WQ0044053_Application (FTSE)_20221230

DW.R
State of North Carolina
Department of Environmental Quality
Division of Water Resources
FAST TRACK SEVER SYSTEM EXTENSION APPLICATION
Divii;lon of Water Resources FTA 06-21 & SUPPORTING DOCUMENTATION
O
Application Number: 0� completed by nVlranmelllaj Qilaf j!
-
All items must be completed or the ai3plication will be returned DEC 3
1. APPLICANT INFORMATION: 20Z2
I. Applicant's name: Town of Clayton (company, municipality, HOA, utility, etc_)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ❑ State/County ® Municipal
3. Signature authority's name: Joshua Baird. PE per I SA NCAL:_Q21 Ql f l
Title: Enzineerinp DiEgctor.w t o
4. Applicant's mailing address: P.O. Box 879
City: Clayton State: NC Zip: 27528-
5. Applicant's contact information:
Phone number: 919 5� 53- 1554 Email Address: ibairdC&)townofclaYtonne.or
11. PROJECT INFORMATION:
Raleigh Re
glonal p
❑ Privately -Owned Public Utility off
❑ Other
I . Project name: Grifols Phase II_Wastewater Upgrades Effluent Line
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: WQ00 and issued date: ,
For modifications, also attach a detailed narrative description as described in Item G of the checklist.
If new construction, but part of a master plan, provide the existing permit number. WQ00
3. County where project is located: Johnston
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.619138Y Longitude:-78.414279'
S. Parcel ID (if applicable): 167800-40-6031 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
I. Professional Engineer: Ben Cathev. PE License Number: 34476
Firm: McGill Associates
Mailing address: 5400 Trinity Road.5uite 107
City; Ralcigh State: NC Zip: 27607-
Phone number: (9191378.9)1 1 Email Address: ben.catheyfzi,iilc illassociates.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Little Creek WRF Permit Number: NCO025453
Owner Name: Town of Clayton
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ
2. Downstream (Receiving) Sewer Information: 12 inch ❑ Gravity N Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00110
Owner Name(s): Town of Clayton
FORM: FTA 06-21 Page I of 5

