WQ0041331_Application_20240422

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
15A NCAC 02T .0300 -- SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources SSEA 10-23 & SUPPORTING DOCUMENTATION
Application Number: _ _ (to be completed by DWR)
I. APPLICANT INFORMATION:
1. Applicant's name: Johnston County Public Utilities
2. Applicant type: ❑❑ Individual ❑❑ Corporation ❑❑ General Partnership ❑❑ Privately -Owned Public
Utility
❑❑ Federal ❑❑ State ❑❑ Municipal ®❑ County
3. Signature authority's name: Chandra C. Farmer. P.E. per 15A NCAC 02T .0106(b)
Title: Director of Utilities
4. Applicant's mailing address: PO Box 2263
City: Smithfield State: NC Zip: 27577-
5. Applicant's contact information:
Phone number: 919 209-8333 Email Address: chandra.farmer re i ohnstonnc.com
H. PROJECT INFORMATION:
1. Project name: Selma Wastewater Flow Equalization and Pumping Facility
2. Application/Project status: ❑ Proposed (New Permit) ® Existing Permit/Project ❑ ARPA funded
3. If a modification, provide the existing permit number: WQ0041331 and issued date: January 15, 2020
4. If new constriction but part of a master plan, provide the existing permit number: WQ00
5. County where project is located: Jolurston
6. Approximate Coordinates (Decimal Degrees): Latitude: 35.54027oLongitude:-78.30444o
III. CONSULTANT INFORMATION:
1. Professional Engineer: Steven Hilderhoff, P.E.
License Number: 27263
Firm: CDM Smith
Mailing address: 5400 Glenwood. Avenue, Suite 400
City: Raleigh State: NC Zip: 27612-
Phone number: 919 325-3521 Email Address: hilderlioffsrr&cdmsnuth.corn
IV. WASTEWATER TREATMENT FACILITY (W'WTF) INFORMATION:
1. Facility Name: Central Johnston County Regional WWTP 2I0 WWTP Permit Number: NC0030716
Owner Name: Johnston County Public Utilities
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): W00019632
System Wide Collection System PermitNumber(s): WQCS00060
Owner Name(s): Johnston County Public Utilities
FORM: SSF.A 10-23 Page 5 of 6

Vl. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been submitted?
El
❑❑ Yes ❑ ❑No ❑®N/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Apareement (FORM: DEV) been submitted?
❑❑ Yes ❑❑No ®N/A
3. If the Applicant is a Home/Property Owners' Association, has an Operational Agreement FORM: HOA been submitted?
❑❑ Yes ❑ ❑No ❑®N/A
4. Origin of wastewater: (check all that apply):
®❑ Residential Owned ®❑ Retail (stores, centers, malls)
® Residential Leased ❑❑ Retail with food preparation/service
❑ School / preschool / day care ❑❑ Medical / dental / veterinary facilities
❑❑ Food and. drink facilities ❑❑ Church
Backwash
® Businesses / offices / factories ❑❑❑ Nursing Home
5. Is/was an Environmental Assessment required under 15A NCAC 01C? ❑❑ Yes
If yes, submit the appropriate final environmental document (FONSI, ROD, etc.)
6. Nature of wastewater: 100 % Domestic/Commercial % Other waste — specify:
% Industrial (See 15A NCAC 02T .0103(20))
❑❑❑❑ Car Wash
❑❑❑ Hotel and/or Motels
[In[:]Swimming Pool /Clubhouse
❑❑❑❑❑ Swimming Pool/Filter
❑❑ Other (Explain in Attachment)
7. Wastewater generated by project: 0 GPD (per 15A NCAC 02T .0114 and G.S. 143-215.1)
Hasa flow reduction been approved under 15A NCAC 02T .01 14(f)? ❑❑ Yes ❑® No
If yes, provide a copy of flow reduction approval letter
8. Summarize wastewater generated by project:
Establishment Type
Daily Design Flow '''
No. of Units
Flow
N/A
gall
GPD
gal/
GPD
gall
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total N/A GPD
a See 15A NCAC 02T .0114(b), (d), (e)(1) and (e)(2) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use
areas; and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals
as defined in G.S. 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified below shall be determined using
available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
FORM: SSEA 10-23 Page 6 of 6

