WQ0043727_Application (FTSE)_20220818

DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 06-21 & SUPPORTING DOCUMENTATION
Application Number: wQ 00 Tap -(to becompleled by DWR)
Alt items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: City of Wilson (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual 0 Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal 0 State/County ® Municipal ❑ Other
3. Signature authority's name: Kyle F. Manning, PE per 15A NCAC 02T .0I06(b)
Title: E-iri-1-over n r-tom- ceck-c �t,t: c 49er1�sLj fy to
4. Applicant's mailing address: 1800 Herring Ave. E.
City: Wilson
State: NC Zip: 27893-
5. Applicant's contact information:
Phone number: [phone] Email Address: [e-mail]
II. PROJECT INFORMATION:
I. Project name: Moss St. Townhomes
2. Application/Project status: ® Proposed (New Permit)
%Ace '
VC Dept of Environmental Quality
AUG 18 2022
Raleigh Regional Office
D Existing Permit/Project
If a modification, provide the existing permit number: WQ00NIA and issued date: N/A,
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: WQ04N+A
3. County where project is located: Wilson
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.726°Longitude:-77.915`
5. Parcel ID (if applicable): 3722-20-0972 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Robert S. Bartlett, PE License Number: 20106
Finn: Bartlett Engineering & Surveying, PC
Mailing address: 1906 Nash Street N.
City: Wilson State: NC Zip: 27893-
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
. Facility Name: Hominy Creek Water Reclamation Facility Permit Number: NC00239062
Owner Name: City of Wilson
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
I. Permit Number(s): WQ0041572
2. Downstream (Receiving) Sewer Information: 8 inch
El Gravity IT Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS 00021
Owner Name(s): City of Wilson
FORM: FTA 06-21
Page 1 of 5

