WQ0041596_Application (FTSE)_20200330 (2)

004
Fast Track Application for;
Water & Wastewater System Improvements
Water/Sewer District 6
Edgecombe County, North Carolina
March 2020
T.T
THE WOOTEN COMPANY
301 West 14th Street. Greemoffie NC 27634
Firm License: F-0115
TWC Project No. 2488-GU
v
c
T
co
O
o

NC Dept of Environmental Quality
MAR 3 0 2020 1 T
Raleigh Reg119f*TE N COMPANY
301 West 14th Street, Greenville, NC 27834
TO: Mr. Danny Smith
Division of Water Resources
NC Department of Environmental Quality
3800 Barrett Drive
Raleigh, NC 27609
TRANSMITTAL
Transmittal Sent Via:
❑ Regular Mail ❑ FedEx ® UPS
❑ Certified Mail ❑ Courier ❑ Pick-up
DATE, March 27, 2020 TWC No.: 2488-GU
RE: Edgecombe D6 Water and Wastewater System
Improvements
Fast Track Sewer Permit
Edgecombe County, NC
WE ARE SENDING:
® Attached ❑ Under separate cover via the following items:
❑ Shop Drawings
❑ Prints ❑ Plans
❑ Samples ❑ Specifications
❑ Copy of Letter
❑ Change Order ❑ Other
COPIES DATE
DESCRIPTION
2 Mar 2020
1 Original & 1 Copy of Fast Track Edgecombe D6 Sewer Permit
THESE ARE TRANSMITTED as checked below:
® For Approval
❑ Reviewed
❑ Revise and Resubmit
® For Your Use
❑ Rejected
❑ Submit Copies for Distribution
❑ As Requested
❑ Corrected
❑ Return Corrected Print
❑ For Review and Comment ❑ Other:
❑ For Bids Due [ 1 ❑ Prints Returned after Loan to Us
REMARKS: please find enclosed the sewer permit on behalf of Edgecombe County WSD6. If you
should have any questions or need additional information, please do not hesitate to
call us at (2521757.1096.
SIGNED:
Willi A. Larsen, PE
Enclosures
via: UPS
cc: Eric Evans, Edgecombe County Manager
If enclosures are not as noted, kindly notify us at once.

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 - FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION
This application is for sewer extensions involving gravity sewers, pump stations and force mains, or any combination that has been
certified by a professional engineer and the applicant that the project meets the requirements of 15.E NCAC 02 Y and the Division's
Minimum Design Criteria and that plans, specifications and supporting documents have been prepared in accordance with, 15A
NCAC 02T, 15A NCAC 02T .0300, Division Policies and coed engneerine Practices.
While no upfront engineering design documents are required for submittal, in accordance with 15A NCAC 02T .0305(b), design
documents must be prepared prior to submittal of a fast track permit application to the Division. This would include plans, design
calculations, and project specifications referenced in 15A NCAC 02T .0305 and the applicable minimum design criteria. These
documents shall be available upon request by the Division.
Projects that are deemed permitted (do not require a permit from the Division) are explained in 15A NCAC 02 1'.0303.
Projects not eligible for review via the fast track process (must be submitted for full technical review):
%► Projects that require an environmental assessment in accordance with 15A NCAC I .0100;
Projects that do not meet any part of the minimum design criteria (MDC) document;
Projects that involve a variance from the requirements of 15A NCAC 2T;
Pressure sewer systems utilizing septic tank -effluent pumps (STEPS) or simplex grinder pumps;
STEP or simplex grinder pumps connecting to pressurized systems (e.g. force mains);
i Vacuum sewer systems.
General When submitting an application, please use the following instructions as a checklist in order to ensure all required
items are submitted. Adherence to these instructions and checking the provided boxes will help produce a quicker review time
pnd reduce the amount of requested additional information. Failure to submit all required items will necessitate additional
rocessing and review time, and may result in return of the application. Unless otherwise noted, the Applicant shall submit
one original and one copy of the application and supporting documentation.
A. One Original and One Copy of Application and Supporting Documents
® Required unless otherwise noted
B. Cover Letter (Required for All Application Packages):
® List all items included in the application package, as well as a brief description of the requested permitting action.
i► Be specific as to the system type, number of homes served, flow allocation required, etc.
If necessary for clarity, include attachments to the application form.
C. Application Fee (All New and Major Modification Application Packages):
® Submit a check or money order in the amount of $480.00 dated within 90 days of application submittal.
D Payable to North Carolina Department of Environmental Quality (NCDEQ)
D. Fast Track (Form: FTA 04-16) Application (Required for All Application Packages):
® Submit the completed and appropriately executed application.
i If necessary for clarity or due to space restrictions, attachments to the application may be made.
❑ If the Applicant Type in Item 1.2 is a corporation or company, provide documentation it is registered for business with
the North Carolina_ Secretary of State.
❑ If the Applicant Type in Item 1.2 is a partnership or d/bla, enclose a copy of the certificate filed with the Register of
Deeds in the county of business.
❑ The Project Name in Item 1I.1 shall be consistent with the project name on the flow acceptance letters, agreements, etc.
❑ The Professional Engineer's Certification on Page 5 of the application shall be signed, sealed and dated by a North
Carolina -licensed Professional Enaineer.
❑ The Applicant's Certification on Page 5 of the application shaII be signed in accordance with 15A NCAC 02T .0106(b).
Per 15A NCAC 02T .0106(c), an alternate person may be designated as the signing; official if a delegation letter is
provided from a person who meets the criteria in 15A NCAC 02T .0106(b).
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page I of

