WQ0035616_Application (FTSE)_20111007

COX-EDWARDS COMPANY, INC.
CONSTRUCTION AND ENC}INEERINCQ
Established 1966
License No. 5046
October 7, 2011
1205 Parkway Drive
Goldsboro, NC 27534
Email: contact®cox-edwards.com
NCDENR, Division of Water Quality
943 Washington Square Mall
Washington, NC 27889
Re: Fast -Track Application
Five Points Road Sanitary Sewer Extension
Southern Wayne Sanitary District,
Wayne County, North Carolina
Tel. No.919-751-5100
Fax No. 919-751-1744
RECEIVED
OCT l 1 2(ti
DWQ-WARO
Dear Sirs:
Enclosed for your review are the following documents:
1) Fast -Track Application for Gravity Sewers, Pump Stations, and Force Mains — two (2) copies
2) Project Narrative — two (2) copies
3) A check payable to NCDENR in the amount of $480.00 for the application fee
4) Flow Tracking/Acceptance for Sewer Extension Permit Applications — two (2) copies
Please note that two Flow Tracking forms are included. One form is supplied by the
City of Goldsboro as owner of the accepting wastewater treatment plant and the second
Form is from Wayne County as owner of the Genoa Pump Station.
5) Color copy of portion of Southwest Goldsboro USGS Topographic Map identifying the
project area and the closest surface waters — two (2) copies
Please call me at [phone] if you should need additional information.
Sincerely,
COX-EDWARDS COMPANY, INC.
a. Sutton, PE
Enclosures
1:wL

PROJECT NARRATIVE
RECEIVED
OCT 1 1 2011
DWQ-WARO
FIVE POINTS ROAD SANITARY SEWER EXTENSION
SOUTHERN WAYNE SANITARY DISTRICT
OCTOBER 7, 2011
The Five Points Road Sanitary Sewer Extension project involves the extension of an 8
inch sanitary sewer line for a distance of approximately 1432 feet in order to serve an
existing apartment complex. The proposed sanitary sewer line will be located in an
easement to be dedicated to the Southern Wayne Sanitary District. The project site is
located approximately 900 feet east of the intersection of SR 1221 (Five Points Road) and
SR 1130 (Woodland Church Road). The total flow to be carried by the extension is
10,000 gallons per day.
The proposed 8 inch sanitary sewer line will tie into an existing 8 inch sanitary sewer line
that is part of the Southern Wayne Sanitary District collection system. Southern Wayne
Sanitary District does not operate a wastewater treatment plant. The Sanitary District is
allocated 400,000 gallons per day of sewer from the City of Goldsboro's Wastewater
Treatment Facility. The flow from Southern Wayne's Sanitary District collection system
flows into the Wayne County Genoa Plant Pump Station where it is pumped to the City
of Goldsboro Wastewater Facility. David A. Sutton, PE, with Cox -Edwards Company,
1205 Parkway Drive, Goldsboro, North Carolina is the engineer of record. ,
The total estimated construction and engineering cost for the project is $92.000.00.

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE —10/07)
Project Applicant Name: Southem Wayne Sanitary District
Project Name for which flow is being requested: Five Points Road Sanitary Sewer Ext.
More than one 1.1 E-10/07 may be required for a single project 'the owner of the WWTP is not responsible or all
pump stations along the route of the proposed wastewater flow.
RECEIVED
I. Complete this section only if you are the owner of the wastewater treatment plant.
Cityof Goldsboro Water Reclamation FacilityDST ��»
a. WWTP Facility Name:
b. WWTP Facility Permit #: NC0023949 All fl:•` Y\Q'IVARO
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
14.2
0.4646
8.35
0.01
8.8246
62.15%
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
III. Certification Statement:
I, Scott A. Stevens , certify that, to the best of my knowledge, the addition of the
volume of wastewater to be permitted in this project has been evaluated along the route to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity
related sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant under normal circumstances. This analysis has been performed in accordance with local
established policies and procedures using the best available data. This certification applies to those items
listed : • . ve in Sections I and II for which I am the responsible party. Signature of this form indicates
acce. is : t
gning Official Signature
CI Nc.4443it/ f —T9'l
Date

