WQ0037181_Application (FTSE)_20140330

BOHLER
ENGINEERING NC, PLLC
May 30, 2014
Via: FedEx
NCDENR
943 Washington Square Mall
Washington, NC 27889
Attn: Mr. Allen Clark
4011 WestChase Blvd., Suite 290
Raleigh, NC 27607
PHONE [phone]
FAX [phone]
Re: Proposed Walmart Neighborhood Market # 7340
Application for Sanitary Sewer Extension Permit
Intersection of Wayne Memorial Hwy and Tommy's Rd
Goldsboro, NC
Wayne County
BEI #NCC138149
Dear Mr. Clark:
Walmart Real Estate Business Trust is proposing to construct a 41,117 sf Walmart Neighborhood Market Store and 192 sf gas kiosk at the
referenced location. Based upon our previous discussions, the design flow of 4,131 GPD for this proposed facility is based upon a 100
GPD/1000 sf design flow rate. The design sewer flow for this project (as shown in Section B.9 of the FTA 08-13 Application form) was
calculated as follows:
Total Building Area = 41,117 sf+ 192 sf= 41,309 sf
Design Flow = (41,309/1000) x 100 = 4,130.9 GPD use 4,131 GPD
This project has been reviewed and approved with the local sewer authority (City of Goldsboro) and has been designed in accordance with
their standards. In support of this application, enclosed please find the following documents for your review and approval for the proposed
sanitary sewer system:
• One (1) copy of the Construction Drawings (Sheet C-1, N-1, DM-1, C-2, C-3, C-4, C-5, C-7, C-8, C-10, D-1, D-2, D-3, D-4, D-
5), last revised April 11, 2014
• One (1) copy of the Sanitary Sewage Systems & Sewer Manhole Specifications dated April 14, 2014
• One (1) copy of the Sewer Application (FTA 08-13)
• One (1) copy of the Watershed Classification Attachment Form WSCAS 08-13
• One (1) copy of the Flow Tracking/Acceptance for Sewer Extension Applications (FTSE 08-13)
• One (1) copy of the USGS Quadrangle Location Map
• A Fee Check (No. 001044) in the amount of $ 480.00
Please let me know if you will need any additional information for the sewer extension permit for this development. Feel free to call me at
919-818-3141 if you have any questions. Thank you for your assistance with this project.
enc.
Sincerely,
BOH ER ENGINEERING, IIVC.I W
eter C. ellantoni, P.E.
JUN - 3 2014
CIVIL AND CONSULTING ENGINEERS • PROJECT MANAGERS • ENVIRONMENTAL CONSULTANTS • LANDSCAPE ARCHITECTS
www.BohLerEngineering.com

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 rma • . �,'`�
For more information, visit the Surface Water Section's Collection Systems website or;
contact the Regional Office serving your county
JUN - 3 23A
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 6). � /�+ f =1 r•
, q
'w
V mow':
A. Cover Letter:
D 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):
❑ 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).
❑ The Professional Engineer's Certification of the application shall be signed, sealed and dated by a
North Carolina licensed Professional Engineer.
❑ 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: = - b A t ;
O Submit a check in the amount of $480 to: North Carolina Departr trpi i�imbotia�' �ictNatural
Resources (NCDENR).
➢ Checks shall be dated within 90 days of application submittal_
D. Certificate of Public Convenience and Necessity (For Privately -Owned Public Utilities Only):
❑ Per 15A NCAC 02T .0115(a)(1), provide two copies of the Certific I>c—O�1Nc$ and
Necessity from the North Carolina Utilities Commission demonstratinc�t e. A p leant' 6t1 c rifled 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 01-12 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)
• 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):
➢ 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)
p Include a street level map showing all relevant project areas.
H. Stream Classification (WSCAS 08-13)
p 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 01C .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(1b). 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

