WQ0045103_Application (FTSE)_20240320

AAHerring-Sutton
Si ASSOCIATES - P.A. 1
t
ENGINEERS - SURVEYORS • PLANNERS
January 24, 2024
Scott Vinson, PE rl�fa "c'"ror.,,�:
NCDEQ-DWQ
Raleigh Regional Office
3800 Barrett Drive JAN 2 5 � -
Raleigh, NC 27609
SUBJECT: Permit Application Re -Submittal
Fast -Track Sewer System Extension Application
Gardner School Road Wastewater Extension Project
CDBG Project No. 20-1-3614 sw4ror' >
Town of Saratoga
Scott:
�8 rsFT.
Enclosed for your review and processing with one original an once copy are the following items
concerning the proposed installation of approximately linear feet of 8" diameter gravity
sewers, and other appurtenances to serve 22 existing single family 3-bedroom residential homes
with a requested Flow allocation of 7920 gallons per day. The homes are currently serviced by
septic systems and are located along Gardner School Road, Pitt Road and Daiselle Place in
Saratoga, North Carolina. The wastewater generated by this project is being discharged into the
Town of Saratoga's wastewater collection system via a proposed 82-GPM Pump Station with
stand-by power generation. The wastewater will be treated by the City of Wilson. This project will
be completed in one phase and is being funded under CDBG Project No. 20-1-3614. The
enclosed items are as follows:
• Fast -Track Application Form "FTA 10-23"
• Colored USGS Quad Sheet with approximate system layout
• SCS Soils Map of Project Area
• Street level aerial map of Project Area
Flow Tracking Permit Application (FTSE 10-18) (Town of Saratoga)
• Flow Tracking/Acceptance for Sewer Ext. Permit Application (FTSE 10-18)
(City of Wilson)
• NCDEQ Buffer Determination Letter
• Check in the Amount of $600.00 (Application Fee).
Thank you very much for your assistance with this matter, and if further information is needed,
please do not hesitate to contact us.
liy,
Associates, P.A.
ie L. Sutton, P.E.
Cc: Town of Saratoga
Joe Dooley, UCPCOG
2201 Nash Street NW • Wilson, North Carolina 27896 • [phone] • Fax [phone]

State of North Carolina
nWR Department of Environmental Quality
Division of Water Resources
':`. == FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources PTA 10-23 & SUPPORTING DOCUMENTATION
Application Number: l fl 00 5E 0 (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION: U
1. Applicant's name: TOWN OF SARATOGA (company, municipality, HOA, utility, etc.)
2. Applicant e: Individual ❑ Corporation
pp type: ❑ rp El General Partnership El Privately -Owned Public Utility
❑ Federal ❑ State/County
®Municipal El
3. Signature authority's name: CHARLES T. HAWKINS per 15A NUAC 02T .0106(b) I- f
Title: MAYOR
c� Z
4. Applicant's mailing address: P.O. BOX 206
City: SARATOGA State: NC Zip: 27813-
5. Applicant's contact information:
Phone number: 252 238-3487 Email Address: saratoe _,saratoganc.org
II. PROJECT INFORMATION: 4
1. Project name: GARDI+FER SHOOL ROAD WASTEWA1h I TF,0V .*1TS.PRQJFCT P mA, l 2/"/7-4
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: WILSON
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.663' Longitude:-77.781: ,
5. Parcel ID (if applicable): (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
I . Professional Engineer: RONNIE L. SUTTON, PE License Number: 10180 '
Firm: HERRING-SUTTON AND ASSOCIATES PA
Mailing address: 2201 NASH STREET NW
City: WILSON State: NC Zip: 27896-
Phone number: (2� 291-8887 Email Address: rsuttonf@,,herring-sunon.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION: tj c.00 23�0 P
1. Facility Name: HOMILY SWAMP WWTP Permit Number: 00023906
Owner Name: CITY OF WILSON
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ.(UNKNOWN
2. Downstream (Receiving) Sewer Information: 8" inch ® Gravity L Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WLQee�1,"4?C-5 Doo o
Owner Name(s): TOWN OF SARATOGA
FORM: FTA 10-23 Page I of 5