VT. GENERAL REQUIREMENTS
L 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 Dcrrlc}pL!Cs Opp fii 2sfnal AMcrn,, t tfL)RM f)CY) been attached?
❑ Yes ❑ No ® N!A
3. If the Applicant is a Home/Property Owners' Association, has an I )k { AIhUA 1 r t .rtak. n� myntr +A: IQ,AJ and
supplementary documentation as required by 15A NCAC 02T.0I 15(c) been attached?
❑ Yes ❑ No EJ WA
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 Pool/Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
® Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: % Domestic % Commercial 100 % Industrial (��L .I 5A NCAC 42T .010-1 20
If Industrial, is there a Pretreatment Program in effect? ® Yes❑ No
6. Has a flow reduction been approved under 1 'A_!AC U2T .411 14D? ❑ 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 '•'
No. of Units
Flow
gaF
GPD
gal..'
GPD
gal/
GPD
gaU
GPD
gall
GPD
gall
GPD
Total
0 GPD
a See I �A NC'AC02T .01 14t!r1. td 1. tc 1l l 1 al,J tc t121 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 .0I 14(c), design flow rates for establishments not identified [in table ,I qA NCAC [121',01 t4l shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 0 GPD (per 15A NC'A('_(121: _(tl 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 timeframc 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 IGra%itj- Sewers):
I. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
24 535 DIP
➢ Section II & III of the MDC for Penn itting of Gravity Sewers contains information related to design criteria
➢ Section Ill contains information related to mmitntun slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirements is not allowed and a violation of the MDC
Vlll. PUMP STATION DESIGN CRITERIA (If Applicable) — f+2T.t171t5 & ►11)C I Pump Stations; Force Iklain9):
PROVIDE. A. SEPARATE COPY OF THIS PAGE FOR EACH „POMP STATION INCLUDED IN THIS PROJECT
l . 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.I .b. ❑ Grinder Putnp ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with NCAC 0270,1
❑ Standby power source or ❑ Standby pump
:- Must have automatic activation and telemetry - 15A NCAC 02T.0305(h)(1)(8)_
➢ 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 I SA 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.
i 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 separationsialternatives found in 15A N'('Ac 02T .0305(f, & fg)? ® Yes ❑ No
15A NCAC 02T.0305(f) contains minimum separations that shall be nrovided 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 11 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 Q2T.0305(f1 of, see Section X.1 of this application
* 15A NCAC 02T.0305fe1 contains alternatives where separations in 02T.0-n5M 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 wtbeaste
2. Does this project comply with the minimum separation requirements for water mains? ®Yes ❑ No ❑ N1A
➢ 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.
➢ Seethe Division's draft. separation rmirements 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 1SA NCAC 02B :0200? ® Yes ❑ No
➢ This includes Trout Buffered Streams per 15A NCAC 2B.0202
5. Does the project require coverage/authorization under a 404 Nationwide/individual permits ® Yes ❑ No
or 401 Water Quality Certifications?
➢ Please provide the permit number/permitting status in the cover letter if coverage/authorization is required.
6. Does project comply with ISA NCAC 021. 0105fc1[6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105(c)&}, 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.).
Does this project include any sewer collection lines that are deemed "high -priority?" ® Yes [:]No
Per 1jA 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(ax5) 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 I SA NCAC 0211, the Minttnum Design�.nteria for ily P' rniitli�L 4' p III , S a i 11,
:,�u�tc Stu ns 1atc.vc,n3 and the (; iv' 'ewer Minim i t i n late v . i n 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 oroiects requiring a variance approval may be subiect to longer
review times. For protects recluirine 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, Ben Cathey , attest that this application for Grifols Phase it Wastewater Upgrades Effluent Line
(Professional Engineer's name from Application Item 111.1.) (Project Name from Application Item 11.11
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,
i iininitim 1) stign Cri[itrza ftu Gravity ck%crs QI v�p on , and the f'rik is for [he (-,tst-l'rack Pa-,(
ut Pumf+ Stations and F;r;c Mains {lati, Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and sea] 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 tip 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: ,• 1 c'A R•,,�
O OF f.55!{t1± 4
�.z f
144L
�'�171l I11 }155 /
3. Applicant's Certification per 15A NCAC 02T .0106(b):
1, Joshua Baird attest that this application for �fols Phase II Wastewater Upgrades Efflue_n_t Line
(Signature Authority Name from Application Item 13 ; (Project Name from Application hem 11 1)
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. I understand that any
discharge of wastewater from this non -discharge system to surface waters or the land will result in an immediate enforcement
action that may include civil penalties, injunctive relief, and/or criminal prosecution. 1 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 pans 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 the as incomplete.
NOTE - In accordance with General Statutes 143,Z15 6A and 14.3-215.613, 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.
Signature:_ --
Date- , h ll'ZO �z-- .
FORM• FTA 06-21 Page 5 of 5

State of North Carolina
W
Department of Environmental Quality
Division of Water Resources
Mvislon of Water Resources Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Town of Clayton
Project Name for which flow is being requested: _ Grifols Phase II Effluent Gravity Line
More than one FTSE maybe 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: Little Creek
b. WWTP Facility Permit #: NCO025453
All flows are in MGD
c. WWTP facility's permitted flow LCWRF 2.5 + JoCo 1.4 +
Raleigh 1.75 = 5.65 MGD_
d. Estimated obligated flow not yet tributary to the WWTP 0.0.9317 r
e. WWTP facility's actual avg. flow 3.084
f. Total flow for this specific request 0.00
g. Total actual and obligated flows to the facility 4.0157
h. Percent of permitted flow used 71.1%
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:
(A) (B) (C) (D)=(B+C) (E)=(A-D)
Design Obligated,
Pump Pump Average Approx. Not Yet Total Current
Station Station Firm Daily Flow** Current Tributary Flow Plus
Name or Permit Capacity, # (Finn? pf), Avg. Daily Daily Flow, Obligated Available
Number) No. MGD MGD Flow, MGD MGD Flow 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
(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 < 0.
Downstream Facility Name (Sewer): EGIA
Downstream Permit Number: UNK
Page 1 of 6
r 0 r If, 10

II1. Certification Statement:
I _Joshua B. Baird_ _ 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.
Sig ng Official Signature Date
Pkeek '
T le of . ' ping Official
Page 2 of 6

