WQ0045251_West_Jefferson_Sewer_(SRP-W_ARP-0164)_FTSSE_App_2nd_Submittal_20240328

UC O 3/ 025 /�0 24� State of North Carolina
15WR Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Divisih4n of Water Resources >� / F,TA 1 23 &SUP O$T NG DOCUMENTATION
^Gf'rr�.>` r 0 AaiZ Qd�^rrrdDi�Dctlrao_ % -f%/, .( � b
pp W t�S L S (to be completed b
Application
epefEmeA+
Environmental Qual::
UwIZ) Received
All items must be completed or the application will be returned MAR 2 2 70?4
I. APPLICANT INFORMATION:
Winston-Salem
1. Applicant's name: Town of West Jefferson (company, municipality, HOA, utility, etc.)
Regional Off
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Privately wned Public Utility
[IFederal ❑ State/County ® Municipal
El Other
3. Signature authority's name: Brantley Price per 15A NCAC 02T .0106(b)
�(1
Title: Town Managers
4. Applicant's mailing address: PO Box 490
t
'� C/ Zip:28694-!
City:West Jefferson State: N
5. Applicant's contact information:
3 J 25/
Phone number: 336 246-3551 Email Address: [e-mail]
/
II. PROJECT INFORMATION:
1. Project name: West Jefferson Sewer (SRP-W ARP-0164)
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project ® ARPA funded
If a modification, provide the existing permit number: W000 and issued date:
For modifications, also attach a detailed narrative description as described in Item G of the checklist.
If new construction, but par of a master plan, provide the existing permit number: W000
3. County where project is located: As to
4. Approximate Coordinates (Decimal Degrees): Latitude: 36.40538° Longitude:-81.49794'
5. Parcel ID (if applicable): _ (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Stephen L. Crawtord License Number: 025447
Firm: Municipal Engineering,Inc
Mailing address: 68 Shipwash Drive
City: Gamer State: NC
Phone number: 919 772-5393�
Zip: 27529-
Email Address: scrawfordaa m6sco.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: West Jefferson W WTP� Permit Number: NC002045f�
Owner Name: Town of West Jefferson
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQCS00214 '
2. Downstream (Receiving) Sewer Information: 8 inch �/ ® Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00214�
Owner Name(s): Town of West Jefferson �
FORM: FTA 10-23 Page 1 of 5

VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑ No ® N/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEVI been attached?
❑ Yes ❑ No ® N/A
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.0I 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 preparation/service ❑ Hotel and/or Motels
❑ School / preschool / day care ❑ Medical / dental / veterinary facilities ❑ Swimming Pool/Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
❑ Businesses / offices / factories ❑ Nursinge El 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. Hasa flow reduction been approved under 15A NCAC 02T .0114(t)? ❑ Yes ® No
➢ If yes, Provide a copy of flow reduction approval letter with this application
7. Summarize wastewater generated �Wroject:
Establishment Type (see 02T.0114(f))
Daily Design Flow °,"
No. of Units
Flow
Birch Street & Ridge Avenue
3 bdrm res. @ 75gaV bdrm = 225 gal/day
5
1125 GPD
Freedom Dr., Independence 40&rty St
3 bdrm res. @ 75gaV bdrm = 225 gal/day
6
1350 GPD
lk
gall
GPD
gal/
GPD
gal/
GPD
gall
GPD
Total
2475 GPD
a See 15A NCAC 02T .0114(b). (d). (e)(1) and (e)(2for caveats to wastewater design flow rates (i.e. proposed unknown
non-resWO 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. 42A4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01IA] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 2475 GPD (per 15A NCAC 02T .0114 and G.S. 143-215.1)
➢ 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 10-23 Page 2 of 5

'c
r '
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 l
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEVI been attached?
❑ Yes ❑ No ® N/A -
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.0I 15(c) been attached?
[—]Yes [:]No ® N/A
4. Origin of wastewater: (check all that apply):
i
® Residential (Individually Owned) ❑ Retail (stores, centers, malls)
❑ Car Wash
❑ Residential (Leased) ❑ Retail with food preparation/service
❑ Hotel and/or Motels
❑ School / preschool / day care ❑ Medical / dental / veterinary facilities
❑ Swimming Pool/Clubhouse
❑ Food and drink facilities ❑ Church
❑ Swimming Pool/Filter Backwash
❑ Businesses / offices / factories ❑ Nursing Home
❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic % Commercial % Industrial (See 15A NCAC 02T .0103(20))
If Industrial, is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T .0114(fl? ❑ Yes ® No
➢ 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 a b
No. of Units
Flow
Birch Street & Ridge Avenue
225 gal/day
51,
1125 GPD
Freedom Dr., Independence St., Liberty St
225 gal/day
6
1350 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
To
2475 GPD
a See 15A NCAC 02T .0114(b). (d). (e)(11) and (e)(2) 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 G.S. 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 2475 tPD (per 15A NCAC 02T .0114 and G.S. 143-215.1)
➢ 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 10-23 Page 2 of 5

