WQ0044700_Application (FTSE)_20230828

NC Dept of Environmental Quality State of North Carolina
Department of Environmental Quality
DWR.- Division of Water Resources
AUG 2 S 2023 FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 06-21 & SUPPORTING DOCUMENTATION
Application Number:(1-�VCO'f7od (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Town of Clayton (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ StaterCounty ® Municipal ❑ Other
3. Signature authority's name: Joshua Baird per l SA NCAC 02T .0106(b)
Title: Engineering Director
4. Applicant's mailing address: PO BOX 879
City: Clayton State: NC Zip: 27528
5. Applicant's contact information:
Phone number: [phone] Email Address: ibaird townofcla tonnc.or
II. PROJECT INFORMATION:
1. Project name: Liberty and Main Pump Station Decommissioning
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: 35.661586 Longitude:-78.468318
5. Parcel ID (if applicable): 165911-77-0431 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Bill Keaton License Number: 045626
Firm: Timmons Group
Mailing address: 5410 Trinity Road Suite 102
City: Raleigh State: NC Zip: 27607-
Phone number: [phone] Email Address: bill.keaton(a.timmons.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Little Creek WRF Permit Number: NCO025453
Owner Name: Town of Cla, on
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ42161
2. Downstream (Receiving) Sewer Information: 8 inch
® Gravity ^ Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS001 10
Owner Name(s):
FORM: FTA 06-21 Page l 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 Dcveloper's Operational Agreement (FORM: DEV) been attached?
❑ Yes []No ON. -'A
3. If the Applicant is a Home/Property Owners' Association, has an HOA;'POA Operational A reement (FORM: HOAti and
supplementary documentation as required by 15A NCAC 02T.01 IS(c) been attached?
❑ Yes ❑ No ® Nr 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 1 preschool! day care ❑ Medical f 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: 100 % Domestic ._ % Commercial _ % Industrial (See 15A NCAC 02T .0103(20))
If industrial, is there a Pretreatment Program in effect? ❑ Yes❑ No
6. Has a 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',b
No. of Units
Flow
gal.:
GPD
gal
GPD
gal
GPD
gal
GPD
gaV
GPD
gall
GPD
Total
0 GPD
a See t5A NCAC 02T .(ll 14(b), kd), e (I and (ems 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 I SA NCAC 02T.01 14] 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 IS A NCAC 02T .0114)
➢ Do not include future flows or previously permitted allocations
If permitted flow is zero, please indicate why:
❑ Pump Station/Force Main or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line.
Please provide supplementary information indicating the approximate timeframe for permitting upstream sewers with flow.
❑ Flow has already been allocated in Permit Number: Issuance Date:
® Rehabilitation or replacement of existing sewers with no new flow expected
❑ Other (Explain):
FORM: FTA 06-21 Page 2 of 5