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
GF� 1F State of North Carolina
PG Department of Environment and Natural Resources
r- Division of Water Quality
Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FT SE —10/07)
Project Applicant Name: Southern Wayne Sanitary District
Project Name for which flow is being requested: Five Points Road Sanitary Sewer Extension
More than one F I SE-1O/07 may be required for a single project if the owner of the WW7P is IV" E
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.00T 1 1 2011
a. WWTP Facility Name: 4Fdo,s, ,IksT& W iFK TRTi4QJT
b. WWTP Facility Permit #: AC s ooZ i I D \ /� fQ _` A �/, q ^/��[ O
All flows are Linn MGD �/
goo, 000
181, 100,
l0, 000
i9l,9oo
&okz
s
4-43 (/ 0
ocQlloc,_
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
Genoa Pump Station 0.200 MGD 0.181 MGD
III. Certification Statement:
I, Sue Farmer, Wayne County Facilities Service Director, certify that, to the best of my
knowledge, the addition of the volume of wastewater to be permitted in this project has been evaluated
along the route to the receiving wastewater treatment facility and that the flow from this project is not
anticipated to cause any capacity related sanitary sewer overflows or overburden any downstream pump
station en route to the receiving treatment plant under normal circumstances. This analysis has been
performed in accordance with local established policies and procedures using the best available data. This
certification applies to those items listed above in Sections I and II for which I am the responsible party.
Signature of thi fos acceptance of this wastewater flow.
27 SEP Jot!
Signing Oj cial Signa4de Date

�awarF9Q RECEIVED
OCT 1 1 2011
DWQ
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
FAST -TRACK APPLICATION
(FTA 12/07 ver5)
EWERS, PUMP STATIONS, AND FORCE MAINS
& acuum sewer systems are not to be included as part of this application package)
INSTRUCTIONS: Indicate that you have included/addressed the following list of required application package items by
checking the space provided next to each applicable item. Failure to submit all required items will lead to your application
being returned as incomplete. Forms are available from the web site or by calling the Regional Office serving your county:
http://h2o. enr. sta te. nc. us/peres/Collection %20Systems/Collection SystemApplications. html
® A. Application Form - Submit one original and one copy of the completed and appropriately executed application
form. The application should include a project narrative describing the final build -out 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.). Only
include the modified information in this permit application - do not duplicate project information that has already
been included in the original permit
Any changes to this form will result in the application being retumed. The Division of Water Quality (Division) will
only accept application packages that have been fully completed with all applicable items addressed. You do not
need to submit detailed plans and specifications unless you respond NO to Item B(13).
Separate applications should be made for non-contiquous sewer systems.
® B. Application Fee - Submit a check in the amount of $480 made payable to: North Carolina Department of
Environment and Natural Resources (NCDENR). Checks shall be dated within 90 days of application submittal.
❑ C. Certificates of Public Convenience and Necessity — If the application is being submitted in the name of a
privately -owned public utility, submit two copies of the Certificate of Public Convenience and Necessity (CPCN)
which demonstrates that the public utility is authorized to hold the utility franchise for the area to be served by the
sewer extension. If a CPCN has not bccn issued, provide two copies of a letter from the North Carolina Utilities
Commission's Public Staff that states that an application for a franchise has been received, that the service area
is contiguous to an existing franchised area, and/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.
❑ D. Operational Agreements — Submit one original and two copies of a properly executed operational agreement, as
per 15A NCAC 02T .0115, if the application is submitted by a private applicant and will be serving residential or
commercial lots (e.g., houses, condominiums, townhomes, outparcels, etc.) that will be sold to another entity. If
the applicant is a home or property owner's association, use Form HOA 02/03. If the applicant is a developer,
use Form DEV 02/03. EVEN IF THE PROJECT MAY BE TURNED OVER TO A MUNICIPALITY UPON
COMPLETION, FORM DEV 02/03 IS REQUIRED.
® E. Downstream Sewer, WWTF Capacity and Flow Tracking/Acceptance — FORM FTSE 10/07 (Flow
Tracking/Acceptance for Sewer Extension Permit Applications) is required with every application. The applicant
(and owners of downstream sewers, pump stations and/or treatment facilities submitting FORM FTSE-10/07)
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 10/07
from the owner of the downstream sewer and owner of the WVVTF, if different The flow acceptance indicated in
FORM FTSE-10/07 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-10/07 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 project -specific FTSE 10/07.
F Map — Submit an 8.5-inch by 11-inch COLOR copy of a USGS Topographic Map of sufficient scale to identify the
entire project area and the closest surface waters. Each map or maps must show the location of the sewer line
and pump stations and be of reproducible quality. Include a street level map showing the downstream connection
point, and the permit number for the downstream sewer, if known.
FTA12/07

