WQ0030313_Application (FTSE)_20220131

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Dlvislon of Water Resources FTA 06-21 & SUPPORTING DOCUMENTATION
Application Number: (to be completed by DWR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
i. Applicant's name: Johnston County (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: Chandra C. Farmer, PE per 15A NCAC 02T d1106(b)
Title: Utilities Director �IlK Do
PI vfFnvironrnrnt,,, k�t,,,,,.
4. Applicant's mailing address: PO Box 2263
City: Smithfield State: NC Zip: 27577- JAN 31 '"'
5. Applicant's contact information:
Phone number: [phone] Email Address: chandra.farmer@*ohnstonnc.com Raleigh Regional Offl"I
H. PROJECT INFORMATION:
1. Project name: Modification of the existing Turner Southwind Business Park
2. Application:' Project status: ❑ Proposed (New Permit) ® Existing Permit/Project
If a modification, provide the existing permit number: WQ0030313 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: 35.5877 - Longitude:-78.55691
5. Parcel ID (if applicable): NA (or Parcel 1D to closest downstream sewer)
111. CONSULTANT INFORMATION:
1. Professional Engineer: Kimberly C. Ringer, PE License Number: 025511
Firm: Johnston County Public Utilities
Mailing address: P.O. Box 2263
City: Smithfield State: NC Zip: 27577-
Phone number: 919 989-5725. Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Johnston County WWTP Permit Number: NCO030716
Owner Name: Johnston County
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ0030796
2. Downstream (Receiving) Sewer Information: 8 inch M Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00060
Owner Name(s): Johnston County
FORM: FTA 06-21 Pagel of 5

THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
Water Quality Section
Swannanoa, North Carolina 28778-8211
Clay, Graham, Haywood, Henderson, Jackson,
[phone]
Macon, Madison, McDowell, Mitchell, Polk,
[phone] Fax
Rutherford, Swain, Transylvania, Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Harnett, Hoke,
Water Quality Section
Fayetteville, North Carolina 28301-5095
Montgomery, Moore, Robeson, Richmond,
[phone]
Sampson, Scotland
[phone] Fax
Mooresville Regional Office
610 E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
Water Quality Section
Mooresville, North Carolina 28115
Gaston, iredell, Lincoln, Mecklenburg, Rowan,
[phone]
[phone] Fax
Stanly, Union
Raleigh Regional Office
3800 Barrett Drive
Chatham, Durham, Edgecombe, Franklin,
Water Quality Section
Raleigh, North Carolina 27609
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] Fax
Warren, Wilson
Washington Regional Office
943 Washington Square Mall
Beaufort, Bertie, Camden, Chowan, Craven,
Water Quality Section
Washington, North Carolina 27889
Currituck, Dare, Gates, Greene, Hertford, Hyde,
[phone]
Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] Fax
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
Water Quality Section
Wilmington, North Carolina 28405
Hanover, Onslow, Pender
[phone]
[phone] Fax
Winston-Salem Regional Office
450 W. Hanes Mill Road
Alamance, Alleghany, Ashe, Caswell, Davidson,
Water Quality Section
Suite 300
Davie, Forsyth, Guilford, Rockingham, Randolph,
Winston-Salem, North Carolina 27105
Stokes, Surry, Watauga, Wilkes, Yadkin
[phone]
[phone] Fax
INSTRUCTIONS FOR FORM: FTA 05-21 & SUPPORTING DOCUMENTATION Page 3 of 3

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 ® N+A
2. If the Applicant is a Developer of lots to be sold, has a Deveiopej-'s Operational Agreement (FORM: DEV) been attached?
❑ Yes ❑ No ® NIA
3. If the Applicant is a Home.Troperty Owners' Association, has an HQA/POA Operational Ayeemens (FORM: I IOA) and
supplementary documentation as required by 15A NCAC 02T.01 15(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: _ °a Domestic 100 % 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. 15A0 NCAC _2T ,01 14(t)? ❑ Yes ®No
➢ If es provide a co of flow reduction a _royal letter with this application
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow
No. of Units
Flow
Existing Permitted Flow
0 gal/
NA
14,980 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
14,980 GAD
a See 1SA NCAC 02T .0114(b), (d),.(e LtLagd ) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near higb 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 .I 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 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
8"
2,750
PVC
➢ 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 (Pumv Stations/Force Mains :
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: Existing Turner Southwind Business Park
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.5877' Longitude:-78.5569'
3. Total number of pumps at the pump station: 2
3. Design flow of the pump station: Existin 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): 80 gallons per minute (GPM) at 75 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) I Length (feet) I Material
2,250 1 PVC
If any portion of the force main is less than 4-inches in diameter, please identify the method of solids reduction per
MDCPSFM Section 2.0IC, Lb, ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with 15A NCAC 02T A305(h)f 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
D 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(f) & ( ? ® 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
2Water mains (vertical - water over sewer preferred, including in benched trenches)
18 inches
2Water 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-1 waters of Class I or
Class 11 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 1X.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) j
36 inches
➢ If noncompliance with 02T.0305(o or (g}, see Section X. I of this application
*15A NCAC 02T.0305(a) 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 webpaee
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.
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 smration 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: Neuse ❑ 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 numberpermitting status in the cover letter if coverage?authorization is required.
6. Does project comply with 15A NCAC 02T.0105(c)(6} (additional permits;`certifications)?(NA) ❑ 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 interferencelconflict 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 Systcm-Wide Collection permit.
FORM: FTA 06-21 Page 4 of 5

