WQ0041544_Application (FTSE)_20200311

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
47;!W�. 15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
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Application Number: (to be comple��d by DwR) _ Ors ►, e�
All items must be completed or the application will be returned S
I. APPLICANT INFORMATION:
1. Applicant's name: Edgecombe County Water & Sewer (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: Michael C. Matthews per 15A lvCAC 021' .0) 06(b)
Title: Utilities Director
4.
Applicant's mailing address: 201 Saint Andrew St, P.O.Box 10
City: Tarboro State: NC Zip: 27886-
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5.
Applicant's contact information:
Phone number: [phone] Email Address: michaelm s .ed ecombec com
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II. PROJECT INFORMATION: �xTriS is E.l,� t+•�'�c
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Project name: NCDOTTIP Project B-5671 Sce�,t,,���'��aSj+�.,
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2.
Application/Project status: Proposed (New Permit) xisting Permit/Project
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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: Edgecombe
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4.
Approximate Coordinates (Decimal Degrees): Latitude: 35.980489 Longitude:-77.594054
5.
Parcel ID (if applicable):
(or Parcel ID to closest downstream sewer)
Ill. CONSULTANT INFORMATION:
1. Professional Engineer: Marco R. Menendez License Number: 032322
Firm: KCI Associates on North Carolina, PA
Mailing address: 4505 Falls ofNeuse Road. Suite 400
City: Raleigh State: NC Zip: 27609-
Phone number; 9I9 783-9214 Email Address: marco.menendez a,kci.com
1V. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Tar River Regional Wastewater Treatment Plant Permit Number: NCO030317
Owner Name: City of Rocky Mount
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ Downstream (Receiving) Sewer Size: inch
System Wide Collection S stem Permit_Numbe s (if a p icable : WQCS 4 D3 -6 EjL jecvo �
Owner Name(s): W QGS O o 011- Rvd1 A ov, l
=ORM: 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 ON. A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DE V3 been attached?
[]Yes ❑No ON'A
3. If the Applicant is a l lome?Propert Owners�Associati i has an Operational Agreement (FORM: 1 [OA) 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 iday care ❑ Medical ! dental i 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 .01p3L20))
-Is there a Pretreatment Program in effect? ❑ Yes []No
6. Hasa flow reduction been approved under 15A NCAC 02T _0 114ffi? [:]Yes ®No
D If yes, provide a cony of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.01140
Daily Design Flow' a
No. of Units
Flow
gat/
GPD
gall
GPD
gall
GPD
gal/
GAD
gall
GPD
gal/
GPD
Total
GPD
a See 51. A NCAC 02T .0114(b). (d), (e)t I I and (c)(?) 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. 42A4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified (in table 15A NCAC. 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: 0 GPD (per 15A NCAC 02T .41 14)
e 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- I6 Page 2 of 5

VH. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
z Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
z Section III contains information related to minimum slopes for gravity sewer(s)
Z 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:
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
8
829
HDPFJPVC
8
223
PVC
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6. Power reliability in accordance with 15A NCAC 02T .0303 5(h)(1):
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(B)_
z Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
t 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.
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: PTA 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) & (y ® 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 CIass I or
Class 11 impounded reservoirs used as a source of drinking water
100 feet
"Waters classified WS (except WS-1 or WS-V), B, SA, ORW, HQW, or SB from normal
hi h 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 Mope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimmin ools
10 feet
Final earth grade (vertical)
36 inches
15A NCAC 02T.0305(el contains alternatives where separations in 02T.0305(D cannot be achieved.
**Stream classifications can be identified using the Division's NC Surface Water Classifications webpag
> If noncompliance with 02T.0305(f) or (el. see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) IY
es ® No ❑ N.-'A
See the Division's draft separation requirements for situations where separation cannot be met Sl. w bt " *t "
D No variance is required if the alternative design criteria specified is utilized in design and construction See
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?authorization under a 404 Nationwide or Yes ® No
individual permits or 401 Water Quality Certifications?
jd 6C -yes"*
SC f
D Information can be obtained from the 401 & Buffer Permitting Branch A �'OkC rd e mix'- 1.
W�--) — 312
5. Does project comply with 15A NCAC 02T.0105(cl(6] (additional pennits,'certifications)? ® Yes ❑ No
Per 15A.NCAC 02T.0I05{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, e1c.).
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

X. CERTmCATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains latest version, and the Graviiy Sewer Minimum Design Criteria latest version as applicable?
® Yes ❑ No
If No, complete and submit the Varianec/Alternativc Design Request application (VADC 10-14) and supporting documents for
review. Approval of the request is required prior to submittal of the Bast Track Application and supporting documents.
2. Professional Engineer's Certification:
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(Professional Engineer's n
ame from Application Item III. I.)
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 143-215.613, any person who knowingly males any Use
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 per 15A NCAC 02T A 106(b):
name & title from Application Item 1.3.)
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that this application for
has been reviewed by me and is accurate and complete to the best of my lmolvledge. 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 relied 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 _ �z
FORM: FTA 04-16 Page 5 of 5

