WQ0042678_Application (FTSE)_20210712

btate of Aorth Carolina
DWR
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Dlvlslon of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number. O�� (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 Four Oaks (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: Barry Stanley per I SA NCAC 02T .0I06(b)
Title: Public Works Director
4. Applicant's mailing address: PO Box 610
City: Four Oaks State: NC Zip: 27524-
5. Applicant's contact information:
Phone number: [phone] Email Address: pauline.ketchurnRembaEgmaill.com
P
It. PROJECT INFORMATION: '
O
1. Project name: Field View c
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project o
If a modification, provide the existing permit number: WQ00 and issued date: '
If new construction but part of a master plan, provide the existing permit number: WQ00W,
o —7
3. County where project is located: Johnston a;
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.45546" Longitude:-78.43519-'
A Pd
U
5. Parcel ID (if applicable): 08HI0017 Z
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Eva King, PE License Number: 039159
Firm: Adams and Hodge Engineering, PC Firm #C-4187
Mailing address: 314 E. Main Street
City: Clams State: NC Zip: 27520-
Phone number: 980 253-5773 Email Address: eva(@,,adamsandhodp.e.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Town of Benson Permit Number: NC00020389
Owner Name: Town of Benson
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ0019649Mod Downstream (Receiving) Sewer Size: 8 inch
S� stein Wide Collection System. Permit NUmber(s) (if licable): WQCSD0013
Owner Name(s): Town of Four Oaks
FORM: FTA 04-16 Page I of 5

VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑No ®NIA
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement jFORNT; DFV i been attached?
❑ Yes ❑No ®NIA
3. If the Applicant is a HomeTro e!U Owners' Ass Jatiolj, has an Operational Agreement FORNI: I]OAf been attached?
❑ Yes [:]No ®NIA
4. Origin of wastewater: (check al I that apply):
® Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential Leased ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑ School I preschool / day care ❑ Medical I dental i veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church
El Businesses f offices I factories Swimming Pool/Filter Backwash
❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % DomesticlCommercial % Commercial
% Industrial (See 15A NCAQ. .O 1Q3{20
�Is there a Pretreatment Program in effect? ❑ Yes [:]No
6. Has a flow reduction been approved under 15A NCAC 02T .01 14(f)? ❑ Yes ® No
➢ If yes, provide a copy of flow reduction avvroval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T_0114{#}}
Daily Design Flow 9,n
No. of Units
Flow
Single Family Homes (3 bedroom)
360 gal/day
gay
gay
103
37,080 GPD
GPD
GPD
gay
GPD
gay
GPD
gay
Total
GPD
37,080 GPD
a See 15A NCA 02T .01 14 b d), (eWil 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 .01 14(c), design flow rates for establishments not identified [in table I SA NCAC 02T 01 14 shall
be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
Wastewater generated by project: 37,080 GPD (per I.SA 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 flow expected
❑ Other (Explain):
FORM: FTA 04-16 Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 021 .0305A 11 DC I Gravit v Svi� ers
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
5,871
PVC
8
268
DIP
➢ Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
VHI. PUMP STATION DESIGN CRITERIA (if Applicable) — 02T .0305 & MDC Pu nip Stations)Force Mains:
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: Field View
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.45924 Longitude:-78.43593
3. Design flow of the pump station: .216 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 150 gallons per minute at 125 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
4 I,757 PVC
6. Power reliability in accordance with I SA NCAC 02T .0305[h�(I.i:
® Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(B):
➢ 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 - I SA 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(1)):
1. Does the project comply with all separations found in 15A iNC A C 021' _03ft1 fi fg)
® Yes ❑ No
➢ 15A NCAC 02T.0305 contains minimum separations that shall be Drovided for sewers stems:
Setback Parameter*
Se aration Required
Storm sewers and other utilities not listed below vertical
24 inches
Water mains vertical -water over sewer including in benched trenches
18 inches
Water mains horizontal
10 feet
Reclaimed water lines vertical - reclaimed over sewer
18 inches
Reclaimed water lines horizontal - reclaimed over sewer
2 feet
"Any private or public water supply source, including any wells, WS-I waters of Class I or
Class It im ounded 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
6RX swimming pools
10 feet
Final earth grade vertical
36 inches
➢ 15A NCAC 02T_Q305(a) contains alternatives where separations in 02T.0305(f cannot be achieved.
➢ "Stream classifications can be identified using the Division's NC Surface Water Classifications web4�,a- e
➢ 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.--A
➢ 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 028.0200? ® 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 or 401 Water Quality Certifications?
➢ Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with .15A NCAC 02T.0105(cXq) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105(c)& 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 ❑ 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 permitee's individual System -Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with ISA NCAC 02T. the Minimum Design Criteria for the Permitting of PumR Stations
and Force Mains latest version and the Gravity 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. ApBroval of the reguest is required prior to subruittal of the Fast Track Application and supportinLw
documents.
2. Professional Engineer's Certification:
I, Eva King, PE attest that this application for
(Professional Engineer's name from Application Item M.I.)
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 143-2I5.613, 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: "IL0,1j=CAhj''',���
d
039159
. -
•. P
+.F�A�KIN�?.•�`�
3. Applicant's Certification per 15A NCAC 02T .0106(b): 07/08/2021
I Barry Stanley, Public Works Director attest that this application for
(Signature Authority's name & title from 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 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 143-215.6B, 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: %SA Date:-1- OI` -�,`
FORM: FTA 04-16 Page 5 of 5

