HomeMy WebLinkAboutWQ0043120_Application (FTSE)_20211217NC pep! of FnAronfoantst Quattty State of North Carolina
Department of Environmental Quality
DW. R Division of Water Resources
Dtvls#an of Wa#er Resources FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
h Re ional Ofiic@ FTA 06-21 & SUPPORTING DOCUMENTATION
Wlga.
Application Number.t tw,IQ(')0 `-'1''�\2� (bo completed by DWRI
AD items mu e gr the a 'c tiara will a returned
I. APPLICANT INFORMATION:
1. Applicant's name: Town Selma (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: nt T r�lor per 15A NCAC 02T .0106[b)
Title: Town Manager
4. Applicant's mailing address:114
North Raiford St.
City: Selma State: NC
Zip: 27576-
5. Applicant's contact information:
Phone number 919 965-9841
Email Address: - c. o
II. PROJECT INFORMATION:
I . Project name: FALfWd C in -Ew—videace Boulevard
2. ApplicatiordProject status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a 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: Johnston
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.521575' Longitude:-78.273006'
5. Parcel ID (if applicable): 12M12Q04K. 12MI 1019C. 12M11019G. 12M120040.12M12004P_ 12M11019 (or Parcel ID to
closest downstream sewer)
III. CONSULTANT INFORMATION:
l . Professional Engineer Charles Yowell. PE License Number: 044$57 I;
Firm: Bohler Euj canna NC. PLLC
Mailing address: 4130 Pad(,ake Ay -mite, uite 130 �+
City: Italei h State. NC Zip. 27612-4462
Phone number: (9U9 579-2M Email Address: yyowc1I@hohl=nP.c=
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION: �•►
r A
1. Facility Name: Permit Number: Q 12
Owner Name: T_
v
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ Unknown
2. Downstream (Receiving) Sewer Information: IQ inch ® Gravity O Force Main
3. System Wide Collection System Permit Number(s) (if applicable). WQCS00294
Owner Name(s): Town of Selm
FORM: FTA 06-21 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 ® NIA
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement,(E=: DEV) been attached?
❑ Yes ❑ No ® N/A
3. If the Applicant is a Home/Property Owners' Association, has an HQMOA Ovemdonal Aareement (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) ❑ Car Wash
❑ Residential (Leased) ® Retail with food preparation/service Hotel and/or Motels
❑ School / preschool / day care ® Medical / dental / veterinary facilities ❑ Swimming Pool/Clubhousc
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
® Businesses / offices I factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: % Domestic 100 % Commercial % Industrial 15A NQAC 02T.0103LM
If industrial, is there a Pretreatment Program in effect? ❑ Yes❑ No
6. Has a flow reduction been approved under ? ❑ Yes ❑ No
➢ if yes. Provide a cony- of 11aw_ reductio4 appfayal letter with 116 39111999211
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0I14(f))
Daily Design Flow "b
No. of Units
Flow
Outfall with -0- flow
gall
GPD
gall
GPD
gal/
GPD
gal/
GPD
gay
GPD
gay
GPD
Total
0 GPD
a See 15A NCAC 02T (HJ4&). (d). (e)(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 Q.S.42A-41.
b Per 15A NCAC 02T .01 14(c), design flow rates for establishments not identified (in table 1 SA NCAC 02T.01141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project. 0 GPD (per 15A NCAC T f.,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.
All upstream flows are anticipated to be permitted within the next 10 years.
