WQ0037167_Application (FTSE)_20140509

B.K.
JONES CONSULTING ENGINEERS, P.A.
Carolina Commerce Center
2815 North William Street, Suite E Phone: [phone]
Goldsboro, NC 27530 Lic#: C-3065 Email: [e-mail]
TRANSMITTAL SHEET
TO: FROM:
NCDENR Bryan Jones, PE
COMPANY: DATE:
Div. of Water Qual. 5/ 9 / 2014
PHONE NUMBER: TOTAL NO. OF PAGES INCLUDING COVER:
252.946.6481
FAX NUMBER: SENDER'S REFERENCE NUMBER:
252.975.3716
RE:
Oxford Plantation Apartments
MAY 2 7 2014
NOTES / COMMENTS:
Project Narrative:
A section of the existing 8" gravity sanitary sewer, within a sewer
easement, is being rerouted to accommodate a new proposed 60
apartment layout.
The existing sewer route was designed in a zig-zag pattern to fit the
layout of the older apartment building complex along Cuyler-Best
Road. Now, the rear portion of the land has been sold and the original
design layout with the zig-zag buildings has been abandoned.
This application is to relocate, within an easement, the sewer route
through the new proposed site and connect the proposed apartments
to the rerouted sanitary sewer.

• DWR
Division of Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
FAST -TRACK APPLICATION (FTA 08-13)
for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
General - When submitting this application, please use the following instructions as a checklist in order to
ensure all required items are submitted. Adherence to these instructions and checking the provided boxes will
help produce a quicker review time and reduce the amount of requested additional information.
For more information, visit the Surface Water Section's Collection Systems website or;
contact the Regional Office serving your county
Unless otherwise noted, the Applicant shall submit one original and one copy of the application and supporting
documentation to the appropriate Regional Office (see page 3).
A. Cover Letter:
Ca' Include a brief project narrative describing the final design (i.e system and/or pump station to ultimately
serve 500 homes, but flow for only 100 homes being requested now). For modifications, clearly explain
the reason for the modification (i.e. adding another phase, changing line size, length, etc).
B. Application Form (FTA 08-13):
Er Submit the completed and appropriately executed Fast -Track (FTA 08-13) Application. Any
unauthorized content changes to this form shall result in the application being returned. If necessary
for clarity or due to space restrictions, attachment to the application may be made, as long as the
attachments are numbered to correspond to the section and item to which they refer. You do not need
to submit detailed plans and specifications unless you respond NO to item B(13).
CVThe Professional Engineer's Certification of the application shall be signed, sealed and dated by a
North Carolina licensed Professional Engineer.
i - The Applicant's Certification of the application shall be signed in accordance with 15A NCAC 02T
.0106(b). Per 15A NCAC 02T .0106(c), an alternate person may be designated as the signing official if
a delegation letter is provided from a person who meets the criteria in 15A NCAC 02T .0106(b).
C. Application Fee:
12/ Submit a check in the amount of $480 to: North Carolina Department of Environment and Natural
Resources (NCDENR).
Checks shall be dated within 90 days of application submittal.
D. Certificate of Public Convenience and Necessity (For Privately -Owned Public Utilities Only):
❑ Per 15A NCAC 02T .0115(a)(1), provide two copies of the Certificate of Public Convenience and
Necessity from the North Carolina Utilities Commission demonstrating the Applicant is authorized to
hold the utility franchise for the area to be served by the sewer extension, or
❑ Provide two copies of a letter from the North Carolina Utilities Commission's Water and Sewer Division
Public Staff stating an application for a franchise has been received and that the service area is
contiguous to an existing franchised area or that franchise approval is expected.
❑ The project name in the CPCN or letter must match that provided in Item A(2)a of this application.
E. Operational Agreements (For Home/Property Owners' Associations and Developers of lots to be sold):
➢ Home/Property Owners' Associations
❑ Per 15A NCAC 02T .0115(c), submit the properly executed Operational Agreement (HOA 08-13).
❑ Per 15A NCAC 02T .0115(c), submit a copy of the Articles of Incorporation, Declarations and By-laws.
➢ Developers of lots to be sold
❑ Per 15A NCAC 02T .0115(b), submit the properly executed Operational Agreement (DEV 08-13).
Even if the project may be turned over to a municipality upon completion, Form DEV 08-13 is required.
INSTRUCTIONS FOR APPLICATION FTA 08-13 & SUPPORTING DOCUMENTATION Page 1 of 6