X. CERTIFICATIONS:
I. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
n Eorce_Mains_(latest versionj 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 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:
I, Kimberly C. Ringer, PE, attest that this application for Modification of the existing Turner Southwind Business Park
(Professional Engineer's name from Application Item I II 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 Minimuq Design Criteria fQr the Fast -Track
Permi.ttinp 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 143-215.613, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation. 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:
es
SEAL
3. Applicant's Certification per 15A NCAC 02T .0106(b):
I, Chandra C. Farmer, PE, attest that this application for Modification_ of. the existing Turner Southwind Business Park
(Signature Authority Name from Application Item 13.) (Project Name from Application Item I1.1)
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 ail 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: ao b-A
FORM: FTA 06-21 Page 5 of 5

DW.R
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Division of Water Resources Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Johnston County
Project Name for which flow is being requested: Turner Southwind Bus. Park mod
More titan one FTSE may be required for a single project if the owner of the WWTP is not responsible for all pump
stations along Cite 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: Central Johnston County WWTP -Discharge 1
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 2.253
e. WWTP facility's actual avg. flow 6.741
f. Total flow for this specific request 0.000
g. Total actual and obligated flows to the facility 8.994
h. Percent of permitted flow used 70.4 actual, 94.1 wlpaper
H. 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 Pius
(Name or
Permit
Capacity, *
(Firm f pf),
Avg. Daily
Daily Flow,
Obligated
Available
Number)
No.
MGD
MGD
Flow, MGD
MGD
Flow
Capacity***
*Dance
.s
30313m
0.1152
0.04608
0.0068
0
0.0068
0.0393
Heritage 24386 0.1152 0.04608 0.0155* 0.0109 0.0265 0.0196
Cleveland 7172 0.288 0.1552 0.0313 0.0109 0.0422 0.0730
Josephine 28867m 3.384 1.3536 0.9005 0.4542 1.3450 0.0086
* 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): Langdon Pointe Subdivision
Downstream Permit Number: WQ0030796
Page 1 of 6
FTSE 10-18

DWR
Division of Water Resources
Entity Requesting Allocation: Johnston County
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Project Name for which flow is being requested: Turner Southwind Bus. Park mod
More titan one FTSE may be required for a single project if the owner of the WWTP is not responsible for al! 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: Central Johnston County WWTP - Dischar e 1
b. WWTP Facility Permit #: NCO030716
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
£ Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
All flows are in MGD
9.5
2.253
6.741
0.000
8.994
70.4 actual, 94.1 w/paper
IL 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 / po,
Avg. Daily
Daily Flow,
Obligated
Available
Number)
No.
MGD
MGD
Flow, MGD
MGD
Flow
Capacity***
Landfill
C!1
20340
1.9296
1.6718
1.1128
0.741
1.8534
(0.1815)
* 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): Langdon Pointe Subdivision
Downstream Permit Number: W00030796
Page 1 of 6
FTSE 10-18

PLANNING ASSESSMENT ADDENDUM (PAA)
Submit a planning assessment addendum for each pump station listed in Section 11 where Available Capacity is �-
0.
Pump Station (Name or Number):
Given that:
a. The proportion and amount of Obligated, Not Yet Tributary Daily Flow (C) accounts for
44% % and 0.741 MOD of the Available Capacity (E) in Pump Station
Landfill EO . and that
b. The rate of activation of this obligated, not yet tributary capacity is currently approximately
0.185 MOD per year; and that
c. A funded Capital Project that will provide the required planned capacity, namely
Landfill Sewage PS & FM is in design or under construction with
planned completion in Fall 2023 ; and/or
d. The following applies:
This project is under construction. It is permitted as WQ0020340 Mod 4.
The Landfill EQ station will go from its current pump rate of 1340 GPM to a pumping
capcity of up to 6,076 GPM.
Therefore:
Given reasonably expected conditions and planning information, there is sufficient justification to allow
this flow to be permitted, without a significant likelihood of over -allocating capacity in the system
infrastructure.
1 understand that this does not relieve the collection system owner from complying with G.S. 143-
215.67(a) which prohibits the introduction of any waste in excess of the capacity of the waste disposal
system.
C-
Official Signature
'Date
Page 3 of 6
FTSE 10-18

