WQ0042476_Application (FTSE)_20210421

W 7�
State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 - FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION
This application is for sewer extensions involving gravity sewers, pump stations and force mains, or any combination that has been
certified by a professional engineer and the applicant that the project meets the requirements of 15A NCAC 02T and the Division's
Minimum Design Criteria and that plans, specifications and supporting documents have been prepared in accordance with, 15A
NCAC 02T, I5A NCAC 02T .0300, Division policiLs and good engineering practices.
While no upfront engineering design documents are required for submittal, in accordance with I5A NCAC 02T .0305(b), design
documents must be prepared prior to submittal of a fast track permit application to the Division. This would include plans, design
calculations, and project specifications referenced in 15A NCAC 02T .0305 and the applicable minimum design criteria. These
documents shall be available upon request by the Division.
Projects that are deemed permitted (do not require a permit from the Division) are explained in 15A NCAC 02T.0303.
Projects not eligible for review via the fast track process (must be submitted for full technical &WeRRt of Environmental Quality
t Projects that require an environmental assessment in accordance with 15A NCAC IC .0100;
D Projects that do not meet any part of the minimum design criteria (MDC) document; APR 2 1 2021
Projects that involve a variance from the requirements of 15A NCAC 2T;
Pressure sewer systems utilizing septic tank -effluent pumps (STEPS) or simplex grinder pumps;
STEP or simplex grinder pumps connecting to pressurized systems (e.g. force mains); Raleigh Regional. Ofiics
Vacuum sewer systems.
General - When submitting an application, please use the following instructions as a checklist in order to ensure all required items
are submitted. Adherence to these instructions and checking the provided boxes will help produce a quicker review time and
reduce the amount of requested additional information. Failure to submit all required items will necessitate additional
processing and review time, and may result in return of the application. Unless otherwise noted, the Applicant shall submit
one original and one copy of the application and supporting documentation.
A. One Original and One Copy of Application and Supporting Documents
® Required unless otherwise noted
B. Cover Letter (Required for All Application Packages):
El List all items included in the application package, as well as a brief description of the requested permitting action.
t Be specific as to the system type, number of homes served, flow allocation required, etc.
If necessary for clarity, include attachments to the application form.
C. Application Fee (All New and Major Modification Application Packages):
® Submit a check or money order in the amount of $480.00 dated within 90 days of application submittal.
Z Payable to North Carolina Department of Environmental Quality (NC DEQ)
D. Fast Track (Form: FTA 04-16) Application (Required for All Application Packages):
® Submit the completed and appropriately executed application.
If necessary for clarity or due to space restrictions, attachments to the application may be made.
❑ If the Applicant Type in Item 1.2 is a corporation or company, provide documentation it is registered for business with
the North Carolina Secretary of State.
❑ If the Applicant Type in Item 1.2 is a partnership or d/b/a, enclose a copy of the certificate filed with the Register of
Deeds in the county of business.
® The Project Name in Item 11.1 shall be consistent with the project name on the flow acceptance letters, agreements, etc.
® The Professional Engineer's Certification on Page 5 of the application shall be signed, sealed and dated by a North
Carolina licensed Professional En gineer.
El The Applicant's Certification on Page 5 of the application shall be signed in accordance with I SA NCAC 02T .0106cb).
Per 15A NCAC 02T .0106(c), an alternate person may be designated as the signing official if a delegation letter is
provided from a person who meets the criteria in 15A NCAC 02T .0106(b).
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Pagel of 3

