WQ0043109_Application (FTSE)_20220127

Permit Number WQ0043109
Program Category
Non -discharge
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
dean.hunkele
Coastal SWRuIe
Permitted Flow
Facility
Central Files: APS _ SWP
1 /19/2022
Permit Tracking Slip
Status
Project Type
In review
New Project
Version
Permit Classification
A
Individual
Permit Contact Affiliation
Facility Name Major/Minor Region
Pump Station 11 Force Main Reroute Minor Wilmington
Location Address County
Duplin
Facility Contact Affiliation
Owner
Owner Name Owner Type
Town of Warsaw Government - Municipal
Owner Affiliation
Scotty Summerlin
PO Box 464
Dates/Events Warsaw NC 28398041
Scheduled
Ong Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
1/1012022
Regulated Activities Requeste!j /Received Events_
28335
28335
TOWN

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
January 7, 2022
Dean Hunkele
Environmental Program Consultant
Wilmington Regional Office
Water Quality Section
127 Cardinal Avenue
Wilmington, NC 28405
GOLDSBORO OFFICE
Engineers • Planners
[phone]• Fax[phone]
E-mail: [e-mail]
109 E. Walnut Street • P.O. Box 1776
Goldsboro, NC 27533
SUBJECT: Transmittal of Fast Track Sewer Application
Contract No. 45 — Force Main ExtensixoFIvEDINCDENR/DvdP
Town of Warsaw
Duplin County, NC JAN 10 ZV
Dear Mr. Hunkele: wrer0uality Reglonn
operations settli"
Wilmington Regional Oft"
Enclosed please one original and one copy of the following items:
1. Check in the amount of $480.00
2. Fast Track Application (FTA 04-16)
3. Site Maps
The proposed work involves extension of the force main that serves Pump Station I I located at 950
Penny Branch Road just east of I-40. The force main currently terminates at a manhole on Plank Street
approximately 150 LF east of Jordan Street. The force main will be extended an additional 3,000 LF to
a manhole in the intersection of Plank and Gum Street.
The proposed work is the first phase of a planned three phase project to put the Town of Warsaw in
position to serve the C2NC Biogas facility now in construction on Penny Branch Road just east of where
Pump Station 11 is situated. The Town has obligated 250,000 GPD of W WTP capacity to C2NC for the
new facility. The obligation requires that the wastewater from C2NC must be equivalent (or less) to
normal domestic wastewater and be provided through a C2NC pump station (owned and operated by
C2NC) with a maximum pumping rate of 200 GPM. The first phase force main is the subject of the
attached Fast Track Application. The first phase force main extension will not be placed into operation
immediately upon completion, therefore, the application indicates "zero' flow.
The second phase will consist of C2NC constructing a pump station on their property. The force
main from this new pump station will tie-in to the existing force main from Pump Station 11. The Pump
Station 11 force main runs along the entire frontage of the C2NC property as it makes its way to the Town
of Warsaw collection system. The flow from Pump Station 11 will be re-routed into the C2NC pump
station. Phase 2 work is anticipated to be addressed in a second Fast Track Application at such time plans
for the C2NC pump station have been completed. It is anticipated that the Phase 1 force main extension
will be placed into service upon completion of the Phase 2 work.
Phase 3 (final phase) work will involve modifying Pump Station I 1 from a 180 GPM pump station
to a 45 GPM pump station and installing approximately 1,500 LF of 3" force main from Pump Station 11
\\G-GI OS\D1005\FTL\2022 1 220107
Warsaw CN 45 IS 11 Force Main Extension -Fast Track App-LTR.docx

to the vicinity of the C2NC pump station to connect to the existing 6" force main. At that time there will
be two pump stations operating on a single force main. At such time Phase 3 work is completed, the
C2NC pump station will no longer re -pump the flow from Pump Station 11. It is anticipated the Phase 3
work will not be eligible for a Fast Track Permit and therefore a much longer review period is anticipated.
C2NC has requested the Town's wastewater system be available to receive the C2NC connection by
June 2022. In order to make service available to C2NC as soon as possible, the Town will need to begin
construction of the force main extension as quickly as possible since this component of the work will
require significant time for installation. The proposed 3,000 LF force main extension will relocate the
current point of discharge from a manhole with 8" diameter downstream sewer lines to a manhole location
with 12" minimum downstream sewer lines. There are no other pump stations downstream of the
proposed point of discharge until the W WTP is reached.
Your review and approval will be appreciated.
not hesitate to contact me.
Sincerely,
If you have any questions concerning this, please do
McDAVID ASSOC TES, INC.
D.E. "Trey" Gurley,111, P.E.
Goldsboro Office
FTL:
Enclosures
cc: Town of Warsaw
\\G-G I OS\DI 005\FTL\2022 I
INC.
Warsaw CN 45 PS I 1 Force Main Extension -Fast Track App-LTR .docx 107

