WQ0042080_Application (FTSE)_20201015

I
State or North Carolbs
Department of Environmental Quality
Dhision orwater Resources
15A NCAC 02T .0300 - FAST TRACK SERT:R SVSTV%I EATENNSION APPI ICATION
W ewool.,
Waco of i•TA 04-16 d SUPPORTING DOCV.%IFNTATION
Application Number `160 q 090 0 too be axszpLew bs Dwlt1
All Itrmf muse be comaleted or the_a-ogilstiilon %Ul be retained
10 /5
L APPLICANT INFORAtATIO:N
I. Applicant's name_ Tow7._orClatitun (cumpan). municipalit), IIOA, utility. etc,)
2. Applicant type. ❑ lndn.dual ❑ Corporation ❑ General Partnership
❑ Prii ately-Ouiied Public 01111y
❑ Federal ❑ StatriCounty ® Municipal
❑ Other
3 Signature authonty's name RichCannola. PF per '
Title. QcmdN Jowtt_Manage�
4 Applicant's mailing w1dress PO Box 87V
City- won State: NC Zip. 17 2 -_
5. Applicant's contact infornwtion
Phonc number (2W U -5W Ec=l Addnms. zya=la gAo%norclavtotinc.orx
U. PROJECT INFORMATION;
1 Project name Lj9k!Qm* Outfall Seiner Line RmWc=nt
2_ Application/Project swats_ ® Proposed (New permit) ❑ Exming Permit/Project
If modification. provide the cawing permit number %%'000 _.. and issued date-
.,
If new construction but part of a master plan, pro%ide the existing permit number- WQ00_..
y �
3 County u here ptojm is locate!. Johnston
71
71
4. Approximate Coordinates (Decimal Degrees)- Latitude },1,!4 Longitude, -7&4
cam+
S. Parcel ID (irapplicable)-
v
(or Parcel ID to closest downstream scwcr)
1-- 9�
Ill. CONSULTA.N'T INFORMATION:
I. Proressional Engineer License Number. QQZ2�2 '
Firm. ijg_ Wnotcn Comtuiny
A
Mailing address: 120 North Boylan Avenue
INC Zip:
�Q
City: Ralf State; Z7603-1323
Phone number (21D 928-0531 Email Address- irmtzsch cr thewaotencomnanv.com
IV. WASI'EWATERTREATNIENT FACILITY (WW]rF) INFORMATION:
1. Facility Name: Liyic Cork Water Rcrlamntion Faciltty Permit Number; NC00ZN53
Owner Name- Town orClam-n
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Numbet(s)- WQ_ Downstream (Receiving) Sewer Size. _ inch
SMm Wide Collection S"Igm Pit h I . WQC5-
Owner Name(s).
FORM. FTA 04-16 page I ors

1• GENERAL REQUIREMENTS
1. if the Applicant is a Privately -Owned Public Utility, has a Ccrtiric:ate of Public Convcmence and Necessity been attached'?
❑ Yes [:]No ON A
2. If the Applicant is a Developer of lots to be sold, has a Dc%clot►cr's Oprrauonal Aercement I FORM: ntv been attached?
❑ Ycs ❑No ®N.'A
3. if the Applicant is a HomqTrol2crt Qw-ners' ti iati n hac a Operational A ent FO M: O been attached?
❑ Yes [:]No [D A
4. Origin of wastewater (check all that apply)
❑ Residential Owned ❑ Retail Otores, centers, malls) ❑ Car (Nash
❑ Residential U-ased ❑ Retail with food prepamtionlscry ice ❑ Hotel and;or Motels
❑ School ) preschool I day care ❑ Medical -dental veterinary facilities ❑ Swimming Pool ,`Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter 13ackw•ash
❑ Businesses I offices i factories ❑ Nursing llome ❑ Other (Explain in Attachment)
5, Nature of wastewater; _% DomestiCC'ommer ial % CommercW
5a Industrial (See 15A NCAC 02T .0 103(20))
L--b Is there a Pretreatment Program in effect? ❑ Yes [:)No
6- Hasa flow reduction been appruved under 15A NCAQ 02 A I ? ❑ Yes ®No
i IfySI.provides rotivof now reduction aPProval letter
7. Summanze wastewater generated by project-
Establisbment Type (see 02T.0114113)
Dally Design Flow a6
No. of units
Flow
No new flow
0 gallday
N A
0 GPD
gal.'
GPD
gal/
GPD
gal.,
GPD
Sal;.
GAD
gat)
GPD
Total
0 GPD
a See 15A NCAC 02TI4(bi. t4), feWD and (0142 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 S�4ZA-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01141 shall
be determined using available flow data, w•xicr using fixtures, occupancy or operation patterns, and other measured data.
g. Wastewater generated by project; 2 GPD (per 15A NCACO2T . 4
;► Do not include future flows ar previously permitted allocations
df 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

