WQ0041777_Application (FTSE)_20200625

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
75A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: /1(1 (to be completed by DWR)
All items must be com Meted or the a r rlication will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Jolurston County (company, municipaIity, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnerslup ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ® Municipal ❑ Other
3. Signature authority's name: Chandra Farmer PE per 15A NCAC 02T .0106(b7
Title: Director of Public Utilities
4. Applicant's mailing address: 309 East Market Street
City: Smithfield State: NC Zip: 27577
5. Applicant's contact information:
Phone number. U 209-8333 Email Address: clrandra.fannen'aa jolutstonnc.com O'
v
11. PROJECT INFORMATION: N O
c cti s
1. Project name: Ford Tract Mixed Use PUD o .o
2. Application/Project status: ® Proposed (Nen Permit) ❑ Existing Permit/Praject
Lu
If a modification, provide the existing permit number: WQ00 and issued date: o
If new construction but part of a master plan, provide the existing pennit number: WQ00 A
3. County where project is located: Jolmslon Z
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.6146120 Longitude:-78.5439170
5. Parcel ID (if applicable): 163700-57-2421
(or Parcel ID to closest downstream sewer)
M. CONSULTANT INFORMATION:
I. Professional Engineer: Matthew Lowder PE License Number: NC24434
Finn: Triangle Site Design. PLLC
Mailing address: 4004 Barrett Drive Suite 101
City: Raleislr State: NC Zip: 27609-
Phone number 9( 19) 553-6570 Email Address: rnlowdcrfa?lrianalesitedesign.com
W. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Central Johnston County WaslcwalerTreatment Facility;, Permit Number. NC O030716
Owner Name: Jolmston County
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Peril Number(s): WQ3906 MOD Downstream (Receiving) Sewer Size: 16 inch
$ -sue Icm Wide Collection $ ern Pernul Number pble : WQCS0060
Owner Name(s): Jolurslon County
FORM: FTA 04-16 Page I of 5

VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attacked?
❑ Yes ❑No ®NIA
2. If the Applicant is a Developer of lots to be sold, has a Developer's Opcmfional Agreement FORM: DEV been attached?
[:]Yes ❑Nb ®N/A
3. ]f the Applicant is a Honte/Pro ert y Owners' Association. has an Operational Agreement FORM: HOA been attaclted?
❑ Yes ❑No ®N/A
4. Origin of wastewater: (check all that apply):
❑ Residential Owned ❑ Retail (stores, centers, mails) ❑ Car Wash
❑ Residential Leased ❑ Retail with food preparalion/service ❑ Hotel and/or Motels
❑ School / preschool I day care ❑ Medical / dental I veterinmy facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
® Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nalum of wastewater : % Domestic/Conunercial 100 % Commercial
% Industrial See 15A NCAC 02T .0103 20 )
4 Is there a Pretreatment Program in effect? ❑ Yes ❑ No
G. Hasa flow reduction been approved under 15A NCAC 02T .0114 ? ❑ Yes ®No
If Yes trovide a copy. of flow reduction approval letter
7. Summarize wastewater generated by project:
Estabiishment Type (see 021.0114tf11
Daily Design Flow a.e
No. of Units
Flow
Retail Store
120 gal/1000sf
19.1
2292 GPD
gall
GPD
gall
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Tolal
2292 GPD
a See I SA NCAC 02T .0114(b). (d), fe)(1) 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 ]sigh public use areas;
and residential property located south or east of the Atlantic Intracoastal Walenvay to be used as vacation rentals as defined
in G.S. 42A4).
b Per 15A NCAC 02T .0114(c), design flow rates for establislunents not identified [in table 15A NCAC 02T.01141 shall be
determined using available flow data, water using fixtures, occupancy or ope lion patterns, and other measured data.
8. Wastewater generated by project: 2292 GPD (per 15A NCAC 02T .0114 )
Y Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate Why:
❑ Pump Station or Gravity Sewer where lion wiII be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit Number: _
❑ Rehabilitation or replacement of existing server with no new flow expected
❑ Other (Explain): __ _ .
FORM: FTA 04-16 Page 2 of 5