, I 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"
1083
C-900 PVC '
8"
1079
C-900 PVC
�1fsa, sw� D r
➢ 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 (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 points) per pump(s): _ gallons per minute (GPM) at feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
If any portion of the force main is less than 4-inches in diameter, please identify the method of solids reduction per
MDCPSFM Section 2.01C.1.b. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with 15A NCAC 02T .0305(h)(1):
❑ Standby power source or ❑ Standby pump
➢ Must have automatic activation and telemetry - 15A NCAC 02T.0305(hxl)(B);
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
➢ Must he permanent to facility and may not be portable
Or if the pump station has an average daily flow less than 15,000 gallons per day 15A NCACO2T.0305(hxl)(C):
❑ Portable power source with manual activation, quick -connection receptacle and telemetry -
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry:
➢ Include documentation that the portable source is owned or contracted by the applicant and is compatible with the station.
➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be provided
as part of this permit application in the case of a multiple station power outage.
FORM: FTA 10-23 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T.0305(f)):
1. Does the project comply withal] separations/altematives found in 15A NCAC 02T .0305(f) & (g)? ® Yes ❑ No
15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
18 inches
'Water mains (vertical - water over sewer preferred, including in benched trenches)
18 inches
'Water mains (horizontal)
10 feet
Reclaimed water lines (vertical - reclaimed over sewer)
18 inches
Reclaimed water lines (horizontal - reclaimed over sewer)
2 feet
"Any private or public water supply source, including any wells, WS-I waters of Class I or
Class 11 impounded reservoirs used as a source of drinking water, and associated wetlands.
100 feet
"Waters classified WS (except WS-I or WS-V), B, SA, ORW, HQW, or SB from normal
high water (or tide elevation) and wetlands associated with these waters (see item IX.2)
50 feet
"Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches, as well as wetlands associated with these waters or classified as WL.
10 feet
Any building foundation (horizontal)
5 feet
Any basement (horizontal)
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
➢ If noncompliance with 02T.0305(f) or (g), see Section X.I of this application
* 15A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305(t) 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 weboage
2. Does this project comply with the minimum separation requirements for water mains? ®Yes ❑ No ❑ N/A
➢ If no, please refer to 15A NCAC 18C.0906(f) for documentation requirements and submit a separate document,
signed/sealed by an NC licensed PE, verifying the criteria outlined in that Rule.
3. Does the project comply with separation requirements for wetlands? ®ies ❑ 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.
i
4. Is the project located in a river basin subject to any State buffer rules? ❑ Yes Basin name: ®No
If yes, does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? ❑ Yes [-]No
➢ This includes Trout Buffered Streams per 15A NCAC 213.0202
5. Does the project require coverage/authorization under a 404 Nationwide/individual permits ❑ Yes 016
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)? 0/Yes [—]No
Per 15A NCAC 02T.0105(c)(6), directly related environmental permits or certification applications must be being prepared,
have been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion
and sedimentation control plans, stormwater management plans, etc.).
7. Does this project include any sewer collection lines that are deemed "high -priority?" ❑ Yes ® No
Per 15A NCAC 02T.04021 "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 ISA NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains (latest version), and the Gravitv Sewer Minimum Design Criteria (latest version) as applicable?
® Yes " ❑ No
If no, for projects requiring a single variance, complete and submit the Variance'Altentative Design Request application
(VADC 10-14) and supporting documents for review to the Central Office. Approval of the request will be issued
concurrentiv with the approval of the permit, and projects requiring a variance approval may be subject to loneer
review times. For projects requiring two m- 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,yTCIDNtri L. CMu)TOrd , attest that this application for W. 144MA &,., (w-w--AQPOM)
(Protessidinal t:ngizncr's nano from Applcation Item Ill.1.) (Project Name fmm Application temp tern 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. 1 further
attest that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations,
Minimum Desipn Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria for the Fast -Track Permittine
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 143-215.6B, 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 S 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 NC j JgJ)
North Carolina Professional Engineer's seal, signature, and date:
l w?,q
3. Applicant's Certification per i SA NCAC 02T .0106(b):
i, 3ait A, / 04eG- l , attest that this application for 1q, Jcffe45aw (5(2Q—N)
(Signature Authylty Name rmm Application hem 1.3.) (Project Name fmm.Application hem 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 part:- 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. 1 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 $25,000 per violation.
Signature: Date:
FORM: FTA 10-23 Page 5 of 5

