WQ0044458_Application (FTSE)_20230518

EV4W&-VV /o.utsi�r/Si�af is So1�h'arr
May 17, 2023
Mr. Robert Tankard
Assistant Regional Supervisor
NC Department of Environmental Quality
Water Resources Water Quality
Regional Operations
Washington Regional Office
943 Washington Square Mall
Washington, NC 27889
RE: Town of Murfreesboro
Carver Park Pump Station
Relocation/Rehabilitation
Hertford County, NC
NCDEQ-DWI # CS370491-06
Dear Robert,
VIA: UPS GROUND
MAY 1_k-JU23
Water Quality
Regional Operations Section
Washington Regional Qxilca
The Town of Murfreesboro received SRF funds to construct a new duplex 250 GPM submersible pump
station that will replace the existing 250 GPM self -priming pump station located approximately 180 feet
southwest of the new location. The old pump station will be demolished, and all gravity sanitary sewer
pipes will be plugged and abandoned.
I am enclosing one original, one copy, and one digital copy on a USB flash drive of the following
documents:
• Cover Letter
• Application FFA 06-21
• Narrative Description
• Application Fee of $480.00 (Check No. 6110)
• USGS Quad. Map
• Overhead photographic view of both sites.
• USB Flash drive containing the above -referenced documents
The Narrative Description and Fast Track Application indicate that no additional flow will be permitted for
this application. The former location was subject to roadway flooding, which cut off access, and allowed
stormwater and mud to flow into the wet well. - - -
if you have any questions, please don't hesitate to contact me.
Sincerely,
MUNICIPAL ENGINEERING, INC.
Michael L. McAllister, M-ASCE
Principal Project Manager
M E S C
Licenses: F-08'
,M
586

State of North Carolina
Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Di` v of Water Resources FTA 06-21 & SUPPORTING DOCUMENTATION
Application Number: (to be completed by DWR)
All Items must be completed or the application will be returned
L APPLICANT INFORMATION:
1. Applicant's name: Town of Murfreesboro (company, municipality, HOA, utility, etc.)
2'. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ® Municipal ❑ Other
3. Signature authority's name: Carolyn Brown per 15A NCAC 02T .0106(b)
Title: Town Administrator
4. Applicant's mailing address: P.O. Box 6
City: Murfreesboro State: NQ Zip: 27855-
5. Applicant's contact information:
Phone number (M M-5904 Email Address: cbron(dbmgEfreesboronc.net
IL PROJECT INFORMATION:
1. ' Project name: Carver Parr Sewer Lift Station improv
2. Application/Project status: ❑ Proposed (New Permit) ® Existing Permit/Project
If a modification, provide the existing permit number I9912139 and issued date: 9/9/1985•
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: Hgrtford
4. Approximate Coordinates (Decimal Degrees): Latitude: 36.44 1122 ° Longitude:-77,081525'
5. Parcel ID (if applicable): 5%8-45-8652 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer. Gary M. Flowers License Number. 020148 /
.Firm: Municipal Engineering. Inc.
Mailing address: 68 Shipwash Drive
City: C�w State: NQ Zip: 27529-
Phone number. (21D U2-5393 Email Address: owers"esco.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Murfreesboro Town-WWT Plant Permit Number: W00006785
Owner Name: Town of Murfreesboro
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ0006785 f -
2. Downstream (Receiving) Sewer Information: ❑ Gravity 8 Inch M Force Main 6 & 4-Inch
r •�:y
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00286
Owner Name(s): Town of Murfreesboro
FORM: FTA 06-21 Page 1. of 5

