WQ0043563_Application (FTSE)_20221011

PO Box 3119
(114 W. 3rd Street)
Pembroke, NC 28372
[phone] Ph
[phone] Fax
TO NCDEQ - Water Quality Section
225 Green Street
Fayetteville, NC 28301-5095
WE ARE SENDING YOU ❑ Attached
❑ Shop drawings ❑ Prints
❑ Copy of letter ❑ Disk
LETTER OF TRANSMITTAL
DATE:
6/14/2022 JOB NUMBER: 22-01117-D
ATTENTION
NCDEQ - Water Quality Section
RE:
Sanitary Sewer Extension - David Parnell St.
❑ Under Separate cover via
Q Plans
• Check
❑+ Applications
COPIES
DESCRIPTION
1
Check ($480)
2
Project Description
2
USGS Toporaphic Map
2
FTA Permit Application
2
FTSE-10-18
2
Plans (11x17)
the following items:
❑ Specifications
RECEIVED
JUN 2 4 2022
DEQ-FAVETTEVILLE REtONAL OFFICE
THESE ARE TRANSMITTED as checked below:
Q For approval 0 Approved and submitted ❑ Resubmit copies for approval
❑ For your use 0 Approved as noted ❑ Submit copies for distribution
❑ As requested ❑ Returned for corrections ❑ Return corrected prints
❑ For review and comment ❑
REMARKS
COPY TO 22-01117-D SIGNED Jonathan E. Locklear

DocuSign Envelope ID: 8567AGAB-7844-4661-8188-32A1A98C791A
SUBMITTAL PACKAGE
For
DAVID PARNELL ST.
SANITARY SEWER
EXTENSION
Located Near
The Intersection of
David Parnell St and Magnolia St
In
Parkton, NC 28371
Robeson County
June 2022
RECEIVED
JUN 2 4 2022
DEG-FAYETTEVILLE REGIONAL OFFICE
Aoo.4. IPPocuSigned by:
02944
SEAL
��O`'iyT.. 4GINtlB:
��NrEf1 Q`
LL&J Proj. Number: 22-01117
429D11 E30ABC4E6...
6/14/2022
NO.
BY
DATE
REVISION

DocuSign Envelope ID: 8567ACAB-7844-4681-8188-32A1A98C791A
PROJECT DESCRIPTION
The proposed utility improvement for this project consists of the extension of an
existing gravity sewer line to extend services along David Parnell Street in
Parkton, NC. The extension will server six new residential lots located along
David Parnell Street. The propped sewer line will start with a "dog house" man
hole being install over an existing 8-inch sanitary sewer main that connects at a
sanitary sewer manhole located in David Parnell Street to existing sanitary
sewer manhole located in Magnolia Street. From the dog house man hole the
proposed extension will extend 520-LF East along David Parnell Street and dead
end in a proposed sanitary sewer manhole.
FLOW ALLOCATION
The proposed project is being built to serve six single family residential lots. Per
North Carolina Administrative Code, Title 15A, Subchapter 2T .0114 Wastewater
Design Flow Rates for a 2 bedroom house the minimum volume shall be 240
gpd. The total minimum flow for this extension is 6 x 240 gpd = 1,440 gpd.

