WQ0043319_Application (FTSE)_20220324

State of North Carolina
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: �\O Ch�.Oo�\�3r31sk (to be completed by DWR)
All items must be completed or the apWication will be returned
1. APPLICANT INFORMATION:
L Applicant's name: Town Selma (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ® Municipal ❑ Other
3. Signature authority's name: W. Brent Taylor per .l 5A NCAC 02T .0106(b}
Title: Town Manager
4. Applicant's mailing address: 114 North Raiford St.
City: Selma State: NC Zip: 27576-
NCDept of Environmental Q"`'h L
5. Applicant's contact information:
Phone number:) 965-9841 Email Address: [e-mail] MAR, 2 4 2022
11. PROJECT INFORMATION:
I . Project name: Merriman Drive Extension Raleigh Regional f
2. Application,Project status: ® Proposed (New Permit) ❑ Existing Pen-nit/Project
If a modification, provide the existing permit number: WQ00 and issued date: ,
For modifications, also attach a detailed narrative description as described in Item G of the checklist.
If new construction, but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Johnston
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.546010' Longitude:-78.287910'
5. Parcel ID (if applicable): 14002009U (or Parcel ID to closest downstream sewer)
I11. CONSULTANT INFORMATION:
I. Professional Engineer: Jeremy License Number:
Firm: Morris & Ritchie Associates of NC. PC
Mailing address: 5605 Chapel Hill Road, Suite 112
City: Raleigh State: NC Zip: 27607
Phone number: [phone] Email Address: jkneeny ,mra tg a.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. FaciIity Name:
Owner Name:
Permit Number:
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ UnKnown
2. Downstream (Receiving) Sewer Information: 8-inch inch ® Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00294
Owner Names). Town of Selma
FORM: FTA 06-21 Page] of 5

�- MORRIS & RITCHIE ASSOCIATES OF NC, PC
Engineers, Architects, Planners,
Surveyors and Landscape Architects
5605 Chapel Hill Road, Suite 112
Raleigh, NC 27607
[phone]
TO: Department of Envkronmental Quality
Water Quality Section
3800 Barrett Drive
Raleigh, NC 27609
NO Dept of Environmental Qualit>
LETTER OF TRANSMITTAL
SPAR 2 4 W
DATE:
3/23/2022 IJOB NO.: 21168-Merriman Road Extension
ATTN:
NCDEQ Water Quality S Via
RE:
Merriman Road Extension F
OffiCC
WE ARE SENDING YOU El Attached ❑ Under separate cover via the following items:
❑ Shop drawings ❑ Prints 0 Plans ❑ Specifications
❑ Copy of letter ❑ Change order F _. Application Documents
COP ES
DATE
NO
DESCRIPTION
1
3/23/2022
1
Plan Set
1
3/23/2022
2
Fast Track Sewer Application
1
3/23/2022
3
USGS Topo Map
1
3/23/2022
4
Aerial Map
1
2/3/2022
5
Application Check
1
2/3/2022
6
Digital Submission
THESE ARE TRANSMITTED as checked below:
Delivery Method:
L2
For approval ❑ Approved as submitted
❑
❑ Hand deliver
❑
For your use ❑ Approved as noted
❑
❑ Fed -Ex OlN
❑
As requested ❑ Returned for corrections
❑
❑ Pick up at MRA Office
C]
For review and comment ❑ Resubmit
copies for approval
❑ Signature Required
❑
FOR BIDS DUE ❑ Submit
copies for distnbution
❑ Return
corrected prints
REMARKS
Please find the Fast Track Sewer materials and associated plan set enclosed for the Merriman Road Extension project
Should you have any questions or comments lease contact Panth Naik at 984 200-2103.
COPY TO: File
SIGNED:
S enclosures are not as noted, kindly notify us at once.