Shaping Communities Together
meg III
December 29, 2022
Division of Water Resources
Raleigh Regional Office
North Carolina Department of Environmental Quality
3800 Barrett Drive Raleigh, NC 27609
RE: Fast Track Sewer Extension Application
Grifols USA, Clayton
Johnston County, North Carolina
To whom it may concern:
Please find the following items enclosed for your review and approval:
1. One (1) original Fast -Track Sewer System Extension Application with supporting maps.
2. One (1) copy of a Fast -Track Sewer System Extension Application with supporting maps.
3. One (1) copy each of Environmental Permits/Authorizations.
4. Review fee check in the amount of $480.
This project includes a 535 linear feet public gravity sewer extension to serve the currently under
construction pretreatment plant upgrades located on the Grifols facility in Clayton, NC. Additionally, there
is a length of the gravity sewer line that will be privately owned. The proposed line was sized for a future
flow from the upgraded pretreatment plant, but any future flows not currently permitted from the Grifols
facility will be permitted accordingly at that time. The existing gravity sewer from Grifols facility outfalls to
an existing Johnston County pump station located on Grifols property. The current force main from the
County's pump station is routed to the Town of Clayton's ECIA pump station and then pumped into a force
main along US 70 Business Highway West. The proposed line is meant to bypass the existing county
pump station and flow directly to the ECIA pump station time as shown on the attached site maps without
adding additional flow at this. This bypass is to help facilitate a future decommissioning of the County's
pump station. Approximately 276 linear feet of the proposed line will be an aerial crossing with ductile iron
pipe and reinforced concrete piers located outside of the stream and wetlands. The gravity line falls under the
15A NCAC 02B .0233 protection rules and was approved by the NC DWR permitting branch on July 8, 2020.
SAW-2020-00915 falls under the 401 Water Quality Certifications and does not require a permit. It was
approved by the U.S. Army Corps of Engineers on June 6, 2020.
If you have any questions or comments about this submittal, please do not hesitate to call me at (919) 378-
9111 or email me at [e-mail].
lassociates.com.
Sincerely,
McGILL ASSOCIATES, P.A.
Ben Cathey, PE
Civil Practice Area Leader
Sewer Permit — Cover Letter
MCGILL ASSOCIATES 5400 TRINITY ROAD, SUITE 107, RALEIGH, NC 27607 / 919.378.9111 / MCGILLASSOCIATES.COM

� � N
r . w.
EX. GRAVITY SEWER
EFFLUENT LINE FROM GRIFOLS
GRIFOLS
WWTP PH2
UPGRADES
PROPOSED GRAVITY SEWER
EFFLUENT LINE
'6 ECIA PUMP STATION—
` iL (TOWN OF CLAYTON)
(NOT PART OF PERMIT)
EXISTING FORCE MAIN
FROM JOHNSTON COUNTY
PUMP STATION EXISTING FORCE MAIN
t TO ECIA PUMPJL% if
STATION
EX. JOHNSTON COUNTY
PUMP STATION
EX. GRAVITY SEWER 4
FROM PUBLIC x,-
NC RAILROAD
I�
AERIAL CROSSING
-APPROX. 276 LF 24"0
DIP SUPPORTED WI
REINFORCED CONCRETE
PIERS LOCATED
OUTSIDE OF THE
STREAM AND WETLANDS
_ •�.. N �'
EXISTING FORCE MAIN
FROM ECIA PUMP STATION
id
1r. +#
APPROX. LOCATION OF SITE:
PARCEL IDA6780040-6031
LAT: 35.619138"
LONG:-78A14279"
v
US-70 BUSINESS
HIGHWAY WEST
r
DATE
PHASE II WASTEWATER UPGRADES
SHEET
$a00 inmry Road
DECEMBER 2022
EFFLUENT LINE
Swle 107
aal.0 MC27607
91927&9111
PROJECT M
22.0,924
GRIFOLSTHERAPEUTICS,ll
AERIAL SITE MAP
me '
r1CFm"."—*C-"S9
F.2
""9"lassOC81es.com
PROJECT MANAGER
B.CATHEY
TOWN OF CLAYTON, NORTH CAROLINA