VL GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes [:]No ® N/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's QMrational Agreement (FORM; DEY) been attached?
❑ Yes ❑ No ® N/A
3. If the Applicant is a Home/Property Owners' Association, has an HOA/POA Qperational Amement (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) ❑ 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: 200 % Domestic JQ% Commercial N/A % Industrial (See 15A NCAC 02T .0103(20))
If Industrial, is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T .0114(fl? [:]Yes ®No
➢ Jf yes, provide a cony of flow reduction approval letter with this application
7. Summari wastewater generated by project:
.i77�r1.�•C^�•`'�''�'-.i�".�: �.�:.zp:1�1��.�;T?'�'r �,F���.�7�ir s �+1��=.s�, �1Ao �.':�'�1,7;ii;1_?�'��:a.= I c �"c_'�9[N'�[.�u�:.la.;�
Establishment Type (see 02T.0114(f))
Daily Design Flow ',b,
No. of Units
Flow
gal/
GPD
gal/
GPD
gal
GPD
gal
GPD
gal/
GPD
gal/
GPD
Total
GPD
a See 15A 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.01141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: Q 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 timefiame for permitting upstream sewers with flow.
® Flow has already been allocated in Permit Number. 12139 Issuance Date: 9/9/1985
® 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 bepermitted:
Size (inches)
Length (feet)
Material
8
24
SDR 35 PVC
➢ Section H & 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
VIM PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0 & MDC (Pump Stations/Force Mains):
PROWQE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: Carver Park Lift station (LS- 13)
2. Appraximate Coordinates (Decimal Degrees): Latitude: 36,440714' Longitude:-77,081919'
3. Total number of pumps at the pump ,,station: 2
3. Design flow of the pump station: 0.36 million 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): 250 gallons per minute (GPM) at 96 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
6
256
SDR 21 PVC
6
20
Class 50 DI
,W] co
If any portion of the force main is less than 4-inches in diameter, please identify the method of solids reduction per
MDCPSFM Section 2.01C.Lb. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with 15A NCAC 02T .0305(h)(1):
® Standby power source or ❑ Standby pump
➢ Must have automatic activation and telemetry - 15A NCAC 02T.0305(hxl)(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(hxl)(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 15A NCAC 02T .0305(f)_ & (s)? ® Yes ❑ No
15A NCAC 02T.0305(fl 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( or (g), see Section X.1 of this application
* 15A NCAC 02T.03056z) 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 webpaue
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.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 maration 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 ❑ 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 021.0105(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 interference/conflict boxes require a variance approval
➢ If yes, include an attachment with details for each lime, including type (aerial lime, 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 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains (latest version), and the (3ravity Sewer Minimum Design Criteria (latest version) 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 prolects requiring a variance approval may be subject to Ionizer
review times. For proiects reguirine two or more variances or where the variance is determined by the Division to be a
significant portion of the prolect, the full technical review is required.
Professional Engineer's Certification:
1, Goa y M. Flowers, PE , attest that this application for Carver Park Lift Station Improvements
(Professional Engineer's name from Application Item III. I:) (Project Name from Application Item ILI)
has been reviewed by me and Is accurate, complete and consistent with the information supplied in the plans,
specifications, engineering calculations, and all other supporting documentation to the best of my knowledge. I further
attest that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations,
Minimum Design Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria for the Fast -Track Permitting
of Pump 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,46.0701)"-1
North Carolina Professional Engineer's seal, signature, and date:
3. Applicants Certification per 15A NCAC 02T .0106(b):
SEAL
f 020148
VC Is
t1"l I 1111111���V"
I, Carolyn Brown, Town Administrator attest that this application for Carver Park Lift Station Improvements
(signature Authority Name ftom Application Item L3.) (Project Name from Application Item IL 1)
attest that this application has, been reviewed by me and to accurate and complete to the best of my knowledge.
I understand that if all required parts of this application are not completed and that if all required supporting documentation
and attachments are not included, this application package is subject to being returned as incomplete. I understand that any
discharge of wastewater from this non -discharge system to surface waters or the land will result in an immediate enforcement
action that may include civil penalties, injunctive relief, 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 143-215.613 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: 44&mtm Date: " - Z; K1 0o 3
FORM: FTA 06-21 Page 5 of 5