USE THE TAB KEY TO MOVE FROM FIELD TO FIELD
1. Owner/Permittee:
la. City of Goldsboro
Full Legal Name (company, municipality, HOA, utility, etc.)
Application Number: v/aV(�
(to be completed by DWR) ` ♦ � 1
• 1 b. Scott A. Stevens, Goldsboro City Manager
Signing Official Name and Title (Please review 15A NCAC 2T .0106 (t) for authorized signing officials)
Q lc. The legal entity who will own this system is:
2 ❑ Individual ❑ Federal ® Municipality ❑ State/County ❑ Private Partnership ❑ Corporation ❑ Other (specify):
Ce
O 1 d. 200 N Center Street _ _1 e. Goldsboro
IL Mailing Address City
Z 1f. NC 1g. 27530
Z State Zip Code
0 1h_ 919-580-4330 1i. 919-580-4344 1j. [e-mail]
H Telephone Facsimile E-mail
U 2. Proiect (Facility) Information:
,J 2a. Walmart Store #7340 2b. Wayne
CL Brief Project Name (permit will refer to this name) County Where Project is Located
Cl" Q 3. Contact Person:
Q 3a. Peter Bellantoni, PE (Bohler En neenng NC, PLLC)
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b. 919-578-9000 3c. [e-mail]
Phone Number E-mail
1. Project is ® New ❑ Modification (of an existing permit) If Modification, Permit No.:
B. PERMIT INFORMATION
2. Owner is ® Public (skip to Item B(3)) 0 Private (go to Item 2(a))
2a. If private, applicant will be:
❑ Retaining Ownership (i.e. store, church, single office, etc.) or
❑ Leasing units (lots, townhomes, etc. - skip to Item B(3))
❑ Selling units (lots. townhomes, etc. - go to Item B(2b))
3. City of Goldsboro
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
4a. City of Goldsboro 4b, NC0023949
Name of WWTF WWTF Permit No.
5a. City of Goldsboro 5b. 15" ® Gravity 5c. NC0023949
Owner of Downstream Sewer Receiving Sewer Size ❑ Force Main Permit # of Downstream Sewer (Instruction F
6. The origin of this wastewater is (check all that apply):
2b. tf sold, facilities owned by a (must choose one)
❑ Public Utility (Instruction D)
❑ Homeowner Assoc./Developer (Instruction E)
❑ Residential Subdivision
❑ Apartments/Condominiums
0 Mobile Home Park
❑ School
❑ Restaurant
0 Office
® Retail (Stores, shopping centers)
❑ Institution
0 Hospital
0 Church
0 Nursing Home
0 Other (specify):
100% Domestic/Commercial
industrial
(Attach Description)
% Other
(Attach Description)
7. Volume of wastewater to be allocated or permitted for this particular project: 4131 gallons per day
*Do not include future flows or previously permitted allocations
8. If the permitted flow is zero, indicate why:
0 Pump Station, Outfall or Interceptor Line where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit No.
0 Rehabilitation or replacement of existing sewer with no new flow expected
(see '5A NCAC 02T .0303 to determine if a permit is required)
FTA 08-13 APPLICATION Page 3 of 6

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).
4131 GPD This flow is based on 41,309 sf of retail area (41,117 sf main bldg & 192 sf gas kiosk) and the daily design flow
rate of 100 GPD/1000 sf (shopping center & stores without food servicce) . Use of this daily design flow rate was discussed
with Michael Leggett of NCDENR. Based on discussions with DENR, it was determined that the 130 GPD/1000 sd
(Shopping centers & Malls with food service) daily design flow would be excessive for this application
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches)
15"
Length (feet)
± 935
New Gravity or Additional
Force Main
Gravity
CI
LU
Z
11. Summary of Pump Stations w/ associated Force Mains to be Permitted (attach additional sheets as necessary)
Z
O Pump Station Location ID: (self chosen - as shown on plans/map for reference)
U
Longitude: Latitude:
Z
O
Design Flow Operational Point Power Reliability Option
Q (MGD) GPM @TDH 1 - permanent generator w/ATS; Force Main Size
2 - portable generator w/MTS
c
0
LL
Pump Station Location ID: (self chosen - as shown on plans/map for reference)
1--
• Longitude: Latitude:
W Design Flow Power Reliability Option
a (MGD) Operational Point 1 - permanent generator w/ATS; Force Main Size Force Main Length
GPM @TDH 2 - portable generator w/MTS
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?
❑ Yes ® No If Yes, permit number of 2nd treatment facility :
(RO — if "yes" to B,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 4 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?
Sedimentation and Erosion Control Plan?
Trout Buffer Waiver?
Stormwater?
® Yes ❑ No ❑ N/A
® Yes ❑ No ❑ N/A
❑ Yes ❑ No ®N/A
® Yes ❑ No ❑ N/A
15. Does this project include any high priority fines (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:
1. Owner/Permittee's Certification: (Signature of Signing Official and Project Name)
1a
-73 /+-o
1, Scott A. Stevens , attest that this application for Walmart Store # 7+39-
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. Note: In accordance with North Carolina
General Statutes 143-215.6A and 143-215.6B, 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 p o $25,000 per violation.
Sigriin. Official Signature
Date
ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY
f/) TO OTHER UTILITIES, DESIGN CALCULATIONS, ETC. REFER TO 15A NCAC 02T .0305
Z
O
Q2, Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
0
1—
Li
1, Peter Bellantoni ,attest that this application for Walmart Store # 0 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. 1 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 ! 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 143-215.6B, 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. Peter Bellantoni, PE
Professional Engineer Name
2b. Bohler Engineering NC, PLLC
Engineering Firm
2c. 4011 Westchase Blvd, Suite 290
Mailing Address
2d. Raleigh
City
2g. 919-578-9000
2h. 919-703-2665
Telephone Facsimile
2e. NC 2f. 27607
State Zip
2i. [e-mail]
E-mail NC PE Seal, Signature & Date
FTA 08-13 APPI-ICATION Page 5 of 6

THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION (ORIGINAL AND COPY) SHALL BE
SUBMITTED TO THE APPROPRIATE REGIONAL OFFCE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
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
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
610 E. Center Avenue, Suite 301
Mooresville, North Carolina 28115
[phone]
[phone] Fax
Alexander, Cabarrus, Catawba, Cleveland,
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
Stanly, Union
Raleigh Regional Office
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
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
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
[phone] Fax
Brunswick, Carteret, Columbus, Dublin, New
Hanover, Onslow, Pender
Winston-Salem Regional Office
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
FTA 08-13 APPLICATION Page 6 of 6

Reference: Northeast Goldsboro Quadrangle 2001
SCALE: 1" = 24000'
DATE: 11/7/2013
DRAWN BY: JKM
PROJECT
NO
1054-13-378E
S&ME
WWW.SMEINC.COM
VC ENGINEER LICENSE#F-0176
3201 SPRING FOREST RD. RALEIGH, NC 27616
MOrdpo. ,
2001 Topographic Map
Proposed Retail Store
Goldsboro. Wayne County. NC
FIGURE NO.
1

F�1FR State of North Carolina
OG Department of Environment and Natural Resources
r Division of Water Quality
y
Y Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE —10/07)
Project Applicant Name: City of Goldsboro
Project Name for which flow is being requested: Walmart Neighborhood Market # 7340,
Tommy's Road, Goldsboro, NC
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
1.55918
8.804
0.004131
10.367311
73.01 %
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 mgd/firm 8.81
RECEIVED
JUN - 3 2014
III. Certification Statement: r-� �(,�'� j
I, Scott A. Stevens , certify that, to the best of my knowledge, t l;adi1itiom tff lh * `
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 the re ponsible party. Signature of this form indicates
acceptance of this wastewater flow.
Sighing Official Signature
ZZ -I
ity Manager Date

Instructions for: Flow Tracking/Acceptance for Sewer Extension Permit
Applications (FTSE —10/07)
Section I
a. WWTP Facility Name: Enter the name of the WWTP that will receive the wastewater flow.
b. WWTP Facility Permit #: Enter the NPDES or Non -Discharge number for the WWTP receiving the
wastewater flow.
c. WWTP facility's permitted flow, MGD: From WWTP owner's NPDES or Non -Discharge permit.
d. Estimated obligated flow not yet tributary to the WWTP, MGD: This includes flows allocated to
other construction projects not yet contributing flow to the collection system. Flows allocated through
agreements or other contracts notyet contributing flow to the collection system are also
interlocal a ree g
g
included. For POTWs that implement a pretreatment program, include flows allocated to industrial
users who may not be using all of their flow allocation. Please contact your Pretreatment Coordinator
for information on industrial flow tributary to your WWTP.
As of January 15, 2008 the POTW should have reviewed flow allocations made over the last two
years and reconciled their flow records, to the best of their ability, so it is known how much flow has
been obligated and is not yet been made tributary to the WWTP, in accordance with local policies and
procedures employed by the reporting entity.
The obligated flow not yet tributary plus actual flow will be reconciled annually for systems at less
than 60% of permitted flow used. Annual updates shall be submitted to the appropriate Regional
Office by January 15 of each year and cover the previous calendar year.
Semi -Annual updates shall be required when the percent of permitted flow used reaches 60%. Semi-
annual time period are defined as January 1 through June 30 and July 1 through December 31. Semi-
annual updates shall be submitted to the appropriate Regional Office by July 15 and January 15 of
each year.
Quarterly updates shall be required when the percent of permitted flow used reaches 80%. Quarters
are defined as Qtrl (Jan -Feb -Mar); Qtr2 (Apr -May -Jun); Qtr3 (Jul -Aug -Sep); Qtr4 (Oct -Nov -Dec).
Quarterly updates shall be submitted to the appropriate Regional Office by April 15, July 15, October
15 and January 15 of each year.
e. WWTP facility's actual avg. flow, MGD: Previous 12 month average.
f. Total flow for this specific request, MGD: Enter the requested flow volume.
g. Total actual and obligated flows to the facility, MGD Equals [d + e + f]
h. Percent of permitted flow used: Equals [(g / c)*100]