VIL GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
2,225
C900 PVC
8
480
Class 350 DIP
➢ Section II & 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
Vlll. 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
1. Pump station number or name:_._
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: -
3. Total number of pumps at the pump station:
3. Design flow of the pump station: . — . millions gallons per day (firm capacity)
➢ This should reflect the total GPM for the pump station with the largest pump out of service.
4. Operational point(s) per pump(s): gallons per minute (GPM) at feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station).
Size (inches) Length (feet) Material
If any portion of the force main is less than 4-inches in diameter, please identify the method of solids reduction per
MDCPSFM Section 2.01 C. Lb. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with 15A NCAC 02T .0305 h I :
❑ Standby power source or ❑ Standby pump
➢ Must have automatic activation and telemetry - 15A NCAC 02T.0305(h)(1)(B)_
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
➢ Must be permanent to facility and may not be portable
Or if the pump station has an average daily flow less than 15,000 gallons per day 15A NCACO2T.0305(h)(1)(C):
❑ Portable power source with manual activation, quick -connection receptacle and telemetry -
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry:
➢ Include documentation that the portable source is owned or contracted by the applicant and is compatible with the station.
➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be provided
as part of this permit application in the case of a multiple station power outage.
FORM: FTA 06-21 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T.0305(f)):
I _ Does the project comply with all separatiow� alternativcs found in 15A NCAC 02T .0305( Q & (P ❑ Yes ❑ No
15A NCAC 02T.0305 contains minimum sEparations that shall be provided for sewers stems:
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
18 inches
'Water mains (vertical - water over sewer preferred, including in benched trenches)
18 inches
'Water mains (horizontal)
10 feet
Reclaimed water lines (vertical - reclaimed over sewer)
18 inches
Reclaimed water lines (horizontal - reclaimed over sewer)
2 feet
**Any private or public water supply source, including any wells, WS-I waters of Class I or
Class 11 impounded reservoirs used as a source of drinking water, and associated wetlands.
100 feet
50 feet i
**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)
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches, as well as wetlands associated with these waters or classified as WL.
10 feet
Any building foundation (horizontal)
5 feet
Any basement (horizontal)
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
➢ If noncompliance with 02T.0305(f) or (g), see Section X. I of this application
* 15A NCAC 02T.03051 u.) 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 wcbp4Ze
2. Does this project comply with the minimum separation requirements for water mains? ® Yes ❑ No ❑ N/A
➢ If no, please refer to 15A NCAC 18C.0406(o for documentation requirements and submit a separate document,
signed/scaled by an NC licensed PE, verifying the criteria outlined in that Rule.
3. Does the project comply with separation requirements for wetlands? [—]Yes ❑ No ® NrA
➢ Please provide supplementary information identifying the areas of non-conformance.
➢ See the Division's draft separation requirements for situations where separation cannot be met.
➢ No variance is required if the alternative design criteria specified is utilized in design and construction.
4. Is the project located in a river basin subject to any State buffer rules? ® Yes Basin name: Ncuse ❑ 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 Nationwidelindividual permits ❑ Yes ® No
or 401 Water Quality Certifications?
➢ Please provide the permit number/permitting status in the cover letter if coveragc.'authorization is required.
6. Does project comply with I SA NCAC 02T.0I05(c)(6) (additional permits. --'certifications)? ® Yes ❑ No
Per 15A NCAC 0210105 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 line, including type (aerial line, size, material, and location).
High priority lines shall be inspected by the permittee or its representative at least once every six -months and
inspections documented per 15A NCAC 02T.0403(a)(5) or the permittee's individual System -Wide Collection permit.
FORM: FTA 06-21 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pumu Stations
and Force Mains [latest version), and the Gravity Sewer Minimum Design Criteria (latest version) as applicable?
® Yes ❑ No
If no, for projects requiring a single variance, complete and submit the VarianceiAltemative Design Request application
(VADC 10-14) and supporting documents for review to the Central Office. Approval of the request will be issued
concurrently with the approval of the permit, and projects requiring a variance approval may be subject to longer
review times. For projects requiring two or more variances or where the variance is determined by the Division to be a
significant portion of the project, the full technical review is required.
2. Professional Engineer's Certification:
1, Bill Keaton , attest that this application for Liberty and Main Pump Station Decommissioning
(Professional Fngincer's name from Application Item Ill. ).) (Project Name from Application Item 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 Gravit)� Sewers (latest versio_n), 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 56.0701)
North Carolina Professional Engineer's seal, signature, and date: ���JtttI I'Jr//i"
SEAL �r
046626 =
i
� i'11111I�
3. Applicant's Certification per 15A NCAC 02T .0106(b):
I Joshua Baird , attest that this application for Liberty and Main Pump Station Decommi
(Signature Authority Name from Application Item 1.3.) (Project Name from Application Item 11 1)
attest that this application has been reviewed by me and is 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 arc 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 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000 as well as civil penalties up to S25,000 per violation.
f
Signature: _ _ 'f`" " Date: 8/15/2023
FORM: FTA 06-21 Page 5 of 5

NC Dept of Environmental Quality State of North Carolina
Department of Environmental Quality
DW-.R Division of Water Resources
AUG 2 8 2023
Division of water Resources Flow Tracking for Sewer Extension Applications
Raleigh Regional Office (FTSE 10-18)
Entity Requesting Allocation: Town of Clayton
Project Name for which flow is being requested: Liberty and Main Pump Station Decom
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 WRF
b.
WWTP Facility Permit #: NC 0025453
AUflows 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
0.9885
e.
WWTP facility's actual avg. flow
3.248
f.
Total flow for this specific request
0 new flow (0.0123 trib re-
directed toward Clayton -
Raleigh PS)
g.
Total actual and obligated flows to the facility
4.2365
h.
Percent of permitted flow used
75.49%
11. Complete this section for each pump station you are responsible for along the route of this proposed
wastewater flow.
List pump stations located between the project connection point and the WWTP:
Pump
Pump Station Station
Firm
(Name or Permit
Capacity,
Number) No.
MGD
ClaytonRal WQ31521
2.52
(A)
(B)
(C)
(D)=(B+C)
(E)=(A-D)
Design
Average
Approx.
Obligated,
Total
Daily
Current
Not Yet
Current Flow
Flow**
Avg. Daily
Tributary
Plus
(Firm / pf),
Flow,
Daily Flow,
Obligated
Available
MGD
MGD
MGD
Flow
Capacity***
1.008
0.3833
0.4607
0.8440
0.1640
* The Firm Capacity (design flow) of any pump station is deflned 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.
Page 1 of 6
FTSE 10-18

