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WQ0042305_Application (FTSE)_20210120
FH OWNER: GSEH LLC DB: 3588 PG:1083 8-217- 23000 2408 CHARLES BLVD STE 3 GREENVILLE, NC 27858 ICV EBOX WV w w N \- TWM � -- — — -- 1G � Rom, x— — ---25-- I — PF WV —GS � w • 3 FEET WIDE UNDERGROUND POWER w ss —26— w w CPP 18" INV. (W) 25.06' INV. (E) 24.49' EX. 12" DIP SANITARY SEWER w w w w w w w EX SSMH RIM=27.94' 10" DIP (S)=19.63' w 25- - 26— — — — 26- -ss— SSMH RIM=27.18' 10" DIP (N)=18.96' 12" DIP (W)=18.83' 10" HDPE (E)=18.64' w FH ICV WM w— 63 PP GW w CONNECT TO EXISTING 12" WL W/ 45° BEND 39 SY PAVEMENT REPLACEMENT 10' PERMANENT UTILITY EASEMENT MH - 2 (WATERTIGHT) —1-1+•T ss I - - ro PKF STA: 10+40 45° BEND W `4 24 OWNER: LANE, WILLIAM SAMUEL JR DB: 3602 PG:808 8-217- 24000 10705 NC HIGHWAY 55 DOVER, NC 28526 LIMITS OF DISTURBANCE (TYP.) — 5' OFF ROW 10" PVC— —12i@0 J the /i iimrmmm m W / , w 3 26 — LP 5' OFF ROW RCP 18" INV. (W) 23.41' INV. (E) 22.94' CORE DRILL AND CONNECT TO EXISTING SSMH WITH FLEXIBLE BOOT -w—w. w INLET PROTECTION (TYP,) ss- LIMITS OF DISTURBANCE (TYP.) COVERED / GARAGE / / 20' PERMANENT UTILITY EASEMENT 10' TEMPORARY CONSTRUCTION EASEMENT fi // r/ 1/ 1/' / / //c MIN 10' / SEPARATION' // 11s10 w � 23-= 25- / / v / / / // / MH 3 FLAT TOP (WATRTIGHT) 25 SY PAVEMENT REPLACEMENT EXECUTIVE PARKWAY -- --- --- Bow W w w OWNER: CRAVEN COUNTY DB: 944 PG:181 8-217- 031 PO BOX 1128 NEW BERN, NC 28563 w w FOB w w w w —23 24— — PROPOSED N N 10'X10' RECEIVING PIT \�\ / MH - 4 FLAT TOP 90 LF CONCRETE 9- ENCASEMENT (WATERTIGHT)0- • 14f— / , A\ / 20'ZONE2 II I RIPERIAN BUFFER 30' ZONE 1 RIPERIAN BUFFER EX. STREAM ' TOP OF BANK/ OWNER: LANE/WILLIAM SAMUEL JR / DB. 3602 PG:808 217- 24002 1( 05 NC I WAY 55 W DOVER, NC 28526 CHECK DAM AND INLET PROTECTION LOCATED AT STREAM CROSSING CHECK DAM (TYP) PROPOSED 12" PVC C-900 DR-18 WATERLINE RCP 36" INV. (N) 20.00' INV. (S) 19.85' w w w kti EX. 6" WATER w W W o (ii:672- 1 \ MLATCHL NE STA. 17+00 - i SEE SHEET 4 I N\- \ I 11 ' 16 I 12 I 12 RCP 24" INV. (W) 21.81' INV. (E) 22.00' IN - MIN 10" OFF EOP STA. 16+31 FH ASSEMBLY LIMITS OF DISTURBANCE (TYP.) 406 24 OWNER: CRAVEN COUNTY \ 8-217- 025 RAVEN ST NEW BERN, NC 28562 PROPOSED ROW STA 16+17 1-12" TEE 2-12" GATE VALVES (E,N) 20 LF 12" C900 DR18 W/ RESTRAINED CAP (E) 68 LF OF 12" FUSIBLE PVC BY HDD (MIN COVER 5') OWNER: CRAVEN COUNTY FIREMANS ASSOCIATION DB: 1978 PG:44 8-217- 7003 PO BOX 277 NEW BERN, NC 28563 vv wl/V FH CPP 18" INV. (W) 22.35' INV. (E) 22.48' 40 -000000000000 GRAPHIC SCALE 0 20 40 80 1 inch = 40 ft. 40 40 1-12"x45 MH - 4 FLAT TOP (WATERTIGHT) I- TOP (WATERTIC /ATERTIGHT)) 35 35 2 o ci) 2 o . k CONTRA RCP AT NO TOR SHALL PROTECT EX. 18" ADDITIONAL COST TO OWNER I MH-3FLAT TI 30 ST, Rft IN\ IN\ Iii 25 IFAVAPIIV~I~AI:41-41PII TILIM 0 0000000000 El SEPARATION III II COVER (TYP.) DAIL I IMIAr 20 20 iel il SEE WATER STA. 13+00 TO17+00 45' OF 41.51 LF 10" PVC @ 0.28% RESTRAINED --- PIPE PROPOSED 12" PVC C-900 DR-18 — WATERLINE 15 15 9+50 10+00 10+50 11+00 11+50 12+00 12+50 13+00 13+50 14+00 GRAVITY SEWER STA. 10+00 TO 17+00 WATER STA. 10+00 TO 13+00 14+50 15+00 15+50 16+00 16+50 17+00 35 35 30 VE 30 25 CONTRACTOR RCp SHALL PROTE AT NO ADDITIONAL COST T EX. 18" CONTRACTOR 0 OWNER RCP AT NO A SHALL PROTECT EX. 18" DITI NAL COST TO OWNER 'cc u_ r-- LLI + 25 20 18" RCP 20 WATERLINE -MIN. 3' COVER (TYP.) 1 L._ I( 68 LF OF 12" FUSIBLE PVC PROPOSED 12" PVC C-900 DR-18 RESTRAINED WATERLINE 13+00 13+50 14+00 14+50 15+00 15+50 WATER STA. 13+00 TO 17+00 16+00 16+50 17+00 SCALE: FM No. Revision Date By Designer LEP Scale AS NOTED Drawn By LEP Date DECEMBER 2020 Checked By MCW Job No. 03200292 New Bern CRAVEN COUNTY INDUSTRIAL PARK Craven County North Carolina PLAN AND PROFILE STA. 10+00-17+00 WithersRavenel 219 Station Road I Ste 101 I Wilmington, NC 28405 I t: 910.256.9277 I license #: C-0832 I www.withersravenel.com Sheet No. 3 ellIliWithersRavenet our People. Your Success. January 20, 2021 Washington Regional Office Division of Water Resources, DEQ 943 Washington Square Mall Washington, NC 27889 