III. Certification Statement:
I Chandra C. Farmer, PE 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 11 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.
I aa�a -.I.
Signing Official Signature ( Date
- � 0�
Title of Signing Official
Page 2 of b
FTSE 10-18

C off ° ' 9"00�
DEPARTMENT OF PUBLIC UTILITIES
Post Office Box 2263
SMITHFIELD, NC 27577
[phone]
January 20, 2022
NCDEQ Water Quality Section
3800 Barrett Drive
Raleigh, NC 27609
RE: Johnston County Public Utilities
Dance Art Drive 4" Force Main Extension
Fast Track Sewer System Extension Application
To Whom It May Concern:
NC Dept of Environmentdt Quality
JAN 3 1 r22
Raleigh Regional off -lee
We respectfully submit this application for a Fast Track Sewer System Extension Application for the Dance Art
Drive 4" Force Main Extension. The project keeps the existing gravity system in place and does not extend it. The pump
station will remain at the capacity of 80 gpm but the pumps will be swapped out to meet the new head condition of 75 feet
total dynamic head. The discharge force will be extended to 2,250 If to tie into a section of unused 4" pvc force main and
leads to an 8" gravity system in the Langdon Pointe Subdivision (WQ0030796).
Included in this submittal are two copies (one original, one copy) of the following
documentation:
• Fast Track Application (Form: FTA 06-21)
• Flow Tracking for Sewer Extension Application (Form: FTSE 10-18)
• USGS Quad Maps
• Project Narrative
• Check No. 121002 in the amount of $480.00
Please do not hesitate to contact me should you have any questions or concerns. We
appreciate your time and consideration regarding this matter.
Sincerely,
Johnston County Utilities
4
Kimberly Rineer, P.E.
cc: Chandra Farmer, Johnston County
Mike Keen, Johnston County

Johnston County
Dance Art Dr. 4" Force Main Extension
(Modification to Turner Southwind Business Park)
Project Narrative
January 2022
Existing Conditions
The Dance Art WWPS was constructed as part of the Turner Southwinds Business Park permit
(WQ0030313). The original permit included 2,750 linear feet of 8" gravity sewer, an 80 gpm
duplex submersible wwps, and 50 linear feet of 4" force main to serve a small business park off
of Cleveland Rd. (SR 1010) in Johnston County. The permit was for 14,980 gpd of average daily
flow from several commercial parcels.
The 4" force main ties into a 10" manifolded force main on Cleveland Road. The head
conditions at the tie-in point have changed as the system has grown. The Dance Art WWPS has
difficulty competing for space in the 10" force main which has led to several high level alarms in
the recent past. Staff have avoided spills by temporarily turning off other stations or pump and
hauling from the wetwell.
The Dance Art WWPS currently only receives an average daily flow of 6,800 gpd. There have
been several recent inquiries about developing the remaining parcels in the business park. The
WWPS needs a solution before flow is added.
Proposed Project
The proposed project keeps the existing gravity system in place and does not extend it. The
pump station will remain at the capacity of 80 gpm but the pumps will be swapped out to meet
the new head condition of 75 feet total dynamic head. The discharge force will be extended to
2,250 If to tie into a section of unused 4" pvc force main and leads to an 8" gravity system in the
Langdon Pointe Subdivision (WQ0030796). A new flow tracking form is included with the
application for this route.
No additional flow will be permitted. The anticipated average daily flow from the sewered
properties remains 14,980 gpd.

U.S. IKPA"M[Wr OF THE WrEFON EVOOPOSOO QUADMWILE
ZUSGS
St 19EY o OrTo;o
DANCE ART FORCE MAIN EXTENSION USGS MAP
Y VA
r
19
d
N
3F
J
14
'z>
X
J
L
4F,
I I
i
r
ElMlIONKOK AC

