wq0042330_Application (FTSE)_20210208

DWR
Division of Water Resources
Qr�r rvi d,-)N 3'7 d 1 ` ` r ) t sT ) Stael f 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: ig IQI O co30 (to be completed by DWR)
Ali items must be completed or the application will be returned
I- APPLICANT INFORMATION:
1. Applicant's name: City of Wilson, North Carolina (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ® Municipal ❑ Other
3. Signature authority's name: W.T. Bass, IV, P.E. per 15A NCAC 02T .0106(b)
Title: Public Works Director
4. Applicant's mailing address: 1800 Herring Avenue E / P.O. Box 10
City: Wilson State: North Carolina Zip: p: 27894-0010 ' "f
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5. Applicant's contact information: /� -h loft._ , K , , 1 '„ti
Phone number: (IQ) 399-2467 Email Address: bbassc ..wilsonnc.org f -f-: A
II. PROJECT INFORMATION: �'�'S ro ,, 0
1. Project name: City of Wilson - Lower Bloomery Swamp Sewer Improvements w°
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2. Application/Project status: ❑ Proposed (New Permit) ® Existing Permit/Project
If a modification, provide the existing permit number: WQ007486 and issued date: July 9, 1982 tr`�a l•
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If new construction but part of a master plan, provide the existing permit number: WQ00 m pa m
3. County where project is located: Wilson O
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4. Approximate Coordinates (Decimal Degrees): Latitude: 35.7101` Longitude: -77.9534 ' A
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5. Parcel ID (if applicable): 3711-00-6720.000 —
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
I. Professional Engineer: W. Landon Younce, PE License Number: 030003
Firm: Green Engineerine, PLLC
Mailing address: 303 Goldsboro St E r' P.O. Box 609
City: Wilson State: North Carolina Zip: 27893-
Phone number: [phone] Email Address: Lyounec0nreeneng.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Hominy Creek Water Reclamation Facility Permit Number: NC0023906
Owner Name: City of Wilson, North Carolina
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
I. Permit Number(s): WQ Downstream (Receiving) Sewer Size: 30- inch
System Wide Collection System Permit Number(s) (if applicable): WQCS _
Owner Name(s): City of Wilson
FORM: FTA 04-16 Page 1 of 5

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 US Highway 70
Swannanoa, North Carolina 28778
[phone]
[phone] Fax
Avery, Buncombe, Burke, Caldwell, Cherokee,
Clay, Graham, Haywood, Henderson, Jackson,
Macon, Madison, McDowell, Mitchell, Polk,
Rutherford, Swain, Transylvania, Yancey
Water Quality Section
Fayetteville Regional Office
225 Green Street Suite 714
Fayetteville, North Carolina 28301-5094
[phone]
[phone] Fax
Anson, Bladen, Cumberland, Hametl, Hoke,
Montgomery, Moore, Robeson, Richmond,
Sampson, Scotland
Water Quality Section
Mooresville Regional Office
610 E. Center Avenue
Mooresville, North Carolina 28115
[phone]
[phone] Fax
Alexander, Cabarrus, Catawba, Cleveland,
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
Stanly, Union
Water Quality Section
Raleigh Regional Office
1628 Mail Service Center
Raleigh, North Carolina 27699-1628
[phone]
[phone] Fax
Chatham, Durham, Edgecombe, Franklin,
Granville, Halifax, Johnston, Lee, Nash,
Northampton, Orange, Person, Vance, Wake,
Warren, Wilson
Water Quality Section
Washington Regional Office
943 Washington Square Mall
Washington, North Carolina 27889
[phone]
[phone] Fax
Beaufort, Bertie, Camden, Chowan, Craven,
Currituck, Dare, Gates, Greene, Hertford, Hyde,
Jones, Lenoir, Martin, Pamlico, Pasquotank,
Perquimans, Pitt, Tyrrell, Washington, Wayne
Water Quality_ Section
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
[phone] Fax
Brunswick, Carteret, Columbus, Duplin, New
Hanover, Onslow, Pender
Water Quality Section
Winston-Salem Regional Office
450 W. Hanes Mill Road
Suite 300
Winston-Salem, North Carolina 27105
[phone]
Alamance, Alleghany, Ashe, Caswell, Davidson,
Davie, Forsyth, Guilford, Rockingham, Randolph,
Stokes, Suny, Watauga, Wilkes, Yadkin
Water Quality Section
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page 3 of 3

