WQ0045031_Application (FTSE)_20240417

FNCHepntd&nvi witalOuai;ty State of North Carolina
Department of Environmental Quality
DW. RR Division of Water Resources
i] FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 10-23 & SUPPORTING DOCUMENTATION
ri„ Rct;o, ,,' ,
r 'Application Number: f to he ct>mp]eted by DWR)
rAll items must be completed or the application will be returned
1. APPLICANT INFORMATION:
I. Applicant's name: Edgecombe County WSD2 (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: Eric Evans per .1 5A NCAC 02T .0106(b)
Title: County Manager
4. Applicant's mailing address: 201 Andrews Street (P.O. Sox 10)
City: Tarboro State: NC Zip: 27886-
5. Applicant's contact information:
Phone number: [phone] Email Address: [e-mail]
11. PROJECT INFORMATION:
I . Project name. Princeville 53 Acres
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: Edgecombe
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.869853 Longitude:-77.508222
5. Parcel ID (if applicable): 474714756400, 474724794700 (or Parcel ID to closest downstream sewer)
LIII. CONSULTANT INFORMATION:
I . Professional Engineer: Derrick C. Smith, PE License Number: 33203
Firm: The Wooten Company
Mailing address: 301 West 14`h Street
City: Greenville State: NC Zip: 27834-
EPhone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Tarboro W WTP Permit Number: NCO020605
Owner Name: Town of Tarboro
LV. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ
L2. Downstream (Receiving) Sewer Information: inch - Gravity E Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS__ _.. .
LOwner Name(s):
FORM: FTA 10-23 Page 1 of 5

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VI. GENERAL REQUIREMENTS
I . 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 O c.� rational A�rrecment
{FORM: DEV) been attached?
❑ Yes [-]No ® N/A
3. if the Applicant is a Home.-Troperty Owners' Association, has an 1IOA1P0A QRcrational.Agreement (FORM: HOA) and
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supplementary documentation as required by 15A NCAC 02T.0I 15(c) been attached?
❑Yes ❑No ®NA
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 El Medical ;dental ?' veterinary facilities
El Swimming PoollClubhouse
® Food and drink facilities El Church
El Swimming PoollFilter Backwash
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® Businesses! offices.' factories ❑ Nursing Home
❑ Other (Explain in Attachment)
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5. Nature of wastewater: 90 °/o Domestic 10 % Commercial oho Industrial (Sec 1' 5A NCAC 02T .0103(;yQ)
If Industrial, is there a Pretreatment Program in effect? ❑ Yes❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .01.14�f tt ? ❑ Yes ® No
➢ If es rovide a co 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
Residential
75 gal/bedroom
369
27,675 GPD
Fire Station without On -Site Staff
25 gallperson
5
125 GPD
Business with Shower
35 gal -'employee
5
175 GPD
General Business and Office Facilities
25 gal employee
23
575 GPD
Unknown Commercial
880 gal acre
12.5
11,000 GPD
Public Access Restroom
325 gal fixture
12
3,900 GPD
Total
43,450 GPD
L a See 15A NCAC 02T .01 14tb}. {dL lei- l i and f 21 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 cast 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: _ GPD (per 9 5A NCAC 02T .0114, and G-S. 143-215_ l )
i ➢ Do not include future flows or previously permitted allocations
LIf 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

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GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
I. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 5,152 PVC
➢ 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
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
Pump station number or name: 53 Acres Pumn Station
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.871381 Longitude:-77.508978
3. Total number of pumps at the pump station: 2
3. Design flow of the pump station: 0.259 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): 180 gallons per minute (GPM) at 69.8 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
6
10,783
PVC
6
40
DIP
4
l00
DIP
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(h)(i)(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 10-23
Page 3 of 5