7
Division of Water Resource
State of North Carolina
Department of Environmental Quality
Division of Wafter Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Town of Four Oaks
Project Name for which flow is being requested: Field View Subdivision
More than one FTSE pray be required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposer! wastewater floii.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name:
b. WWTP Facility Permit #:
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
£ Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
Alt florps are in MGD
0.03708
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:
Pump
Station
(Name or
Number)
FourOaks
Pump
Station
Permit
No.
19649Mod
Firm
Capacity,
MGD
0.864
(A)
(B)
(C)
(D)=(B+C)
(E)—(A-D)
Design
Obligated,
Average
Approx.
Not Yet
Total Current
Daily Flow**
Current
Tributary
Flow Plus
(Firm / pl),
Avg. Daily
Daily Flow,
Obligated
Available
MGD
Flow, MGD
MGD
Flow
Capacity***
0.346
0.243
0.051
0.294
0.052
* 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 peaking factor
(pf) 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): Four Oaks to Benson PS/FM
Downstream Permit Number: 19649Mod
Page 1 of 6
FTCP 1 n-1 R

III. 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 certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
Signing Official Signature
-T)wUAW Qf IAll L�)�s
Title of Signing Official
Page 2 of 6
FTSE 10-18

rMA
pivlslon of Writer Re-suurcts
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Traeldng for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Town of Four Oaks
Project Name for which flow is being requested: Field View Subdivision
More than one FTSE maybe required for a single project -the owner of the WWTP is not responsible for allpump
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:
b. WWTP Facility Permit #:
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
h. Percent of permitted flow used
All flows are in MGD
0.03708
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:
Pump Pump
Station Station Firm
(Name or Permit Capacity,
Number) No. MGD
1Jo,27-0491,b E
(1_4G GPM)Lln,kysr�q p. l az
(A)
(B)
(C)
(D)--(B+C)
(E)=(A-D)
Design
Obligated,
Average
Approx.
Not Yet
Total Current
Daily Flow**
Current
Tributary
Flow Plus
(Firm 1 p fl,
Avg, Daily
Daily Flow,
Obligated
Available
MGD
Flow, MGD
MGD
Flow
Capacity***
D•0041
0•aSlf3 1
0.,0371
V.yyD4
•-a.POG3
* 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 peaking factor
(pfl 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 a 0.
Downstream Facility Name (Sewer): provi2 O.*KS_Gvy1.ECT1vN S sy r&M
Downstream Permit Number: W !ZC S- b cv 1 2
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I Barry Stanley 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 fiom 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 parry. 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
t, v) C, ;V�s �) I.% � t
Title of Signing Official
Page 2 of 6
(n " b%- ai
Date
FTSR 10-18

