WQ0041418_Application (FTSE)_20200526

State of North Carolina
S` Department of Environmental Quality
DWR Division of Water Resources
15A NCAC 02T .0300 - FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number. OU f W&ftto t, completed by aWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Town of Cla on (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ StatelCounty ® Municipal ❑ Other
3. Signature authority's name: Adam Lindsay per 15 A N C A C D21' D 10 6(b }
Title: Town Manager
4. Applicant's mailing address: I I I E. Second Street
City: Clayton State: hK Zip: 27520-
5. Applicant's contact information:
Phone number: ( 1Q,W 553-5002 Email Address: crowland[gltownofclLdon.org
II. PROJECT INFORMATION:
1. Project name: Amelia Point
2. Application/Project status: ❑ Proposed (New Permit) ® Existing Permit/Project
If a modification, provide the existing permit number: WQ0041418 and issued date: 02119/2020
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: 3 . 2= Longitude:-78AS372`
5. Parcel ID (if applicable): 165918-32-3144
(or Parcel ID to closest downstream sewer)
ill. CONSULTANT INFORMATION:
1. Professional Engineer. Andrew Hodge. PE License Number 21094
Firm: Adams & Hodge Eneineerine. PC (Firm 9C-4187)
Mailing address: 314 E. Main Street
City: Clayton State: NC Zip: 27520-
Phone number. (2W 369-1938 Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Little Creek WRF Permit Number. 0025453
Owner Name: Town of Clayton
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ_ Downstream (Receiving) Sewer Size: 8 inch ar
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o k
�Vslem Wide Colkction Sysww Permit ttit,nhlser fsl (if slslslispb[el: WQCS�
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Owner Name(s): Town of Cla
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FORM: 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 ®NIA
2. If the Applicant is a Developer of lots to be sold, has a Develover s Operational Agreement (FORM. DEV,been attached?
❑ Yes ❑No ®N/A
3. If the Applicant is a HomePro a Owners' Association has an O erational Agreement FORM: HOA been attached?
❑ Yes [--]No ®NIA
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 / day care ❑ Medical / dental / 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: % DomestictCommercial 100 % Commercial
% Industrial See I SA NCAC 02T .0103 20
�sls there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .0114(i)? ® Yes ❑ No
If wes. provide a cepi of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(fll
Daily Design Flow 0
No. of Units
Flow
Single Family Townhomes 3 bedrooms
250 gal/day
l8
4,500 GPD
gay
GPD
gal/
GPD
gay
GPD
gal/
GPD
gal/
GPD
Tonal
4,500 GPD
a See 15A NCAC 02T .01 14 b d e I and e 2 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 cast ofthe Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G.S. 42A4).
b Per 1 SA NCAC 02T .0114(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: 4.500 GPD (per I5A NCAC 02T .01 14)
Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
❑ Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit Number:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 04-16 Paget of

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MD (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8" 185 PVC
Section 11 & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
D Section III contains information related to minimum slopes for gravity sewer(s)
D Oversizing lines to meet minimum slope requirement Is not allowed and a violation of the MDC
Vlll. PUMP STATION DESIGN CRITERIA (If Applicable)— 02T .0305 & MD( (Puma 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
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 XB).
➢ 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.
D If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be provided
in the case of a multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(i)):
1. Does the project comply with all separations found in I SA NCAC 02T .0 05 & ® Yes ❑ No
➢ 15A NCAC 02T.0305(f) contains minimum seearginna That chnn hA nr^v4A&d F -e..,� -..-.e...-.
Setback Parameter'
Separation Required
Storm sewers and other utilities not listed below vertical
Water mains vertical -water over sewer including in benched trenches
24 inches
18 inches
Water mains(horizontal)
10 feet
Reclaimed water lines vertical - reclaimed over sewer
18 inches
Reclaimed water lines(horizontal - reclaimed over sewer
"*Any private or public water supply source, including any wells, WS-I waters of Class I or
Class Ii impounded reservoirs used as a source of drinking water
2 feet
100 feet
*"Waters classified WS (except WS-I or WS-Y), B, SA, ORW, HQW, or SB from normal
high water or tide elevation and wetlands see item IX.2
50 feet
"*Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
Any building foundation
5 feet
Any basement
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interce tar drains
5 feet
Any swinuning pools
10 feet
Final earth grade vertical
36 inches
> 15A NCAC 02T.0305 contains alternatives where separations in 02T.030SO cannot be achieved.
D "Stream classifications can be identified using the Division's NC Surface Water CIassifications web a e
➢ If noncompliance with 02T.0305 or see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes ❑ No ® NIA
➢ 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 I SA NCAC 2B.0202
4. Does the project require coveragelauthorization under a 404 Nationwide or ❑ Yes ® No
individual permits or 401 Water Quality Certifications?
➢ Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with 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 I5A 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 perinkee's individual System -Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with ISA 1VCAC 021, the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains (latest version), and the Gravity Sewer Minimum Design Criteria (latest version) as applicable?
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents for
review. Apumval ofthe mQuest-is-required-pri-g-r-to submittal of the Loll Track ARRUSNUOR and u rtin documents.
2. Professional Engineers Certification:
I,
Andrew Hodge, PE
(Professional Engineer's name from Application Item 111.1.)
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 1 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 wbo 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.
North Carolina Professional Engineer's seal, signature, and date: ,�`� H C A R
rrOQ` OFESSf o�i
SEAL
21094
04/22/2020
3. Applicant's Certification per 15A NCAC 02T .0106(b):
1, Joshua Baird, Town Engineer attest that this application for
(Signature Authority's name di: 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. 1 will make no claim against the Division of Water Resources should a condition
of this permit be violated. 1 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: 517-IIZUXO
FORM: PTA 04-16 Page 5 of 5