II- GRAVITY SEWER DESIGN CRITERIA (1r Applicable) - 02T ,p305 do ,%1D ('rtiv '
1. Sumntahze gravity sewer to be permttted.
Sirs (inches)
Length (reet)
~Material
30"
135'
PVC
24'
925,
PVC
24"
650'
DI
12"
140'
PVC
I
175'+ 95'
PVC/ DI
8"
205,
PVC
Section li & Ill of the h1DC for Pcrmitting ofGm%uy Sewers contains information related to design criteria
L Section III contains information related to minimum slopes for grar ity sewcr(s)
3- Oversh ing lines to meet minimum slope requirement is not adluwcd and a violation or the MDC
%'IIL PUMP STATION DESIGN CRITERIA (if Applicable) — OZT.9305 do AN1DC(PUMP atio or hI
COMPUTE FOR EACH PUMP STATION INCLUDED IN IS PRD E
Pump station number or name: IAA
2. Approximate Coordinates (Decimal Degrees). Latitude: Longitude_ -
3 Design flow of the pump station- millions gallons per day (firm capacity)
d. Operational point(s) or the pump(s) Minions per minute at feet total dynamic head (TDII)
S. Summxnze the force main to be permitted (for this Pump Station)'
Size (inches) Length (feet) Slaterint
6- Power reliability in accordance with 15A N AC 02T ,03p5(U ll 1:
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T.0305(.bXI X13)j
i 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 unth manual activanon, quick -connection r ccptacic and telemetry -15A NCAC 02T
.0305(hx 1 xC)
or
❑ Portable pumping unit with plugged emergency pump connecuon and telemetry - 15A NCAC 02T .0305(hX I XQ.
r It Beall be demonstrated to the Division thal the portable source is owricd or contracted by the applicamt (draft agreement)
and is compatible with the station
r If the portable power source or purrtp is dedicated to multiple pump stations, an c►�iluation of all the pump statiatu'
storage capacities and the rotation schedule of the portable power enure or Pump. including travel tirnef ttrn ,shall be
provided in the case of a multiple station power outage -
I ORhi FTA 04-16
PW 3 orS

IX. SET13ACKSdc SEPARATIptiS-(02B.0200 & 15A NCAC 02T.0305(f)):
Does the pan}act comply with all separations found in NCAC 02T -0
I5A NCAC_02T.03051 f) contains min imeim cnnnritinnc that chniI ire- nnn irt.vt far arum evetemc-
® Yes ❑ No
Setback Parameter,
S lion Required
Storm sewers and other utilities not listed below 1%'ertical I
24 inchcs
Wafer mains restiptl-water over sewer including in bunched tenches
18 inches
Water mains i horizontal)
10 feet
Reclaimed water lines vertical -reclaimed o+cr sewer►
18 inches
Reclaimed water lines horirantal - reclaimed o%cr sewer)
2 feet
"Any private or public water supply source, including any wells. DVS-1 waters of Class I or
Gass 11 initiounded reservoirs used as a source ordrinking water
100 feet
"Waters classified WS (except WS-1 or %VSA'). B. SA, ORN', l_IQ%'. or Sl3 from normal
high water or tide elevation) and wetlands (sce ucm IX 2)
50 fect
"Any other stream, lake, impoundment, or ground water luw Bring and surface drainage
ditches
10 feet
Any building foundation
5 feet
Any basement
10 fact
Top sloe of embankment or cuts of 2 feet or mart vertical height
10 feet
Drainage s stems and interceptor drains
5 feet
Any swimming is
10 feet
Final earth Lzrade 0crtical)
36 inches
t5A NCAC 02T.03051g) contains altemativcs where separations m 02T.0305(f1 cannot be achieved.
;*Strewn classifications can be identified using the Division's NC Surface Water CWliflotions webnaae
If noncompliance with 02T.0205(f) or (a). sec 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
i No variance is required if the alternative design criteria specified is utilized in design and construction
Y 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 0213,0200? ❑ Yes ® No ❑ N A
�- This would include Trout Buffered Streams per 15A_NCAC 213.0202
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 Branch
5 Does project comply with 15A NCAC 02T.01051ckltl (additional permits/certifications)) ® Yes ❑ No
Per 15A NCAC 02T.010&X6), directly related cmironmcntal permits or certification applications are being prepared, ha%e
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 ,I 5A NCAC 07T.0402„ -high-priority sewer" mesa+ "any aerial sewer. sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erasion that undermines or deteriorates the sewer.
❑ Yes ® No ❑ N. A
7 If yes, include an attachment with details for each line, including type (aerial lint, size, material, and location).
Nigh priority lines shall be Inspected by the permitter or its representative at least once every SIX -months and
Inspections documented per ISA NCAC 02T.0403(a)(S) or the pemitee's individual System -Wide Collection permit.
I
FOMI- FTA 04-16 Page 4 of 5

