WQ0044534_Application (FTSE)_20230815

NC Dept of Er��rlrallll���Ilta1 QII,tI,,�
State of North Carolina
Department of Environmental Quality
DWR JUN 2 9 20 3 Division of Water Resources
Division of Water Resources -4aj01
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
I-kSP1'i21J0'EI0,NA 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 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 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 engineerine 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 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 S480.00, 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 1.2 is a corporation or company, provide documentation it is registered for business with the
North Carolina Sccryywy of State.
❑ If the Applicant Type in Item I.2 is a partnership or d/bia, enclose a copy of the certificate filed with the Register of Deeds in
the county of business.
® The Project Name in Item II.I 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 I SA NCAC 02T .0106 . 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 Page I 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 U.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]{ I }, submit documentation of power reliability for pumping stations.
➢ This alternative is only available for average daily flows less than I5,000 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)
I. Certificate of Public Convenience and Necessity (All Application Packages for Privately -Owned Public Utilities):
❑ Per 15A NCAC 02T .0I 15(g 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/Proyerty Owners' Associations
❑ Per 15A NCAC 02T .0115(c), submit the properly executed Operational Agreement (Ft}WHQAJ.
❑ Per 15A NCAC 02T .01 15(c), submit a copy of the Articles of Incorporation, Declarations and By-laws.
❑ Developers of lots to be sold
❑ Per 15A NCAC 02T .41 l5(b}, submit the properly executed Operational Agreement (FORM: PLVJ.
For more information, visit the Division's collection systems website
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 Reaional 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
Favetteville 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 Reaional 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
Washinaton Regional Office
943 Washington Square Mail
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 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-Salem Reaional 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: t:TA 05-21 & SUPPORTING DOCUMENTATION Page 3 of 3

McDAVIDAsSOCUTES, INC.
CORPORATE OFFICE
Engineers • Planners • Land Surveyors
[phone] • Fax [phone]
E-mail: maimcdavid-inc.com
3714 N. Main Street • P.O. Drawer 49
Farmville, NC 27828
NC Department of Environmental Quality
Water Quality Section
3800 Barrett Dr.
Raleigh, NC 27609
Attention: Susan Wilson
Dear Ms. Wilson:
GOLDSBORO OFFICE
Engineers • Planners
[phone] • Fax [phone]
E-mail: [e-mail]
109 E. Walnut Street • P.O. Box 1776
Goldsboro, NC 27533
June 28, 2023 NC
Dept C'Li'JC�'`E�rt�rt�;art,;� ..
�tr+miry
JUN 2 9 2023
Qfllcr~
Subject: Fast Track Sewer Extension Permit
Request
2022 Sanitary Sewer Improvements
Contract No. 4 - Porter Street Pump
Station Relocation
Town of Whitakers
We are submitting the following fast track sewer system extension application for the Town of
Whitakers 2022 Sanitary Sewer Project, Contract No. 4 - Porter Street Pump Station Relocation. The
purpose of this project is to relocate the existing Porter Street Pump Station and combine with the
existing Bell Street Pump Station. Once the project is completed, we will abandon the existing Porter
Street Pump Station and the Bell Street Pump Station. This project consists of the following:
I. New Porter Street Pump Station
2. Replacing 1,782 LF of 8" sanitary sewer to take the sewer from the existing Porter Street
pump station and the existing Bell Street Pump Station to the new Porter Street Pump
Station.
3. Installing 1,170 LF of 4" force main to pump the sewer from the new Porter Street Pump
Station to the existing manhole that both the existing Porter Street Pump Station and Bell
Street Pump Station discharge into.
4. Abandoning the existing Porter Street Pump Station and Bell Street Pump Station.
This project is being funded with NCDEQ Project CS370579-03 and Project VUR-W-ARP-0072.
The age of the existing Porter Street Pump Station is unknown, and the permit number is unknown. The
Bell Street Pump Station was installed in 1995-1996 and the permit number is unknown. Permit
WQ0042865 was approved on November 15, 2021, that added 4 houses to the existing Porter Street
Pump Station. The Bell Street Pump was rehabilitated in 2022 with new pumps, controls, telemetry, and
a backup generator with automatic transfer switch. The pumps, controls, telemetry, generator, and
automatic transfer switch will be relocated to the new Porter Street Pump Station. No new customers
or additional flow will be added with this project. The Porter Street Pump Station will discharge into
the same manhole that the existing Porter Street Pump Station and Bell Street Pump Station discharge
into which carries the sewer to the main Whitakers Pump Station that pumps the sewer to the Rocky
Mount WWTP. A Flow Tracking Acceptance Form is not being submitted with this permit as no
downstream flows are being changed.
D805DFW23 1 1:32 PM
WHITAKERS-22-POR i'ER-ST-PS-RL:LOC-CN4-SS-IMP-FAST-I'RAC K-SEWER-PERMI I-LTR-002 wpd 230628