Alff Tekle"
Project
Job Ref.
Tedds
Vawce Art -Pt4wip StAtiot9 Modificafiows
20-D01
section
IReV fivial -M44 %alcula-f-IDVIs
Sheet noJrev.
Jerry Hodge Engineering, PLLC
328 Bailey Boykin Road
Calc. by
Date
ChWd by
Date
ApW<l by
Date
Soma, NC 27576
PLLC No. P-o366
z'al
11/03/202
Ka
Calculate 5tatic +dead
1E)cis+. -Ptttmp Off El = 271v.75
Exist. Lawgdon T+ M44 Inv. Out V = 2613.25
New fM }high TT = 312.53
Assmme a 2 psi loss at the, view air/vacmm release valve & fi-Wings.
Static loss - 210.433 = 4.(P'1q ft
44stau _ (312.53 -- 27(v.75) + 44A = 40.361q ft
Originial design flow was 50 gpvn.
-from Gavnerovl-N4Jr&1mlic 44avidbook , 4" pipe, C^'iDD, Q- bDgpvn
V- 2.04fps, hf = 0aa13 ft-. per 100 feet of pipe levigth.
Calculate T-na- iow_Loss
I.I. ;xis+ivio punp s+a to view forceymiyt losses = wetwell vert riser + hort pipe levig+h + equal pipe
length for fittings (fittings and pipe levlghts +Aker from exist drawings).
1.2. wetwell vartical riser = 288.00 - 274.75 - 4.0 = 61250 ft
1.3. }lor&. 'Pipe levlg+h =15.5 + 12,DD + 611M + 12,5D + (P5.0 + 240.0 + (P5,D = 4161•DOD ft
1.4. :eq pipe leng+h for fI+tivigs = 41 cl0 deg bends) + check valve + plug valve + side orttlet tee +
2145 deg bends = (4 * 10.2 ) + (24.0 ) + (2.1 ) + ( 2D.3) + (2 * 4.71) = ClUaDD ft
1,5. Lea pst,- = 61250 + 4461-DO + ga.Co = 52(0.1350 ft
2.1 New 4" force main lo�5e5 = tor& pipe length + equal pipe lengths for fi-ffivig,
2.2 44&m. -pipe, length = 2,1g31-J ff
2.3 t6l pipe length for fittings = (31610 deg bends) + (q/45 deg betnds)
(3 * 10.2) + (q * 4.71) = 72.g00 ft
2.4 L-,„�ri = ZA6134-7 + 72 610 = 2,2((n.07 ft
3.1 n istih " force, imaivi loa = hors. ripe levigth + aqual pipe levig+h for fittings
3.2 }for&. Pipe length=144fo.00 - 35.00-1411.000 ft
3.3 :Eq, pipe length for fittings = (3/610 deg bends) + (1/45 deg bend) + 0 GiV) _ (3 * 10.2) +
(4.7) + (2.1) = 37.40D ft
3.4 L" ot1+r = 1411.00 + 37.40=144b.400 ft

jL
Combination Ahr Valves
Operational Highlights:
• Provides the functions of both Air Release and Air/Vacuum Valves
• Exhausts large auantities of air at system start-up
• Releases air pockets during system operation
• Provides oluellne vacuum protection
Product Features:
• Single body incorporates both features within one valve
— More compact and economical
• Dual body consists of two Independent valves
— Allows Individual mallitenance while still
protecting the pipeline
—Wider range of sizing options
• Inlets and outlets are equal to full nominal size
• Unconditionally guaranteed stainless steel floats
• Stainless steel 316 internal trim
• Nan -clog design eliminates backwashing
• Exclusive high/low pressure resilient seating
Optional Accessories:
• Outlet hood with screen (prevents debris from entering valves)
• Ball. plug and butterfly Isolation valves (allows valve maintenance)
• Inflow Preventer on outlet (stops flood water and resulting
contamination from entering pipeline)
• Backwash kit (for severe wastewater applications)
Clean Water*
Wastewater
g lrig
*waTa:A Qtlnurr
MATERIALS OF CONS'TRt YlON
COMP,0111ENT
STANDARD
OPTIMAL
Bodv and Cover
Cast Iron ASTM A126 Class B
Class 125 and 250
Ductile Iron ASTM A536 (trade 6&45-:12
Stainless Steel ASTM A351 Grade CF8M
Trim
Tvoe 316 Stainless Steel
-
Coating
Universal Alkyd Primer (external)
Nonstick Fusion Bonded Evoxv (Internal & external)]
FLOW CAPACITY OF COMBINATION AIR VALVES
FLOW OF Alit THRU AN ORIFICE IN S.C.F.S.
(STANDARD CUBIC FEET OF FREE AIR PER SECOND)
gof*L, I*YM
iWA NON'
ot�
VI AY 14.
33o.1Xd x G� ��
�= 1

