WQ0042520_Application (FTSE)_20210511

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Division aF Water Resources 15A NCAC 02T.0300- EAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: (Io be compicled by DWR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
I. Applicant's name: CITY OF WILSON NC (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnersbi
p ❑Privately -Owned Public Utility
❑ Federal Cl Slate/County ® Municipal ❑ Other
3. Signature authority's name: YT.SASS. IV perms. rl<'AC 02i:.a 106Jh)
Title: PUBLIC W RK DIRE Olt
4. Applicant's mailing address: P.O.BOX 10
City: MLSON State: NORTH CAROLINA Zip: 27896 __
5. Applicant's contact information:
Phone number: 252 99-� Email Address: [e-mail]
d
II. PROJECT INFORMATION:
L Project name: BUCKLIN SID PHASE Ill 0„
2. Application/Project status:
® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: WQ00 and issued date:
f new construction but art of a master Ian provide the existing 1
P plan, P g Permit number: WQ00__
3. County where project is located: WlLSON a
r f
4. Approximate Coordinates (Decimal Degrees): Latitude: 5.7 °Longitude: - 909° 0
,rn 5. Parcel 1D (if applicable): 724-30-6434.000 ss
(or Parcel ID to closest downstream sewer)
Ill. CONSULTANT INFORMATION:
t. Professional Engineer: RONNIE L. ON PE License Number. 10180
Firm: HER'RING-5UTrON & ASSOCIATE P.A.
Mailing address: 2201 NA H STREET N
City: WILSON State: NORTH CAROLINA Zip: 27896 —
Phone number. 252) 2911-8 87 Email Address: rsutton hen: in -sari n.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: HOMINY SWAMP WWTP Permit Number. NC 0023906
Owner Name: CITY OF WILSON. NC
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different tlsan WWTF):
1. Permit Number(s): W -0030831 Downstream (Receiving) Sewer Size: 8" inch
5 -3tem Wi o C1A lec69 - Is cm Permit Number{s)Cirn Isar icah.1cl: WQCS00021
OwnerName(s): CITY F Wl S N
FORM: FfA 04-16 Page I of

V1. GENERAL REQUIREMENTS
I. 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 said, has a Developer's alp Are cttt {i'QgM: D. r:V been attacltcd?
[--]Yes ❑No EIN/A
3. If the Applicant is a ##otti etrpLu
rtQwners' Association, han Qerational Agreement ifpRM.- )fDA ] been attached?
❑ Ycs ❑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 l dental 1 veterinary facilities ❑ Swimming Pool /Clubhouse
® road and drink facilities ❑ Church
® Businesses /offices /factories El Swimming Pool/Filter Backwash
❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater : 100 °/a Domestic/Commercial Vo Commercial
%Industrial (Las,- IJA.NCAtr 02T .01Q
4 Is there a Pretreatment Program in effect? ❑ Yes [:]No
6. Hasa flow reduction been approved under,/ 5 C i T �01 I ft? ❑ Yes ®No
D [f yes, Provide a cony of flow reduction anprovill letter
7. Summarize wastewater generated by project.
Establishment Type (see 02T.01l 4t[}] Daily Design Flows No. of Units Flow
RESIDENTIAL-3 BEDROOM 360 gaVDWELLING UNIT 55 19800 GPD
gall
GPD
gay
GPD
gall
GPD
gall
GPD
gall
GPD
Total
19800 GPD
a See IS&jjC&C,1 C�,.tc}t11 and.{sN2] 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 0.5. 42 A _).
b Per ISA NCAC 02T .0114(c), design flow rates for establishments not identified [in table 4M KCArB T j j shall
be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 19,800 GPD (per 15A5A NCAC Q2T X 1 14X 1 14)
D 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:
❑ Rehabilitntion or replacement ofexisting sewer with no new Row expected
❑ Other (Explain):
FORM: FTA 04-16 Page 2 of 5