Attn: Jamie Midgette RE: Craven County Industrial Park Sewer Extension WR# 03200292 Dear Mr. Midgette: Enclosed you will find a Fast Track Application for the Craven County Industrial Park Sewer Extension. The Craven County Industrial Park Sewer Extension project is the next phase of the Craven County Industrial Park, Permit No. WQ0022348, granted in March 2003. There will be no flow requested with this application. The flow will be requested as development in the park progress and each new structure applies for subsequent permits. The Craven County Industrial Park Sewer Extension project consist of 306 If of 10-inch PVC and 1315 If of 10-inch DIP gravity sewer. The design includes a bore and jack under a buffered stream and connects to the existing manhole located on Executive Parkway near the parcel identified as PIN number 8-217-025. This submittal package includes the fast track application form FTA 04-16, USGS location map, a check for the application fee, and plans showing the proposed design. Please contact me if you have any questions or need additional information concerning this project. Sincerely WithersRavenel Lauren Pitzer, PE Project Manager 115 MacKenan Drive I Cary, NC 27511 t: 919.469.3340 I f: 919.467.6008 I www.withersravenel.com I License No. C-0832 Cary I Greensboro I Pittsboro I Raleigh I Wilmington DWR Division of Water Resources State of North Carolina Department of Environmental Quality Division of Water Resources 15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION 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 profession& 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 1SA 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 the applicable minimum design criteria. These documents shall be available upon request by the 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 1 C .0100; ➢ 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; ➢ STEP or simplex grinder pumps connecting to pressurized systems (e.g. force mains); ➢ Vacuum sewer systems. 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): El 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 1.2 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. El The Professional Engineer's Certification on Page 5 of the application shall be signed, sealed and dated by a North Carolina licensed Professional Engineer. ® The Applicant's Certification on Page 5 of the application shall be signed in accordance with 15A NCAC 02T .0106(b). Per 15A NCAC 02T .0106(c), an alternate person may he designated as the signing official if a delegation Ietter is provided from a person who meets the criteria in 15A NCAC 02T .0106(b). INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page 1 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- 215.67(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 11-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 ® Innclude 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)(1), submit documentation of power reliability for pumping stations. ➢ This alternative is only available for average daily flows less than 15,000 gallons per day ➢ 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 15A 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) I. 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 fi om 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/Property Owners' Associations ❑ Per 15A NCAC 02T .0115(c), submit the properly executed Operational Agreement (FORM: HOA). ❑ Per 15A NCAC 02T .0115(c), submit a copy of the Articles of Incorporation, Declarations and By-laws. ❑ Developers of lots to be sold ❑ Per 15A NCAC 02T .0115(b), submit the properly executed Operational Agreement (FORM: DEV). For more information, visit the Division's collection systems website INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page 2 of 3 THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND MATERIALS, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE: REGIONAL OFFICE ADDRESS COUNTIES SERVED Asheville Regional Office 2090 Swannanoa, (828) (828) US 