VIE], GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC Gravi N Seiiers :
1. Summarize gravity serverto be permitted:
Size (inches)
Length (feet)
Material
8
205
DIP
8
2188
PVC
D Section II & Ill of the MDC for Pennitting of Gravity Sewers contains information related to design criteria
Section III contains information related to minimum slopes for gravity setver(s)
Y Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
VILL 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 nurnber or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: - °
3. Design flow of the pump station: millions gallons per day (firm capacity)
4. Operational poinl(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
G. Power reliability in accordance with 15A NCAC 02T .0305(h)(t ):
❑ Standby power source or pump with automatic activation and telemetry; 15A 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 dal'
fi 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 - l5A 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.
Y 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 timefiames, 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)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(f) & (g)
Y 15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
® Yes [:]No
Setback Parameter*
Separation Required
Storni servers and other utilities not listed below vertical
24 inches
Water mains vertical -water over server 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 server
2 feel
**Any private or public water supple source, including any wells, WS-I waters of Class I or
Class 11 impounded reservoirs used as a source of drinking water
100 feel
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, HQW, or SB from normal
high water or tide elevation and wetlands see item IX.2
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
Any building foundation
5 feet
Any basement
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimmin ools
10 feel
Final earth grade vertical
36 inches
➢ 15A NCAC 02T.0305(el contains alternatives where separations in 02T.0305(i) cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webpaae
Y 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 feel of separation) ❑ Yes ❑ No ® NIA
Z See the Division's draft separation requirements for situations where separation cannot be meet
D 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
D This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project require coverage/authorization under a 404 Nationwide or [:)Yes ® No
individual permits or 401 Water Quality Certifications?
Y Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with 15A_NCAC 02T.0105(c)(6l (additional permitsteertifications)7 ® 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, e(c.).
G. Does this project include any server collection lines that are deemed "high -priority?"
Per 15A NCAC 02T.0402, "higli-priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks (hat is subject to erosion that undermines or deteriorates the sewer.
❑ Yes ® No ❑ NIA
L If yes, include an atlaclunent i6fli details for each line, including t)-pe (aerial line, size, material, and Iocation).
High priority lines shall be inspected by the permittee or, its representative sit 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 N AC 02T, the Minimum Design Crileria for thc,Pennittir ; of Pump Stations
and.Forcc IvULhistlalest version and the Gravity Sewer Minimum Design C'rilcria (latest version/ as applicable?
2.
® Yes ❑ No
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents for
review. Aunroval of the request is renuired w'ior to submittal of the Fast Track Application and supporting documents.
Professional Engineer's Certification:
I, #4e.,j Lowcl'
(Professional Engineer's name from Application Item Ill.1.)
lest that (his 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 die 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 outer 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
]rave 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, wluch may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 perviolation.
North Carolina Professional Engineees seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
I,
(Signature Authority's name & title from Application item I.3.)
that this application for
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 attaclunents 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 haters or the land will result in an immediate enforcement action that may include civil penalties,
injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Resources should a condition
of this permit be violated. I also understand that if all required parts of this application package are not completed and that if
all required supporting information and attachments are not included, this application package will be returned to me as
incomplete.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who -knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, wluch may
include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation
Signature: cz Date:
6 NJ
FORM: FTA 04-16 Page 5 of 5

Fast Track Sewer System Extension Application
(FTA 04-16) Cover Letter
June 25, 2020
Ford Tract Mixed Use PUD
Johnston County, NC
Prepared for:
Johnston County Public Utilities
309 East Market Street
Smithfield, NC 27577
Prepared by:
Triangle Site Design, PLLC
4004 Barrett Drive, Suite 101
Raleigh, NC 27609
[phone]
NC License#P-0619
NC Dept of Environmental Qualh
pt4 'I ; 20
galeigh Regional Office
TRIANGLE
` S I T E D E S I G N

iaB E_ OF _ 0-14HR S
OVE RVIEW
API'LICAI.ON EEE
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION (FORM: F1A 04.16)
FLOW ]RACKING FOR SEWER EXTENSION APPLICATION (FTSE 10.18)
SITE MAPS
OVERVIEW
The Johnston County Public Ut'{ities Department is requesting a Sanitary Sewer permit
for the Ford Tract Mixed Use PUD project. The system will be a Gravity Sewer system
comprised of 2188 LF of 8" PVC and 205 LF of 8" DIP. The system will serve a
19,1OOsf retail store and wil, have a total daily design flow of 2,292gpd.