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 ® NIA
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement f F ORh7- DEVI been attached?
❑ Yes ❑ No ® NIA
3. If the Applicant is a HomelProperty Owners' Association, has an HOAIPOA Operational AUeement [FORM: HOA) and
supplementary documentation as required by 15A NCAC 02T.0115(c) been attached?
[-]Yes ❑ No ® NIA
4. Origin of wastewater: (check all that apply):
® Residential (Individually Owned) ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential (Leased) ❑ Retail with food preparationtservice ❑ Hotel and/or Motels
❑ School / preschool / day care ❑ Medical I dental I veterinary facilities ❑ Swimming Pool/Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
❑ Businesses I offices I factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 °/o Domestic 0 % Commercial 0 % Industrial (See I5A NCAC 02T .0103(20))
If Industrial, is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 11A NCAC 02T .0114#f)? ❑ Yes ® No
➢ If yes, provide a coat/ of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow' b
No. of Units
Flow
Road and Utility Extension
0 gal/
0
0 GPD
gab
GPD
gall
GPD
gall
GPD
gal!
GPD
gall
GPD
Total
3250 GPD
a See 15A NCAC 02T ,01 i4 b{ 1) and (ems for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use areas;
and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in Q.S. 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table I SA NCAC Q2T_0114] 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 _01 14)
➢ 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): Utility Extension to support extension of existing roadway. No units proposed with this project.
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
267
PVC
➢ Section 11 & III of the MDC for Permitting of Gravity Sewers contains infonnation 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
Vlll. PUMP STATION DESIGN CRITERIA (If Applicable) T 02T .0305 & MDC (Pump Stations/Force Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: -.°
3. Total number of pumps at the pump station:
3. Design flow of the pump station: millions gallons per day (firm capacity)
➢ This should reflect the total GPM for the pump station with the largest pump out of service.
4. Operational point(s) per pump(s): gallons per minute (GPM) at feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
If any portion of the force main is 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 .0305fhlf l
❑ Standby power source or ❑ Standby pump
➢ 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
➢ 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)):
I. Does the project comply with all separationslalternatives found in 1.5A_h&AC 02T .0305(F1 & tg}v ® Yes []No
15A NCAC 02T.0305(fl 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
'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 lI impounded reservoirs used as a source of drinking water, and associated wetlands.
100 feet
*"Waters classified WS (except WS-1 or WS-V), B, SA, ORW, HQW, or SB from normal
high water (or tide elevation) and wetlands associated with these waters (see item IX.2)
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches, as 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,_Q)Q3(q9r..(RJ see Section X.I of this application
* 15A NCAC 02T,0305W 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 wel ee
2. Does this project comply with the minimum separation requirements for water mains? ®Yes [:]No ❑ NIA
➢ 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 drdft separa ian 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 I $A b1,�AC 2D_02C
5. Does the project require coveragelauthorization 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 coveragelauthorization is required.
6. Does project comply with 15A NCAC 02T.0I05(Lj] ) (additional permiWcertifications)? ® Yes ❑ No
Per (5A.NC,%C 02T.010.5{, , 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 NCAQ 0219402, "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:
I. Does the submitted system comply with 15A NCAC 02T, the Minimum Desig i>p1t i o Yum S�a�iams
and �urce pia€tti !# v rs ), and the Grav_i Sewer Minimum Design riteria c (test versioli as app i �t
® Yes ❑ No MAR 4 Zi
If no, for projects requiring a single variance, complete and submit the
(VADC 10-14) and supporting documents for review to the Central (
significant portion of the uroiect, the full technical review is required.
2. Professional Engineer's Certification:
Variance/Alternative Design Request application
1, AFeG_Pkq At, ��J , . , attest that this application for A(AM JAd D IVF � E
(Professional Engineer's name from App nation item I11.1.) (Project Name from Application Item I1-1)
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,
Minitttum Design Criteria for Gravity Sewers (latest version}, and the Minimait n Qes_igp Critefia for. the_Fast-Track PrFnnittiriz
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: �NCARQ"*!1
`e ��G11dE�` -r
3. Applicant's Certification per 15A NCAC 02T .0106(b):
1, W. Brent Taylor attest that this application for Merriman Drive Extension
(Signature Authority Name from Application Item U.) (Project Name from Application Item IL 1)
attest that this application has been reviewed by me and is accurate and complete to the best of my knowledge.
1 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 143-215,6 , 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. '3 A 2.
FORM: FTA 06-21 Page 5 of 5

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MORRIS & RITCHIE ASSOCIATES OF NC, PC
1�C 9,
AN AFFILIATE OF MORRIS & RITCHIE ASSOCIATES, INC. WHICH
PROVIDES ENGINEERING, ARCHITECTURE, PLANNING, SURVEYING &
LANDSCAPE ARCHITECTURE THROUGHOUT THE MID -ATLANTIC REGION
Department of Environmental Quality NC Dept of Environn ental Quality
Division of Water Resources
Water Quality Section MAR 2 4
3800 Barrett Drive
Raleigh, NC 27609
Raleigh Regional Off cc
RE: Merriman Drive Extension
MRA Project: 21168
Fast Track Sewer System Extension Application — Cover Letter
This application is for a proposed sanitary sewer extension for the Merriman Drive Extension
Project located just northeast of the intersection of River Road and Merriman Drive in the Town of
Selma, Johnston County, North Carolina. The proposed project consists of extension of the existing
Merriman Drive with utility extensions. An 8" gravity line will service the subdivision and will
connect to an existing manhole adjacent to Merriman Drive.
The proposed sewer will consist of the following:
• 8" SDR-35 PVC gravity sewer: 267 LF
In addition to this letter, the following items are included in the application package:
1. 1 copy of the Water and Sewer Construction Drawings
2. $480 application fee
3. Fast Track Application
4. USGS Topographic Map
5. Aerial Map
6. 1 Digital Submission
Please contact me if you have any questions or comments.
Sincerely,
Morris & Ritchie Associates of NC, PC
em en , P , P
Directl984-200-2103
jkeeny a)mragta.com
5605 Chapel Hill Road, Suite 112, Raleigh, NC 27607 [phone] www.mragta.com
Abingdon, MD ♦ Baltimore, MD ♦ Laurel, MD t Towson, MD Georgetown, DE ♦ New Castle, DE * Leesburg, VA t Raleigh, NC
[phone] [phone] [phone] [phone] [phone] [phone] (703) 9944047 [phone]