VI. GENERAL REQUIREMIaNTS
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 Develoocr's Oocratcnal Atsreememt (FORM: C)LY-1 been attached?
❑ Yes [:]No ®N/A
3. If the Applicant is a HomelProperty Owners' Association, has an HQNQ9A Operafiynal Agreement (FORM: HQA) 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 preparationtservice ❑ Hotel and/or Motels
❑ School I 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)
S. Nature of wastewater: Q% Domestic % Commercial % Industrial ( J 5A NCAC 023' .01113f 20)
If industrial, is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under ILA NCA 02T .O1 l4tfl? [I Yes ® No
id f n w reduction approval letter h this application
7. Summarize wastewater generated by project
Establishment Type (see 02T.0114(o)
Daily Design Flow ''6
No. of Units
Flow
3-BEDROOM RESD. DWELLING UNITS
360 gal/DAY
22
7920 GPD
gall
GPD
gall
GPD
gall
GPD
gal/
GPD
gall
GPD
Total
1 7920 GPD
a See 1SA NCAQ VT .0J 14hl fdl. CoX I l %nd 1j:111 for caveats to wastewater design flow rates (i.e. 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 c 42A-4}.
b Per I SA NCAC 02T .0114(c), desi n establishments not identified [in table l SA bL QZ1_U114i shall be v'
determined using available fl ata water using fixtures, cy or operation patterns, and other measured data.
t — �z
S. Wastewater generated by project; _ I tag G.5. ]43-2_LLD
r> 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 timef ame 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 10-23
Page 2 of 5

V11. GRAVITY SEWER DESIGN CRITERIA (IFApplicable) - 1~0 T.W &
1. Summarize gravity sewer to be permitted,.
Size (inches) {feet)
Material
8"
8"
S
PVC-SDR-35
158
DUCTILE IRON
➢ Section 11 &Ili of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section Ill 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) -.42T .CM & MK fPurno 8evlionslForce 141a1n9 :
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: GARDNER SCHOOL ROAD PUMP STATION
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.663" Longitude:-77.87J.°
3. Total number of pumps at the p psa ejc�S Zt*t `t (w
3. Design flow of the pump station: y�tonsga Ions 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 ptimp(s): $5 gallons per minute (GPM) at 35 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station) -
Size (inches)
Length (feet)
Material
4"
2032
PVC-SR21
If any portion of the force main is less than 4-inches in diameter, please identify the method of solids reduction per
M DCPSFM Section 2.01 C.l -b. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with J_i t'AC 02T .0305th1( t?:
® 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(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 multiple station power outage.
FORM: FTA 10-23 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
I. Does the project comply with all separations/altematives found in 15A NCAC 02T .0305{I) & (F- ? ® 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-1 waters of Class I or
Class I1 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
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 (2). see Section X.1 of this application
*I 5A NCAC 02T.0305(a) contains alternatives where separations in 02T.0305 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 webpr ge
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(o 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 [D MA
➢ 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: NEUSE ❑ No
If yes, does the project comply with setbacks found in the river basin rules per 15 A N.(.- AC. 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 coverage/authorization is required.
6. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15 A NC'AU 011 0 k f)5(cX6), directly related environmental permits or certification applications must be being prepared,
have been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion
and sedimentation control plans, stormwater management plans, etc.).
Does this project include any sewer collection lines that are deemed "high -priority?" [:]Yes ® No
Per 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 10-23 Page 4 of 5

X. CERTIFiCATIONS:
I. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the permitting or Pump Stations
aqd Force Mains (latest versionl, 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 reguest will be issued
concurrently with the approval of the permit, and projects requiring a variance aaarov-al 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.
Professional Engineer's Certification:
6 04trw$fZ S VOAX .. 44sA.o
I, P-P*WV& L -,. Q1,nttC4 , Uri.. , attest that this application for i.UjA i=W&.-r> Lg :rL%2lSZ+fi�� -T
(Professional Engineer's name from Applic bon Item I11.1.) (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,
Minimum D sistn Criteria fQr6ravity Sewers (latest verg n,}, and the Minimum Design Criteria for the Fast -Track Pcrmirting
pf PgLnp StaPgLnp Stations )d 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:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
&6 r O rL G"jum- 'Pia^* W ^-a *-
I, G'4r4A► U_63 'T , VA 1A&Az;Orvb _4VAst that this application for W e
(Signature Authority Name from Application Am 1.3.) (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. 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: [ Date: L� Z
FORM: FTA 10-23 Page 5 of 5