State of North Carolina
Department of Natural Resources and Community Development
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27611
James G. Martin, Governor R_ Paul Wilms
S. Thomas Rhodes, Secretary September 9, 1985 Dior
Mr. Stanley Dixon, Chairman
County of Hertford
County Manager's Office
P. 0. Box 116
Winton, NC 27986
SUBJECT: Permit No. 12139
County of Hertford
Carver Park Community
Pump Station & Sesser Collection System
Hertford County
Dear Mr. Dixon:
In accordance with your application received May 9, 1985, we are forwarding
herewith Permit No. 12139, dated September 9, 1985, to the Hertford County
Board of Commissioners for the construction and operation of the subject
wastewater collection system extensions.
This Permit shall be effective from the date of issuance until rescinded,
and shall be subject to the conditions and limitations as specified therein.
I£ any parts, requirements, or limitations contained in this permit are
unacceptable to you, you have the right to an adjudicatory hearing before a
hearing officer upon written demand to the Director within thirty (30) days
following receipt of this permit, identifying the specific issues to be con-
tended. Unless such demand is.made, this permit shall be final and binding.
One 1(1) set of approved plans and specifications is being forwarded to you.
If you have any questions or need additional information concerning this matter,
please contact Mr. Donald Safrit, telephone No. 919/733-5083, ext. 120.
Sincerely yours,
Original By
ARrNUR MOUBE ffty
Paul Wilms.
Director
cc: Hertford County Health Department
Criag B. Morgan & Associates, P.A.
Washington Regional Supervisor
Mr. Dennis R . Rams ey pollution Pra "tiox Pays
RPW: jmp AO: Boa 276e, Raleigh, North Carona 27611-1687 TekOmm 919-733-7015
An Equal Oppommity Affirmative Acmo Ei,*m

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMISSION
DEPARTMENT OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT
RALEIGH
P E R M I T
For the Discharge of Sewage, Industrial Wastes, or Other Waste's-"':
In accordance with the provisions of Article 21 of Chapter 143, General
Statutes of North Carolina as amended, and other applicable Laws, Rules and
Regulations
PERMISSION IS HEREBY GRANTED TO
County of Hertford
Hertford County/
FOR THE
construction and operation of 4,250 lineal feet of 8-inch gravity sewer,
a 250 GPM wet well pumping station with dual non -submersible pumps and
' high-water alarm,�and approximately 1255 lineal feet of 6-inch force
main to serve the Carver Park Community and the discharge of collected
domestic wastewater into the County of Hartford's existing sewerage system,
pursuant to the application received May 9, 1985 and in conformity with the project
Plans, specifications, and other supporting data, subsequently filed and approved
by the Department of Natural Resources and Community Development and considered
a part of this permit.
This Permit shall be effective from the date of issuance until rescinded,
and shall be subject to the following specified conditions and limitations:
1. This permit shall become voidable unless the facilities are constructed in
accordance with the approved plans, specifications and other supporting data.
2. This permit is effective only with respect to the nature and volume of wastes
described in the application and other supporting data..
3. The facilities shall be properly maintained and operated at all times
4. This permit shall become voidable unless the agreement between Hertford
County Board of Commissioners and the Town of Murfreesboro for the collection
and final treatment of domestic wastewater is in full force and effect.

Permit No. 12139
Page 2
5. The sewage and wastewater collected by this system shall be adequately
treated in the Murfreeboro's Wastewater Treatment Plant prior to being
discharged into the receiving stream.
6. Construction of the sewers shall be so scheduled so as not to interrupt
service by the existing utilities nor result in an overflow or bypass
discharge of wastewater to the surface waters of the State.
7. The Permittee shall provide for the pump station and force main the following items:
a. Pump-on/pump-off elevations located so that 2-8 pumping cycles'may be achieved
per hour in the pump station.
b. An,air relief valve located at all high points along the force main.
c. A screened vent for the wet well.
d. Fillets located in the wet well at the intersection of the flooring and sidewal_
e. Three (3) feet of cover (minimum) over the force main or the use of ferrous
material where three (3) feet cannot be maintained.
f. Sufficient devices which will protect the pump station from vandals.
g. Flood.protection if the pump station is located below the 100-year flood
elevation.
Permit issued this the 9th day of September, 1985.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
; iistna� igned BY
ARl'}{art Pr1006Ct:V
for:
R. Paul Wilms, Director '
Division of Environmental Management
By Authority of the Environmental Management Commission
Permit No. 12139
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State of North Carolina
Department of Environmental Quality
Division of Water Resources
�- FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
lion of War Resources 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 bye 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 aracticea
While no upfront engineering design documents are required for submittal, in accordance with 15A NCAC 02T .0305(b), 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 not require 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
® 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 Secre of State.
❑ If the Applicant Type in Item I.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 H.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(b).
INSTRUCTIONS FOR FORM: FTA 06-21 & SUPPORTING DOCUMENTATION Pagel of 3

