WQ0043729_Application (FTSE)_20220819

State of North Carolil a
Department of Environmental Quality
°i'tQ Division of Water Resources
.
DWR A11r, i h FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Dtvlslon of Water Resources AP7 FTA 06-21 & SUPPORTING DOCUMENTATION
Application Number lto 91pleted by DWR)
All items must be corn pleted or the application will be returned
1. APPLICANT INFORMATION-
1. Applicant's name: Town of Smithfield (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ❑ State/County ® Municipal
3. Signature authority's name: Ted Credle per 15A NCAC 021' .0106 b
Title: Public Utilities Director
4. Applicant's mailing address: 230 Hospital Road
City: Smithfield State: NC Zip: 27577-
5. Applicant's contact information:
Phone number: 919 934-2798 Email Address: ted.credle@smi field-nc.com
I1. PROJECT INFORMATION:
❑ Privately -Owned Public Utility
❑ Other
I . Project name: Ba-Wate�.Serviee to qe= Twin Oaks Motel_&. Cabins j 0 Vo +�
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: WQ00 and issued date: ,
For modifications, also attach a detailed narrative description as described in Item G of the checklist.
If new construction, but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Johnston
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.47754" Longitude:-78.37684"
5. Parcel ID (if applicable): NC PIN 168207-59-4298 (or Parcel 1D to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Brian R. Leonard. PE, PLS License Number. 025487
Firm: BRL Engineering & Surveying
Mailing address: 112 East Johnston Street
City: Smithfield State: NC Zip: 27577-
phone number: 219 989-9300 Email Address: brlengineering0earthlink.net
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Central Johnston Counjy Regional W WTP Permit Number: NC 0030716
Owner Name: Johnston Coun
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ
?. Downstream (Receiving) Sewer Information: 12 inch (per GIS) ® Gravity 0 Force Main
Fem Wide Collection System Permit Number(s) (if applicable): WQCS00060
,er Name(s): Johnston County
A 06-21
Page 1 of 5

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
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
Water Quality Section
Swannanoa, North Carolina 28778-8211
Clay, Graham, Haywood, Henderson, Jackson,
[phone]
1 Macon, Madison, McDowell, Mitchell, Polk,
[phone] Fax
Rutherford, Swain, Transylvania, Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Harnett, Hoke,
Water Quality Sec_don
Fayetteville, North Carolina 28301-5095
Montgomery, Moore, Robeson, Richmond,
[phone]
Sampson, Scotland
[phone] Fax
Mooresville Regional Office
610 E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
Water Quality Seadoq
Mooresville, North Carolina 28115
Gaston, Iredeil, Lincoln, Mecklenburg, Rowan,
[phone]
Stanly, Union
[phone] Fax
Raleigh Regional Office
3800 Barrett Drive
Chatham, Durham, Edgecombe, Franklin,
Water Quality Section
Raleigh, North Carolina 27609
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] Fax
Warren, Wilson
Washington Regional Office
943 Washington Square Mall
Beaufort, Bertie, Camden, Chowan, Craven,
Water quality Section
Washington, North Carolina 27889
Currituck, Dare, Gates, Greene, Hertford, Hyde,
(252) 9464AS1
Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] Fax
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilmin0go ft-gional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
Water Quality Section
Wilmington, North Carolina 28405
Hanover, Onslow, Pander
[phone]
[phone] Fax
Winston-Salem Radonal 41t9ce
450 W. Hanes Mill Road
Alamance, Alleghany, Ashe, Caswell, Davidson,
WaterQuality-Section
Suite 300
Davie, Forsyth, Guilford, Rockingham, Randolph,
Winston-Salem, North Carolina 27105
Stokes, Sury, Watauga, Wilkes, Yadkin
[phone]
[phone] Fax
INSTRUCTIONS FOR FORM: FTA 05-21 & SUPPORTING DOCUMENTATION Page 3 of

VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and ]Necessity been attached?
[:]Yes ❑ No ® N/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEV) been attached?
❑ Yes ❑ No ® NIA
3. If the Applicant is a Home/Property Owners' Association, has an HOA/POA Operational Agreement (FORM. HOA) and
supplementary documentation as required by 15A NCAC 02T.0I 15(c) been attached?
❑ Yes ❑ No ® N/A
4. Origin of wastewater: (check all that apply):
❑ Residential (Individually Owned) ❑ Retail (stores, centers, malls) ❑ Car Wash
® Residential (Leased) ❑ Retail with food preparationlservice ® Hotel and/or Motels
❑ School / preschool / day care ❑ Medical I dental!' veterinary facilities ❑ Swimming Pool/Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
❑ Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic % Commercial % Industrial (See 15A NCAC 02T .0103(20))
If Industrial, is there a Pretreatment Program in effect? ❑ Yes❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T .0114(fl? ❑ Yes ❑ No
➢ If Yes, provide a copy of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow 2.1
No. of Units
Flow
Cottages, Cabins
200 gallunit
14
2800 GPD
gall
GPD
gall
GPD
gall
GPD
gal/
GPD
gall
GPD
Total
2800 GPD
a See 15A NCAC 02T .01 14(b), (d), (e)(1) and (e)(2) 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 4 4(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01 141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 2800 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

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MUC (Gravity Sewers).
1. Summarize gravity sewer to be permitted.
Size (inches)
Length (feet)
Material
8
55
DIP
➢ Section lI & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirements is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T.0305 & MDt`' (PuFnp StalionslForce Mains}:
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: -
3. Total number of pumps at the pump station:
3. Design flow of the pump station: millions gallons per day (firm capacity)
➢ This should reflect the total GPM for the pump station with the largest pump out of service.
4. Operational point(s) per pump(s): gallons per minute (GPM) at feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
If any portion of the force main is less than 4-inches in diameter, please identify the method of solids reduction per
MDCPSFM Section 2.01C. I.b. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with 15A NCAC 02T .0305(h)(1 }:
❑ Standby power source or ❑ Standby pump
➢ Must have automatic activation and telemetry- 15A NCAC 02T.0305(h)(1)(13):
➢ 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 ISA NCACO2T.0305(h)(1)(C):
DPortable mower rsc+iran with n+nni�nl nctivntinncr�iick t�nn+.ctinn rPoar+tnclP nni tP1PmPtry
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry -
Include documentation that the portable source is owned or contracted by the applicant and is compatible with the station.
If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be provided
as part of this permit application in the case of a multiple station power outage.
FORM: FTA 06-21 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
I . Does the project comply with all separations/alternatives found in 15A NCAC 02T .0305(f) & (a)? ® Yes ❑ No
15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed. below (vertical)
18 inches
'Water mains (vertical - water over sewer preferred, including in benched trenches)
18 inches
'Water mains (horizontal)
10 feet
Reclaimed water lines (vertical - reclaimed over sewer)
18 inches
Reclaimed water lines (horizontal - reclaimed over sewer)
2 feet
**Any private or public water supply source, including any wells, WS-1 waters of Class I or
'Class 11 impoorided reservoirs -used as a source of drinking water, and associated wetlands.
100 feet
*Wafers classified WS (except W5-1 or WS-V), B, SA, ORW, HQW, or.SB from norima
high water (or tide elevation) and wetlands associated with these waters (see item IX.2)
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches, as well as wetlands associated with these waters or classified as WL.
t0 feet
Any building foundation (horizontal)
5 feet
Any basement (horizontal)
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
I0 feet
Final earth grade (vertical)
36 inches
D If noncompliance with 02T.0305(f) or (g), see Section X.I of this application
*15A NCAC 02T.0305 contains alternatives where separations in 02T.0305(fl cannot be achieved. Please check "yes"
above if these alternatives are used and provide narrative information to explain.
"Stream classifications can be identified using the Division's NC Surface Water Classifications webpaae
2. Does this project comply with the minimum separation requirements for water mains? ®Yes ❑ No ❑ NIA
➢ If no, please refer to 15A NCAC 18C.0406(1) for documentation requirements and submit a separate document,
signed/sealed by an NC licensed PE, verifying the criteria outlined in that Rule.
3. Does the project comply with separation requirements for wetlands? ®Yes [—]No ❑ NIA
➢ Please provide supplementary information identifying the areas of non-conformance.
➢ Seethe Division's draft. se ration requirements for situations where separation cannot be met.
➢ ;No,variance is required if the alternative design criteria specified is utilized in design and construction.
4. Is the project located in a river basin subject to any State buffer rules? ® Yes Basin name: Neuse ❑ No
If yes, does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? ® Yes ❑ No
➢ This includes Trout Buffered Streams per 15A NCAC 2B.0202
5. Does the project require coverage/authorization under a 404 Nationwide(individual permits ❑ Yes ® No
or 401 Water Quality Certifications?
➢ Please provide the permit number/permitting status in the cover letter if coverage/authorization is required.
6. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per I SA 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.).
7. Does this project include any sewer collection lines that are deemed "high -priority?" ❑ Yes ® No
Per 15A NCAC 02T.0402, "high -priority sewer" means any aerial sewer, sewer contacting surface waters,
siphon, or sewers positioned parallel to strearnbanks that are subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interference/conflict boxes require a variance approval_
➢ if yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shall be inspected by the permtttee or its representative at least once every six -months and
inspections documented per 15A NCAC 02T.0403(a)(5) or the permittee's individual System -Wide Collection permit.
FORM: FTA 06-21 Page 4 of 5