VII.
Vlll.
GRAVITY SEWER DESIGN CRITERIA (if Applicable); mjpC fGrutrllv Sawmit
I. Summarize gravity server to be permitted:
Size (incites) Length (feet) Material
1974 SDR 35 PVC
1✓ Section 11 & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
1z 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
PUMP STATION DESIGN CRITERIA (If Applicable) —. Q2 T .0305 & MDC Pumr Stations/Force Maln4):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
L Pump station number or name. NIA
2. Approximate Coordinates (Decimal Degrees): Latitude: ° Longitude: - °
3. Design flow ofthe pump station: ,_. millions gallons per day (term capacity)
4. Operational point(s) of tite 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
71
6. Power reliability in accordance with I�jk NCAC OZT _p305(ijy1):
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(B)_
D Required for nil pump stations with an average daily flow greater than or equal to 15,000 gallons per day
D 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 - 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.
D If the portable power source or pump is dedicated to MILHIple pump stations, an evaluation of all the pump stations
storage capacities and the rotation schedule of the portable power source or pump, including travel timefromes, 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(o):
I. Does the project comply with all separations found in 15 f1 NCAC 02T .0305(ft & fe) ® Yes ❑ No
➢ 15A NCAC 02T,0305(g) contains alternatives where separations in 02T.0305(f) cannot be achieved.
D "Stream classifications can be identified using the Division's NC Surface Water iassificatio s web a e
➢ If noncompliance with 02T.0305(t) or (g), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes [:]No ®N/A
➢ Seethe 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 ofareas ofrected
3. Does the project comply with setbacks found in the river basin rules per 15A NCAC 02I3-A200? ® Yes ❑ No ❑ NIA
➢ This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project require coverage/authorization under a 404 Nationwide or ❑ Yes ® No
individual permits or 401 Water Quality Certifications?
➢ Information can be obtained from the 401 & BUftere ►ittin Branch
5. Does project comply with 1 SA NCAC 02T 0105 c 6 (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAf, 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, stonnwater management plans, etc.).
6. Does this project include any sewer collection lines that are deemed "high�priorityT'
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
➢ 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 ifs 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: "A 04-16 Page 4 of

X. CERTIFICATIONS:
1. Does the submitted system comply with I5A NCAC 02T, the Minimum Design Criteria -for the Penn i tof i linne
d Force Mains (1plesl ve io and thc!Qrzvi!y SeweE Minim —DesiRn C 'feria (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 file request Is required prior t submittal of tite fast Track Apnlication and su ortin
docu me ts.
2. ProjWtonal Engineer's Certification:
In
s name from Applica'ion Item IIL1.)
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. 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 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.
North Carolina Professional Engineer's seal, signature, and date: ,`C���N •UA
��(j'''s
„ l ;
�41
rF•
� v �
1 . . ,\
3. Applicant's Certification per 15A NCAC 02T .0106(b):
Authority's name &
1.3.)
that this application for
has been reviewed by the and is accurate and complete to the best of my knowledge. I understand that if all required parts of
this application arc 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. 1 will make no claim against the Division of Water Resources should a
condition of this permit be violated. I nlso 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- 115.613. any person who knowingly snakes 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: �00I
FORM: FTA 04-16 Page 5 of 5

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
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
cerlified by n professional engineer and the applicant that the project meets the requirements of 1 SAAC6.0 027 and the Division's
Minimum Design Criteria and that plans, specifications and supporting documents have been prepared lit accordance with, 15A
CAC V2T, 15A NCAC 02T,0300, Divishin policieland Ey�d enElneorin raeticed.
While no upfront engineering design documents are required for submittal, in accordance with 15A 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 N 'AC 027 .0305 and the applicable minimum design criteria. These
documents shall be available upon request by ilia Division.
Projects that are deemed permitted (do not require a permit from tite Division) are explained in) 5A NCAC 02T,0303.
Projects not eligible for review via the fast track process (must be submitted for full technical revieil: Dept of Environmental Quality
D Projects that require an environmental assessment in accordance with 15A NCAC I C .0100;
D Projects (hat do not meet any part of the minimum design criteria (MDC) document;
> Projects that involve a variance from the requirements of 15A NCAC 2T; MAY ?nn
D Pressure sewer systems utilizing septic tank -effluent pumps (STEPs) or simplex grinder pumps;
D STEP or simplex grinder pumps connecting to pressurized systems (e.g, force mains);
D Vacuum sewer systems. Raleigh Regional Office
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):
® List all items included in the application package, as well as a brief description of the requested permitting action.
D Be specific as to the system type, number of homes served, flow allocation required, etc.
D 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.
Payable to North Carolina Department of Enviromnental Quality (NCDEQ)
D. mast 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 NNo C l9aSSqMLaf fate.
❑ If the Applicant Type in Itetn 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 Nortlt
Carolina licensed Professia ial Engineer.
® The Applicant's Certification on Page S of the application shall be signed in accordance with 15A NCAC D2T .0106(bl.
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 I SA NCAC 02T .0106(b).
INSTRUCTIONS FOR FORM:17A 04-16 & SUPPORTING DOCUMENTATION Page i of

