WQ0042212_Application (FTSE)_20201230

DWR
Division of Water Resources
Ov;r1V
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: Oa 14:,._ (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: MLP/CPL, LLC/Preps, Inc. (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: Judson Pope per I5A NCAC 02T .0106(b)
Title: Manager (MLP/CPL, LLC) President (Preps, Inc.)
4. Applicant's mailing address: 1092 North Breazeale Street
City: Mt Olive State: NC Zip: 28365-_
5. Applicant's contact information:
Phone number: [phone] Email Address: Judson Pope[a?eipope.com
11. PROJECT INFORMATION:
1. Project name: Handy Mart 180
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: Johnston
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.621_= Longitude:-78,515°
5. Parcel ID (if applicable): 164800411151, 164800400991. 164800319071
(or Parcel ID to closest downstream sewer)
111. CONSULTANT INFORMATION:
1. Professional Engineer: N. Ray Watson. Jr License Number: 11682
Firm: The John R. Mcadams Company, Inc.
Mailing address: 2905 Meridian Parkway
City: Durham State: NC Zip: 27713-�
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Central Johnston County Regional Wastewater Facili Permit Number: NC0030716
Owner Name: Johnston County
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
I . Permit Number(s): WQ_ Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS00060
Owner Name(s): Johnston County
FORM: FTA 04-16 Page 1 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?
❑ Ycs ❑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 ONo ®NIA
3. If the Applicant is a Home/Property Owners' Association has an Operational Aereemcnt (FORM: HOA) been attached?
❑ Yes ❑No ®N/A
4. Origin of wastewater: (check all that apply):
❑ Residential Owned 0 Retail (stores, centers, malls)
❑ Residential Leased ® Retail with food preparation/service
0 School / preschool / day care ❑ Medical / dental / veterinary facilities
❑ Food and drink facilities ❑ Church
❑ Businesses / offices / factories ❑ Nursing Home
❑ Car Wash
❑ l lotel and/or Motels
❑ Swimming Pool /Clubhouse
❑ Swimming Pool/Filter Backwash
❑ Other (Explain in Attachment)
5. Nature of wastewater : % Domestic/Commercial 100 % Commercial
% Industrial (See ISA NCAC 02T .0103(20))
0•Is there a Pretreatment Program in effect? 0 Yes 0 No
6. Has a flow reduction been approved under ISA NCAC 02 I' .01 I4(j)? 0 Yes ® No
D If ves. provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.01 I4(1))
Daily Design Flow'."
No. of Units
Flaw
service station, gas statio
250 gal/fixture
16
4500 GPD
gall
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
4500 GPD
a See 15A NCAC 02T .01 I4(k, (d). (e)(I) and (J(J 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. t).
b Per I5A NCAC 02T .01 I4(c), design flow rates for establishments not identified [in table 15ANCAC 02T.01 141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 4500 GPD (per 1 SA NCAC 02T .0114)
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:
O RehabiIitation 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 (Gra%it% Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
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)
➢ 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 Slalions/l'orce Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
I. Pump station number or name: Handy Mart 180
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.621 o Longitude:-78.5I5'
3. Design flow of the pump station: 0.004 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 4 gallons per minute at 30 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
1.5
435
Schedule 80
6. Powcr reliability in accordance with 15A NCAC 021:.0305(h)(1):
® Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(S)_
D Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
D Must be permanent to facility
Or if the pump station has an average daily flow Tess than 15,000 gallons per day:
❑ Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0305(h)(l)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(1)(C):
D 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 & I5A NCAC 02T .0305(f)):
I. Does the project comply with all separations found in 15r1 ',WA(' 021 A3051
➢ I5A NCAC 02T.0305(f► contains minimum separations that shall be provided for sewer systems'
®Yes El 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 private or public water supply source, including any wells, WS-1 waters of Class I or
Class 11 impounded reservoirs used as a source of drinking water
100 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
Draina,ee systems and interceptor drains
5 feet
Any styirititii?g•pools s'• ..
10 feet
' Final-erikh):rade (vertical)
36 inches
➢` ireNC'AC 0 3,03(15Tr1 Contains alternatives where separations in 02T,0305(f) cannot be achieved.
- • ('`!Stream clathificatiops can be identified using the Division's NC Surface W'atgrrlas}ific Lions wrht+nr.e
• If noncompliance with t12I.,LI3[ () i r te1, see Section X of this application
? Does the project cojnply,with separation requirements for wetlands? (50 feel of separation) ❑ Yes ❑ No ® N/A
➢ See the Division's dta(f separation requirements for situations where separation cannot be meet
> No vg(-Ih ice is'1•equie`ed lithe alternative design criteria specified is utilized in design and construction
➢ As built doeunients should reference the location of areas effected
3. Does the project comply with setbacks found in the river basin rules per 1 A NC C (I2It ,U2OtJ',r
➢ 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 de I34f0 I'crmittin iir0pch
❑ No ❑ N/A
❑ Yes No
5. Does project comply with 1 SA NCAC' 02 f•0IQStcJ() (additional permits/certifications)? ❑ Yes ® No
Per 15A N['1C 02T.0I05(_sh41, directly related environmental permits or certification applications arc 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, stonnwaler management plans, etc.),
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per j N„CLif tl2r.044 "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 I5A 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 1 A_NCAC 021, the Minimum Iksien Criteria Ior the pennittiuy of E'urnp fi iih 1 s
Mid I OrLei AUS (_laresj tL isit1rrl, and the Gravity Sewer Minim,ub O* i zn Criieria 1tates( 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 sulrportinedocuments.
2. Professional Engineer's Certification:
I. t � a 11. 3r ' attest that this application for
{Professional Engineer's name from Application Item I ll.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. 1 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 l have reviewed this material and
have judged it to be consistent with the proposed design.
NOTE — In accordance with General Statutes I43-215.6A 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 tine not to exceed S 10,000, as well as civil penalties up to S25,000 per v olation.
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
r15 L?ts
(Signature Authority's name & title from Application Item I.3.)
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. 1 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 143-215.613 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 S I0,000 as well as civil penalties up to S25,000 per violation.
Signature:
/1.€6,9-1- OFLE--T-
Date:
19 Lbz 1)4 7.1,1
FORM: FTA 04-16 Page 5 of 5