Division of Watter Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
INSTRUCTIONS FOR FORM: FTA 06-21 & SUPPORTING DOCUMENTATION
This application is for sewer extensions involving gravity sewers, pump stations and force mains, or any combination that has been
certified by a professional engineer and the applicant that the project meets the requirements of 15A NCAC 02T and the Division's
Minimum Design Criteria (Gravity Sewer & Pump Stations/Force Mains) and that plans, specifications and supporting documents
have been prepared in accordance with 15A NCAC 02T, 15A NCAC 02T .0300, Division policies, and good engineering practices.
While no upfront engineering design documents are required for submittal, in accordance with ISA NCAC 02T .0305(6), design
documents must be prepared prior to submittal of a fast track permit application to the Division. This would include plans, design
calculations, and project specifications referenced in 15A NCAC 02T .0305 and the applicable minimum design criteria. These
documents shall be immediately available upon request by the Division.
Projects that are deemed permitted (do notrequire a permit from the Division) are explained in 15A NCAC 02T.0303.
Projects not eligible for review via the fast track process (must be submitted for full technical review):
> Projects that do not meet any part of the minimum design criteria (MDC) documents;
> Projects that involve more than one variance from the requirements of 15A NCAC 02T;
> Pressure sewer systems utilizing simplex septic tank -effluent pumps (STEPs) or simplex grinder pumps;
➢ Simplex STEP or simplex grinder pumps connecting to pressurized systems (e.g. force mains);
> Vacuum sewer systems.
General — When submitting an application, please use the following instructions as a checklist in order to ensure all required items are
submitted. Adherence to these instructions and checking the provided boxes will help produce a quicker review time and reduce the
amount of requested additional information. Failure to submit all required items will necessitate additional processing and review
time, and may result in return of the application. Unless otherwise noted, the Applicant shall submit one original and one copy of
the application and supporting documentation.
A. One Original and One Copy (second copy may be digital) of Application and Supporting Documents
El Required unless otherwise noted. Signatures on original must be "wet ink" or secure digital signatures.
Please do not submit engineering design plans with the application unless specifically requested.
B. Cover Letter/Narrative Description (Required for All Application Packages):
® List all items included in the application package, as well as a brief description of the requested permitting action.
> Be specific as to the system type, number of homes served, flow allocation required, etc.
> Include the permit number/status of any other required sewer permits (downstream/upstream)
> If necessary for clarity, include attachments to the application form.
C. Application Fee (All New and Modification Application Packages):
® Submit a check or money order in the amount of $480.00, dated no more than 90 days prior to application submittal.
> Payable to North Carolina Department of Environmental Quality (NCDEQ)
D. Fast Track Application (Required for All Application Packages, Form FTA 05-21):
® Submit the completed and appropriately executed application.
> If necessary for clarity or due to space restrictions, attachments to the application may be made.
❑ If the. Applicant Type in Item I.2 is a corporation or company, provide documentation it is registered for business with the
North Carolina Secretary of State.
❑ If the Applicant Type in Item 1.2 is a partnership or d/b/a, enclose a copy of the certificate filed with the Register of Deeds in
the county of business.
® The Project Name in Item 11.1 shall be consistent with the project name on the flow acceptance letters, agreements, etc.
® The Professional Engineer's Certification on Page 5 of the application shall be signed, sealed and dated by a North Carolina
licensed Professional Engineer.
® The Applicant's Certification on Page 5 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(6).
INSTRUCTIONS FOR FORM: FTA 06-21 & SUPPORTING DOCUMENTATION Page 1 of 3

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
Swannanoa, North Carolina 28778-8211
[phone]
[phone] Fax
Avery, Buncombe, Burke, Caldwell, Cherokee,
Clay, Graham, Haywood, Henderson, Jackson,
Macon, Madison, McDowell, Mitchell, Polk,
Rutherford, Swain, Transylvania, Yancey
Water Quality Section
Fayetteville Regional Office
225 Green Street Suite 714
Fayetteville, North Carolina 28301-5095
[phone]
[phone] Fax
Anson, Bladen,.Cumberland, Hamett, Hoke,
Montgomery, Moore, Robeson, Richmond,
Sampson, Scotland
Water Quality Section
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
Water Quality Section
Raleigh Regional Office.
3800 Barrett Drive
Raleigh, North Carolina 27609
[phone]
[phone] Fax
Chatham, Durham, Edgecombe, Franklin,
Granville, Halifax, Johnston, Lee, Nash,
Water Quality Section
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
Water Quality Section
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
[phone] Fax
Brunswick, Carteret, Columbus, Duplin, New
Hanover, Onslow, Pender
Water Quality Section
Winston-Salem Regional Office
450 W. Hanes Mill Road
Suite 300
Winston-Salem, North Carolina 27105
[phone]
[phone] Fax
Alamance, Alleghany, Ashe, Caswell, Davidson,
Davie, Forsyth, Guilford, Rockingham, Randolph,
Stokes, Surry, Watauga, Wilkes, Yadkin
Water Quality Section
INSTRUCTIONS FOR FORM: FTA 05-21 & SUPPORTING DOCUMENTATION Page 3 of 3

VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
0 Yes ❑ No ® N/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DENT) been attached?
❑ Yes ❑ No ® N/A
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.0115(c) been attached?
❑ Yes ❑ No ®N/A
4. Origin of wastewater: (check all that apply):
® Residential (Individually Owned)
❑ Residential (Leased)
❑ School / preschool / day care
❑ Food and drink facilities
❑ Businesses / offices / factories
❑ Retail (stores, centers, malls)
0 Retail with food preparation/service
0 Medical / dental / veterinary facilities
O Church
O Nursing Home
❑. Car Wash
❑ Hotel and/or Motels
❑ Swimming Pool/Clubhouse
0 Swimming Pool/Filter 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 0 No
6. Has a flow reduction been approved under 15A NCAC 02T .0114(1)? ❑ Yes IN 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(t))
- Daily Design Flow a,b
No. of Units
Flow
2 Bedroom Residential Homes
240 gal/Day
6
1,440 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
GPD
a See ISA NCAC 02T .0114(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 .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.0114} shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 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:
O Rehabilitation or replacement of existing sewers with no new flow expected
O Other (Explain):
FORM: FTA 06-21
Page 2 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(1)):
1. Does the project comply with all separations/alternatives found in 15A NCAC 02T .0305(f) & (g)? ® Yes 0 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-I waters of Class I 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(f) or (g) see Section X.1 of this application
*15A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305(f) 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 0 No 0 N/A
> If no, please refer to 15A 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 ❑ N/A
> 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: No
If yes, does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? ❑ Yes 0 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 15A 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?" 0 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