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Robinson, Jason
From: Marco Menendez <[e-mail]>
Sent: Tuesday, April 21, 2020 12:42 PM
To: Robinson, Jason
Cc: Cashion, Ted; [e-mail]; Angelica Pura
Subject: RE: [External] RE: Sewer Permit - NCDOT TIP Project B-5761
Etrtecnal ettTail. Do outalick links or open attat�rnents unless you verify. Send all suspicious email at an attachment to 4
�e�art.sparnC�ne.r�av `'
Thank you Jason!
Marco R. Menendez, PE, PACP, MACP, LACP
Water Wastewater Practice Leader
KCI
KCI Associates of North Carolina, P.A.
4505 Falls of Neuse Road, Suite 400, Raleigh, NC, 27609
marco,menendez-kci.com
o: 919.278.2563 1 m: 919.215.2786 1 f: 919.783,9266
www.kci.com fkci.coml
RISE TO THE CHALLENGE
From: Robinson, Jason <jason.t.robin [e-mail]>
Sent: Tuesday, April 21, 202012:41 PM
To: Marco Menendez <[e-mail]>
Cc: Cashion, Ted <[e-mail]>; [e-mail]; Angelica Pura
<[e-mail]>
Subject: RE: [External] RE: Sewer Permit - NCDOT TIP Project B-5761
Thanks Marco,
I will amend the application and attach this email as confirmation for the amendments (typically we'd want a revised
and re -signed application to correct these errors/revisions, but during these difficult times, I'll amend it for ease).
(Also, Rocky Mount's DWR Collection System Permit # is WQCS00011)
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 maybe subject to the North Carolina Public Records Law and may be disclosed to
third parties.
Based on the current guidance to minimize the spread of COVID-19, the Department of Environmental Quality has
adjusted operations to protect the health and safety of the staff and public. Many employees are working remotely or
are on staggered shifts. To accommodate these staffing changes, all DEQ office locations are limiting public access to
appointments only. Please check with the appropriate staff before visiting our offices, as we may be able to handle your
requests by phone or email. We appreciate your patience as we continue to serve the public during this challenging
time.
From: Marco Menendez [mailto:Marco.Menendez kci.com]
Sent: Monday, April 20, 2020 2:28 PM
To: Robinson, Jason <iason.t.robinson ncdenr. ov>
Cc: Cashion, Ted <ted.cashion(&ncdenr.g-o_v>; Deck, Erin M <erin.deck ncdenr. ov>;
[e-mail]; Angelica Pura <[e-mail]>
Subject: [External] RE: Sewer Permit- NCDOT TIP Project 8-5761
Wal,erdat Etp`'46 s. iE�ks orf0pe -a achmehts uNess you venfy. Send all suspicio[rs, a an r . ep
Jason ... I have received the information about the collection system (Section V.1 of the application) from Michael
Matthews. This information is as follows:
Wastewater is pumped to the City of Rocky Mount for treatment... City of Rocky Mount's ID# is — 04-64-010
Edgecombe County Water & Sewer Permit #: WQCS00356
Thanks!
Marco
Marco R. Menendez, PE, PACP, NIACP, LACP
J rater/{{ asieirater Practice Leader
KCI
KCI Associates of North Carolina, P.A.
4505 Falls of Neuse Road, Suite 400, Raleigh, NC, 27609
[e-mail]
o: 919.278.2563 1 m: 919.215.2786 1 f: 919.783.9266
www.kci.com kci.com
RISE TO THE CHALLENGE
From: Marco Menendez
Sent: Monday, April 20, 20201:56 PM
To: 'Robinson, Jason' <[e-mail]>
Cc:'Cashion, Ted' <[e-mail]>;'Deck, Erin M' <[e-mail]>;