F. • Downstream Sewer, WWTF Capacity and Flow Tracking/Acceptance Form (FTSE 08-13)
Er Submit the completed and appropriately executed Flow Tracking/Acceptance for Sewer Extension
Permit (FTSE 08-13) Form for all applications.
➢ The applicant (and owners of downstream sewers, pump stations and/or treatment facilities submitting
form FTSE 08-13 certifies that the addition of the volume of wastewater to be permitted in this project
has been evaluated along the route to the receiving treatment plant, and that the flow from this project
will not cause capacity related sanitary sewer overflows or overburden any downstream pump station
en route to the receiving wastewater treatment plant.
➢ Where the applicant is not the owner of the downstream sewer, submit two copies of form FTSE 08-13
from the owner of the downstream sewer and owner of the WWTF, if different.
➢ The flow acceptance indicated in form FTSE 08-13 must not expire prior to permit issuance and must
be dated less than one year prior to the application date.
• Submittal of this application and form FTSE 08-13 indicates that owner has adequate capacity
and will not violate G.S. 143-215.67(a).
Intergovernmental agreements or other contracts will not be accepted in lieu of a project -
specific FTSE 08-13.
G. Site Map (All Application Packages):
Ea- Submit an 8.5-inch x 11-inch color copy of a USGS Topographic Map of sufficient scale to identify the
entire project area and closest surface waters. Each map must include at a minimum:
• The location of the sewer line and pump stations and be of reproducible quality.
➢ Downstream connection points and the permit number for the receiving sewer (if known)
• Pump Station Locations and the longitude and latitude for each pump station (if applicable)
C•3' Include a street level map showing all relevant project areas.
H. Stream Classification (WSCAS 08-13)
➢ Submit the completed and appropriately executed Watershed Classification Attachment form
(WSCAS 08-13) if any portion of the sewer system project is within 100 feet of any surface water or
wetlands.
➢ A variance must be requested for encroachment within required setbacks or buffers pursuant to 15A
NCAC 02T .0305(f)
I. Environmental Assessments (Projects subject to an Environmental Assessment (EA)):
➢ Projects involving an Environmental Assessment per 15A NCAC 01 C .0408, must be submitted for a
full technical review and must be submitted to the PERCS Unit on application forms provided by the
Division.
J. Alternative Sewer Systems
• Projects involving low pressure sewer systems, vacuum sewer systems and other alternative sewer
systems must be submitted for a full technical review and must be submitted to the PERCS Unit on
application forms provided by the Division.
K. Flow Direction
➢ Many wastewater treatment systems are entering into agreements for regionalization efforts and
emergency treatment capacity. Parts of the system are installed so that the wastewater flow can be
directed to more than one treatment facility. If this is the case with the project, please indicate in B(12)
and give the permit number of the second facility.
L. Certifications — Section C
The application must be certified by both the applicant and the design engineer who is a North
Carolina Registered Professional Engineer (PE). The applicant signature must match the signing
official listed in Item A(1 b). The PE should NOT certify the application if he/she is unfamiliar with 15A
NCAC Chapter 2T, The Gravity Sewer Minimum Design Criteria (most recent version) and the Minimum
Design Criteria for the Permitting of Pump Stations and Force Mains (most recent version), as
applicable to the project.
INSTRUCTIONS FOR APPLICATION FTA 08-13 & SUPPORTING DOCUMENTATION Page 2 of 6