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 Z N;'A
3. If the Applicant is a Home•Property Owners' Association, has an HOA/rOA Operational Agreement (FORM: I-IOAJ and
supplementary documentation as required by I 5A NCAC 02T.0115(c) been attached?
❑ Yes ❑ No ® N!A
4. Origin of wastewater: (check all that apply);
® Residential (Individually Owned) ❑ Retail (stores, centers, malls)
❑ Residential (Leased) ❑ Retail with food preparation/service
❑ School / preschool ? day care ❑ Medical ;' dental / veterinary facilities
❑ Food and drink facilities ❑ Church
❑ Businesses offices factories ❑ Nursing Home
❑ Car Wash
❑ Hotel and/or Motels
❑ Swimming PoolClubhouse
❑ Swimming PooliFilter Backwash
❑ 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 ID No
6. Has a flow reduction been approved under I5A NCAC 02T .0114 1)? El 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 ",b
No. of Units
Flow
Single Family Townhomes (3 BR Units)
360 galiday
24
8,640 GPD
gal
GPD
gal
GPD
gal:
GPD
gal/
GPD
gall
GPD
Total
8,640 GPD
a See I,, , ICAC 02T .01 14(b}, Id), (e)I 11 and (e)(21 for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use areas;
and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G.S. 42A-4).
b Per 15A NCAC 02T .01 14(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01 14] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 8,640 GPD (per I5A 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. F'TA 06-21
Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC Gravies SeIN or :
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
420
PVC
➢ Section II & 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 & MDC (Pump StationsiForce Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
I. 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
5. Summarize the force main to be permitted (for this Pump Station) -
feet total dynamic head (TDH)
Size (inches)
Length (feet)
Material
If any portion of the force main is less than 4-inches in diameter, please identify the me hod 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 .03051 h)(i ):
❑ Standby power source or ❑ Standby pump
➢ Must have automatic activation and telemetry - I5A NCAC 02T.0305(h)(1)(B):
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
➢ Must be permanent to facility and may not be portable
Or if the pump station has an average daily flow less than 15,000 gallons per day 15A NCACO2T.0305(h)(I)(C):
0 Portable power source with manual activation, quick -connection receptacle and telemetry -
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry:
➢ Include documentation that the portable source is owned or contracted by the applicant and is compatible with the station,
➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be provided
as part of this permit application in the case of a multiple station power outage.
FORM: FTA 06-21 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (028 .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations/alternatives found in 15A NCAC 02T ,0305(fl (g);x
15A NCAC 02T.0305(fj contains minimum separations that shall be provided for sewer systems:
® Yes ❑ No
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
18 inches
2Water mains (vertical - water over sewer preferred, including in benched trenches)
18 inches
2Water 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 1 or
Class II impounded reservoirs used as a source of drinking water, and associated wetlands.
100 feet
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, HQW, or SB from normal
high water (or tide elevation) and wetlands associated with these waters (see item IX.2)
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches, as well as wetlands associated with these waters or classified as WL.
10 feet
Any building foundation (horizontal)
5 feet
Any basement (horizontal)
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
> If noncompliance with 02T.0305 or , see Section X.1 of this application
*I 5A NCAC 02T.03051 1 contains alternatives where separations in 02T.0305d1) 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 webpage
2. Does this project comply with the minimum separation requirements for water mains? ® Yes ❑ No ❑ N/A
➢ if no, please refer to I5A NCAC 18C.0906(f) for documentation requirements and submit a separate document,
signed/sealed by an NC licensed PE, verifying the criteria outlined in that Rule.
3. Does the project comply with separation requirements for wetlands? ® Yes ❑ No ❑ NIA
> Please provide supplementary information identifying the areas of non-conformance.
➢ See the Division's draft separation 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 I5A NCAC 0213 .0200`; ® Yes ❑ No
➢ This includes Trout Buffered Streams per I `A.NCAC 2B_0202
5. Does the project require coverage/authorization under a 404 Nationwideiindividual 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 I5A NCAC 02T.O lQ5(c)I6 (additional permits/certifications)? ® Yes ❑ No
Per 15,A NCAC 02T.O I051c6 , 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 streambanks that are subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interference/conflict boxes require a variance approval.
➢ If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shall be inspected by the permittee or its representative at least once every six -months and
inspections documented per 15A NCAC 02T.0403(a)(5) or the permittee's individual System -Wide Collection permit.
FORM: FTA 06-21 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T., the Minimum Design Criteria 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.'Altemative 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 proiects requiring a variance approval may be subject to longer
review times. For proiects requiring two or more variances or where the variance is determined by the Division to be a
significant portion of the project, the full technical review is required.
2. Professional Engineer's Certification;
I, Robert S. Bartlett, PE. attest that this application for Moss St. Townhomes
(Professional Engineer's name from Application Item III.1.j (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. I further
attest that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations,
Minimum Design Criteria for Gravity Sewers (latest version , and the Minimum Design Criteria for the Fast -Track Permitt g
of Pun_ 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• 215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation. 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:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
00.1111111,
I, Kyle F. Manning, PE, attest that this application for Moss St. Townhomes
(Signature Authority Name from Application Item 1.3 ) (Project Name from Application Item 11 1)
attest that this application has been reviewed by me and is accurate and complete to the best of my knowledge.
I understand that if all required parts of this application are not completed and that if all required supporting documentation
and attachments are not included, this application package is subject to being returned as incomplete. I understand that any
discharge of wastewater from this non -discharge system to surface waters or the land will result in an immediate enforcement
action that may include civil penalties, injunctive relief, andlor criminal prosecution. I will make no claim against the Division
of Water Resources should a condition of this permit be violated. 1 also understand that if all required parts of this application
package are not completed and that if all required supporting information and attachments are not included, this application
package will be returned to me as incomplete.
NOTE In accordance with General Statutes I43-215.6A and 143-21556B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature:
FORM: F7 A 06-21
Dale: `71 a
Page 5 of 5

TON.
�,
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: City of Wilson
Project Name for which flow is being requested: Moss St. Townhomes
More than one FTSE 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: Hominey Creek Water Reclamation Facility
b. WWTP Facility Permit #: NC0023906
c. WWTP facility's permitted flow
All flows are in MGD
14.00
d. Estimated obligated flow not yet tributary to the WWTP 0.390
e. WWTP facility's actual avg. flow 9.700
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
0.00864
10.10
h. Percent of permitted flow used 72.13
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 Pump
Station Station
(Name or Permit
Number) No.
N/A
Firm
Capacity, *
MGD
(A)
Design
Average
Daily Flow**
(Firm / pf),
MGD
(B) (C) (D)—(B+C) (E)=(A-D)
Obligated,
Approx. Not Yet Total Current
Current Tributary Flow Plus
Avg. Daily Daily Flow, Obligated
Flow, MGD MGD Flow
Available
Capacity***
* 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
(pi) 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 < 0.
Downstream Facility Name (Sewer): City of Wilson
Downstream Permit Number: WQCS00021
Page 1 of 6
FTSE 10-18

III. Certification Statement:
1 Kyle F. Manning, PE 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
S-'+Ctic. C or,61
Title of Signing Official
Page 2 of b
Dare
FTSE 10-18