296-4500 299-7043 Highway North Fax 70 Carolina 28778 Avery, Clay, Macon, Rutherford, Graham, Buncombe, Madison, Swain, Haywood, McDowell, Burke, Transylvania, Caldwell, Henderson, Mitchell, Yancey Cherokee, Jackson, Polk, Water Quality Section Fayetteville Regional Office 225 Fayetteville, (910) (910) Green 433-3300 486-0707 Street North Fax Suite Carolina 714 28301-5094 Anson, Montgomery, Sampson, Bladen, Scotland Moore, Cumberland, Robeson, Harnett, Richmond, Hoke, Water Quality Section Mooresville Regional Office 610 Mooresville, (704) (704) E. 663-1699 663-6040 Center North Avenue Fax Carolina 28115 Alexander, Gaston, Stanly, Union Iredell, Cabarrus, Lincoln, Catawba, Mecklenburg, Cleveland, Rowan, Water Quality Section Raleigh Regional Office 1628 Raleigh, (919) (919) Mail 791-4200 788-7159 North Service Carolina Center Fax 27699-1628 Chatham, Granville, Northampton, Warren, Wilson Durham, Halifax, Orange, Johnston, Edgecombe, Person, Lee, Vance, Franklin, Nash, Wake, Water Quality Section Washington Regional Office 943 Washington, (252) (252) Washington 946-6481 975-3716 North Fax Square Carolina Mall 27889 Beaufort, Currituck, Jones, Perquimans, Lenoir, Bertie, Dare, Pitt, Martin, Camden, Gates, Tyrrell, Pamlico, Greene, Washington, Chowan, Pasquotank, Hertford, Craven, Wayne Hyde, Water Quality Section Wilmington Regional Office 127 Wilmington, (910) (910) Cardinal 796-7215 350-2004 North Drive Fax Carolina Extension 28405 Brunswick, Hanover, Onslow, Carteret, Pender Columbus, Duplin, New Water Quality Section Winston-Salem Regional Office 450 Suite Winston-Salem, (336) W. 300 776-9800 Hanes Mill North Road Carolina 27105 Alamance, Davie, Stokes, Forsyth, Surry, Allegheny, Watauga, Guilford, Ashe, Rockingham, Wilkes, Caswell, Yadkin Davidson, Randolph, Water Quality Section INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page 3 of 3 Division of Water Resources State of North Carolina Department of Environmental Quality Division of Water Resources 15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION FTA 04-16 & SUPPORTING DOCUMENTATION Application Number: (to be completed by DWR) All items must be completed or the application will be returned I. APPLICANT INFORMATION: 1. Applicant's name: City of New Bern (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: Mark Stephens, PE per 15A NCAC 02T .0106(b) Title: City Manager 4. Applicant's mailing address: P.O. Box 1129 City: New Bern State: NC Zip: 28563- 5. Applicant's contact information: Phone number: (252) 639-2701 Email Address: stephensm@newbernnc.gov H. PROJECT INFORMATION: 1. Project name: Craven County Industrial Park Water and Sewer Expansion 2. Application/Project status: Proposed (New Permit) ■ Existing Permit/Project If a 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 3. County where project is located: Craven 4. Approximate Coordinates (Decimal Degrees): Latitude: 35.13° Longitude: -77.16° 5. Parcel ID (if applicable): 8-217-24000 (or Parcel ID to closest downstream sewer) III. CONSULTANT INFORMATION: 1. Professional Engineer: Lauren Pitzer License Number: 049418 Firm: WithersRavenel Mailing address: 219 Station Road, Suite 101 City: Wilmington State: NC Zip: 28405- Phone number: (919) 535-5138 Email Address: 1pitzer@withersravenel.com IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION: 1. Facility Name: New Bern Water Treatment Plant Permit Number: NC0025438 Owner Name: City of New Bern V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF): 1. Permit Number(s): WQ0040769 Downstream (Receiving) Sewer Size: 10 inch System Wide Collection System Permit Number(s) (if applicable): WQCS00052 Owner Name(s): City of New Bern 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 N/A 2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEV) been attached? Yes ■ No I N/A ■ 3. If the Applicant is a Home/Property Owners' Association, has an Operational Agreement (FORM: HOA) been attached? 