"I;f`eke�'
OR
Project
Job Ref -
Tpeddsss
Vatnce Ari- ilmm 5ta-hiovi Modificai-iovis
2D-001
section
TeV 'final IINq ucmlatiows
Sheet no./rev.
2
Jerry Hodge Engineering, PLLC
328 Bailey Boykin Road
Soma, NC 27578
CaIC. by
Date
Chk'd by
Date
ApfM by
Dale
PLLC No. P-0365
JbF
11/03/202
K�
I
Sys a m 44ead Calegla-fjous
Origivial dosi5vi was for 50 gpvn at Cvq feet- of TD44. See attached origivial pamp crnrve, with view
dsigvi poivit plo+t-ed avi it.
Origivial puvAp is a -Fairbaviks Morse, 3" v5432-MVK, Ji 50D rpvn puvnp.
Umlate, the view s4stevn curve, avid plot- ovi the aisyivig pump curve to see where the puvnp will
+now operate at.
The ovily chavige will be, to +he f -ie-loon head.
Lq = 52(v.550 + ZZ44.07 + 1443.400 4241.32D ft
44f6o = (L m / 100) * 0.4-J7 - 20.231 ft'
1-Ww = 44s mu + 44f4o = (PD30 f i'
a = 12 O�n
44fio = (L.a / 100) * 0.(P35 = 2(o.Q32 fr
-"?I) = Trs+atic + +470 = 4�7-331 &
44fee _ (L.4/ VD) * D.i313 = 34.452 ft-
1"eo w At'We + 44fee 74.001 ff
a =! 212 OM
44fa6=(L-a /100)*1.01= 42.837 f t'
TP444o = 44s+fi, + 44fgo = 83.234v ft
fR5 = D.2D53 * 1 614'eO5) = 1.117
-Rfg5 = (Lm / 100) * 1.11 = 4-7.3-7(p fr
TIM,i5 = 44s+,ma + 41fa5 = i37.716Cp ft say 615 gpvn aib as fi' TD44

Tekl�
Project
Job Ref.
Or Tedds
PAVICS Art -Ptim S+a iosi 1Modificgi'lon5
20-OD1
Section
Y-e+V1t7A1 CAlGulatlonS
Sheet no./rev.
3
Jerry Hodge Engineering, PLLC
328 Bailey Boykin Road
Calm by
Date
Chk'd by
Date
Al)Vd by
Date
Same, NC 27576
PLLC No. P-0385
JW I
11/03/202
1��
Q =1 Db "
44ftaD = (L.4 1100) * 1.23 = 52.1(pb fr
TPAoo "1L m, + Trf oo' = qZ, Sia7 ft
Existing puvnp will only POMP between 70 to 8Ogplm, but if we chAvfge the, impeller out we could get
Wick to the, 50 gpvn. Will need to talk with tine ptA mp rep, to make sure a 5 VIP Virlotor would still
work.
Revised Electrical HP = (80 *74.882 * 7 )1(3960 * 0.271 * 0.832) = 6.709 HP > 5 HP will have to change motor to rein. of 7.5
hp : therfore change the Impeller and motor and see what can be pumped, see attached sheets from Gregg Hauser.

rd
Jerry Hodge
From: Gregg Hauser<[e-mail]>
Sent: Tuesday, November 03, 2020 5:11 PM
To: Jerry Hodge
Subject: RE: Johnston County Pump Station Upgrade
Attachments: Dance Art PS.pdf
Jerry
Attached is the curve for the Fairbanks 3"05432MVK. This pump will require an 8.86" diameter impeller to meet 80
GPM @ 75 TDH. This will mean the BHP at the new conditions will be 5.83 HP so a 7.5 HP pump would be required. if
you change to a 7.5 HP pump we could probably do a larger diameter Impeller to help pump more.
Sincerely
Gregg Hauser
Eastern NC Sales Engineer
ts;�st1 �ti;5_tYu� lntr���l
[phone] (fax)
[phone] (cell)
.,� ... i 17„
11V> UUI JU CCL I.V UIL.,7 L, 4hW y, IVUI l#1 401 Ulil lc7 L.UU V2
PO Box 1469, Hickory, North Carolina 28603-1469
C-lear\/VaterjnCr k
.,� t'var7AiAi tWcdied
From: Jerry Hodge <ierry.hodge@att. net>
Sent: Tuesday, November 3, 2020 4,19 PM
To: Gregg Hauser <PxrgL._auser clearwatehnc.net>
Subject: Johnston County Pump Station Upgrade
Good afternoon Gregg,
Attached are the pump calculations. This is the project that I talked with you about either in September or October.
The original project was done by Southwind in 2006 (Turner — Southwind Business Park). The existing pumps are
Fairbanks 5 hp, 3" D5432MVK.
The original design was for 80 gpm @ 69 ft. TDH. We need to pump a min. of 80 gpm @ 75 ft TDH. We would like to
switch out the existing impellers and motors if needed. The existing pumps will pump, but due to the change In head
conditions they are running to much, so Eric has robbed another pump from a different station to run this station. I think
the robbed pump is a 7.5 hp pump (Fairbanks). Eric said with the modifications they did to the existing control panel

