WQ0042561_Application (FTSE)_20210520

State of North Carolina
j Department of Environmental Quality
,
Division of Water Resources
15A NCAC 02T A300— FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: ry $ 00 (4 Sls 1 (Io be completed h� I)NNK)
All items must be completed or the innlication will be returned
1. APPLICANT INFORMATION:
Applicant's name: Welsummer Yards, LLC (company, municipality, 1-10A, utility, etc.)
2. Applicant type: ❑ Individual
® Corporation ❑ General Partnership
❑ Federal
❑ State/County ❑ Municipal
3. Signature authority's name: Stephen Brock per 15A NCAC 02T .0106(b)
Title: Member
4. Applicant's mailing address: 893 Holly Dr. W
City: Annapolis Slate: MD
Zip: 21409-
5. Applicant's contact information:
Phone number: [phone]
Email Address: Stephen r brockyi.com
❑ Pri%-atelN-Owned Public Utility
'ept of Environmental Quality
MAY 2 0 202f
Raleigh Regional Office
11. PROJECT INFORMATION:
I. Project name: Welsummer Yards
2. Application+Project status: ® Proposed (New Permit) ❑ Existing PermiliPmject
If a modification, pro%-ide the existing permit number: WQ00 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"
5. Parcel ID (if applicable): 13EO5012C
(or Parcel ID to closest downstream sewer)
Ill. CONSULTANT INFORMATION:
I. Professional Engineer: Homer Wade License Number: 10771
Firm: Borum. Wade and Associates. P.A.
Mailing address: 621 Eugene Court, Suite 100
Cite: Greensboro State: NC Zip: 27420-1882
Phone number: [phone] Email Address: imcginleN-.`i-i),borum-+vade.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facilit% Name: Central Johnston County Regional Wastewater Facility Permit Number: NCO030716
Owner Name: Johnston Count%-
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ0019761 Do%%nstream (Recei%-ing) Seer Size: 8 inch
S�-Slem L1,ide Collection S\Stem Permit Numbcr(s) 01applicable): WQCS00060
Owner Name(s): Johnston Count
FORM: FTA 04-16 Page I of 5

V1. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑No ®NlA
2. If the Applicant is a Developer of lots to be sold, has a Dc%-cloixc '%.- icrational Agreement t FQR\ I: DEN) been attached?
❑ Yes ❑No ®NIA
3. Ifthe Applicant is a I lome Property Oancrti :Association, has kill Operational ASjyement tl-OR\l. I;0A) 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 preparationfservice ❑ Hotel and/or Motels
❑ School.' preschool / day care ❑ Medical r" dental `veterinary facilities ❑ Swimming Pool !Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool,Tilter Backwash
❑ Businesses.-' offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater : % Domestic.+Commercial % Commercial
% Industrial (See 15A NCAC 02T .0103(20))
4 Is there a Pretreatment Program in effect? ❑ Yes ❑ No
G. Has a flow reduction been approved under 15A NCAC 02T .01 14 ? ❑ Yes ® No
> If yes, provide a cony of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 021.0114(f1)
Daily Design Flow' b
No. of Units
Flow
0 gal?day
0
0 GPD
gal. day
0
0 GPD
gal
GPD
gal
GPD
gal:
GPD
gal.-'
GPD
Total
0 GPD
a See 15A NCAC 02T .01 14(b). (d). (c1( I) and (e)(2) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use areas;
and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G.S. 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01 14) shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
S. Wastewater generated by project: 0 GPD (per 15A NCAC 02T .0114)
> Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
® Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit Number:
❑ Rehabilitation or replacement of existing sewer with no new flo%% expected
❑ Other lExplain): T
DORM: I -TA 04- I G Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & _-IDC (Gravih° Sewers):
. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8" 14.10 PVC
➢ Section II & 111 of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section [11 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
Vlll1. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T.0305 & MDC (Pump Stations/Force Alai lg:
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
I. Pump station number or name: Welsummer Yard Temp Pump Station
2. Approximate Coordinates (Decimal Degrees): Latitude. 35.518254` Longitude:-78.554682"
3. Design flow of the pump station: 0.02016 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 100 gallons per minute at 27.5 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
4"
164.57
PVC
6. Power reliability in accordance with 15A NCAC 02T .0305(h)(1):
® Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(By
➢ 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 pomp 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.
FORNI- FTA 04-16 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(I)):
1. Does the project comply with all separations found in I5A NCAC 02T .0305(t) & (g) ® Yes ❑ No
> 15A NCAC 02T.0305(t) contains minimum separations that shall be provided for sewer systems:
Setback Parameter*
Separation Re aired
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 waterlines 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 11 impounded reservoirs used as a source of drinking 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
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earthrade vertical
36 inches
> 15A NCAC 02T.0305(u) contains alternatives where separations in 02T.0305(f) cannot be achieved.
> **Stream classifications can be identified using the Division's NC Surface Water Classifications web age
> If noncompliance with 02T.0305(t) or (,,,).see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes [—]No N MA
> 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 02B .0200? ❑ Yes ❑ No ® N;A
This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project require coverage/authorization under a 404 Nationwide or ❑ Yes ® No
individual permits or 401 Water Quality Certifications?
> Information can be obtained from the 401 & Bulfer PermitlinX Branch
5. Does project comply with I5A NCAC 02T_0105(c)(6) (additional permilVeertifications)? ® Yes ❑ No
Per ISA 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 NICAC 02T.0-102, '`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 ❑C No ❑ NIA
> 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 perrnitee's individual System -Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with , the
and the as applicable?
®Yes ❑ No
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents for
review. Approval of the re -guest is reguired Priorto submittal f the Fast Track Aeolication and supporting ocuments.
2. Professio Engineer's Certification:
WADE attest that this application for
(Professional Engineer's name from Application Item 111.1.)
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 143-215.6B, 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: CA���+',
a ;,•ar ssr0
. a SEAL
f 10771
w
t r
V • i x�
3. Applicant's Certification per I SA NCAC 02T .0106(b):
1, attest that this application for
(Signature Authority's name &title rom Application Item I.3.)
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 pemi t 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 and , 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