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
Water Quality Section
2090 US Highway 70
Swannanoa, North Carolina 28778
[phone]
[phone] Fax
Avery, Buncombe, Burke, Caldwell, Cherokee,
Clay, Graham, Haywood, Henderson, Jackson,
Macon, Madison, McDowell, Mitchell, Polk,
Rutherford, Swain, Transylvania, Yancey
Fayetteville Regional Office
Water Quality Section
225 Green Street Suite 714
Fayetteville, North Carolina 28301-5094
[phone]
[phone] Fax
Anson, Bladen, Cumberland, Harnett, Hoke,
Montgomery, Moore, Robeson, Richmond,
Sampson, Scotland
Mooresville Regional Office
Water Quality Section
610 E. Center Avenue
Mooresville, North Carolina 28115
[phone]
[phone] Fax
Alexander, Cabarrus, Catawba, Cleveland,
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
Stanly, Union
Raleigh Regional Office
Water Quality Section
1628 Mail Service Center
Raleigh, North Carolina 27699-1628
[phone]
[phone] Fax
Chatham, Durham, Edgecombe, Franklin,
Granville, Halifax, Johnston, Lee, Nash,
Northampton, Orange, Person, Vance, Wake,
Warren, Wilson
Washington Regional Office
Water Quality Section
943 Washington Square Mall
Washington, North Carolina 27889
[phone]
[phone] Fax
Beaufort, Bertie, Camden, Chowan, Craven,
Currituck, Dare, Gates, Greene, Hertford, Hyde,
Jones, Lenoir, Martin, Pamlico, Pasquotank,
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilmington Regional Office
Water Quality Section
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
[phone] Fax
Brunswick, Carteret, Columbus, Duplin, New
Hanover, Onslow, Pender
Winston-Salem Regional Office
Water Quality Section
585 Waughtown Street
Winston-Salem, North Carolina 27107
[phone]
[phone] Fax
Alamance, Alleghany, Ashe, Caswell, Davidson,
Davie, Forsyth, Guilford, Rockingham, Randolph,
Stokes, Surry, Watauga, Wilkes, Yadkin
INSTRUCTIONS FOR APPLICATION FTA 08-13 & SUPPORTING DOCUMENTATION Page 3 of 6

•
USE THE TAB KEY TO MOVE FROM FIELD TO FIELD
Application Number: \ _ ( ' oo 1 / 7
(to be completed by DWR) V� �4W
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1. Owner/Permittee: 0 ,1..d
pl`,1 L GC
1a.
Full Le al Name (c mu icipality, HOA,Autility, etc.)
1 b. re ,/d A-- j� ® r--
Signing OfficiName and Title (Please
1 c. The legal entity who will own this system
review A NCAC 2T .0106 (b) for authorized
signing officials)
is:
• Individual ■ FederalE Municipality • State/County IIIPrivate
Partnership ■ Corporation ■ Other (specify):
1d. #0..D, & lg kg/ le. Zq'e T< t,_
Mailing Address
1f. ift/, A./.-7,(/),4.,
City
1g. 2?4.l�
State Zip Code
el veficQS'.c-»-,-
1h. e7. SSDSsg 1i. 7M-1Si �h063' 1j. qs
Facsimile
2. Project Facility) Information:
--mail
2b. Wayne
2a. ®l(' 7Yw lidoiT/lidrl
Brief Project Name (permit will refer to
3. Contact Person:
this name) County Where Project is Located
3a.
Name and Affiliationof Someone Who Can Answer Questions About this Application
3b.4rvi 7/ides 9(9- -O3Ff5 ee/ 3c. j iib'dr-s
cfrLtr1 t Ds
PhonVNumber E-mail
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1. Project isigl New • Modification (of
an existing permit)
If Modification, Permit No.:
2. Owner is gl Public (skip to Item B(3))
(go to Item 2(a))
►'I Private
2a. If private, applicant will be:
single office, etc.)
- skip to Item B(3))
- go to Item B(2b))
2b. If sold facilities owned by a (must choose one)
(Instruction D)
Assoc./Developer (Instruction E)
• Retaining Ownership (i.e. store, church,
or • Public Utility
►� Leasing units (lots, townhomes, etc.
• Homeowner
■ Selling units (lots, townhomes, etc.
3. City of Goldsboro
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
Goldsboro Wastewater Treatment Plant 4b. NC0023949
Name of WWTF WWTF Permit No.
5a. City of Goldsboro 15b. 8" ►1 Gravity 15c. WQ0031218
Owner of Downstream Sewer Receiving
6. The origin of this wastewater is (check
Sewer Size ;■ Force
Main Permit # of Downstream Sewer (Instruction F)
all that apply):
shopping centers)
100% Domestic/Commercial
• Residential Subdivision
• Retail (Stores,
% Industrial
►1 Apartments/Condominiums
• Institution
■ Hospital
• Mobile Home Park
(Attach Description)
% Other
• School
• Church
• Restaurant
• Nursing Home
• Other (specify):
• Office
(Attach Description)
7. Volume of wastewater to be allocated
or permitted for this particular project: 17,280 gallons per day
*Do not include future flows or previously permitted allocations
8. If the permitted flow is zero, indicate why:
Line where flow will be permitted in subsequent
Permit No.
permits that connect to this line
■ Pump Station, Outfall or Interceptor
• Flow has already been allocated in
• Rehabilitation or replacement of existing
(see 15A NCAC 02T .0303
sewer with no
to determine if a
new flow expected
permit is required)
FTA 08-13 APPLICATION
Page 4 of 6

