20220140 Ver 1_ePCN Application_20220125

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mrlsloa of ware. Resources
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
December 6, 2021 Ver 4.2
Initial Review
Has this project met the requirements for acceptance in to the review process?*
Yes
No
Is this project a public transportation project?*
Yes No
Change only,f needed.
BIMS # Assigned*
20220140
Is a payment required for this project?
No payment required
Fee received
Fee needed - send electronic notification
Reviewing Office*
Raleigh Regional Office - [phone]
Information for Initial Review
1a. Name of project:
Upper Bloomery Swamp Sewer Improvements - Phase I
1a. Who is the Primary Contact?*
W. T. Bass, IV, PE
1 b. Primary Contact Email:
[e-mail]
Date Submitted
1 /25/2022
Nearest Body of Water
Bloomery Swamp 27-86-6-(3)
Basin
Neuse
Water Classification
WS-IV: NSW
Site Coordinates
Latitude:
Longitude:
35.71753333
-77.97412778
A. Processing Information
County (or Counties) where the project is located:
Wilson
Is this a NCDMS Project
Yes No
Is this project a public transportation project?*
Yes No
1a. Type(s) of approval sought from the Corps:
Section 404 Permit (wetlands, streams and waters, Clean Water Act)
Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Version# *
1
What amout is owed?*
$240.00
$570.00
Select Project Reviewer*
Colleen Cohn:eads\cmcohn
1c. Primary Contact Phone:*
[phone]

Has this PCN previously been submitted?*
Yes
No
Please provide the date of the previous submission.*
9/10/2021
1 b. What type(s) of permit(s) do you wish to seek authorization?
Nationwide Permit (NWP)
Regional General Permit (RGP)
Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
Yes No
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
401 Water Quality Certification - Regular
Non-404 Jurisdictional General Permit
Individual 401 Water Quality Certification
58 - Utility Line Activities for Water and Other Substances (frequently used)
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification:
For the record only for Corps Permit:
1f. Is this an after -the -fact permit application?*
Yes No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
Yes No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
Yes No
1 h. Is the project located in any of NC's twenty coastal counties?
Yes No
1j. Is the project located in a designated trout watershed?
Yes No
B. Applicant Information
1d. Who is applying for the permit?
Owner Applicant (other than owner)
le. Is there an Agent/Consultant for this project?
Yes No
2. Owner Information
401 Water Quality Certification - Express
Riparian Buffer Authorization
2a. Name(s) on recorded deed:
William Michael Lamm (Sewer Easement to City of Wilson)
2b. Deed book and page no.:
DB 2789, PG 801 (Sewer Easement to City of Wilson)
2c. Contact Person:
W. T. "Bill" Bass, IV, PE Public Works Director
2d.Address
Street Address
1800 Herring Avenue
Address Line 2
P.O. Box 10 (27894-0010)
City
State I Province / Region
Wilson
NC
Postal / Zip Code
Country
27893
US
Yes No
Yes No

2e. Telephone Number: 2f. Fax Number:
[phone] [phone]
2g. Email Address:
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
W. Landon Younce, PE
4b. Business Name:
Green Engineering, PLLC
4c.Address
Street Address
303 Goldsboro St. E.
Address Line 2
P.O. Box 609
City
State / Province / Region
Wilson
NC
Postal / Zip Code
Country
27893
us
4d. Telephone Number:
4e. Fax Number:
[phone]
[phone]
4f. Email Address:*
[e-mail]
C. Proiect Information and Prior Proiect History
1. Project Information
1b. Subdivision name:
(if appropriate)
8388 Wilson West A-1
1c. Nearest municipality / town:
Wilson
2. Project Identification
2a. Property Identification Number:
2b. Property size:
3701-47-2448.000
26.85
2c. Project Address
Street Address
NC 42 Highway W
Address Line 2
City
State / Province / Region
Wilson
NC
Postal / Zip Code
Country
27893
us
3. Surface Waters
3a. Name of the nearest body of water to proposed project:
Bloomery Swamp 27-86-6-(3)
3b. Water Resources Classification of nearest receiving water:
WS-IV; NSW
3c. What river basin(s) is your project located in?*
Neuse
3d. Please provide the 12-digit HUC in which the project is located.
030202030402
4. Project Description and History
4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application:*
Land use was historically agricultural, but now is undeveloped forested wetland and some brush field uplands, with 40-50 year old dedicated sewer easements that have become an aging
sewer infrastructure. The project area spans between NC Highway 42 and the Contentnea Creek waterway just to the south.

