WQ0044366_Application_20230503

NC Deft oi'I✓nvlronntental Quality
State of North Carolina
Department of Environmental Quality
DWPv MAY 3 — 2023 Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources Raleigh Regional Office PTA 06-21 & SUPPORTING DOCUMENTATION
Application Number: _ LL)20 i#'f.54(to be completed by DWR)
All items must -he completed or the implication will be returned
1. APPLICANT INFORMATION:
I. Applicant's name: Johnston County (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ® State/County ❑ Municipal
3. Signature authority's name: Chandra C Farmer. PE per 1_SA NCAC 02T A 106(b)
Title: Director of Utilities
4. Applicant's mailing address: PO Box 2263
City: Smithfield State: NC Zip: 27577 -
5. Applicant's contact information:
Phone number: (W) M8 -5075 Email Address: chandra.farmer(a iohnstonnc.com
fl. PROJECT INFORMATION:
❑ Privately -Owned Public Utility
❑ Other
I . Project name: 210 RV Park
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:-.78.56856° Longitude: 25.51 l °
5. Parcel ID (if applicable): 162400-81-3495 (or Parcel ID to closest downstream sewer)
Ili. CONSULTANT INFORMATION:
I. Professional Engineer: Daniel W Blackburn License Number: 9486
Firm: Blackburn Consulting En ine rin
Mailing address: 305 East Main Stree
City: ClaYton State: NC Zip: 27520-
Phone number: (20 553-290Q Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Central Johnston County Regional Wastewater Facility Permit Number: NCO030716
Owner Name: Johnston County
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ!2 0 11-7 96/
2. Downstream (Receiving) Sewer Information: 8 inch x❑ Gravity 0 Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCSO 0
Owner Name(s): Johnston County
FORM: FTA 06-21 Page I of 5

VI. 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 Operational Agreement (FORM: DEV) been attached?
❑ Yes ❑ No ® NIA
3. If the Applicant is a Home/Property Owners' Association, has an FI.OA/POA Operational Agreement (FORM: HOA) and
supplementary documentation as required by I SA NCAC 02T.01 15(c) been attached?
❑ Yes ❑ No ® NIA
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: 16 Domestic % Commercial % Industrial (See I SA NCAC 02T.00105(20))
If Industrial, is there a Pretreatment Program in effect? ❑ Yes(] No
6. Hasa flow reduction been approved under 15A NCAC 02T .01 14(f)? ❑ 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
RV Camp Site
100 gaveampsite
43
4300 GPD
Maintenance Building
25 gal/employee/shift
2
50 GPD
Camper Dump Site
50 gal/campsite
43
2150 GPD
gal/
GPD
gall
GPD
gal/
GPD
Total
6500 GPD
a See 15A NCAC 02T .01 14 d e I and (e)(21 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.01 141 shall
be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 6500 GPD (per 15A NCAC 021..0114)
➢ Do not include future flows or previously permitted allocations
If permitted now is zero, please indicate why:
❑ Pump Stalion/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
1750
SDR35 PVC
8
485
C900 PVC
D Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
D Section III contains information related to minimum slopes for gravity sewer(s)
D Overslzing lines to meet minimum slope requirements is not allowed and a violation of (lie MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP 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)
D 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 2.01C. 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
D Must have automatic activation and telemetry - 15A NCAC 02T.0305(h)(1)(B);
D Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
D 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)(I)(C):
❑ Portable power source with manual activation, quick -connection receptacle and telemetry -
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry:
D Include documentation that the portable source is owned or contracted by the applicant and is compatible with the
station.
FORM: FTA 06-21 Page 3 of 5