ram-
,,
A
0 I D0 200 400
Feet
f inch 200 fcct
HANDY MART CLAYTON
USGS TOPO MAP
PROJECT #: BNB-18050
CLAYTON, NORTH CAROLINA
1
1.141J
MCADAMS

A
0 50 100
I inch 100 feet
200
Feet
HANDY MART CLAYTON
SITE AERIAL MAP
PROJECT #: BNB-18050
CLAYTON, NORTH CAROLINA
LII
MCA DAM S

Filed in JOHNSTON COUNTY COUNTY, NC CRAIG OLIVE, Register of Deeds Filed 12/23/2020 10:01:50
DEED BOOK: 5793 PAGE: 44-46 INSTRUMENT # 2020724318
Real Estate Excise Tax: $1,600.00 Deputy/Assistant Register of Deeds: Patty Woodall
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: S 1,600.00
Parcel Identifier No. Out of 05-F-02-019-B; 05-F-02-019C; 05-F-02-Q 19-E; Verified by
of , 20
By:
County on the — day
Mail/Box to: Grantee
This instrument was prepared by: Gene Davis Law. PLLC
Brief description for the Index:
THIS DEED made this 2day of December 2020, by and between
GRANTOR
Johnny Brian Smith,
Dianne Smith Starling and spouse,
Phillip Drew Starling aka Philip Drew Starling
GRANTEE
MLP!CPL LLC,
a North Carolina Limited Liability Company,
a 61.425% undivided interest, and
Preps, Inc., a North Carolina corporation,
A 38.575% undivided interest
1092 North Breazeale Avenue, Mount Olive, NC 28365
The designation Grantor and Grantee as used herein shall include sa d parties, their heirs, successors, and assigns, and shall include
singular, plural, masculine, feminine or neuter as required by context.
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby acknowledged, has
and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that certain lot, parcel of land or
condominium unit situated in Johnston County, North Carolina and more particularly described as follows:
As fully set out on the attached Exhibit A, which is incorporated herein by reference.
The property hereinabove described was acquired by Grantor by instrument recorded in Book 833, Page 87, Book 1441, Page 40, Book
1441, Page 44 and Book 1484, Page 583, Johnston County Registry,
All or a portion of the property herein conveyed includes or X does not include the primary residence of a Grantor.
A map showing the above described property is recorded in Book of Maps 92, Pages 276, Johnston County Registry,
Page 1 of 2
NC Bar Association Form No. 3 ' Revised 7.2013
Printed by Agreement with the NC Bar Association
Submitted electronically by "ward and Smith, P.A."
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Johnston County Register of Deeds.
North Carolina Bar Association - NC Bar Form No. 3