4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
Yes No Unknown
4f. List the total estimated acreage of all existing wetlands on the property:
5 acres
4g. List the total estimated linear feet of all existing streams on the property:
N/A
4h. Explain the purpose of the proposed project:'
The City of Wilson has kept this project on its highest priority for budgeting sewer replacements, as existing leaks have been found, reported & repaired on an almost constant basis over
the past decade. The sewer replacement strategy is to obtain additional easement directly adjacent to the existing easement areas and abandon the old interceptors in place once the new
mains are operational.
The project will not include stream impacts but WILL include both Temporary and Permanent Impacts to Wetlands. The Lower Bloomery Swamp interceptors just downstream were
previously permitted under the following action: DWR #20210500 WQC004333 & USACE Action ID No. SAW-2014-00895, issued on May 27, 2021. That project is on hold, due to budget
constraints, and has yet to move to construction at this time.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:
Phase I of the Upper Bloomery Swamp Sewer Replacements will include:
2,475 Linear Feet of 15" Gravity Sewer Replacement with New 24" Gravity Sewers
320 Linear Feet of 15" Gravity Sewers to pick-up existing tributary sewers
The project roughly follows the delineation of Bloomery Swamp and spans the area between NC Highway 42 to Contentnea Creek just to the South of the project extents. Phase 11 of the
Upper Bloomery Swamp Sewer Replacement will follow this project farther north in the future (specifically the area between NC Highway 42 north to Airport Boulevard) and is NOT part of
this application.
There are existing wetlands which will be disturbed during the construction process. Local wildlife will relocate temporarily to adjacent natural areas. Construction Methods will be to install
the new gravity sewer mains by Trackhoe, utilizing acceptable Erosion Control Methods to contain sediment onsite, minimizing damage to land and vegetative cover where possible, and to
repair all wetlands disturbed to their pre-existing pre -construction conditions once the project is complete. Wetlands in newly acquired permanent easement areas may be stabilized into
grass -maintained area to assist in future maintenance practices, but the majority of these areas will be allowed to return to pre-existing conditions.
There are no streams which will be disturbed by this project. The City of Wilson will maintain the new infrastructure as they have maintained the existing sewers over the past 40 years.
The City of Wilson is very proactive, once leakage is discovered (the ultimate purpose of this project). Given these determined efforts by the City, the Contentnea Creek watershed
immediately downstream should continue to thrive as has historically been the case.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes
No
Comments:
A subconsultant, TERRACON Consultants, Inc. (2401 Brentwood Road Ste 107, Raleigh, NC 27604-
3686)
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
Preliminary Approved Not Verified Unknown N/A
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Jeffrey W Harbour / Senior Specialist
Unknown
Agency/Consultant Company: TERRACON Consultants, Inc.
Other: Performed the Wetlands Delineation for the Temporary and
Permanent Wetlands impacts proposed.
6. Future Project Plans
6a. Is this a phased project?*
Yes No
Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the proposed project or related activity?
Although this is Phase I of a Two -Phase project, THIS specific application is being submitted as a stand-alone application, due to the Expediancy of the Request.
Phase 2 is for the areas upstream of North Carolina Highway 42 (between NC Highway 42 and Airport Boulevard, to the Northwest) and has not been designed at this point in time.
This Project, Phase I, is of the utmost urgency, since sewer leaks are being found and repaired on a weekly basis, time and again, over the past several years in this location. It is
anticipated that these issues will compound, if the City of Wilson doesn't take action immediately, and that is why this project (Phase 1) has already been approved and budgeted to move
forward, even without all regulatory permits in -hand.
D. Proposed Impacts Inventory
1. Impacts Summary