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 timekames, shall be
provided as part of this permit application in the case of a multiple station power outage.
FORM; FTA 06-21 Page 4 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & I5A NCAC 02T .0305(t)):
I. Does the project comply with all separationsialternatives found in .1 5.A NCAC 02'T .0305(t) 9" [a)? ® Yes ❑ No
15A NCAC 02T.0305 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
2Water mains (vertical - water over sewer preferred, including in benched trenches)
18 inches
2Water mains (horizontal)
10 feet
18 inches
5 2 feet
Reclaimed water lines (vertical - reclaimed over sewer)
Reclaimed water lines (horizontal - reclaimed over sewer)
**Any private or public water supply source, including any wells, WS-1 waters of Class ! 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 feet
Any building foundation (horizontal)
5 feet
Any basement (horizontal)
10 feet
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
If noncompliance with 02T.0305(t) or Lel see Section X. I of this application
*I 5A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305(f) cannot be achieved. Please check "yes"
above if these alternatives are used and provide narrative information to explain.
"Stream classifications can be identified using the Division's NC Surface Water Classificationsweb a e
2. Does this project comply with the minimum separation requirements for water mains? ®Yes ❑ No ❑ NIA
➢ 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 requiremew 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 I SA NCAC 02B .02007 ® Yes ❑ No
➢ This includes Trout Buffered Streams per 15A NCAC 28.0202
5. Does the project require coveragelauthorization under a 404 Nationwide/individual permits ® Yes ❑ No
or 401 Water Quality Certifications?
D Please provide the permit number/permitting status in the cover letter if coveragelauthorization is required.
6. Does project comply with ! SA NCAC Q2T.0 l 5 c 6 (additional pernits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105(c)(6}, directly related environmental permits or certification applicbtions 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,
siplion, or sewers positioned parallel to streambanks that are subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interference/conflict boxes require a variance approval.
➢ If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shall be Inspected by the permittee or its representative at least once every six -months and
inspections documented per 15A NCAC 02T.0403(a)(5) or the permittee's individual System -Wide Collection permit.
FORM: FTA 06-21 Page 5 of 5

X. CERTIFICATIONS.,
1, Does the submitted system comply with i5A NI -AC 01- . the Minir,1uu7_Dtsigrl Criteria r the Pes'rriittilIg of Pumn Stations
and Force Mains (latest version). and the Gravrt- Sewer Mi.-1i11Turn [3esien Criteria (Intel vC ion 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. Anproval of the request will be issued
concurrently with the approval of the permit, and protects requiring a variance approval may be sect to longer
review times. For projects requiring two or more variances or where the variance is determined -by the Division to he
a significant portion of the project, the full technical reyee}v is required.
2. Professional Engineer's Certification:
I, Daniel W Blackburn attest that this application for 210 RV Park
(Professional Engineer's name from Application Item 111.1 ) (Project Name from Application 11em 11.1)
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 (Intent 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 snakes 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 Carol ina- I icensed Professional Engineer• to referral to the licensing board. (21 NCAC 56.0701)
North Carolina Professional Engineer's seal, signature, ant
3. Applicant's Certification per 15A NCAC 02T ,0106(b):
1, Chandra C Farmer P1i _ , attest that this application for 210 RV Park
(Signature Autiorily Name front Application item 1.3.) (Project Name from Application [tent 11.1)
attest that this application has been reviewed by me and is accurate and complete to the best of my knowledge.
1 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. 1 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, andlor 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 14 -215. 13, 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: 6A Date:
FORM: FTA 06-21 Page 6 of 5