—USGS Quad Sheet —
Town of Saratoga Sanitary Sewer System Improvements
Gardners School Road -- CDBG-1-20-1-3624
yr 'qa
� � 1
1 i
A
�--ter-
PUMP -
STATION__
SEWER 222
MAIN
EXTENSION
N
wAiraRAve -Saratoga
I
All
ARATOGA, NC
MUSGSV. AL 640cmyrALaanerar 2019
w

—Wilson County Soil Survey —
Town of Saratoga Sanitary Sewer System Improvements
Gardners School Road — CDBG-1-20-1-3614
OA
1 R UF.PAi."l\litNtOPAGRICLLI1AP
301E S 1{ C ET N 0 6 OF 9

_4U� -- 1�
r
42
4k,
I

DocuSign Egvelope ID: 90E16364-F32B4122-A9624B5858E1185B
ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS. JR.
Director
Charles Thomas Hawkins, Mayor
Town of Saratoga
PO Box 206
Saratoga, NC 27873
NORTH CARCUNA
Enviranmental Quality
February 3, 2023
Subject: Buffer Determination Letter
NBRRO #23-011
Wilson County
Determination Type:
Buffer
Intermittent/Perennial
® Neuse (15A NCAC 2B .0714)
❑ Tar -Pamlico 05A NCAC 2B .0734)
❑ Intermittent(Perennial Determination (where local
buffer ordinances apply)
❑ Jordan 0 5 A NCAC 2B .0267) (governmental
and/or interjurisdictional projects)
Project Name: Gardners School Rd Pump Station, Saratoga
Address/Location: Parcel #: 3669281680.000 (Across from Pitt
Stream(s): UT to White Oak Swamp
Determination Date: 130/23 Staff: Jason Robinson
Not
Soil
USGS
Feature
Su! ject< x�
Subject
Start @
Stop @
Surve
To 0
A
X
X
(1) E Ephemeral, I Intermittent, P — Perennial, NP - Not Present, N/A Not Applicable
(2) Refers to State riparian buffer rules only. Stream, wetland, or pond impacts are still subject to applicable water
quality standards and permitting requirements.
Explanation: The stream(s)/pond(s) listed above has been located on the most recent published NRCS Soil Survey
of Wilson County, North Carolina and/or the most recent copy of the USGS Topographic map at a 1: 24,000 scale.
Each feature that is checked "Not Subject" has been determined to not be an intermittent stream, perennial stream, a
pond connected to a stream feature, or the feature is determined not to be present. Stream features that are checked
"Subject" have been located on the property and possess characteristics that qualify them to be subject to the buffer
rules. There may be other streams located on the property that are not depicted on the maps referenced above and
are therefore not subject to the buffer rules. However, if the stream features are present on the tract they are subject
to all other applicable North Carolina stream standards and permitting requirements as outlined in 15A NCAC 02B,
and may be considered jurisdictional according to the US Army Corps of Engineers.