❑ d. Stream Classtflcatlons — Watershed Classification Attachment (Form WSCAS-12107) If any portion of the
'• sewer system project is within 100 feet of any surface water or wetlands, the Watershed Classification Attachment
may need to be completed. A variance must be requested for encroachment within required setbacks or buffers
pursuant to 2T .0305 (f) and be indicated in Item B-13 with supporting documentation/justification provided.
❑ H Environmental Assessments — If this project is subject to an Environmental Assessment (EA) [15A NCAC
01C], thls application cannot be used. Send the project application on the most current version of Form
PSFMGSA to the Design Management Unit, 1633 Mail Service Center, Raleigh, NC 27699-1633. Applications
cannot be accepted until a Finding of No Significant Impact (FONSI) or Environmental Impact Statement (EIS)
has been issued. A copy is to be submitted with that permit application.
❑ I. 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 this project, please indicate in B(12) and give the permit
number of the second treatment facility.
® J. Certifications — Section C
The application must be certified by both the applicant and the design engineer who is a North Carolina
Registered Professional Engineer (PE). The applicant signature must match the signing official listed in Item
A(1 b). The PE should NOT certify the application if he/she is unfamiliar with 15A NCAC Chapter 2T, the Gravity
Sewer Minimum Design Criteria (most recent version) and the Minimum Design Criteria for the Fast -Track
Permitting of Pump Stations and Force Mains (most recent version), as applicable to the project
THE COMPLETED FTA 12/07 APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
DOCUMENTS AND $480 FEE, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
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
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, Beriie, 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, Duplin, New
Hanover, Onslow, Pender
Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, North Carolina 27107
[phone]
[phone] Fax
Alamance, Allegheny, Ashe, Caswell, Davidson,
Davie, Forsyth, Guilford, Rockingham, Randolph,
Stokes, Surry, Watauga, Wilkes, Yadkin
For more Information, please visit our web site at
http://h2o.enr state.nc.us/perks/Collection%20Systems/CollectionSystemsHome.html
or contact the Regional Office serving your county.
FTA 12/07

USE THE TAB KEY TO MOVE FROM FIELD TO FIELD!
Application Number. 3� I
(to be completed by DWQ) Q 0
LICATION INFORMATION
1. Owner/Permiftee:
la. Southern Wayne Sanitary District
Full Legal Name (company, municipality, HOA, utility, etc.)
1b. C. R. Whitman, Chairman
Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized signing officials!)
lc. The legal entity
■ Individual
■
who will
Federal
own
■
this system is: Public Sanitary
Municipality ■ State/County
District
■ Private Partnership
■
Corporation
►r1
Other (specify):
1d. 1370 Old Grantham Road
le. Goldsboro
Mailing Address
City
1f. North Carolina
lg. 27530
State
Zip Code
1 h. (919) 731=2520
1 i. [phone]
1j. [e-mail]
Telephone
Facsimile
E-mail
2. Project (Facility) Information:
2a. Five Points Road Sanitary Sewer Extension
12b. Wayne
0-
Brief Project Name (permit will refer to this name)
County Where Project is Located
a
a
3. Contact Person:
Q3a.
David A. Sutton, P.E. - Design Engineer - Cox -Edwards Company
Name and Affiliation of Someone Who Can Answer Questions About
this Application
3b. [phone]
ic. [e-mail]
Phone Number
E-mail
11.
Project is
0 New
■ Modification (of an existing permit) If Modification, Permit No.:
2. Owner is
L
Public (skip to Item B(3))
■
Private (go to Item 2(a))
2a. If private, applicant will be:
2b. If sold facilities owned by a (must choose one)
IN 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))
•
•
Public Utility (Instruction C)
Homeowner Assoc./Developer (Instruction D)
3. City of Goldsboro
Z
Owner of Wastewater Treatment Facility (VVWTF) Treating Wastewater From This Project
0
4a. Goldsboro Reclamation Facility 4b. NC0023949
I-- Name of VWVTF
WWTF Permit No.
g5a. Southern Wayne San. Dist.
5b. 8 Inch
0.Gravity
5c. WQ0014720
re
Owner of Downstream Sewer
Receiving Sewer Size
0 Force Main
Permit # of Downstream Sewer (Instruction E)
0
LL
6. The origin of this wastewater is (check all that apply):
% Domestic./Commercial
I—
•
►�1
Residential Subdivision
Apartments/Condominiums
•
■
Retail (Stores, shopping centers)
Institution
% Industrial (attach
2
Ce
W
Li
■
IN
•
•
Mobile Home Park
School
Restaurant
Office
•
•
•
■Other
Hospital
Church
Nursing Home
(specify):
description.)
(RO: contact your Regional Office
Pretreatment staff)
m
% Other (specify):
7.
Volume
of wastewater to be allocated or permitted for this particular project: 10,000 gallons per day
*Do
not include future flows or previously permitted allocations
I.
If the
■
•
permitted flow is zero, indicate why:
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.
•
Rehabilitation or replacement of existing sewer with no new flow expected (see 15A NCAC 02T .0303 to determine if a
permit is required)
FTA12/07

