WQ0043181_Application (FTSE)_20220401

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 06-21 & SUPPORTING DOCUMENTATION
Application Number. 43l j (to be completed by DWR)
All items must be completed or the application „will be returned
1. APPLICANT INFORMATION:
I. Applicant's name: 'TOWN OF NASHVILLE (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Privately -Owned Public
Utility
❑ Federal ❑ State/County Municipal
.r
❑ Other
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3. Signature authority's name: RANDY LANSING per 15A NCfit.' W? I A 111e1
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Title: TOWN MANAGER
4. Applicant's mailing address: -499 SOU I'H BARNES STREET
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City: NASHVILLE State: NC Zip, 27603-pro
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5. Applicant's contact information:
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Phone number: (252) 459-451 1 Email Address: [e-mail] u
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H. PROJECT INFORMATION: t,
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1. Project name: Cardinal Woad. Ip (i I �;� LL`�
2. Application/Project status: Z Proposed (New Permit) ElExisting Permit/Project M I I TER
If a modification, provide the existing permit number: WQ00 and issued date: } —1 Z~ Z Z
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: NASH
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.955618* Longitude:-77.958513:-
5. Parcel ID (if applicable): 3800-l(04.5123 (or Parcel ID to closest downstream sewer)
Ill. CONSULTANTINFORMATION:
1. Professional Engineer: 7 homa S._Spcight, Jr., PC, PLS License Number: 020234
Firm. BATSMAN CIVIL SURVEY COMPANY
Mailing address: 2324 RELIAI`C'l- AVENUL•
City: APEX State: NC Zip: 27539-
Phone number: (�U9 577-10$0 Email Address: TOM!u BATEMANC'IVILSURVEY.C'Ohl
IV, WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I. Facility Name- Tar River Regional W%k IT Permit Number: NCO030317
Owner Name: City of Rocky Mount
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQCS0041 1
2. Downstream (Receiving) Sewer Information: 18 inch ® Gravity O Force Main
3, System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s):
FORM: FTA 06-21 Page[ of 5

Vl. GENERAL REQUIREMENTS
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 DcvogMf'� LVeranupul.Aktr
nwni I FORM. VEA 1 beoj attached?
® Yes ❑ No ❑ NIA
0
3. If the Applicant is a HomelProperty Owners' Association, has an IJOA POA t 1peratras-,;J Agrecapent t f QLKNJ
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supplementary documentation as required by 15A NCAC 02T.0115(c) been attached?
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❑ Yes ❑ No ® NIA
e
4. Origin of wastewater: (check all that apply):
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® 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 PooIlClAousc
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❑ Food and drink facilities ❑ Church
❑ Swimming Pool/Ftltr Backwash
❑ Businesses / offices / factories ❑ Nursing Home
❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic % Commercial % Industrial (See 15A ;'+IC'A{' Q)j .01011.20}}
If Industrial, is there a Pretreatment Program in effect) ❑ Yes❑ No
6. Has a flow reduction been approved under 15A NCAC O3T .01 1 ? ❑ Yes ® No
D If ves, provide a copy of flow reduction agoraval letter with this application
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow •,0
No. of Units
Flow
Ex. Subdivision -St James
360 (120gal/bed*3bed)gal/unit
37
13.320 GPD
Ex. Nash County Middle School
15 gal/student
670
10,050 GPD
Prop- Cardinal Woods Subdivision
360 (120galfbed) galtunit
246
88,560 GPD
gall
GPD
gall
GPD
gal!
GPD
Total
1 1 1,930 GPD
a See 15A NC'AC 0* I .01 144bt. (d), t 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 .01 14(c), design flow rates for establishments not identified [in table 15A NCAC 02 1-01 14) shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 88,560 GPD (per I5A NCAC 0 T _OLI. )
);� Do not include future flows or previously permitted allocations
If permitted flow is zero, please indicate why:
❑ Pump Station/Force Main or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line -
Please provide supplementary information indicating the approximate timeframe for permitting upstream sewers with flow-
0 Flow has already been allocated in Permit Number: . _ Issuance Date:... _
❑ Rehabilitation or replacement of existing sewers with no new flow expected
❑ Other (Explain):
FORM: FTA 06-21 Page 2 of