E. Flow Tracking/Acceptance Form (Form: FTSE 04-16) (If Applicable):
® Submit the completed and executed FTSE form from the owners of the downstream sewers and treatment facility.
➢ Multiple forms maybe required where the downstream sewer owner and wastewater treatment facility are different.
i The flow acceptance indicated in form FTSE must not expire prior to permit issuance and must be dated less than one
year prior to the application date.
Submittal of this application and form FTSE indicates that owner has adequate capacity and will not violate Q.S. 143-
215.67 a .
➢ Intergovernmental agreements or other contracts will not be accepted in lieu of a project -specific FTSE.
F. Site Maps (All Application Packages):
® Submit an 8.5-inch x I 1-inch color copy of a USGS Topographic Map of sufficient scale to identify the entire project
area and closest surface waters.
➢ Location of the project (gravity sewer, pump stations & force main)
➢ Downstream connection points and permit number (if known) for the receiving sewer
® Include a street level map (aerial) showing general project area so that Division staff can easily locate it in the field.
G. Existing Permit (All Modification Packages):
❑ Submit the most recently issued existing permit.
❑ Provide a list of any items within the permit the Applicant would like the Division to address during the permit
modification (i.e., permit description, flow allocation, treatment facility, etc.).
H. Power Reliability Plan (Required if portable reliability option utilized for Pump Station):
❑ Per 15A-NCAC 02T .0305 h l , submit documentation of power reliability for pumping stations.
i This alternative is only available for average daily flows less than 15,000 gallons per day
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant and is compatible
with the station. The Division will accept a letter signed by the applicant (see 15A NCAC 02T .0106(b)) or proposed
contractor, stating that "the portable power generation unit or portable, independently -powered pumping units, associated
appurtenances and personnel are available for distribution and operation of this pump 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. (Required at time of certification)
I. Certificate of Public Convenience and Necessity (All Application Packages for Privately -Owned Public Utilities):
❑ Per 15A NCAC 02T_.0115fa1(1 ) provide the Certificate of Public Convenience and Necessity from the North Carolina
Utilities Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served by
the sewer extension, or
❑ Provide a letter from the North Carolina Utilities Commission's _Water and Sewer Division Public Staff stating an
application for a franchise has been received and that the service area is contiguous to an existing franchised area or that
franchise approval is expected.
J. Operational Agreements (Applications from HOAIPOA and Developers for lots to be sold):
❑ Home/Pro a Owners' Associations
❑ Per 15A NCAC 02T..01 I5 c , submit the properly executed Operational Agreement (FORM: HOAR.
❑ Per 15A NCAC 02T .0115(c), submit a copy of the Articles of Incorporation, Declarations and By-laws.
❑ Developers of lots to be sold
❑ Per 15A NCAC 02T .0115(b), submit the properly executedOp
erational Agreement FORM: DEV .
For more information, visit the Division's collection systems website
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page 2 of 3

THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Re Tonal Office
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
Water Quality Section
Swannanoa, North Carolina 28778
Clay, Graham, Haywood, Henderson, Jackson,
[phone]
Macon, Madison, McDowell, Mitchell, Polk,
[phone] Fax
Rutherford, Swain, Transylvania, Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Harnett, Hoke,
Water Quality Section
Fayetteville, North Carolina 28301-5094
Montgomery, Moore, Robeson, Richmond,
[phone]
Sampson, Scotland
[phone] Fax
Mooresville Re ional Office
610 E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
Water Quality Section
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone]
Stanly, Union
[phone] Fax
Washinciton Regional Office
Water -Quality Section
Wilmington Regional Office
Water Quality Section
Winston-Salem Regional Office
Water Quality Section
1628 Mail Service Center
Raleigh, North Carolina 27699-1628
[phone]
[phone] Fax
943 Washington Square Mall
Washington, North Carolina 27889
[phone]
[phone] Fax
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
[phone] Fax
450 W. Hanes Mill Road
Suite 300
Winston-Salem, North Carolina 27105
[phone]
Chatham, Durham, Edgecombe, Franklin,
Granville, Halifax, Johnston, Lee, Nash,
Northampton, Orange, Person, Vance, Wake,
Warren, Wilson
Beaufort, Bertie, Camden, Chowan, Craven,
Currituck, Dare, Gates, Greene, Hertford, Hyde,
Jones, Lenoir, Martin, Pamlico, Pasquotank,
Perquimans, Pitt, Tyrrell, Washington, Wayne
Brunswick, Carteret, Columbus, Duplin, New
Hanover, Onslow, Pender
Alamance, Alleghany, Ashe, Caswell, Davidson,
Davie, Forsyth, Guilford, Rockingham, Randolph,
Stokes, Surry, Watauga, Wilkes, Yadkin
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page 3 of

