WQ0041663_Application (FTSE)_20200430

State of North Carolina
Department of Environmental Quality
Division of Water Resources
DWR
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: w {1 U `l (to be completed by DWR)
All items must be completed or the annlication will be returned
1. APPLICANT INFORMATION:
I. Applicant's name: Town of Clayton (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: Adam Lindsay per F$A NCAC 02T.0106(b1
Title: Town Manager
z
4. Applicant's mailing address: 1 I I E. Second Street
^
City: Clayton State: NC Zip: 27520-`
5. Applicant's contact information:
t)q�
Phone number: [phone] Email Address: crowlandootownofelaytonne.org
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11. PROJECT INFORMATION:Na
a'
1. Project name: Ashcroft Subdivision Phase 7
2. ApplicationfPreject status: ® Proposed (New Permit) ❑ Existing Permit/Project
y
If a modification, provide the existing permit number: WQ00_ and issued date:
n
If new construction but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Johnston
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.66221 Longitude:-78.43609
5. Parcel ID (if applicable): 166900-76-7638
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
I. Professional Engineer: Andrew W. Hodge, PE. License Number: 21094
Firm: Adams & Hodge Engineering. PC (Firm # C-4187)
Mailing address: 314 East Main Street
City: Clayton State: NC Zip: 27520-
Phone number: [phone] Email Address: andrew(@adamsandhodce.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Little Creek WRF Permit Number: NCO025453
Owner Name: Town of Clayton
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
I. Permit Number(s): WQ0037145 Downstream (Receiving) Sewer Size: 8 inch
System Wide Collectfon S%-slem Permit Number(s)_ ff applicable): WQCS00147
Owner Name(s): Town of Clayton
FORM: 1'TA 04-16 Page I of 5

VI. GENERAL REQUIREMENTS
I. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes [-]No ®NIA
2. If the Applicant is a Developer of lots to be sold, has a i)evelnver's Clpvm anal Aureeinent (FORM: DEV� been attached?
❑ Yes [-]No ON. -'A
3. If the Applicant is a 11cMIn ±)'rupertv Owners' Association, has an Operational A�,,rccmem (FORM: l� 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 preparationlservice ❑ Hotel andior Motels
❑ School / preschool / day care ❑ Medical l dental 1 veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool.Tilter Backwash
❑ Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic/Commercial %Commercial
% Industrial (See 15A NCA_C 02T_01 t?3(20))
bIs there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under .I sA NCAC 02T .4114(1)? ® Yes ❑ No
� If ves, provide n conv of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.01140)
Daily Design Flow
No. of Units
Flow
Single Family Homes - (3 Bedroom)
250 galldaylunit
22
5,500 GPD
gall
GPD
gaV
GPD
gall
GPD
gall
GPD
gal?
GPD
Total
5,500 GPD
a See 15A NCAC 02T .0114(b), rd), (e)i I and (e)i?1 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 (3.S, 42A-4).
b Per 15A NCAC 02T .01 14(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 5.500 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
❑ Other (Explain):
FORM: FTA 04-16 Page 2 of 5

4
VI 1. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers),
1. Summarize gravity sewer lobe permitted:
Size (inches) Length (feet) Material
8" 808 PVC
:- Section II & III of the MDC for Permilting of Gravity Sewers contains information related to design criteria
i 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
Vll I. 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 (low 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 15A NCAC 02T .0305(h)(1):
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(S);
:- Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
i 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 - I5A NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(1)(C):
i 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.
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.
FORM: FTA 04-16 Page 3 of 5

5
1X. SETBACKS 'z SEPARATIONS— (02B .0200 & 15A NCAC 02T.0305(f)):
1. Does the project comply with all separations found in 15A NCAC 02T .030501 & f0 ® 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 Class I or
Class 11 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
AnX 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 grade (vertical)
36 inches
i 15A NCAC 02T.0305(e) contains alternatives where separations in 02T.0305(f) cannot be achieved.
"Stream classifications can be identified using the Division's NC Surface Water{`Wajflcations,webuaae
3- 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 ❑ NIA
�- This would include Trout Buffered Streams per 15 TN I'AC.213.0202
4. Does the project require coveragelauthorization under a 404 Nationwide or ❑ Yes ® No
individual permits or 401 Water Quality Certifications?
4.
01 Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with I SA NCAC 02T.0 I 05(c)(6) (additional perm its;'certifications)? ® Yes [-]No
Per 15A NCAC 02T.0105k1(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 Systcm-Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

X. CERTIFICATIONS:
I. Does the submilted system comply with 15 N C 02L the M inimumDe i r'teria for the Permw of Pum twlons
and Force Mains (latest version), and the Gravity Sewer Minimum Qesiiteria ve i as applicable?
® Yes ❑ No
IFNo, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents for
review. Amproval of the mallest Is E1011111dPrior 12 submittal of the Fat Track Application and su rtin document
2. Professional Engineers Certification:
d, Andrew Hodge, PE
arrest that this application for
(Professional Engineer's nams 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 arrest that to the best
of my knowledge [lie proposed design has been prepared in accordance with the applicable regulations, Gravity Sewer
Minimum Design Criteria for Gravity Severs (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 flint 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 or Class 2 misdemeanor, which may
include a line not to exceed S10.000, as well as civil penalties up to S25,000 per violation,
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
I Adam Lindsay, Town Manager r
attest that this application for
(Signature Authority's came & title from Application item 1.3.)
has been reviewed by me and is accurate and complete to the best of my knowledge. 1 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 anion 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 143-211.6A and 4I 3 2i5.60 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 S 10,000 as well as civil penalties up to $25,000 per violation.
Signature: d` Date: `-I - Z -
FORM: FTA 04-16 Page 5 of 5