4. Origin of wastewater: (check all that apply): • • • • • Residential Owned Residential Leased School / preschool / day care Food and drink facilities Businesses / offices / factories 5. Nature of wastewater : • • • • • Ycs IN No I2 N/A Retail (stores, centers, malls) Retail with food preparation/service Medical / dental / veterinary facilities Church Nursing Horne % Domestic/Commercial 100 % Commercial • • • • • % Industrial (See 15A NCAC 02T .0103(20)) �Is there a Pretreatment Program in effect? Yes • 6. Has a flow reduction been approved under 15A NCAC 02T .0114(f)? ■ Yes a1 No ➢ If ves, provide a copy of flow reduction approval letter 7. Summarize wastewater generated by project: Car Wash Hotel and/or Motels Swimming Pool /Clubhouse Swimming Pool/Filter Backwash Other (Explain in Attachment) • No Establishment Type (see 02T.011401) Daily Design Flow a,b No. of Units Flow Non -Residential (Use unknown) 880 gal/ac 69 60,720 GPD gal/ GPD gal/ GPD gal/ GPD gal/ GPD gal/ GPD Total GPD a See 15A NCAC 02T .0114(b), (d), (e)(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 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. 42A-4) b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01 14] shall be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data. 8. Wastewater generated by project: 60,720 GPD (per 15A NCAC 02T .01 14) ➢ Do not include future flows or previously pennitted 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 (Gravity Sewers): 1. Summarize gravity sewer to be permitted: Size (inches) Length (feet) Material 10 306 PVC 10 1315 DIP ➢ Section II & III of the MDC for Permitting 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 VIII. 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: 0Longitude: - ° 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): 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)(B)_ ➢ 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: • or • Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T .0305(h)(1)(C) 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 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 — (0213.0200 & 15A NCAC 02T .0305(f)): 1. Does the project comply with all separations found in 15A NCAC 02T .0305(f) & (g) ➢ 15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems: Yes ■ No 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 Class II private impounded or public reservoirs water supply used source, including as a source of drinking any wells, water WS-I waters of Class I or 100 feet **Waters high water classified (or tide elevation) WS (except and WS-I wetlands or WS-V), (see item B, SA, IX.2) ORW, HQW, or SB from normal 50 feet **Any ditches other stream, lake, impoundment, or water lowering and surface drainage 10 feet ground Any building foundation 5 feet Any basement 10 feet slope of embankment or cuts of 2 feet or more vertical height 10 feet Top Drainage systems and interceptor drains 5 feet Any swimming pools 10 feet Final earth grade (vertical) 36 inches ➢ 15A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305(f) cannot be achieved. ➢ **Steam classifications can be identified using the Division's NC Surface Water Classifications webpage ➢ 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 feet of separation) ■ Yes ■ No a N/A ➢ 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 ■ N/A ➢ This would include Trout Buffered Streams per 15A NCAC 2B.0202 4. Does the project require coverage/authorization under a 404 Nationwide or individual permits or 401 Water Quality Certifications? ➢ Information can be obtained from the 401 & Buffer Permitting Branch ■ Yes /ZI No 5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? ■ Yes 11 No Per 15A NCAC 02T.0105(c)(6), directly 'elated 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 st•eambanks 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: 1. Does the submitted system comply with 15A NCAC 02T, 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? ® 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 required prior to submittal of the Fast Track Application and supporting documents. 