WQ0045226_Application (FTSE)_20240425

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 10-23& SUPPORTING DOCUMENTATION
Application Number: w OQ 045226 tto be comp Stamped 2/7/2024eted by�wR) Updated 4/17/2024
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
I. Applicant's name: _City of Wilson,North Carolina (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: W.T. Bass, IV, P.E. per 15A NCAC 02T.0106(b)
Title: Public Works Director
4. Applicant's mailing address:_1800 Herring Avenue E/P.O. Box 10
City:_Wilson State:_North Carolina Zip: 27894-0010
5. Applicant's contact information:
Phone number: [phone] Email Address: bbass(c_wilsonnc.org
II. PROJECT INFORMATION:
I. Project name: C b of Wilson -5114 Packhouse Road Sewer F orce Main Extension
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: 35.4658' Longitude: -77.5750°
5. Parcel ID(if applicable): _3704-62-3075.000 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
I. Professional Engineer: W. Landon Younce License Number: 030003
Finn: Green EnQineerina,PLLC
Mailing address:_303 Goldsboro St.E. / P.O. Box 609
City:_Wilson State:_North Carolina Zip:27893-
Phone number: [phone] Email Address:_I.younce greenena.com
IV. WASTEWATER TREATMENT FACILITY(WWTF)INFORMATION:
1. Facility Name: Hominy Creek Water Reclamation Facility Permit Number: NC0023906
Owner Name: City of Wilson,North Carolina
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ
2. Downstream (Receiving)Sewer Information: _6 inch ® Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s)(if applicable): WQCS
Owner Name(s):_City of Wilson
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:DEV)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.0115(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 ❑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:
I
Establishment Type(see 02T.0114(f)) Daily Design Flow No.of Units Flow
Single-Family Private Residence(3 bed.) 75 gal/Bedroom 3 225 GPD
gal/ GPD
gal/ GPD
gal/ GPD
gal/ GPD
gal/ GPD
Total 225 GPD
a See 15A NCAC 02T .0114(b), (d), (e)(1)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.0114] shall be
determined using available flow data,water using fixtures,occupancy or operation patterns,and other measured data.
8. Wastewater generated by project: 225 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

VII. GRAVITY SEWER DESIGN CRITERIA(If Applicable)-02T.0305& MDC(Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size(inches) Length(feet) Material
ii
➢ 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: 5114 Packhouse Road Pump Station
i
2. Approximate Coordinates(Decimal Degrees):Latitude:35.7831' Longitude: -77.9654'
3. Total number of pumps at the pump station: 1
3. Design flow of the pump station: 0.0144 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): 10 gallons per minute(GPM)at 200 feet total dynamic head(TDH)
5. Summarize the force main to be permitted(for this Pump Station):
Size(inches) Length (feet) Material
3" 440' DIP
i
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.I.b. ®Grinder Pump ❑ Mechanical Bar Screen ❑ Other(please specify)
6. Power reliability in accordance with 15A NCAC 02T.0305(h)(1):
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(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)):
1. Does the project comply with all separations/alternatives found in 15A NCAC 02T.0305(fl&(c)? ® 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
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 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 j 10 feet
Final earth grade(vertical) 1 36 inches
➢ If noncompliance with 02T.0305(tl or(g).see Section X.1 of this application
*15A NCAC 02T.0305(¢)contains alternatives where separations in 02T.0305(fl 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 webpage
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.
i
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 15A NCAC 02B .0200? ® Yes ❑No
➢ This includes Trout Buffered Streams per 15A NCAC 2B.0202
5. Does the project require coverage/authorization under a 404 Nationwide/individual permits ❑Yes ®No
or 401 Water Quality Certifications?
➢ Please provide the permit number/permitting status in the cover letter if coverage/authorization is required.
6. Does project comply with 15A NCAC 02T.0105(c)(6)(additional permits/certifications)? ®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.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 1SA NCAC 02T,the Minimum Design Criteria for the Pennittin of Pump Stations
and Force Mains(latest version),and the Gravity Sewer Minimum Design Criteria(latest version)as applicable?
®Yes ❑No
If no, for projects requiring a single variance, complete and submit the Variance/Alternative Design Request application
(VADC 10-14) and supporting documents for review to the Central Office. APPt•oval of the request will be issued
concurrent) with the approval of the ern and ro'ects re uirin a variance approval ma be sub ect to longer
review times.For proiects reguiring two or more variances or where the variance is determined b the Division to be a
significant Portion of the Project,the full technical review is required
2. Professional Engineer's Certification:
1,_�!. LAwDolA You"ot! ,attest that this application for C1Zl{ o1F �,.��t;�s� �'��q, ( a
(Professional Engineer's name from Application item iII.I.) (Project Name from Application Item 11.1) KOAD
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 Design Criteria for Gravity Sewers(latest version),and the Minimum Design Criteria for the Fast Track Permitting
of Punnn 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 143-215.613, any person who knowingly snakes 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 tip to$25,000 per violation.Misrepresentation of the application
information,including failure to disclose any design non-compliance with the applicable Rules and design criteria,may subject
the North Carolina-licensed Professional Engineer to referral to the licensing board.(21 NCAC 56.0701)
w..........-........-.............
.---._....-...._.................._.
North Carolina Professional Engineer's seal,signature,and date: A p . €
0 �d /�y
1 SEAL
i 030003
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......._.......
3. Applicant's Certification per 15A NCAC 02T.0106(b): u 9-7.
\6._$ft�=PE ,attest that this application for GY(t/ D W 1
I, (Signature Authority Name f m Application item 1.3.) (Project Name from Application Item 11 `
�Btw wovg4 Dd�oR 0Ab
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 snake 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 requited 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: 2
Date:
FORM: FTA 10-23
Page 5 of 5