1a. Where are the impacts associated with your project? (check all that apply):
Wetlands Streams -tributaries Buffers
Open Waters Pond Construction
2. Wetland Impacts
2a1 Reason (?)
2b. Impact type"(?)
2c. Type of W.
2d. W. name"
2e. Forested" �12f.
Type of Jurisdicition"
2g• Impact
area
W1
Sewer Trench
T
Bottomland Hardwood Forest
Bloomery
Yes
Corps
0.717
(acres)
W1P
Sewer Trench
P
Bottomland Hardwood Forest
Bloomery
Yes
Corps
0.184
W2
Sewer Trench
T
Bottomland Hardwood Forest
Bloomery
Yes
Corps
(acres)
0.121
W2P
Sewer Trench
P
Bottomland Hardwood Forest
Bloomery
Yes
Corps
(acres)
0.040
W3
Sewer Trench
T
Bottomland Hardwood Forest
Bloomery
Yes
Corps
(acres)
0.526
(acres)
W3P
Sewer Trench JL
Bottomland Hardwood Forest
Bloomery
Yes
Corps
0.145
_]
acres)
2g. Total Temporary Wetland Impact
1.364
2g. Total Wetland Impact
1.733
2g. Total Permanent Wetland Impact
0.369
2i. Comments:
All easement areas are upstream of the delineation of Bloomery Swamp. Local drainage tends to sheetFlow across these easement areas downstream
laterally into Bloomery Swamp, off -project.
Temporary Impact areas will be re -seeded, encouraged to regrow as wetland areas, everywhere possible.
E. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Standard Erosion Control Methods will contain sediment onsite and careful construction practice will ensure minimal land disturbance and damage to
wetland areas.
All wetlands in temporary impact areas will be completely restored to pre-existing, pre -construction conditions. Any revisions to wetland areas will
coincide with historic maintenance practices already in place along existing City of Wilson maintained easements. No revisions to current existing land
use is anticipated. All existing utility easements will be maintained.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
All proper Erosion Control BMP's will be installed / maintained throughout the project. Erosion Control Permit application has been submitted to the
Raleigh Regional Office of the NCDEQ for proper oversight of this project design and the contractor will be held to any requirements of approval during
the installation phase.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for impacts to Waters of the U.S. or Waters of the State?
Yes No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
The project will not disturb existing waters of the U.S. nor existing Waters of the State.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
la. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
Yes No
What type of SCM are you providing?
Level Spreader
Vegetated Conveyance (lower SHWT)
Wetland Swale (higher SHWT)
Other SCM that removes minimum 30 % nitrogen
Proposed project will not create concentrated stormwater flow through the buffer
u

2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250? *
Yes No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
• Yes No
Comments:
G. Supplementary Information
1. Environmental Documentation
la. Does the project involve an expenditure of public (federal/statellocal) funds or the use of public (federallstate) land?*
Yes No
1 b. If you answered "yes" to the above, does the project require preparation of an environmental document pursuant to the requirements of the National or State (North Carolina)
Environmental Policy Act (NEPA/SEPA)?*
Yes No
Comments: *
Project is funded solely through City of Wilson budget allocation.
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)? *
Yes No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?
Yes No
3b. If you answered "no," provide a short narrative description.
Project is strictly a maintenance Replace/Abandon existing sanitary sewer collection system type project. This is not for new development. This is a
replacement of aging system facilities already in operation.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
Yes No N/A
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or habitat?*
Yes No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
Yes No
5d. Is another Federal agency involved?*
Yes No Unknown
5e. Is this a DOT project located within Division's 1-8?
Yes No
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
Yes No
5g. Does this project involve bridge maintenance or removal?
Yes No
5h. Does this project involve the construction/installation of a wind turbine(s)?*
Yes No
5i. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers, mechanized pile drivers, etc.?
Yes No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
Project will take place along existing operational City of Wilson utility easement areas and will be located underground along those easements. Land
Use / Critical Habitats remain unaffected by this project.

