WQ0042284_Application (FTSE)_20210127

fi rSe-1 A a'd5 Qj State of North Carolina
Department of Environmental Quality
Division of Water Resources
Division of Water Resources
15A NCAC 02T .0300— FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: W 610 042Z 9 9 (to be complcicd by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Johnston County Public Utilities (company, municipality, HOA, utility, etc.)
Applicant type: ❑ Individual
❑ Federal
D Corporation
® State/County
1-4?-
❑ General Partnership ❑ Privately -Owned Public Utility
❑ Municipal ❑ Other
3. Signature authority's name: Chandra C. Farmer, PE per 15A NCAC 02T .0106(b)
Title: Public Utility Director NC Dept of Environmental Qualit3
4. Applicant's mailing address: PO Box 2263
City: Smithfield State: NC Zip: 27577- JAN 2 7 71171
5. Applicant's contact information:
Phone number: [phone] Email Address: chandra.farmerejohnstonnc.com Raleigh Regional O tice
11. PROJECT INFORMATION:
1. Project name: Wellesley Phase 4
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: 35.56311 Longitude: -78.52595
5. ParceI ID (if applicable): 06F04067J
(or Parcel ID to closest downstream sewer)
11I. CONSULTANT INFORMATION:
1. Professional Engineer: Andrew Hodge, PE License Number: 21094
Firm: Adams & Hodge Engineering, PC
Mailing address: 314 E. Main Street
City: Clayton State: NC Zip: 27520-
Phone number: [phone] Email Address: andreweadamsandhodge.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Central Johnston County WWTP Permit Number: NC0030716
Owner Name: Johnston County Public Utilities
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ0040975 Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS00060
Owner Name(s): Johnston County Public Utilities
FORM: FTA 04-16 Page 1 of 5

VI. GENERA!, REQUIREMENTS
I. lithe Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑No ®N/A
2. lithe Applicant is a Developer of lots to be sold, has a Developer's Operational Areeme t FORM: DEVI been attached?
❑ Yes DNo ®NfA
3. If the Applicant is a l lome?Property Owners' Associationhas an Oorati i A_E .'erneN (FORM: HOA) been attached?
❑ Yes ❑No ®N.`A
4. Origin of wastewater: (check all that apply):
® Residential Owned
❑ Residential Leased
❑ School . preschool ' day care
❑ Food and drink facilities
❑ Businesses offices factories
O Retail (stores, centers, malls)
O Retail with food preparation/service
❑ MedicaI 1 dental / veterinary facilities
❑ Church
O Nursing Home
❑ Car Wash
O Hotel and or Motels
O Swimming Pool .'Clubhouse
O Swimming Pool/Filter Backwash
❑ Other (Explain in Attachment)
5. Nature of wastewater : 100 % Domestic; Commercial % Commercial
% Industrial (See ] 5A NCAC 02T .0103(20))
' Is there a Pretreatment Program in effect? 0 Yes
6. Has a flow reduction been approved under 15A NCAC 02T .0114(fl? ® Yes ❑ No
➢ lives, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.01140
51 - Residential Units
Daily Design Flow"'
240 gal/day/unit
gall
gall
gal/
gall
gal/
❑ No
No. of Units
51
Total
Flow
12,240 GPD
GPD
GPD
GPD
GPD
GPD
12,240 GPD
a See 15A N 02T ,0I 14(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.01141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 12.240 GPD (per 15A NCAC 02T .01
> Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
❑ Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit Number:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain): _
FORM: FTA 04- 16
Page 2 of

VI1. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted.
Size (inches)
Length (feet)
Material
8
3,674
PVC
8
180
DIP
-
3 f�s if_I
➢ 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
I. Pump station number or name:
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
5. Summarize the force main to be permitted (for this Pump Station):
feet total dynamic head (TDH)
Size (inches)
Length (feet)
Material
6. Power reliability in accordance with 15A NCAC 02T .0305(h)(I):
❑ Standby power source or pump with automatic activation and telemetry - I5A NCAC 02T .0305(h)(1)(B):
Si.- 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 Tess than 15,000 gallons per day:
❑ Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - I5A 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 — (02B .0200 & I5A NCAC 02T .0305(0):
I. Does the project comply with all separations found in 15A NCAC 02T .0305(1) &
➢ 15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewers stems•
[El 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 II 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
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.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
> If noncompliance with 02T.0305(f) or (g)t see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes ❑ No ❑ WA
➢ See the Division's draft separation requirements for situations where separation cannot be meet
D 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 I SA NCAC 02B .0200? ® Yes ❑ No ❑ N A
➢ This would include Trout Buffered Streams per I5A 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 ®No
5. Does project comply with 15A NCAC 02T.0I05(c)(6) (additional permits..certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105(c)(6), 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 I5A NCAC 02T.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
❑ Yes ® No ❑ N. A
> If yes, include an attachment with details for each line, including type (aerial line, size, material, and Iocation).
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 permitce'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 Puntn 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 rcou1red prior to submittal of thQFast Track Application and supporting documents.
2. Professional Engineer's Certification:
I, Andrew Hodge, PE 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 infomiation 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 I 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 fine not to exceed SI 0,000, as well as civil penalties up to S25,000 per violation.
„ssnimp rrrp
North Carolina Professional Engineer's seal, signature, and dale: '(H CARt
1 I/30/2020
3. Applicant's Certification per 15A NCAC 02T .0106(6):
Chandra C. Farmer, PE, Public Utility Director
(Signature Authority's name & title from Application Item I.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 retumed as incomplete. I understand that any discharge of wastewater from this non -
discharge system to surface waters or the land will result in an inunediate enforcement action that may include civil penalties,
injunctive relief, and/or criminal prosecution. 1 will make no claim against the Division of Water Resources should a condition
of this pennit 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.
attest that this application for
NOTE — In accordance with General Statutes 143-215.6A and 143143215.6B 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 S 10,000 as well as civil penalties up to S25,000 per violation.
Signature:
Date:
FORM: FTA 04-16 Page 5 of 5