B. PERMIT INFORMATION (CONTINUED)
9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2T .0114 for
the value in Item B(7) AND/OR the design flow for line or pump station sizing if a reduced or zero flow is being requested in
Item B(7). Values other than that in 15A NCAC 2T .0114 (b) and (c) must be supported with actual water or wastewater use
data in accordance with 15A NCAC 2T .0114 (f).
Oxford Plantation apartments Design Flow = 120gpd x 144 bedrooms = 17,280gpd;
8" dia. max half full, S(min) = 0.4%, N-0.013
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches)
8
Length (feet)
New Gravity or Additional
Force Main
690' +/- Rerouted Gravity
11. Summary of Pump Stations w/ associated Force Mains to be Permitted (attach additional sheets as necessary)
Pump Station Location ID: (self chosen - as shown on plans/map for reference)
Longitude: Latitude:
Design Flow
(MGD)
Operational Point Power Reliability Option
GPM @TDH 1 - permanent generator w/ATS;
2 - portable generator w/MTS
Force Main Size
Force Main Length
Pump Station Location ID: (self chosen - as shown on plans/map for reference)
Longitude: Latitude:
Design Flow
(MGD)
Operational Point Power Reliability Option
GPM @TDH 1 - permanent generator w/ATS;
2 - portable generator w/MTS
Force Main Size
Force Main Length
12. Will the wastewater flow in the proposed sewer lines or pump stations be able to be directed to another treatment facility?
D Yes ❑ No If Yes, permit number of 2nd treatment facility :
(RO — if "yes" to 6,12 please contact the Central Office PERCS Unit)
13. Does the sewer system comply with the Minimum Design Criteria for the Permitting of Pump Stations and Force Mains
(latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC Chapter 2T as applicable?
❑ Yes ❑ No If No, please reference the pertinent minimum design criteria or regulation and indicate why a
variance is requested. SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS
PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
FTA 08-13 APPLICATION Page 6 of 6

14. Have the following permits/certifications been submitted for approval for the system or project to be served?
Wetland/Stream Crossings - General Permit or 401Certification? ❑ Yes ❑ No ® N/A
Sedimentation and Erosion Control Plan? ® Yes ❑ No El N/A
Trout Buffer Waiver? ❑ Yes ❑ No ® N/A
Stormwater? ® Yes ❑ No ❑ N/A
15. Does this project include any high priority lines (15A NCAC 02T .0402 (2)) involve aerial lines, siphons, or interference
manholes)? These lines will be considered high priority and must be checked once every six months
Check if Yes: ❑ and provide details:
C. CERTIFICATIONS
1. Owner/Permittee's Certification:(Signature of Signing Official and Project Name)
1, 4,--(1�/� �D(,�Cs , attest that this application for Oxford Plantation,Z (' has been
reviewed by e 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. Note: In accordance with North Carolina General
Statutes 143-215.6A and 143-215.68, any person who knowingly makes any false statement, representation, or
certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine not to exceed $10,000
as well as ggiyil s up$25,000 per violation.
1 a.
Signing Officjal)Sigriature
+A 1,1
Date
ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY
TO OTHER UTILITIES, DESIGN CALCULATIONS, ETC. REFER TO 15A NCAC 02T .0305
2. Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
I, Bryan K Jones, PE ,attest that this application for Oxford PlantationtLLe has
been reviewed by me and is accurate, complete and consistent with the information in the engineering plans, 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, Gravity Sewer Minimum Design
Criteria for Gravity Sewers adopted February 12, 1996, and the Minimum Design Criteria for the Fast -Track Permitting of
Pump Stations and Force Mains adopted June 1, 2000 and the watershed classification in accordance with Division
guidance. 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 NC General Statutes 143-215.6A and 143-215.68, any person who
knowingly makes any false statement, representation, or certification in any application 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.
2a. Bryan K Jones, PE
Professional Engineer Name
2b. Bryan K Jones Consulting Engineers, PA
Engineering Firm
2c. PO Box 10882
Mailing Address
2d. Goldsboro
City
2g. 919-221-5222 2h.
Telephone Facsimile E-mail
2e. NC 2f. 27532
State Zip
2i. [e-mail]
O.• •OSI
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NC PE Seal, Signature & Date
• • 4yN•KS(
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FTA 08-13 APPLICATION Page6 of 6