6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?"
Yes No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?"
No stream impacts. There are no stream crossings proposed by this project.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal governments have designated as having historic or cultural preservation status?*
Yes No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
There are no known properties within the proposed project boundary or adjacent areas which could be classified as Historic or Prehistoric Cultural
Resource priorities.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
Yes No
8b. If yes, explain how project meets FEMA requirements:
Nearly all of the proposed project takes place within the 1 % annual flood zone.
All manholes will be installed either 1 foot above 1 % annual flood elevation or Locked / Sealed Watertight covers will be utilized to prevent entry/exit of
manhole structures. Utility easements will be maintained by the City of Wilson maintenance personnel and equipment.
8c. What source(s) did you use to make the floodplain determination?*
FEMA Flood Insurance Rate Mapping of the project area. FIRM Panels were utilized, as well as other documentation by our consultant, TERRACON,
during their survey efforts and project planning strategy.
Miscellaneous
u
Please use the space below to attach all required documentation or any additional information you feel is helpful for application review. Documents should be combined into one file when
possible, with a Cover Letter, Table of Contents, and a Cover Sheet for each Section preferred.
Click the upload button or drag and drop files here to attach document
DWQ Permit No WQ0042692 Issued 8-17-21 UPPER Bloomery Swamp Sewer.pdf 6.08MB
WILSON-Upper-Bloomery-Sewer-PHASE-1 -REVISED-1 1 -1 -21.pdf 13.5MB
File must be PDF or KMZ
Comments
DWQ Permit No. WQ0042692 (ATTACHED BELOW) as issued on August 17, 2021 for the Upper Bloomery Swamp Sewer project:
This sewer permit includes both Phase I as well as Phase II of the proposed City of Wilson design, thus the described 11,195 linear feet of 24-inch, 365 linear feet of 15-inch, and 290
linear feet of 8-inch sewers included. Of that total, Phase I I will not proceed at this time. Regulatory Permits are still being sought for that portion of the overall project.
THIS Preconstruction Notification Application is for Phase I only and will include the smaller footprint of the two phases: 2,475 linear feet of new 24-inch and 320 linear feet of new 15-inch,
only.
If you should have any questions regarding the design, please feel free to email: [e-mail]
Signature
By checking the box and signing below, I certify that:
• The project proponent hereby certifies that all information contained herein is true, accurate, and complete to the best of my knowledge and belief'; and
• The project proponent hereby requests that the certifying authority review and take action on this CWA 401 certification request within the applicable reasonable period of time.
• I have given true, accurate, and complete information on this form;
• I agree that submission of this PCN form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
• I intend to electronically sign and submit the PCN form.
Full Name:
William Landon Younce PE
Signature
��—
Date
1 /25/2022

DocuSign Envelope ID: AD6B8F7A-CDB6-4540-8D8D-AD182F065B66
ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
S. DANIEL SMITH
Director
W.T. Bass, IV, P.E., Public Works Director
City of Wilson
P.O. Box 10
Wilson, NC 27894-0010
Subject: Permit No. WQ0042692
City of Wilson
Dear Mr. Bass:
NORTH CAROLINA
Environmental Quality
August 17, 2021
City of Wilson — Upper Bloomery Swamp Sewer Improvements
Wastewater Collection System Extension Permit
Wilson County
In accordance with your application received June 21, 2021 we are forwarding herewith Permit No.
WQ0042692 dated August 17, 2021 to the City of Wilson (Permittee) for the construction and operation
upon certification of the subject wastewater collection system extension. This permit shall be effective
from the date of issuance until rescinded and shall be subject to the conditions and limitations as specified
therein. This cover letter shall be considered a part of this permit and is therefore incorporated therein
by reference.
Please pay particular attention to the following conditions contained within this permit:
Condition 11.1: This permit shall not be automatically transferable; a request must be made and
approved.
Condition IIA: Requires that the wastewater collection facilities be properly operated and maintained
in accordance with 15A NCAC 02T .0403 or any individual system -wide collection system
permit issued to the Permittee.
Condition 11.7: Upon completion of construction and prior to operation of these permitted facilities, the
completed Engineering Certification form with checklist attached to this permit shall be
submitted with the required supporting documents to the address provided on the form.
Permit modifications are required for any changes resulting in non-compliance with
this permit, regulations, or the Minimum Design Criteria. [15A NCAC 02T.0116]
It shall be responsibility of the Permittee to ensure that the as -constructed project meets the appropriate
design criteria and rules. Failure to comply may result in penalties in accordance with North Carolina
General Statute §143-215.6A through §143-215.6C, construction of additional or replacement
wastewater collection facilities, and/or referral of the North Carolina -licensed Professional Engineer to
the licensing board.
Q
� North Carolina Department of Environmental Quality I Division of Water Resources
le-14,D ERaleigh Regional Office 13800 Barrett Drive I Raleigh, North Carolina 27609
NORFH CARCLINA
OM-1 0 919,791,4200