VI. GENERAL REQUIREMENTS
I. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑No ®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 0No ®NSA
3. If the Applicant is a Home. Property Owners' Association, has an Operational Agreement (FORM: I-1OA) been attached?
❑ Yes ❑No ®N/A
4. Origin of wastewater: (check all that apply):
❑ Residential Owned ❑ Retail (stores, centers, malls)
❑ Residential Leased ❑ Retail with food preparation/service
❑ School / preschool / day care ❑ Medical / dental i veterinary facilities
❑ Food and drink facilities 0 Church
O Businesses / offices / factories ❑ Nursing Home
❑ Car Wash
❑ Hotel and/or Motels
❑ Swimming Pool +Clubhouse
0 Swimming Pool/Filter Backwash
® Other (Explain in Attachment)
5. Nature of wastewater : 100 % Domestic/Commercial % Commercial
_ % Industrial (Sec I5A NCAC 02T .0103(20))
�Is there a Pretreatment Program in effect? ® Yes ❑ No
6. Has a flow reduction been approved under I5A NCAC 02T .0114(f)? ❑ Yes ® No
If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f)
Daily Design Flow Lb
No. of Units
Flow
MA - All Flows Exit►:nc as Permitted
gal/
N/A GPD
gal/
GPD
gal/
GPD
gal?
GPD
gall
GPD
gal!
GPD
Total
NIA GPD
a See I5A NCAC 02T .0114(b), (d). (c)(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.0 I 14] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
S. Wastewater generated by project: 0 GPD (per 15A 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:
Rehabilitation or replacement of existing sewer with no new flow expected
0 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
24"0
5,495
PVC
24"0
1,485
DIP
Wit.
i0"0
40
DIP
8"0
145
DIP
• Section II & I11 of the MDC for Permitting of Gravity Sewers contains information related to design criteria
• Section 111 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 & M DC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: N+A
2. Approximate Coordinates (Decimal Degrees): Latitude: . Longitude: - s_
3. Design flow of the pump station: millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): gallons per minute at feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
N/A
N/A
N/A
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):
Z 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 - I5A NCAC 02T
.0305(h)( 1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(1)(C):
z 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.
D 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: Fi'A 04-16 Page 3 of 5

IX.
SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(4
I. Does the project comply with all separations found in 1 5A NCAC 02T .0305(f) & (e)
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 private or public water supply source, including any wells, WS-I 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
D I 5A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305(t) 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), see Section X of this application
Does the project comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes ® No ❑ N!A
i- 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 I5A 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 ❑No
5. Does project comply with I5A NCAC 02T.0105(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 15A NCAC 02T.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
❑ Yes ® No ❑ NIA
i- 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 I5A NCAC 02T, the Minimum Dcsi >n Criteria for the Permittine 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.
Professional Engineer's Certification:
I, W Landon Younce, FE attest that this application for
(Professional Engineer's name from Application Item I11.1.)
Lower Bloomery Swamp Sewer Improvements
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 1 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 I43-215.6B, 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.
Sr
Ac
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per I5A NCAC 02T .0106(b):
I, WT Bass, IV, PE — Public Works Director
(Signature Authority's name & title from Application Item 1.3.)
Lower Bloomery Swamp Sewer Improvements
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of
this application are not completed and that if all required supporting documentation and attachments are not included, this
application package is subject to being returned as incomplete. I understand that any discharge of wastewater from this non -
discharge system to surface waters or the land will result in an immediate enforcement action that may include civil penalties,
injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Resources should a condition
of this permit be violated. 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.
attest that this application for
NOTE — In accordance with General Statutes 143-215.6A and I43-215.6B, 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: 11ZfVZ l
FORM: FTA 04-16 Page 5 of 5

USGS TOPOGRAPHICAL MAP
LOWER BLOOMERY SWAMP SEWER IMPROVEMENTS
LAT: 35.70001, LONG: -77.953 (LOCATION OF EX. LIFT STATION)
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Engineering
Green Engineering, PLLC
Water, Wastewater, Surveying
Planning, Project Management
303 Goldsboro Street East • PO Box 609 • Wilson, NC 27894
TEL [phone] • FAX [phone]
WWW.GREENENGINEERING.COM
February 1, 2021
NCDEQ
Water Quality Regional Operations Section
Raleigh Regional Office
3800 Barrett Drive
Raleigh, North Carolina 27609
Attention: Mr. Scott Vinson
Water Resources Regional Supervisor
SUBJECT: Fast -Track Sewer System Extension Application
Lower Bloomery Swamp Sewer Improvements
City of Wilson, North Carolina
PN: 13-059
Dear Mr. Vinson:
NC Dept ofEnvlronmental Quality
FEB` 8 2991
Raleigh Regional Office
Back in 2014, the City of Wilson acquired our services to design gravity sewer improvements of
the Lower Bloomery Swamp interceptor. After completion of the design phase, the City chose to table
the project for future budgeting. All existing flows contributing to the gravity system flow downstream
and are collected at the City's Contentnea Pump Station. That pump station is not being upgraded at this
time.
Please find attached two (2) copies of each of the following documents for your review and
approval:
• Fast -Track Sewer Application Form — One (1) original and one (1) copy
• 8 %" x II" copy of project location on USGS Quadrangle Maps
• Street Level Aerial Photography for location referencing
Also, please find attached check in the amount of $480.00 to cover the application review fee. If
you should have any questions or require additional information, please call.
Respectfully,
W'Landon9 ounce, P.E.
Enclosures: As stated.
cc: Mr. W. T. Bass, IV, P.E. — Public Works Director, City of Wilson
Mr. Barry Parks — Director of Water Resources, City of Wilson
W.• WILSOlI3O$9`.Offece'PER2 TS'Scwer Pennirxatt vtnson • NCDEQ - fast track sewer Itg2-1-2021).doc

USGS TOPOGRAPHICAL MAP
LOWER BLOOMERY SWAMP SEWER IMPROVEMENTS
LAT: 35.70001, LONG: -77.953 (LOCATION OF EX. LIFT STATION
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