NC Dept of Cnvlrointiettitil Quality
State of North Carolina
DWR
MAY 3 - 2023 Department of Environmental Quality
Division of Water Resources
T ACK SEWER SYSTEM EXTENSION APPLICATION
lLyli
Divtslon of Water Resources INSTRU & WI: FTA 06-21 & SUPPORTING DOCUMENTATION
This application is for sewer extensions involving gravity sewers, pump stations and force mains, or any combination that has been
certified by a professional engineer and the applicant that the project meets the requirements of 15A NCAC 02T and the Division's
Minimum Design Criteria (Gravity Sewer & Pump StationslForce Mains) and that plans, specifications and supporting documents
have been prepared in accordance with 15A NCAC 02T, 15A NCAC 02T .0300, Division policies, and good engineering
practices.
While no upfront engineering design documents are required for submittal, in accordance with 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 I5A 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
19 Required unless otherwise noted. Signatures on original must be "wet ink" or ,;ecure 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 (downs treamlupstream)
➢ 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 (NCDFQ)
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 1.2 is a corporation or company, provide documentation it is registered for business with the
North Carolina Secretary of State.
❑ If the Applicant Type in Item 1.2 is a partnership or d/b?a, enclose a copy of the certificate riled with the Register of Deeds in
the county of business.
® The Project Name in Item 11.1 shall be consistent with the project name on the flow acceptance letters, agreements, etc.
® The Professional Engineer's Certification on Page 5 of the application shall be signed, sealed and dated by a North Carolina
licensed Professional Engineer.
INSTRUCTIONS FOR FORM: FTA 06-21 & SUPPORTING DOCUMENTATION Page I of 3

® The Applicant's Certification on Page 5 of the application shall be signed in accordance with 15A NCAC 02T .0106lb). 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 05-21 & SUPPORTING DOCUMENTATION Page 2 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 C.S. 143-
21. 5.67(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 1 1-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 I , 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)
1. 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):
❑ Home/Property Owners' Associations
❑ Per I SA NCAC 02 I' .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 I SA NCAC 02T .01 15(b), submit the properly executed Operational Agreement (FORM: DEV).
For more information, visit the Division's collection systems wehsite
INSTRUCTIONS FOR FORM: FTA 05-21 & SUPPORTING DOCUMENTATION Page 3 of 3

THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
2090 US Highway 70
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
Fayetteville Regional 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 Regional 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
Raleigh Regional Office
3800 Barrett Drive
Chatham, Durham, Edgecombe, Franklin,
Water Qual& Section
Raleigh, North Carolina 27609
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] Fax
Warren, Wilson
Washington Regional Office
943 Washington Square Mall
Beaufort, Bertie, Camden, Chowan, Craven,
Water Quality Section
Washington, North Carolina 27889
Currituck, Dare, Gates, Greene, Hertford, Hyde,
[phone]
Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] Fax
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilmington ReAlonal Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
Water Quality Section
Wilmington, North Carolina 28405
Hanover, Onslow, Pender
[phone]
[phone] Fax
Winston-Salem Regional Office
450 W. Hanes Mill Road
Alamance, Alleghany, Ashe, Caswell, Davidson,
Water Quality Section
Suite 300
Davie, Forsyth, Guilford, Rockingham, Randolph,
Winston-Salem, North Carolina 27105
Stokes, Surry, Watauga, Wilkes, Yadkin
[phone]
[phone] Fax
INSTRUCTIONS FOR FORM; FTA 05-21 & SUPPORTING DOCUMENTATION Page 4 of

State of North Carolina
Department of Environmental Quality
Division of Water Resources
01vi%lon of Water Ize%ot,«e.. Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Johnston County
Project Name for which flow is being requested: 210 RV Park
More than one FTSE nay be required for a single project if the owner of the WWTP is not responsible for alh ptunp
stations along the route of the proposer! wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Central Johnston County WWTP
b. WWTP Facility Permit #: NCO030716
All flows are in MGD
c. WWTP facility's permitted flow 9.5
d. Estimated obligated flow not yet tributary to the WWTP 1.9267
e. WWTP facility's actual avg. flow 5.507
f. Total flow for this specific request 0.0065
g. Total actual and obligated flows to the facility 7.4332
h. Percent of permitted flow used 58 actual, 78 w/paper
II. Complete this section for each pump station you are responsible for along the route of this proposed
wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A) (B) (C) (D)=(B+C)
(E)=(A-D)
Design
Average Approx. Obligated, Total
Pump Daily Current Not Yet Current
Pump Station Station Firm Flow** Avg. Daily Tributary Flow Plus
(Name or Permit Capacity, * (Firm / p0, Flow, Daily Flow, Obligated
Available
Number) No. MGD MGD MGD MGD Flow
Capacity***
McGee'V,—Ao
14794 0.2592 0.2037 0.0398 0.02666 0.0665
0.03718
Remmington
r,_ 39590 1.800 0.720 0.24811 0.07749 0.1023
0.6177
Landfill EQ 20340 1.9296 1.6718 1.1128 0.6187 1.7315
(0.05952)
* 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): McGee's Crossroads School WWPS
Downstream Permit Number: WQ0014794
Page l of 6
FTSE 10-18