'[e-mail]' <michaelmatthews eedgecombeco.com>; Angelica Pura
<Angelica.Pura(@kci.com>
Subject: RE: Sewer Permit - NCDOT TIP Project B-5761
Hello again Jason ... I apologize for the confusion... there are no wetland impacts associated with the sewer force main on
this project. The minor wetland impacts were associated with the water main portion of this project (on the other side
of the road) ... but not the sewer force main. A 401/404 permit has been obtained. The impacts associated with sewer
force main construction are Riparian Buffer Zone 2 impacts only, as shown in the permit plan snippet below. The
majority of this pipeline is being constructed via horizontal directional drilling and the Zone 2 buffer impacts are for
contractor HDD equipment setup.
SITE I
HAND
CLEARING
1
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Marco R. Menendez, PE, PACP, MRCP, LACP
kraterlWastewatop+r Practice Leadcr
KCI
KCI Associates of North Carolina, P.A.
4505 Falls of Neuse Road, Suite 400, Raleigh, NC, 27609
marco.menendez kci.com
o: 919.278.2563 1 m: 919.215.2786 1 f: 919.783.9266
www.kci.com fkci.coml
RISE TO THE CHALLENGE
From: Marco Menendez
Sent: Monday, April 20, 20201:36 PM
To:'Robinson, Jason' <[e-mail]>
Cc: Cashion, Ted <ted.cashion @ncdenr.eov>; Deck, Erin M <erin.deck ncdenr. ov>;
michaelmatthews ed ecombeco.com• Angelica Pura <An [e-mail]>
Subject: RE: Sewer Permit - NCDOT TIP Project 8-5761
Jason,
Please see my responses to your comments in red below, and please let me know how I should proceed.
We look forward to hearing back from you soon.

Thanks!
Marco
Marco R. Menendez, PE, PACP, NIACP, LACP
N'attir'6P -avokwaer Practice Lcadcr
KCI Associates of North Carolina, P.A.
4505 Falls of Neuse Road, Suite 400, Raleigh, NC, 27609
marco.menendez kci.com
o: 919.278.2563 1 m: 919.215.2786 1 f: 919.783.9266
www.kci.com Ikci.coml
RISE 10 THE CHALLENGE
From: Robinson, Jason
Sent: Friday, April 3, 2020 4:08 PM
To: michaelmatthews ed ecombeco.com; marco.menedezRkci.com
Cc: Deck, Erin M <[e-mail]>; Cashion, Ted <[e-mail]>
Subject: Sewer Permit - NCDOT TIP Project 8-5761
Mr. Menendez and Mr. Matthews,
We are reviewing the referenced application for the replacement of forcemain that crosses Swift Creek and have the
following questions:
1. Item 11.2 states that this is an existing permit/project, but no permit number is provided. Was this forcemain
covered under an earlier permit? This was an error...this permit application is not associated with an existing
project. This is for a new project.
2. ItemV.1 was not completed. I assume this is part of Edgecombe County's Collection System, and it eventually
goes into Rocky Mount's CS before going to RM's WWTP? If so, please provide these collection system
numbers. Collection system numbers have been requested, and are being provided by Michael Matthews,
3. Item IX.2 was checked "No" for meeting wetland separation requirements. Please explain. There are minor
wetland impacts for construction setup of a horizontal directional drill of the new force main piping.
4. Item IX.4 states that a 401/404 is not required for this project. Is this correct? This is an error. A 401/404
permit has been obtained.
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.

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KCI
ASSOCIATES OF NC
150 9001:2015 {ERFIFIED
E N G 1 N C E R S + P LA N N E R S S C I E N T I S T S • C 0 N 5 T R V C T 10 N M ANA G E R S
-1505 falls of Neuse Rd . tiwle 400 - IL-Ieigh, NC 27W9 - Phone [phone] - Pax 919 783 9266
March 11, 2020
Raleigh Regional Office Water Quality Section
1628 Mail Service Center
Raleigh, NC 27699-1628
Subject: Fast Track Application for NCDOT TIP Project B-5671
To Whom It May Concern:
XCb'ProfZnvlronment
a! Qualir3
MAR 112020
1leigb Regional Office
fficc
We are submitting our application requesting a fast track permit for relocation design of an
existing 8" sanitary force main adjacent to Bridge No. 87 over Swift Creek on NC-97. At this
location, NCDOT is currently in progress with design activities to replace the existing bridge, and
the construction of the bridge will interfere with the existing force main.
We have prepared the relocation plans, profiles and standard details in accordance with NCDOT
standards and the NCDEQ Minimum Design Criteria for the Permitting of Pump Stations and
Force Mains. Horizontal Directional Drilling (HDD) is proposed for installations of new force
main of the same size as existing, as shown in the utility construction plans. The total length of
the force main to be relocated is approximately 1,052 linear feet. There is no new generation
of wastewater associated with this project.
One original and one copy of the following documents are included in this application:
➢ Fast Track Application;
➢ $480 review fee check,
➢ USGS Topographic Map; and
➢ Street Level Map;
Please review the application documents, and provide any feedback to me. I can be reached by
phone at 919-783-9214, or by e-mail at [e-mail].
We look forward to hearing back from you soon.
Sincerely,
1/4-11-7
LV
Marco R. Menendez, PE
Employee -Owned Since 1988
RISE TO THE CHALLENGE -- — %%r%vw,KCI.CO%I