E. Flow Tracking/Acceptance Form (Form: FTSE 04-16) (If Applicable):
® Submit the completed and executed FTSE Farm from the owners of the downstream sewers and treatment facility.
Multiple forms maybe required where the downstream sewer owner and wastewater treatment facility are different.
`- The flow acceptance indicated in form FTSE must not expire prior to permit issuance and must be dated less than one
year prior to the application date.
Submittal of this application and form FTSE indicates that owner has adequate capacity and will not violate G.S. 143-
215.67(a).
Intergovernmental agreements or other contracts will not be accepted in lieu of a project -specific FTSE.
F. Site Maps (All Application Packages):
® Submit an 8.5-inch x I I -inch color copy of a USGS Topographic Map of sufficient scale to identify the entire project
area and closest surface waters.
D Location of the project (gravity sewer, pump stations & force main)
Downstream connection points and permit number (if known) for the receiving sewer
® Include a street level map (aerial) showing general project area so that Division staff can easily locate it in the field.
G. Existing Permit (All Modification Packages):
❑ Submit the most recently issued existing permit.
❑ Provide a Iist of any items within the permit the Applicant would like the Division to address during the permit
modification (i.e., permit description, flow allocation, treatment facility, etc.).
H. Power Reliability Plan (Required if portable reliability option utilized for Pump Station):
® Per 15A NCAC 2T .0305(h)(1), submit documentation of power reliability for pumping stations.
r This alternative is only available for average daily flows less than 15,000 gallons per day
x- It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant and is
compatible with the station. The Division will accept a letter signed by the applicant (see 15A NCAC 02T .0106(b)) or
proposed contractor, stating that "the portable power generation unit or portable, independently -powered pumping
units, associated appurtenances and personnel are available for distribution and operation of this pump station."
i 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. (Required at time of certification)
I. Certificate of Public Convenience and Necessity (All Application Packages for Privately -Owned Public Utilities):
❑ Per 15A NCAC 02T .0115(a)(1) provide the Certificate of Public Convenience and Necessity from the North Carolina
Utilities Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served by
the sewer extension, or
❑ Provide a letter from the North Carolina Utilities Commission's Water and Sewer Division Public Staff stating an
application for a franchise has been received and that the service area is contiguous to an existing franchised area or
that franchise approval is expected.
J. Operational Agreements (Applications from HOA/POA and Developers for lots to be sold):
❑ Home/Pronerty Owners' Associations
❑ Per 15A NCAC 02T .01 I5 c , submit the properly executed Operational Agreement (FORM: HOA).
❑ Per 15A NCAC 02T .0115(c), submit a copy of the Articles of Incorporation, Declarations and By-laws.
❑ Developers of lots to be sold
❑ Per 15A NCAC 02T AI 15(b), submit the properly executed Operational Agreement (FORM: DEV).
For more information, visit the Division's collection systems wehsite
0
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page 2 of 3

THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
mAI LKIALN, SHUULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
Water Quality Section
Swannanoa, North Carolina 28778
Clay, Graham, Haywood, Henderson, Jackson,
[phone]
Macon, Madison, McDowell, Mitchell, Polk,
[phone] Fax
Rutherford, Swain, Transylvania, Yancey
Favetteville Regional Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Harnett, Hoke,
Water Quality Section
Fayetteville, North Carolina 28301-5094
Montgomery, Moore, Robeson, Richmond,
[phone]
Sampson, Scotland
[phone] Fax
Mooresville Regional Office
Water Section
610 E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
Quality
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone]
Stanly, Union
[phone] Fax
Raleigh Regional Office
1628 Mail Service Center
Chatham, Durham, Edgecombe, Franklin,
Water Quality Section
Raleigh, North Carolina 27699-1628
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] Fax
Warren, Wilson
Washington Regional Office
943 Washington Square Mall
Beaufort, Bertie, Camden, Chowan, Craven,
Water Quality Section
Washington, North Carolina 27889
Currituck, Dare, Gates, Greene, Hertford, Hyde,
[phone]
Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] Fax
Perquimans, Pitt, Tyrrell, Washington, Wayne
�1lilmingtgn Regional_ Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
Illater Quality Section
Wilmington, North Carolina 28405
Hanover, Onslow, Pender
[phone]
[phone] Fax
Winston-Salem Re fonal Office
450 W. Hanes Mill Road
Alamance, Alleghany, Ashe, Caswell, Davidson,
Water Quality Section
Suite 300
Davie, Forsyth, Guilford, Rockingham, Randolph,
Winston-Salem, North Carolina 27105
Stokes, Surry, Watauga, Wilkes, Yadkin
[phone]
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION page 3 of

DWR
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Dhrision of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: 1 0 � be completed by DWR)
All items must be completed or the ainflication will be returned
I. APPLICANT INFORMATION:
I. Applicant's name: Edgecombe County_ WSD6 (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State.'County ® MunicipaI ❑ Other
3. Signature authority's name: Eric Evans per 15A NCAC 02T .0106(b) NC Dept of Environmental Quality
Title: County Manager ,�✓
4. Applicant's mailing address: 201 Andrew Street (P.O. Box 10) MAR 30 2020
City: Tarboro State: NC Zip: 27886-
�W
5. Applicant's contact information: Raleigh Regional Office
Phone number: (_252) 641-7835 Email Address: ericevans(a;edgecombeco.com
1I. PROJECT INFORMATION:
I. Project name: WSD6 Wastewater Water System Improvements
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: Edeecombe
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.886510 Longitude:-77.522678
5. Parcel ID (if applicable):
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
I. Professional Engineer: William A. Larsen License Number: 041415
Firm: The Wooten Company
Mailing address: 301 W. 10 Street
City: Greenville State: NC Zip: 27834-
Phone number. [phone] Email Address: wlarsen(cLthewootencompany.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Tarboro W WTP Permit Number: NCO020605
Owner Name: Town of Tarboro
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
I. Permit Number(s): WQ Downstream (Receiving) Sewer Size: inch
S+ stem Wide Collection System} Permit Num6er(sx i iFa placable): WQCS
Owner Name(s):
FORM: FTA 04-16 Page 1 of 5

V1. GENERAL REQUIREMENTS
I. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Ycs [:]No ®N:'A
2. If the Applicant is a Developer of lots to be sold, has a vel, racer's OiNrA6 A AQreemenE f FORM: DLVl been attached?
❑ Yes ❑No ®N;'A
3. If the Applicant is a How: Pr + y Owners' Association, h,As 311 Operational Aerccrnent Ft ORM;.} IOA} 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 I preschool ; day care ® Medical " dental.--' veterinary facilities ElSwimming 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 (Sec 15A NCAC 02T .0103 20 )
-Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 021 .0114( }? ❑ Yes ® No
Ifves provide -a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114 W
Daily Design Flow a's
No. of Units
Flow
N.-'A
N.'A gale
N.-'A
N; A GPD
gal:'
GPD
gal.:
GPD
gale
GPD
gale
GPD
gal/
GPD
Total
NIA GPD
a See 15A NCAC 0 T Al 14(bj, Wh {6 I) and {cy? 11 for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residcntial 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 .01 14(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: N.-'A 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
0 ❑ Other (Explain):
FORM: FTA 04-16 Page 2 of 5