❑ Flow has already been allocated in Permit Number. __. _ Issuance Date:
❑ Rehabilitation or replacement of existing sewers with no new flow expected
❑ Other (Explain), __ —
FORM: PTA 06-21 Page 2 of 5
VU. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 421' ." & hWC (Craft SMrs}:
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
B
50
PVC
B
279
DIP
12
4767
PVC
➢ Section 11 & 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 miafmum slope requirements is not allowed and a violation of the MDC
VUL PUMP STATION DESIGN CRITERIA (If Applicable) —02T .b305 & MDC IPumo Statfona prcg 14+Ia(pA
P QVjDE A SEPARATE COPY OF IBIS IS SAGE FOR EACH PUMP STATION INGI,[7DED IN THIS PRO]ECT
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 lea 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 15AN_CAC 02T .0305(h)(I }:
❑ 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
1X. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations/alternatives found in 15A NCAC 02T .0305(f) & (Q)7 ® Yes ❑ No
15A NCAC 02T.0305(f) contains minimum separations that shall be nmvided 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)
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 1 or
Class II impounded reservoirs used as a source of drinking water, and associated wetlands.
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 associated with these waters (see item IX.2)
50 feet
"Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches, as wall 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
Fatal earth grade (vertical)
36 inches
➢ If noncompliance with Q21030�(t),gr (e), see Section X.1 of" application
*15A NCAC 02T.0305(g) contains alternatives where separations in 02't.0305 t 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 webnaae
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/waled by an NC licensed PE, verifying the criteria outlined in that Rule.
3. Does the project comply with separation requirements for wetlands? ® Yes ❑ No ❑ NIA
> Please provide supplementary information identifying the areas of non-conformance.
➢ Seethe Division's draft seoatation renui rants for situations when: 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:Neuse ❑ No
If yes, does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? ® Yes ❑ No
D This includes Trout Buffered Streams per 15A NCA{; 28,020�
5. Does the project require coveragelauthorization under a 404 Nationwidelindividual permits ® Yes ❑ No
or 401 Water Quality Certifications?
➢ Please provide the permit number/permitting status in the cover letter if coverage/authorization is required.
6. Does project comply with 15A NCAC 42T.0105(cl( ) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105(c)(61, 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 fines that are deemed "high -priority?" ® Yes ❑ No
Per 1 SA 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 bsterference/conllict 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 sines 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 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. NGA _07T, the Minimum ll�n Criteria_ forihe Porrnilling,of Pump Stations
and Force Maim (latest version)-; and the QMity Sgwer Minimum Dosin Crilcda flated ve[sign) as applicable?
® Yea ❑ 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. Auonroyal QL.IM r-mucst_will be issued
2. Professional Engineer's Certification:
I, 0Wj1.I,Xowell. PE , attest that this application for Eastfield Crossing— Providence Boulevard ,-
(Professional Engineer's name from Application Item IM 1,) (Project Name Gam Application Item IL 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 lmowledge the proposed design has been prepared in accordance with the applicable regulations,
Minimum Design Criteria far Gravity Sewers f latest version). and the Minimum Doiga Criteria for the East—TrackEask-Track Parmittin
oi' Phu g S-ttio M d FM_Mains [latest yersion). 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 flue not to exceed S 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. (21 NCAC 56.0701)
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
I, W, Brent Tavlor attest that this application for Ea_s— Providence Boulevard
(Signature Auffiority Name Flom Application Item L3.) (Project Name from Application Item IL 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. 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 143-215.6I , 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.
X�71—
Signature: TM _ _ Date; I
FORM: FTA 06-21 Page 5 of 5
State of North Carolina
'r Department of Environmental Quality
Division of Water Resources
Division of Water Resources Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Town of Selma
Project Name for which flow is being requested: Eastfield Crossing - Providence BIvd.
More than one FTSE may be required for a single project ifthe owner of the WWTP is not responsible for all punlp
stations along the route of the proposed wastewater flow.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: CJCRWWTF
b. WWTP Facility Permit #: NC0030716
All flows are in MGD
c. WWTP facility's permitted flow 9.5
d. Estimated obligated flow not yet tributary to the WWTP 2.300
e. WWTP facility's actual avg. flow 7.091
£ Total flow for this specific request 0
g. Total actual and obligated flows to the facility 9.391
h. Percent of permitted flow used 74.6 actual, 98.9 paper
11. Complete this section for each pump station you are responsible for along the route of this proposed
wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A)
(B)
(C)
(D)=(B+C)
(E)=(A-D)
Design
Obligated,
Pump
Pump
Average
Approx.