For example:
On January 15 a POTW with a permitted flow of 6.0 MGD, reported to the Regional Office that there
is 0.5 MGD of flow that is obligated but not yet tributary. The annual average flow for 2007 is 2.7
MGD.
The first Form FTSE-10/07 submitted after January 15, 2008 may have numbers like this:
c. = 6.0 MGD
d. = 0.5 MGD
e. = 2.7 MGD
f. = 0.015 MGD
g. = 3.215 MGD
h.=53.6%
The next Form FTSE-10/07 may be updated like this:
c. = 6.0 MGD
d. = 0.515 MGD
e. = 2.73 MGD
f. = 0.102 MGD
g. = 3.349 MGD
h.=55.8%
Each subsequent Form FTSE-10/07 will be updated in the same mariner.
Section 11
List the name, approximate pump station firm (design) capacity and approximate current average flow
(previous 12 months) through the pump station for each pump station that will be impacted by the
proposed sewer extension project. Include the proposed flow for this project and other flows that have
been approved for the pump station but are not yet tributary.
Firm (design) capacity is the design average daily flow of the pump station as calculated by the design
engineer or the station capacity with the largest pump out of service as per the Minimum Design Criteria
if the design capacity is unknown.
Section III
Form FTSE-10/07 must be signed by the appropriate official as per 15A NCAC 02T .0106.

SANITARY SEWAGE SYSTEMS SPECIFICATIONS
AT
Store #7340-00, Goldsboro, NC
Walmart Neighborhood Market & Fueling Station
Tommy's Road and Wayne Memorial Drive
Goldsboro, NC
Prepared for:
Walmart Real Estate Business Trust
Sam. M. Walton Development Complex
2001 SE 10th Street
Bentonville AR, 72716-5570
Prepared by:
Bohler Engineering, NC, PLLC
4011 Westchase Blvd., Suite 290
Raleigh, NC 27607
Phone: [phone]
Fax: [phone]
RECEIVED
JUN-32014
These SECTIONS 02535 and 02536 specifications have been sealed and signed by a registered
Professional Engineer as part of the overall project Civil Engineering Specification.
02535 & 02536
Goldsboro (N), NC — Store #7340-00 April 14, 2014