Ip # ,,4t i)ept of Environmental Quality
MAY 2 6 2020 State of North Carolina
Department of Environmental Quality
{ Raleigh Regional Office Division of Water Resources
D1051011 of Water ftesorrrc vs Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Town of Clayton
Project Name for which flow is being requested: Amelia Point
Afore than one FTSE may be required for a single project if the owner of the JV VTP is not responsible for all pump
stations along the route of the proposed wastervater flow:
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Little Creek WRF
b. WWTP Facility Permit #: 0025453
All flaws are in MGD
c. WWTP facility's permitted flow LCWRF 2.5 + JoCo 1.4 +
Raleigh 1.0 = 4.9 MGD
d. Estimated obligated flow not yet tributary to the WWTP 0.7927
e. WWTP facility's actual avg. flow 2.4138
f. Total flow for this specific request .0045
g. Total actual and obligated flows to the facility 3.2110
h. Percent of permitted flow used 65.53%
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:
(A)
Design
Pump
Pump
Average
Station
Station
Firm Daily Flow**
(Name or
Permit
Capacity, * (Firm 1 po,
Number)
No.
MGD MGD
(B)
(C)
(D)=(B+C) (E)-(A-D)
Obligated,
Approx.
Not Yet
Total Current
Current
Tributary
Flow Plus
Avg. Daily
Daily Flow,
Obligated Available
Flow, MGD
MGD
Flow Capacity***
* The Firm Capacity (design flow) of any pump station is defined as the in pumped flow
that can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor
(pf) not less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer): Southwest Wastewater Fac. Im rov. - 81r
Downstream Permit Number: Unknown - approx year 1991
Page I of 6
FTSE 10-18

III. Certification Statement:
I 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 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 capacit to transport and treat the proposed new wastewater.
CJ 9►
Si . g Offl is Signature
Jwn—A nit T
Title of Signing clal
Page 2 of 6
Date
FTSE 10-18

V ECEI VED JUL 0 " 2001
State of North Carolina, All,
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary NCDENR
Kerr T. Stevens, Director NORM CAROLINA DmR4,RTmF-NT of
ENVIRONMENT AND NATURAL RE=sOURCEs
July 2, 2001
NC Dept of Environmental Qu�ili�
Mr. Steve Biggs, Town Manager MAY 9 6 2020
Town of Clayton
Post Office Box 879 Raleigh Regional Officc
Clayton, North Carolina 27520
Subject: Town of Clayton
Flow Reduction Approval
Johnston County
Dear Mr. Biggs:
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
GPD/residence 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(l)(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 rat%
at no time shall the wastewater flows exceed the effluent limits defined in the Town's NPDES oermit 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 ly,
/Kerr T. Stevens
cc: Raleigh Regional Office
1617 Mail Scrvice Center, Raleigh, North Carolina 27699-1617 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post -consumer paper

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I Ajq,] ADAMS &HODGE
ENG1NEER1rdG, PC
May 22, 2020
Ted Cashion
NC DWQ
3800 Barrett Dr
Raleigh, North Carolina 27609
Subject: MODIFIED
Amelia Point -
WQ0041418
Town of Clayton
Johnston County
NC Dept of Environmental Quality
MAY 2 6 2020
Raleigh Regional Office
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:
1. Complete Fast Track Application for Gravity Sewers, Pump Stations, and Forcemains
(Form FTA 04-16), signed by Engineer & Town
2. Flow reduction Ietter from NCDENR
3. $480.00 Check for Application Fee
4. Flow Tracking/Acceptance for Sewer Extension (Form FTSE 10-18)
5. USGS Quad Map showing approximate site location
6. Street Level Map
7. Copy of original permit
This modification is to increase the length of sewer main. On February 19, 2020 sewer permit
WQ0041418 was issued for Amelia Point. The permit was issued for 1551f of 8" sewer main. With
considering after the fact requested changes by the Town for the sewer main, the total length increased
from 1551f to 185If which is greater than a 10% increase from the original permit. There is no change in
the permitted flow.
This modified application is for an extension of the gravity sewer system of the Town of Clayton
to serve Amelia Point. This extension will add approximately 301f of 8" gravity sewer to the previously
approved 1551f of 8" sewer main under permit WQ0041418 and will connect to an existing Town of
Clayton gravity sewer system. The sewer system will serve 18 townhomes in this proposed subdivision,
which is the basis for flow for this project.
If you have any questions or comments, please give me a call at 919-369-1938 or
email to andrewru,adamsandhodge.com.
Sincerely,
Andrew Hodge, PE
ADAMS & HODGE ENGINEERING, PC • 314 East Main Street, Clayton, NC 27520 • Office: 919-243-1332 • Firm License # C-4187