WQ0041572_Application (FTSE)_20200319

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VIL GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravitb Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet) Material
8
527 DIP
12
2129 DIP
16
632 DIP
D Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
D Section III contains information related to minimum slopes for gravity sewer(s)
D 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 Satlona/Force Malns):
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) I Length (feet) I Material
6. Power reliability in accordance with I SA NCAC 02T .0305f h 1111:
❑ Standby power source or pump with automatic activation and telemetry -I SA NCAC 02T .0305(h)(1)(B);
D Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
D 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
❑ Portablo 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.
D 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)):
1. Does the project comply with all separations found in I5A NCAC 02T .03050) & (c) ® 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 includinp 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 H 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 prade (vertical)
36 inches
➢ 15A NCAC 02T.0305ty) contains alteratives where separations in 02T.03050 cannot be achieved.
➢ '�"Stream classifications can be identified using the Division's NC Surface Water Classifications webpaee
D If noncompliance with 02T.0305(f) 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 1 A CAC 02T.0105(c)(6) (additional pennits/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 bave been obtained. Issuance of this permit is contingent on issuance of dependent permit_% (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 Unes 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 MLnimum DosI - Criteria for the Permittine of Pumn Stations
and Force Mains (latest version] and the Gravity Sewer Minimum Design-Crltotia latest veaaiopj 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 supportive documents
2. Professional Engineer's Certification:
`'►' � S' �!R �1Z-1'1 attest that this application for
(Professional Engineer's name from Application Item 111.1.)
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 143-215.61), 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 viWation. � � ,
North Carolina Professional Engineer's seal, signature, and date:
SEAL ' ,
11
20106 �=
``4lGINF��•'�
S . 13PFL'��
3. Applicant's Certification per 15A NCAC 02T .0106(b):
1, 1, rJy�`� _2 t�G�z,r cA _i.l�'illc�t LIC s 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.
_ NC Dept olEn*olmlepW Quj%tgt 1�1 Zoza
MAR 19 2020
Raleigh Regional Office
FORM: FTA 04-16 Page 5 of 5

e t of Environmental Quality State of North Carolina
TICD p Department of Environmental Quality
DWR MAR 19 20211 Division of Water Resources
Division of Water Resources Flow Tracking for Sewer Extension Applications
" 1tag
e0a0I of"Ce (FTSE 10-18)
Entity Requesting Allocation: City of Wilson
Project Name for which flow is being requested: Evolve at Heritage
More than one FTSE nnay 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 wastewaterJlow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Hominy Swamp Water Reccamation Facility
b. WWTP Facility Permit #: NC0023906
All flows are in MGD
c. WWTP facility's permitted flow 14 MGD
d. Estimated obligated flow not yet tributary to the WWTP 1.11586
e. WWTP facility's actual avg. flow 8.86 MGD
f. Total flow for this specific request 0.037
g. Total actual and obligated flows to the facility 9.97856
h. Percent of permitted flow used 71.27
Il. 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
(Name or Permit
Number) No.
3 WQCS00021
4 WQCS00021
(A)
(B)
Design
Average
Approx.
Daily
Current
Firm
Flow**
Avg. Daily
Capacity, *
(Firm / p0,
Flow,
MGD
MGD
MGD
4.320
1.728
1.06
6.264
2.506
1.66
(C)
(D)=(B+C)
(E)=(A-D)
Obligated,
Total
Not Yet
Current Flow
Tributary
Plus
Daily Flow,
Obligated
Available
MGD
Flow
Capacity***
0.34957
1.4466
0.2814
0.33725 2.0343 0.4714
* 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): Hominy Swamp Water Reclamation
Downstream Permit Number: NC 0023906
Page 1 of 6

Ill. Certification Statement:
I W.T. Bass IV, PE 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 Il 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 Oycral —Signature
— peri& s able, uLk4
Title of Signing Official
Page 2 of 6
VIM In 10

w■ �
1906 Nash Street North Wilson, NC 27893-1726
Phone: [phone] Fax: [phone]
www.bardeu.us.com
March 17, 2020
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
Raleigh Regional Office
1628 Mail Service Center
Raleigh, North Carolina 27699-1628
Reference: Fast Track Application for Gravity Sewers
Public Offsite Sewer Extension
Evolve at Heritage
3761 Raleigh Road Parkway W.
Wilson, North Carolina
To Whom It May Concern:
NC Dept of Environmental Quality
MAR 19 2020
Raleigh Regional Office
Enclosed for your review and approval are two (2) copies of the following items related to the
above referenced project:
■ Fast Track Application for Gravity Sewers
■ Flow Tracking / Acceptance Form
■ Quad/Location Map
■ Aerial Photo
This project consists of 8", 12" & 16" DIP Gravity Public Sewer Extension to serve a proposed Multi -
Phase Apartment Complex located at 3761 Raleigh Road Parkway W. in Wilson, NC. Phase 1 of the
proposed complex will consist of 264 residential units, a clubhouse, pool house and a maintenance
building. This public outfall gravity sewer main extension is proposed to discharge into the existing
15" gravity main sewer line, located to the southwest of the project, within an existing 30' sewer
easement recorded in DB 2808 at Page 449. This proposed gravity sewer main extension will also
include some steel encased 16" DIP along with some 12" & 16" DIP installed upon piers.
P PROJECT FILES Evahe r Flen Lace Pammns K'DI, V Smlan Seca Oatall ID 021 NCDENR Owtalt sew Cova Lena dM

Also enclosed is the $480.00 sewer permit application fee. Should you have any questions or
require further information during your review, please let us know.
Respectfully,
�,
Steve Oliverio
Project Manager
Enclosures
P _PROJECT FILES Ewkc a fimL%c Pamttws NCDEQ Stmtry Se Cr OmM 19 021 NICE) 'R Outfdl Sw Com Laia.doc

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