WQ0045486_Permit (Issuance)_20240621

Benson, Tyler G
From: Linwood Stroud <[e-mail]>
Sent: Friday, June 21, 2024 4:13 PM
To: Benson, Tyler G
Cc: Tharrington, Tom
Subject: [External] RE: Valley Proteins Sewer Extension - Additional Information
Yes it is an AREA funded project.
From: Benson, Tyler G <Tyler.Benson @deq.nc.gov>
Sent: Friday, June 21, 2024 3:31 PM
To: Linwood Stroud <[e-mail]>
Cc: Tharrington, Tom <[e-mail]>
Subject: RE: Valley Proteins Sewer Extension -Additional Information
Mr. Stroud,
I am wanting to follow up with you on this inquiry. In communications with DWI staff in our office, it has become
aware that this is an ARPAfunded project. Please confirm if this is true — if so, I will need to pass the review over to
DWI representative Bryan Lievre.
Manythanks,
Tyler Benson
Environmental Specialist II
Wilmington Regional Office: 127 Cardinal Drive Extension; Wilmington, NC 28405
[e-mail]; (P)910 796 7336 (M) 910 620 7447
1 i �
;`Vry 'ajr-h a P-J)"K rC5':::(?rd (..I ,'i Fjr j ','ulv I F , :;;It`\f Jo V11 i"
From: Benson, Tyler G
Sent: Wednesday, June 5, 2024 2:29 PM
To: Linwood Stroud <[e-mail]>
Cc: Tharrington, Tom <tom.tha rrington@deg. nc.goy>
Subject: Valley Proteins Sewer Extension - Additional Information
Mr. Stroud,

Burd, Tina J
From: Robert Taylor <[e-mail]>
Sent: Monday, April 22, 2024 8:44 AM
To: Burd, Tina 1; Linwood Stroud
Subject: RE: [External] RE: Fast Track Application Fee for Town of Wallace - Valley Protein
Follow Up Flag: Follow up
Flag Status: Flagged
You don't often get email from [e-mail]. Learn yy_hy_thi_s 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.
Good morning,
Void it and mail back please. I will send out new check today
Ir�""�'%T, Rob Taylor Town Manager
316 East Murray Street, Wallace, NC 28466
0 910,285.4136 F 910.285.5135 M 910.271.0420
www.wallacene.gov
- DISCLAIMER: Pursuant to North Carolina General Statutes Chapter 132, Public Records, this electronic mail message and
any attachments hereto, as well as any electronic mail message(s) sent in response to it may be considered public record
and as such, subject to request and review by anyone at any time.
From: Burd, Tina J <[e-mail]>
Sent: Friday, April 19, 2024 3:26 PM
To: Linwood Stroud <[e-mail]>
Cc: Robert Taylor <[e-mail]>
Subject: RE: [External] RE: Fast Track Application Fee for Town of Wallace - Valley Protein
I can void it and shred it, I can void it and mail it back. Just let me know what to do with the old check after I receive
the new one.
Thanks
From: Linwood Stroud <[e-mail]>
Sent: Friday, April 19, 2024 3:25 PM
To: Burd, Tina J <Tina.Burd(@deo.nc.ttov>
Cc: Taylor, Robert C <rtaylor(@wallacenc.gov>
Subject: RE: [External] RE: Fast Track Application Fee for Town of Wallace - Valley Protein
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.