NC Dept of Fnvironmental Quality
APR ;a U 2020 State of North Carolina
Department of Environmental Quality
w0cit±h Regional VA a Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Town ofClayton
Project Name for which flow is being requested: Ashcroft Phase 7
afore Than one FTSE may be required for a single project Jrfhe ou-ner of the Jf11TP Is not responsible for all pump
stations along the route of the proposed wasteiraterJloir.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Little Creek
b. WWTP Facility Permit #: 0025453
A11 flows are In MGD
c. WWTP facility's permitted flow LC WRF 2.5 + JoCo 1.4 +
Raleigh 1.0 = 4.9 MGD
d. Estimated obligated flow not yet tributary to the WWTP 0.7418
e. WWTP facility's actual avg. flow 2.6650
f. Total flow for this specific request .0055
g. Total actual and obligated Bows to the facility 3.4123
h. Percent of permitted flow used 69.64%
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)
IB)
(C)
(D)=(B+C)
(E(A-D)
Design
Obligated,
Pump
Average Daily
Approx.
Not Yet
Total Current
station
Firm
Flow"
Current Avg.
Tributary
Flow Plus
(Name or
Capacity.
(Firm / pt),
Daily Flow,
Daily Flow,
Obligated
Available
Number)
MGD
MGD
MGD
MGD
Flow
Capacity***
NRPS#2
2.5056
1.0022
0.2597
0.1169
0.3766
0.6256
# The Firm Capacity of any pump station is defined as the maximum pumped flow that
can be achieved with the largest pump taken out of service.
•* Design Average Daily Flow is the firm capacity of the pump station divided by a peaking
factor (pi) not less than 2.5.
k*r 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 < o.
Downstream Facility Name (Sewer): NRPS #2
Downstream Permit Number: WQ0037145
Page 1 of 6
r-TSE 04-16

111. Certification Statement:
1 Joshua Baird 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 1 and II plus all
attached planning assessment addendums for which I am the responsible party. Signature of this
form indicates acceptance of this wastewater flow.
Signing Official Signature
(Town Engineer) 3 �2? 12 ,%,24
Date
Page 2 of 6
FrS C 04-16

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PROPOSED SEWER
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cein
EXISTING SEWER
PERMIT# WQ0037145
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ADAMS Sr, HDDGE
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DISCLAIMER
Johnston County assumes no legal responsibility for the Information represented here.
I
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State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Kerr T. Stevens, Director
Mr. Steve Biggs, Town Manager
Town of Clayton
Post Office Box 879
Clayton, North Carolina 27520
Dear Mr. Biggs:
-- - EECEIVED JUL 0 " 2001
11-' G()5
r>
NCDENR
NORTH CAROLINA DERIARTMENT or
ENVIRONMENT AND NATURAL RESOURCES
July 2, 2001
Subject: Town of Clayton
Flow Reduction Approval
Johnston County
On January 3, 2001, the Division of Water Quality received your flow reduction request for new
single-family dwellings in the Town of Clayton. The letter requests approval of a residential flow value of 250
GPDlresidence for any future dwellings that may become tributary to the subject wastewater collection system.
The Division also received additional information on April 3, 2001
The information provided flow records between January 1998 and November 2000 for the WWTP.
The evaluation also included the daily wastewater flows for a 33 day period from February 19 through March
23, 2001 for a select 97 homes in accordance with 15A NCAC 2H .0219(i)(3).
Based upon the information submitted, the Division hereby approves the use of 250 GPD per single-
family residence in all applicable non -discharge permit applications for future sewer line extensions for the
Town of Clayton. This consideration applies to any applicable future projects submitted to the Division as well
as any projects which are currently under review. Regardless of the adjusted design daily wastewater flow rate,
at no time shall the wastewater flows exceed the effluent limits defined in the Town's NPDES permit for the
treatment facility or exceed the capacity_of the sewers downstream of any new sewer extension.
If you have any questions or comments regarding this matter, please contact Mr. Kim H. Colson at
[phone] ext. 540.
Si e ely,
l
/-Kerr T. Stevens
cc: Raleigh Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-I617 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% rceycler1110% post -consumer paper

ok& ADAM: & HODGE
ENGINEERING, PC
April 29, 2020
Ted Cashion
NC DWQ
3800 Barrett Dr
Raleigh, North Carolina 27609
NC Dept of Environnienr,ti {lls NIX
APB' - 'i A-1120
NC Dept of Environmental Quality
Raleigh 1Zcrlollai 01[1 APR 2020
Subject: Ashcroft Phase 7
Town of Clayton Raleigh Regional Office
Johnston County
Attached is one original and one copy of a complete Fast Track Application for Gravity Sewers,
Pump Stations, and Force Mains, which includes the following:
I . Complete 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. Flow Tracking/Acceptance for Sewer Extension (Form FTSE 10-18)
4. USGS Quad Map showing approximate site location
5. Street Level Map
6. A copy of the Town of Clayton's "Flow Reduction Approval" letter
This application is for an extension of the gravity sewer system of the Town of Clayton to serve
Ashcroft Phase 7. This extension will add approximately 808 If of 8" gravity sewer and will connect to
an existing Town of Clayton gravity sewer system, permit number WQ0037145. The sewer system will
serve 22 single family homes in this proposed subdivision, which is the basis of flow for this project.
If you have any questions or comments, please give me a call at 919-243-1332 or
email to [e-mail].
Sincerely, ri'�"�N CARP
=`,2 Q`CFEBS���'C�Z
4 SEAL
21094
Andrew W. Hodge, PEIN
04/2912020 .._ ,
ADAMS & HODGE ENGINEERING, PC • 314 East Main Street, Clayton, NC 27520 • Office: 919-243-1332 • Firm License # C-4187

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NORTH•CARCLINA
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