V CERTIFICATIONS:
1• Dots the submitted s}stem comply with ]5A NCAC_O,T, the� i sinCriteri
a Lon the Permrttintt f PgMgi
and the Grsvity_Sarer Itrnrmum Desi f0„Criteria stest version) as applicable?
® Yes No
1f No, complete and submit the Vanance_'Alterrative Design Request application (VADC 10-1.1) and supporting documents
for review. mvnl f he eat i r sired Prior to submittal of the Fast Track Aripfication ands rt'n
2• Professional Engineer's Ccrtifcation:
V \ ^C-1 attest that this application for
Engineer's name from Applica n Item Itl.l_)
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 Stanons and Force Mains (latest %ersion). 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 143-215.69, 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 eweed S 10.000. as well as civil penalties up to $25.000 per violation.
North Carolina professional Engineer's seal signature,-- and date:„E.q,''l
E L
7952
3 Applicant's Certification per ISA NCAC 02T .0106(b);
l' A attest that this application for
(5igna Authority"s name ti from Application IMm 1.3.)
has bees) 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
condmon of this permit be violated, I also understand that if all required pars of this application package are not completed
and that if all required supporting information and attachments arc not included, this application package will be returned to
me as incomplete
!MOTE — In accordance with General Statutes 143-215,6A and 14 .'► .6i3 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,o00 per violation.
Signaaue
Date;
FORM_ FTA 04-16
Page 5 of 5

Ty
THE
WOOTEN
COMPANY
12D Mom Sop Avenue
Rafoo. NC 27EC3-1423
519 E28 C53 1
Fax 915 E3 35E9
U&N Iletwen=PXly CM
t ctolkr I �. 2020
RECEIVED
OCT 13 2020
Res ic" cr
NCDI-Q - Di%iiion of%%'seer Rc*ulturceti NCDEQIDWR NPDES
Archdale Building
512 N. Salisburs St.
Raleigh. NC 27604
Subject_ Fast l neck Sesser S%steln l.ttension ApplicatiOWept c,1 T:nc ir�,Fintentt1l Quality
Little Crech Outfall Sctscr Line Replacement
Clacton, North Carolina OCT ? ! "r1�71
-i%%'C No.- 2756-131'
Dcar Re% ie%%er: P..ticlSl� ��l''t1111c11 t t1 I L►
On behalf ofthe l'o►s n of Cla%ton. A%e arc enclosing one (1) original and one (1) copy
of the follo"ing documents for %our rc%icss and approsal regarding the above
referenced project in Clayton, NC:
• Application Fee ($480.00)
• past Track Sc%%er Sy stem I-\tcnsion Application f 17TA 04-16)
• USGS Topographic Map
■ Street Lctel Site flap
This project includes the replacement and upsizc of approximately 1.450 linear feet
of an existing municipal gras it% sanitary so%er outfall that discharges In the influent
structure of the Little Creek Water Reclamation faeilit%. The project also includes the
replacement of scscml tributary branches, mailing approximately 860 linear feet, that
feed into the main outfall. 1-he upstream portion of the replacement has been realigned
to mace the secser outside of an cxisting po%%er casement to the greatest extent
possible. The main outfall will hp: upbized front 18- and 24- to 24" and 30".
respective}%
The; project does not include neNs sen ices and N%iII not generate or add nets floss to
the collection system.
All proposed %cork is to be constructed either across open land in new or existing
permanent utility casement or across NCDOT-maintained roadways, specifically
Snuth I ombard Street (NC Highssa) 42). -I'his project will he built per Totv,t of
Clayton and The %Vooten Compan% construction standards.
If %ou have questions or require additional information, please do not hesitate to
contact me at [phone] or kpierce &ihessootencomRanc .com or John Poetzsch
at ' oetvsch rt)tltess, otemcon pally.com-
Sincerely,
THE WOOTEN COMPANY
�';t' r,..
Kristen T. Pierce, P.G.
cc: Richard D. Cappola PE, Deputy Town Manager, Town of Clayton (email wlcopy)
Joshua Baird PE, Town Engineer, Town of Clayton (email wlcopy)
TWC file

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TOWN OF CLAYfON Date
corms w Mom NOUH CAMMA OCTOBER 2020
LITTLE CREEK OUTFALL SEWER LINE REPLACEMENT Scale.
THE WOOTEN COMPANY 1- _ 2,OW
USGS TOPOGRAPHIC SITE MAP Project No. l
27s6-OP