they had enough power and the pump is running fine. Need your opinion on this. Not sure yet how they will do the
modifications. They may do in house or bid out.
Give me a call on the office number to talk thru this,
Thanks,
Jerry C. Hodge, PE
Jerry Hodge Engineering, PLLC
328 Bailey Boykin Road
Selma, NC 27576
Office: [phone]
Cell: [phone]

PENTAIR
Customer
Project name
: Default
111
Pump Performance Datasheet
Encompass 2.0 - 20A.1
Item number
: 001
Size
: 3" 5432MVK
Service
Stages
:1
Quantity
: 1
Based on curve number
: 3-5432MVK-1800-T3B1AH
Quote number
: 386164
Date last saved
: 03 Nov 2020 4:07 PM
Operating Conditions
Liquid
Flow, rated
: 80.00 USgpm
Liquid type
: Water
Differential head 1 pressure, rated (requested) : 75.00 ft
Additional liquid description
Differential head 1 pressure, rated (actual)
: 75.18 ft
Solids diameter, max
: 0.00 In
Suction pressure, rated 1 max
: 0.0010.00 psi.g
Solids diameter limit
: 2.00 in
NPSH available, rated
: Ample
Solids concentration, by volume
: 0.00 %
Site Supply Frequency
: 60 Hz
Temperature, max
: 68.00 deg F
Performance
Fluid density, rated / max
; 1.000 / 1.000 SG
Speed criteria
: Synchronous
Viscosity, rated
:1.00 cP
Speed, rated
:1760 rpm
Vapor pressure, rated
: 0.34 pal-s
Impeller diameter, rated
: 8.86 In
Material
Impeller diameter, maximum
: 9.75 in
Material selected
: Cast Iron
Impeller diameter, minimum
: 7.00 in
Pret;sure Data
Efficiency
: 27.07 %
Maximum working pressure
: 36.41 psl.g
NPSH required / margin required
: -10.00 ft
Maximum allowable working pressure
: 60.00 psi.g
nq (Imp. eye Now) / S (imp. eye flow)
: 22 / 70 Metric units
Maximum allowable suction pressure
: WA
Minimum Continuous Stable Flow
: 100.0 USgpm
Hydrostatic test pressure
: 90.00 psi.g
Head, maximum, rated diameter
: 84.13 ft
Driver & Power Data (@Max density)
Head rise to shutoff
: 12.17 %
Driver sizing specification
: Max Power
Flow, best off. point
: 231.9 USgpm
Margin over specification
: 0.00 %
Flow ratio, rated / BEP
: 34A9 %
Service factor
:1.00
Diameter ratio (rated 1 max)
: 90.87 %
Power, hydraulic
:1.51 hp
Head ratio (rated dia / max dia)
: 78A6 %
Power, rated
: 5.60 hp
Cq/Ch1Ce1Cn [ANSI/HI 9.6.7-2010]
: 1.00 11.00 11.00 / 1.00
Power, maximum, rated diameter
: 7,59 hp
Selection status
: Near miss
Minimum recommended motor rating
:10.00 hp 17.46 kW
10.0
C 75
5.0
a 2.5
0.0
150
05
120
105
90
75
m
80
45
30
15
0
d; 30
= 15
a- 0
- MlMmum OwUnuous Stable Flaw
- - Max stowable Bow
P= d �sntlnp ro n
9.75 in
30 34
34 43 45 16
8A8 bl
4045
43
7.00 in 39
34
NPSH3
Z 0 20 40 50 80 100 120 140 160 180 200 220 240 260 280 300 320 340 360 380 400
Flow - USgpm
CLEARWATER, INC. PHONE: [phone] • FAX: [phone]
PAIR PO BOX 1469 • HICKORY, NC 28602

