WQ0042441_Application (FTSE)_20210406

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: ub m� (to be complLted by DWR)
All items must be completed or the anOication will be returned
L APPLICANT INFORMATION
1. Applicant's name. Johnston County (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: Chandra Q. Farmer P E. per 1 SA NC.AC 02T .0106(b)
Title: Director of Utilities
4 Applicant's mailing address:.E.Q Box 2263 RECEIVED
City: Smithfield State: NC Zip: 27577-
5_ Applicant's contact information: MAR 2 9 2021
Phone number: 9i9 9$9-5075 Email Address: [e-mail]
IL PROJECT INFORMATION: NCDEQ/DVIWR/Np
DES
1. Project name. Welsummer Yards
2. Application/Project status- ® Proposed (New Permit)
❑ Existing Permit/Project
If a modification, provide the existing permit number: WQOO
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: 35.518657"
Longitude:-78.554678
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5. Parcel ID (if applicable): 13EO5012C
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(or Parcel ID to closest downstream sewer)
111. CONSULTANT INFORMATION:
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1. Professional Engineer: Homer Wade License Number: 10771
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Firm: Borum. Wade and Associates,_ P.A.
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Mailing address: 621 Eugene Court, Suite I00�
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City: Greensboro State: NC Zip: 27420-1882
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Phone number: [phone] Email Address: jmcginley@bgrum=wade.com
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W. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Central Johnston County Regional Wastewater Facility Permit Number. NC0030716
Owner Name: John on Counly
V. RECEIVING DOWNSTREAM SEWER INFORMATION or different than WWTF):
1. Permit Number(s): W 0019761 Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection ,,System Permit Numbers} (ifappTica Ue : WQCS00060
Owner Name(s): Johnston County
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 ®NIA
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational. A&Leemeiit (FORM. DEV) been attached?
❑ Yes ❑No ®NIA
3. If the Applicant is a UQMe,`Praperty Owners' Asspetatioq, has an Queraiional Agreement (FORM- HOA been attached?
❑ Yes ❑No ®NIA
4. Origin of wastewater: (check all that apply):
❑ Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash
® Residential Leased ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑ School / preschool I day care ❑ Medical / dental I veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
❑ Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater : 1 00 1% Domestic/Commercial % Commercial
_ % Industrial (5ee.1514.NCAC 0?T .0103(20))
I— :.Is there a Pretreatment Program in effect? []Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC' 02T .01 14( ? ❑ Yes ®No
If Yes, provide a copy of flow reduction apprgval letter
7. Summarize wastewater generated by project
Establishment Type (see 021.01140
Daily Design Flow ae
No. of Units
Flow
Dwelling Units (MFR) 1 & 2 Bedroom
240 gal/day
48
11,520 GAD
Dwelling Units (MFR) 3 Bedroom
360 gal/day
24
8,640 GPD
gaV
GPD
gaV
GPD
gaV
GPD
gall
GPD
Tolal
20,160 GPD
a See I.�A NCAC 02T .0114(kJ d], eX I land (e)U2) 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 Q.. 42A-44).
b Per ISA NCAC 02T .01 I4(c), design flow rates for establishments not identified [in table I5A 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 20,160 GPD (per I SA NCAC _02Tz .al 14]
s 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