E. Flow Tracking/Acceptance Form (Form: FTSE 04-16) (If Applicable):
❑ Submit the completed and executed FTSE form from the owners of the downstream sewers and treatment facility.
➢ Multiple forms maybe required where the downstream sewer owner and wastewater treatment facility are different.
The flow acceptance indicated in form FTSE 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 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 a project -specific FTSE.
F. Site Maps (All Application Packages):
® Submit an 8.5-inch x 11-inch color copy of a USGS Topographic Map of sufficient scale to identify the entire project area,
including the closest surface waters.
General location of the project components (gravity sewer, pump stations,& force main)
➢ Downstream connection points and permit number (if known) for the receiving sewer
® Include an aerial location map showing general project area (such as street names or latitude/longitude) so that Division staff
can easily locate it in the field.
G. Existing Permit (Application Packages for Modifications to an Existing Permit):
® Submit a copy of the most recently issued existing permit.
® Include a descriptive and clear narrative identifying the previously permitted items to remain in the permit, items to be
added, and/or items to be modified (the application form itself should include only include items to be added/modified). The
narrative should also include whether any previously permitted items have been certified.
® The narrative should clearly identify the requested permitting action and accurately describe the sewers to be listed in
the final permit.
H. Power Reliability Plan (Required if portable reliability option utilized for Pump Station):
❑ Per 15A NCAC 02T .0305(h)(1), submit documentation of power reliability for pumping stations.
This alternative is only available for average daily flows less than 15,000 gallons per day
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant and is compatible with
the station. The Division will accept a letter signed by the applicant (see 15A NCAC 02T .0106(b)) or proposed contractor,
stating that "the portable power generation unit or portable, independently -powered pumping units, associated appurtenances
and personnel are available for distribution and operation of this pump 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 in the case of a multiple station power outage. (Required at time of certification)
L Certificate of Public Convenience and Necessity (All Application Packages for Privately -Owned Public Utilities):
❑ Per 15A NCAC 02T .0115(a)(1) provide the Certificate of Public Convenience and Necessity from the North Carolina Utilities
Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served by the sewer
extension, or
❑ Provide a letter from the North Carolina Utilities Commission's Water and Sewer Division Public Staff stating an application
for a franchise has been received and that the service area is contiguous to an existing franchised area or that franchise approval
is expected.
J. Operational Agreements (Applications from HOA/POA and Developers for lots to be sold):
❑ HQMeTrQWM Owners' Associations
❑ Per 15A NCAC 02T .0115(c), submit the properly executed Operational Agreement (FORM: HOA).
❑ Per 15A NCAC 02T .0115(c), submit a copy of the Articles of Incorporation, Declarations and By-laws.
❑ Developers of lots to be sold
❑ Per 15A NCAC 02T .0115(b), submit the properly executed Operational Agreement (FORM: DEW
For more information, visit the Division's collection systems website
r.r -
INSTRUCTIONS FOR FORM: FTA 05-21 & SUPPORTING DOCUMENTATION Page 2 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 Reoional Office
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
Water Quality Section
Swannanoa, North Carolina 28778-8211
Clay, Graham, Haywood, Henderson, Jackson,
[phone]
Macon, Madison, McDowell, Mitchell, Polk,
[phone] Fax
Rutherford, Swain, Transylvania, Yancey
Fav vllle Realonal Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Harnett, Hoke,
Water Quality Section
Fayetteville, North Carolina 28301-5095
Montgomery, Moore, Robeson, Richmond,
[phone]
Sampson, Scotland
[phone] Fax
Mooresville Reaional Office
610 E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
Water Quality Section
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone]
Stanly, Union
[phone] Fax
Ralelah Rouional Office
3800 Barrett Drive
Chatham, Durham, Edgecombe, Franklin,
Water Quality Section
Raleigh, North Carolina 27609
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] Fax
Warren, Wilson
WashlnOwn Realonal Office
Beaufort, Bertie, Camden, Chowan, Craven,
Water Quality Section
Curritucc, Dare, Gates, Greene, Hertford, Hyde,
Jones, Lenoir, Martin, Pamlico, Pasquotank,
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wllming ton Regional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
Water Quality Section
Wilmington, North Carolina 28405
Hanover, Onslow, Pander
[phone]
[phone] Fax
Winston-Saler`n Reuional Office
450 W. Hanes Mill Road
Alamance, Alleghany, Ashe, Caswell, Davidson,
Water Quality Section
Suite 300
Davie, Forsyth, Guifford, Rockingham, Randolph,
Winston-Salem, North Carolina 27105
Stokes, Surry, Watauga, Wilkes, Yadkin
[phone]
[phone] Fax
INSTRUCTIONS FOR FORM: FTA 05-21 & SUPPORTING DOCUMENTATION Page 3 of 3

