WQ0043001_Application (FTSE)_20220707

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Don of Water Resources FTA 06-21 & SUPPORTING DOCUMENTATION
Application Number: WV A.4 3 dal (to be completed by DWR)
I.A0 D
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. 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(h?
Title: Director of Utilities
4. Applicant's mailing address: 309 E. Market Street PO Box 2263
�`'�ePt+�f J�vironu�4nta1 ualitx
City. Smithfield State: NC Zip: 27577 Q
5. Applicant's contact information:
Phone number: 919) 989-5100 Email Address: [e-mail]
II. PROJECT INFORMATION: Raleigh Regional Office
I. Project name: Cleveland Apartments Gravity Sewer Extension
2. Application/Project status: ❑ Proposed (New Permit) ® Existing Permit/Project
If a modification, provide the existing permit number: WQ0043001 and issued date: 12 13 2021,
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: WQDO
3. County where project is located: Johnston County
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.56675 1` Longitude:-78.529671
5. Parcel ID (if applicable): 06EO3199D (or Parcel ID to closest downstream sewer)
111. CONSULTANT INFORMATION:
I. Professional Engineer: Kimberly C. Rineer P.E. License Number: 025511
Firm: Johnston County Public Utilities
Mailing address: 309 E. Market Street PO Box 2263
City: Smithfield State: NC Zip: 27577
Phone number: [phone] Email Address: [e-mail]
1V. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name. Central Johnston County Regional Wastewater Facility Permit Number: NCO030716
Owner Name: Johnston County
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): W00028844
2. Downstream (Receiving) Sewer Information: 8 inch ® 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
Asheville Re Tonal Office
Water Quality Section
ADDRESS
2090 US Highway 70
Swannanoa, North Carolina 28778-8211
[phone]
828 299 7043 F
i
Fayette ille Regional Office 1 225 Green Street Suite 714
Water Quality Section Fayetteville, North Carolina 28301-5095
[phone]
[phone] Fax
Mooresville Regional Office
Water Quality Section
Raleigh Reaional Office
Water Quality Section
Washington Regional Office
Water Quality Section
Wilmington Regional Office
Water Quality Section
Winston-Salem Regional Office
Water Quailly Section
610 E. Center Avenue
Mooresville, North Carolina 28115
[phone]
[phone] Fax
3800 Barrett Drive
Raleigh, North Carolina 27609
[phone]
[phone] Fax
T43 Washington Square Mall
Washington, North Carolina 27889
[phone]
[phone] Fax
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
[phone] Fax
COUNTIES SERVED
Avery, Buncombe, Burke, Caldwell, Cherokee,
Clay, Graham, Haywood, Henderson, Jackson,
Macon, Madison, McDowell, Mitchell, Polk,
Rutherford, Swain, Transylvania, Yancey
Anson, Bladen, Cumberland, Harnett, Hoke,
Montgomery, Moore, Robeson, Richmond,
Sampson, Scotland
Alexander, Cabarrus, Catawba, Cleveland,
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
Stanly, Union
Chatham, Durham, Edgecombe, Franklin,
Granville, Halifax, Johnston, Lee, Nash,
Northampton, Orange, Person, Vance, Wake,
Warren, Wilson
Beaufort, Bertie, Camden, Chowan, Craven,
Currituck, Dare, Gates, Greene, Hertford, Hyde,
Jones, Lenoir, Martin, Pamlico, Pasquotank,
Perquimans, Pitt, Tyrrell, Washington, Wayne
Brunswick, Carteret, Columbus, Duplin, New
Hanover, Onslow, Pender
450 W. Hanes Mill Road Alamance, Allegheny, Ashe, Caswell, Davidson,
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