Downstream Facility Name (Sewer): N-A
Downstream Permit Number: _WQ42161
III. Certification Statement:
I Joshua 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 li 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.
0
81151:
ring Official Signature Date
Engineering Director
Title of Signing Official
Page 2 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
% and MGD of the Available Capacity (E) in Pump Station
; and that
b. The rate of activation of this obligated, not yet tributary capacity is currently approximately
MG per year; and that
c. A funded Capital Project that will provide the required planned capacity, namely
is in design or under construction with
planned completion in ; and/or
d. The following applies:
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
Date
Page 3 of 6
FTSF 10-18

USGS Topographic Map
3
219I2022, 1:25:58 PM
APPROXIMATE LOCATION OF
SEWER DISCHARGE
APPROXIMATE SEWER LOCATION
PROJECT LOCATION
v
1:9,028
0 005 01 02mi
0 01 0.2 0.4 km
US45 Ttw NaUonal Map Nalwnal Boundanas Datasat. 30EP E evatwn
Program, Geograptw Names rntormatm Systern. Nanonal Hydrography
Datasek NeUorotl Land Cover Database, NaUona' StrWures Dataset. and
National Trnmpodation aataset -ISGS Globa. Eonsyslerns U S Census
VSG3
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• 0+e•01�&
5410 Trinity Road p 919-866.4951
T I M M O N S GROUP suite 102 F 919-859.5663
YOUR VISION ACHIEVED THROUGH OURS. Raleigh, NC 27607 www.timmons.com
August 21, 2023
State of North Carolina Department of Environmental Quality
Raleigh Regional Office Water Quality Section
3800 Barrett Drive
Raleigh, NC 27609
Fast Track Sewer Extension Application — Liberty and West Main Pump Stations Decommissioning
To Whom It May Concern:
Timmons Group is pleased to submit the following Fast Track Sewer Extension Application on behalf of the Town of
Clayton. This review is for the installation of 8-inch gravity sewer. This project includes the installation of
approximately 2,705 FT of sewer. The planned limits of disturbance are approximately 1.57 acres.
The sewer will replace the existing Liberty Pump Station (Permit #WQ0009669) and West Main Pump Station (Permit
#WQ0000744). The two pump stations have a combined peak flow of approximately 35 GPM. Once the sewer is
permitted, built, and certified, the Town of Clayton will request a formal recession of the two permits listed above
stating they are decommissioning the pump stations. The Regional Office will be notified to perform a site inspection
to verify the new sewer exists and is in use, as well as that the two pump stations have been shut down.
We look forward to hearing from you regarding this review. If you have any questions or need any additional
information, please don't hesitate to contact me at 704.790.2914 or bill. keaton timmons.com at your convenience.
Sincerely,
Bill Keaton, PE
Senior Project Manager
704.790.2914
NC Dept of Enviro"MebtAl Qualify
AUG 28 =.
09b Regional Office
CIVIL ENGINEERING I ENVIRONMENTAL I tiUPVEYING I GIS I LANDSCAPE ARCHITECTURE I CONSTRUCTION SERVICES

5410 Trinity Road
TIMMONS GROUP Suite102
YOUR VISION ACHIEVED THROUGH OURS. Raleigh, NC 27607
NC Dept afEavirOmnental Quality TRANSMITTAL
AUG 2 8 2023
State of o Carolina DEQ
6�a1Offi_ce _
Water Quality Section
3800 Barrett Drive
Raleigh, NC 27609
P 919.866.4951
F 919.859.5663
www.timmons.com
Date: 08/21/2023 Job#: 45376
Liberty and West Main Pump Station
Project: Decommissioning
Reference:
Copies Sent To:
COPIES "I'
DATE
NUMBER
DESCRIPTION
2
08/21/2023
Cover Letter
2
08/21/2023
CK #93830
Ap2lication Fee $480.00
2
08/21/2023
FTA 06-21
Fast -Track Sewer System Extension Application
2
08/21/2023
FTSE 10-18
Flow Tracking for Sewer Extension Application
2
08/21/2023
US Topographic Ma
2
08/21/2023
Ariel Ma
THESE ITEMS ARE TRANSMITTED.,
If enclosures are not as noted, please notify us at once.
COMMENTS:
Thank you for your time in reviewing this application requesting installation of gravity sewer. If you find
there is any missing information or if you have any questions, please do not hesitate to contact me at:
Bill Keaton
[phone]
Bill. [e-mail]
ENGINEEPING I DESIGN I TECHNOLOGY