WQ0041768_Application (FTSE)_20200624

State of North Carolina
Department of Environmental Quality
DWR 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 15A NCAC 02T 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 good engineering 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 dhe applicable minimum design criteria. These
documents shall be available upon request by die Division.
Projects that are deemed permitted (do not require a permit from the Division) are explained in 15A NCAC 02T_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 IC .010C Dept of Environmental Quality
7 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; JUN 2 4 2020
➢ STEP or simplex grinder pumps connecting to pressurized systems (e.g. force mains);
i Vacuum sewer systems.
Raleigh Regional Office
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 and
reduce the amount of requested additional information. Failure to submit all required items will necessitate additional
processing 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.
➢ 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.
➢ 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.
➢ If necessary for clarity or due to space restrictions, attachments to the application may be made.
® If the Applicant Type in Item I.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 I.2 is a partnership or d/b;'a, enclose a copy of the certificate filed with the Register of
Deeds in the county of business.
® The Project Name in Item II. I 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 Enineer.
® The Applicant's Certification on Page 5 of the application shall be signed in accordance with 15A NCAC 02T .01066 .
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 Pagel of 3

E. Flow Tracking/Acceptance Form (Form: FTSE 04-16) (If Applicable):
® Submit the completed and executed FTSE form 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-
21. 5.67(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 1-inch color copy of a USGS Topographic Map of sufficient scale to identify the entire project
area and closest surface waters.
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 list 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 02T .0305 h l , submit documentation of power reliability for pumping stations.
This alternative is only available for average daily flows less than 15,000 gallons per day
S- 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 I5A 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."
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)
1. 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/Pro a Owners' Associations
❑ Per 15A NCAC 02T .0115(c), submit the properly executed Operational Agreement (FORNI: 1 IOA).
❑ Per I5A NCAC 02T .0115(c), submit a copy of the Articles of Incorporation, Declarations and Ely -laws.
❑ Developers of lots to be sold
❑ Per 15A NCAC 02T .01 15(b), submit the properly executed Operational A__reement,(FORNI: DEV).
For more information, visit the Division's collection systerns ►vebslle
INSTRUCTIONS FOR FO%M: FTA 04-16 & SUPPORTING DOCUMENTATION Nfre. 7 of

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources 15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: WO 00417 (to be completed by DWR) �-
All items must be com Ieted or the a nficationivill be returned
1. APPLICANT INFORMATION:
I . AppIicant's name: Johnston Coun (company, municipality, HOA, utility, etc,)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑Privately -Owned Public Utility
❑ FederaI ® State;County ❑ Municipal
❑ Other
3. Signature authority's name: Chandra Farmer P.E. per 15A NCA 02T .0106tb)
Title: Director of De arment of Public Utilities
4. Applicant's mailing address: PO Box 2263
City: Smithfield State: NC Zip: 27577-
5. Applicant's contact information:
Phone number: 919 209-8333 Email Address: chandra.farmer 'ohnstonnc.com
It. PROJECT INFORMATION:
I . Project name: AIdi River Oaks C
2. Applicativn/Projectctatus: ®Proposed (New Permit ❑ Existing Permit/Project c= o
If 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 w
.�!
3. County where project is located: Johnston o _►
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.3117" Longitude:-78.5550= Q `�
5. Parcel ID (if applicable): 163700-27-0837 C3
(or Parcel ID to closest downstream sewer) Z
III. CONSULTANT INFORMATION:
I. Professional Engineer. Chris Bostic P.E. License Number: 032582
Firm: Kimle -Hom and Associates Inc.
Mailing address: 421 Fayetteville St_ Suite 600
City: Raleieh State: NC Zip: 27601- _
Phone number: 919 677-2000 Email Address: chris.bostic0,kimle-horn.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Central Johnston County Re ional Wastwater Faci]ityPermit Number: NCO_ 0
30716
Owner Name: Johnston County
V. RECEIVING DOWNSTREAM SEWER INFORMATION {if different than WWTF):
If dvLt 1:1.�/ua 11,11- nurl� 1 • Permit Number(s): WQ0 z�{y(b (fW Downstream (Receiving) Sewer Size: � inch
wQ oC�G435� mad System Wide Collection S 'stem Permit Numbe s rf a licable : WQCS00060
Owner Name(s): Johnston Count
FORM: FTA 04-16
Page 1 of 5