VU. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity, Sewers):
1. Summarize gravity sewer to be permitted:
VIIL
Size (inches) Length (feet) Material
8 570 PVC
➢ 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
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: Carney Pump Station
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.876152° Longitude:-77.507836'
3. Design flow of the pump station: 0.0045 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 80 gallons per minute at 16.7 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
NIA NIA NIA
6. Power reliability in accordance with 15A NCAC 02T .0lr]5i hr :
Page 1 of 3
Re -permitting for flow
® Standby power source or pump with automatic activation and telemetry - I5A 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: PTA 04-16
Page 3 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
l . Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
NIA NIA NIA
➢ 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
VIH. 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: Lakeside Pump Station Page 2 of 3
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.871366' Longitude:-77.516743 - Re -permitting for flow
3. Design flow of the pump station: 0.0055 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 80 gallons per minute at 44.5 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
NIA
N/A
NIA
6. Power reliability in accordance with 15A NCAC 02T .0305(hj(1j:
® Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(l)(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

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravies Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
NIA NIA NIA
➢ 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
VEIL 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: Greenwood Pump Station
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.890385" Longitude:-77.5186540
3. Design flow of the pump station: 0.200 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 225 gallons per minute at 34 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
NIA
NIA
NIA
6. Power reliability in accordance with 15A NCAC U2T .0305(h)(1):
Page 3 of 3
Re -permitting for Flow
® Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(I)(B)_
D 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)(l)(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)):
S
1. Does the project comply with all separations found in 15A NCAC 02T ,0305(n & i �J
15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
® 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-1 waters of Class I or
Class If 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
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 hei ht
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
HA NCAC 02'r.0305(c) contains alternatives where separations in 02T.0305() cannot be achieved.
**Stream classifications can be identified using the Division's NC Surface Water Classifications webnaec
If noncompliance with 02T.0305(f) or (e), 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 1 SA NCAC 02B .0200? ❑ Yes ❑ No ® N;:A
i 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?
Information can be obtained from the 401 & Buffer Permittin = 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, the Minimum Design Criteria for. the Permitting of Pump Stations
and Force Mains la st v hand the Grav Sewer minimum Design Criteria [latest.v -rsio 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 supportins
documents.
2. Professional Engineer's Certification:
I, U S % i_L,1 A f" 1 A. Gi fL5 G F1 , 1" G 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 143-215.613, 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. t
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
••P-�H UAROZ'�.
O �FSSI z
z 041415
91
�ld•ZbZ,•
A. �,��,.
I, jE7R1G 6--J191-A S I Z&vNTi1 rin —st966 - 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 I43-215.6B, 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: 2' lU 10 ZG
FORM: FTA 04-16 Page 5 of 5

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Ed ecombe Count
Project Name for which flow is being requested: WSD 6 Water/Wastewater System
More than one FTSE maybe 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. VWWTP Facility Name:
b. WWTP Facility Permit #
Town of Tarboro W)VM
WQ0433010
All flows are in MGD
c. WWTP facility's permitted flow
5.000
d. Estimated obligated flow not yet tributary to the WWTP
0.0125
e. WWTP facility's actual avg. flow
2.260
£ Total flow for this specific request
0.000
g. Total actual and obligated flows to the facility
2.273
h. Percent of permitted flow used
45.5%
H. 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
Page i of 2 Average Approx. Obligated, Total
Pump Daily Current Not Yet Current Flow
Pump Station Station Firm Flow** Avg. Daily Tributary Plus
(Name or Permit Capacity, * (Firm / po, Flow, Daily Flow, Obligated Available
Number) No. MGD MGD MGD MGD Flow Capacity***
Carney 0.1152 0.0461 0.0045 0.000 0.0045 0.0416
Lakeside 0.1152 0.0461 0.0055 0.000 0.0055 0.0406
Community 0.1152 0.0461 0.0025 0.000 0.0025 0.0436
Church _ 0.2880 0.1152 0.1010 0.000 0.1010 0.0142
* The Firm Capacity (design flow) of any pump station is defined as the maximum pumped flow
that can be achieved with the largest plump 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 t 0.
Downstream Facility Name (Sewer): Town of Tarboro WWTP
Downstream Permit Number: WQ0433010
Page 1 of 6
FrSE 10-l8