IX.
SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
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1. Does the project comply with all separations/alternatives found in 1 A NCA &Z7 ,0305(i) & rg:r? ® Yes ❑ No
15A NCAC 02T.0305(i) contains minimum separations that shall be provided for sewer systems:
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
18 inches
2Water mains (vertical - water over sewer preferred, including in benched trenches)
18 inches
2Water mains (horizontal)
10 feet
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 II 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 W L.
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)
j 36 inches
➢ If noncompliance with 02T.0305M or (gh see Section X.1 of this application
* I SA NCAC 02T.Q345 ]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 webvaee
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? ® 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.
L 4. Is the project located in a river basin subject to any State buffer rules? ® Yes Basin name: Tar. -Pamlico ❑ No
If yes, does the project comply with setbacks found in the river basin rules per 15A tr('AC.42B _0200?_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 numberpermitting status in the cover letter if coverage.:authorization is required.
6. Does project comply with 15A NCAC 02T.0105(c)i6) (additional permitsicertifications)? ®Yes ❑ No
Per 1 A NC -AC 02T.0105fs1(6), directly related environmental permits or certification applications must be being prepared,
L have been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion
and sedimentation control plans, stormwater management plans, etc.).
7. Does this project include any sewer collection lines that are deemed "high -priority?" ❑ Yes ® No
Per 15A NCAC 02T_0402, "high -priority sewer" means any aerial sewer, sewer contacting surface waters,
siphon, or sewers positioned parallel to streambanks that are subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interference/conflict boxes require a variance approval.
L➢ 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
L 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

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1 X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC-02T, the Minimum Design Criteria tur the Permittirtt of 1'um� Stations
and Force aip5-Llat�st version]. and the (sravit $ewer Minimum Ptg&n ('riterig Elatest version_ as applicable?
F® 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 reguirine a variance approval may be subieet to ]outer
review times. For projects reguirint two or more variances or where the variance is determined by the Division to be a
siLmificant portion of the project, the full technical review is Mguuired.
F2. Professional Engineer's Certification:
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I, Derrick C. Smith, PE . attest that this application for _ Princeville 53-Acre
(Professional Engineer's name from Application Item IIL 1.) (Project Name from Application Item II.I)
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 Design Criteria for GraviorSewers i latest versions, and the Minimum Dcsiun Criteria for the Fast -Track Permitting
of Pump Stations and Force Mains (latest versions. Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seat 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 $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)
N._.-.......--...,,,;tit
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North Carolina Professional Engineer's seal, signature, and date: 1 OVk T H Cq ,
3. Applicant's Certification per ISA NCAC 02T .0106(b):
I, Eric Evans , attest that this application for Princeville 53-Acre _
(Signature Authority Name from Appl ication Item 13 ) (Project Name from Application Item I1.1)
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 maize 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 121 S ¢B, 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.
2
Signature. Date: tl 1 3
FORM: FTA 10-23 Page 5 of 5
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Inlvlslon o Pesou ces
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State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-23)
Entity Requesting Allocation: Ed ecombe Count
Project Name for which flow is being requested: Princeville 53 Acres
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for ali 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: Town of Tarboro WWTP
b. WWTP Facility Permit #: W0433010
Aff f 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
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 Pius
(Name or
Permit
Capacity, *
(Firm f pf),
Avg. Daily
Daily Flow,
Obligated
Available
Number)
No.
MGD
MGD
Flow, MGD
MGD
Flow
Capacity***
In the
0.90
0.36
0.12
0.12
0.24
* 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): Town of Tarboro WWTP
LDownstream Permit Number: N0433010
Page 1 of 8
FTSE 10-23
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III. Certification Statement:
I Eric Evans _ 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 1 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.
�'-) '1'1�
Signing Official Signature
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Title of Signing OfJ i 1
Page 2 of 8
«lse�12 z
Date
FTSE 10-23
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State of North Carolina
r Department of Environmental Quality
Division of Water Resources
r Dtvlsion of Water Resources Flow Tracking for Sewer Extension Applications
(FTSE 10-23)
Entity Requesting Allocation: Ed ecombe County
Project Name for which flow is being requested: Princeville 53 Acres
More than one FTSE may be required for a single project ifthe owner of the WWTP is not responsible for an 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: Town of Tarboro WWTP
b. WWTP Facility Permit #: WQ0433010
All flows are in MGD
c. WWTP facility's permitted flow 500
d. Estimated obligated flow not yet tributary to the WWTP p. p0 _
e. WWTP facility's actual avg. flow . 5 p
f. Total flow for this specific request 0.044
g. Total actual and obligated flows to the facility a - 5 a 3
h. Percent of permitted flow used 51). 14 ,/.
11. Complete this section for each pump station you are responsible for along the route of this proposed
wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A) (B) (C) (D)=(B-hC) (EHA-D)
Design Obligated,
Pump Pump Average Approx. Not Yet Total Current
Station Station Firm Daily Flow" Current Tributary Flow Plus
L (Name or Permit Capacity, * (Firm / pt), Avg. Daily Daily Flow, Obligated Available
Number) No. MGD MGD Flow, MGD MGD Flow Capacity***
L * The Firm Capacity ty (design low of any Pump Station is
defined as the maximum pumped flaw that can be
achieved with the largest pump taken out of service.
L** 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.
L *** 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): Town of Tarboro WWTP
LDownstream Permit Number: W 0433010
Pagel of S
LFTSE 10-23