State of North Carolina
Department of Environmental Quality
DW. R 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: (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Town of Smithfield (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State;`County ® Municipal NC DePQOWSJ'ironmental Quality
3. Signature authority's name: Ted Credle per 15A NCAC 02T .0I06.Eb)
Title: Public Utilities Director APR 21 2021
4. Applicant's mailing address: 230 Hospital Road
City: Smithfield State: NC Zip. 27577- Raleigh Regional Oifco
5. Applicant's contact information:
Phone number: 9{ 19) 934-2798 Email Address: ted.credle(asmithfield-ne.com
Il. PROJECT INFORMATION:
I. Project name: Twin Oaks Subdivision Section Ill Phase VI
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: WQ00 and issued date: —
lf 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: 35.49669" Longitude:-78.31423"
5. Parcel 1D (if applicable): NC PIN 26030046-0287
(or Parcel ID to closest downstream sewer)
Ill. CONSULTANT INFORMATION:
l . Professional Engineer: Brian R. Leonard PE PLS License Number: 25487
Firm: BRL Engineering & Surveying
Mailing address: 112 East Johnston Street
City: Smithfield State: NC Zip. 27577-
Phone number: 919 989-9300 Email Address: brIengineeringAearthIink.net
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I. Facility Name: Central Johnston County Regional Wastewater Permit Number: NC 0030716
Owner Name: Johnston County
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
I. Permit Number(s): WQUnkown Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Numbers .Cjif applicable : WQCS00270
Owner Name(s): Town of Smithfield
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 ®N!A
2. If the Applicant is a Developer of lots to be sold, has a Develotaer's Operalionai Agreement.LF4RMTDEV) been attached?
❑ Yes []No ®NeA
3. If the Applicant is a Home: Prop.erty Owners' Association1 has an Operational Agreem nt FORM: HOA been attached?
❑ Yes ❑No ®NIA
4. Origin of wastewater: (check ail that apply):
® Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash
® Residential Leased ❑ Retail with food preparationiservice ❑ Hotel and/or Motels
❑ School , preschool I day care ❑ Medical ;' dental.: veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church
El Swimming Pool/Filter Backwash
❑ Businesses:' offices d factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic.'Commercial 0 % Commercial
0 % Industrial See 15A_NCAC 02T .0103(201}
Is there a Pretreatment Program in effect? ❑ Yes ® No
6. Hasa flow reduction been approved under 1.5A NCAC: OJ .01 14( ? ❑ Yes ®No
>- If Yes, provide a covy of flow reduction a roval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114t fi)
Dwellings (Max Units: I Slots X 2DU/Lot)
Max Flow: 120gal/BR X 3BR/DUl
Daily Design Flow'' No. of Unitsl Flow
360 gal/unit 36 12,960 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
12,960 GPD
a See 15A-NCAC 02T .01 14(b). (d], e I and.(e)L21 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 .01 14(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01 14] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 12,960 GPD (per 15A NCAC 02T .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 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 5

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" 1,110 ft DIP
Z Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
Section Ill 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
VI11. 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: 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
6. Power reliability in accordance with 15A NCAC 021 .0305AUU:
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(B):
r Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
i 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 - I5A NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - I SA NCAC 02T .0305(h)(1)(C):
i- 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 multiple station power outage.
FORM: FTA 04-16 Page 3 of

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(1)):
I. Does the project comply with all separations found in 15A NCAC 02T .0305 &
® Yes ❑ No
D 15A NCAC_ 02T.0305fc} contains alternatives where separations in 02T.0305 cannot be achieved.
"Stream classifications can be identified using the Division's Nam' Surface_Wa_ t_er Classifications_webnat;e
D If noncompliance with 02T.030i{ F) or W, see Section X of this application
2. 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
i- 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 02B .0200? ® Yes ❑ No ❑ N'A
This would include Trout Buffered Streams per 15A NCAC 213.0202
4. Does the project require coverage/authorization under a 404 Nationwide or ® Yes ❑ No
individual permits or401 Water Quality Certifications?
Z Information can be obtained from the 401 & Buffer Permittinul Branch
5. Does project comply with 15A NCB. 02T.0105(c)L6) (additional permitsicerti ficat ions)? ® Yes [:]No
Per 15A NCAC 02T.0f05Lc .), 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 ❑ N/A
e 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 onceevery 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:
Does the submitted system comply with 15A NCAC 02T, the Minimum Desi In riteria for the Perm ittin = of Pump Stations
and Force Mains Latest versionj- and the Gravi 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. Avoroval of the request is re aired sylor to submittal of the Fast Track Application and supoorting documents.
2. Professional Engineer's Certification:
1, 9Q 1 A N Q r. 1..EoNA" . AEA P L S attest that this application for
(Professional Engineer's name from Application Item 11I.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. 11111
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
\\\� �XjCAR0� //� i
4�*�S S/0
%01 �� 1
NNTZ�;�A'
1, Tgj: GK1DLFPLIG UT► tit, pIR�GTo� attest that this application for
(Signature Authority's name & title from Application Item 1.3.)
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 143-215.6B, 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: ty,p Date: Z - Z +`Z l
NORM: FTA 04-16 Page 5 of 5