V11. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 021 .0305 & .tit t' uvit Srvir :Ce
Y
I. Summarize gravity sewer to be permitted:
1=
Size (inches)
Length (feet)
Material
12
787
PVC C-900
8
1,660
PVC C-900
8
1,309
DIP
12
901
PVC SDR 35
8
7,200
PVC SDR 35
Section If & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
D Section III contains information related to minimum slopes for gravity sewers)
Oversizing lines to meet minimum slope requirements is not allowed and a violation of the VIDC
Vill. PUMP STATION DESIGN CRITERIA (if Applicable) , 02T .0305 & MFK' I?umu Stations4olle-1ainK1:
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EAC41 PUMP SI AI -ION INCLUDED IN 1'HIS PROJECT
I . Pump station number or name: 1
2. Approximate Coordinates ( Decimal Degrees): Latitude: 35.955618 Longitude:-77-958513'
3. Total number of pumps at the pump station: 1
3. Design Flow of the pump statiow .125 millions gallons per day (firm capacity)
7 This should reflect the total GPM for the pump station with the largest pump out of service
4. Operational point(s) per pump(s): 220 gallons per minute (GPM) at 129 feet total dynamic head (TDH)
S. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
6
1,608
PVC C-900
Ex. 6
5,858
PVC C-900
If any portion of the force main is less than 4-inches in diameter, please identify t11e method of solids reduction per
MDCPSFM Section 2.01C. I .b- ® Grinder Pump ❑ Mechanical Bar Screen D Other (please specify)
6. Power reliability in accordance with x 5- A Ni &L_lam_' 1 .01036)t I1:
® Standby power source or ❑ Standby pump
D Must have automatic activation and telemetry - 15A NCAC 02T.0305(h)(I )(B):.
Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
Y 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, sha'1 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 - (028 ,0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separationslalternatives found in '6[ ' 021 .0051111.l; "
15A NCAC 02T.0305.
minimum separations that shall be pro%ided for sewer systerns
® Yes ❑ No
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical) _
18 inches
'--Water mains (vertical - water over sewer preferred, including in benched trenches) - _
18 inches
'-Water mains (horizontal)
i
I0 feet
Reclaimed water lines (vertical - reclaimed over sewer)
18 inches
L... ----.—
Reclaimed water lines (horizontal - reclaimed over sewer)
feet
0
"Any private or public water supply source, including any wells, WS-1 waters of Class I or
Y2
�
Class 11 impounded reservoirs used as a source of drinking water, and associated wetlands.
"Waters SB from
100 feet
E
classified WS (except WS-I or WS-V), B, SA, ORW, HQW, or normal
high water (or tide elevation) and wetlands associated with these waters (see item IX.2)
50 feet
o
"Any other stream, lake, impoundment, or ground water lowering and surface drainage
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ditches, as well as wetlands associated with these waters or classified as WL.
10 feet
uJ
,
a.
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
Q
L Drainage systems and interceptor drains
5 feet
_Y
Any swimming pools
10 feet
Final earth grade (vertical) w
36 inches
D If noncompliance with (}%T.OtiL see Section X.I of this application
15A NtCA( t):L_!UQ1 contains alternatives where -wparations in &} 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 Nti� ' WRI&cdOuns wcbnwrtc
2. Does this project comply with the minimum separation requirements for water mains? ® Yes []No ❑ N!A
D If no, please refer to 15A NCAC 18C.0906(o for documentation requirements and submit a separate document,
signed/scaled by an NC licensed PE, verifying the criteria outlined in that Rule.
3 Does the project comply with separation requirements for wetlands? Z Yes ❑ No ❑ N.`A
D Please provide supplementary information identifying the areas of non-conformance.
D Seethe Division's dmit wt+iratjS [INt4cmcnis 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: Ta Pamlico ❑ No
If yes, does the project comply with setbacks found in the river basin rules per 1 SA NCAi_.03[i-..VX)' ❑ Yes ❑ No
D This includes Trout Buffered Streams per 15 A NL. ,C'.; t$IQ_' ?
5. Does the project require coveragerauthorization under a 404 Nationwide?individual permits ® Yes ❑ No
or 401 Water Quality Certifications?
A Please provide the permit numbenpermitting status in the cover letter if coverag0authorization is required.
6. Does project comply with 0A "C iF2 01115tc116) (additional permits/certifications)? ® Yes ❑ No
Per 15,J NIC AC 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 OA NCA- 02.T.f34Q¢, "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 interferencelconilict boxes require a variance approval.
D 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.
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FORM FTA 06-21 Page 4 of 5