9M)III-Ilivil
4
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Ed ecombe Count
Project Name for which flow is being requested: WSD 6 Water/Wastewater System
More than one FTSE may be required far a single project if the owner of the WWTP is not responsible far 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: _
b. WWTP Facility Permit M
All flows are in MGD
c. W ;TP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
11 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:
Page 2 of 2
Pump
Pump
Station
Station Firm
(Name or
Permit Capacity,
Number)
No. MGD
In the
0.5760
(A)
(B)
(C)
(D)=(B+C)
(E)=(A-D)
Design
Obligated,
Average
Appmx.
Not Yet
Total Current
Daily Flow**
Current
Tributary
Flow Plus
(Firm / pf),
Avg. Daily
Daily Flow,
Obligated
Available
MGD
Flow, MGD
MGD
Flow
Capacity***
0.2304
0.1382
0.000
0.1382
0.0922
* 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 pealing 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): Town of Tarboro WWTP
Downstream Permit Number: WQ0433010
Page 1 of 6
FTSE 10-18

III. Certification Statement:
•
I Eric Evans 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 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.
?ucIt,-
,0/2070
Signing Off!cial Signature Date
Loy 0"
Title of Signing Official
Page 2 of 6
FTSE 10-18

A. DESCRIPTION OF PROJECT
Location of Project
The Town of Princeville is located geographically within the coastal plains region of North
Carolina within Edgecombe County. The Town is located approximately 0.5 miles southeast of
Tarboro and 7 miles northwest of the Town of Conetoe. The Town's sewer system is now owned
and maintained under Edgecombe County, in what is known as Water & Sewer District 6 (WSD
6).
The wastewater collection system consists of approximately 518 sewer connections, 68,000 LF of
gravity main, 8 pump stations, and 277 manholes.
Pump station upgrades and sewer main installation will take place within existing utility
easements and previously disturbed areas throughout the WSD 6.
Topography within the project area is generally flat, sloping between 0-7.7 %. Manmade drainage
features such as swales and roadside ditches collect and remove runoff.
B. TYPE OF DEVELOPMENT
Gravity Sewer
The proposed sanitary sewer project will consist of like -for -like replacement of 4,300 LF of 8-
inch gravity sewer main, 4,850 Lf of 12-inch gravity sewer main with 65 manhole replacements.
The proposed project also consist of rehabilitation of approximately 7,500 LF of 8-inch gravity
sewer main, 300 LF of 10-inch gravity sewer main, and 4,600 LF of 12-inch gravity sewer main.
There is no anticipated increase to flow at the time of construction as the sewer main will be
replaced like -for -like or rehabilitated with C1PP. Vertical and/or horizontal realignment is
occurring on three sections of gravity main within the project. The detailed scope of realignment
is shown below:
• Plan Sheet C.4.2 — Decrease in horizontal alignment on two segments (2 new manholes)
of pre -permitted gravity sewer lines
+ Plan Sheet C.5.8 — New alignment of 567 LF of 8-inch Gravity Sewer
Pump Station & Force Mains
There will be rehabilitation of seven (7) pump stations in this proposed project. These pump
station improvements will consist of upgrading components within the station, such as control
panel, pumps, and generators. Four of the pump stations will maintain the same pumping capacity
upon improvements. Three of the pump stations pumps will be updated to increase design
capacity to design standards. Carney, Lakeside and Greenwood pump stations will all be
increased from 40, 60 and 200 respectively to a capacity of 80 GPM for Carney and Lakeside and
a capacity of 225 For Greenwood for the purpose of achieving scour velocity within their
respective force mains.
Treatment
Wastewater collected from Edgecombe WSD 6 is conveyed through an existing gravity collection
network and is pumped to the Town of Tarboro WWTP through an 8-inch force main under the
Y Tar River. The current project will not include any improvements or direct impacts to the Town
of Tarboro treatment facility.

High Priority Lines
s
Like -for -like replacement involves keeping the same vertical alignment as the existing gravity
main. A select few of the gravity main segments are not within the minimum design standards of
the gravity sewer mains due to invert constraints of upstream and downstream manholes, deeming
them as high priority lines. High priority lines in this project are outlined below.
• Plan Sheet Page C.4.3 — 970 LF of 8-inch @ 0.31 %
• Plan Sheet Page CAA — 305 LF of 8-inch @ 0.31% and 0.27%
• Plan Sheet Page C.5.4 — 200 LF of 12-inch @ 0.16%
+ Plan Sheet Page C.5.5 — 400 LF of 12-inch @ 0.20%
• Plan Sheet Page C.5.6 — 1235 LF of 12-inch @ 0.13%, 0. l5%, and 0.19%
C. TIME SEQUENCE OF OPERATIONS
Construction is anticipated to begin in the fall of 2020. Permits are being secured now and once
the project is awarded, construction will be able to start. The contractor shall complete all
construction within the easements and rights -of -ways as shown on the plans. All utilities must be
checked and tested and any areas that can be seeded should be done as soon as possible.