State of North Carolina
Department of Environmental Quality
}'„
)w Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 06-21 & SUPPORTING DOCUMENTATION
Application Number: LJ6,06 qll� 1Qq(to be completed by oWR)
All items must be completed or the application will be returned
Applicant's name: Town of Warsaw (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual
❑ Corporation ❑ General Partnership
❑ Federal
❑ State/County ® Municipal
3. Signature authority's name: Scotty
Summerlin per 15A NCAC 02T .0106(b)
Title: Town Manaeer
4. Applicant's mailing address: P. O. Box 464
City: Warsaw State: NC
Zip: 28398-
5. Applicant's contact information:
Phone number: [phone]
Email Address: mana er .townofwarsawnc.com
❑ Privately -Owned Public Utility
❑ Other
II. PROJECT INFORMATION:
1. Project name: Contract 45 Force Main Extension
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: W000_ 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: W00013176
3. County where project is located: Dunlin
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.00001' Longitude:-78.089014'
5. Parcel ID (if applicable): 247510594080 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: David E. Gurley III License Number: 22596
Firm: McDavid Associates
Mailing address: P. O. Box 1776
City: Goldsboro State: NC Zip: 27533
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Warsaw WWTP Permit Number: NCO021903
Owner Name: Warsaw
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ Unknown
2. Downstream (Receiving) Sewer Information: 12 inch ® Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00159
Owner Name(s): Warsaw
FORM: ETA 06-21
Pagel 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: DEV) been attached?
❑ Yes ❑ No ® N/A
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) ❑ Car Wash
❑ Residential (Leased) ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑ School / preschool / day care ❑ Medical / dental / veterinary facilities ❑ Swimming Pool/Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
® Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: % Domestic % Commercial % Industrial (See 15A NCAC 02T .0103(20))
If Industrial, is there a Pretreatment Program in effect? ❑ Yes No
6. Hasa 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 e,b
No, of Units
Flow
NA
gaV
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gaV
GPD
Total
GPD
a See 15A NCAC 02T .0l 14(b), (d), (e)(1) and (e)(2) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use areas;
and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G.S. 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.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 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.
❑ 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
NA
➢ 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
Vill. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Puma Stations/Force Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: 11
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.000083' Longitude:-78.125481 °
3. Total number of pumps at the pump station: 2
3. Design flow of the pump station:.2592 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): 180 gallons per minute (GPM) at 63 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
6
2833
PVC
6
174
DIP
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.I.b. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with 15A NCAC 02T .0305(h)(1):
❑ 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 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations/alternatives found in 15A NCAC 02T .0305(fl & (e)? ® Yes ❑ No
15A NCAC 02T.0305 contains minimum separations that shall be provided for sewers stems:
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
18 inches
2 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 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, 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 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 02T.0305( or (g), see Section X.1 of this application
*15A NCAC 02T.0305(e) contains alternatives where separations in 02T.0305(fl 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 webnaee
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? ® Yes ❑ No ❑ N/A
➢ Please provide supplementary information identifying the areas of non-conformance.
➢ Seethe Division's draft 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: ® No
If yes, does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? ❑ Yes ❑ No
➢ This includes Trout Buffered Streams per 15A NCAC 2B.0202
5. Does the project require coverage/authorization under a 404 Nationwide/individual 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 02T.0105(c)(6) (additional permits/certifications)? ® Yes [—]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?" ❑ 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 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 NCAC 02T, the Minimum Design Criteria for the Pennitting of Pump Stations
and Force Mains (latest version), and the Gravity Sewer Minimum Design Criteria (latest version) as applicable?
® Yes ❑ 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 subject to Ionizer
review times. For proiects requiring two or more variances or where the variance is determined by the Division to be a
significant portion of the i rooect, the full technical review is required.
2. Professional Engineer's Certification:
1, _David E. Gurley, III attest that this application for _Town of Warsaw—CN45—Force Main Ext .
(Professional Engineer's name from Application Item III. I.) (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 Gravity Sewers (latest version), and the Minimum Design Criteria for the Fast -Track Pennitting
of Pmnp 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 Ru s a d design criteria, may subject
the North Carolina -licensed Professional Engineer to referral to the licensing board.l(2►A A6.0701)
North Carolina Professional Engineer's seal, signature, and t : \ C ARO
� N
o.'FESs�o' �G
:0- SEAL
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3. Applicant's Certification per 15A NCAC 02T .0106(b):
1, Scotty Summerlin , attest that this application for _Town of Warsaw—CN45—Force Main Ext .
(Signature Authority Name from Application Item 1.3.) (Project Name from Application Item II.I )
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 143-215.6B, 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: Date:
FORM: FTA 06-21 Page 5 of 5