11W
D5430 M&W Submersible Solids -Handling Pumps
164 UL Listed Motor Technical Data
210 Frame
Duty - One Hour
in Air
(14)
HP
Full
_
Full Load Current
Power Cable
Conduit
Code
Efficiency
Power
(1)
Load
(AMPS)
208 Volt (13)L230Volt
480or575V
Inside
Letter
°�
Factor %
RPM
230
4119
_
5t5
1)if1
AQWAaw
oia.
AGW
'
Futl
3/4
Full
3/�4236460V
Voit
YoEt
Yolt
Volt
j
WireSxWire
Szn�
WireSz
(inches)
Load
Load
Load
Load
_
3 Phas9 60 C cle 1.15 S.t r 40"0 Insulation
(12)
-
5
1760
15.6
15.0
7.5
6.1
.675
12
.675
12
.675
12
3-8NPT
J
75 1
71.0
83.1
-'82.1
`/r
1760
24.6
21.2
10.6
8,9
.735
10
.735
10
.675
12
3-8NPT
H
83.2
82.4
61.7
77.4
10
1755
32.5
29.2
14.6
11.7
.985
8
.985
8
.675
12
3-8NPT
H
WO
82.5
77.3
70.9
15
1750
48.6
42.2
21.1
16.9
1.125
61
.985
8
.735
10
3-BNPT
G
84.1
84.6
79.2
73.9
20
1735
60.6
j 53.2
26.61
22.1
1,270
4
11.1251
6
,985
8
3-8NPT
E
83.9
1 85.8
83.8
82.0
5
1165
18.5
18.0f
9.0
RTF
.675
12
.675
12
.675
12
3-8NPT
H
72.3
70.6
72.0
66.2
71h
1155
28.2
24.6
12.3
10.2
.*
8
.735
10
.675
12
3-8NPT
G
77.8
77.6
73.2
68.0
10
1155
36.0
33.01
16.5
13.8
1.125
6
.985
8
.735
10
3-8NPT
G
80.1
80.1
70.6
64.9
13
1130
RTF
42,0
21.0
16.1
RTF
RTF
.985
8
.735
10
3-8NPT
G
76.0
79.8
74.0
70.8 N
15
1155
65.4
48.4
24.2
RTF
1.270
4
1.125
6
.735
10
3-8NPT
F
RTF
82.7
83.7
RTF
72.4
RTF
66.3 r
3
RTF
RTF
11.4
6.7
RTF
RTF
RTF
~RTF
RTF
RTF
RTF
3 BNPT
RTF
RTF
5
865
20.4
19.2
9.6
7.8
.675
12
.735
10
,675
12
3-8NPT
J
73.9
71.3
66.2
59.7
7 r/s
850
RTF
27.6
13.8
11.9
RTF
RTF
.985
8
.675
12
3-8NPT
f
G
74.8
73.8
68.1
61.1
10
855 i
RTF
32.6
16.3
13.8
RTF
RTF
.985
8
_675
12
3-8NPT +
RTF
RTF
RTF
RTF
RTF
HP
Full
Full Load Current
(1)
Load
(AMPS)
F;PM
Zoe 230
*05-75
=460V
Volt Volt
Volt
Yolt
3 Phase 60 cyc
4.9
-1765
15.2
14.6
7.3
RTF
7.3
1755
22.3
17.0
8.5
RTF
9.7
1760
31.6
28.4
14.2
11.4
14.6.
1750
42.1
M.0
20.5
16.1
19.6
1735 1
61.4
52.2
26.1
20.8
4.9
1165
18.2
18.0
9.0
RTF
7.3
1155
29.0
24.4
12.2
9.9
9.7
1155
36.5
32.6
16.3
13.2
13.0
1130
RTF
42.0
21.0
RTF
14.6
1150
R]'F
47.3
23.6
RTF
2.9
RTF
RTF
11.5
6.8
RTF
4.9
865
20.4
18.8
9.4
7.6
7.3
850
30.8
26.8
13.4
11.9
9.7
RTF
RTF
RTF
RTF
13.0
210 Frame
Dutv - Continuous in Air (141
Power Cable
Conduit
Inside
Code
Letter
Efficiency
%
Power
Factor %
(13)230
Volt
460 or 576V
1:�tVolt
0ia
AGW
aia
A(iWpia'Full
3/4
Full
314
n.
ifte$z-
n.
Wire Sz,
(Inches)
Load
Load
Load
Load
Ile 1.15 S.F. 400C Insulation
.675
12
.675
12
.675
12
3-8NPT
J
75.0
71.0
83.0
82.0
.735
10
.735
10
.675
12
3.8NPT
H
84.0
83.0
82.0
1 77.0
.985
8
.985
8
.675
12
3-8NPT
H
83.0
82.1
76.5
69.0
.985
8
.985
8
,735
10
3-8NPT
G
84.3
84.8
79.0
73.8
1.350
4
1.125
6
.985
8
3-8NPT
E
84.5
86.0
1 84.0
81.5
.675
12
.675
12
.675
12
3-8NPT
H
71.7
70.4
72.0
66.2
.985
8
.735
10
.675
12
3-8NPT
G
78.0
78.0
73.0
68.0
.985
8
.985
8
.735
10
3-8NPT
G
80.0
79.8
71.8
65.1
RTF
RTF
.985
8
.735
10
3-8NPT
G
76.0
79.8
74.0
70.8
RTF
RTF 11.126
$ 1
.735
10
3-8NPT
F
83.0
84.0
72.0
66.0
RTF
RTF
.675
12
.675
12
3-8NPT
RTF
RTF
RTF
RTF
RTF
.675
12
.735
10
.675
12
3.8NPT
J
73.7
71.2
65.8
59.5
.985
8
.985
8
.675
12
3-8NPT
G
75.0
74.0
67.2
60.8
RTF
RTF
RTF
RTF
.675 1
12
3-8NPT
RTF
RTF I
RTF
RTF
RTF
Noter
(1) Ratings are for constant speed drivers. For use with vadablo frequency drives, contact
Ap(tfirallon Enghwadng.
(2) Above 210 items motor lechnlcel data IS based on UL Usted non -submerged
application.
(3) RTF c Refer to Factory.
(4) Motor must have an operational moisture detection system or the warranty is voided.
(5) Molahxe detection system Insldbd must be compallble with the two moisture
detecting probes In the motor and the rennlnIng pump control system.
(0) Requirements of a Complete moisture daloctlon system are met by the installation of
the standard pump controllers offered by Fairbanks Morse w0h the specified motor.
(7) AN themroslats incorporated In this motor are auloma0c reset type and era tutor!
limited to 3 amps 0125 volts, 1.5 amps @ 230 volts and 0.75 amps Q 460 volts, In
the control ckoullry.
(a) thermal protectors wit be installed in all motors regardless of horsepower or frame size.
0 Thermostats are normally closed and connected In sodas with the holding coil of the
magnetic switch. When motor temperature reaches a certain prea It point, the themlo-
slat will open and cause the holding coil In themagnatic switch to open thereby cutting
the power to the motor.
(to) Thermostats connected to auxiliary signaling devices are available provided the
device is approved by Fairbanks Morse.
(11) Control cable has an outside diameter of A82 Inches and Includes rive A18 wire; two
for Ihermoslals two formofstum delectore and one ground.
(12) Need to add for threaded motor houskg cover casting to accept conduit. Standard
construction Is without threads.
(13) Rater to factory for 208 volt cable sizes not shmin.
114) Refer to the Application & Reference section for definitions of duly ialkW.
Fairbanks Morse Pump
811 /97