r
,

UniSpec — Civil (Master Site Specifications)
SECTION 02535 (33 3000) - SANITARY SEWAGE SYSTEMS
PART 1 - GENERAL
1.1 SUMMARY
A. Section Includes:
1. Sanitary sewer drainage piping, fittings, accessories, cleanouts, and bedding.
2. Connection of site sanitary sewer system to municipal sanitary sewer systems.
B. Related Requirements:
1. Section 02300 — Earthwork: Trenching, backfill, and compaction for utilities
2. Section 02536 - Sewer Manholes, Frames, and Covers
3. Section 03310 — Cast -in -place Structural Concrete
1.2 REFERENCES
101007
A. The publications listed below form a part of this specification to the extent referenced. Publications are referenced
within the text by the basic designation only.
B. ASTM International (ASTM):
1. ASTM A74 - Cast Iron Soil Pipe and Fittings
2. ASTM A746 - Ductile Iron Gravity Sewer Pipe
3. ASTM C425 - Compression Joints for Vitrified Clay Pipe and Fittings
4. ASTM C564 - Rubber Gaskets for Cast Iron Soil Pipe and Fittings
5. ASTM C700 - Vitrified Clay Pipe, Extra Strength, Standard Strength, and Perforated
6. ASTM D2241 - Poly (vinyl Chloride) (PVC) Pressure -Rated Pipe (SDR Series)
7. ASTM D2657 - Heat -Joining Polyolefin pipe and Fittings
8. ASTM D3034 - Type PSM Poly (Vinyl Chloride) (PVC) Sewer Pipe and Fittings
9. ASTM D3035 - Polyethylene (PE) Plastic Pipe Using Flexible Elastomeric Seals
10. ASTM D3139 - Joints for Plastic Pressure Pipe Using Flexible Elastomeric Seals
11. ASTM D3261 - Butt Heat Fussion Polyethylene (PE) Plastic Fittings For Polyethylene Plastic Pipe And
Tubing
12. ASTM F477 - Elastomeric Seals (Gaskets) for Joining Plastic Pipe
13. ASTM F1417 - Standard Test Method for Installation Acceptance of Plastic Gravity Sewer Lines Using
Low -Pressure Air.
C. American Water Works Association (AWWA):
1. AWWA C111 - Rubber -Gasket Joints for Ductile Iron Pressure Pipe and Fittings
2. AWWA C600 - Ductile -Iron Water Mains And Their Appurtenances
3. AWWA C900 - Polyvinyl Chloride (PVC) Pressure Pipe, 4 In. Through 12 In, For Water Distribution
4. AWWA C901 - Polyethylene (PE) Pressure Pipe, Tubing And Fittings 1/2 Inch Through 3 Inches, For Wa-
ter Distribution
5. AWWA C906 - Polyethylene (PE) Pressure Pipe And Fittings, 4 Inch Through 63 Inch, For Water Distri-
bution
1.3 SUBMITTALS
A. Project Record Documents:
1. Accurately record actual locations of pipe runs, connections, cleanouts, and invert elevations.
2. Identify and describe unexpected variations to subsoil conditions and location of uncharted utilities.
1.4 PROJECT CONDITIONS
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A. Coordinate work with termination of sanitary sewer connection outside building and connection to municipal sew-
er utility service.
PART 2- PRODUCTS
2.1 SEWER PIPE, FITTINGS, AND JOINTS
A. Polyvinyl Chloride Pipe (PVC): ASTM D 3034, rated SDR 35 unless otherwise specified by the utility company.
Pipe shall be continually marked with manufacturer's name, pipe size, cell classification, SDR rating, and ASTM
D 3034 classification.
1. Pipe joints: Integrally molded bell ends, ASTM D 3034, Table 2, with factory supplied elastomeric gaskets
and lubricant.
B. Vitrified Clay Pipe (VCP): ASTM C700: Use only if required by local jurisdiction.
1. Fittings: ASTM C700
2. Joints: ASTM C425
3. Gaskets: ASTM C425. Gaskets shall be manufactured from high grade, properly vulcanized elastomeric
compound consisting of either basic natural or synthetic rubber. Gasket manufacturing tolerances shall
comply with Rubber Manufacturer's Association tolerances for gaskets.
4. Lubricant: Suitable for lubricating joint components; no deteriorating effects on gasket or pipe material,
will not support growth of fungi or bacteria, and shall be of type recommended by gasket manufacturer.
C. Force Main:
1. High -Density Polyethylene Pipe (HDPE): AWWA C901 and C906, ASTM D3035, SDR 11 for 150 psi
pressure rating.
a. Fittings: Molded, AWWA C901 or C906.
b. Joints: Butt fusion, ASTM D2657, flanged gasket joints at interface
2. Polyvinyl Chloride Pipe (PVC): For less than 4 inches in diameter, ASTM D2241 for push -on or solvent
weld joints, and for pipe 4 inches in diameter and larger, AWWA C900, Class 150 with push -on joints.
a. Joints/Fittings: Push -on, ASTM D3139 with ASTM F477 gaskets.
b. Solvent Cement: ASTM D2564.
3. Ductile Iron Pipe (DIP): ASTM A746, Class 50, inside nominal diameter as shown on the drawings, bell
and spigot end.
a. Ductile Iron Pipe Joint Device: AWWA C111, rubber gasket joint devices.
2.2 PIPE ACCESSORIES
A. Pipe Joints: Mechanical clamp ring type, stainless steel expanding and contracting sleeve, neoprene -ribbed gasket
for positive seal.
B. Fittings: Same material as pipe molded or formed to suit pipe size and end design, in required tee, bends, elbows,
cleanouts, reducers, traps, etc.
2.3 CLEANOUTS AND MANHOLES
A. Manholes shall conform to Section 02536.