Division tit Water Rcsourc r-�
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 1 0-18)
Entity Requesting Allocation: Town of Smithfield Public Utilities
Project Name for which flow is being requested: Twin Oaks Subdivision Sect.III Ph.VI
More than one FTSE may be required for a single project if the owner of the Wii✓TP is not responsible for all ptanp
stations along the rouse of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a.
b.
C.
d.
e.
f.
g-
h.
WWTP Facility Name: W 407?
WWTP Facility Permit C-0 D 30 71 U 1
Al! flows are in MGD
WWTP facility's permitted flow 1,5
Estimated obligated flow not yet tributary to the WWTP
WWTP facility's actual avg. flow
Total flow for this specific request
Total actual and obligated flows to the facility
Percent of permitted flow used
H. 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***
?s -6 13
-^). "-%,.o
IJ ai
�. �za
ta3
` 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 pealing factor
(pij 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);
Downstream Permit Number: z Q
Pagel of 6
FTSE 10-18

III. Certification Statement:
I __.. t E- D . - r � ' o L. 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
Pe- Lie, � 17i L1i' JTl
Title of Signing Official
;#-
4f1c.
Page 2 of 6
FTSE 10-18

State of North Carolina
Department of Environmental Quality
)
Division of Water Resources
Dlvlsion of Water Resources Flow Tracidng/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Town of Smithfield
Project Name for which flow is being requested: Twin Oaks Subdivision, Sect. III, Ph. VI
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all primp
stations along the route of the proposed waste►vater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Central Johnston CountyWWTP
b. WWTP Facility Permit #: NCO030716_—
All flows are in MGD
c. WWTP facility's permitted flow 9.5
d. Estimated obligated flow not yet tributary to the WWTP 1.926
e. WWTP facility's actual avg. flow 7.091
f. Total flow for this specific request 0.01296
g. Total actual and obligated flows to the facility 9.030
h. Percent of permitted flow used 74.6% trib, 95.1 % paper
11. 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
(B)
(C)
(D)'(B+C) (E)=(A-ID)
Obligated,
Approx.
Not Yet
Total Current
Current Avg.
Tributary
FIow Plus
Daily Flow,
Daily Flow,
Obligated Available
MGD
MGD
Flow Capacity***
* 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 (po 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): Enters JC system on Neuse River Int.
Downstream Permit Number: unknown - collection sys. WQCS00060
Page 1 of 6

I1I. 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.
M "A i- C-
Signing Official Signature
Date
Page 2 of 6
FTSE 04-16

112 EostJohnnon Street
Smithfield, NC27577
[phone]
April 16, 2021
Mr. Jason Robinson
BRL ENGINEERING & SURVEYING
Providing Civil Engineering & Surveying Services
brleingineerinR0earthlink.net
NCDEQ— Water Resources, Regional Water Quality Section
1628 Mail Service Center (Mail)
Raleigh, NC 27699-1628
Brian R. Leonard, PE, PLS
NC llept of Environmental Quality
APR 21 2021
Raleigh Regional Office
Re: Twin Oaks Subdivision Section III — Phase VI, in Town of Smithfield
Gravity Sewer, Pump Station & Forcemain Plans — "Fast -Track" Review
(Sewer System to Serve Subdivision)
Dear Mr. Robinson:
JYMCO Development, Inc. plans to construct a final phase of a residential subdivision extending from existing
subdivision streets, which is located off of Yelverton Grove Road (SR 2508) in the planning jurisdiction of the
Town of Smithfield, in Johnston County. Construction includes an 8-inch "gravity" Town sewer line extending
from the Town's existing 8-inch gravity line, to serve the subdivision, which requires approval by NCDEQ. The
proposed sewer facilities will serve 18 lots with potential for 36 residential units (because duplexes are
allowed in this zoning district), which generates the additional flow requested within this application. We are
hereby applying for a "Fast -Track" review process; with a total flow request of 12,960 GPD (or 0.01296 MGD).
Enclosed herewith are the following documents for your review,
1) Fast Track Sewer System Extension Application, Form FTA 04-16 —1 original + 1 copy signed
by myself as Engineer, and signed by Applicant (Town of Smithfield).
2) Check in the amount of $480 for the required Fast -Track Application review fee
3) Flow Tracking/Acceptance Forms, Form FTSE 10-18 — 1 signed original + 1 copy for each of
the downstream owners/operators (from project to treatment plant) as follows...
0 Town of Smithfield — Downstream Collection System (Gravity Sewer & Pump
Station/Forcemain)
• Johnston County— Wastewater Treatment Facility
4) Site Maps —1 original + 1 copy of each of the following...
• 8.5" x 11" Color Copy of USGS Topographic Map, showing entire project area and
adjacent surface waters
• 8.5" x 11" Street Level, Aerial Map, showing general project area

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