* rl

t�
IIs. GFLL& aiOLsu uTpupl
Y.f. OGICIIL 1YM"
JIL
vx
Ynwry T�nplp WnD1Uli3[
af.�ln fnq
' 9GK I:N ON
A16
GPI
mr�=
.ero.rr..rw
T1 NS=, NC
au }

0 Power Reliability
(WSD6 Pump Stations — Carney, Lakeside, Community Health)
ReliabilitZ for Pump Stations:
The Existing Pump Stations in WSD6 are equipped with an on -site
permanent back-up generator. This generator is equipped with an
automatic transfer switch to relay the power outage to the generator and
being the process of providing back-up power. The generator will be
evaluated to ensure that it will provide sufficient power to meet the new
capacity needs of the station.
Further discussion and details are provided in the contract documents and
the project plan sheets.

Robinson, Jason
From: Will Larsen <[e-mail]>
Sent: Monday, May 4, 2020 4:31 PM
To: Robinson, Jason; [e-mail]
Cc: [e-mail]; Cashion, Ted
Subject: [External] RE: RE: RE: WQD6 Wastewater Improvements
xte�. aFerriall. D6-n0VaiiC. Minks or opeh-at iA erits untessyou-verify: Se;d all suspiOW�xs email as an a tauYtmen to
W TIN A.n o - - - -,-
Jason, our response~ belo\v:
Regards,
William A. Larsen, PE
Project Engineer
The Wooten Compar. y
301 West 141h Street
Greenville, NC 27834 "'-" igooele.coml
252 757.1096
Fax [phone]
www.thewootencomr)any.com (thewootencomoanv.coml
-,. k -
IT I T
THE WOOTEN CO&I IWANY
From: Robinson, Jason <[e-mail]>
Sent: Monday, May 4, 2020 3:07 PM
To: Will Larsen <[e-mail]>; [e-mail]
Cc: [e-mail]; Cashion, Ted <[e-mail]>
Subject: RE: RE: RE: WQD6 Wastewater Improvements
Thanks Will,
After further review, we have the following questions:
1. Item V. was not completed. I assume that this project will first go into Edgecombe County's Collection System
(WQCS00356) first. Will it then go into Tarboro's Collection System (WQCS00045) before going to Tarboro's
WWTP? Correct as stated.
2. Item IX.6 is marked N/A for high priority lines. Does any of this project (including the entire 20,000+ that is
being replaced) have any high -priority lines, and if so, are they included in Edgecombe County's High Priority
Line list for biannual inspections? The project does not impact any of the five (5) listed HP lines in permit
WQCS00356. There are several existing mains that fall below the minimum slope and are not on the official list;
however, we will either be replacing like for like or have been able to design within upstream/downstream
constraints to achieve minimum slope.
3. Item IX.2, IX.3 and IX.4 are marked "N/A" or "No" for meeting wetland and Tar -Pam Buffer Rules and not
requiring a 401/404. Does the replacement of any of the entire 20,000+ feet of sewerline impact wetlands or
buffers, and/or need a 401/404 approval. We realize this sewer application only covers 570 feet of line that

being moved to a new ROW/Easement, but we'd still like to know if any of the entire project impacts
wetland/buffers and requires a 401. Correct, the replacements and relocations will occur in either the existing
alignment and within the existing right-of-way outside of any area that would require 401 or 404.
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.
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: Will Larsen[mailto:[e-mail]
Sent: Monday, May 4, 2020 9:57 AM
To: Robinson, Jason <Jason.t.robinson@ncdenr.g_ov>; [e-mail]
Cc: [e-mail]; Cashion, Ted <[e-mail]>
Subject: [External) RE: RE: WQD6 Wastewater Improvements
Jason,
This work will be included in the Edgecombe County Collection System permit WQCS00356 with
owner/operator being Edgecombe County. This permit is also valid for the lines to be decreased.
Regards,
William A. Larsen, PE
Project Engineer
The Wooten Company
301 West 141h Street
Greenville, NC 2783411Jeooele.coml
252.757.1096
Fax [phone]
www.thewootencomoany.com Ithewootencompanv,coml