RECEIVED/NCDENPjM
MAY 1 ,2023
PROJECT CALC U LATI OIL Water Qual�
Tonal Operations Secuon
Washington Regional Office
TOWN OF MURFREESBORO
FR 6AKKS
NORTH CAROLINA
CARVER CREEK LIFT STATION
REPLACEMENT/RELOCATION
NORTH CAROLINA DIVISION OF WATER INFRASTRUCTURE
PROJECT NO. CS370491-06
April, 2023
MESCO No. G21051
Municipal Engineering, Inc.
68 Shipwash Drive, Garner, NC 27529
Phone:[phone] Fax:[phone]
Corporate License No. F-0812
�i'•. q
9
SEAL =
= 020148
fL�41�t�

TABLE OF CONTENTS
Project Narrative 1
Total Dynamic Head Calculations 2-3
Pump Curve & Data Sheet 4
Cycle Time Calculations 5
Buoyancy Calculations 6
Preliminary Cost Opinion 7
NCDEQ Sanitary Sewer Fast Track Application (instructions) 1-3
NCDEQ Sanitary Sewer Fast Track Application (FTA 06-21) 1-5
Original Permit #12139 Pump Station 13 Issued 9-9-1985 8-10
Aerial View of Site and Pump Station
11
NCGS Quad Sheet Showing Location 12

PROJECT NARRATIVE
TOWN OF MURFREESBORO
CARVER PARK LIFT STATION IMPROVEMENTS
(Pump Station #13)
HERTFORD COUNTY
COLLECTION SYSTEM # WQCSD0286
EXISTING CONDITIONS
The existing 250 GPM Pump Station is located adjacent to US Hwy. 158 Business is accessed via a ±935 LF
gravel driveway off Washington Street. The duplex self -priming pumps are housed in a small CMU building
and have been in place for approximately 30 years. The site is located approximately 18 feet lower than
the adjacent Hwy. During heavy storm events, the trapezoidal ditches that flank the roadway erode. The
sediment washes in front of the building's access doors, allowing stormwater to enter the existing wet
well. Currently, only one of the self -priming pumps is operational
PROPOSED IMPROVEMENTS
The new Duplex Submersible Pump Station replaces the existing 250 GPM Self -Priming Pump Station and
relocates itto the end of Washington Street. The new location is approximately 180 feet northeast of the
existing pump station at an elevation of approximately 18 feet higher. The existing gravity sewer line on
Washington Street will be extended to the new wet well. A 276 LF of 6-inch diameter PVC force main will
be constructed to connect to the 1,215 LF of the existing 4-inch diameter force main behind the existing
station. The existing pump station will continue to operate during the construction of the new station. The
property already belongs to the Town of Murfreesboro, so that no additional easements will -be needed.
The new station will be a duplex 250-GPM submersible pump station, complete with a new wet well,
submersible pumps, float controls, plug and check valves within a new precast concrete valve box, portable
hoist, electrical pump controls, motor starters, cell phone -based SCADA, and an automatic transfer switch
will be located beneath a stainless -steel hood with overhead lights. The station will also have anew stand-
by power generator, yard hydrant, and RPZ backflow prevention. The entire site will contain a stone base
surrounded by a new chain link fence and drive gate.
The pumps and CMU building will be demolished, and any pipes remaining will be plugged to,ensure they
do not contribute. additional Inflow/Infiltration to the collection system. These improvements will not
reaulre any additional flow allocation.
PROJECT FUNDING
The project is funded through an SRF loan/principal forgiveness from NCDEQ-DWI, Project Number:
CS370491-06.

