew W. Hodge, PE License Number: 21094
Firm: Adams & Hod a En i eering, PC
Mailing address: 314 E. Main Street
City: Clayton State: NC Zip: 27520-�
Phone number: 919 369-1938 Email Address: andrew .adamsandhod e.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Central Johnston Co WWTP Permit Number: 00-30716
Owner Name: Johnston Counjy
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if dirferent than WWTF):
I. Permit Number(s): WQ_ Downstream (Receiving) Sewer Size: 8 inch
SystemWideCollection Svstem Pert riitNumber(s) (if a linable): W CS00 ��
Owner Name(s): Town of Smithfield o o Z7D -SNni4kre�r
FORM: FTA 04-I6 Page I of 5

Vl. GENERAL REQUIREMENTS
L 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 Devclo erp 's U�,erational Agreement (FORM: DES been attached?
❑ Yes ❑No ®N+A
3. If the Applicant is a Horde?P�ae 1X Ow ers' , ssA ation, has an 0 erational A �r� eement (FORM: HA) been attached?
❑ Yes []No ON -A
4. Origin of wastewater: (check all that apply):
❑ Residential Owned ❑ Retail (stores, centers, malls)
El Residential Leased El Car Wash
❑ 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
El Businesses!' offices /factories El Swimming Pool:�Filter Backwash
❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: % Domestic. -'Commercial°° Commercial
% Industrial (See 15A NCAC 02T02T .010.. 3€20)]
2Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A N12AC 02T .01 14(f)? ❑ Yes ❑ No
If yes, provide a co of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0111W Daily Design Flow''' No. of Unitsl Flow
gal/
GPD
gal/
GPD
gall
GPD
gall
GPD
gall
GAD
gall
GPD
Tolal
GAD
a See 1 SA NCAC VT .01 14(b).. (d)�[ " I I and fe 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 C.S. 42A-4).
b Per 15A NCAC 02T .01 14(c), design flow rates for establishments not identified [in table 15A N'C.AC 02T.0114] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: _ GPD (per 15A NCAC 02T .01 14)
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):
NORM: FTA 04-16 Page 2 of 5

Vli
Vill.
GRAVITY SEWER DESIGN CRITERIA (I r Applicable) - 02T .0305 & MDC Gravit Sewers
Summarize gravity sewer to be permitted:
Size (inches) I Length (feet) Material
8" +/-150 PVC
Section 11 & 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
PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC(Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
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 1W NCAC 021.0305(h:
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(13)_
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)(I)(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(t)):
I. Does the project comply with all separations found in 115A NCAC 02T 030 &
® Yes n No
J A NLAC 0 02T.0305faI contains alternatives where separations in T. 30 cannot be achieved.
"Stream classifications can be identified using the Division's N S face W ter las ificatiorts wcb_Mee
Z If noncompliance with 02T.0305 I or * , see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes
See the Division's draft separation requirements for situations where separation cannot be meet No ❑ N. A
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 .02049 ® Yes ❑ No ❑ N A
This would include Trout Buffered Streams per ISA Nt.AC 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 401 & Buffer Permitting Branch
5. Does project comply with I5A NCAC 02 .0105(c)(6) (additional perm its.certifications)? ® Yes ❑ No
Per ISA NCA ' 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 ISA 1v'CAC 01T..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 perm ittee 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 q'rrauiat De gn.Criteria for the Putting of Pusan St HD
and Fork;c NlFiina (latest versiaiti), and the �}rayilY 5cwrrr Minimuin Design Criteria {intcsi version] as applicable?
® Yes ❑ No
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents for
review. Approval of the reguest il reguired prior to submittal of the Fast Tracts Application and supporting document
2. Professional Engineer's Certification:
I, Andrew Hodge, PE attest that this application for
(Professional Engineer's name from Application Item HI. I.)
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans, specifications,
engineering calculations, and all other supporting documentation to the best of my knowledge. I further attest that to the best
of my knowledge the proposed design has been prepared in accordance with the applicable regulations, Gravity Sewer
Minimum Design Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria for the Fast -Track Permitting
of Pump Stations and Force Mains (latest version). Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and
have judged it to be consistent with the proposed design.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $ L0,000, as well as civil penalties up to $25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per ISA NCAC 02T .0106(b):
1, Ted Credle, Public Utility Director
name & title from Application
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 ivill 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 retuned to me as
incomplete.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.bB, 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: 3 - — Z-6�
FORM: FTA 04-16 Page 5 ors

Akn A►MS &HODGE
la&99 ENGINEERING, PC
March 6, 2020
Ted Cashion
NC DWQ
3800 Barrett Dr
Raleigh, North Carolina 27609
Subject: TIMA Sewer Extension
Town of Smithfield
Johnston County
NC Dept of Environmental Quality
MAR - 9 2020
Raleigh Regional Office
Attached is one original and one copy of a complete Modified Fast Track Application for Gravity
Sewers, Pump Stations, and Force Mains, which includes the following:
1. Complete Modified Fast Track Application for Gravity Sewers, Pump Stations, and
Forcemains (Form FTA 04-16), signed by Engineer & Town
2. $480.00 Check for Application Fee
3. USGS Quad Map showing approximate site location
4. Street Level Map
NARRITIVE:
This application is for the Town of Smithfield gravity sewer system to serve future development. This
extension includes-1-150lf of new 8" gravity sewer and will connect to an existing Town of Smithfield
gravity sewer system, the existing permit number is unknown. This proposed gravity sewer will serve
future development, therefore there is "no flow" associated with this application.
If you have any questions or comments, please give me a call at 919-369-1938 or
email to [e-mail].
Sincerely,
Andrew Hodge, PE
ADAMS & HODGE ENGINEERING, PC . 314 East Main Street, Clayton, NC 27520 9 Office: 919-243-1332 • Firm License # C-4187