® A Engineers
- Planners
Surveyors
Borum, Wade and Associates, P A.
May 18, 2021
Jason Robinson
DWR - Municipal Permitting Branch
3800 Barret Drive
Raleigh, NC 27609
Phone: [phone]
Regarding: Welsummer Yards Apartments
Old Roberts Rd.
Benson, NC 27504
Dear Sir or Madam:
Ne Dept of rnvironmcntal Qualit)
MAY 2 0 2021
J1gig4 Regional Office
Please see the enclosed documents for review and approval for the Welsummer Yards Apartments
private pump station (to be owned and maintained by Welsummer Yards LLC). This project is a
72 unit MFR development that is to be serviced by a private pump station, and a new public
sanitary outfall [permitted separately].
Included in this package are the following:
1. 1 sealed FTA 04-16 and supporting docs(site maps etc). lNote: Public portion 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,
/--' /7&0d+
James McGinley, P.E. (ext. 107: Cell: 336-812-1798)
621 Eugene Court, Suite 100, Greensboro, NC 27401-2711 - PO Box 21882, Greensboro, NC 27420 1882
Phone [phone] • Fax 336-27S-3719
Website: aww.horunk wa&.cnut
NC License #: C•0868

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Pump Station-CALCS.xls
PUMP STATION DESIGN DATA: PEAKING FACTOR 4.17
FLOW INFORMATION
20,160 gpd = 14.00 gpm Pump Q: 100.0 gpm
Peak Q. 58.38 gpm Pump TDH: 27.5 ft
WET WELL INFORMATION
Fillets?: Yes No
Alarm?: Yes No
Auto -dialer?: Yes No
Security?: Yes No
Vent/Screen?: Yes No
FORCE MAIN INFORMATION
3 ft Cover?: Yes No
Air Relief Valve?: Yes No NA
Check Valve?: Yes No
Gate Valve?: Yes No
HEAD
Static Head:
10.57 ft
Effective Length:
1,454 ft
C value:
140
HI + HE
9.53 ft
TDH:
20.10 ft
TDH Design:
27.50 ft
% difference: 1 -26.93 %
Pump On Elev.
256.36 ft
Pump Off Elev:
255.36 ft
Inside Diameter(chamber):
6.00 ft (For circular PS)
X Dimension:
0.00 ft (For square or rect. PS)
Y Dimension:
0.00 ft (For square or rect. PS)
Cross Sect. Area.
28.27 sq ft
Working Volume:
211.52 gal
Detention Time:
15.11 min
Pump Run Time 1:
2.12 min
Pump Run Time 2:
0.77 min
Total Time Cycle:
0.30 hr
Pump Cycling: 3.34 cycles/hr
(should be between 2 and 8)
Length:
1,322 ft
Diameter:
4.0 in
High Point Elev.
265.93 ft
Pump Off:
255.36 ft
to 140
C VALUES PVC: 130 110
Vitrified Clay: 125
DIP:
EMERGENCY STORAGE TIME ft
All On: 255.36 ft
Can back up to: 257.48 ft
448 gal in wet well
VELOCITY
Approximate velocity = 2.56 ft/sec Hazen Williams
(should be r or = 2 fps) 2.55 ft/sec V=Qpump/A
POWER RELIABILITY
Stand-by power. Generator: On Site
Auto Dialer: Yes
Power Reliability: N/A
1097 gal in line
1545 gal total
110 min storage time