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F11I. Certification Statement:
I Kevin Peaden 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 11 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.
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r Signing lC3f cial Signature Date
Title of Signing Official
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Page 2 of 8
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FTS P 1 Q-23

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Power Reliability
Reliability for Pump Stations:
The Existing Pump Stations in WSD2 are equipped with an on -site
permanent back-up generator. This generator is equipped with an
automatic transfer switch to relay the power outage to the generator and
being the process of providing back-up power. The generator will be
evaluated to ensure that it will provide sufficient power to meet the new
capacity needs of the station.
C Further discussion and details are provided in the contract documents and
the project plan sheets.
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FA.
DESCRIPTION OF PROJECT
Location of Project
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The Town of Princeville is located geographically within the coastal plains region of North
Carolina within Edgecombe County. The Town is located approximately 0.5 miles southeast of
Tarboro and 7 miles northwest of the Town of Conetoe. The Town's sewer system is now owned
and maintained under Edgecombe County, in what is known as Water & Sewer District 2 (WSD
2). The wastewater collection system consists of approximately 518 sewer connections, 68,000
LF of gravity main, 8 pump stations, and 277 manholes.
Pump station construction and sewer main installation will take place within existing utility
easements and previously disturbed areas within WSD 2.
Topography within the project area is generally flat, sloping between 0-7.7 %. Manmade drainage
features such as swales and roadside ditches collect and remove runoff. The low elevation change
will make sedimentation and erosion control from construction more containable.
CFigure
1: Vicinity Map
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B. TYPE OF DEVELOPMENT
Gravity Sewer
LThe proposed sanitary sewer project will consist of constructing new 5,150 LF 8-inch PVC
Gravity Sewer, and 25 new manholes. There is no anticipated increase to flow at the time of
Lconstruction.
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Pump Station & Force Mains
The proposed project will include the construction of a new pump station (53 Acres Pump
Station) that will convey the wastewater collected from the development in gravity sewers. The
Lakeside Mobile Home pump station will be taken offline and removed. There will be
construction of new 10,800 LF 6-inch C-900 PVC force main from pump station 53 Acres along
US-64 ALT toward Mullins St to interconnect to the existing Edgecombe County sewer system.
FTreatment
Wastewater collected from Edgecombe WSD 2 is conveyed from pump station 53 Acres through
a force main to the existing gravity collection network in Edgecombe WSD6. The wastewater in
WSD 6 is pumped to the Town of Tarboro WWTP through an 8-inch force main under the Tar
River. The current project will not include any improvements or direct impacts to the Town of
Tarboro treatment facility.
C. TIME SEOI~ENCE OF OPERATIONS
Construction is anticipated to begin in Summer 2024. Permits are being secured now and once the
C project is awarded, construction will be able to start. The contractor shall complete all
construction within the easements and rights -of -ways as shown on the plans. All utilities must be
checked and tested and any areas that can be seeded should be done as soon as possible.
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