x
EX. GRAVITY SEWER �--
EFFLUENT LINE FROM GRIFOLS
GRIFOLS
WWTP PH2
UPGRADES
PROPOSED GRAVITY SEWER
EFFLUENT LINE
EXISTING FORCE MAIN
FROM JOHNSTON COUNTY
PUMP STATION
u
US-70 BUSINESS HIGHWAY WEST
ECIA PUMP STATION —
(TOWN OF CLAYTON)
(NOT PART OF PERMIT)
EXISTING FORCE MAIN -
TO ECIA PUMP STATION
EX. JOHNSTON COUNTY
PUMP STATION
EX. GRAVITY SEWER
FROM PUBLIC
NC RAILROAD
AERIAL CROSSING
-APPROX. 276 LF 24"0
DIP SUPPORTED WI
REINFORCED CONCRETE
PIERS LOCATED
OUTSIDE OF THE
STREAM AND WETLANDS
EXISTING FORCE MAIN
FROM ECIA PUMP STATION
APPROX. LOCATION OF SITE:
PARCEL ID:167800-40-6031
LAT: 35.619138°
LONG: 78.414279e
Fri
r'Y1Cg1II
5400 Trinity RomEFFLUENT
Sude 107
9193 89til7607
C Fi"91n
wC rnegn as�toaatei- "tore
DATE
DECEMBER 2022
PHASE If WASTEWATER UPGRADES
LINE
GRIFOLS THERAPEUTICS LLC
�
CLAYTON, NC AND
POWHATAN, NC
USGS 7.5min. QUAD
SITE MAP (2019)
SHEET
F-1
PROJECT M
�.o,g24
PROJECT MANAGER
B. CATHEY
TOWN OF CLAYTON, NORTH CAROLINA

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. SAW-2020-00915 County: Johnston U.S.G.S. Quad: NC-Powhatan
NO DEPARTMENT OF THE ARMY AUTHORIZATION REQUIRED
Requestor: Grifols Therapeutics LLC
Attn:_Mark Russell, PE, CEM
Address: 8368 US 70 Bus Hwy West
Clayton, NC 27250
Size (acres) —65.35 Nearest Town Clayton
Nearest Waterway UT to Neuse River River Basin Neuse
USGS HUC 03020201 Coordinates 35.619901,-78.415264
Location description: The project area is located at the existing Grifols Therapeutics facility, approximately 0.43 mile northeast
of the intersection of US Highway 70 Business and Powhatan Road, Just south of the existing railroad, in Clayton, Johnston
County, North Carolina.
Description of Activity: The Grifols/Clayton Waste Water Effluent Line project consists of —1,600 linear feet of new effluent
line connector from the existing Grifols facility on US 70 Hwy Bus West southeast to a new Town of Clayton pump station.
The effluent line bridees the wetland/stream complex (by several vertical feet) and has no pilings/foundations within the
wetland/stream area (see attached plan sheets S101, S201, S301, S21038, and S21039). Any tree clearing within the wetland
area required for installation/maintenance of the effluent line would be ahoveground (i.e. no grubbing) and accomplished
through hand clearine methods. Any trees cleared within the wetland boundary will be cut and lifted out of the wetland from
equipment based on high -ground to prevent eround disturbance within the wetland. Visibility fencing will also be installed
along/outside of the wetland boundary to prevent equipment from entering the wetland and to prevent incidental rutting
disturbance.
Your work as proposed does not require Department of the Army authorization for the following reason(s):
(J The entire property is composed of high ground. Therefore, your proposed activity will not occur in any aquatic resources.
O The proposed activity will occur in non jurisdictional waters andior wetlands.
® The proposed activity is not regulated and/or does not include regulated discharges of dredged or fill material.
A jurisdictional determination was not completed with this request. This letter does not address nor include any
consideration for jurisdiction on aquatic resources and shall not be interpreted as such. This is not an appealable
action. However, you may request an approved JD, which is an appealable action, by contacting the Corps for
further instruction.
❑ The proposed activity is exempt from Department of the Army regulations. A jurisdictional determination was not completed with
this request. This letter does not address nor include any consideration for Jurisdiction on aquatic resources and shall not be
interpreted as such. This is not an appealable action. However, you may request an approved JD, which is an appealable action, by
contacting the Corps for further instruction.
Remarks: The above Description of Activity is based on the PCN submitted by the applicant dated 5/21/2020, and updated
construction methods described in an email from the applicant's agent (Gannett Fleming, Inc.) dated 6/16/2020.
This Department of the Army determination does not relieve the permittee of the responsibility to obtain any other required Federal,
State, or local approval sJpermits. The permittee may need to contact appropriate State and local agencies before beginning work -
For any activity within the twenty coastal counties, before beginning work, you must contact the N-C. Division of Coastal
Management to discuss any required State authorization.
Any changes in the above described work must be coordinated with the Corps of Engineers prior to commencement. If there are any
questions regarding this notification or the Corps of Engineers regulatory program, please contact Chris Hopper at [phone] x
35 or Christonher.D.HonnerQusace.armv.mil-
Date: 2020.06.16 12 27:01
Corps Regulatory Official: -04'00' _ Date, 06/1612020
The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we continue to do so,
please complete our Customer Satisfaction Survey, located online at hliv:/..'c*rvtLinaptL-us,-ice-army.mil/cm—apex f?nx 13b:4:tl.
Copies furnished by e-mail:
John Thomas, Gannett Fleming, Inc., One Glenwood Avenue, Suite 900, Rateigh, NC 27603
Stephanie Goss, NCDEQ-NCDWR, 1617 Mail Service Center, Raleigh, NC 27699-1617