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) I Length (feet) I Material
I 8" 1 404 1 PVC i
8" 1 256.24 1 C-900 1
D Section H & 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
VM. 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: _ CLongitude:
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
4"
968.31
PVC
4"
148.60
C-900
6. Power reliability in accordance with 1A& AC 02T .0305(h)(i ):
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(B)_
D Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
➢ Must be permanent to facility
Or if the pump station has an average daily flow less than 15,000 gallons per day:
❑ Portable power source 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 - 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 -- (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations found in 15A NLA 2T_ 0305{ f� & (
1- 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-1 waters of Class I or
Class II impounded reservoirs used as a source of drinkipA water
100 feet
"Waters classified WS (except WS-1 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
Drains e systems and interceptor drains
5 feet
Any swimmin ools
10 feet
Final earth grade vertical
36 inches
15A NCA.C_02T_0305 contains alternatives where separations in 02T.0305f fl cannot be achieved.
➢ "Stream classifications can be identified using the Division's NC Surface Water C'fassifieations. webpage
➢ If noncompliance with 02T.0305[tl or L1, see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes ❑ No ® NIA
D 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 0213.0200? ❑ Yes ❑ No ® NIA
D This would include Trout Buffered Streams per 15A N( AC 213 0202
4. Does the project require coverage/authorization under a 404 Nationwide or ❑ Yes ® No
individual permits or 401 Water Quality Certifications?
Z Information can be obtained from the 401 & Bu f1er.Permitting Branch
5. Does project comply with 15A NC 0 92T Ol.05(c)L6) (additional permits/certifications)? ® Yes ❑ No
Per 1 SA-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, ar 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 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 GmAty Sonr 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. ADRIoval of the rsaivastls required prior to submittal or the Fast Traek Application and sun gorting documents
2. Professional Engineer's Certification:
1� HOMER WADE attest that this application for
(Professional Engineer's name from Application Item M,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 143-215.613, 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 $10,000, as well as civil penalties up to $25.000 per violation. -,.jut' - "A s q,_
North Carolina Professional Engineer's seal, signature, and date: u
�:.•pFSSI0 I
» SE c
10771
3. Applicant's Certification per 15A NCAC 02T .0106(b):
ZPz (
J A)rg my M attest that this application for
name & title from Application Item L3.1
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. 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 I43-215.6A and 143-215.65. 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:
FORM:- FTA 04-16 Page 5 of 5

State of North Carolina
Department of Environment and Natural Resources
DWR Division of Water Resources
Dhdslon of Water Resources Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 08-13)
Project Applicant Name: Johnston County
Project Name for which flow is being requested: Welsummer Yards
More than one FTSE may be required for a single project rf the owner of the WWTP is not responsible far all pump
stations along the route oftheproposed wastewaterflow. Rirc,r
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Central Johnston County WWTP MAR 2 9 202,
b. WWTP Facility Permit #: NCO030716
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�111 flaws
c. WWTP facility's permitted flow 9.5 MGD �R/N es
d. Estimated obligated flow not yet tributary to the WW IT 19063
e. WWTP facility's actual avg. flow 7.091
f. Total flow for this specific request 0.02016
g. Total actual and obligated flows to the facility 9.0169
h. Percent of permitted flow used 74.6% trib, 94.9% paper
U. 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 Average Daily Approx. Not Yet Total Current
Station Firm Flow** Current Avg. Tributary Flow Plus
(Name or Capacity,* (Firm / pf), Daily Flow, Daily Flow, Obligated Available
Number) MGD MOD MGD MGD Flow Capacity"*
McGees 0.2592 0.1037 0.0367 0.05036 0.0871 0.0166
Landfill EQ 1.9296 1.6718 0.9282 0.6159 1.5441 0.1278
Future route -
Under coast
McGees 0.2592 0.1037 0.0367 0.05036 0.0871 0.0166
W00039590 1.8 0.72 O.0367) 0.6644 0.1032 0.6169
Landfill EQ 1.9296 1.6718 0.9282 0.6159 1.5441 0.1278
* 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 a 0.
Page 1 of 1

M. 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 indicates acceptance of this wastewater flow.
Signing Official Signature Date
Page 2 of 1

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p Engineers
Planners
Surveyors
Borum, Wade and Associates, 11.
March 26, 2021
Jason Robinson
DWR - Municipal Permitting Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Phone: [phone]
'D bQAt cf �n�ira�
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RECEIVED
Regarding: Welsummer Yards Apartments MAR 2 9 2021
Old Roberts Rd.
Benson, NC 27504
Dear Sir or Madam: NCDEQ/DWR/NPDES
Please see the enclosed documents for review and approval for the Welsummer Yards Apartments
public service outfall (to be owned and maintained by Johnston County). This project is a 72 unit
MFR development that is to be serviced by a private pump station [permitted separately], and a 4"
force main that pumps to an 8' gravity line.
Included in this package are the following:
1. 1 sealed FTA 04-16 and supporting docs(site maps etc). [Note: Private porifon to be
permit separately per NCDEQ: Jason Robinson]
2. 1 check for $480.00 payable to NCDEQ
3. 1 Flow tracking form (FTSE 08-13)
Please call if you have any questions.
Sincerely,
/� , /!"
& +
James McGinley, P.E. (ext. 107: Cell: 336-812-1798)
621 Eugene Court, Suite 100, Greensboro, NC 27401-2711 • PO Box 218U. Greensboro, NC 27420-1882
Phone [phone] • Fax [phone]
`Vebslte: ww%v.hf)r L1111 wad row
NC License #: C-0868