i
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-23)
Entity Requesting Allocation: Town of West Jefferson
Project Name for which flow is being requested: W. Jefferson Sewer (SRP-WARP-0164)
More than one FTSE may be required for a single projeilit if the owner of the WWTP is not responsible for aU 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: '
b. WWTP Facility Permit #:
c. WWTP facility's permi d )dower
d. Estimated obligated flo not yet tributary to the WWTP
e. WWTP facility's actual avg. w
i Total flow for this specific request
g. Total actual_4nd obligated flows to the facility
It. Percent of permitted flW used
All flows are in MGD
0.500
0.03548
0.238
0.002475
0.275955
55%
II. Complete this section for each pump station you are responsible for along the route of this proposed
wastewater flow.
List pumrp stations located between the project connection point and the WWTP:
(A) (B) (C) (D)=(B+C) (ENA-D)
Design
Pump
Pump
Average
Station
Station
Firm
Daily Flow**
(Name or
Permit
Capacity, *
(Firm / pf),
Number)
No.
MGD
MGD
Dogget
unknown
0.0792
0.03168
Obligated,
Approx.
Not Yet
Total Current
Current
Tributary
Flow Plus
Avg. Daily
Daily Flow,
Obligated Available
Flow, MGD
MGD
Flow Capacity***
0.00495
0.002475
0.0063 0.0538
* 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): West Jefferson Collection System
Downstream Permit Number: WQCS00214
Page 1 of 6
FTSE 10-23

III. Certification Statement:
I Brantley Price 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 fo ce es that the receiving collection system or treatment
works has adequate capacity to transport anq treqLthe roposed new wastewater.
Signatia•e
CST
Page 2 of 6
FTSE 10-23

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
Division of Water Resources Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Town of West Jefferson
Project Name for which flow is being requested: W. Jefferson Sewer (SRP-W ARP-0164)
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewaterJlow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: West Jefferson WWTP
b. WWTP Facility Permit #: NC0020451
Afl lows 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
0.037955
0.238
.0 247
0.275955
55%
z79-4
II. Complete this section for each pump station you are responsible for along the route of this proposed
wastewater flow.
List pump stations located between the project connection point
and the WWTP:
(A)
(B)
(C) (D)=(B+C)
(E)=(A-D)
Design
Obligated,
Pump Pump
Average
Approx.
Not Yet Total Current
Station Station
Firm Daily Flow**
Current
Tributary Flow Plus
(Name or Permit
Capacity, * (Firm / pf),
Avg. Daily
Daily Flow, Obligated
Available
Number) No.
MGD MGD
Flow, MGD
MGD Flow
Capacity***
Dogget unknown
0.0792 0.03168
0.00495
0.001350 0.0063
0.0538
* 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): West Jefferson Collection System
Downstream Permit Number: WQCS00214
Page 1 of 6
FTSE 10-18

Ill. Certification Statement:
I �iCt �n certify to the best of my knowledge that the addition of
the volume of vyfistewater 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.
Title of Signing
Page 2 of G
IWIMItt3t8

Mr Lon Snider
NC DEQ, Division of Water Resources
Winston Salem Regional Office
450 West Hanes Mill Road — Suite 300
Winston Salem, NC 27105
Dear Mr Snider
EJW"e--"tv llewce Amcv&hkeA�P^eaeAes/Sw&,eaa"l -okfiow
March 20e 4
EnviJonmartmen;
entai Quafil
Received
MAR 2 2 20P4
Winston-Salem
Regional ofi—
Enclosed please find a Fast Track Sewer System Extension application for the Town of West
Jefferson, NC. The projet is funded by the American Rescue Plan Act (ARPA) funding, ARPA project
number SRP-W-ARP-0164.
The project encompasses the addition of two sections of 8" C-900 sewer piping serving eleven
(11) residences in the town of West Jefferson. The first section is approximately 1083 feet of 8" gravity
sewer along Ridge Venue and Birch Street connecting to the existing sanitary sewer system
(WQCS00214) at North Church Avenue and the second section is approximately 1079 feet of 8" gravity
sewer along Liberty Street, Independence Street and Freedom Drive, connection to the existing sanitary
sewer system (WQCS00214) at Business 221. The two sections will serve a total of 11 residential
connections with an estimated flow allocation of 2475 gallons per day. All existing sewer line will
remain in service as in the existing permit (WQCS00214).
The project application fee, completed application form, FTSE, topographic and location maps,
and a copy of the existing permit are attached.
Please contact me at [phone] or by email at [e-mail] if you have any
questions.
Sincerely,
Stephe L. Crawford,
Senior Project Engine
Attachments
1. FTA Application Form
2. Location Map
3. Topographic map
4. FTSE for the Dogget Road Pump Station
5. Copy of Existing Permit (WQCS00214)
6. Application fee
MESCO.COM
Licenses: F-0812 & C-586