E. Flow Tracking/Acceptance corm (Form: FTSE 04-16) (If Applicable):
® Submit tite completed and executed FTSE form from the owners of the downstream severs and treatment facility.
>s Multiple forms maybe required where the downstream sewer owner and wastewater treatment facility are different.
D 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 forn: FTSE indicates that owner has adequate capacity and will not violate as. 143-
- -
D 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.
D Location of the project (gravity sewer, pump stations & force main)
D 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 tite 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, e1c.).
H. Power Reliability Plan (Required if portable reliability option utilized for Pump Station):
❑ Per 15A NCAC 0'f .0305 li), submit documentation of power reliability for pumping stations.
D This alternative is only available for average daily flows less than 15,000 gallons per day
D 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, independenlly-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 I SA NCAC 02T .01 15_(a provide the Certificate of Public Convenience and Necessity from the North. Cflnoiina
ltilitics 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 Nor h Carolina Utilities Cornrnissivn's Wnter and Sewer Division Pubiic_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 HOA/POA and Developers for lots to be sold):
❑ Home/Pro ertOwners' Associations
❑ Per I SA NCAC 0 T ,01 15(c), submit the properly executed rational Agreement LEQRM�.
❑ Per I SA 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 executed Q�erational_AgreementIE-'ORM' D.F.V).
For• »rove information, visit the Division's collection syctenrs websile
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page 2 01`3

THE COMPLETED
APPLICATION PACI{AGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT TO THE APPROPRIAT19 REGIONAL, OFFICE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Neville Regional QMC
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
-wator "iq w1lon
Swannanos, North Carolina 28778
Clay, Graham, Haywood, Henderson, Jackson,
[phone]
Macon, Madison, McDowell, Mitchell, Polk,
[phone] Fax
Rutherford, Swain, Transylvania, Yancey
Fay0aville R"ippal Outgo
XRfir 11N Seotlon
225 Green Street Suite 714
Fayetteville, North Carolina 28301-5094
Anson, Bladen, Cumberland, Hamelt, Hoke,
Montgomery, Moore, Robeson, Richmond,
[phone]
Sampson, Scotland
[phone] Fax
hllfl r"ville Re 1 Prig I Qfflc
W#tur gualltya
610 E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
rtion
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone]
Slanly, Union
[phone] Fax
Rat i h lonal Off ica
1Nater Quality Seolfor,
1628 Mall Service Center
Chatham, Durham, Edgecombe, Franklin,
Raleigh, North Carolina 27699-1628
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] Fax
Warren, Wilson
Waahln on Re ! nal Of{ica
W ter Quo 11ty Se tl
943 Washington Square Mall
Beaufort, Bertle, Camden, Chowan, Craven,
pn
Washington, North Carolina 27869
Curriluck, Dare, Gates, Greene, Hertford, Hyde,
[phone]
Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] Fax
Perquimans, Pitt, Tyrrell, Washington, Wayne
_WlfmIngtan Ron 10r al Off Ice
er Q uali
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
ctIon
Wilmington, North Carolina 28405
Hanover, Onslow, Pander
[phone]
[phone] Fax
j irig# in §p iem FRaggonsI ORice 450 W. Hanes Mill Road
WItor Quallty secticin
Atamance, Alleghany, Ashe, Caswell, Davidson,
Suite 300
Davie, Forsyth, Guilford, Rockingham, Randolph,
Winston-Salem, North Carolina 27105
Stokes, Surry, Watauga, Wilkes, Yadkin
[phone]
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page 3 o1`3

