WQ0041856_Application (FTSE)_20200728

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 FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: 54 4tobecompleted byDWit)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
I.
Applicant's name: CITY OF WILSON. NC (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: W.T.BASS. IV per I SA iP CAC 02T .0106Ib�
Title: CITY ENGINEER
4.
Applicant's mailing address: P.O.BOX 10
0
City: WILSON State: NORTH CAROLINA Zip: 27896-
D
5.
AppIicant's contact information:
ati
Phone number (2y) 399-2453 Email Address: bbas§@w'tlsonnc"era
11. PROJECT INFORMATION:
flQ,
00 0
1.
Project name: HERITAGE CORNER SHgPPING CENTER
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2.
Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
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If a modification, provide the existing permit number. WQ00 and issued date:
O
If new construction but part ofa master plan, provide the existing permit number WQ00_
CD
3.
County where project is located: WILSON
4.
Approximate Coordinates (Decimal Degrees): Latitude: 35.744323" Longitude:-77.972224'
5.
ParceI 1D (if applicable): 3702-47-9494.000
(or Parcel ID to closest downstream sewer)
Ill. CONSULTANT INFORMATION:
1. Professional Engineer: RONNIE L. SUTTON. PE License Number: 10180
Firm: HERRING-SUTTON & ASSOCIATES P.A.
Mailing address: 2201 NASH STREET NW
City: WILSON State: NORTH CAROLINA Zip: 27896-_
Phone number. [phone] Email Address: rsutton herring-sutton.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: HOMINY SWAMP WWTP
Owner Name: CITY OF WILSON. NC
Permit Number. NC 0023906
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
I. Permit Number(s): WQNOT AVAILABLE
inch
Downstream (Receiving) Sewer Size; 8" & 12"
s-�s� tern Wi4e C gIlection Sysiem Permit Numbe i e licable : WQCS00021
Owner Name(s): CITY OF WILSON, NC
FORM: FTA 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 Developer's Uperotional A_6rermerg tFORM; D1_ Vj been attached?
❑ Yes ❑No ®N/A
3. If the Applicant is a I Iome,'Property {owners' Association, hm are Operational Ayreement (FORM. HOA) been attached?
❑ Yes [:]No ®NIA
4. Origin of wastewater. (check all that apply):
❑ Residential Owned ® Retail (stores, centers, mails) ❑ Car Wash
❑ Residential Leased ® Retail with food preparation/service ❑ Hotel and/or Motels
❑ School / preschool / day care ❑ Medical / dental f 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 : 100'/o Domestic/Commercial _ % Commercial
_ % Industrial ( ee 15A.NC,�(: 0_T .0103["'O1)
-ls there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T .0114ft? ❑ Yes ® No
D If provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see U2T.0114{n
Daily Design Flow' b
No. of Units
Flow
UNKNOWN COMMERICAL
880 gal/ACRE
5.7
5016 GPD
gaU
GPD
gal
GPD
gal/
GPD
gale
GPD
gal/
GPD
Total 15016
GPD
a See 1SA NCAC 0-01 VbL14 tXl od_L612) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown nonresidential 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 .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.0114l shall
be determined using available flow cjata, water using fixtures, occupancy or operation patterns, and other measured data
8. Wastewater generated by project: 8 0 GPD (per 15A NCAC 02T .0114)
D Do not include future flows de 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 (IrApplicable) - 02T .0305 & NIDC tGravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 560 SDR 35 PVC
D 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)— 021.03U5 & MDC (Pump Stations/Force Mains:
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
I . Pump station number or name: NSA
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 15 A NCAC02T .0 05ChJUI:
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(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(hx 1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(I)(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)):
I. Does the project comply with all separations found in .15'%NCAC 02T [': }o5i.1� , - t{ ® Yes ❑ No
➢ 15A NCAC 02T.0305 contains minimum separations that shall be Provided for sewer stems:
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 1 or
Class 11 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 1X.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 ools
10 feet
Final earth Mde vertical
36 inches
➢ 15A NCAC 0x;1'.0305 contains alternatives where separations in 02T.0305 cannot be achieved.
➢ "Stream classifications can be identified using the Division's NC Surface_ Water Classifications „we aE�
➢ If noncompliance with 02T,0305f n[. s , 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 154 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 I'ermitti.p_i a ch
5. Does project comply with I{ A N[":AC 02T.0105[cH6) (additional permits/certifications)? ® Yes [:]No
Per 15A,NC.AC 02T_G105(cL&, 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 El No ®NA
➢ 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 021, the Minimum_ Desian_Criteria for the Permitting of Pump Stations
and Force Mains latest version and the Gravity Sewer Minimum Design Criteria latest version 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 reouired prior to submittal of the Fast Track Application and suppoEliq&
Engineer's Certification:
attest that this application for
(Professional Engineer's name from Application'itern 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 143-215.68, 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.
North Carolina Professional Engineer's seal, signature, and date:
- SEAL
3. Applicant's Certification per 15A NCAC 02T .0106(b):
that this application for
(Signature Authority's name & title from Application Item 1.3.)
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 14-215.6B, 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: Z7- l�Zv
FORM: FTA 04-16 Page 5 of