Burd, Tina J
From: Burd, Tina J
Sent: Friday, April 19, 2024 3:07 PM
To: Taylor, Robert C; [e-mail]
Cc: Benson, Tyler G
Subject: Fast Track Application Fee for Town of Wallace - Valley Protein
The Division of Water Resources received increases in fees, Session Law 2023-134, Section 12.14a for several
program areas including National Pollutant Discharge Elimination System (NPDES) permits, Non -Discharge
permits, Water Quality Certifications and Public Water Supply. Fees for these programs have not been
increased in sixteen years (since 2007). These fees will be used throughout these programs to provide funding
to retain and recruit staff who are engaged in these permit programs.
The fee increases in G.S.143.215.3D became law on October 3, 2023. Asa result of the fee increase, your
application fee submitted does not align with the new/increased fee recently established by the General
Assembly. Please resubmit the appropriate fee within 15 days. Your application has been placed on hold until
your resubmitted fee is received.
Amount $600.00 - If you have any questions please contact Tyler Benson who is cc'd.
Please be sure to make the check payable to NC DEQ and write the [applicant's name/permit number] on the
Memo line to identify which application the check is associated with.
Please advise me what you would like to do with the previous check, i.e. mail back voided check/shred check.
Return to the following address:
Attention: Tyler Benson
DEQ
127 Cardinal Drive Ext.
Wilmington, NC 28405
Best Regards,
Tina Burd
Administrative Associate II
Wilmington Regional Office
Division of Environmental Assistance & Customer Service
Phone [phone]
New email: [e-mail]
NCDEQ
Wilmington Regional Office
127 Cardinal Drive Ext.

Wilmington, NC 28405
Pmad correspondence to and from this address is subject to the
North Carolina Public Records Law and ntay be disclosed to third pa+ties.
Website: http://deg.nc.gov/about/divisions energy-mineral-land-resourcesfstormwater
Many employees are working remotely or are on staggered shifts. Please check with the appropriate staff before visiting our offices,
as they may be able to handle your requests by phone or email.

State of North Carolina
DWR - Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources INSTRUCTIONS FOR FORM: FTA 06-21 & SUPPORTING DOCUMENTATION
This application is for sewer extensions involving gravity sewers, pump stations and force mains, or any combination that has been
certified by a professional engineer and the applicant that the project meets the requirements of 15A NCAC 02T and the Division's
Minimum Design Criteria (Gravity Sewer & Pump Stations/Force Mains) and that plans, specifications and supporting documents
have been prepared in accordance with 15A NCAC 02T, 15A NCAC 02T.0300, Division policies, and good engineering practices.
While no upfront engineering design documents are required for submittal, in accordance with 15A NCAC 02T .0305(b), design
documents must be prepared prior to submittal of a fast track permit application to the Division. This would include plans, design
calculations, and project specifications referenced in 15A NCAC 02T .0305 and the applicable minimum design criteria. These
documents shall be immediately available upon request by the Division.
Projects that are deemed permitted (do not require a permit from the Division) are explained in 15A NCAC 02T.0303.
Projects not eligible for review via the fast track process (must be submitted for full technical review):
➢ Projects that do not meet any part of the minimum design criteria (MDC) documents;
➢ Projects that involve more than one variance from the requirements of 15A NCAC 02T;
➢ Pressure sewer systems utilizing simplex septic tank -effluent pumps (STEPS) or simplex grinder pumps;
➢ Simplex STEP or simplex grinder pumps connecting to pressurized systems (e.g. force mains);
➢ Vacuum sewer systems.
General — When submitting an application, please use the following instructions as a checklist in order to ensure all required items are
submitted. Adherence to these instructions and checking the provided boxes will help produce a quicker review time and reduce the
amount of requested additional information. Failure to submit all required items will necessitate additional processing and review
time, and may result in return of the application. Unless otherwise noted, the Applicant shall submit one original and one copy of
the application and supporting documentation.
A. One Original and One Copy (second copy may be digital) of Application and Supporting Documents
E Required unless otherwise noted. Signatures on original must be "wet ink" or secure digital signatures.
Please do not submit engineering design plans with the application unless specifically requested.
B. Cover Letter/Narrative Description (Required for All Application Packages):
E List all items included in the application package, as well as a brief description of the requested permitting action.
➢ Be specific as to the system type, number of homes served, flow allocation required, etc.
➢ Include the permit number/status of any other required sewer permits (downstream/upstream)
➢ If necessary for clarity, include attachments to the application form.
C. Application Fee (All New and Modification Application Packages):
E Submit a check or money order in the amount of $480.00, dated no more than 90 days prior to application submittal.
➢ Payable to North Carolina Department of Environmental Quality (NCDEQ)
D. Fast Track Application (Required for All Application Packages, Form FTA 05-21):
E Submit the completed and appropriately executed application.
➢ If necessary for clarity or due to space restrictions, attachments to the application may be made.
❑ If the Applicant Type in Item I.2 is a corporation or company, provide documentation it is registered for business with the
North Carolina Secretary of State.
❑ If the Applicant Type in Item I.2 is a partnership or d/b/a, enclose a copy of the certificate filed with the Register of Deeds in
the county of business.
E The Project Name in Item II.I shall be consistent with the project name on the flow acceptance letters, agreements, etc.
E The Professional Engineer's Certification on Page 5 of the application shall be signed, sealed and dated by a North Carolina
licensed Professional Engineer.
E The Applicant's Certification on Page 5 of the application shall be signed in accordance with 15A NCAC 02T .0106(b). Per
15A NCAC 02T .0106(c), an alternate person may be designated as the signing official if a delegation letter is provided from
a person who meets the criteria in 15A NCAC 02T .0I06(b).
INSTRUCTIONS FOR FORM: FTA 06-21 & SUPPORTING DOCUMENTATION Page 1 of 3