.NERAL 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 Developer's Overationa[ Agreement FARM: DEV_M been attached?
❑ Yes ❑ No ® NIA
3. If the Applicant is a Home/Property Owners' Association, has an HOA/PQA Operatignpi Agreement 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 preparation/service ❑ Hotel and/or Motels
❑ School! preschool), day care ❑ Medical / dental? veterinary facilities ❑ Swimming PoolfClubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
❑ Businesses,' offices i factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic _ . % Commercial % Industrial (See 15A NCAC 02T D1I}3(20))
If Industrial, is there a Pretreatment Program in effect? ❑ Yes❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .01140)? ❑ Yes ® No
➢ If yes, iwovidea copy of flow reduction approval letter with this application
7. Summarize wastewater generated by project, -
Establishment Type (see 02T.0I14(f))
Daily Design Flow',e
No. of Units
Flow
gall
GPD
gall
GPD
gall
GPD
gall
GPD
gall
GPD
gall
GPD
Total
GPD
a See 15A NCAC: 02T .0114(b), (d), (e)(1) ano. (pX2) 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 02T.0114] shall be
determined using available flow data, water using fixtures, occupancy or operation pattems, 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

VI1. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
V
1. Summarize gravity sewer to be permitted:
Size (inches)
12"
Length (feet) Material ,>
400' 1 PVC
➢ Section 11 & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section HI 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) — 02T .0 & 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:
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 2.0IC. l.b. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with 15A NCAC 02T .0305(NO):
❑ 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

f
X. CERTIFICATIONS: f
1. Does the submitted system comply with 15A NCAC 02T, the Minimum. Design Criteria for -the perm'
and Force Mains (latest version), and the Gravity Sewer Minimum Design Criteria (latest version) as F ^-
® Yes ❑ No
If no, for projects requiring a single variance, complete and submit the Variance/Alternative De
(VADC 10-14) and supporting documents for review to the Central Office. Approval of Rhe
concurrently with the approval of the permit, and projects requiring a variance approval may be subiece
review times. For projects requirinit 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, ^�, on borlu (�, PtA."/. , attest that this application for V &'
(Professional Engmce name from Application Item I1I.1.) {Project Name om Application Item II. I )
4LW t e- E Xl"_t
has been reviewed by me and is accurate, complete and consistent with the information supplie 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 Permitting
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: %q :-%jC1�CAlq'ilk
:Q
S AL _
i 025511
9.
3. Applicant's Certification per 15A NCAC 02T .0106(b):
1, Nimm- �, . � � , attest that this application for C�98AJJA Ap"AM�C
(Signature Authority Name from Application Item 1.3.) Project ae om Appli
mcation Item 11.1) �
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 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: CL6 , ]�L_
Date:
FORM: FTA 06-21 Page 5 of 5

1$ACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
5 the prof ect comply with all separations/alternatives found in 15A CA ? ® Yes ❑ No
15A NCAC 02T.0305 contains minimum separations that shall be provided_far sewers stems:
Setback Parameter* I Separation Required
se -veers and other utilities not listed below (vertical) 18 inches
Sta a��r rr3ains (vertical -water over sewer preferred, including in benched trenches) 18 inches
��r t —r n7aains (horizontal) 10 feet
1gjimed water lines (vertical - reclaimed over sewer) 18 inches
¢� ,1 �imad water lines (horizontal -reclaimed over sewer) 2 feet
At-,y 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
v/ aters classified WS (except WS-1 or WS-V), B, SA, ORW, HQW, or S13 from normal
high -water (or tide elevation) and wetlands associated with these waters (see item IX.2) 50 feet
Amy other stream, lake, impoundment, or ground water lowering and surface drainage
d1tohes, os well as wetlands associated with these waters or classified as WL. 10 feet
-Any building foundation (horizontal) 5 feet
basement (horizontal) 10 feet
T op 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 cailli grade (vertical) 36 inches
y If noncompliance with 02T.0305 (t} or W. see Section X.1 of this application
* L5 A N CAC 02T {�305 1 contains alternatives where separations in02T.0305(cannot be achieved. Please check "yes"
above if these alternatives are used and provide narrative information to explain.
**Strearn classifications can be identified using the Division's NC Surface Water Classifications webpage
Does this prjectorrply with the minimum separation requirements for water mains? ®Yes ❑ No ❑ N `A
2• ➢ If nofipfease refer,to l SA NCAC 18C.0906(f) for documentation requirements and submit a separate document,
signed/sealed by ah NC licensed PE, verifying the criteria outlined in that Rule.
goes the projectlcomply �with rseparation requirements for wetlands? ❑ Yes ❑ No ® N'A
3. Please rovide supplementary information identifying the areas of non-conformance.
➢ 4�..s.. pP ry fy� g
y See tWe Oiblsio0's dratt sp ion requirements for situations where separation cannot be met.
y No variance isrregd— d 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. N['AC 02B .0200? ❑ Yes ❑ No
y This includes Trout Buffered Streams per 15A NCAC 213.0202
5 poes the project require coverage authorization under a 404 Nationwide. -individual permits ❑ Yes ® No
or 401 Water Quality Certifications?
➢ Please provide the permit number'penmitting status in the cover letter if coverage?authorization is required.
6 poes project comply with 15A NCAC'. 02T.0105(c)(6) (additional permitsfcertifications)? ® Yes ❑ No
per L5A 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.).
poes this project include any sewer collection lines that are deemed "high -priority?" ❑ Yes ® No
per L A 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).
Iligh 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.
pORM: FrA 06-21 Page 4 of 5