DocuSign Envelope ID: 90E16364-F32B-4122-A9B2-465958E11860
Gardners School Rd Pump Station, Saratoga
Wilson County
February 3, 2023
Page 2 of 2
This on -site determination shall expire five (5) years from the date of this letter. Landowners or affected
parties that dispute a determination made by the DWR may request a determination by the Director. An
appeal request must be made within sixty (60) days of date of this letter. A request for a determination by the
Director shall be referred to the Director in writing. If sending via US Postal Service: c/o Paul Wojoski; DWR
— 401 & Buffer Permitting Unit, 1617 Mail Service Center; Raleigh, NC 27699-1617. If sending via delivery
service (UPS, FedEx, etc.): Paul Wojoski; DWR — 401 & Buffer Permitting Unit; 512 N. Salisbury Street;
Raleigh, NC 27604.
This determination is final and binding unless, as detailed above, an appeal is requested within sixty (60)
days.
This project may require a Section 4041401 Permit for the proposed activity. Any inquiries should be
directed to the US Army Corp of Engineers (Raleigh Regulatory Field Office) at (919)-554-4884.
If you have questions regarding this determination, please contact Jason Robinson via email at
[e-mail].
Sincerely, oocuftneany-
t/cttf�.SSa f. kAv.rtit t
82918EBAB32144F
Vanessa E. Manuel, Assistant Regional Supervisor
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources, NCDEQ
cc: NCDWR Laserfiche
Contact via e-mail at [e-mail]
RE 1M
North Carolina Department of Environmental Quality I Division of Water Resources I Raleigh Regional Office
3800 Barrett Drive 11628 Mail Service Center I Raleigh. North Carolina 27699-1628
919.791.4200

DocuSign Envelope ID: 90EI6364-F32B-4122-A9B2-4B5958E1185B
NBRRO # 23-011
Gardners School Rd Pump Station, Saratoga
Wilson County
M
'kxA
Feature A: Not Subject
•
7
�TAT'o Snap provided by NCDEQ
Legend: Division of Water Resources
Locations are approximate
-Approximate Site Boundary:
and are provided for refer
-Approximate Start/Stop Point * �� x„� �' ence only::

DocuSign Envelope ID: 90E16364-F32BA122-A9B2.4B5858E1185B
NBRRO # 23-011
Gardners School Rd Pump Station, Saratoga
Wilson County
r.
PITT RD %
Feature A: Not Subject
(Not shown on this map,
See Soils Map)
STA7Fo- Map provided by NCDEQ
Legend: Division of Water Resources
,�'s
-Approximate Site Boundary: - vacations are approximate
r� l and are provided for refer
-Approximate Start/Stop Point enceonly::

State of North Carolina
nWR Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Dtvislon of Water Resources INSTRUCTIONS FOR FORM: FTA 10-23 & 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 iSA NCAC 02T and the Division's
Minimum Design Criteria (Gravity Sewer & Pump ,5tatEcaks l 2Nc Mains) and that plans, specifications and supporting documents
have been prepared in accordance with I5A NCAC 02T. 15A NCAC 02T .030d, 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 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 maybe 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 $600.00, 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 10-23):
® 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 Secn tare oiT}i xe.
❑ If the Applicant Type in Item 1.2 is a partnership or d/bla, enclose a copy of the certificate filed with the Register of Deeds in
the county of business.
® The Project Name in Item I1.1 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
IiccrFsed Professional Enairneer.
® 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 10-23 & SIPPORTING DOCUMENTATION Page] of3

E. Flow Tracking/Acceptance Form (Form: FTSE 10-23) (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 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)(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)
I. Certificate of Public Convenience and Necessity (All Application Packages for Privately -Owned Public Utilities):
❑ Per 15A NCAC 02T .0115(a)(l 1 provide the Certificate of Public Convenience and Necessity from the North Carolina Utilities
Cortrrnissio:r 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 15A NCAC 02T .0115(c), submit the properly executed Operational Agreement (FORM: H_O_A).
❑ 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 Aereemen1LFORM_ DEV).
For more information, visit the Division's collection systems tir ebsile
7
VA
INSTRUCTIONS FOR FORM: FTA 10-23 & SUPPORTING DOCUMENTATION Page 2 of

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Town of Saratoga
Project Name for which flow is being requested: Gardner Sch. Rd. Wastewater Extension
More than one FTSE may be required far a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: N/A
b. WWTP Facility Permit #: NIA
All flows are in MGD
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
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+Q
(E)=(A-D)
Design
Average
Approx_
Obligated,
Pump
Pump
Daily
Current
Not Yet
Total Current
Station
Station
Firm
Flow**
Avg. Daily
Tributary
Flow Plus
(Name or
Permit
Capacity, *
(Firm / pf),
Flow,
Daily Flow,
Obligated
Available
Number)
No.
MGD
MGD
MGD
MGD
Flow
Capacity***
PS #4
201 PROD.
0.1552
0.0461
0.0221
0.00792
0.03002
0.01608
PS#1
n0041533
0.2592
0.0846
0.0424
0.00792
0.0503
0.0343
PS#5
W00039049
0.4896
0.1632
0.0473
0.00790
0.05522
0.10798
* 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): City of Wilson
Page 1 of 6
FTSE 10-18