Dlvlslon 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: City of Wilson
Project Name for which flow is being requested: Heritage Corner Shopping Center
More than ogre FTSE maybe required for a single project if the owner of the Wlt'TP is not responsible for all pump
stations along tite route of the proposed wasteivater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Hominy Swamp Water Relcamation FaciIit
b. WWTP Facility Permit #: NCO023906
All flo►vs are in MGD
c. WWTP facility's permitted flow 14 MGD
d. Estimated obligated flow not yet tributary to the WWTP 1.141246
e. WWTP facility's actual avg. flow 8.86 MGD
f. Total flow for this specific request 0.005016
g. Total actual and obligated flows to the facility 10.00125
h. Percent of permitted flow used 71.44
Il. 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
Average
Pump
Pump
Daily
Station
Station
Firm
Flow"
(Name or
Permit
Capacity, *
(Firm:: po,
Number)
No.
MGD
MGD
3
WQCS00021
4.320
1.728
4
WQCS00021
6.264
2.506
(B)
Approx.
Current
Avg. Daily
Flow,
MGD
1.06
1.66
(C)
(D)=(B+C)
(E)=(A-D)
Obligated,
Total
Not Yet
Current Flow
Tributary
Plus
Daily Flow,
Obligated
Available
MGD
Flow
Capacity***
0.404911
1.4649
0.2631
0.392591
2.0526
0.4530
* 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
(pi) 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): Hominy Swamp Water Reclamation
Downstream Permit Number: NC 0023906
Page 1 of 6
FTCF 1 n-1 A

I11. Certification Statement:
I W.T. Bass IV, PE 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.
Sighing Off cial Signature
re4lir
Title of Signing Official
Date
Page 2 of 6
FTCF 1!1_1R

HERITAGE CORNERS SHOPPING CENTER
STREET LEVEL MAP
NTS

HERITAGE CORNERS SHOPPING CENTER
USGS QUAD SHEET WILSON, NC
NTS

dHerring -Sutton
St ASSOCIATES • P.A.
ENGINEERS • SURVEYORS •PLANNERS
Scott Vinson
Regional Supervisor
NCDEQ-DWQ
Raleigh Regional Office
1628 Mail Service Center
Raleigh, NC 27699-1628
July 26, 2020
NC Dept of Environmental Quality
JUL 2 8 2020
Raleigh Regional Office
SUBJECT: Fast -Track Sewer System Extension Application
Heritage Corners Shopping Center
City of Wilson
Gentlemen:
Enclosed for your review and processing with one original and once copy are the
following items concerning the proposed installation of approximately 560 linear
feet of 8" diameter gravity sewers, and other appurtenances to serve 5.7 acres of
commercial out -parcels within the proposed Heritage Corners Shopping Center
along Airport Boulevard in Wilson, North Carolina, with a requested flow
allocation of 5016 gallons per day. The enclosed items are as follows:
• Fast -Track Application Form "FTA 04-16"
• Colored USGS Quad Sheet with approximate system layout
• Street level map of Project Area
• Flow Tracking/Acceptance for Sewer Ext. Permit Application (FTSE 04-16)
• Check in the Amount of $480.00 (Application Fee).
Thank you very much for your assistance with this matter, and if further
information is needed, please do not hesitate to contact us.
l y,
and Associates, P.A.
onnie L. Sutton, P.E.
Enclosures
cc: Bill Bass, RE
2201 Nash Street NW • Wilson, North Carolina 27896 • [phone] • Fox [phone]