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ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
Grifols Theraputics LLC
Attn: Mark Russell
8368 US 70 Bus Hwy West
Clayton, NC 27520
NOPTH CAROLINA
Environmental Quality
July 8, 2020
NC Dept of Environmental Quality
DEC 3 4 2022
Raleigh Regional Office
DWR #20-0676
Johnston County
Subject: APPROVAL OF 401 WATER QUALITY CERTIFICATION WITH ADDITIONAL CONDITIONS
AUTHORIZATION CERTIFICATE PER THE NEUSE RIVER BASIN RIPARIAN BUFFER
PROTECTION RULES (15A NCAC 02B .0233) WITH ADDITIONAL CONDITIONS
Grifols/Clayton Wastewater Effluent Line
Dear Mr. Russell:
You have our approval for the impacts listed below for the purpose described in your
application received by the Division of Water Resources (Division) on May 21, 2020 with
payment received on May 27, 2020. These impacts are covered by the attached Water Quality
General Certification Number 4132 and the conditions listed below. This certification is
associated with the use of Nationwide Permit Number 12 once it is issued to you by the U.S.
Army Corps of Engineers. Please note that you should get any other federal, state or local
permits before proceeding with your project, including those required by (but not limited to)
Sediment and Erosion Control, Non -Discharge, and Water Supply Watershed regulations.
This approval requires you to follow the conditions listed in the enclosed certification and the
following additional conditions:
1. The following impacts are hereby approved provided that all of the other specific and
general conditions of the Certification and Buffer Rules are met. No other impacts are
approved, including incidental impacts. [15A NCAC 02B .0506(b)(c) and 15A NCAC 02B
.0233(8))
D
E Q" North Carolina Department of Environmental Quality I Division of Water Resources
Raleigh Reg-onai Office 13800 Barrett Drive I Raleigh. North Carolina 27609
M H� !
919.791,4200