Downstream Permit Number: WQ-0039050
III. Certification Statement:
I CHARLES HAWKINS, MAYOR 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 plarming assessment where applicable. This analysis has been performed in accordance
with local established policies and procedures using the best available data. This certification applies to
those items listed above in Sections I and II plus all attached planning assessment addcndums 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.
ing"Ofcial .Signature
of Sig4ng Official
-& — c 7, Z-
Date
Page 2 of 6
FTSE 10-18

01% klon of waterr itesmgn C',
Entity Requesting Allocation: Town of
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Project Name for which flow is being requested: Gardner School Road Wastewater
More than one FTSE may he required for a .single project if the owner of the fVWTI' is not responsible for rt/i pump
stations along lire route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Hominey Creek Water Reclamation Facility
b. WWTP Facility Permit #: NC0023906
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
Alif7ovs are in MGD
14.00
0.421
9.70
0.00792
10.13
72.35
IL 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 / pf),
Flow,
Daily Flow,
Obligated
Available
Number)
No. MGD
MGD
MGD
MGD
Flow
Capacity***
Campus587
39050 1.526
0.611
0.0376
0.00792
0.046
0.565
Stantonsburg
Unknown 16.128
6.451
2.76
0.11692
2.877
3.574
station is defined as the maximum
pumped flow
* The Firm Capacity (design flow) of any pump
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): City of Wilson
Downstream Permit Number: WQCS00021
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I Kyle F. Mamiing, PE certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity
related sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant under normal circumstances, given the implementation of the planned improvements
identified in the planning assessment where applicable. This analysis has been performed in accordance
with local established policies and procedures using the best available data. This certification applies to
those items listed above in Sections I and II plus all attached planning assessment addendums for which I
am the responsible party. Signature of this form certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
Signature
4�5�a"a��(ec�o(
Title of Signing Official
aka
Dale
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
MGD per year; and that
c. A funded Capital Project that will provide the required planned capacity, namely
is in design or trader 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
FTSE 10-18

Instructions for Flow Tracking form (FTSE) and Planning Assessment Addendum (PAA)
Section I
a. WWTP Facility Name: Enter the name of the WWTP that will receive the wastewater flow.
b. WWTP Facility Permit #: Enter the NPDES or Non -Discharge number for the WWTP receiving the
wastewater flow.
c. WWTP facility's permitted flow, MGD: From WWTP owner's NPDES or Non -Discharge permit.
d. Estimated obligated flow not yet tributary to the WWTP, MGD: This includes flows allocated to other
construction projects not yet contributing flow to the collection system. Flows allocated through interlocal
agreements or other contracts not yet contributing flow to the collection system are also included. For POTWs
that implement a pretreatment program, include flows allocated to industrial users who may not be using all of
their flow allocation. Please contact your Pretreatment Coordinator for information on industrial flow tributary
to your WWTP.
As of January 15, 2008 the POTW should have reviewed flow allocations made over the last two years and
reconciled their flow records, to the best of their ability, so it is known how much flow has been obligated and
is not yet been made tributary to the WWTP, in accordance with local policies and procedures employed by the
reporting entity.
e. WWTP facility's actual avg. flow, MGD: Previous 12 month average.
f. Total flow for this specific request, MGD: Enter the requested flow volume.
g. Total actual and obligated flows to the facility, MGD Equals [d + e + f]
h. Percent of permitted flow used: Equals [(g / e)* 100]
For example:
On January 15 a POTW with a permitted flow of 6.0 MGD, reported to the Regional Office that there is 0.5
MGD of flow that is obligated but not yet tributary. The annual average flow for 2007 is 2.7 MGD. There is a
proposed flow expansion of 0.015 MGD.
The first Form FTSE submitted after January 15, 2008 may have numbers like this:
c. = 6.0 MGD
d. = 0.5 MGD
e. = 2.7 MGD
f = 0.015 MGD
g. = 3.215 MGD
h. = 53.6 %
The next Form FTSE may be updated like this with a proposed flow expansion of 0.102 MGD:
c. = 6.0 MGD
d. = 0.515 MGD
e. = 2.73 MGD
f. = 0.102 MGD
g. = 3.349 MGD
h. = 55.8 %
Each subsequent FTSE form will be updated in the same manner.
Page 4 of 6
FTSE 10-18