DEED Ba 5793 P: 46 END OF DOCUMENT
EXHIBIT A
TO DEED FROM JOHNNY BRIAN SMITH, ET AL.
TO MLP/CPL LLC AND PREPS, INC.
Lying and being in Clayton Township, Johnston County, North Carolina, and being all of Tract 1 as
depicted on that map entitled "Recombination Plat Lands of Starling" dated December 9, 2020 and
recorded in Plat Book 92, Page 276 in the office of the Register of Deeds of Johnston County.

North Carolina Secretary of State Search Results Page l of l
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Add Entity to My Email Notification List • View Filings • Print a Pre -Populated Annual Report form • Print
an Amended a Annual Report form
Limited Liability Company
Legal Name
MLP/CPL LLC
Information
Sosld: 0774367
Status: Current -Active 0
Date Formed: 3/29/2005
Citizenship: Domestic
Annual. Report Due Date: April 15th
Registered Agent: Pope, E. J., III
Addresses
Principal. Office Reg Office Reg Mailing
1092 N. Breazeale Avenue 1092 N. Breazeale Avenue 1092 N. Breazeale Avenue
Mount Olive, NC 28365-1106 Mount Olive, NC 28365-1106 Mount Olive, NC 28365-1106
Mailing
P.O. Box 649
Mount Olive, NC 28365-0649
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Manager
E Judson Pope AI
1092 N. Breazeale Avenue
Mount Olive NC 28365

North Carolina Secretary of State Search Results Page l of 2
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Add Entity to My Email Notification List • View Filings • Print a Pre -Populated Annual Report form • Print
an Amended a Annual Report form
Business Corporation
Legal. Name
PREPS, Inc.
Information
Sosld: 1039272
Status: Current -Active 0
Date Formed: 4/18/2008
Citizenship: Domestic
Fiscal Month: September
Annual Report Due Date: January 15th
Registered Agent: Jones, Gena
Addresses
Mailing Principal Office Reg Office
1092 N Breazeale Ave 1092 N Breazeale Ave 1092 N Breazeale Ave
Mount Olive, NC 28365 Mount Olive, NC 28365 Mount Olive, NC 28365
Reg Mailing
1092 N Breazeale Ave
Mount Olive, NC 28365
Officers
President
E J Pope , III
1092 N Breazeale Ave
Mount Olive NC 28365
Stock

DWR
Division 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: Johnston County
Project Name for which flow is being requested: Handy Mart
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: Central Johnston County Regional WW Facility
b. WWTP Facility Permit #: NC 030716
All flaws are in MGD
c. WWTP facility's permitted flow 9.5
d. Estimated obligated flow not yet tributary to the WWTP 2.1708 (includes Town
capacity purchases)
c. WWTP facility's actual avg. flow 5.970
f. Total flow for this specific request 0.0045
g. Total actual and obligated flows to the facility 8.1407
h. Percent of permitted flow used 62.8% actual, 85.4% paper
11
01110 Truo4201111dtalini
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, Total
Pump Pump Average Approx. Not Yet Current Flow
Station Station Firm Daily Flow** Current Tributary Plus
(Name or Permit Capacity, * (Firm 1 p0, Avg. Daily Daily Flow, Obligated Available
Number) No. MGD MGD Flow, MGD MGD Flow Capacity***
Swift
Creek 39606Mod 1.7640 0.7056 0.3717 0.3129 0.6846 0.0021
Josephin
e 0028867 3.384 1.354 0.6904 0.5791 1.2696 0.0840
Landfill
EQ 0020340 1.9296 1.6718 0.8359 0.7481 1.5840 0.0879
* 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): [40/42 Interchange
Page 1 of 7
FTSE 10-18

Downstream Permit Numbcr: WQ 06359 Mod2
III. Certification Statement:
I Chandra C. Farmer, P.E. certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity
related sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant under normal circumstances, given the implementation of the planned improvements
identified in the planning assessment where applicable. This analysis has been performed in accordance
with local established policies and procedures using the best available data. This certification applies to
those items listed above in Sections 1 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.
12/29/20
Signing Official Signature Date
Director of Utilities
Title of Signing Official
Page 2 of 7
FTSE 10-18