2. Professional Engineer's Certification: 1, attest that this application for (Professional Engineer's name from Application Item III.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 143-215.6B, 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 $25,000 per violation. North Carolina Professional Engineer's seal, signature, and date: 3. Applicant's Certification per 15A NCAC 02T .0106(b): 1, MAVk 5 irPt.ikNJ( C rI r7 ✓,1-L e+'� (Signature Authority's name & title from Application Item 1.3.) 0oU3Y O Uboo 000'°\,"\ C A R O°O = oe oFESS/p °°y�o ° ° ° ° �� SEAL (--Do$uSigned by: 049418 0./.,. 0 0 o � °°°�/1/G l NE��' � �40FBFA10864DC... °6.0.9 ENan.P ���. 2/112021 attest that this application for has been reviewed by me and is accurate and complete to the best of my knowledge. 1 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 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: / f 27 202-1 FORM: FTA 04-16 Page 5 of 5 State of North Carolina Department of Environmental Quality Division of Water Resources Flow Tracking/Acceptance for Sewer Extension Applications (FTSE 04-16) Entity Requesting Allocation: City of New Bern Project Name for which flow is being requested: Craven County IP Water and Sewer More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all pump stations along the route of the proposed wastewater flow. I. Complete this section only if you are the owner of the wastewater treatment plant. a. WWTP Facility Name: City of New Bern b. WWTP Facility Petinit #: NC0025348 All flows are in MGD c. WWTP facility's permitted flow 6.500 d. Estimated obligated flow not yet tributary to the WWTP 0.609 e. WWTP facility's actual avg. flow 4.246 f. Total flow for this specific request 0.060 g. Total actual and obligated flows to the facility 4.915 h. Percent of permitted flow used 75.62% 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: Pump Station (Name or Number) LS No. 70 Firm Capacity, * MGD 0.432 (A) Design Average Daily Flow** (Farm / pf), MGD 0.173 (1) Approx. Current Avg. Daily Flow, MGD 0.095 (C) Obligated, Not Yet Tributary Daily Flow, MGD 0.060 (D)=(B+C) Total Current Flow Plus Obligated Flow (F)=(A-D) Available Capacity*** 0.155 0.018 * The Firm Capacity 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. *** 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): New Bern WWTP Downstream Permit Number: NC0025348 Page 1 of 6 FTSE 04-16 11I Certification Statement: I Mark Stephens, City Manager 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 indicates acceptance of this wastewater flow. Si j> ing Official Signature 1171 2-Z/ Date Page 2 of 6 FTSE 04-16 ■■ WithersRavene[ WIOur People. Your Success. January 20, 2021 RE: Craven County Industrial Park Water & Sewer Extension Fast Track Sewer Application HIGH PRIORITY SEWER LINES DESCRIPTION SIZE MATERIAL LOCATION aerial sewer 10" DIP Sta. 16+30 219 Station Road, Suite 101 I Wilmington, NC 28405 t: 919.469.3340 I www.withersravenel.com I License No. C-0832 Asheville I Cary I Greensboro I Pittsboro I Raleigh I Southern Pines I Wilmington Shasteen, Heidi From: Toppen, Sarah A Sent: Monday, February 15, 2021 3:06 PM To: Shasteen, Heidi Subject: FW: [External] RE: Additional information needed to complete the Craven County Industrial Park Water and Sewer Expansion Attachments: Cover Letter.pdf; FTA Application.pdf; FTA-Page 4 #6 High Priority Lines.pdf; 3 PLAN AND PROFILE STA. 10+00-17+00.pdf Good afternoon Heidi, Can we add this email and attachments to Laserfiche? This is from our Fast Track Collections program, permit # WQ0042305 Craven County Industrial Park Water and Sewer Expansion. Let me know if you have any questions. Thank you!!! -Sarah Sarah A Toppen Environmental Specialist II Division of Water Resources Water Quality Regional Operations 252-948-3845 office 252-402-6155 mobile Sarah.Toppen@ncdenr.gov Email 943 Washington Square Mall Washington NC 27889 From: Toppen, Sarah A Sent: Tuesday, February 9, 2021 3:04 PM To: Tankard, Robert <robert.tankard@ncdenr.gov> Subject: FW: [External] RE: Additional information needed to complete the Craven County Industrial