Project: Town of Murfreesboro - Carver Creek
Project Number G-21051.0
Static Head
Discharge High Point Elevation 65
Pump Off Elev. 34.3
Static Head 30.70
Hazen William's Equation
Municipal Engineering, Inc.
68 Shipwash Drive, Garner, NC 27529
Iy-0.002083 L(1c )1.8s- 4�1.85
Friction Head @ Pump Discharge
Pump Discharge
Plug/Gate Valve
90° elbov,
Long Radius 90' or 45' std elbov,
Std. Tee thru flov
Std. Tee branch floe
Swing Check Valve
Butterfly Valve
Pioe Size Length Quantitv Equivalent Length
4
2.68
1
2.68
4
10.1
3
30.3
0
0
4
6.71
1
6.71
4
0
1
0
4
33.6
1
33.6
0
0
Length of Pipe (ft)
Total Equivalent Length of Pipe L (ft)
Hazen William's Coefficient C
gpm
Diameter d(in)
Friction HeadL1!!j
15
88.29
120
250
4
4.22
6-inch Force Main from Pump Sta. Discharge to Existing 4-inch FM
Plug/Gate Valve
90° elbor
Long Radius 90° or 45° std elbov.
Std. Tee thru floes
Std. Tee branch flow
Swing Check Valve
Butterfly Valve
Pion Size Lenath Ouantity Equivalent Length
6
4.04
1
4.04
6
15.2
1
15.2
6
8.09
2
16.18
0
0
0
1
0
0
1
0
0
0
Length of Pipe (ft)
Total Equivalent Length of Pipe L (ft)
Hazen William's Coefficient C
gpm
Diameterd(in)
Friction Head
276
312.42
120
250
6
2.07
Engineer McAllister
Date: 05-05-2023
C values
Description
150
PVC
130
CopperorBrass
120
aged pipe
100
Welded Steel
100
Concrete
100
Castlron
100
Vitrified Clay
60
Corrugated Steel
Z

Existing 4-inch Force Main
Plug/Gate Valve
90` elbow
Long Radius 90' or 45° stci elbow
Std. Tee thru flow
Std. Tee branch flow
Swing Check Valve
Butterfly Valve
Pipe Size Length Quantity Equivalent Length
0
0
4
10.2
2
20.2
0
0
0
0
0
0
0
0
0
0
Length of Pipe (ft)
Total Equivalent Length of Pipe L (ft)
Hazen William's Coefficient C
gpm
Diameter d(in)
Friction Head
1215
1235.2
120
250
4
58.99
Total Dynamic Head
Discharge Friction Head +Suction Friction Head +Static Head 9S.98 at 250 GPM
93