PLANNING ASSESSMENT ADDENDUM (PAA)
Submit a planning assessment addendum for each pump station listed in Section 11 where Available Capacity is
0.
Pump Station (Name or Number): NP'0-7- tSlnF- (196&PM)
Given that:
a. The proportion and amount of Obligated, Not Yet Tributary Daily Flow (C) accounts for
-11 _% and 0-0371 MGD of the 11 P-in Pump Station
--AlosrWSJD£ ; and that 'rof�f c.-;Z +T-l6 l.a.a (p)
b. The rate of activation of this obligated, not yet tributary capacity is currently approximately
O,yn74 MGD per year; and that
c. A funded Capital Project that will provide the required planned capacity, namely
N.rtf, sTA4 P.S. Fs .4s: +`1; fy S-f„/ y is in design or under construction with
planned completion in f.-JJ'^1s-r 202 l ; and/or
d. The following applies:
e, tnsis o Gnn
aOr
F r•
LAP r-A G sk �r rhG �''1v a;+ I'7c vtSs'
fv-G ail: is
GS�tmyf�5 stnai fish i.�fi*'ids��J-�m.T d�abli•1r�'t'tIl �/fwof^s=/`
LkGL_aHM/spa 46 -Mc
4`s' G�GL_yrva��ss•ss�s.�L saVa-rz, popa-,/A 1,1 fA;5 A-1-tA,, YA-r-
S*U JiT _w%1l orsirfdy Az- n--<cltd �4 /a�-l.sT.Lg . "'d AzzArii<•c 1
el �r+LL -* r A4-i air^j an u�R*�G Op&L- eGfi `;t M,s Sf�on.
7-he V;A. IS+'G90 a 1.1-,rwly AV^AF,".tirC
Therefore: d�'re-Gts , a-aw�•-d ti6,� Gr+r �/'i•�t+'�� p,-•,�<�t ,fx//,ii a+iC<,�na ,So
r„ fkf hGSfi
Given reasonably expected conditions and planning information, there is sufficient justification to allow
this flow to be permitted, without a significant likelihood of over -allocating capacity in the system
infrastructure.
1 understand that this does not relieve the collection system owner from complying with G.S. 143-
215.67(a) which prohibits the introduction of any waste in excess of the capacity of the waste disposal
system.
Signing Official Signature
♦ \:
Date
Page 3 of 6
1~TSE 10-18

41
Di0934>ar of VVA-ek RCSOur(cs
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: a o�, P v r
Project Name for which flow is being requested: V t e _5'vbJ v; s +¢
More than one FTSE nary be required for a single project If the owner of the WWTP is not responsible for aRprunp
stations along the route of theproposed rvasteipaterflom
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name:
b. WWTP Facility Permit #: tVGOOD 203 S`�
Afi bows are in MGD
c. WWTP facility's permitted flow I, q
d. Estimated obligated flow not yet tributary to the WWTP o. 2,38"
e. WWTP facility's actual avg. flow 1165
f. Total flow for this specific request o .0370 T
g. Total actual and obligated flows to the facility l •925
h. Percent of permitted flow used t o I %
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)
(B)
(C)
(D)=(B+C) (E)-(A-D)
Deign
Obligated,
Pump Pump
Average
Approx.
Not Yet
Total Current
Station Station
Firm Daily Flow* *
Current
Tributary
Flow Plus
(Name or Permit
Capacity, * (Firm 1 pt),
Avg. Daily
Daily Plow,
Obligated Available
Number) No.
MOD MOD
Flow, MOD
MOD
Flow Capacity***
* 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 pealdag factor
(pf) 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
Page 1 of G
FTSE 10-i8

Ill. Certification Statement;
I - i w% i�l,b►�,s certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this protect 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 Signatati•e
Di
Title of Signing Official
Page 2 of b
FTSE 1 Q-18