Grifols/Clayton Wastewater Effluent line
DWR #20-0676
401 AND BUFFER APPROVAL
Page 2 of 4
Type of Impact
Amount Approved (units)
Permanent
Amount Approved (units)
Temporary
Wetland
W1: Land Clearing (By Hand without
Grubbing)
0.011 (acres)
0 (acres)
Buffers — Zone 1
61: Land Clearing for Line
1,200 (square feet)
0 (square feet)
Buffers — Zone 2
131: Land Clearing for Line
800 (square feet)
0 (square feet)
2. Diffuse Flow
All stormwater must be directed and maintained as diffuse flow at non -erosive velocities
through the protected stream buffers such that it will not re -concentrate before discharging
into a stream. [15A NCAC 02B .0233(8)]
3. The permittee shall report to the Raleigh Regional Office any noncompliance with this
certification, any violation of stream or wetland standards [15A NCAC 02B .0200] including
but not limited to sediment impacts, and any violation of state regulated riparian buffer
rules [15A NCAC 02B .0200]. Information shall be provided orally within 24 hours (or the
next business day if a weekend or holiday) from the time the applicant became aware of the
circumstances. A written submission shall also be provided within 5 business days of the
time the applicant becomes aware of the circumstances. The written submission shall
contain a description of the noncompliance, and its causes; the period of noncompliance,
including exact dates and times, if the noncompliance has not been corrected, the
anticipated time compliance is expected to continue; and steps taken or planned to reduce,
eliminate, and prevent reoccurrence of the noncompliance. The Division may waive the
written submission requirement on a case -by -case basis.
4. Protective Fencing
The outside buffer, wetland or water boundary and along the construction corridor within
these boundaries approved under this authorization shall be clearly marked with orange
warning fencing (or similar high visibility material) for the areas that have been approved to
infringe within the buffer, wetland or water prior to any land disturbing activities to ensure
compliance with 15 NCAC 02H .0500. [15A NCAC 02H .0506 (b)(2) and (c)(2) and 15A NCAC
02H .0507 (c)]
S. This approval is for the purpose and design described in your application. The plans and
specifications for this project are incorporated by reference as part of the Certification and

Grifols/Clayton Wastewater Effluent line
DWR #20-0676
401 AND BUFFER APPROVAL
Page 3 of 4
Buffer Authorization. If you change your project, you must notify the Division and you may
be required to submit a new application package with the appropriate fee. If the property is
sold, the new owner must be given a copy of this approval letter and General Certification
and is responsible for complying with all conditions. [15A NCAC 02B .0507(d)(2)]
6. This approval and its conditions are final and binding unless contested. [G.S. 143-215.5]
This Certification and Buffer Authorization can be contested as provided in General Statute
150E by filing a written petition for an administrative hearing to the Office of Administrative
Hearings (hereby known as OAH) within sixty (60) calendar days.
A petition form maybe obtained from the OAH at http://www.ncoah.com or by calling the OAH
Clerk's Office at [phone] for information. A petition is considered filed when the original
and one (1) copy along with any applicable OAH filing fee is received in the OAH during normal
office hours (Monday through Friday between 8:00am and 5:00pm, excluding official state
holidays).
The petition may be faxed to the OAH at [phone], provided the original and one copy of
the petition along with any applicable OAH filing fee is received by the OAH within five (5)
business days following the faxed transmission.
Mailing address for the OAH:
If sending by First Class Mail
via the US Postal Service:
Office of Administrative Hearings
6714 Mail Service Center
Raleigh, NC 27699-6714
If sending via delivery service
(e.g. UPS, FedEx):
Office of Administrative Hearings
1711 New Hope Church Road
Raleigh, NC 27609-6285
One (1) copy of the petition must also be served to Department of Environmental Quality:
William F. Lane, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh, NC 27699-1601
Please send one (1) copy of the petition to DWR:
If sending by First Class Mail If sending via delivery service
via the US Postal Service: (e.g. UPS, FedEx):

Grlfols/Clayton Wastewater Effluent line
DWR #20-0676
Paul Wojoski
NC DWR — 401 & Buffer
Permitting Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
401 AND BUFFER APPROVAL
Page 4 of 4
Paul Wojoski
NC DWR — 401 & Buffer
Permitting Branch
512 N. Salisbury Street
Raleigh, NC 27604
This letter completes the review of the Division under section 401 of the Clean Water Act and
the Neuse Riparian Buffer Rules as described in 15A NCAC 02B .0233. Please contact Stephanie
Goss at 919-791-4256 or Stephan [e-mail] if you have any questions or concerns.
Sincerely,
DocuSlynod by:
Sr�lt 0'k4,
BCDA9D825D4A46D...
Scott Vinson, Regional Supervisor
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources, NCDEQ
Enclosure: GC 4133
cc: David Bailey, USAGE Raleigh Regulatory Field Office (via email)
John Thomas, Gannett Fleming ([e-mail])
DWR RRO 401/Riparian Buffer file
DWR 401 & Buffer Permitting Unit via Laserfiche