Digkkri3 :,f Water »:;yet
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Town of Parkton
Project Name for which flow is being requested: Sanitary Sewer Ext. - David Parnell Steet
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.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name:
b. WWTP Facility Permit #: lVG on :Llo 941,1
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
a
Da 111
D. t>It7
0. i ;Li
ED3, 5R'a
H. 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.
LA 64,1-,04-
(A) (B) (C) (D)=(B+C) (E)=(A-D)
Design Obligated,
Average Approx. Not Yet
Firm Daily Flow** Current Tributary
Capacity, * (Finn! pf), Avg. Daily Daily Flow,
MGD MGD Flow, MGD MGD
Total Current
Flow Plus
Obligated Available
Flow Capacity***
0,kt5v 0,12,G 040 0.010 f?,O.io Cl, 115
* 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 < O.
Downstream Facility Name (Sewer):
Downstream Permit Number:
Page 1 of 6
FTSE 10-18

PLANNING ASSESSMENT ADDENDUM (PAA)
Submit a planning assessment addendum for each pump station listed in Section II where Available Capacity is <
0.
Pump Station (Name or Number):
Given that:
a. The proportion and amount of Obligated, Not Yet Tributary Daily Flow (C) accounts for
6 % and p, 01 f7 MGD of the Available Capacity (E) in Pump Station
js • and that
b. The rate of activation of this obligated, not yet tributary capacity is currently approximately
(� . 12• o MGD per year; and that
c. A funded Capital Project that will provide the required planned capacity, namely
is in design or under construction with
;andlor
planned completion in
d. The following applies:
-go c c La.5 etre1.`e.� et."-- e S
ref It- L -tin" r >.t.7.2...r. 4ui5
1 jj pp \\ aa ` (! 3�A'j L
}i �.JV\ 7 to .i�A irk - il.- P! /^tr.su tit" Dr. CJ
Therefore:
Given reasonably expected conditions and planning information, there is sufficient justification to allow
this flow to be permitted, without a significant likelihood of over -allocating capacity in the system
infrastructure.
I understand that this does not relieve the collection system owner from complying with G.S. 143-
215.67(a) which prohibits the introduction of any waste in excess of the capacity of the waste disposal
system.
isgn' Official Signature
Page 3 of 6
L /ILZ-/Z
Date
FTSE 10-18

State of North Carolina
Department of Environmental Quality
Division of Water Resources
'�--� *�•u"`'� FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division. of Water Resources FTA 06-21 & SUPPORTING DOCUMENTATION
Application Number. feted by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Town of Parkton (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual 0 Corporation ❑ General Partnership
0 Federal ❑ State/County ® Municipal
3. Signature authority's name: Al McMillan per 15A NCAC 02T .0106(b)
Title: Mayor
4. Applicant's mailing address: PO Box 55
City: Parkton State: NC Zip: 28371-
5. Applicant's contact information:
Phone number: [phone] Email Address: cleckcr,townofparkton.org
❑ Privately -Owned Public Utility
❑ Other
RECEIVED
JUN 24 2022
I:0'1
DEQ-FAYETTEVILLE REGIONAL OFFICE
II. PROJECT INFORMATION:
1. Project name: David Parnell St. Sanitary Sewer Extension
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: W000 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: W000
3. County where project is located: Robeson 4. Approximate Coordinates (Decimal Degrees): Latitude: 34.9000427° Longitude:-79.007252°
5. Parcel ID (if applicable): 949178907500 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Jonathan E. Locklear
Firm: Locklear Locklear & Jacobs PLLC
Mailing address: PO Box 3119
City: Pembroke State: NC
Zip: 28372-
LOCKLEAR, LOCKLEAR & JACOBS, PLLC.
P:0. BOX3119
PEMBROKE,NC 28372
PAY / l G 1---
TO THE U l
ORDER OF
1--Qu�' Hurdr- Fe`
GLIAMMT
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License Number: NCO29469
DATE
3285
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66368/531
DOLLARS.