WQ0042865_Application (FTSE)_20210920

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 06-21 & SUPPORTING DOCUMENTATION
Application Number: WU 00 tO5 (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 Whitakers (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: Esterine Gary -Pitt per l5A NCAC 02T .0106(b)
Title: Mayor
4. Applicant's mailing address: PO Box 727
City: Whitakers State: NC Zip: 27891- NC Dept of Environmental Quality
5. Applicant's contact information:
Phone number: [phone] Email Address: [e-mail] SEP 2 0 2021
II. PROJECT INFORMATION: Raleigh Region
al 1. Project name: 2018 Sanitary Sewer Improvements Office
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
Ma modification, provide the existing permit number: WQ00 _ and issued date: ,
For modifications, also attach a detailed narrative description as described in Item G of the checklist.
If new construction, but part of a master plan, provide the existing permit number: WQ00_
3. County where project is located: Edgecombe
4. Approximate Coordinates (Decimal Degrees): Latitude: 36.1035 ' Longitude: -77.7131
5. Parcel ID (if applicable): (or Parcel ID to closest downstream sewer)
II1. CONSULTANT INFORMATION:
I. Professional Engineer: David Frank Weir, Jr License Number: 39099
Firm: McDavid Associates. Inc
Mailing address: PO Drawer 49
City: Farmville State: NC Zip: 27828-
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Rocky Mount WWTP Permit Number: NC0030317
Owner Name: Rocky Mount
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ
2. Downstream (Receiving) Sewer Information: inch
❑ Gravity (1 Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s):
FORM: FTA 06-21
Page l 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 Developer's Operational Agreement (FORM: DEVI been attached?
❑ Yes ❑ No ® NIA
3. If the Applicant is a Home/Property Owners' Association, has an HOA,'POA Operational Agreement (FORM: HOA) and
supplementary documentation as required by 15A NCAC 02T.0115(c) been attached?
❑ Yes ❑No ®N.A
4. Origin of wastewater: (check all that apply):
® Residential (Individually Owned) ❑ Retail (stores, centers, malls)
® Residential (Leased) ❑ Retail with food preparation/service
❑ School / preschool / day care ❑ Medical / dental / veterinary facilities
❑ Food and drink facilities 0 Church
❑ Businesses / offices / factories 0 Nursing Home
❑ Car Wash
0 Hotel and/or Motels
❑ Swimming Pool/Clubhouse
❑ Swimming Pool/Filter Backwash
0 Other (Explain in Attachment)
5. Nature of wastewater : 100 % Domestic % Commercial % Industrial (See i 5A NCAC 02T .0103(20))
If Industrial, is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .0114{f)? ❑ Yes ❑ No
> If yes, provide a copy of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow'.b
No. of Units
Flow
Residential
360 gal/day
4
1140 GAD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
1440 GPD
a See 15A NCAC 02T .011441. (d). (0111 and fe)(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.
8. Wastewater generated by project: GPD (per 15A NCAC 02T: 0114)
➢ Do not include future flows or previously permitted allocations
If permitted flow is zero, please indicate why:
❑ Pump Station/Force Main or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line.
Please provide supplementary information indicating the approximate timeframe for permitting upstream sewers with flow.
0 Flow has already been allocated in Permit Number: Issuance Date:
❑ Rehabilitation or replacement of existing sewers with no new flow expected
❑ Other (Explain):
FORM: FTA 06-21
Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
380
PVC SDR 26
r
➢ 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 requirements is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: -_ _
3. Total number of pumps at the pump station:
3. Design flow of the pump station: millions gallons per day (firm capacity)
> This should reflect the total GPM for the pump station with the largest pump out of service.
4. Operational point(s) per pump(s): gallons per minute (GPM) at feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
If any portion of the force main is less than 4-inches in diameter, please identify the method of solids reduction per
MDCPSFM Section 2.01C.1.b. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with 15A NCAC 02T .0305(hX1):
❑ Standby power source or ❑ Standby pump
➢ Must have 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 and may not be portable
Or if the pump station has an average daily flow less than 15,000 gallons per day 15A NCACO2T.0305(h)(1)(C):
❑ Portable power source with manual activation, quick -connection receptacle and telemetry -
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry:
> Include documentation that the portable source is owned or contracted by the applicant 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
as part of this permit application in the case of a multiple station power outage.
FORM: FTA 06-21 Page 3 of 5