DocuSign Envelope ID: AD6B8F7A-CDB6-4540-8D8D-AD182F065B6B
City of Wilson
Permit No. WQ0042692
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing upon written request within 30 days following receipt of this permit. This
request must be in the form of a written petition, conforming to Chapter 150B of North Carolina General
Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC
27699-6714. Unless such demands are made, this permit shall be final and binding.
If you need additional information concerning this matter, please contact Ted Cashion via e-mail at
[e-mail].
Sincerely,
Docu Signed by:
Sett Ul'�
BCDA9D825D4A46D...
for S. Daniel Smith
Director, Division of Water Resources
by Scott Vinson, Regional Supervisor
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources, NCDEQ
cc: W. Landon Younce, P.E., Green Engineering, PLLC ([e-mail])
Raleigh Regional Office Files
DWR Laserfiche
Wilson County Health Department
Page 2 of 8

DocuSign Envelope ID: AD6B8F7A-CDB6-4540-8D8D-AD182F065B6B
NORTH CAROLINA
Environmental Quality
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations, permission is hereby granted to the
City of Wilson
Wilson County
for the construction and operation of approximately 11,195 linear feet of 24-inch gravity sewer,
approximately 365 linear feet of 15-inch gravity sewer, and approximately 290 linear feet of 8-inch gravity
sewer to serve existing development as part of the City of Wilson Upper Bloomery Swamp Sewer
Improvements project, and the discharge of no additional gallons per day of collected wastewater into
the City of Wilson's existing sewerage system, pursuant to the application received June 21, 2021 and in
conformity with 15A NCAC 02T; the Division's Gravity Sewer Minimum Design Criteria adopted February
12, 1996 and updated in March 2008, as applicable; the Division's Minimum Design Criteria for the Fast -
Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and other
supporting data subsequently filed and approved by the Department of Environmental Quality and
considered a part of this permit.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the specified
conditions and limitations contained therein.
DOCn Signed by:
Sit IJX14 ,
BCDA9D825D4A46D...
for S. Daniel Smith
Director, Division of Water Resources
By Authority of The Environmental Management Commission
Permit Number: WQ0042692
Permit Issued: August 17, 2021
Page 3 of 8

DocuSign Envelope ID: AD6B8F7A-CDB6-4540-8D8D-AD182F065B6B
SUPPLEMENT TO PERMIT COVER SHEET
City of Wilson is hereby authorized to:
Construct, and then operate upon certification the aforementioned wastewater collection extension. The
sewage and wastewater collected by this system shall be treated in Wilson's Hominy Creek Water
Reclamation Facility in accordance with Permit Number NC0023906.
Permitting of this project does not constitute an acceptance of any part of the project that does not meet
15A NCAC 02T; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as
applicable; and the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and
Force Mains adopted June 1, 2000 as applicable, unless specifically mentioned herein. Division approval
is based on acceptance of the certification provided by a North Carolina -licensed Professional Engineer in
the application. It shall be the Permittee's responsibility to ensure that the as -constructed project meets
the appropriate design criteria and rules.
Construction and operation is contingent upon compliance with the Standard Conditions and any Special
Conditions identified below.
SPECIAL CONDITIONS
NONE
ll�iIFAL11117-11:1bX419I►101kIWL1.1
1. This permit shall not be transferable. In the event there is a desire for the wastewater collection
facilities to change ownership, or there is a name change of the Permittee, a formal permit request
shall be submitted to the Division accompanied by documentation from the parties involved, and
other supporting materials as may be appropriate. The approval of this request shall be considered
on its merits and may or may not be approved. [15A NCAC 02T.0116; G.S 143-215.1(d3)]
2. This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 02T; the Division's Gravity Sewer Minimum
Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for
the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and
other supporting materials unless specifically mentioned herein. [15A NCAC 02T.01101
3. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data. [15A NCAC 02T .0110]
4. The wastewater collection facilities shall be properly maintained and operated at all times. The
Permittee shall maintain compliance with an individual system -wide collection system permit for the
operation and maintenance of these facilities as required by 15A NCAC 02T .0403. If an individual
permit is not required, the following performance criteria shall be met:
The sewer system shall be effectively maintained and operated at all times to prevent discharge
to land or surface waters, and to prevent any contravention of groundwater standards or surface
water standards.
Page 4 of 8

