WQ0043931_Application (FTSE)_20221014

NC
`DePt of Environmental Qt,;ttit, State of North Carolina
Department of Environmental Quality
UL Division of Water Resources
w i 4 P'n
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
DIvIslon of Water Resources Retleigh Regional FTA 06-21 & SUPPORTING DOCUMENTATION
otrj.-,,.
Application Number: Ii/Q 0 01/3 61(to be completed by DWR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
1. Applicant's name: City of Wilson (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ❑ State.:County ® Municipal
3. Signature authority's name: W.T. Bass IV, PE per ISA NCAC 02T..0106(b)
Title: Director of Public Works
4. Applicant's mailing address: P.O. Box 10
City: Wilson State: NC Zip: 27894
5. Applicant's contact information:
Phone number: 252 399-2453 Email Address: [e-mail]
II. PROJECT INFORMATION:
❑ Privately -Owned Public Utility
❑ Other
1. Project name: Bright Leaf— Phase I1
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: Wilson
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.728' Longitude:-77.962`
5. Parcel ID (if applicable): 3702-71-5246 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
. Professional Engineer: Ronald G. Fuentes, PE License Number: 38604
Firm: Bartlett Engineering & Surveying, PC
Mailing address: 1906 Nash St. N.
City: Wilson State: NC Zip: 27893-
Phone number: [phone] Email Address: ronal df@bart letteng.coin
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I. Facility Name: Hominy Creek Water Reclamation Facility Pennit Number: NC 0023906
Owner Name: Cit oof Wilson
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ0042480
2. Downstream (Receiving) Sewer Information: 8 inch ® Gravity F1 Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00021
Owner Name(s): City of Wilson
FORM: FTA 06-21 Page I of 5

VI. GENERAL REQUIREMENTS
. 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: DEVbeen 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.01 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 preparation/service ❑ Hotel and/or Motels
❑ School.-' preschool / day care ❑ Medical dental .-veterinary facilities ❑ Swimming PooliClubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming PoollFilter Backwash
❑ Businesses ' offices!" factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater : 100 % Domestic % Commercial % Industrial {See 15A NCAC 02T_.0103(2Q)
If Industrial, is there a Pretreatment Program in effect? 0 Yes❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .0114}? ❑ 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
Residential
360 gal;`day
37
13,320 GPD
gal;
GPD
gall
GPD
gall
GAD
gall
GPD
gal;'
GPD
Total
13,320 GPD
a See 15A NCAC 02T .01 14 b d e (g)(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 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.
S. Wastewater generated by project: 1.3.320 GPD (per 15A. NCAC 02T ,01 14)
➢ 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 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 480 PVC
➢ Section 11 & 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
Vlil. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC_(Pumn Stations/Force Mainsl:
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 2.01 C.1.b. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with .ISA NCAC 02T ,03€k5(hX1):
❑ Standby power source or ❑ Standby pump
➢ Must have automatic activation and telemetry - 15A NCAC 02T.0305(li)(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)(1)(C):
❑ 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 — (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations;'alternatives found in I5A NCAC 02T .0305 & ]? ® Yes ❑ No
15A NCAC 02T.0305 contains minimum separations that shall be provided for sewers stems:
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 1 or
Class II impounded reservoirs used as a source of drinking water, and associated wetlands.
100 feet
**Waters classified WS (except WS-1 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 feel
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 tit. see Section X.I of this application
* 1S-,,, NCAr 02a205f contains alternatives where separations in 02T.0 05 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 webpnae
2. Does this project comply with the minimum separation requirements for water mains? ®Yes ❑ No ❑ N.'A
➢ If no, please refer to 15A NCAC 18C.0406(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 drafl 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 15A NCAC 02B .0200? ® Yes ❑ No
➢ This includes Trout Buffered Streams per 15A NCAC_ 213.0202
5. Does the project require coverage/authorization under a 404 Nationwidelindividual 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 ISA NCAC 02T.0I05{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?" ❑ 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 interferencelconflict 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 €rf Pump Stations
and Force Mains Clatest version), and the Graviy Sewer Minimum Design Criteria (latest versions 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 be subject to longer
review times. For projects requiring two or more variances or where the variance is determined by the Division to be a
significant portion of the proiect, the full technical review is required.
2. Professional Engineer's Certification:
I, Ronald G. Fuentes, PE, attest that this application for Bright Leaf - Phase II
(Professional Engineer's name from Application Item 11[ I,) (Project Name from Application Item 11 l)
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 tlate; t ycUi99 , and the Minimum Desilrn Criteria for the Fast -Track Permitting
of Pumty 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)
......... .............. ...... ._.......
11i11
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 027' .0106(b):
C A R p iz�
386
4 /C:
oy `cNG 1
........
... .................
1, W.T. Bass IV, PE, attest that this application for Bright Leaf Phase 11
(Signature Authority Name from Application Item 1.3.) (Project Name from Application Item If. I }
attest that this application has been reviewed by me and is accurate and complete to the best of my knowledge.
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. l 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 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 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.
Signature: Date: H ZZ
FORM: FTA 06-21 Page 5 of 5