U
.�,_ T.X
THE WOOTEN CO3%1PANY
From: Robinson, Jason <iason.t.robinson ncdenr. ov>
Sent: Friday, May 1, 2020 3:15 PM
To: Will Larsen <wlarsen thewootencom an .com>; [e-mail]
Cc: [e-mail]; Cashion, Ted <[e-mail]>
Subject: RE: RE: WQD6 Wastewater Improvements
(see my earlier email. Will this be part of Edgecombe County's Collection System, which is all covered under Collection
system Permit WQCS00356 and owner/operator is "Edgecombe County')
------------
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.
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: Robinson, Jason
Sent: Friday, May 1, 2020 2:55 PM
To: Will Larsen <[e-mail]>; ericevans ed ecombeco.com
Cc: [e-mail]; Cashion, Ted <ted.cashion@ncdenr,eov>
Subject: RE: RE: WQD6 Wastewater Improvements
Thanks Will,
But will the owner/operator of the sewer be "Edgecombe County Water and Sewer"? Or is "Edgecombe County WSD6"
a separate entity that will own and operate the system? "Municipality" is checked, but I'm thinking "State/County"
should be checked (or maybe "other")
Do you know the existing permit where the lines will be decreased? If this decrease is over 10% of the total length of S"
in the permit, then the existing permit will need to be modified.
------------
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"
Email 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: Will Larsen[mailto:[e-mail]
Sent: Friday, May 1, 2020 2:46 PM
To: Robinson, Jason <iason.t.robinson@ncdenr.9ov>; [e-mail]
Cc: michaelmatthewsPedeecombeco.com: Cashion, Ted <[e-mail]>
Subject: [External] RE: WQD6 Wastewater Improvements
CAUTION:
Jason,
Thank you for your questions. I'm not sure of the permit referenced last week but Edgecombe County has
6 water and sewer districts. WSD6 (Water and Sewer District 6) was previously the Town of Princeville
water and sewer system that was absorbed by the County. Eric Evans is the County Manager while
Michael Matthews is the County's Public Utilities Director.
For the decrease in alignment, the current project within District 6 has two existing segments that will be
shortened in length under the proposed scope of work. The decrease stems from removing excess line
beyond existing services. A screen shot has been provided below, but the overall reduction in lines will be
approximately 25 LF and 75 LF respectively at the intersection of Neville Street and Otis Avenue.

7 ti r p r3 •r
0• '
EX. MANHOLE 94' TO �ti REPLACE 116.2
BE ABANDONED. �y O � 'JCP GRAVITY
{FILL V!/ GROUT) I NEW 8" PVC
8" VCP — SEWER a Q 0,4(
8r' PVC/
.401 �P.EPLACI
1 SANITA.?
REPLACE EX. SANITARY
SERVICE. (TYP OF 2)
1�
11
91 EX. MANHOLE 91 TO NEW h1ANHOLE 94
24 BE ABANDONED.� RIKt' ELEV. 38.60 1 VPEPL
5 (FILL W/ GROUT) INV.35.30
Rcgards,
William A. Larsen, PE
Project Engineer
The Wooten Company
301 West 14h Street
Gree,Ivle. NC 27834 Mfgoogle.coml
252.757.1096
Fax [phone]
www.thewootencompany.com rthewootencompany.coml
THE WOOTENCOi iPANY
From: Robinson, Jason <[e-mail]>
Sent: Friday, May 1, 202011:18 AM
To: Will Larsen <wlarsen thewootencom an .com>; [e-mail]
Cc: michaelmatthews(@edgecombeco.com; Cashion, Ted <ted.cashion ncdenr. ov>
Subject: WQ136 Wastewater Improvements
Will & Eric,
We're just getting started reviewing the referenced sewer extension permit and have the following questions:
1. The application states that the applicant is "Edgecombe County WSD6". Is this different than "Edgecombe
County Water and Sewer"? We just issued a permit to "Edgecombe County Water and Sewer" last week, with
Michael Matthews as the Signature Authority. Please elaborate.
2. The narrative mentions a "Decrease in horizontal alignment on two segments (2 new manholes) of pre -permitted
gravity sewer lines". What permit is this? Is this a decrease in line length? How much? Please elaborate.
Thanks,
A

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 Uodates`"
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.
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.