Section II
List the pump station name or number and approximate pump station firm capacity, approximate design average
daily flow (A) approximate current average daily flow (B), and the obligated, not yet tributary flow through the
pump station (C) for each pump station that will be impacted by the proposed sewer extension project. Calculate
the total current flow plus obligated flow (D=B+C) and the available capacity (E=A-D). Include the proposed flow
for this project with other obligated flows that have been approved for the pump station but are not yet tributary
(C).
Firm capacity is the maximum pumped flow that can be achieved with the largest pump out of service as per the
Minimum Design Criteria.
Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor (pf) of not less than
2.5.
If the available capacity (E) for any pump station is < 0, then prepare a planning assessment for that pump station
if the system has future specific plans related to capacity that should be considered in the permitting process.
(A)
(B)
(C)
(D)=(B+C)
()=(A-D)
Obligated,
Design
Approx.
Not Yet
Total Current
Firm
Average
Current Avg.
Tributary
Flow Plus
Pump Station
Capacity
Daily Flow
Daily Flow,
Daily Flow,
Obligated
Available
(Name or Number)
MGD
(Firm / pf)
MGD
MGD
Flow
Capacity*
Kaw Creek PS
0.800
0.320
0.252
0.080
0.332
-0.012
Valley Road PS
1.895
0.758
0.472
0.135
0.607
0.151
Page 5 of 6
FTSE 10-18

Planning Assessment Addendum Instructions
Submit a planning assessment addendum for each pump station listed in Section II where available capacity is < 0.
A planning assessment for Kaw Creek PS (see example data above) may be performed to evaluate whether there is
significant likelihood that needed improvements or reductions in obligated flows will be in place prior to activating
the flows from the proposed sewer extension project.
If the system decides to accept the flow based on a planning assessment addendum, it is responsible to manage the
flow without capacity related sanitary overflows and must take all steps necessary to complete the project or control
the rate of flow to prevent sanitary sewer overflows.
The planning assessment may identify a funded project currently in design or construction, or a planned project in
the future not yet funded but in a formal plan adopted by the system. The system should carefully weigh the
certainty of successful timely project completion for any expansion, flow management diversion or infiltration and
inflow elimination projects that are the foundation of a planned solution to capacity tracking and acceptance
compliance.
For example:
Given that:
a. The proportion and amount of obligated, not yet tributary flow accounts for 24 % and 0.080 MGD of the
committed flow in Pump Station Kaw Creek; and that
b. The rate of activation of this obligated, not yet tributary capacity is currently approximately 0.01 MGD
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:
The master plan and ten year capital plan contain recommended scope and funding for a capital proiect entitled
of this Flow Tracking/Acceptance for Sewer Extension Permit Application elevates this project's priori for
funding and construction to be implemented ahead of the activation of obligated, not yet tributary flows in amounts
that exceed the firm pump station capacities identified in Section II above.
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.
Page 6 of 6
FTSE 10-18