DIVI%lon (if Water ltf-� otircc5
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-I8)
Entity Requesting Allocation: Johnston County
Project Name for which flow is being requested: Ford Property Retail Store
Afore than one FTSE njety be required for a single project if !be ouaner of lbe I3'IVTP is not responsible for all ptutrll
stations along the route of the proposer! wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Central Johnston County Regional WW Facili
b. WWTP Facility Permit #: NC 030716
All flows are in MGD
c. WWTP facility's permitted flow 9.5
d. Estimated obligated flow not yet tributary to the WWTP 1.929
e. WWTP facility's actual avg. flow 5.970
f. Total flow for this specific request 0.002292
g. Total actual and obligated flows to the facility 7.901
h. Percent of permitted flow used 62.8% actual, 83.2% paper
I1. 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
Obligated,
Pomp Pump
Average
Approx.
Not Yet
Total Current
Station Station
Firm
Daily Flow**
Current
Tributary
Flow Plus
(Name or Permit
Capacity, *
(Firm ? pt),
Avg. Daily
Daily Flow,
Obligated
Available
Number) No.
MGD
MGD
Flow, MGD
MGD
FIow
Capacity***
Swift
39606Mod
1.7640
0.7056
0.3936
0.2040
0.5977
0.108
Josephine 0028867
3.384
I.354
0.6904
0.4450
1.1355
0.2181
LandfillOn
0020340
1.9296
1.6718
0.8359
0.6I33
1.4492
0.2227
* The Firm Capacity (design flow) of any pump station is defined as the maximum pumped flow
that can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor
(pf) not less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer): Swift Creek Interceptor & WWPS
Downstream Permit Number: WQ 0039606 Mod
Page l of 6
r1roI- In 1 0

r
I11. Certification Statement:
I Chandra C. Farmer, P.E. 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.
-C- - �.
Signing Official Signature
Title of
Date
Page 2 of 6
RTCF 10-1 R

' 7 5
+i a
4- �t Mrs � .� L q ! �� �Ar' •�'�r-..motr "ri ' LU
. t. t •.. = .. #
i r .
_ -y. ` �r �• � ' 41 4Si� Fes• r
71
I+
1
� 4 .
i
•t
�, I f .
it
f 1-

Qr�e ck Sttit,
22 23 24 25 26
cu - CARR1NGroH DR
-Ay. a ¢ -`�� Va BRADY DR
�77/N Par.
- 0`9 oz
ti
c►
E E
� F1 LONG NE OL
I ID
1 � -14c-
v
.`VfLAND CROSSING Ay
s, $
-YS-AL4
iY.
V O r .SPA
4q�
Pc�p f c
z s'
g
A4- - r w
E K(A! OR
+ t o�
Q ^ aN
S RIDGE DR
`a 06
Oil
�J Y
DPa ✓°qu � f ` IRVAN
SPAN
10
_ J
NfJ/ K r"
PS „yn,
OaGOL AVOCfr LN yY
CDR
9Q BALMORALry-
M ti
�w 2p0
r
IR

DEPARTMENT OF PUBLIC UTILITIES
PO BOX 2263
SMITHFIELD, NC 27577
[phone]
June 25, 2020
Mr. Matthew Lowder, PE
Triangle Site Design, PLLC
A004 Barrett Drive, Suite 101
Raleigh, NC 27609
Re: Sewer Facilities to Serve Ford Tract Mixed Use PUD
JC Serial No: 20-035-P
Plan Approval
Dear Mr. Lowder:
This letter is to confirm that the engineering plans and technical specifications have been approved for
the sewer facilities to serve Ford Tract Mixed Use PUD, Johnston County Serial No. 20-035-P. Please
submit the enclosed "Fast -Track Sewer System Extension Application" with the necessary supporting
documentation to NCDEQ DWR for approval.
Upon completion of construction, and prior to placing the new construction into service, the following
information must be received and approved by the Johnston County Department of Utilities:
1. Engineer's certification (must be submitted to NCDEQ DWR after Owner signs)
2. As -Built drawings sealed by the Engineer (must be submitted to NCDEQ DWR)
3. Lien waiver from the utility contractor
4. Recorded plat indicating any necessary utility easements
Please have the utility contractor schedule a pre -construction conference with our office after receipt
of the NCDEQ DWR sewer permit approval and prior to the installation of the sewer distribution
facilities. Please be advised that all permits must be received by this office prior to construction. Please
contact Mike Keen at [phone] or mike. [e-mail], if you have any questions or need
additional information.
Sincerely,
�Ka"V
c, -jir�.
r
Chandra C. Farmer, PE
Director of Utilities
cc: Mike Keen — Utility Projects Manager
Enclosures