B. Lid and Frame: Provide in accordance with Section 02536. Provide traffic grade and rated covers and frames
where cleanouts and manholes are within pavement, with the letters "SSCO" or "SANITARY SEWER" respec-
tively cast into the cover.
C. Shaft Construction: Cast iron shaft of internal diameter as specified on Construction Drawings with 2500 psi con-
crete collar for cleanouts.
2.4 APPURTENANCES
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A. Trace Wire: Magnetic detectable conductor (#12 copper), brightly colored plastic covering, imprinted with "Sani-
tary Sewer Service" in large letters.
PART 3 - EXECUTION
3.1 EXAMINATION
A. Verify that trench cut and excavation is ready to receive work and excavations, dimensions, and elevations are as
indicated on Construction Drawings.
3.2 PREPARATION
A. Hand trim excavations to required elevations. Correct over excavation with bedding material.
B. Remove large stones or other hard matter that could damage pipe or impede consistent backfilling or compaction.
3.3 BEDDING
A. Excavate trench and place bedding material in accordance with Section 02300.
3.4 INSTALLATION - PIPE
A. Install type and class of pipe as shown on the drawings. Pipes shall be laid and maintained to the required line and
grade with necessary fittings, bends, manhole risers, cleanouts and other appurtenances placed at the required loca-
tions. The pipe shall be installed with uniform bearing under the full length of the barrel of the pipe. The pipe
shall be inspected for defects and cracks before being lowered into the trench. Defective, damaged or unsound
pipe, or pipe that has had its grade disturbed after laying shall be taken up and replaced. Commence installation at
lowest point with the bell end upgrade.
B. No pipe shall be laid in water or when trench conditions are unsuitable for work.
C. Pipe connecting to manholes or other structures shall terminate flush inside of the structure wall.
D. Joints for PVC and LISP shall be thoroughly lubricated with an approved lubricant before pipe sections are slipped
together. Open ends shall be fully protected with a stopper to prevent earth or other material from entering the
pipe during construction. Carefully free interior of the pipe from dirt, cement and other deleterious material as the
work progresses.
E. Maintain separation of potable water main from sewer piping at crossings a minimum of 10 feet horizontal and 18
inches vertical.
F. Install HDPE piping and fittings to AWWA C901 and C906. Butt fusion welded per ASTM D3261.
G. Route pipe in straight line parallel to roads, buildings and adjacent utilities and as shown on the drawings.
H. Establish elevations of buried piping with sufficient cover as recommended by pipe manufacturer to ensure not
less than 3 feet of cover, except as noted on drawings.
I. Form and place concrete for thrust blocks at each elbow of pipe force main. See construction drawing for details
of construction.
J. Backfill trench in accordance with Section 02300.
K. Install trace wire continuous over top of non-metal pipe. Bury 6 inches minimum below finish grade, above pipe-
line.
3.5 INSTALLATION — CLEANOUTS AND MANHOLES
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A. Form bottom of excavation clean and smooth to correct elevation.
B. For cleanouts, form and place cast -in -place concrete base pad with provision for sanitary sewer pipe to be installed
to proper elevations.
C. For manholes, construct inverts according to the following guidelines:
1. Invert channel shall be smooth and accurately shaped to a semicircular bottom to match with the inside of
the adjacent sewer section.
2. Invert channels and structure bottoms shall be shaped with mortar and lean concrete.
3. Changes in size and grade of invert shall be made gradually and evenly.
4. Changes in the direction of the sewer entering branch or branches shall have a true curve of as large a radi-
us as the manhole will permit.
D. For manholes, provide manhole rings, frame, and cover as shown on the construction drawings.
3.6 FIELD QUALITY CONTROL
A. Field quality control shall be conducted by the Contractor in accordance with Section 01452.
B. Pipes and joints shall not be completely backfilled until after inspection, testing, and approval by the Owner and
Local jurisdiction.
C. Prior to testing for leakage, the pipe trench shall be backfilled to at least the spring line of the pipe. If required to
prevent pipe movement during testing, additional backfill shall be added leaving the pipe joints uncovered to per-
mit inspection.
D. Exfiltration Test
1. Each section of sewer line between successive manholes shall be tested by closing the lower end of the
sewer to be tested and the inlet sewer of the upper manhole, using stoppers.
2. Fill the manhole and pipe with water to a point which produces a maximum of 3 feet of head above the in-