Robinson, Jason
From: Andrew Hodge <[e-mail]>
Sent: Monday, March 30, 20201:28 PM
To: Robinson, Jason; [e-mail]
Cc: Cashion, Ted
Subject: RE: [External] RE: Tima Sewer Extension
Attachments: CORRECTED SHEET 1OFS-03302020.pdf
WIFXVExternd email. Do not click links or open attachments"'un7ss-you verify. Send all suspicious email as an attachment to
ireport.sparnPnc.Roy
Hey Jason,
I addressed your comments below in red.
Please find attached the corrected sheet 1ofS.
Thanks!
Andrew Hodge, PE
Adams & Hodge Engineering, PC
314 E. Main Street
Clayton, NC 27520
(M) 919-369-I938
Finn # C-4187
From: Robinson, Jason <[e-mail]>
Sent: Friday, March 27, 2020 3:46 PM
To: Andrew Hodge <[e-mail]>; [e-mail]
Cc: Cashion, Ted <[e-mail]>
Subject: RE: [External] RE: Tima Sewer Extension
Andrew,
Another question and comment:
1. Item V. (on app) Does the sewer extension first go into Smithfield's CS (WQCS00270) before it goes into JoCo's
CS (WQCS00060)7 It does go into Smithfield's CS first. I corrected this number.
2. Item IVThe permit number for JoCo's WWTP is NCO030716 (the app says "00-30716") 1 corrected the permit
number to include NC and removed the -.
Thanks,
Jason
------------
Jason T. Robinson, P.E.
Raleigh Regional Office
Water Quality Regional Operations

NC Division of Water Resources, DEQ
919-791-4200
"Subscribe to Collection System & Sewer Permitting Updates"
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to
third parties.
From: Robinson, Jason
Sent: Friday, March 27, 202011:05 AM
To: Andrew Hodge <[e-mail]>; ted.credle smithfield-nc.com
Cc: Cashion, Ted <ted.cashion(Tncdenr.eov>; Deck, Erin M <erin.deck@ncdenr.&ov>
Subject: RE: [External] RE: Tima Sewer Extension
Thanks Andrew. That sounds good, we will proceed with the review of the app as -is.
-Jason
------------
Jason T. Robinson, P.E.
Raleigh Regional Office
Water Quality Regional Operations
NC Division of Water Resources, DEQ
919-791-4200
"Subscribe to Collection System & Sewer Permitting Updates'"
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Low and may be disclosed to
third parties.
From: Andrew Hodge fmailto:andrew(@adamsandhodge.com
Sent: Thursday, March 26, 20204:16 PM
To: Robinson, Jason <[e-mail]>; ted.credle Smithfield-nc.com
Cc: Cashion, Ted <ted [e-mail]>; Deck, Erin M <erin.deck ncdenr. ov>
Subject: [External] RE: Tima Sewer Extension
mall as 3n dam`
Hey Jason,
I have been in communication with Mr. Credle thru this process. You are right, the property this extension will serve will
be of a non-residential nature. Although any development will require a site plan and future sewer main extensions, that
must be permitted. This is where we propose to account for the future flow.
Please let me know if this does not answer any concerns you may have.
Thanks and stay safe!
Thanks!
Andrew Hodge, PE

Adams & Hodge Engineering, PC
314 E. Main Street
Clayton, NC 27520
(M) 919-369-I938
Firm # C-4187
From: Robinson, Jason <iason.t.robinsonOncdenr.eov>
Sent: Thursday, March 26, 2020 3:17 PM
To: Andrew Hodge <[e-mail]>; [e-mail]
Cc: Cashion, Ted <ted.cashion ncdenr. ov>; Deck, Erin M <[e-mail]>
Subject: Tima Sewer Extension
Mr. Hodge & Mr. Credle,
We've started reviewing the sewer extension application for the referenced project.
The permit states "no flow" , and that flow will be permitted in subsequent permits.
We have slight concern about this, because depending on the scenario (industrial/office park, for example), if the future
connections are done in a way that they do not require a permit (laterals serving single buildings that are permitted by
regulation according to 15A NCAC 02T .0303), they may not require a permit, and therefore the flow would never be
accounted for in future permits. Sometimes in similar situations, 880 gallons/acre is used for unknown non-residential
development (from 02T .0114(d), see below). That may not be appropriate for this situation, and that's fine, but just
wanted to run it by you and get your thoughts.
(d) Design daily flow rates for proposed non-residential developments where the type
known shall be designed for a minimum of 880 gallons per acre, or the applicant A
based upon anticipated or potential uses.
Thanks,
------------
Jason T. Robinson, P.E.
Raleigh Regional Office
Water Quality Regional Operations
NC Division of Water Resources, DEQ
919-791-4200
"Subscribe to Collection System & Sewer Permitting Updates"
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to
third parties.
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