We are submitting the following with this application:
1. McDavid Associates, Inc. check 41294 dated June 28, 2023 in the amount of $480.00
payable to the NC Department of Environmental Quality for the application fee.
2. One (1) completed Fast Track Sewer System Extension Application (Form 06-21).
3. One (1) copy of a USGS Topographic Map and street level map showing the project location.
4. Flash Drive containing the following:
a. Cover Letter
b. Fast Track Sewer System Extension Application
C. USGS Topographic Map and Street level map showing project location.
Sincerely,
McDavid Associates, Inc.
i
eir, Jr., P.E.
Farmville Office
DFW/jwg
Enclosures
D805DFW23 2
WHITAKERS-22-PORTER-ST-PS-RELOC-CN4-SS-IMP-FAST-TRACK-SEWER-PERMIT-LTR-002 wpd
INL
PM
230628

NC Dept of Eawil ►, dent 1, i J.t<a l I
State of North Carolina
Department of Environmental Quality
9J V-4 a I 9MM � 31JN B 9 Z023 Division of Water Resources
Division of Water Resources FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
aleigb Re91011al Offil FTA 06-21 & SUPPORTING DOCUMENTATION
Application Number: Wt?004't53 q- (to be completed by DWR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
1- Applicant's name: Town of Whitakers (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: Sammy Hopkins per 15A NCAC 02T _0106(b)
Title: Mayor
4. Applicant's mailing address: PO Box 727
City: Whitakers State: NC Zip: 27891-
5. Applicant's contact information:
Phone number: L2) 437-4011 Email Address. shopkins(&townofwhitakers.org
I1. PROJECT INFORMATION:
Project name: 2022 Sanitary Sewer Improvements. Contract No. 4 - Porter Street PumD Station Relocation
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: Ed ecombe
4. Approximate Coordinates (Decimal Degrees): Latitude: 36.101 Longitude:-77.709"
5. Parcel ID (if applicable): (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: David Frank. Weir, Jr License Number: 39099
Firm: McDavid Associates, Inc.
Mailing address: PO Drawer 49
City: Farmville State: NC Zip: 27828-
Phone number: (2L2) 753-7139 Email Address: dfw(@mcdavid-ine.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Rocky Mount WWTP Permit Number: NCO030317
Owner Name: Rocky Mount
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
i. Permit Number(s): WQ
2. Downstream (Receiving) Sewer Information: 8 inch ® Gravity �_] Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s): Town of Whitakers
FORM: FTA 06-21 Pagel 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 ® NIA
2. If the Applicant is a Developer of lots to be sold, has a D�veloner's Qperational Agreement IFORM: DlrV) been attached?
❑ Yes ❑ No ® NiA
3. If the Applicant is a Home/Property Owners' Association, has an HOA/POA Operational Agreement (FORM: HOA) and
supplementary documentation as required by 15A NCAC 02T.01 15(c) been attached?
❑ Yes ❑ No ® N.-:A
4. Origin of wastewater: (check all that apply):
® Residential (Individually Owned) ❑ Retail (stores, centers, malls) ❑ Car Wash
® Residential (Leased) ❑ Retail with food preparationiservice ❑ 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: 100 % Domestic % Commercial % Industrial (See 15A NCAC 02T _U ] 03(LG�)
If Industrial, is there a Pretreatment Program in effect? ❑ Yes ® No
6. Hasa flow reduction been approved under 15A NCAC 02T;0114(f1? ❑ Yes ® No
➢ If yes, provide a cony of flow reduction approval letter with this anplication
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow
No. of Units
Flow
gall
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gall
GPD
Total
GPD
a See 15A NCAC 02T .0114 )). (d). Fe){])_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 1 SA MAC 02L% 141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 0 GPD (per 15A NCAC: 02J& 114)
➢ 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): Relocating existing Porter Street Pump Station and rerouting flow from the Existing Bell Street Pum
Station. Existing Porter Street Pump Station and Bell Street Pump Station will be abandoned
FORM: FTA 06-2 1 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
1607
PVC, SDR 26
8
75
DIP, Class 51
8
100
DIP, Class 53
➢ 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
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Puma Stations/Force Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: Porter Street Pumn Station
2. Approximate Coordinates (Decimal Degrees): Latitude: 36.10V Longitude:-77.709"
3. Total number of pumps at the pump station: 2
3. Design flow of the pump station: 0.144 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): IN gallons per minute (GPM) at 24 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
4
150
DIP, Class 51
4
1020
PVC, SDR 21
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. l .b. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with 15A NC&C, 02T .0305(h)(l ):
® 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)):
1. Does the project comply with all separations/alternatives found in 15A NCAC 02T .0305 & ? ® Yes ❑ No
� it noncompuance wnn uz i.uju3 r or see section X.I of this application
*1J NCAg 42T.QJQX&) 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 Classificatigns webpag
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.
➢ 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: Tar -Pamlico River Basin ❑ 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 I SA 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 IS A NCAC 02T.0105(cl(6) (additional permits?certifications)? ® Yes ❑ No
Per 15AC 02T.0105(c)(§ , directly related environmental permits or certification applications must be being prepared,
have been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion
and sedimentation control plans, stormwater management plans, etc.).
7. Does this project include any sewer collection lines that are deemed "high -priority?" ❑ Yes ® No
Per 15A NUAC 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 Minim= Design Criteria for thy. Permitting of Pump 5tati_o ;
and Force Mavis.(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 Variance/Alternative Design Request application
(VADC 10-14) and supporting documents for review to the Central Office. Approval of the request will be issued
concurrently, with the approval of the permit, and projects requiring a variance anoroval may be subject to lonzer
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, David Frank Weir_ Jr.. attest that this application for 20�amtary Sewer Improvements. Contract No 4 - Porter Street Pump Station Relocation
(Professional Engineer's name from Application Item Ill. I.) (Project Name from Application Item II 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,
Minimtn 13esien Criteria for,Grauity Sewers (Iatest version), and the Minimum Design C:ritcrip for the Fps[ -Track Permittirtg
of Pumg Statipns 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: '
C
: �0
Q SEAL
39099
��i/O •.,GINS.• �, \�
NK
3. Applicant's Certification per 15A NCAC 02T .0106(b):
1, Sammy Hopkin*, attest that this application for 2022 Sanitn Sewer Improvements. ntract No. 4 Porter Street Pump t i n Relocation
(Signature Authority Name from Application Item 13.) (Project Name from Application Item II 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 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. 1 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 143-215.6f3, 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: 1
FORM: FTA 06-21 Page 5 of 5