X. CERTIFICATIONS:
I. Does the submitted system comply with 15A NCAC 02T, the Minimum Desi-n.Cftnj for the Permitting of.Pump Stations
and Force Mains (latest version), and the Gravity Sewer Minimum Design Criteria (latest version) as applicable?
❑ Yes ❑ No
If no, for projects requiring a single variance, complete and submit the Variance/Alternative Design Request application
(VADC 10-14) and supporting documents for review to the Central Office. Approval of the request will be issued
concurrently with the approval of the permit, and projects requiring a variance approval may subject to ioneer
review times. For projects requiring two or more variances or where the variance is determined by Division to be a
siunificant portion of the project, the full technical review is required.
2. Professional Engineer's Certification:
Sf: +..sue Ext��►S+a �+ !� �w>rv.fs�r%mot
1, 8Kt,WF*1_ - MAO fig, PL , attest that this application for J. Af~49 7#..r-
(Professional Engineer's name from Application Item 113.1.) (Project Name from Application Item 11.1)
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans,
specifications, engineering calculations, and all other supporting documentation to the best of my knowledge. 1 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:
Applicant's Certification per 15A NCAC 02T .0106(b):
�����•�H CARC/
' 0 . 1BS/p�1 �y
�..�4 yr; f
54
3tw>�r�ytry [� -fir T,,,1!A 41)A l45
1, --Fea 6g GDL.F _ attest that this application for
(Signature Authority Name from Application Item 1.3.) (Project Name from Application Item [LI)
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 ifall 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 UM)FUance Willi General Statutes 143-213.6A and 143-ZI3.OB, ally persun Who knowingly makes ally 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: -I�A—
Crate: 7-
FORM: FTA 06-21 Page 5 of 5

State of North Carolina
Department of Environmental Quality
WR.
Abu- IQ, 2022 Division of Water Resources
DIvfslon of Water Resources Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Town of Smtihfield
Project Name for which flow is being requested:
Twin Oaks Motel & Cabins
More than one FTSE nuay be required for a single project if Ilse owner of the WWTP is not responsible for all pnunp
stations along rite route of the proposed waslewarer flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: CSCRWWTF
b. WWTP Facility Permit #: NCO030716
All f 1`ows are in MGD
c. WWTP facility's permitted flow 9.5
d. Estimated obligated flow not yet tributary to the WWTP 1.9664
e. WWTP facility's actual avg. flow 6.741
f. Total flow for this specific request 0.0028
g. Total actual and obligated flows to the facility 8.7104
h. Percent of permitted flow used 71 % o trib, 91.7% w/paper
11. 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
Pump
Station
Station
Firm
(Name or
Permit
Capacity
Number)
No.
MGD
Neuse
unknown
0.5
(A)
(B)
Design
Average
Approx.
Daily Flow**
Current
(Firm / pf),
Avg. Daily
MOD
Flow, MOD
0.2
0.1065
(C)
(D)=(B+C)
(E)=(A-D)
Obligated,
Not Yet
Total Current
Tributary
Flow Plus
Daily Flow,
Obligated
Available
MOD
Flow
Capacity***
0.00845
0.1149
0.0851
* The Firm Capacity (design flow) of any pump station is defined as the maximum pumped flow
that can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor
(pf) not less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < 4.
Pumpin Facilites to Serve Pine Level &
Downstream Facility Name (Sewer): T,
Downstream Permit Number: 1978 - unknown permit
Page 1 of 6