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. Green Engineering, PLLC 303 .•• •O Box :19 Wilson,
• •
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February 6,2024
NCDEQ
Water Quality Regional Operations Section
Raleigh Regional Office
3800 Barrett Drive
Raleigh,North Carolina 27609
Attention: Mr. Michael Hall
Water Quality Regional Supervisor
SUBJECT: Fast-Track Sewer System Extension Application
5114 Packhouse Road Sewer Force Main Extension
City of Wilson,North Carolina
PN: 23-144
Dear Mr. Hall:
The City of Wilson has planned, and Green Engineering has designed a 3-inch dia. ductile iron
sanitary sewer force main to provide service to a residence on 5114 Packhouse Road(SR 1382). The force
main will tie directly into the City's existing collection system on SR 1812 (Hunting Ridge Road). The
City will operate and maintain this force main as part of their collection system.
Please find attached two (2) copies of each of the following documents for your review and
approval:
• Fast-Track Sewer Application Form—One(1)original and one(1)copy
• 8 'h"x I I"copy of project location on USGS Quadrangle Maps
• Street Level Aerial Photography for location reference
Also, please find attached check in the amount of$480.00 to cover the application review fee. If
you should have any questions or require additional information,please call.
Respectfully,
/ VandoZounce-,
PE
Enclosures: As stated.
cc: Mr. W. T. Bass, IV, P.E.—Public Works Director, City of Wilson
W:\WILSO\23144\PERNUTS\Sewer\NfichaeI Hall-NCDEQ-Fast Track Sewer Itr(2-6-24).doc

4/25/24,8:44 AM RE:[External]FW:5114 Packhouse Road Additional Information Request-Simpson,Richard-Outlook
RE: [External] FW: 5114 Packhouse Road Additional Information Request
Landon Younce <[e-mail]>
Wed 4/17/2024 12:24 PM
To:Simpson, Richard <[e-mail]>
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.
Ok, that is clear now.
Thank you,
Lalydoa
From:Simpson, Richard<[e-mail]>
Sent:Wednesday,April 17, 2024 12:15 PM
To: Landon Younce<[e-mail]>
Subject: RE: [External] FW: 5114 Packhouse Road Additional Information Request
Attached is an example of a similar permit. It uses the property owner as the applicant. You can update your
application as needed or keep it the same.
From: Landon Younce<I.younce greeneng.com>
Sent:Wednesday,April 17, 2024 12:03 PM
To:Simpson, Richard <richard.simpson deq.nc.gov>
Subject: RE: [External] FW: 5114 Packhouse Road Additional Information Request
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.
So, the Pump Station information will not be listed in the issued permit, correct ?
need to make sure because we don't want the City to be held liable in any way for the station itself....since
the permit is just for the Force Main Extension.
Lalra'olt
Engineering
[e-mail]
www.greeneng.com
From:Simpson, Richard<[e-mail]>
Sent:Wednesday,April 17, 2024 11:56 AM
To: Landon Younce<[e-mail]>
Subject: RE: [External] FW: 5114 Packhouse Road Additional Information Request
The applicant's name (City of Wilson) and the project name is what will be used on the permit. Who does what
outside the permit is up to them.
about:blank 1/4