✓►�Customer
P E N TA I R
Project name
:Municipal Engineering
Item Number / Tags
: Carver Park
Size
Service
: Wastewater
Stages
Quantity
: 1
Based on curve number
Quote number
Date last saved
Operating Conditions
Flow, rated
Differential head / pressure, rated (requested)
Differential head / pressure, rated (actual)
Suction pressure, rated / max
NPSH available, rated
Site Supply Frequency
Performance
Speed criteria
Speed, rated
Impeller diameter, rated
Impeller diameter, maximum
Impeller diameter, minimum
Efficiency
NPSH required / margin required
nq (imp. eye flow) / S (imp. eye flow)
Minimum Continuous Stable Flow
Head, maximum, rated diameter
Head rise to shutoff
Flow, best elf. point
Flow ratio, rated / BEP
Diameter ratio (rated / max)
Head ratio (rated dia / max dia)
Cq/Ch/Ce/Cn [ANSI/HI 9.6.7-2010]
Selection status
40
G 30
`y 20
3
0
a 10
0
200
180
160
140
120
100
m
s0 -
60
7.88 in
40
20
0f
0
Pump Performance Datasheet
Encompass 2.0 - 23.1.0
Hydromatic - S41-RC
1
:SUB S - V - AH - 00008E4 Rev
2012-03-3
: 05 May 2023 8:24 AM
Liquid
:250.0 USgpm
Liquid type
: Water
: 96.00 It
Additional liquid description
: 97.38 It
Solids diameter, max
: 0.00 in
0.00 10.00 psi.g
Solids diameter limit
: 3.25 in
Ample
Solids concentration, by volume
: 0.00 %
: 60 Hz
Temperature, max
: 68.00 deg F
Fluid density, rated / max
: 1.000 / 1.000 SG
Synchronous
Viscosity, rated
: 1.00 cP
1750 rpm
Vapor pressure, rated
: 0.34 psi.a
10.63 in
Material
12.00 in
Material selected
: Standard
: 7.88 in
Pressure Data
35•92 %
Maximum working pressure
: 48.66 psi.g
- 10.00 It
Maximum allowable working pressure
: N/A
311 - Metric units
Maximum allowable suction pressure
: N/A
118.8 USgpm
Hydrostatic test pressure
: N/A
: 112.4 ft
Driver & Power Data (@Max density)
. 17.11 %
Driver sizing specification
: Rated power
: 578.3 USgpm
Margin over specification
: 0.00 %
: 43.23 °%
Service factor
: 1.00
" 88'54 °A
Power, hydraulic
: 6.06 hp
78.67 %
Power, rated
: 16.87 hp
: 1.00 / 1.00 / 1.00 / 1.00
Power, maximum, rated diameter
: 33.17 hp
: Acceptable
Minimum recommended motor rating
: 20.00 hp 114.91 kW
Power
Minimum Continuous Stable Flow
System Curve M1
40
100 200 300 400 500 600 700 800 900 1.000 1100 1,200 1,300 1,400 1.500
Flow - USgpm
PHONE: FAX:
PENTAIR �}

N•
l; Municipal Engineering Services Co, P.A.
68 Shipwash Drive, Garner, NC 27529
Project: Town of Murfreesboro Pump Sta. 13 (Carver Park) Engineer: McAllister
Project Number: G-21051.0 Date: 05-05-2023
Pump Cycle Times
Influent %,, Flow (gpm) 32
0., Flow (gpm): 2.5x %,, 250
C P,Mp= greater of Q,fo,vs. QGe.k (gpm) {actual 250
pump rating
Pump Cycle Depth (ft)
Existing Wetwell Diameter (ft) 8
Pump Cycle (min.)
Full Time + Pump Time + Adjusted Pump Time
Wetwell Volume per Pump Cycle (gal) 376
Fill Time (min) 11.74
Pump Time (min) 1.50
Adjusted Pump Time (min) (accounts for water
entering wetwell during pump time) 1.72
Pump Cycle (min) 14.97
Cycles per hour 4.01
Meets State Requirements of 2 to 8 Cycles per Hour 0
S

Town of Murfreesboro
Carver Park Pump Station
Buoyancy Calculations
well Outside Dimensions
well Inside Dimensions
well Top Slab Elevation
well Invert Elevation
nded Base Slab Diameter
nded Base Slab Thickness
Slab Thickness
9.33
Feet
Feet
Feet
Feet
Feet
Feet
Feet
8.00
52.25
31.80
15.00
0.83
0.67
Total Volume of Wet well Structure
Volume of Wet well Riser Sections=
1397
cf
Volume of Wet well Extended Base=1
147
cf
Total Volume of Wet well Structure=1
1544
cf
Calculate Total Volume of Water Displaced
H2O Displaced = (Volume of Wet well Structure) * (62.4 lbs/cl
r H2O Displaced= 96347 Ibs
of Wet well
Section
Total Ht
Weight
Top Slab Thickness (ft.)
0.67
6,830
Riser - Total Vertical Ft.
20.45
55,530
Base Slab Thickness (ft.)
0.83
22,001
Totals=
21.946
84,360
Total Weight of Concrete in Wet well=
84360
lbs.
Calculate Submerged Weight of Soil Above Extended Base/Footing
Total Area of Extended Base 1771 sf
Area of Wet well Riser
of Extended Base less Wet well
it of Soil Above Extended Base
me of Soil Above Extended Base
ht of Soil Above Extended Base (estimated)
Weight of Soil Above Extended Base
68
108
19
2080
50
104013
in Protection Required?
of Concrete and Weight of Soil Above Extended Base. 188
of Water Displaced By Wet Well: 96
on Protection Required? NO
Chi