LA&`�-HI ADAMS & HODGE
ENGINEERINGi PC
July 12, 2021
Ted Cashion
NC DWQ
3800 Barrett Dr
Raleigh, North Carolina 27609
Subject: Field View
Town of Four Oaks
Johnston County
t4C >urpt of ipnvironwettal
fpnvironmental Quality
au! 12 201
gnleig1 Regional Qf%ce
Attached is one original and one copy of a complete Fast Track Application for Gravity Sewers,
Pump Stations, and Force Mains, which includes the following:
l . Complete Fast Track Application for Gravity Sewers, Pump Stations, and Forcemains
(Form FTA 04-16), signed by Engineer & Town
2. Flow Tracking for Sewer Extension Applications (FTSE 10-18), signed by the Town of
Four Oaks, Johnston County and the Town of Benson
3. Complete set of pump station calculations
4. $480.00 Check for Application Fee
5. USGS Quad Map showing approximate site location
6. Street Level Map
This application is for +/-5,871 if of 8" gravity sewer and +/-1,757 if of 4" PVC force main with
a pump station to serve 103 single family residential lots. There is a +/-268 if leg of DIP gravity sewer
that is to be installed encased in a 16" steel casing via bore and jack under the wetlands. Manholes on
each side are to be greater than 10' from the wetlands edge. The wetwell at the pump station is to be
installed greater than 50' away from the wetlands. This project also has a planned 401 & 404 permitted
road crossing. Gravity sewer is proposed inside this road crossing. All wetlands on site have been
classified by Brown's Environmental Group, Inc as freshwater wetlands WL. Since none of the conditions
exist on site requiring 50' separation from wetlands (UWL or SWL wetlands as well as waters classified
as WS-II, WS-111, WS-IV, B SA, ORW HWQ or SB), required wetland separation for this project is
determined to be 10feet.
If you have any questions or comments, please give me a call at 980-253-5773 or
email to [e-mail].
Sincerely,
Egg, PE
ADAMS & HODGE ENGINEERING, PC • 314 East Main Street, Clayton, NC 27520 • Office: 919-243-1332 9 Firm License # C-4187

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USGS The National Map. Nalional Boundaries Dataset, 3DEP Elevation
Program, Geographic Names Information System, National Hydrography
Dataset, National Land Cover Database. National Structures Dataset and
National Transportation Dalaset; USGS Global Ecosystems; U S. Census
USGS
2021 USGS

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PUMP STATION CALCULATIONS
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ADAMS & HODGE
ENGINEERING, PC
314 East Maln Stoat
Clayton, NC 27620
919,243,1332 lnfoQadamsan&Ddpa-mm
FIRM X C-4107

PROPOSED SEWER FLOW FOR
FIELD VIEW SUBDIVISION - SINGLE FAMILY LOTS
103 SF lots at 360 g/d/lot = 37,080 gpd
POSSIBLE FLOW FROM ADJACENT UNDEVELOPED PROPERTY
63 SF lots at 360 g/d/lot - 22,680 gpd
TOTAL PROPOSED FLOW FOR FIELD VIEW SUBDIVISION
Field View — 37,080 gpd
Anticipated flow from adjacent property — 22,680 gpd
TOTAL = 59,760 gpd

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FIELD VIEW PUMP STATION
3 BR Homes 166
360 gal/unit/day
Qin 59,760gpd 41.5gpm
PEAK FACTOR 2.5
Qpump 149,400gpd 103.8gpm
THEREFORE USE 150gpm
Check velocity in
Velocity=(0.409*Qpump)/DA2
Velocity= 3.8fps
DETERMINE CYCLE TIME
ASSUME 4cycle/hr
Volume= T*Qin(1-(Qin/Qpump))
Volume= 450.3gals
Use an
41n force main
Greater than 2fps; OKAY
15min =T
8ft diameter wetwell 376.01gal/vf
Distance to lead pump = Volume/gal per of
Recom. distance to lead pump=
1301W,
Distance to lead pump on =
Distance to lag pump on =
Distance to alarm on =
Maintain water in bottom =
1.20'
1.20'
1.20'
1.20'
1.20'
3.00'
6.60' distance from invert end
to bottom of wetwell
DOUBLE CHECK CYCLE TIME
Volume between on & off leads
8ft diameter wetwell = 451.2gals
FILL TIME= Volume between leads/Qin 10.87mins
PUMP TIME= Volume between leads/Qpump 3.01mins
FILL DURING RUN=(Pump time * Qin)/Qpump 0.83mins
TOTAL CYCLE TIME = 14.71mins
CYCLE/HR = 60mins/Total Cyle Time 4.08cycles/hr