DocuSign Envelope ID: AD6B8F7A-CDB6-4540-8D8D-AD182F065B6B
b. A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan including pump station inspection frequency, preventative
maintenance schedule, spare parts inventory and overflow response has been developed and
implemented.
Pump stations that are not connected to a telemetry system shall be inspected every day (i.e. 365
days per year). Pump stations that are connected to a telemetry system shall be inspected at
least once per week.
e. High -priority sewer lines shall be inspected at least once per every six -months and inspections are
documented.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Overflows and bypasses shall be reported to the appropriate Division regional office in accordance
with 15A NCAC 2B .0506(a), and public notice shall be provided as required by North Carolina
General Statute §143-215.1C.
h. A Grease Control Program is in place as follows:
For public owned collection systems, the Grease Control Program shall include at least
biannual distribution of educational materials for both commercial and residential users and
the legal means to require grease interceptors at existing establishments. The plan shall also
include legal means for inspections of the grease interceptors, enforcement for violators and
the legal means to control grease entering the system from other public and private satellite
sewer systems.
For privately owned collection systems, the Grease Control Program shall include at least bi-
annual distribution of grease education materials to users of the collection system by the
permittee or its representative.
3. Grease education materials shall be distributed more often than required in Parts (1) and (2)
of this Subparagraph if necessary to prevent grease -related sanitary sewer overflows.
Right-of-ways and easements shall be maintained in the full easement width for personnel and
equipment accessibility.
Documentation shall be kept for Subparagraphs (a) through (i) of this Rule for a minimum of three
years with exception of the map, which shall be maintained for the life of the system.
5. The Permittee shall report by telephone to a water resources staff member at the Raleigh Regional
Office, telephone number [phone], as soon as possible, but in no case more than 24 hours,
following the occurrence or first knowledge of the occurrence of either of the following:
a. Any process unit failure, due to known or unknown reasons, that renders the facility incapable
of adequate wastewater transport, such as mechanical or electrical failures of pumps, line
blockage or breakage, etc.; or
b. Any SSO and/or spill over 1,000 gallons; or
c. Any SSO and/or spill, regardless of volume, that reaches surface water
Voice mail messages or faxed information is permissible, but this shall not be considered as the initial
verbal report. Overflows and spills occurring outside normal business hours may also be reported to
the Division of Emergency Management at telephone number [phone] or [phone].
Persons reporting any of the above occurrences shall file a spill report by completing and submitting
Part I of Form CS-SSO (or the most current Division approved form) within five days following first
Page 5 of 8

DocuSign Envelope ID: AD6B8F7A-CDB6-4540-8D8D-AD182F065B6B
knowledge of the occurrence. This report must outline the actions taken or proposed to be taken to
ensure that the problem does not recur. Part II of Form CS-SSO (or the most current Division approved
form) can also be completed to show that the SSO was beyond control. [G.S. 143-215.1C(a1)]
6. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to
interrupt service by the existing utilities nor result in an overflow or bypass discharge of wastewater
to the surface waters of the State. [15A NCAC 02T.0108(b)]
7. Upon completion of construction and prior to operation of these permitted facilities, the completed
Engineering Certification form with checklist attached to this permit shall be submitted with the
required supporting documents to the address provided on the form. A complete certification is one
where the form is fully executed and the supporting documents are provided as applicable. Any
wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Engineer's Certification shall be considered a violation of the permit and shall subject the
Permittee to appropriate enforcement actions.
If the permit is issued to a private entity with an Operational Agreement, then a copy of the Articles
of Incorporation, Declarations/Covenants/Restrictions, and Bylaws that have been appropriately
filed with the applicable County's Register of Deeds office shall be submitted with the certification.
A complete certification is one where the form is fully executed and the supporting documents are
provided as applicable. Supporting documentation shall include the following:
a. One copy of the project construction record drawings (plan & profile views of sewer lines & force
mains) of the wastewater collection system extension. Final record drawings should be clear on
the plans or on digital media (CD or DVD disk) and are defined as the design drawings that are
marked up or annotated with after construction information and show required buffers,
separation distances, material changes, etc.
b. One copy of the supporting applicable design calculations including pipe and pump sizing, velocity,
pump cycle times, and level control settings, pump station buoyancy, wet well storage, surge
protection, detention time in the wet well, and force main, ability to flush low points in force
mains with a pump cycle, and downstream sewer capacity analysis. If a portable power source or
pump is dedicated to multiple stations, an evaluation of all the pump stations' storage capacities
and the rotation schedule of the portable power source or pump, include travel timeframes, shall
be provided.
c. Changes to the project that do not result in non-compliance with this permit, regulations, or the
Minimum Design Criteria should be clearly identified on the record drawings, on the certification
in the space provided, or in written summary form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting
in non-compliance with this permit (including but not limited to pipe length changes of 10% or
greater, increased flow, pump station design capacity design increases of 5% or greater, and
increases in the number/type of connections), regulations, or the Minimum Design Criteria.
Requested modifications or variances to the Minimum Design Criteria will be reviewed on a case -by -
case basis and each on its own merit. Please note that variances to the Minimum Design Criteria
should be requested and approved during the permitting process prior to construction. After -
Page 6 of 8