Sect#on 003 Page 178
6 4
5430 M&W Submersible S91ids Handling
Pumps
TOP VIEW OF PUMP UNrr Tap GUIDE BRACKET DETAIL
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Fairbanks Morse Pump 0 2011 Pentair Pump Group. Inc. 07111

,WR
Division of Water Resources
Application Number:
State of North Carolina
Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 06-2I & SUPPORTING DOCUMENTATION
(to be completed by DWR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
I . Applicant's name. Johnston County (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: Chandra C. Farmer, PE per 15A NCAC 02T .0106(bl
Title: Utilities Director NC Dt7
Pf ot'Fnviront,tt:nt,., Vu.,r.,
4. Applicant's mailing address: PO Box 2263
City: Smithfield State: NC Zip: 27577-AN
5. Applicant's contact information:
Phone number: 919) 209-8333 Email Address: chandra.farmerAjohnstonnc.coin 'Wo gh R@$ion$ Ofiios
11. PROJECT INFORMATION:
1. Project name: Modification of the existing Tumer Southwind Business Park h6o�2. Application/Project status. ❑Proposed (New Permit) ®Existing PenniL�Project
If a modification, provide the existing permit number: WQ0030313 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: 35.5877 Longitude:
-78.5569' I
5. Parcel ID (if applicable): NA (or Parcel ID to closest downstream sewer)�Uurn�
II1. CONSULTANT INFORMATION:
GAr
1. Professional Engineer: Kimberly C. Rineer, PE License Number: 025511
Firm: Johnston County Public Utilities
Finn Citizens Bank
Smlthfleld, NC 27577
Check No: 121125
County of Johnston
PO Box 1049
Oti. Smithfield, NC 27577 1 Date
MNWP j FCB Pub Utilities operating Acct
Amount
01 /19/2022
$480.00
Void after 60 Days
PFog Hundred Eighty and 001100 Dollars
The disbursement has been
approved as required by the
Local Government Budget
and Fiscal Control Ad.
TO NC DEPT OF ENVIRONMENTAL QUALITY
THE 3800 BARRETT DR
DER
--�� E
RALEIGH, NC 27609
OOR
F
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