Not Yet
Total Current
Station
Station
Firm
Daily Flow**
Current
Tributary
Flow Plus
(Name or
Permit
Capacity, *
(Firm l pf),
Avg. Daily
Daily Flow,
Obligated
Available
Number)
No.
MGD
MGD
Flow, MGD
MGD
Flow
Capacity***
Selmayn
41331
3.456
2.022
1.177
0.006
1.186
0.840
Buffalo
40380
6.912
2.765
2.289
0.239
2.528
0.237
* 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): Selma EQ & PF (1.6 MG Storage)
Downstream Permit Number: WQ0041331
Page 1 of 6
FTSE 10-18
III. Certification Statement:
I Chandra Cox 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
Chandra C. Farmer, P.E., Utilities Director
Title of Signing Official
Page 2of6
Ne Aapt of F1pv1RahInontal Quail
ty
DEC tr2021
Raleigh kogional off,-C.
FTSE 10-18
JT(3144FIt �t~l ntilrt;A f>iiit� Qu��lq/ State of North Carolina
DWR
Department of Environmental Quality
Ott Division of Water Resources
Division of Water Resourcek9eigh Pegional Ofilow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation
Town of Selina
Project Name for which flow is being requested: Eastfield Crossing - Providence Blvd.
Mare than one FTSE maybe 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
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: _
b. WWTP Facility Permit M
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
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
Pump
Station
Station
(Name or
Permit
Number)
No.
4
Unknown
(A)
Design
Average
Firm
Daily Flow**
Capacity, *
(Firm r p0,
MGD
MGD
.2678
.1071
5 Unknown .4421 .1768
(B)
(C)
(D)=(B+C)
(E)=(A-D)
Obligated,
Approx_
Not Yet
Total Current
Current
Tributary
Flow Plus
Avg. Daily
Daily Flow,
Obligated
Available
Flow, MGD
MGD
Flow
Capacity***
.0212
0
.0212
.0858
0.157
0
.157
.0198
* The Firm Capacity (design flow) of any pump station is defined as the maximum pumped now
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). LS# 4
Downstream Permit Number: Unknown
Page I of 6
1='TSE 10-18
IfL Certification Statement:
I Brent Taylor _ _ 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 I1,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
Town Manager
Title of Signing Official
Page 2 of 6
3djz
Date
FTSE 10-18
B OHLER ENGINEERING NC, PLLC
Professional Engineering Services
VIA: Fed Ex
TO: Raleigh Regional Office
Water Quality Section
3800 Barrett Drive
Raleigh, NC 27609
ATTN:
4130 ParkLakc Avenue, Suite 130, Raleigh, NC 27612
Telephone: (919)578-9000
LETTER OF TRANSMITTAL
RE: Eastfield Crossing
US 70
Selma, NC
Johnston County
DATE: December 16, 2021
JOB NO: NCR172120
Providence Boulevard
WE ARE SENDING YOU ❑ Shop drawings ❑ Copy of letter ®Attached ❑ Prints ❑ Change order
COPIES DESCRIPTION
1 Fast Track Application 1.
1 FTSE Application
A ►�
1 Aerial Map
p
1 USGS Map O 0✓
1 Existing Sewer Network Map o
1 Check for 5480.00
These Are Transmitted: ® For approval []For your use [:]As requested
❑ For review and comment []Approved as submitted ❑Approved as noted
❑ Returned for corrections
REMARKS:
Included please find our Fast Track Sewer submittal for the proposed commercial site along US-70 in Johnston
County. The sewer flow being handled by the installation of 8" & 12" sewer mains. If you have any questions or
require additional information, please do not hesitate to contact this office at (919)578-9000.
Thank you,
4 k
Charlie Vowels, PE
cyowell(u'- boh lereng.com
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