III. Certification Statement;
I Chandra c. Farme, P.E. certify to the best of my knowledge that 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, given the implementation of the planned improvements
identified in the planning assessment where applicable. 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 plus all attached planning assessment addendums for which I
am the responsible party. Signature of this form certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
Signing Official Signature
-Dive-Cloy T I
Title of Signing Official
a
Page 2 of 6

BRL ENGINEERING & SURVEYING
112 EostJohnston Street Providing Civil Engineering & Surveying Services Brian R. Leonard, PE, PLS
5mrthfield, NC27511
[phone] OLI�RqLin er.rt@earthliek.n
August 15, 2022
apt
Mr. Jason Robinson
NCDEQ — Water Resources, Regional Water Quality Section E�
1628 Mail Service Center (Mail) '��'
_7
Raleigh, NC 27699-1628
Re: Sewer Extension & Water Service to Serve Twin Oaks Motel & Cabins, in Town of Smithf 0,
Gravity Sewer — "Fast -Track" Review
Dear Mr. Robinson:
Twin Oaks Motel & Rental, LLC plans to construct a future on -site expansion to their existing cabin -rental site,
which currently requires only a proposed sewer extension of the Town of Smithfield, to serve the future cabin
units. (NOTE: Permitting of future lines, internal to the future cabin site, will be addressed with a future
submittal; although, the flow request for the cabins is INCLUDED within this submittal). This project is located
in the planning jurisdiction of the Town of Smithfield, in Johnston County. Construction includes an 8-inch
"gravity" Town sewer line extending from the County's existing 12-inch gravity line, to serve the future units
proposed on site, which requires approval by NCDEQ. Because the small gravity extension will be a Town -owned
sewer, the Town of Smithfield is indicated as "Applicant" for the enclosed application form. The proposed sewer
facilities will serve 14 future units, which generates the additional flow requested within this application. We
are hereby applying for a "Fast -Track" review process; with a total flow request of 2,800GPD (or 0.0028 MGD).
Enclosed herewith are the following documents for your review:
1) Fast Track Sewer System Extension Application, Form FTA 06-21--1 original + 1 copy signed by
myself as Engineer, and signed by Applicant (Town of Smithfield).
2) Check in the amount of $480 for the required Fast -Track Application review fee
3) Flow Tracking/Acceptance Forms, Form FTSE 10-18 —1 signed original + 1 copy for each of the
downstream owners/operators (from project to treatment plant) as follows...
• Johnston County —Downstream Collection System & Wastewater Treatment Facility
4) Site Maps —1 original + i copy of each of the following...
• 8.5" x 11" Color Copy of USGS Topographic Map, showing entire project area and
adjacent surface waters
• 8.5" x 11" Street Level, Aerial Map, showing general project area
Please Note: This same submittal was transmitted to your office back in April of this year, but was subsequently
retracted by the applicant just after submittal, and prior to being processed by your office. After further
consideration, the Applicant has now decided to resubmit this application exactly as it was submitted previously.
This background is provided for your information only (in case it may look "familiar" to you when it is received).

BRL ENGINEERING & SURVEYING
112 East Johnston Street Providing Civil fngineereng&Surveying Services Brian R. Leonard, PE, PLS
Smithfield, NC27577
[phone] brlena meenn&Lil ea!th I in.k_ nck
On behalf of the Town of Smithfield (Applicant) and Twin Oaks Motel & Rental, LLC (Developer), I would
appreciate your review and approval of the attached Fast -Track Application and other related documents.
Please contact me if you have any questions.
Sincerely,
L � J
BRL ENGINEERING & SURVEYING
Brian R. Leonard, PE, PLS
BRL/brl
Cc: David Parker
Attachments: As Noted

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