X CERTIFICATIONS:
i Does the submitted system comply with 5A "iCA(: {ltT, the Vtimtr3arrts ,1 ( trim,, fOr the I'c�mtinjrig of llymiv yfrt
i tlatCwt.►cN«nL and the ,ra%il �1:�.h#inlniuw €y-,ign Crticriittl4tcxl %croonlasapplicable?
® Yes ❑ No
If no, for projects requiring a single variance, complete and submit the Vanance-Aiternative Design Request application
(VADC 10-14) and supporting documents for review to the Central Office. Approval of the request gill he issued
concurrentl% li ith the approsal of the permit, and protects reciuirine a variance approval ma} be suWecl to loner
reviewtimes. For proiccirs mQuirinp. t%o gir more variances or" here Ihe.ariance is determined by the Division to be a
significant.2ortion of the proiect, the full technical resiew is required.
2. Professional Engineer's Certification_
I, Thomas S. Speight, Jr., PE, PLS attest that this application for CARDINAL WOODS.
(Professional Engineer's name from Application lien It: i.) (Project Name from Application fiem 11 `. )
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,
Maillinki'L IL ,f3�tfi�i ti+f Qc;i% ltY 5s%% er% t OWN, 4 Gr%;ittni, and the MiTiltiiurn l ksagn Criteria !or the FastTTw0immun,t g
of Pump �1,i+ittn} drill 1-ome 4latru. [ Wexl %cntonl. Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that I havc reviewed this material and
have judged it to be consistent with the proposed design,
NOTE - In accordance with General Statutes 143-215,6A and 143-215 6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation. Misrepresentation of the application
information, including failure to disclose any design non-compliance with the applicable Rules and design criteria, may subject
the North Carolina -licensed Professional Engineer to referral to the licensing board (21 NCAC 56.0-101)
North Carolina Professional Engineer's seal, signature, and date:
N C; A,q
P�,ft Ss,OZ;c�'
EAL
20234
GINE.P�
3. Applicant's Certification per 15A NCAC 02T .0106(b)-
I. RarLo..f\.Sattest that this application for
o�rc�iha�� 00c c) S
(signature Authority Name from App`t anon Item 1 3-)
(Project Name from Application item It.) )
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 14 -tl ,6 and 141,215-6 , any person who knowingly makes any false
statement, representation, or certificat, n in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,0 weI civil penalties up to $25,000 per violation
Signature Date., /
FORM: FT'A 06-21 AV Page 5 of 5

State of North Carolina
Department of Environmental QuaGh-
Division of Water Resources
Flom Tracking/Acceptance for Seater Extension Applications
(FTSE 04-16)
Lntity Requesting Allocation: City of Rocky Mount
Project Name for which flow is being requested: Cardinal Woods Subdivision
Xfore than one I I SE xrrrr be r•eytured for a snrglc proie ct tf thy' ou ner of the II'I t'TP is rust r r slxrrrsfhle fur all parch
station-s uhnig the rowe of the, propaeetl �rerstc rrrlcr flri►r
I. Complete this section only ifyou are the owner ofthe wastewater treatment plant.
a. WWI'P Facility Name: Tar River Iegional _
b. WWTP Facilily 11crinit 9: NC0030.317
Aff flows are its MGD
c. WWTP facility's permitted flow 21.00
d. Estimated obligated flow not yet tributary to the VI'WTP 0.6826
C. W Wl-P Iacility's actual avg. flow 10.83
f. Total flow for this specific request 0,089
g. Total actual and obligated flows to the facility 11.513
h. Percent ofpermitted Ilow used 54.82%
11. Complete this section for each pump Station ) oU are responsible for along the route ol'ihis
proposed wastewater flow.
List pump stations located between the project connection point and the WW'f'I':
Design ObliA;ged,
Pump Average Daily Approx. Not Yet Dotal Current
Station 1=irnt I low.** Current Avg. 'l ribwar) Flow Phis
(Nance or Capacity. * (I'irrn - pt), Daily Flow, Daily Flo\%. Obligated Available
Number) MC;i) MOD MGD MUD Flog Cap;tcity**"
97 Lift St 30 12 6.5 0.683 7.183 4,817
* The Firm Capacity 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 Floss is the firm capacity- of the pump station divided by a peaking
factor (pf) not less than 2.5.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the W WTP where the Available Capacity is < 0.
Downstream Facility Name (Sew,er): 'far River Regional
Downstream Permit Number: NCO030317
Page 1 of 6
F I'SI; 04-16

IIL Certification Statement:
1 William Brad Kerr certify to the best of rt. knowledge that the addition ol'
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 flog fironm this project is not anticipated to
cause any capacity related sanitary sewer o\-ertlows 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. ']'his analysis
has been peribrmed in accordance with local established policies and procedures using the best
available; data. This certification applies to those items listed abol'e in Sections 1 and 11 plus all
attached planning assessment addendums fior which I am the responsible party. Signature of this
form indicates acceptance of this wastew atcr flow.
,S Tnirt�� (J.ffrcral.��i,��tcrfau•e
Dale
Page 2 of fi
t I tit• 04-16