vert of the sewer at the center of the upper manhole; or if groundwater is present, 3 feet of head above the
average adjacent groundwater level.
3. The allowable leakage shall be 200 gal/inch of pipe diameter/mile/day
E. Infiltration Test
1. If excessive ground water is encountered in the construction of a section of the sewer, the exfiltration test
shall not be used.
2. The upper and lower ends of the sewer to be tested shall be closed sufficiently to prevent the entrance of
water.
3. Pumping of ground water shall be discontinued for at least 3 days; then infiltration shall be tested.
4. Infiltration into each section of sewer between adjoining manholes shall not exceed that allowed for the ex -
filtration test, except that head conditions shall be a maximum of 6 feet.
F. The Exfiltration Test may be limited to the manholes only when the authority having jurisdiction does not require
the test and the construction manager waives the test. The Infiltration Test will always be required when excessive
ground water is encountered in addition to the air test.
G. Air Test: Gravity systems shall be air tested between manholes at 3.5 psi for 5 minutes per ASTM F1417 for plas-
tic pipes.
H. Deflection Test:
1. Deflection tests shall be conducted on all plastic pipe using a mandrel with a diameter equal to 95 percent
of the inside diameter of the pipe. The test shall be performed without mechanical pulling devices.
2. Allowable Deflection: Maximum allowable pipe deflection shall not exceed 5 percent of nominal inside
diameter.
3. Mandrel: Mandrel, go/no-go, device shall be cylindrical in shape and constructed with either 9 or 16 even-
ly spaced arms or prongs. Mandrels with fewer arms will be rejected as not sufficiently accurate. Contact
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length of mandrel's arms shall equal or exceed nominal inside diameter of sewer to be inspected. Critical
mandrel dimensions shall carry tolerance of 0.01-inch maximum. Contractor shall provide mandrel and
necessary equipment for mandrel test.
4. Procedure: Mandrel shall be hand -pulled through flexible pipe sewer lines no earlier than 30 days after
trench has been completely backfilled. Sections of sewer not passing mandrel shall be uncovered and
rebedded, rerounded, or replaced to satisfaction of Owner or governing agency. Repaired section shall be
retested.
I_ Hydrostatic Test: Force main piping shall be hydrostatically tested at 150 psi in accordance with AWWA C 600.
J. Provide measuring devices, meters, water, materials, and labor for making the required tests.
K. Tests shall be conducted in the presence of the Construction Manager or his designee. Test data shall be submitted
to the Engineer for review and approval.
END OF SECTION
02535-5
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UniSpec II — Civil (Master Site Specifications)
SECTION 02536 (33 3913) - SEWER MANHOLES, FRAMES, AND COVERS
PART 1 - GENERAL
1.1 SUMMARY
092210
1.2 Section Includes:
1. Monolithic concrete, modular precast concrete, masonry, and precast polyethylene manhole assemblies.
1.3 Related Requirements:
1. Section 02300 - Earthwork. Excavation, backfill, and compaction
2. Section 02535- Sanitary Sewer Systems
3. Section 02630 - Storm Drainage
1.4 REFERENCES
A. The publications listed below form a part of this specification to the extent referenced. Publications are referenced
within the text by the basic designation only.
B. ASTM International (ASTM):
1. ASTM A48 - Gray Iron Castings.
2. ASTM C55 - Concrete Building Brick.
3. ASTM C94 - Ready Mixed Concrete.
4. ASTM C478 - Precast Reinforced Concrete Manhole Sections.
5. ASTM C990 - Joints for Concrete Pipe, Manholes, and Precast Box Sections Using Preformed Flexible
Joint Sealants
6. ASTM D1248 - Polyethylene Plastics Molding and Extrusion Materials.
7. ASTM D2412 - Determination of External Loading Characteristics of Plastic Pipe by Parallel -Plate Load-
ing.
C. International Masonry Industry All -Weather Council (IMIAC):
1. Recommended Practices and Guide Specification for Cold Weather Masonry Construction.
D. State Department of Transportation (DOT), Construction and Material Specifications.
1.5 SUBMITTALS
A. Shop Drawings: Indicate reference to Construction Drawings of manhole locations, elevations, piping with sizes,
locations, and elevations of penetrations.
PART 2- PRODUCTS
2.1 MANHOLES
A. Cast -In -Place Concrete: Nonreinforced cast in place concrete barrel.
1. Concrete: 3500 psi concrete conforming to ASTM C94.
2. Forms: Steel sheet accurately shaped and fabricated of sufficient strength to form dense watertight walls to
true dimensions.
B. Precast Concrete: Reinforced precast concrete barrel.
1. Manhole Sections: ASTM C478.
2. Joints and Joint Sealant: Joint between manhole barrel sections shall conform to ASTM C990 using pre-
formed flexible joint sealant.
02536-1
Goldsboro (N), NC — Store No. 7340-00 04/14/14

