WQ0042443_Application (FTSE)_20210408

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
ISA NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number `\` 3 (to be completed by DWR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
I.
Applicant's name: City of Rocky Mount (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: Brad Kerr per 15A NCAC 02T .0106(b)
Title: Director of Public Works
4.
Applicant's mailing address: PQ Box 1180
City: Rocky Mount State: NC Zip: 27802-
5.
Applicant's contact information:
Phone number: [phone] Email Address: [e-mail]
11. PROJECT INFORMATION:
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I.
Project name: Stonewall Villas- Ph. II
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2.
Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
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If a modification, provide the existing permit number: WQ00 and issued date:
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If new construction but part of a master plan, provide the existing permit number: WQ00•>
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3.
County where project is located: Nash
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4.
Approximate Coordinates (Decimal Degrees): Latitude: 35.962185` Longitude:-77.810042'
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5.
Parcel ID (if applicable): 331612
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(or Parcel ID to closest downstream sewer)
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III. CONSULTANT INFORMATION:
1. Professional Engineer: J. Michael Stocks License Number: 19843
Firm: Stocks Encintmrinp_ P.A.
Mailing address: PO Box l 108
City: Nashville State: NC Zip: 27856-
Phone number: 252 459-8196 Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I. Facility Name: Tar River Ree,ional_Wwtewater Treatment PIant Permit Number: NCO303 l7
Owner Name: City of Rocky Mount.
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ Downstream (Receiving) Sewer Size: inch
System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s):
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 OpeMionat Agreement (FORM: DEYJ been attached?
❑ Yes []No ®NIA
3. If the Applicant is a Hame/Property Owners' Associatia ,,�as an Operational Acreemet't(FORM:HOA) been attached?
❑ Yes [-]No ®N/A
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 / day care ❑ Medical / dental / 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: 100 % Domestic/Commercial % Commercial
% Industrial (See 15A NCAC 02T .0103(20))
---),-Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .0I 14(o ❑ Yes ® No
A If VM grovide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 021.0114(fl}
Daily Design Flow `,b
No. of Units
Flow
Residential Lots
360 gal/day
57
20,520 GPD
gal/
GPD
gall
GPD
gal/
GPD
gall
GPD
gall
GPD
Total
20,520 GPD
a See 15A NCAC 02T .0114(b). (d), (Of 1) and (e)(21 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. 42A4}.
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15, Nv ' A .0 14 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 20,520 GPD (per 15A NCAC 02T0 01 14)
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 he
❑ 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) I Length (feet) I Material
1 8 1 2,362 f SDR-35 PVC
➢ Section II & H] 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 (Puma Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. 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 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
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6. Power reliability in accordance with 15A NCAC 02T .0305(h)(I ):
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(]3).
➢ 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 NCAC 02T _0305(f) & I&)
➢ 15A NCAC 02T.0305 contains minimum se arations that shall be provided for sewers stems:
® Yes ❑ No
Setback Parameter*
Separation Required
Stone 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
19 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 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
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade vertical
36 inches
➢ 15A NCAC 02T.0 05 contains alternatives where separations in 02T. 305 cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webnaae
➢ 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
➢ See the Division's drag 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 all setbacks found in the river basin rules per 15A NCAC 02B .0200? ® Yes [--]No
➢ This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project comply with an individual 404 Permit or any 401 Certifications? ® Yes ❑ No
➢ Wetland -related permits shall be requested, obtained, and adhered to for projects that impact wetlands or surface waters
➢ Information can be obtained from the 401 & Buffer Permitting_ Branch
5. Does project comply with 15A 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
➢ 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 nimum Dcsi n Criteria for the Permittin of Pum Stations
and Force Mains (latest version and the Gravi!y 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. Aoproval of the request is re uired prior to submittal of the Fast Track Agglication and sunportingdocuments.
2. Professional Engineer's
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Engineer's name fiom Application Item II1.1.)
that this application for
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 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,
CGT0& Or 'PugL IC
Authority's name & title from Application Item 1.3.)
�90•!`ZH CAIJO`F0-r-
`, Q� �........�!(/
• =0� g ES S/oy ;y9
aQ SEAS. 9�
= 19843
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attest that this application for
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 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 $10,0 0 as well as civil penalties up to $25,000 per violation.
Signature: T _ _ Date:
FORM: FTA 04-16 Page 5 of 5