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BCSC
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RATEI4SlhN CiVIt SURVEY COMPANY
2524 Reliance Avenue
Apex, North Carolina 27539
TO: NCDEQ-DWR
Raleigh Regional Office- WQS
3800 Barrett Drive
Raleigh, NC 27609
DATE: January 17, 2022
Revised January 17, 2022
RE: Cardinal Woods Subdivision — Fast Track Sewer Application
Glover Park Memorial Drive, Nashville, Nash County NC
Site Information
PIN# 380-1674-5123
Approximately 108.42 AC
To Whom It May Concern:
Phone: [phone]
[e-mail]
Please find the enclosed application, plans and supporting documentation for the Cardinal Woods for your review
and approval.
This project proposes the addition of approximately 246 residential single-family units. Currently, we are seeking to
provide sewer service for all 246 lots.
The project will construct a new pumpstation down stream of the existing Essex Road Pumpstation currently
maintained by the Town of Nashville. Through conversations with the State of North Carolina, Town of Nashville, and
Town of Rocky Mount we could not determine the existing sewer extension permit number for the existing Essex
Road Pumpstation. Currently 37 detached single-family units and the existing Nash County Middle School (644
current students, 670 students maximum). The new pumpstation will include the existing flows and projected sewer
flows from the Cardinal Woods Subdivision. We will utilize the existing 6" forcemain installed with the existing pump
station.
Town of Nashville was consulted and agreed to the number and types of units to reach an average daily flow that
could be accommodated. The flows, number of units and total daily flow are included on the application form as
required.
If you require additional information to complete the review and approval for this project, please contact me by phone
or email using the information below.
Kind Regards,
S. Shayne Leathers, PE
Civil Engineering & Land Development
P: 919.577.1080
s.leathers(a)batemancivilsurvey.com

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BCSC
BATEMAN CIVIL SURVEY COMPANY
2524 Re iance Avenue
Apex, North Carol'na 27539
TO: NCDEQ-DWR
Raleigh Regional Office- WQS
3800 Barrett Drive
Raleigh, NC 27609
DATE: January 14, 2022
RE: Cardinal Woods Subdivision — Fast Track Sewer Application
Glover Park Memorial Drive, Nashville, Nash County NC
Site Information
PIN# 380.1674.5123
Approximately 108.42 AC
To Whom It May Concern:
Phone: [phone]
[e-mail]
NC Dept of Environmental Qrity.
JAN 12 2022
Please find the enclosed application, plans and supporting documentation for the Cardinal Woods for your review
and approval.
This project proposes the addition of approximately 246 residential single-family units. Currently, we are seeking to
provide sewer service for all 246 lots.
Town of Nashville was consulted and agreed to the number and types of units to reach an average daily flow that
could be accommodated. The flows, number of units and total daily flow are included on the application form as
required.
If you require additional information to complete the review and approval for this project, please contact me by phone
or email using the information below.
Kind Regards,
S. Shayne Leathers, PE
Civil Engineering & Land Development
P: 919.577.1080
s.leathers(c)batemancivi lsurvey. com

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BCSC
�y►����f! BATEMAN CPAL SURVEY COMPANY
2524 Reliance Avenue
Apex, North Carolina 27539
TO. NCDEO-DWR
Raleigh Regional Office- WOS
3800 Barrett Drive
Raleigh, IBC 27609
DATE: March 29, 2022
RE: Cardinal Woods — LETTER OF TRANSMITTAL
Town of Nashville
BCSC #200718
THESE ARE TRANSMITTED AS INDICATED BELOW:
X For Approval
X For Submittal
NOTES: Sewer pipe lengths have been corrected.
PREPARED BY;
SIGNED:
'/wU& &yWz4Ef—
DATE: March 29, 2022
RECEIVED BY:
SIGNED:
DATE:
Phone. 919.577,1080
info@batemancivilsurvey_com
NC Dept of Environmental Qua"%\
APR, 01 2022
Raleigh Regional Office
As Requested by Client

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GATEMAN CIVIL SURVEY COMPANY
2524 Reliance Avenue
Apex, North Carolina 27539
TO: NCDEQ-DWR
Raleigh Regional Office- WQS
3800 Barrett Drive
Raleigh, NC 27609
DATE: January 14, 2022
RE; Cardinal Woods — LETTER OF TRANSMITTAL
Town of Nashville
BCSC #200718
Phone: [phone]
[e-mail]
NO lit of Environmental Quality
JAN 12 2022
COPIES
PAPER CD ELECTRONIC
1 1
SHEETS
1
DESCRIPTION
Cover Sheet
1
1
5
Application for Approval
1
1
1
USGS Topographical Map
1
1
1
Aerial Location Map
1I
L
I Payment by Check for Application
THESE ARE TRANSMITTED AS INDICATED BELOW:
X For Approval
NOTES:
PREPARED BY:
SIGNS .
DATE: January 14,
RECEIVED BY:
SIGNED:
DATE:
X For Submittal
As Requested by Client