Park Water and Sewer Expansion Sarah A Toppen Environmental Specialist II Division of Water Resources Water Quality Regional Operations 252-948-3845 office 252-402-6155 mobile Sarah.Toppenncdenr.gov Email 943 Washington Square Mall Washington NC 27889 1 From: Pitzer, Lauren <Ipitzer@withersravenel.com> Sent: Monday, February 1, 2021 9:14 AM To: Toppen, Sarah A <Sarah.Toppen@ncdenr.gov> Cc: Tankard, Robert <robert.tankard@ncdenr.gov> Subject: [External] RE: Additional information needed to complete the Craven County Industrial Park Water and Sewer Expansion CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to Report Spam. Good morning Sarah, Thank you for your call and email last week regarding the review of the Craven County Industrial Park Water and Sewer Expansion Fast Track permit. Please see my responses to each comment below in red and the associated revised documents. Please let me know if you need anything else. Thank you! 1. Please let me know if this permit has flow or will flow be in a different application? We have revised this permit to include flow. This flow is an estimate and since future uses are unknown we used the standard 880 gal/acre. The permit will be revised in the future once each lot is developed. 2. Is there a high priority line in this application? The application has that there is a high priority line but doesn't have the additional information needed? If yes, please provide the details needed. There is a high priority line located at 16+30 and is an aerial sewer. The plan has been revised slightly since the last submittal so I attached the updated plan sheet. I also included a document summarizing the high priority line. 3. The cover letter and the application show to two different amounts of gravity line needed for this project. Which is the correct amount of gravity line needed for this project? There is 306 LF of 10 in. PVC and 1315 LF of 10 in. DIP. Both the cover sheet and the application have been updated to reflect this. 4. On page 5 of 5 on the application please list the Signatory Authority's name and title. Signatory Authority's name and title have been added to the application. Lauren Pitzer, PE WithersRavenel 115 MacKenan Drive I Cary, NC 27511 Office: 919.469.3340 I Direct: 919.535.5138 1pitzer@withersravenel.com ®© a CONFIDENTIALITY AND NONDISCLOSURE From: Toppen, Sarah A <Sarah.Toppen(a@ncdenr.gov> Sent: Monday, January 25, 2021 11:48 AM To: Pitzer, Lauren <Ipitzer@withersravenel.com> Cc: Tankard, Robert <robert.tankard@ncdenr.gov> Subject: Additional information needed to complete the Craven County Industrial Park Water and Sewer Expansion Hello, 2 A review of the application and supporting documents for the subject application has been completed by this office. In accordance with 15A NCAC 02T.0107, please provide the additional or revised information for the following comments: General Review: 1. Please let me know if this permit has flow or will flow be in a different application? 2. Is there a high priority line in this application? The application has that there is a high priority line but doesn't have the additional information needed? If yes, please provide the details needed. 3. The cover letter and the application show to two different amounts of gravity line needed for this project. Which is the correct amount of gravity line needed for this project? 4. On page 5 of 5 on the application please list the Signatory Authority's name and title. A response to the above comments is considered required in order to proceed with the review of the application and issuance of the permit. If a complete response is not received within 30 days, the application and supporting documents will be returned to you in accordance with 15A NCAC 02T.0107(e)(2). If you have any questions, please let me know. Thanks! Kind Regards, Sarah Sarah A Toppen Environmental Specialist II Division of Water Resources Water Quality Regional Operations 252-948-3845 office 252-402-6155 mobile Sarah.Toppen4ncdenr.gov Email 943 Washington Square Mall Washington NC 27889 3