B. PERMIT INFORMATION (CONTINUED)
9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2T .0114 for
the value in Item B(7) AND/OR the design flow for line or pump station sizing if a reduced or zero flow is being requested in
Item B(7). Values other than that in 15A NCAC 2T .0114 (b) and (c) must be supported with actual water or wastewater use
data in accordance with 15A NCAC 2T .0114 (f).
240 gallons per day per dwelling unit
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (Inches)
Length ()
New Gravity or Additional
Force Main
8 inch
1432 Linear Feet , Z 7L
• New Gravity
11. Summary of Pump Stations w/ associated Force Mains to be Permitted (attach additional sheets as necessary) N/A
Pump Station Location ID (self chosen - as shown on plans/map for reference)
Design Flow
(MGD)
Operational Point
GPM @TDH
Power Reliability Option
1 - permanent generator w/ATS;
2 - portable generator w/MTS
Force Main Size
Force Main Length
Pump Station Location ID (self chosen - as shown on plans/map for reference)
Design Flow
(MGD)
Operational Point
GPM @TDH
Power Reliability Option
1 - permanent generator w/ATS;
2 - portable generator w/MTS
Force Main Size
Force Main Length
12. Will the wastewater flow in the proposed sewer lines or pump stations be able to be directed to another treatment facility?
El Yes ►I No If Yes, permit number of 2nd treatment facility
(RO — if "yes" to B,12 please contact the Central Office PERCS Unit)
13.
Does
Mains
applicable?
►i4
the
(latest
Yes
sewer
•
system comply with the Minimum Design Criteria for the Fast Track Permitting of Pump Stations and Force
version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC Chapter 2T as
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
FTA12/07

14. Have the following permits/cerl fications been submitted for approval for the system or project to be served?
Wetland/Stream Crossings - General Permit or 401 Certification? ® Yes ❑ No ❑ N/A
Sedimentation and Erosion Control Plan? ❑ Yes ❑ No ® WA
Stormwater? ❑ Yes ❑ No Z N/A
15. Does this project include any high priority Tines, [see 15A NCAC 02T .0402 (2)] involve aerial lines, siphons, or interference
manholes)? These lines will be considered high priority and must be checked once every six months
Check if Yes: ❑ and provide details
C. CERTIFICATIONS
1. Owner/Permittee's Certification: (Signature of Signing Official and Project Name)
1, C.R. Whitman , attest that this application for Five Points Road Sanitary Sewer Extension 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 retumed 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 ce►tification 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.
7—A29'/>I
la. L,Ui . I✓Sig
Signing Officia nature Date
ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
i4PPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY
TO OTHER UTILITIES, DESIGN CALCULATIONS. ETC. REFER TO 15A NCAC 02T .0305
2. Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
1, David A. Sutton , attest that this application for Flare Points Road Sanitary Sewer Extension has been reviewed
by me and Is accurate, complete and consistent with the information in the engineering plans, calculations, and all other
supporting documentation to the best of my knowledge. I further attest that to the best of my knowledge the proposed
design has been prepared in accordance with the applicable regulations, Gravity Sewer Minimum Design Criteria for
Gravity Sewers adopted February 12, 1996, and the Minimum Design Criteria for the Fast -Track Permitting of Pump
Stations and Force Mains adopted June 1, 2000 and the watershed classification in accordance with Division guidance.
Although other professionals may have developed certain portions of this submittal package, inclusion of these materials
under my signature and seal signifies that 1 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. David A. Sutton, PE
0 CAR p • •
' �•, : � ''� •. ,..4
•�!
Professional Engineer Name
2b. Cox -Edwards Company
Engineering Firm
.` . .
2c. 1205 Parkway Drive
Mailing Address
.. 94 s
�Yt.� yak
I ti •S1)• ,�`
''�; � .•4"
NC PE Seal, Slgnature & Date
2d. Goldsboro 12e. NC
2f. 27534
City
State
Zip
2g. [phone] I2h. [phone]
2i. davidsutton birch.net
Telephone Facsimile
E-mail
FTA12/07

..
•
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•
ars
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