evoff ° Zff"*
DEPARTMENT OF PUBLIC UTILITIES
Post Office Box 2263
SMITHFIELD, NC 27577
[phone]
J'�k�.?64
May-f6, 2022 V-teL
NCDEQ Water Quality Section
3800 Barrett Drive
Raleigh, NC 27609
RE: Johnston County Public Utilities
Cleveland Apartments Gravity Sewer Extension
Fast Track Sewer System Extension Application
To Whom It May Concern:
NCDept of Eavirenmental Qual it
JUL ` 7 LVL�
Raleigh Regional Office
We respectfully submit this application package for a Fast Track Sewer System Extension Application for the Cleveland
Apartments Gravity Sewer Extension project. This application package is to modify existing permit number WQ0043001.
The original permitted 317 linear feet of 8-inch PVC sanitary sewer, one 4' manhole, and 2 cleanouts. The modification is
for approximately 400 linear feet of 12-inch PVC sanitary sewer, and one 4' manhole_
Included in this submittal are two copies (one original, one copy) of the following
documentation:
• Fast Track Application (Form: FTA 06-21)
• USGS Quad Maps
• Project Narrative
• Check No. 122691 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
Kimberly Rineer, P.E.
CC' Chandra Farmer, Johnston County
Mike Keen, Johnston County

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DESIGN NARRATIVE
FOR
FAST TRACK SANITARY SEWER PERMIT
JOHNSTON COUNTY PUBLIC UTILITIES
N` DeAt"E4vironntental
Quality
JUL
cv�
Ralcigh Regional of�c
e
CLEVELAND APARTMENTS GRAVITY SEWER EXTENSION
309 E. Market St.
Smithfield, North Carolina 27577
JCPU Project # 21-092-5
May 2022

DESIGN NARRATIVE
1.0 PROJECT DESCRIPTION
The Cleveland Apartments Gravity Sewer Extension project will install approximately 400 linear
feet of 12-inch PVC sanitary sewer from an existing manhole to a cut -in proposed 4' manhole.
The proposed 4' manhole will be cut into an existing gravity sewer line that runs parallel to
Cleveland Road (SR 1010). The proposed gravity sewer line's purpose is to divert flow from the
aging system at the rear of the property to the newer system at the roadway providing a more
reliable sanitary sewer service to Cleveland School Apartments and surrounding facilities. The
work will take place entirely on County -owned property.
2.0 EXISTING SYSTEM
The existing collection system in this area is aging. It was originally built to serve the school but
since that time several other facilities have been added and the school has been converted to
private apartments. The system is failing and causing issues for all facilities tied to it.
3.0 PROPOSED ADDITIONS
The proposed construction will add approximately 400 linear feet of 12-inch PVC
sanitary sewer and a 4' manhole. The pipeline will be laid at a .22% grade for 307 linear feet and
.31% grade for 93 linear feet. No new flow is expected. The downstream WWPS will remain the
Josephine WWPS (WQ0028867).