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Wilson, Susan A
From: David Weir <[e-mail]>
Sent: Tuesday, August 29, 2023 7:06 AM
To: Wilson, Susan A
Subject: RE: [External] RE: Fast Track Sewer Ext Application 2022 Sanitary Sewer Improvements Contract No.
4- Porter St Pump Station relocation WQ0044534
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the Report Message
button located on your Outlook menu bar on the Home tab.
Good morning, Susan!
Just wanted to follow up with you to make use you had everything you needed from me to complete the Fast Track
Sewer Extension Permit.
Thanks,
David F. Weir, P.E.
********************************
I m
INC
David F. Weir, P.E.
PO Drawer 49
3714 North Main Street
Farmville, NC 27828
Phone: [phone]
Fax: [phone]
dfw(@mcdavid-inc.com
From: Wilson, Susan A <[e-mail]>
Sent: Wednesday, August 16, 2023 10:31 AM
To: David Weir <[e-mail]>
Subject: RE: [External] RE: Fast Track Sewer Ext Application 2022 Sanitary Sewer Improvements Contract No. 4- Porter St
Pump Station relocation WQ0044534
Ok I think that clears it up for me — thank you! I'll add this email to the application.
From: David Weir <[e-mail]>
Sent: Tuesday, August 15, 2023 8:39 AM
To: Wilson, Susan A <[e-mail]>
Subject: [External] RE: Fast Track Sewer Ext Application 2022 Sanitary Sewer Improvements Contract No. 4- Porter St
Pump Station relocation WQ0044534
1

CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the Report Message
button located on your Outlook menu bar on the Home tab.
Susan,
To answer your questions below, the Bell Street pump station rehabilitation was not permitted. There was no change in
pump station capacity or additional flows added. The existing Bell Street Pump Station serves 12 lots (4 that our
occupied). Adding this flow to the existing flow from the Porter Street Pump Station keeps the calculated peak hourly
flow below 100 GPM (91.82) which is the flow rate that the pumps should operate at. I should be in the office most of
the day tomorrow (Wednesday) if you would like to discuss on the phone.
Thanks,
David F. Weir, P.E.
********************************
David F. Weir, P.E.
PO Drawer 49
3714 North Main Street
Farmville, NC 27828
Phone: [phone]
Fax: [phone]
dfw(@mcdavid-inc.com
From: Wilson, Susan A <[e-mail]>
Sent: Monday, August 14, 2023 5:19 PM
To: David Weir <[e-mail]>
Subject: Fast Track Sewer Ext Application 2022 Sanitary Sewer Improvements Contract No. 4- Porter St Pump Station
relocation WQ0044534
Hi David —
I know we spoke about this one awhile back — so now I'm looking it over. Just want to know/clarify a couple of things.
1. So the pumps specified in VIII. of the application are being moved from the Bell St. pump station (and these are
new as of 2022)? So you don't think anyone applied for a permit for the rehab in 2022? Do I need to look around
for that permit?
2. 1 may prefer to just call you on this as it is a bit confusing and is likely that I'm not visualizing the new
configuration. So with the new Porter St. pump station — the current pumps there will be abandoned, those
pumps from Bell St will be place there and will be able to accommodate the flow that was managed by both Bell
St and Porter St before?
I'll be back in the office Wednesday if you'd rather discuss on the phone first.

Thanks,
Susan Wilson
Environmental Engineer (Part Time, Temporary)
Water Quality Regional Operations — Raleigh Regional Office
NC Department of Environmental Quality
Office: 919-791-4240
nE
Ernaucarreapandarxe roared fmrn this address As:u"22o lheNwfJF
Carofna Public Records Law aAd may be dscaoseJ ro 2hirdpartes
Email correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties by an authorized
state official.