PLANNING ASSESSMENT ADDENDUM (PAA)
Submit a planning assessment addendum for each pump station listed in Section II where Available Capacity is
0.
Pump Station (Name or Number):
Given that:
a. The proportion and amount of Obligated, Not Yet Tributary Daily Flow (C) accounts for
37 % and 0.6I67 MGD of the Available Capacity (E) in Pump Station
Landfill EQ & WWPS ; and that
b. The rate of activation of this obligated, not yet tributary capacity is currently approximately
0.1 MGD per year; and that
c. A funded Capital Project that will provide the required planned capacity, namely
Landfill Sewage PS & FM (20340mod) is in design or under construction with
planned completion in Late 2023 ;and/or
d. The following applies:
The station is currently loaded at 67% of permitted capcity. With an activation rate of 0.1
MGD/year, the station would not reach capcity for the next 5.6 ears. A project to
upgrade the station to 8.75 MGD is underway and is on schedule to be completed this year.
This permit ap2lication is for 6500 gpd of average daily flow and will not cause the station
to exceed its permitted capcity prior to the completion of the upgrade,
Therefore:
Given reasonably expected conditions and planning information, there is sufficient justification to allow
this flow to be permitted, without a significant likelihood of over -allocating capacity in the system
infrastructure.
I understand that this does not relieve the collection system owner from complying with G.S. 143-
215.67(a) which prohibits the introduction of any waste in excess of the capacity of the waste disposal
system.
Signing Official Signature
Page 3 of 6
1'TSE 10-1 8

BLACKBURN CONSULTING ENGINEERING VDI;Fnvironmcntal Quality
305 E. Main Street
Clayton, North Carolina 27520
Ph. [phone] Fax [phone] MAY 3 " 202
05/03/2023
Raleigh Regional Office
Fast -track Application Cover Letter for 210 RV Park
This application is for extension of Johnston County sewer service to
serve the proposed 210 RV Park. 210 RV Park consists of 43
recreational vehicle camp sites, a maintenance building, and a camper
dump site. The sewer extension consists of 2235 linear feet of 8"
collection main extensions. The project shall be in two phases. Phase 1
has 27 recreational vehicle camp sites, a maintenance building, and a
camper dump site with 1660 linear feet of 8" collection main extensions.
Phase 2 has 16 recreational vehicle camp sites with 575 linear feet of 8"
collection main extensions.
There is one area of high priority sewer where the sewer extension
crosses a stream and the associated riparian buffers. The stream is not
impacted as the sewer is aerial and located above the 100-year storm
elevation. The encroachment is located between manholes 12 and 13 on
the plans. There are no manholes within the stream buffers. Other than
clearing of the 30-foot maintenance easement, the only impact to the
stream buffers is the construction of three support piers for the aerial
crossing. The design is consistent with the design criteria specified in
15A NCAC 2T .0305(f)). The aerial sewer main shall meet the design
and testing requirements for water main standards in 15A NCAC 18C.
4nielltb�urn?,PE�
Enclosed:
Fast -track Application Cover Letter for 210 RV Park
CARQ(�
Original Application;
'• ",.�`�� ,,., •�
Copy of Application
,� O�••FES?'1f�'�
Instructions for FTA 06-21
Check for $480
E A 1.
FTSE 10-18
9486
Quad MapGIN
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Vicinity Map
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High priority sewer plans
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