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USGS Topo Map
Legend 0
Project Location
40 Down stream connection points Permit no. WQCS00214
2000
4000
===I Feet

Town of West Jefferson
Sewer CollectionlSystem L w°
Ashe County, N.C. 21
J
Drive
WWTP Discharge Location
■
WWTP
Sewer Pump Station
•
Sewer Manhole
Sewer Cleanout
— Sewer Gravity Main
— Sewer Lateral Line
RwC
Sewer Pressurized Main
Major Highways
Roads
Town Limits
CreatM by the High Country CwWI a W ernments
In March 2024. Thu map u not for survey or legal use.
HIGH COUNTRY 0 500 1,000
o..., o,..»... , ENEEK= Feet

WEST JEFFERSON SEWER
COLLECTION SYSTEM
RIDGE AVE: 1,125
GPD INTO PLANT,
NO PUMP STATION
FREEDOM DRIVE:
1,350 GPD INTO
DOGGET RD. PUMP
STATION, THEN
TO PLANT

fi�pikeeri e8 fxce!le�rcce /naovakre A7vpoaaUes/Sadrtosiui�le Ji &&t wf
March 27, 2024
Mr. Ronald C. Boone
Environmental Program Consultant 8:)y}0 Ieuollod
NC Department of Environmental Quality V wales-uolsulM
Division of Water Resources, Winston Salem Regional Office }I7f17 Q Z adw
450 West Hanes Mill Road —Suite 300"
Winston Salem, NC 27105PaaeuauwlAu3
Zes, n;lle"b
10 luatu1jeda4 ON
Dear Mr. Boone,
We have received your review questio rd�Ng the FTA for the Sewer Extension of
WQ0045251. We have made the following rgvision ,the application t<� address your questions.
1. The flow table in Section VI, question It has as
updated with the following text:
(3 bdrm res. @ 75 gaVbdrm = 225 gal/day). This reflects the use of 15A NCAC 2T .0114 (b)
updated December 13,2023, AM with the assumption that the five residences to be added on
Birch Street and Ridge Avenue area} bedroom residences with a 75 gallon per bedroom per day
allocation for 1125 gpd aM larly for the six residences on Freedom Dr, Independence St and
Liberty St, resulting in a 135cf,01allocation fojoction. Therefore the total requested
increase in flow is 24751gallons per day.
2. The FTSE has been transferred to Form F ISE 10-23.
3. Form FTSE 10-23 has been modified as follows:
• Section I Line (d) has been corrected to reflect to proper estimated obligated flow not
yet tributary to the system to 0.03548 MGD reflective of planned developments not
covered in this request.
• The remaining lines in Section 1, (e) through (h) are unchanged as they were correct as
submitted.
• Section II is unchanged, as it was correct as submitted. The flow through the Dogget Rd
Pump station currently accounts for 0.00495 MGD of the current total flow into the
plant (0.238 MGD). Only the Freedom Drive portion (1350 GPD) of the total requested
2475 GPD flow flows into the plant via the Dogget Rd pump station. The remaining
1125 GPD flows into the WWTP via gravity without encountering a pump station and
therefore has no effect on the available capacity of the Dogget Road or any of the other
existing pump stations in the system. We have included an overall map of the collection
system, as well as an enlarged map showing the location of the two requested
extensions of the sewer collection system showing the relationship to the WWTP and
the Dogget Road pump station for clarity.
MESCO.COM
icenses: F-0812 & C-586

We have attached the following items:
1. Revised Sheet 2 of the FTA.
2. Revised FTSE Sheet 10-23
3. Overall map of the West Jefferson Collection System (WQCS00214)
4. Enlarged section of the map showing the requested extensions in relation to the
WWTP and the Dogget Road pump station.
We are pleased to provide this information for your review. If you need further information to
complete the review, please do not hesitate to contact me directly at [phone] or by email at
[e-mail].
Sincerely
Stephen L. Crawford, PE
Senior Engineer/Project Manager