OF W A T F9 State of North Carolina
� QG Department of Environment and Natural Resources
Division of Water Quality
Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE —10/07)
Project Applicant Name: Harrison Enterprises Rentals, LLC
Project Name for which flow is being requested: Oxford Plantation
More than one FTSE-10/07 may be required for a single project if the owner of the WWTP is not responsible for all
pump stations along the route of the proposed wastewater, flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: City of Goldsboro Water Reclamation Facility
b. WWTP Facility Permit #: NC 0023949
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. 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
14.2
1.535
8.804
0.01728
10.35628
72.93 %
II. 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
Pump Station Name Approx. Capacity, MGD Approx. Current Avg.
(Firm/Design) Daily Flow, MGD
Westbrook Pump Station
18 md/firm 8.81
III. Certification Statement:
I, Scott A. Stevens , certify that, to the best of my knowledge, 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. 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 II for which I am he responsbllparty. Signature of this form indicates
acceptance of this wastewater flow.
Signing Official Signature ity Manager [)ate

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Produced by the United States Geological Survey
1 67'30•
in cooperation with the North Carolina Department
of Environment and Natural Resources
Topography compiled by photogrammetrlc methods from aerial
photographs taken 1977. Planimetry derived from imagery taken
1998 and other sources. Survey control current as of 1979
North American Datum of 1983 (NAD 83). Projection and
1 000-meter grid: Universal Transverse Mercator, zone 18
2 500-meter ticks: North Carolina Coordinate System of 1983
North American Datum of 1927 (NAD 27) is shown by dashed
corner ticks. The values of the shift between NAD 83 and
NAD 27 for 7.5-minute intersections are obtainable from
National Geodetic Survey NADCON software
190MILj I
SP
ON
1. 42'
30 MILS
1
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1
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SCALE 1:24 000
K1t0M0TER 1
METERS 1000
OS 0
110 2000 3000FEET
a1u0 :am
1003
MILES
6000
CONTOUR INTERVAL2METERS
2
2000
1
7020 BOW WOO f0000

�!4 cA'
Existing sanitary sewer (between squares 650 ft +/-), from proposed realignment tie-in to the
Goldsboro, sewer to be tested by pulling a mandrel through the line. Then both the re-
aligned section & the tested section to be dedicated to the City of Goldsboro within a 20 ft
esasement.
Property Line
Oxford Plantation
103 •
101
1 Ca.
•�:
The data represented on this map has been compiled by the best
methods available. Accuracy is contingent upon the source information
6, as compiled by various agencies and departments both internal and
# external to the City of Goldsboro, NC. Users of the data represented or.
• this map are hereby notified that the primary information sources shook'.
. ` be consulted for verification of the rnformatii "ontained herein. TN- 'rty
Of Goldsboro and the companies contracted to develop these data assume
4<1 no legal responsibilities for the inforration or accuracy contained on this
map. It is strictly forbidden to sell or reproduce these maps or data for any
reason without the written conser,t of the City of Goldsboro.
Proposed Sewer Re -alignment
Remove existing sewer between.
Existing Sewer from Cuyler-
Best Rd. to across Soney
Creek stream
140 0111506
140 4 504
6
1 inch = 200 feet
R