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DISCLAIMER:
Mailing Address: PO BOX464 WARSAW NC 28398
The information gathered from
Deeded Acres: 0.13 Town Code:19
this site is for informational
Deed Ref:1724/1 2013 Account #:9100722
purposes only and the maP(s)
Last Sale Date:2012/05/21 Misc. IRlprv:$0
printed from this site shou ld NOT
Last Sale Price:$O Year Built:0
be used as or in place of an
Assessed Value200 Land Value:$200
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actual survey.The map(s)
should NOT be used in sales
Property Class:1 Fire Code:
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CAROLYN J.
01- 547
' --- ;
3!!§ .JONA QUINN c DB 1953 / 541 C
JJONATHAN THARON MB
01-1534--- 0 0Acres
DB 18E 1167 20(9091W
MB MRIE LLL/'',ll�3` Gib
O Acres HOBBS. B. FRANKLIN C/O BEI
iOHNSON, LISA 01-1397---
D WILLIAM C. JOHNSON DB 9T7 / 42'
101-1306--- QUINN, PEGGYT. MB
DB15531632 01-988--U OAcres
MB ❑B 1740 f 967
O Acres CO ACfE3
01-E129---
DB 1219/574
MB°
cr s� OAcres
)ERHORST, NIURKA
6 01-2968- - -
DB 1880/195
MBt�(�I�@Y MILLER,BARBARAAI
0 Acres 012596- - - I
DB 1403105
I MILLER, BARBARA M MB
01-2967--- 0Acres
DB 13631476�
MIN M0665 JR MB
OAcres
we
FIRST BAPTIST CHURCH
01-EO23---
DB /
MB
1 peoX-0
0 Acres
�ht1y
o
p�scIN
��
rnnN
nWIN
FIRST BAPTIST C URC
01-EO23--- t
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i-
ULTE, ROBERT
GONZALEZ;•PATRWA
01.2730---
TAPIA, FERN�NDO
B 1972/544
01-2731-- ,
MB
O Acres
DB 1897 / 763�
MB
0 Acres
MIDYETTE,
LEWIS ROBERT
01-2275---
DB 1698 / 733
15OLMO MB
CNEILL �� OAcres
a
VI!WFJAW--J
CANNADY CLEANINI
IICK, IKE F.
01-2027-t
(DICK, MARIE E
❑B�76511/ 3i
-2322- - -
MB 21671 T.
1284/177
0 Acre$k
12161173
BUTLER, MAVIS J(
Acres HUS BUTLER, JAM
08 17501534
WEST, WALTER P.- MB 2/61173
0 Acres
nFEtWEST, PEARL R.
DB 6251436 Coo. 5.�`...
MBAM73 c.@'
�0-Acres �n
HANCHEY, DARIAN
Ch
WIFE HANCHEY, ANABELLE
01-389---
DB f 1
MB3
0 Acres
DISCLAIMER:
Mailing Address: WARSAW NC 28398
The information gathered from
Deeded Acres: 0
this site is for informational
Deed Ref-/ 0
purposes only and the map(s)
Last Sale Date:
printed from this site should NOT
Last Sale Price:$0
be used as or in place of an
Assessed Value:1358184
actual survey.The map(s)
should NOT be used in sales
Proper Class:4
Meet:
orconveyances.
Heat 19661
Town Code:19
Account#:2836324
Misc. Im prv:$
Year Built: 1990
Land Value:$ 54800
Fire Code:
Year Built:1975
01
DB
0
0
SMITH, VICTOR
0 01-929---
❑ B 1930 f 694
MB
0 Acres
BURTON, PHIL WILLJ
WIFE SUEANN JORD`Ah
01-3161---'
0 DE6"561M
Ja
V . Y.IJC
DB 1673/217
MB
0 Acres
407 E
GOLLEG ST
BURTON, PHIL)
SR 01-161-
DB 12781
2TbN, MB
O Acra
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