DocuSign Envelope ID: AD6B8F7A-CDB6-4540-8D8D-AD182F065B6B
construction requests are discouraged by the Division and may not be approved, thus requiring
replacement or repair prior to certification & activation. [15A NCAC 02T .0116]
8. Gravity sewers installed greater than ten percent below the minimum required slope per the Division's
Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be certified until
corrected. If there is an unforeseen obstacle in the field where all viable solutions have been
examined, a slope variance can be requested from the Division with firm supporting documentation.
This shall be done through a permit modification with fee. Such variance requests will be evaluated
on a case -by -case basis. Resolution of such request shall be evident priorto completing and submitting
the construction certification. [ 15A NCAC 02T.0105(n)]
9. A copy of the individual permit and construction record drawings shall be maintained on file by the
Permittee for the life of the wastewater collection facilities. [15A NCAC 02T .0116]
10. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 02T; the
Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's
Minimum Design Criteria for the Fast -Track Permitting of Pump Station and Force Mains adopted June
1, 2000 as applicable; and other supporting materials may subject the Permittee to an enforcement
action by the Division, in accordance with North Carolina General Statutes §143-215.6A through §143-
215.6C, construction of additional or replacement wastewater collection facilities, and/or referral of
the North Carolina -licensed Professional Engineer to the licensing board. [15A NCAC 02T .0108(b-c)]
11. In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall take immediate corrective action, including those
as may be required by this Division, such as the construction of additional or replacement facilities.
[15A NCAC 02T .0110; 15A NCAC 02T .0108(b)]
12. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances that may be imposed by the Division any other Federal, State, or Local
government agencies which have jurisdiction or obtaining other permits which may be required by
the Division or any other Federal, State, of Local government agencies. [G.S. 143-215.1(b)]
Page 7 of 8