State of North Carolina
Department of Environmental Quality
Division of Water Resources
ilivkloll 411 W.z;vv Flow Tracking for Sewer Extension Applications
(ME 10-18)
Entity Requesting Allocation: City of Wilson
Project Name for which flow is being requested: Bright Leaf - Phase 11
More than one FTSF may be required for a shtgle project trihe owner of the IFIFTP is not responsible for all pump
stations along fire route of the proposed wasteipater flow.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Hoininey Creek Water Reclamation Facility
b. WWTP Facility Permit #: NCO023906
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual ai�g. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
All flows are in MGD
14.00
0.408
9,700
0.01332
10.12
72.30
I1. 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:
(A) (B) (C) (D)=(B+C)
(C)=(A-D)
Design
Average Approx. Obligated, Total
Pump Daily Current Not Yet Current Flow
Pump Station Station Firn1 Flow** Avg. Daily Tributary Plus
(Name or Permit Capacity, * (Firm / pi), Flow, Daily Flow, obligated
Available
Number) No. MGD MGD MGD MGD Flow
Capacity***
Contentnea #36001 4.320 1.728 1.06 0.239 1.299
0.429
Southside #36000 6.264 2.506 1.73 0.239 1.969
0.537
* The Fit -in Capacity (design flow) of any pump station is defined as the maxinturn pumped flow
that can be achieved with the largest putup 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 Minimunt 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
F`I'S E 10-18

III. Certification Statement:
I ]kyle F. Mannili& 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 fiom 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 platuied improvements
identified in the plarming 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 r - Dale
Title of Signing Official
Page 2 of E
FTSE 10-18

CJ`
FffLETT
01MWNc a MRNR vc
1906 Nash Street North Wilson, NC 27893-172b
Phone '[phone] Fax. [phone]
www bartlett us. corn
October 10, 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
Bright Leaf -Phase II
Heritage Drive
Wilson, North Carolina
To Whom It May Concern:
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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
■ Flow Tracking / Acceptance Form
■ USGS Topographic Map
s 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.
Respectfull
At
Steve Iverlo
Project Manager
Enclosures
P'. PROJECT FILMBnght leaf (Westhaven)\Phase II1Permn"ewerVD.018 Ph 11 NCDENR Cover Letter doc

ENGINEERING REPORT
SEWER SYSTEM EXTENSION
BRIGHT LEAF — PHASE II
CITY OF WILSON, NORTH CAROLINA
SEPTEMBER 28, 2022
Wastewater Treatment Facilit
Hominy Creek Water Reclamation Facility
NPDES Permit No. NCO023906
Applicant/Owner Name & Address
City of Wilson
Post Office Box 10
Wilson, North Carolina 27894-0010
Project Name & Location
Bright Leaf — Phase II
Heritage Drive
Wilson, North Carolina
Project Summary
The project is for a new thirty-seven (37) lot residential subdivision located east of the existing
temporary terminus of Winding Ridge Drive, off of Heritage Drive. It will include the installation
of approximately 980 linear feet of 8-inch diameter PVC gravity sewer line, Five (5) standard
manholes, 37 - 4-inch sewer services and other necessary appurtenances. This sewer system
will connect to an existing 8-inch gravity sanitary sewer main within Winding Ridge Drive.
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Wilson County, GIS - Property Report
Quantity:
Road Frontage:
Current Use Code Main Improvement:
Main Improvement Decription Cade:
Mein Improvement Descripum:
Construction Quality Grade Deatption Code.
Deprociadon Table:
Number of Bedrooms:
Number of Half Bathrooms:
HVAC:
Fireplace Yes or No:
Basement Yee or No:
Afleched Garage Yes or No:
Percent of Comst ruction Complete:
Number of Improvements:
Neighborhood Code:
City.
Tax DIM&
TownsNp:
Area:
13.36
VACANT-
-SF
N-
N-
N-
96
000
8388 - W ILSON WEST A-1
13 - GSW/CONTENTNEA FD
1 - WILSON TOWNSHIP
34 - MKT ZONE-WILSON COUNTY W
Vacinity Map
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10/5/2020
Wilson County, GIS - Property Report
Wilson Countv Parcel Report
PIN: 3702-81-9733.000
Parcel Number: 3702819733.000
Current Owner ID: 1111537
Physical Address: NC 42 HWY W
Owner & Address:
UNIVERSAL FOREST & LAND INC
5608 BLOOMERY RD
Date Sold:
1533859200000
Deed Reference:
2753 - 650
Deed Year.
2018
Plat Reference:
Deed Acres:
27.26
Actual Year Built:
Effective Year Built:
Main improvement
Finished Area:
Tax Year.
2020
Assessed Current
Land Vatoe:
$47,255
Assessed Current
Improvement Value:
S0
Total Assessed
Current Value:
$47,255
Current Land Use
Yes or No:
N
Current Land Use Value:
$47,255
Current Land
Fair Market Value:
$47,265
Current Improvement
Fair Market Value:
Current Total
Fair Market Value:
$47,255
Total Tax Owed:
$400
Grantor,
CARR WILLIAM GRAY,
Previous ParoalNumber:
Previous Deed Reference:
Plat Book/Page:
Legal Description:
NC42 HWY W
27.26AC
Sales Amount:
$115,000
Sales Instrument:
WD
Sales Instrument Description:
WARRANTY DEED
Sales Disqualifection Code. -
Sales Disqualifaction Code Description:
Date Sold:
20180610
Vacant Improved Code:
Land Current Usage Code:
CLR
Land Rate:
AC - ACRES
Fair Market Value
Land Rate Code:
5113
Parcel Description Code 1:
50 - RURAL HOMESITE
Parcel Description Code 2:
00 - VACANT
Multiple Land Segments:
MLT
GIS Calculated Acres
of Selected Polygon:
27 04
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