IX. SETBACKS & SEPARATIONS - (02B .0200 & I5A NCAC 02T .0305(f)):
1. Does the project comply with all separationslalternatives found in 15A NCAC 02T .0305(fl & (g)? ❑ Yes ❑ No
15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems•
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
18 inches
'Water mains (vertical - water over sewer preferred, including in benched trenches)
I8 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 II impounded reservoirs used as a source of drinking water, and associated wetlands.
100 feet
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, HOW, or SB from normal
high water (or tide elevation) and wetlands associated with these waters (see item IX.2)
50 feet
**Any other stream, Iake, impoundment, or ground water lowering and surface drainage
ditches, as well as wetlands associated with these waters or classified as WL.
10 feet
Any building foundation (horizontal)
5 feet
Any basement (horizontal)
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
➢ If noncompliance with p2T...0.05(f) or (g), see Section X.1 of this application
* 15A NCAC 02"f_0305( contains alternatives where separations in 02T.0305(f) cannot be achieved. Please check "yes"
above if these alternatives are used and provide narrative information to explain.
**Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
2. Does this project comply with the minimum separation requirements for water mains? ® Yes ❑ No ❑ N.•A
➢ If no, please refer to 15A NCAC 18C.0906(f) for documentation requirements and submit a separate document,
signed/sealed by an NC licensed PE, verifying the criteria outlined in that Rule.
3. Does the project comply with separation requirements for wetlands?
➢ Please provide supplementary information identifying the areas of non-conformance.
➢ See the Division's tall= separation requirements for situations where separation cannot be met.
➢ No variance is required if the alternative design criteria specified is utilized in design and construction.
4. Is the project located in a river basin subject to any State buffer rules? ® Yes Basin name: Tar River
If yes, does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200?
➢ This includes Trout Buffered Streams per 15A NCAC 2B.0202
5. Does the project require coverage. authorization under a 404 Nationwide?individual permits
or 401 Water Quality Certifications?
➢ Please provide the permit number'permitting status in the cover letter if coverage/authorization is req
®Yes ❑No ❑NMA
❑ No
® Yes ❑ No
❑ Yes ® No
uired.
6. Does project comply with 15A NCAC 02T.0105(c}(6) (additional permits/certifications)? ® Yes 0 No
Per 15A NCAC 02T.0105(c)(6), directly related environmental permits or certification applications must be 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.).
7. Does this project include any sewer collection lines that are deemed "high -priority?" 0 Yes ® No
Per 15A NCAC 02T.0402, "high -priority sewer" means any aerial sewer, sewer contacting surface waters,
siphon, or sewers positioned parallel to streambanks that are subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interference/conflict boxes require a variance approval.
➢ 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 (east once every six -months and
inspections documented per 15A NCAC 02T.0403(a)(5) or the permittee's individual System -Wide Collection permit.
FORM: FTA 06-21 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteriq for the Permitting of Pump Stations
and Force Mains [latest version , and the Gravity Sewer Minimum Design Criteria i latest version) as applicable?
®Yes El No
If no, for projects requiring a single variance, complete and submit the Variance/Alternative Design Request application
(VADC 10-14) and supporting documents for review to the Central Office. Approval of the request will be issued
concurrently with the approval of the permit. and projects requiring a variance approval may be subiect to longer
review times. For projects requiring two or more variances or where the variance is determined by the Division to be a
significant portion of the project, the full technical review is required.
2. Professional Engineer's Certification:
1, David Frank Weir, Jr. attest that this application for 2018 Sanitary Sewer Improvements
(Professional Engineer's name from Application Item III 1.) (Project Name from Application Item 11.1)
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,
Minimum Design Criteria for C avi r Sewers (latest version), and the Minimum Design Criteria for the Fast -'I rack 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. Misrepresentation of the application
information, including failure to disclose any design non-compliance with the applicable Rules and design criteria, may subject
the North Carolina -licensed Professional Engineer to referral to the licensing board. (2l NCAC . 0701)
North Carolina Professional Engineer's seal, signature, and date:
0.2-5:
2' y r
SEAL
39;99 r' =
•
3. Applicant's Certification per 15A NCAC 02T .0106(b):
1
I, Esterine Gary -Pitt , attest that this application for 2018 Sanitary Sewer Improvements
(Signature Authority Name from Application Item 1.3.) (Project Name from Application Item 11.1;
attest that this application 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. 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 ] 43-2 i 5.6A 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:
41i;th Date. f !)ac _.
FORM: FTA 06-21 Page 5 of 5