DETERMINE TOTAL DYNAMIC HEAD
Qpump= 150gpm
Diameter
4in
Length
1757
C value
120
Za+Pa/a+V"2/2g=Z b+Pb/a+V"2/2g+hm(-10%)+hf
Difference in Elevation = 89'
hf= 10.44*Length(Qpump^1.85/C"1.85*D^4.87)
hf= 32.41'
TDH = 125.13'

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FIELD VIEW - WETWELL
DETERMINE IF STRUCTURE WILL FLOAT
Weight of soil
100.0 Ibs/cf
Weight of concrete
150.0 Ibs/cf
Weight of water
62.4 Ibs/cf
MANHOLE
inside diameter
8.0 ft
outside diameter
9.2 ft
inside height
21.8 ft
TOP
diameter
9.2 ft
top thickness
0.7 ft
EXTENDED BASE
base diameter
11.2 ft
base thickness
0.7 ft
VOLUME OF CONCRETE
WEIGHT
TOP 46.5 cf
6976.5 Ibs
BOTTOM 68.9 cf
10339.4 Ibs
SIDES 353.2 cf
52981.8 Ibs
VOLUME OF SOIL ABOVE EXT-FOOTING
720.6 cf 72063.0 Ibs
VOLUME OF WATER DISPLACED
1563.9 cf 97586.3 Ibs
WEIGHT OF STRUCTURE & SOIL > WEIGHT OF WATER
142,360.7lbs > 97,586.3lbs
ASSUMING A FACTOR OF SAFETY OF 1.46 STRUCTURE WILL NOT FLOAT

'i)WR Ntate of iNorm t-:aroima
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 l SA NCAC 021' and the Division's
Minimum Design Criteria and that plans, specifications and supporting documents have been prepared in accordance with, I SA
NCAC 02T, 15A NCAC 02T .0300, Division policies and Eofid enjneerin2 practices.
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. 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 I SA NCAC 02T.0303.
Projects not eligible for review via the fast track process (must be submitted for full technical review):
➢ Projects that require an environmental assessment in accordance with 15A NCAC IC .0100;
➢ Projects that do not meet any part of the minimum design criteria (MDC) document;
➢ 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);
➢ 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):
® List all items included in the application package, as well as a brief description of the requested permitting action.
➢ 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.
➢ Payable to North Carolina Department of Environmental Quality (NCDEQ)
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 Secretan 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 Ii.I 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 Engineer.
❑ The Applicant's Certification on Page 5 of the application shall be signed in accordance with 15A NCAC 02T .01Q§LbJ.
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 A 106(b).
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page I 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.
➢ 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 G.S. 143-
�
➢ Intergovernmental agreements or other contracts will not be accepted in lieu of a project -specific FTSE.
F. Site Maps (All Application Packages):
[D Submit an 8.5-inch x 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 .0305t hi(l i, submit documentation of power reliability for pumping stations.
➢ 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 .0115w(I 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 .0115(c), submit the properly executed Operational Agreemen1(FORM: HOA).
❑ 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 .0I 15(b), submit the properly executed Operaional Agreement (FORM•. DEVI.
For more information, visit the Division's collection systems ivebsite
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page 2 of 3

TIE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Reqional Office
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
Water Quality SectionT
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 Regional Office
610 E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
Water 0 ual ity Section
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone]
Stanly, Union
[phone] Fax
Raleigh Regional Office
1628 Mail Service Center
Chatham, Durham, Edgecombe, Franklin,
Water Quality Section
Raleigh, North Carolina 27699-1628
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] Fax
Warren, Wilson
Washington Regional Office
943 Washington Square Mall
Beaufort, Bertie, Camden, Chowan, Craven,
Water Quality Section
Washington, North Carolina 27889
Currituck, Dare, Gates, Greene, Hertford, Hyde,
[phone]
Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] Fax
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
Water Quality Section
Wilmington, North Carolina 28405
Hanover, Onslow, Pender
[phone]
[phone] Fax
Winston-Salem Regional Office
450 W. Hanes Mill Road
Alamance, Alleghany, Ashe, Caswell, Davidson,
Water Quality Section
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 of 3