Town of Murfreesboro
Carver Park Pump Station Replacement
Preliminary Cost Opinion
May 12, 2023
Project No. CS370491-06
Item No.
Description
Qty.
Unit
Unit Price
Total Price
Mobilization/Demobilization--- - -
1
LS ---
- $10,500.00
- $10,500.00
----1-----
Carver Park duplex submersible Pump
2
Station complete with pumps, controls
1
LS
$58,500.00
$58,500.00
------------
by manufacturer
---------------------------------------------
------------
------------
------------------------
-------------------------
8-feet dia pre -cast concrete wet well,
valves, pre -cast concrete valve vault,
3
yard hydrant, water service with RPZ
1
LS
$275,000.00
$275,000.00
back -flow preventer, site lighting, fence,
stone, and site work as indicated on the
------------
drawings.
----------------------------------------------
------------
------------
-------------------------
-------------------------
4
80 KW Generator with Automatic
1
LS
$67,500.00
$67,500.00
Transfer Switch
-------------------------
------------
5
----------------------------------------------
Electrical
------------
1
------------
LS
-------------------------
$38,500.00
$38,500.00
-------------------------
------------
6
----------------------------------------------
SCADA
------------
1
------------
LS
-------------------------
$22,500.00
$22,500.00
------------------------
------------
7
-------------------------------------------
6-inch dia.SDR-21 Force Main
------------
256
------------
LF
------------------------
$40.00
$10,240.00
-----------------------
------------
8
----------------------------------------------
6-inch dia_ Class 50, DI Force Main -----
--------
------------
20
- ----
------------
- ----LF ----
------------------------
$65.00
------------------- ----
$1,300 00
9
8-inch dia. SDR-35 PVC Gravity Sewer
24
LF
$45.00
$1,080.00
Pipe (0-6' deep)
------------
------------
------------------------
------------------------
------------
30
----------------------------------------------
Ductile Iron compact fittings
1_200
LB
$4.50
$5,400_00
11
Clearing & Grubbing
ET
AC
$18,500 00
$1 850 00
------------------------
------------
12
----------------------------------------------
Seeding & Mulching
------------
0_1
- -------
------------
AC
------ -----
------------------------
$22,500.00
------------------------
$2_250_00
13
-------------------------------------
Demolish and Dispose of existing CMU
1
LS
$32,500.00
$32,500.00
Station
-----------
----------
-------------------------
----------------------
------------
14
----------------------------------------------
Plug & Abandon existing 8-inch dia.
1
EA
$1,500.00
$1,500.00
------------
Sanitary sewer line
----------------------------------------------
------------
-----------
-------------------------
-------------------------
15
Core existing concrete manhole for 8-
1
EA
$5,000.00
$5,000.00
inch sewer
------------
16
---------------------------------------------
Select Fill Material
------------
10
------------
CY
----------------- --------
$18.50
--------------$185.00
$185.00
------------------------
------------
17
---------------------------------------------
Straw Wattles
-----------
2
------------
EA
------------------------
$250.00
$500.00
-----------------------
------------
18
---------------------------------------------
Silt Fence
-----------
100
------------
LF
-----------------------
$5.50
$550.00
19
Project Sign
1
EA
$950.00
-------------------------
$950.00
------------
----------------------------------------------
------------
------------
Total Items 1 thru 19
$535,805.00
------------
----------------------------------------------------------------------------------------------------
10 % Contingency
-------------------------
$53,580.50
Total Construction
$589,385.50
Engineering Report/Environmental Information Document
$30,000.00
------------------------
------------
---------------------------------------------------------------------------------------------------
Engineering Design
$39,500.00
------------------------
------------
---------------------------------------------------------------------------------------------------
Bid &
Award Phase Services
$3,500.00
------------
----------------------------------------------------------------------------------------------------
Land Surveying
-------------------------
$12,500.00
-------------------------
------------
----------------------------------------------------------------------------------------------------
Grant Administration
$5,000.00
------------
---------------------------------------------------------------------------------------------------
Construction Administration
------------------------
$30,000.00
-----------
--------------------------------------------------------------------------------------------------
Construction Observation (hourly estimate)
------------------------
$32,500.00
Total Engineering/Construction Phase Services
$153,000.00
Project Grand Total
$742,385.50