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
Division of Water Resources Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: City of Rocky Mount
Project Name for which flow is being requested: Vance Street Sewer Extension
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: Tar River Regional _
b. WWTP Facility Permit M NC0030317
All flows are in MGD
c. WWTP facility's permitted flow 21.00
d. Estimated obligated flow not yet tributary to the WWTP 0.6226
e. WWTP facility's actual avg. flow 10.83
f. Total flow for this specific request 0.006
g. Total actual and obligated flows to the facility 11.459
h. Percent of permitted flow used 54.57%
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)
Design
Pump
Average Daily
Station Firm
Flow**
(Name or Capacity, *
(Firm / pf),
Number) MGD
MGD
97 Lift St 30
12
(B)
(C)
(D)=(B+C)
(E)=(A-D)
Obligated,
Approx.
Not Yet
Total Current
Current Avg.
Tributary
Flow Plus
Daily Flow,
Daily Flow,
Obligated
Available
MGD
MGD
Flow
Capacity***
6.5
0.6226
7.123
4.977
* 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): Tar River Re tonal
Downstream Permit Numbers NC 0030317
Page 1 of 6
I-rCT AA 1

M. Certification Statement:
I William Brad Kerr 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 iWceptance of this wastewater flow.
lire
Date
Page 2 of 6
F"rQP nn If,

IT717 ER OF TRANSMIrI FAL
Stocks Engineering, PA
PO Box 1108
J. Michael Stocks, PE Nashville, NC 27856
252.903,6891 252.459.8196
To:
Ted Cashion
NCDEQ-DWQ
3800 Barrett Drive, Suite 101
Raleigh, NC 27609
Phone:
919-791-4252
Overnight No
Yes
We are sending you the following-
J. Kevin Varnell
252.382.0012
Job No.
2018-004
Job Name:
Stonewall Villas — Ph. II
Date:
417121
Sent By.
Ethan Averette
❑ EC Plans ❑ Prints/Plans ❑ Construction Plat ❑ Site Plan Drawings ❑ Computer Disk
❑ Contracts x Permit Applications ❑ Site Work Calculations ❑
These are transmitted as checked below.
x For Approval ❑ As Discussed ❑ For Your File ❑ As Requested ❑ For Your Use
❑ For Review and Comment ❑ For Your Signature, then return to:
Copies Date Description
2 4-7-21 Fast Track Sewer Application
2 4-7-21 Flow Tracking/Acceptance for Sewer Extension Applications
2 4-7-21 1 USGS Map with location of site shown
2 1 4-7-21 . Street Map of Surrounding Area
2 4-7-21 Sewer Narrative
1 4-7-21 Permit Fee Check
Remarks
Copies To:
NC Dept of Environmental Qua
APR - s 2021
Raleigh Regional Office

Sewer Project Narrative
For
Stonewall Villas — Ph. II
Stonewall Villas is a subdivision in Rocky Mount, NC that will consist of 71 residential
lots. Phase Two of sewer design will serve 57 lots. Stonewall Villas subdivision, is
located off Falling River Walk, just south of US 64 in Rocky Mount. It will consist of
100% domestic flow. The sewer system will be constructed of approximately 2,362 LF
of 8-inch SDR-26 PVC sewer pipe. Each residential lot served by this sewer service will
require 360gallday. Phase Two includes 57 lots which makes the total projected flow for
this facility 20,520 GPD. The wastewater treatment plant facility that will be handling
this flow is the Tar River WWTF (Permit # NC 0030317). The permitted flow for the
WWTF is 21.0 MGD (NPDES).
NC Dept of Environmental (duality
APR - 8 mi
Raleigh Regional Office