Wilson, Susan A
From:
Sent:
To:
Subject:
Attachments:
Follow Up Flag:
Flag Status:
Kyle Manning <[e-mail]>
Monday, February 26, 2024 1:17 PM
Wilson, Susan A
[External] RE: Fast Track Sewer Extension Application WQ0045103 Gardner School Road
Wastewater Improvements Project
FTSE Town of Saratoga Gardner School (Wilson) Revised 022624.pdf
Follow up
Flagged
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,
See attached.
The City has sold them 100,000 gpd capacity and they have the option to purchase more annually in 5,000 gpd
increments.
Thanks,
Kyle F. Manning, PE, CFM
Assistant Director of Public Works
City of Wilson, North Carolina
[e-mail]
252-296-3416
Caution: Files equal to or over 20 MB will not be received.
From: Ron Sutton <[e-mail]>
Sent: Friday, February 23, 2024 4:45 PM
To: Wilson, Susan A <[e-mail]>
Cc: Kyle Manning <[e-mail]>; Barnes, Sequoia <[e-mail]>
Subject: RE: Fast Track Sewer Extension Application WQ0045103 Gardner School Road Wastewater Improvements
Project
CAUTION: This email originated from outside of the organization. Do not click links or open
attachments unless you verify the sender. Please forward suspicious emails to
report. spanikwilsonnc. org
1

This project name (to make sure everyone is consistent) is Gardner School Road Wastewater
Improvements Project. It's slightly different on your narrative and the flow tracking sheets for Wilson and
Saratoga. Is this the project name folks want to use?
Response: Please use the Gardner School Road Wastewater Improvements Project.
want to reconfirm the length of 8-inch gravity sewer to make sure we get this correct. From the correction
you sent me —the total length is 2510 LF 8 inch PVC and 158 LF 8 inch DIP (for a total LF of 2668 8-inch
gravity sewer).
Response: This is correct.
There seems to be some crossover on the flow tracking sheets? Regarding pump station WQ0039O49. So
this flow essentially goes through 3 pump stations that Saratoga controls and 2 that Wilson controls until it
reaches Wilson's Hominy Creek WRF? Am I understanding that correctly? I've attached both flow tracking
sheets. And this will tie-in to an existing 8-inch gravity sewer that Saratoga owns (but the permit number is
unknown at this time?).
Response: This is correct.
trust that the above answers your questions and clarify any inconsistencies.
Ron
AJHerring -Sutton
& ASS�OCJATE:�, R
ENIGNEERS - SVR4EYCR5 I PLANNERS
Ron Sutton, PE
2201 Nash Sues 4W- 4Ydson. North Carolina 27aN,17W
(252) 29J4M7 - FaM f{2W 291.M , VowNLid [phone] Ezr.220
MObde (" 23q 709 - Email mu"n@herr1Mg-sr,nan.W1n
From: Wilson, Susan A <[e-mail]>
Sent: Friday, February 23, 20241:05 PM
To: Ron Sutton <[e-mail]>
Cc: Manning, Kyle F <[e-mail]>; Barnes, Sequoia <[e-mail]>
Subject: Fast Track Sewer Extension Application WQOO451O3 Gardner School Road Wastewater Improvements Project
Hi Ron —
Just wanted to reconfirm/clarify a few things.
This project name (to make sure everyone is consistent) is Gardner School Road Wastewater
Improvements Project. It's slightly different on your narrative and the flow tracking sheets for Wilson and
Saratoga. Is this the project name folks want to use?
want to reconfirm the length of 8-inch gravity sewer to make sure we get this correct. From the correction
you sent me —the total length is 2510 LF 8 inch PVC and 158 LF 8 inch DIP (for a total LF of 2668 8-inch
gravity sewer).

There seems to be some crossover on the flow tracking sheets? Regarding pump station WQ0039049. So
this flow essentially goes through 3 pump stations that Saratoga controls and 2 that Wilson controls until it
reaches Wilson's Hominey Creek WRF? Am I understanding that correctly? I've attached both flow tracking
sheets. And this will tie-in to an existing 8-inch gravity sewer that Saratoga owns (but the permit number is
unknown at this time?).
Respectfully,
Susan Wilson
Environmental Engineer (Part Time, Temporary)
Water Quality Regional Operations — Raleigh Regional Office
NC Department of Environmental Quality
Office: 919-791-4240
D, E Q-5
Emad correspondence to and from this ada4ess rs ser a to- Nie rue, rr:
Caah'na Pub r Rsmrds Law and may be drsdosed ro third panes
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.
Pursuant to North Carolina General Statutes, Chapter 132,et.seq., this electronic mail
message and any attachment hereto, as well as any electronic mail message(s) that may be
sent in response to it may be considered public record and as such are subject to requests for
review.