W-
DIvIsImi of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-I8)
Entity Requesting Allocation: City of Wilson
Project Name for which flow is being requested: Bucklin Subdivision Phase III
Afore than one F I•SE nuay be required for a single project yWie owner of the IVIi'TP Is not responsible far all pump
stations along the ronle of lire proposed wastewater, flow
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Hominy Swamp Water Relcamation Facil
b. WWTP Facility Permit #: NC0023906
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
It. Percent of permitted flow used
Al! flolvs are in MG
14 MGD
,.,
60
M
1.194886
7�
_
8.86 MGD
�.
0.0198
cs
o
10.05489
71.82
II. Complete this section for each pump station you are responsible for along the route of this proposed
wastewater flow.
0
C
List pump stations located between the project connection point and the WWTP:
(A)
(B)
(C)
(D)-(B+C)
(E) =(A-D)
Design
Average
Approx.
Obligated,
Total
Pump
Pump
Daily
Current
Not Yet
Current Flow
Station
Station
Firm
Flow'"*
Avg. Daily
Tributary
Plus
(Name or
Permit
Capacity, "
(Firm / pl),
Flow,
Daily Flow,
Obligated
Available
Number)
No.
MGD
MGD
MGD
MGD
Flow
Capacity*"`*
_ 17
WQCS00021
0.778
0.311
0.0996
0.09044
0.1900
0.1210
I
WQCS00021
12.96
5.184
2.91
0.2238
3.3478
2.0502
_ 2
WQCS00021
25.92
10.368
3.01
0.3576
3.3676
7.0004
* The Firrn Capacity (design flow) of any pump station is defined as the maximum pumped flow
that can be achieved with the largest punep talcen out of service.
** Design Average Daily Flow is the firnt 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 Assessmeut Addendum shall be attached for each pttntp station located
behveen the project connection point and the WWTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer): Hominy Swamp Water Reclamation
Downstream Permit Number: NC 0023906
Page l of 6
FTSE 10-19

III. Certification Statement:
I W.T. Bass IV, PE certify to the best of my knowledge that (lie 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 iI] Sections I and II plus all attached planning assessment addendulns 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.
2re -a o."k+
Title of Signing Official
2io Zl
Date
Page 2 of 6
I+TSE 10-18

A Herring -Sutton
■ OL ASSOCIATES • P.A.
`i
ENGINEERS • SURVEYORS •PLANNERS
May 9, 2021
Scott Vinson
Regional Supervisor
NCDEQ-DWQ
Raleigh Regional Office
1628 Mail Service Center
Raleigh, NC 27699-1628
NC Dept of Environmental Quality
SUBJECT: Fast -Track Sewer System Extension Application
Bucklin Subdivision Section III
City of Wilson
Gentlemen:
MAY 11 7021
Raleigh Regional Of -rice
Enclosed for your review and processing with one original and once copy are the
following items concerning the proposed installation of approximately 1974 linear
feet of 8" diameter gravity sewers, and other appurtenances to serve 55 single
family 3-bedroom dwelling units for Bucklin Subdivision Section III located in
Wilson, North Carolina. The proposed project will require a requested flow
allocation of 19,800 gallons per day. The enclosed items are as follows:
• Fast -Track Application Form "FTA 04-16"
• Colored USGS Quad Sheet with approximate system layout
• Street level map of Project Area
• Flow Tracking/Acceptance for Sewer Ext. Permit Application (FTSE 04-16)
• Check in the Amount of $480.00 (Application Fee).
Thank you very much for your assistance with this matter, and if further
information is needed, please do not hesitate to contact us.
Res ctfully,
Herri g-Sutton and Associates, P.A.
nnie L. Sutton, P.E.
Enclosures
cc: Bill Bass, RE
2201 Nash Street NW • Wilson, North Carolina 27896 - [phone] • Fax [phone]

SITE
P
v t� 1�1
LAP
�; �c�SSl�,y'•,9
----�--- EXISTING SANITARY SEWER
—o---- PROPOSED SANITARY SEWER
goo'
Bucklin Subdivison — Phase 111 Herring —Sutton & Associates, P.A.
WILSON, NC ENGINEERS - SURVEYORS - PLANNERS / FIRM LICENSE #C-2310
2201 NASH ST NW WILSON, N.C. 27896 TEL [phone]

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Bucklin Subdivison -- Phase N Herring --Sutton & Associates, P.A.
WILSQN, NC ENGINEERS — SURVEYORS — PLANNERS / FIRM LICENSE #C-2310
2201 NASH ST NW WILSON, N.C. 27896 TEL [phone]