VII, GRAVITY SEWER DESIGN CRITERIA - I5A NCAC 02T .0305:
1. Sminnarize Gravity Sewer to be permitted:
Size (inches)
Length (feet)
Materlal
20
60
PVC
21
533
PVC
30
75
PVC
36
22
PVC
VHI. PUMP STATION DESIGN CRITERIA — 02T .0305 & MDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: Selma Wastewater Flow Equalization and Pumping Facility
2. Approximate Coordinates (Decimal Degrees): Latitude: 35,54027' Longitude:-78.30444,
3. Wliat is the nearest 100-year flood elevation to the facility? 140.3 feet mean sea level. Source: _FIRM Panel 2605, Matt No,
2720260500K
Is any of the proposed project located within. the 100-year flood plain? ®❑ Yes ❑❑ No
4. If Yes, are the following items provided per 15A NCAC 02T .0305t e1:
Water -tight seals on all station hatches and manholes; and
Control panels vents extend two feet above the 100-year flood plain elevation?
If No, what measures are being taken to protect them against flooding?
5. Finish grade elevation of the pump station: 145.00 feet mean sea level, top of slab
6. Design flow of the pump station: 4_5 millions gallons per day (firm capacity)
7. Operational point(s) of the pump(s): 1,565 gallons per minute at 237 feet total dynamic head (TDH)
8. Number of pumps provided: three 3 effluent three 3 E[ fill pumps
9. Number of pump cycles at average daily flow: one variable pump can continuously overated at ADF (ie: 1) cycles per hour
10. Power reliability in accordance with 15A NCAC 02T .0305(lf)(1):
®❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(13)_
Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
D Must be permanent to facility
Or if the pump station has an average daily flow less than 15,000 gallons per day:
❑❑ Portable power source with manual activation, quick -connection receptacle and telemetry - I SA NCAC 02T
.0305(h)(1)(C)
or
❑❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(1)(C):
D It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
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 in the case of a multiple station power outage.
VIII. PUMP STATION DESIGN CRITERIA (continued)
11. Summarize the pump station design elements:
FORM: SSEA 10-23 Page 7 of 6

Design Element
Plan Sheet
Reference
Specification
Reference
Power Reliability Source and Associated Elements
E-5
263231.13
Screened Wet Well Vent
M-8
400519
Check Valves, Gate Valves, etc.
M-8, M-9
Div. 40
Control Panel
E-14
262416
Restricted Access Elements (Fence, Wet Well Lock,
etc)
C-4, M-8,
MD-2
330513
Audible and Visual Alarms
1-4
262505
Telemetry/SCADA
E-I,1-7
406100
Level Controls
M-9, I-71-8
Div. 40
Weatherproof Sign with Required Information
existing
existing
Air Relief Valves
M-8
400578
12. Summarize the force main to be permitted:
Size (inches)
Length (feet)
Material
High
Elevation (feet)
Discharge
Elevation (feet)
Pump-Off
Elevation (feet)
16
130
DIP
—143
—143
129A
13. Air release valve station locations per 15A NCAC 02T .0305 i :
Air Release Valve # Station Plan Sheet Reference
N/A
FORM: SSEA 10-23 Paize 8 of 6

1X. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T ,0305(f)):
1. Does the project comply with all separations found in 15A NCAC 02T ,0305(f) & (x)
❑ No
➢ 15A NCAC 02T.0305(o contains minimum separations that shall be provided for sewer systems:
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below vertical
24 inches
Water mains vertical -water over sewer 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 II impounded reservoirs used as a source of drinking water
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 see item IX.2
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
Any building foundation
5 feet
Any basement
10 feet
Top slo .ie of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage s ystenis and interceptor drains
5 feet
Any swimming liools
10 feet
Final. earth grade (vertical)
36 inches
➢ 15A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ "Stream classifications can be identified using the Division's NC Surface Water Classifications webpAge
➢ If noncompliance with 02T,0305(f) or (g), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ®❑ Yes❑ ❑ No
❑ N/A
➢ See the Division's draft separation requirements for situations where separation cannot be meet
➢ No variance is required if the alternative design criteria specified is utilized in design and construction
➢ As built documents should reference the location of areas effected
3. Does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? NO Yes❑ ❑ No
❑ N/A
➢ This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project require coverage/authorization under a 404 Nationwide or ❑❑ Yes❑ ® No
individual perinits or 401 Water Quality Certifications?
➢ Information can be obtained from the 401 & Buffer Permitting; Branch
5. Does project comply with 15A NCAC 02T.0105(c)(6} (additional permits/certifications)? NO Yes❑ ❑ No
Per 15A NCAC 02T.0105(c)(6), directly related environmental permits or certification applications are 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.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per 15A NCAC 02T.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
FORM: SSEA 10-23 Page 9 of 6

Y 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 evet•y six -months and
inspections documented per 15A NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: SSEA 10-23 Page 10 of 6

i"X. CERTIFICATIONS:
1. 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 Gravity Sewer Minimum Design Criteria llatest version} as applicable?
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents
for review. ,Approval of the request is required prior to submittal of the Fast Track Application and supporting_
documents.
2. Professional Engineer's Certification:
I,
Steven R. Hilderhoff
(Professional Engineer's naive from Application Item III.1.)
Selma Equalization and Pumping Facility
(Facility name from Application Item II.1.)
_attest that this application for
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 this application package and its instructions, as
well as all applicable regulations and statutes. 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.
North Carolina Professional Engineer's seal, signature, and date: """""""""""'���
3. Applicant's Certification per 15A NCAC 02T .0106(b):
SEAL
027263
FNGINE�-�
Date: 2024.04.1 S 14:33:14-04'00'
I, , L Fat et ,J re ,w d Ujkj ILSi - - attest that this application for
(Signature Aut iority's name & title from Application Item. I.3.)
C U 0 Lit t-
(Facility name fi-or T Application Item II.1.)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that any discharge of
wastewater from this non -discharge system to surface waters or the land will result in an immediate enforcement action. that
may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water
Resources should a condition of this permit be violated. I also understand that if all required parts of this application package
are not completed and that if all required supporting information and attachments are not included, this application package
will be returned to me as incomplete.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: J\40A1 1_ Date:
FORM: SSEA 10-23 Page 11 of 6