4/25/24,8:44 AM RE:[External]FW:5114 Packhouse Road Additional Information Request-Simpson,Richard-Outlook
From: Landon Younce<Iyouunce _greeneng.com>
Sent:Wednesday,April 17, 2024 9:50 AM
To:Simpson, Richard <richard.simpson deq.nc.gov>
Subject: [External] FW: 5114 Packhouse Road Additional Information Request
Importance: High
You don't often get email from [e-mail] why this is important
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.
One more item I need to make clear so hopefully we don't get off on the wrong track here.
The Permit application was for a Force main only. This being due to the City of Wilson choosing to permit
and maintain the force main.
Reason being, this is a property that has been annexed by the City and so service must be provided. The
City has no intention of operating or maintaining the grinder pump station.
It will only serve a single residence and it will be up to the Property Owner to maintain the station /sewer
service. The City will only serve as the collections and treatment for that residence.
That being said, since this will be sewer service by the City of Wilson, will the State require a Sewer
Application to be submitted by the Property Owner for the service? If so, we will need to notify the property
owner now so they can be prepared to send application.
Lalydolr
91'(-1
Engineering
[e-mail]
www.greeneng.com
From: Landon Younce
Sent:Wednesday,April 17, 2024 9:26 AM
To:Simpson, Richard <[e-mail]>
Subject: RE: 5114 Packhouse Road Additional Information Request
Importance: High
Mr. Simpson,
Please find attached the information you requested.
hope I have made the mapping legible enough.... Due to the scale, I have include Insets (Blow-ups) of the
project area.
If these are still insufficient, I could provide you a set of Construction Drawings which will provide all the
detail needed. I do have them prepared.
The pump station proposed is a 2 Hp Grinder Station equipped with a hardened stainless steel (Axial Slicer)
equipped Impeller.
about:blank 2/4

4/25/24,8:44 AM RE:[External]FW:5114 Packhouse Road Additional Information Request-Simpson,Richard-Outlook
The station has excess capacity and storage provided, given the low flow demand of the application.
Please let me know if you have any questions or if I can provide you with additional documentation.
Thank you,
LafrcloK
W. Landon Younce, P.E.
9 b(--jel 1
Engineering
PO Box 609
303 Goldsboro St E
Wilson, NC 27893
Phone: [phone]
Fax: [phone]
L younce @greeneng.com
www.greeneng.com
From:Simpson, Richard<richard.simpson deq.nc.gov>
Sent:Tuesday,April 16, 2024 11:29 AM
To: Landon Younce<I.younce -greeneng.com>
Subject: FW: 5114 Packhouse Road Additional Information Request
Importance: High
Bounced first time.
From:Simpson, Richard<richard.simpson deq.nc.gov>
Sent:Tuesday,April 16, 2024 11:23 AM
To:Lyounce@greenee g.com
Cc:Simpson, Richard <[e-mail]>
Subject: 5114 Packhouse Road Additional Information Request
Importance: High
Hello Landon,
After reviewing the Fast Track Sewer System Extension Application for the City of Wilson—Packhouse Road Sewer
Force Main Extension (Application Number WQ0045226), additional information is required in order to further
process the application. Please provide the following information before May 16, 2024,and note that the requested
information must be submitted within 30 days of this request, or the applicant will be required to submit a new
application and application fee in accordance with 15A NCAC 02T.0107.
1-Section VIII indicates the proposed project will have a 3-inch force main. This is less than the 4-inches and thus
meet solids reduction. Please provide additional information, indicate pump information and update the form.
2-Topographical map and/or the aerial map provided are not sufficient. According to Section F of the Application
Instructions, an 8.5-inch x 11-inch color copy of a USGS Topographic Map needs to clearly identify the project area,
including the closest surface waters,general location of the gravity sewer, pumpstations, and force mains, and the
downstream connection points for the receiving sewer. Also please indicate the direction of flow.
15A NCAC 02T.0107 Staff Review and Permit Preparation states:
about:blank 3/4

4/25/24,8:44 AM RE:[External]FW:5114 Packhouse Road Additional Information Request-Simpson,Richard-Outlook
• "(2) (e) If an application is accepted and later found to be incomplete,the applicant shall be advised how the
application or accompanying supporting information may be modified to make it complete.The staff shall
advise the applicant:
(2) if all required information is not submitted within 30 days,the project will be returned as incomplete. Any
resubmittal of a returned application shall be accompanied with a new application fee."
Please contact me with any questions that you may have regarding this request.
*Please note that the fee for fast track sewer extension permits has increased to$600 as of October 3,2023(as
stipulated in the 2023 House Appropriations Act, House Bill 259, Water Quality and Stormwater Fees,Section
12.14(a)).
Sincerely,
Richard
Richard Simpson
Environmental Engineering
Office of Continuous Improvement(OCI)
Division of Water Resources-Raleigh Regional Office
North Carolina Department of Environmental Quality
3800 Barrett Drive, Raleigh, NC 27609
[e-mail]
919.791.4239 Office
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Email correspondence toand from this address is subject to the North
Carolina Public Records Law and may be disclosed to third parties.
o Get info on ARPA Project Permitting:ARPA Env.Permitting
o Search DEQ Permits:NC DEQ Permit Directory_
o Apply for Funding: I Need Funding_ NC DEQ
o Sewer Extension Permitting_ NC DEQ.
o Subchapter 2T Rules.pdf(state.nc.us)
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
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