DocuSign Envelope ID: AD6B8F7A-CDB6-4540-8D8D-AD182F065B6B
CERTIFICATION CHECKLIST
To be completed by the certifying engineer prior to operation of the permitted sewers, per 15A NCAC 02T.0116.
Certifying Engineer:
Certification Review Date:
Project Name:
W Q00
Project County:
1) Has permittee information changed since the permit was issued (or last modified): change of mailing address,
change of ownership, transfer from developer to HOA/POA, etc. ❑ Yes ❑ No
• If yes, please provide either a change of ownership form or new contact information. Note that transfer of
permits from the developer to the HOA/POA must occur with the first certification.
2) Have the as -built drawings have been signed, sealed, and dated by an N.C. PE? ❑ Yes ❑ No
3) Final Engineering certification? ❑ Yes ❑ No
• If Partial Engineering certification, provide detailed narrative including what is being certified in the current
phase, what was previously certified (if applicable), and what is left to be certified.
4) Adequate information related to sewer lines: ❑ Yes ❑ No ❑ N/A
• Three feet minimum cover has been provided for all sewers unless ferrous pipe was installed.
• Minimum diameters for gravity sewers are 8-inches for public lines and 6-inches for private lines.
• Manholes have been installed: At the end of each line, at all changes in grade, size, or alignment, at all
intersections, and at distances not greater than 425 feet; minimum diameter shall be 4 feet (48-inches).
5) Adequate information related to pump stations: ❑ Yes ❑ No ❑ N/A
• Ensure power reliability option was selected per 15A NCAC 02T.0305(h).
6) Was project construction completed in accordance with all of the following: ❑ Yes ❑ No ❑ N/A
• 15A NCAC 02T, Minimum Design Criteria (MDC) for the permitting of Gravity Sewers (latest version), and MDC
for the Permitting of Pump Stations and Force Mains (latest version)?
If not, a variance approval is required in accordance with 15A NCAC 02T.0105(b), prior to certification and operation.
• Contact the Central Office to discuss the variance to determine a course of action.
• Applicant must submit two copies of the variance request form, plans, specifications, calculations, and any other
pertinent information to the Central Office (one hard copy, one digital copy).
• The central office will review the variance request, and if approvable, specific language regarding the variance
will be incorporated into the permit, either via a special condition or a supplementary letter. A copy of the
reissued permit with variance language or the variance letter must be maintained with the original documents.
7) Does the project contains high priority lines (15A NCAC 02T .0402(2))? ❑ Yes ❑ No
• If yes, ensure that the permit already contains the necessary condition related to high priority lines 15A NCAC
02T.0403 (a)(5). If the permit does not include this language, the Fast Track reviewer will reissue the permit with
the appropriate language.
8) Are Permit modifications are required for any changes resulting in non-compliance with this permit (including but not
limited to pipe length changes of 10% or greater, change in flow, pump station design capacity design change of 5% or
greater, and/or change in the number/type of connections)? ❑ Yes ❑ No
• If yes, a permit modification request must be submitted to the appropriate Regional Office, and a modified
permit with revised certification must be issued prior to certification and operation.
North Carolina Department of Environmental Quality I Division of Water Resources
Raleigh Regional Office 11628 Mail Service Center, Raleigh, NC 27699-1628
Physical Address: 3800 Barrett Drive, Raleigh, NC 27609 919-791-4200

DocuSign Envelope ID: AD6B8F7A-CDB6-4540-8D8D-AD182F065B6B
FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE:
City of Wilson
PERMIT #:
WQ0042692
PROJECT:
City of Wilson Upper Bloomery Swamp Sewer Improvements
ISSUE DATE:
August 17, 2021
This project shall not be considered complete nor allowed to operate in accordance with Condition 7 of
this permit until the Division has received this Certification and all required supporting documentation. It
should be submitted in a manner that documents the Division's receipt. Send the required documentation
the Regional Supervisor, Water Quality Regional Operations Section at the address at the bottom.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions. The Permittee is responsible for tracking all partial certifications up
until a final certification is received. A Final Certification shall be a complete set of record drawings and
design calculations regardless of whether partials have been submitted.
PERMITTEE'S CERTIFICATION
I, the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant
to the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate & maintain
the wastewater collection system permitted herein or portions thereof.
Printed Name, Title Signature Date
ENGINEERS CERTIFICATION
I, , as a duly registered Professional Engineer in the State of North Carolina,
having been authorized to observe (❑ periodically, ❑ weekly, ❑ full time) the construction of the
project name and location as referenced above for the above Permittee hereby state that, to the best of
my abilities, due care and diligence was used in the observation of the following construction:
approximately 11,195 linear feet of 24-inch gravity sewer, approximately 365 linear feet of 15-inch
gravity sewer, and approximately 290 linear feet of 8-inch gravity sewer, such that the construction was
observed to be built within substantial compliance of this permit; 15A NCAC 02T; the Division of Water
Resources' (Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as applicable;
the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains
adopted June 1, 2000 as applicable; and other supporting materials.
.....................................
North Carolina Professional Engineer's Seal w/signature & date:
❑ Final ❑ Partial (include description)
Certification Comments/Qualifiers (attach if necessary):
North Carolina Department of Environmental Quality I Division of Water Resources
Raleigh Regional Office 11628 Mail Service Center, Raleigh, NC 27699-1628
Physical Address: 3800 Barrett Drive, Raleigh, NC 27609 919-791-4200

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