ENGINEERING REPORT
SEWER SYSTEM EXTENSION
MOSS ST. TOWNHOMES
CITY OF WILSON, NORTH CAROLINA
J U LY 27, 2022
Wastewater Treatment Facility
Hominy Creek Water Reclamation Facility
NPDES Permit No. NC0023906
Applicant/Owner Name & Address
City of Wilson
Post Office Box 10
Wilson, North Carolina 27894-0010
Project Name & Location
Moss St. Townhomes
205 Moss St. W.
Wilson, North Carolina
Proiect Narrative/Summary
The project is for a new townhome residential subdivision located along the south side of Moss
St. between Kenan and Broad Streets. The site will include the abandonment (flowable fill) of
approximately 290 linear feet of existing 8" PVC Sewer Main and removal of one existing
manhole, along with replacement installation of public gravity sewer mains that will serve 24
townhome residential lots.
Approximately 420 linear feet of 8-inch diameter PVC gravity sewer line, five (5) standard
manholes, and other necessary appurtenances. This sewer system will connect to an existing 8-
inch gravity sanitary sewer main along Kenan St., as shown on the attached plans.
P.5_PROJECT FILES\Moss Si Townhomc 21.7605Permits\Sewa521-760 Engmeawg Report doc

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Wilson County Parcel Report
PIN: 3722-20-0972.000
Parcel Number: 3722200972.000
Current Owner ID: 10000001
Owner & Address: CITY OF WILSON
PO BOX 10
Date Sold: 1614643200000
Deed Reference: 2881 - 824
Deed Year: 2021
Plat Reference:
Deed Acres: 1.36
Actual Year Built:
Effective Year Built:
Main Improvement
Finished Area:
Tax Year: 2022
Assessed Current
Land Value: $201,125
Assessed Current
Improvement Value: $25,062
Total Assessed
$226,187
Current Value:
Current Land Use
Yes or No:
Current Land Use Value: $201,125
Current Land
Fair Market Value: $201,125
Current Improvement
Fair Market Value: $25,062
Current Total
Fair Market Value: $226,187
Grantor: BRANCH BANK & TRUST CO
Previous ParcelNumber. 3722202839.000
Previous Deed Reference:
Plat Book/Page: 42-49
Legal Description: BROAD ST W
1.36AC
Sales Amount: $120,000
Sales Instrument: SWD
Sales Instrument Description: SPECIAL WARRANTY DEED
Sales DIsquallfaction Code: A
Sales Disqualifaction Code Description: MULTIPLE PARCELS
Date Sold: 20210302
Vacant Improved Code:
Land Current Usage Code:
Land Rate: SF - SQUARE FOOT
Fair Market Value
Land Rate Code: 8900
Parcel Description Code 1: 89 - OTHER MUNICIPAL
Parcel Description Code 2: 00 - VACANT
Multiple Land Segments:
GIS Calculated Acres
of Selected Po tygon: 1.37
Quantity: 59241.6
Road Frontage:

Current Use Code Main Improvement:
Main Improvement Decription Code:
Main Improvement Description:
Construction Quality Grade Dacdptlon Code:
Depreciation Table:
Number of Bedrooms:
Number of Full Bathrooms:
Number of Half Bathrooms!
HVAC:
Fireplace Yes or No:
Basement Yes or No:
Attached Garage Yes or No:
Percent of Construction Complete.
Number of Improvements.
Neighborhood Code:
City:
Tax District:
Township:
Area:
Vicinity Map
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BARTLETT
INcINERINc & SURVEYING, PC
1906 Nash Street North Wilson, NC 27893-1726
Phone: [phone] Fax: [phone]
www bartlett.us.com
August 17, 2022
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
Raleigh Regional Office
1628 Mail Service Center
Raleigh, North Carolina 27699-1628
Reference: Fast Track Application for Gravity Sewers
Public Sewer Extension
Moss St. Townhomes
205 Moss St. W.
Bartlett Job No. 21-638
Wilson, North Carolina
To Whom It May Concern:
NC Dept of Enviammental Quality
AUG 18 2022
Raleigh Regional Office
Enclosed for your review and approval are two (2) copies of the following items related to the
above referenced project:
• Fast Track Application for Gravity Sewers
• Engineering Report/Narrative/Summary
• Flow Tracking / Acceptance Form
• USGS Topographic Map
• Feature Report
• GIS Aerial Location Map
Also enclosed is the $480.00 sewer permit application fee. Should you have any questions or
require further information during your review, please let us know.
Respectfully,
464d1-Zed
Steve Oliverio
Project Manager
Enclosures
P PROJECT FILES\Moss St Towuhome 21•7601Petmas)Sewc \21 760 NCDENR Pub Scw COVQ Letter doc