Vl. GENERAL REQUIREMENTS
L If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑No ®N. A
2. If the Applicant is a Developer of lots to be sold, has a DeyelopCr'S Operational Agreement IFC3RM: DEVI been attached?
❑ Yes ❑No ®N;'A
3. if the Applicant is a Home.Tro erry Owners' Association. has an Q erational Aareemeas FORM: HOA1 been attached?
❑ Yes [—]No ®N'A
4. Origin of wastewater: (check all that apply):
❑ Residential Owned © Retail (stores, centers, malls) ❑ Car Wash
❑ Residential Leased ® Retail with food preparation/service ❑ Hotel and/or Motels
❑ School / preschool / day care ❑ Medical., dental.' veterinary facilities ❑ Swimming Pool .'Clubhouse
® Food and drink facilities El Church
El Swimming Pool/'Filter Backwash
❑ Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: % Domestic/Commercial 1 QO'/o Commercial
0 % Industrial {See 15 NCAC 02T A103f2011
1Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .01 14 ? ❑ Yes ❑ No
D If ves. provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 021.0114
Daily Design Flow' a
No. of Units
Flow
Building #I - ALDI
100 gal)1000 SF
I9,300
1930 GPD
Building #2 - Restaurant Full Service
40 gal/seat
122
4880 GPD
gay
GPD
gall
GPD
gall
GPD
gaV
GPD
Total
6810 GPD
a See 15A NCAC 02T .0114(b). 01_ (O(L 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 east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in P.S.42A }).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table IA NCA[_= 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: 6810 GPD (per 15A 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 Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC Gravitv Sewers
I . Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
108
PVC
8
132
PVC
8
53
DI
9 Section II & III of the MDC lbr Pernutting 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
VII1. 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: -T
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 I SA NCAC 02T .0305 h ] :
❑ 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 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 - 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 trm.el timeframes, shall be provided
in the case of a multiple station power outage.
FORM: FTA 04-16 Page 3 of5

. IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
• 1. Does the project comply with all separations found in 15A NC AC_0.2T,(1305( 0 & (e1 ® Yes ❑ No
15A NCAC 02T.0305(fl contains minimum separations that shall he nrnvirted far cpwpr cvcr,-me,
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 Il impounded reservoirs used as a source of drinking water
l00 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
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 swimming pools
10 feet
Final earth grade (vertical)
36 inches
i j56NCAC 02T�030�( l contains alternatives where separations in 02T.03051 fl cannot be achieved.
"Stream classifications can be identified using the Division's NC Surface Water Classifications web age
i 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 ❑ 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 I5A NCAC 02$ .0200? ❑X Yes ❑ No ❑ N-A
This would include Trout Buffered Streams per I SA NCAC 2B.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 Permitting Bra SLhh
5. Does project comply with 15A NCAC 02T.01 OS c 6 (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105[04 , 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:
Does the submitted system comply with .1.5A NC'AC 02T, the Minimum Desi =n Criteria for the Permitting of Pump Stations
and Fork Mai s latest version and the Graaity Seger hfinimum Design Criteria lat st version as applicable?
® Yes ❑ No
If No, complete and submit the Variance?Altemative 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 supporting documents.
2. Professional Engineer's Certification:
I, _Chris Bostic, P.E. attest that this application for
(Professional Engineer's name from Application Item Ill. I .)
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 S10,000, as well as civil penalties up to $25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
I,
(Signature A
name & title from Application Item 1.3.)
01111111111111
�i9816I47j413D
032582
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 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 Iand 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 143-215.66 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 S25,000 per violation.
Signature: Date:
FORM: FTA 04-16 Page 5 of 5

State of North Carolina
DW
Department of Environmental Quality
Division of Water Resources
Division of Water Resources Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Johnston County
Project Name for which flow is being requested: Aldi River Oaks
More than one FTSE may be required for a single project !f the owner of the lV{VTP is not responsiblefor r all purrrp
stations along the route of the proposed wastewater,Jlow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Central Johnston County Regional WW Facility
b. WWTP Facility Permit ##: NC 030716
Aff fforps are in MGD
c. WWTP facility's permitted flow 9.5
d. Estimated obligated flow not yet tributary to the WWTP 1.922
e. WWTP facility's actual avg. flow 5.970
f. Total flow for this specific request 0.0681
g. Total actual and obligated flows to the facility 7.899
h. Percent of permitted flow used 62.8% actual, 83.1% paper
II. 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,
Pump Pump Average Approx. Not Yet Total Current
Station Station Firm Daily Flow** Current Tributary Flow Plus
(Name or Permit Capacity, * (Firm pf), Avg. Daily Daily Flow, Obligated Available
Number) No. MGD MGD Flow, MGD MGD Flow Capacity***
Swift
_r-,--, 39606Mod 1.7640 0.7056 0.3936 0.1949 0.5886 0.117
Josephine 0028867 3.384 1.354 0.6904 0.4359 1.1264 0.2272
Landfill rin 0020340 1.9296 1.6718 0.8359 0.6062 1.4401 0.2318
* 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): I-40/42 Interchange
Downstream Permit Number: WQ 0006359 Mod
Page 1 of 6
FTSE 10-18

Iil. Certification Statement:
I Chandra C. Farmer, P.C. 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 11 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.
Siihing Official Signature,
`1D I L� I
Title of Signing Official
Page 2 of 6

Kimley>)Horn
ALDi River Oaks
NC Dept of Environmental Quality
If IN ? 4 2020
161eigh Regiolaal Office
FAST TRACK PUBLIC SEWER SYSTEM EXTENSION APPLICATION COVER LETTER
Description: The proposed development consists of 2 commercial buildings
including a grocery store and a full -service restaurant. A total sanitary
sewer flow discharge of 6,810 GPD (see section 7 of FTA 04-16) has
been calculated. To service the development, 240 linear feet of 8"
PVC sanitary sewer main and 53 linear feet of 8" DIP sanitary sewer
main are being proposed. The applicant, Johnston County, will own
and maintain the proposed sanitary sewer extension.
Attachments:
1. Fast Track (Form FTA 04-16) Application
2. Copy of Fast Track (Form FTA 04-16) Application
3. USGS topographic Map
4. Street Level Map
5. Flow Tracking Form

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