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: Wellesley Phase 4
More lhan one FTSE may be required for a single project if the owner of the WWTP is not responsible for al! 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 itt MGD
c. WWTP facility's permitted flow 9.5
d. Estimated obligated flow not yet tributary to the WWTP 1.9557 recon ongoing
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
7.091 (2020 influent)
0.001224
9.0584
74.6 actual/95.4 paper
II. Complete this section for each pump station you are responsible for along the route of this proposed
wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A) (B) (C) (D)=(B+C) (E)=(A-D)
Design Obligated,
Pump Pump Average Approx. Not Yet Total Current
Station Station Firm Daily Flow** Current Tributary Flow Plus
(Name or Permit Capacity, * (Firm /pf), Avg. Daily Daily Flow, Obligated Available
Number) No. MGD MGD Flow, MGD MGD Flow Capacity***
Wellesley 39596 0.1728 0.06912 0.00504 0.02112 0.02616 0.04296
Landfill rn 20340 1.9296 1.6718 0.92819 0.7174 1.6456 0.02625
* The Firm Capacity (design flow) of any pump station is defined as the maximum pumped flow
that can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor
(pf) not less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** A Planning Assessment Addendum shall be attached for each pump station Located
between the project connection point and the WWTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer): Wellesley Phase 3
Downstream Permit Number: WQ0040975
Page 1 of 6
FTSE 10-18

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 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.
Signing Official Signature
ThlY.2c y 6f W-Ai-\1v s
Title of Signing Official
1 �S lei
ate
Page 2 of b
FTSE 10- l 8

(The scale is only accurate when printed portrait
on a 8 1/2 x 11 size sheet with no page scaling.)
ADAMS & HODGE
6NOINEERINO. PC

Johnston County assumes no legal responsibility for the information represented here.
Scale: 1:24000 - 1 in. = 2000 feet
Johnston County GIS
(The scale is only accurate when printed portrait on a 8112 x 11 size sheet with no page scaling.) August 18, 2020

Michael F. Easley, Governor
Wam G. Ross Jr., Secreta
North Carolina Department of Environrren and Natural Resources
Alan W. Klimek, P.E., Director
DIvtston of Water Quality
May 18, 2005
Timothy Broome, PE, Director of Infrastructure and Engineering
Johnston County Public Utilities
PO Box 2283
Smithfield, NC 27577
Subject: Johnston County
Residential Flow Reduction Approval
Johnston County
y
Dear Mr. Broome:
On February 22, 2005, the Division of Water Quality received a flow reduction request for.
residences in Johnston County. The letter requests an allowable flow rate of 80 GPD per residential
bedroom based on the evaluated data for three similar existing subdivisions.
The water use data provided between November 2003 and October 2004 with daily readings
taken during November 2004 was analyzed by central office and regional office staff with additional
information requested. Based upon this data and the County response to our additional information
requests, the Division hereby approves the use of 80 GPD per residential bedroom, with a minimum
of 160 gpd for one and two bedroom units in all applicable non -discharge permit applications.
Flow shall be incremented by 80/gpd for each bedroom above two. Regardless of the adjusted
design daily wastewater flow rate. at no time shall the wastewater flows exceed the effluent limits
defined in the NPDES permit for the treatment facility or exceed the capacity of the sewers •
downstream of any new sewer extension or service connection(s). A permit modification and fee is
required to apply this flow reduction to any existing permits where flows have been allocated.
if you have any questions or comments regarding this matter, please contact Marie Doklovic
at [phone] ext. 371.
Sincerely,
FrAlan W. Klimek, P.E.
cc: Ken Schuster, Raleigh Regional Office
Barry Herzberg, Raleigh Regional Office
Mark McIntire, NPDES East Program .
Kimberly Rinser, PE, Johnston County Public Utilities
PERCS How Reduction File
One Pretreatment, Emergency Response and Catection Systems Unit Internet hitpJh2o.enr.ncstete.usfidpu
No h Carolina 1617 Mail service Center, Raleigh, NC 27699.1617 An Equal Opportunity Acton EmployeraturaII Telephone [phone] Fax [phone]%recycled/10%post-consumer paper

ADAMS & HODGE
a-ATP ENGINEERING PC
NC Dept ofEnvironmental Quality
January 25, 2012
Ted Cashion JAN 2 7 2991
NC DWQ
3800 Barrett Dr.
Raleigh Regional Office
Raleigh, NC 27609
Subject: Wellesley Phase 4
Johnston County
Dear Mr. Cashion,
Please find attached one original and one copy of the following:
1. Complete Fast Track Application for Gravity Sewers, Pump Stations, and Forcemains
(Form FTA 04-16), signed by Engineer & County.
2. $480.00 Check for Application Fee
3. Flow Tracking/Acceptance for Sewer Extension (Form FTSE 10-18)
4. USGS Quad Map showing approximate site location
5. Vicinity Map
6. Flow Reduction Letter
Project Narrative:
This application is for an extension of the gravity sewer system of Johnston County to serve Wellesley
Phase 4. This extension includes 3,854If of new 8" gravity sewer and will connect to an existing Johnston
County gravity sewer system permit number WQ0040975. The sewer system will serve 51 single family
homes in this subdivision phase, which is the basis for flow for this project.
Sincerely,
Rudy Wells
ADAMS & HODGE ENGINEERING, PC • 314 E Main Street Clayton, NC 27520 • Office: 919-243-1332 • Firm # C-4187