DWR
NC Dept ofEnvironmental Quality
SEP 2 0 2021
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
Raleigh Regional Off (FTSE 10-18)
Entity Requesting Allocation: Town of Whitakers
Project Name for which flow is being requested: 2018 Sanitary Sewer Improvements
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name:
b. WWTP Facility Permit #:
All flows are in MGD
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
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
(A)
Design
Average
Daily Flow**
(Firm I p0,
MGD
PS C unknown 0.1152 0.02796
PS A unknown 0.4512 0.1264
(B)
Approx.
Current
Avg. Daily
Flow, MGD
(C) (D)=(B+C) (E)=(A-D)
Obligated,
Not Yet Total Current
Tributary Flow Plus
Daily Flow, Obligated
MGD Flow
0.0144 0.00
Available
Capacity***
0.0144 0.01356
0.1010 0.00 0.1010 0.0254
* 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 Tess 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 < O.
Downstream Facility Name (Sewer):
Downstream Permit Number:
Page 1 of 6
FTSE 10-18

III. Certification Statement:
[ Roy Deckard __ 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 [I 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
ort and treat the proposed new wastewater.
works has adequate capaci to tran
i g ficial Signal re
Si
D9-i3_2 2-/
Title of Signing Official
Page 2 of 6
Date
FTSE 10-18

MCDAVID ASSOCIATES, INC.
CORPORATE OFFICE
Engineers • Planners • Land Surveyors
[phone] • Fax [phone]
E-mail: [e-mail]
3714 N. Main Street • P.O. Drawer 49
Farmville, NC 27828
NC Department of Environmental Quality
Water Quality Section
3800 Barrett Dr.
Raleigh, NC 27609
Attention: Jason Robinson
Dear Mr. Robinson:
GOLDSBORO OFFICE
Engineers • Planners
[phone] • Fax [phone]
E-mail: [e-mail]
109 E. Walnut Street • P.O. Box 1776
Goldsboro, NC 27533
September 16, 2021
NC Dept Of Environmental Quality
SEP 2 0 2021
Raleigh Regional Office
Subject: Sewer Extension Permit Request
2018 Sanitary Sewer Improvements
Contract No. 1 - Sewer Collection
Rehabilitation
Town of Whitakers
We are submitting the following fast track sewer system extension application for the Town of
Whitakers 2018 Sanitary Sewer Improvements Project. The purpose of this project is to extend existing
gravity sewer lines along E. Nash Street in the Town of Whitakers. This project consists of the
following:
1. Extending 8" gravity sewer approximately 380 feet.
2. Adding four (4) sewer services.
Currently there are four (4) houses on E. Nash Street connected to an existing 4" sanitary sewer
line that discharges into an existing 8" sanitary sewer line on S.E. Railroad Street that discharges into
the town of Whitakers Pump Station A (Whitakers main pump station that pumps all of the town of
Whitakers sewer to Rocky Mount WWTP). This project is installing an 8" gravity sewer line on E. Nash
Street and connecting the four (4) houses to the new sewer line. The sewer will discharge into the Porter
Street Pump Station (Pump Station C), which discharges into a manhole that discharges into Pump
Station A. The submitted Flow Tracking Acceptance Form is being submitted for Pump Station C. All
sewer flows downstream of Pump Station C shall remain the same.
The age of the existing Pump Station C and Pump Station A are unknown and the permit number
for those pump stations are unknown as well. Pump Station C has 4" force main discharge, so the firm
capacity is based on an assumed 80 GPM pump. The current average daily flow is based off of the
current 40 houses connected to the pump station. Pump Station C rehabilitation has been approved under
a separate grant and we will be submitting a separate permit for Pump Station C within the next year.
Pump Station A Flow Tracking is based on data from Whitakers Local Water Supply Plan.
We are submitting the following in this application:
D805DFW2I I 2 32 PM
WHITAKERS-18-CDBG-CN I -FAST-TRACK-SE W ER-PERMIT-LTR-004. wpd 210916

1. Town of Whitakers check #2530, dated September 14, 2021 in the amount of $480.00,
payable to the NC Department of Environmental Quality for the application fee.
2. Two (2) copies of the completed Fast Track Sewer System Extension (Form: FTA 06-21)
Application.
3. Two (2) copies of the completed Flow Tracking/Acceptance Form (Form FTSE 04-16).
4. Two (2) color copies of a USGS Topographic Map and street level map showing the project
location.
Sincerely,
Associates, Inc.
avid F. Weir, Jr., P.E.
Farmville Office
DFW/crg
Enclosures
INC.
D805DFW21 2 11 2:32 PM
WH1TAKERS-18-CDBG-CN 1-FAST-TRACK-SEWER-PERMIT-LTR-004_ wpd 210916

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