3. Pipe Connection Sealant: Joint material between manhole barrel and adjoining pipe shall be as shown on
the drawings.
4. Construct manholes of precast concrete sections as required by Construction Drawings to size, shape, and
depth indicated.
C. Concrete Brick: ASTM C55, Grade N Type I -moisture controlled, normal weight, of same grade, type and weight
as block units, nominal modular size of 3 5/8-inches x 7 5/8-inches x 2 1/4-inches.
D. Precast Polyethylene:
1. Manufacturer: Advanced Drainage Systems (ADS) or approved equal.
2. Precast polyethylene in accordance with ASTM D1248. Nominal cylinder internal diameter shall be 48-
inches and shall be designed to accept concrete filled polyethylene manhole lids and standard cast iron
frames with lid or grate.
3. Manholes shall have compressive strength that meets ASTM D2412 standards.
E. Mortar and Grout: Mortar for finishing and sealing shall be Class "C". Honeycombing less than 2-inches deep
shall be repaired using Class "D" mortar.
F. Brick Transition Reinforcement: Formed steel 8-gauge wire with galvanized finish.
G. Configuration:
1. Barrel Construction: Concentric with eccentric cone top section.
2. Shape: Cylindrical.
3. Clear inside Dimensions: 48-inches diameter minimum or as indicated on Construction Drawings.
4. Design Depth: As indicated on Construction Drawings.
5. Clear Lid Opening: 22-inches minimum.
6. Pipe Entry: Provide openings as indicated on Construction Drawings.
7. Main and Lateral Pipes: Neatly cut off main and lateral pipes flush with inside of manhole or inlet where
they enter structure walls. Point up irregularities and rough edges with nonshrinking grout.
H. Inverts: Shape inverts for smooth flow across structure floor as indicated on Construction Drawings. Use con-
crete and mortar to obtain proper grade and contour. Finish surface with fine textured wood float.
2.2 COMPONENTS
A. Lid and Frame:
1. Manufacturer: One of the following or approved equal:
a. Bass & Hays Foundry.
b. Deeter Foundry, Inc.
c. East Jordan Iron Works.
d. Neenah Foundry.
e. U.S. Foundry & Manufacturing
2. ASTM A48, Class 30B minimum, heavy duty cast iron construction, machined flat bearing surface.
3. Removable lid, closed or open as indicated on Construction Drawings, with sealing gasket.
PART 3 - EXECUTION
3.1 EXAMINATION
A. Verify items specified by other Sections are properly sized and located.
B. Verify that built-in items are in proper location and ready for roughing into work.
C. Verify that the excavation for manholes is correct.
3.2 PREPARATION
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A. Coordinate placement of inlet and outlet pipe or duct sleeves as indicated on Construction Drawings.
3.3 PRECAST MANHOLE CONSTRUCTION
A. Place base pad to proper elevation and location and trowel top surface level for placement of manhole barrel.
B. Place manhole barrel plumb and level to correct elevations and anchor to base pad.
1. After completion of slab foundation, lower first joint of manhole barrel into position, grooved end first, and
set level and plumb on concrete base. Align and adjust to proper grade prior to placing and forming invert.
Pour invert immediately after setting of first section of manhole barrel.
2. Prior to setting subsequent manhole barrel sections, apply primer to tongue and groove ends and allow to
set in accordance with manufacturer's recommendations. Place joint sealant on tongue end. Lower next
section into position, and remove excess material from interior of structure. Add additional material on ex-
terior of joint, if necessary, for completely watertight joint.
C. Set cover frames and lids level without tipping, to correct elevations. Utilize pre -cast rings or brick and mortar to
achieve final rim elevation. Maximum limit, 4 courses.
3.4 CAST -IN -PLACE MANHOLE CONSTRUCTION
A. Cast -in -place concrete shall conform to the applicable requirements of concrete in Division 3. Utilize steel forms.
B. Place base pad to proper elevation and location and pour monolithically with invert. Base shall support pipe to
first joint.
C. Deposit concrete in evenly distributed layers of about 18 inches, with each layer vibrated to bond to preceding lay-
er.
D. Place gasket between all joints and paint exterior of manhole within 5 inches of the joint with mastic waterproof-
ing.
E. Place precast concrete cone.
F. Set section cover frames and lids level without tipping, to correct elevations. Utilize pre -cast rings or brick and
mortar to achieve final rim elevation. Maximum limit, 4 courses.
3.5 MASONRY MANHOLE CONSTRUCTION
A. Maintain masonry courses to uniform dimension. Form vertical and horizontal joints of uniform thickness.
B. Lay masonry units in running bond. Course 3 brick units and 3 mortar joints to equal 8 inches.
C. Form flush mortar joints
D. Lay masonry units in full bed of mortar, with full head joints, uniformly jointed with other work.
E. Install joint reinforcement 16 inches on center
F. Place joint reinforcement in first and second horizontal joints above base pad and below lid frame opening
G. As work progresses, build in fabricated metal items
H. Cut and fit masonry for pipes as specified herein
1. Set cover frames and covers level to correct elevations without tipping.
02536-3
Goldsboro (N), NC — Store No. 7340-00 04/14/14

FORM WSCAS 08-13
WATERSHED CLASSIFICATION ATTACHMENT
FOR SEWER SYSTEMS
Applicant Name
Project Name
City of Goldsboro
Walmart Neighborhood Market, Store # 7340
Professional Engineer Name
Engineering Firm Name
Peter Bellantoni
Bohler Engineering, NC, PLLC.
Location
ID
Name of Waterbody'
County
River
Basin
Waterbody Stream
Index No.
Waterbody
Classification
't
Reedy Branch
Wayne
Neuse
27-62-2
C NSW
gm!
IIIL,
NMI
1
If unnamed, indicate "unnamed tributary to X", where X is the named waterbody to which the unnamed tributary joins.
I certify that as a Registered Professional Engineer in the State of
North Carolina that I have diligently followed the Division's instructions
for classifying waterbodies and that the above classifications are
inclusive of the stated project, complete and correct to the best of my
knowledge and belief.
PE Seal, Signature and Date
*** END OF FORM WSCAS 08-13 ***
FORM: WSCAS 08-13
Page 1 of 1

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Reedy Branch
Index #: 27-62-2
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