E. Flow Tracking/Acceptance Form (Form: FTSE 04-16) (if Applicable):
® Submit the completed and executed FTSE form from the owners of the downstream sewers and treatment facility.
➢ Multiple forms maybe required where the downstream sewer owner and wastewater treatment facility are different.
➢ The flow acceptance indicated in form FTSE must not expire prior to permit issuance and must be dated less than one year
prior to the application date.
➢ Submittal of this application and form FTSE indicates that owner has adequate capacity and will not violate G.S. 143-215.67(a).
➢ Intergovernmental agreements or other contracts will not be accepted in lieu of a project -specific FTSE.
F. Site Maps (All Application Packages):
® Submit an 8.5-inch x 11-inch color copy of a USGS Topographic Map of sufficient scale to identify the entire project area,
including the closest surface waters.
➢ General location of the project components (gravity sewer, pump stations, & force main)
➢ Downstream connection points and permit number (if known) for the receiving sewer
❑ Include an aerial location map showing general project area (such as street names or latitude/longitude) so that Division staff
can easily locate it in the field.
G. Existing Permit (Application Packages for Modifications to an Existing Permit):
❑ Submit a copy of the most recently issued existing pennit.
❑ Include a descriptive and clear narrative identifying the previously permitted items to remain in the permit, items to be
added, and/or items to be modified (the application form itself should include only include items to be added/modified). The
narrative should also include whether any previously permitted items have been certified.
❑ The narrative should clearly identify the requested permitting action and accurately describe the sewers to be listed in
the final permit.
H. Power Reliability Plan (Required if portable reliability option utilized for Pump Station):
❑ Per 15A NCAC 02T .0305(h)(I), submit documentation of power reliability for pumping stations.
➢ This alternative is only available for average daily flows less than 15,000 gallons per day
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant and is compatible with
the station. The Division will accept a letter signed by the applicant (see 15A NCAC 02T .0106(b)) or proposed contractor,
stating that "the portable power generation unit or portable, independently -powered pmnping units, associated appurtenances
and personnel are available for distribution and operation of this pump station."
➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations'
storage capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall
be provided in the case of a multiple station power outage. (Required at time of certification)
1. Certificate of Public Convenience and Necessity (All Application Packages for Privately -Owned Public Utilities):
❑ Per 15A NCAC 02T .0115(a)(1) provide the Certificate of Public Convenience and Necessity from the North Carolina Utilities
Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served by the sewer
extension, or
❑ Provide a letter from the North Carolina Utilities Commission's Water and Sewer Division Public Staff stating an application
for a franchise has been received and that the service area is contiguous to an existing franchised area or that franchise approval
is expected.
J. Operational Agreements (Applications from HOA/POA and Developers for lots to be sold):
❑ Home/Property Owners' Associations
❑ Per 15A NCAC 02T .0115(c), submit the properly executed Operational Agreement FORM: HOA .
❑ Per 15A NCAC 02T .0115(c), submit a copy of the Articles of Incorporation, Declarations and By-laws.
❑ Developers of lots to be sold
❑ Per 15A NCAC 02T .0I 15(b). submit the properly executed Operational Agreement (FORM: DEV).
For more information, visit the Division's collection systems ivebsite
INSTRUCTIONS FOR FORM: FTA 05-21 & SUPPORTING DOCUMENTATION Page 2 of 3

THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
Water Quality Section
Swannanoa, North Carolina 28778-8211
Clay, Graham, Haywood, Henderson, Jackson,
[phone]
Macon, Madison, McDowell, Mitchell, Polk,
[phone] Fax
Rutherford, Swain, Transylvania, Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Harnett, Hoke,
Water Quality Section
Fayetteville, North Carolina 28301-5095
Montgomery, Moore, Robeson, Richmond,
[phone]
Sampson, Scotland
[phone] Fax
Mooresville Regional Office
610 E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
Water Qualitv Section
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone]
Stanly, Union
[phone] Fax
Raleigh Regional Office
3800 Barrett Drive
Chatham, Durham, Edgecombe, Franklin,
Water Qualitv Section
Raleigh, North Carolina 27609
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] Fax
Warren, Wilson
Washington Regional Office
943 Washington Square Mall
Beaufort, Bertie, Camden, Chowan, Craven,
Water Quality Section
Washington, North Carolina 27889
Currituck, Dare, Gates, Greene, Hertford, Hyde,
[phone]
Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] Fax
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilminaton Regional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
Water Qualitv Section
Wilmington, North Carolina 28405
Hanover, Onslow, Pander
[phone]
[phone] Fax
Winston-Salem Regional Office
450 W. Hanes Mill Road
Suite 300
Alamance, Alleghany, Ashe, Caswell, Davidson,
Davie, Forsyth, Guilford, Rockingham, Randolph,
Water Quality Section
Winston-Salem, North Carolina 27105
Stokes, Surry, Watauga, Wilkes, Yadkin
[phone]
[phone] Fax
INSTRUCTIONS FOR FORM: FTA 05-21 & SUPPORTING DOCUMENTATION Page 3 of 3

THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
Water Quality Section
Swannanoa, North Carolina 28778-8211
Clay, Graham, Haywood, Henderson, Jackson,
[phone]
Macon, Madison, McDowell, Mitchell, Polk,
[phone] Fax
Rutherford, Swain, Transylvania, Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Harnett, Hoke,
Water Quality Section
Fayetteville, North Carolina 28301-5095
Montgomery, Moore, Robeson, Richmond,
[phone]
Sampson, Scotland
[phone] Fax
Mooresville Regional Office
610 E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
Water Quality Section
Mooresville, North Carolina 28116
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone]
Stanly, Union
[phone] Fax
Raleigh Regional Office
3800 Barrett Drive
Chatham, Durham, Edgecombe, Franklin,
Water Quality Section
Raleigh, North Carolina 27609
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] Fax
Warren, Wilson
Washington Realonal Office
943 Washington Square Mall
Beaufort, Bartle, Camden, Chowan, Craven,
Water Quality Section
Washington, North Carolina 27889
Currituck, Dare, Gates, Greene, Hertford, Hyde,
[phone]
Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] Fax
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
Water Quality Section
Wilmington, North Carolina 28405
Hanover, Onslow, Pender
[phone]
[phone] Fax
Winston-Salem Regional Office
450 W. Hanes Mill Road
Suite 300
Alamance, Allegheny, Ashe, Caswell, Davidson,
Davie, Forsyth, Guilford, Rockingham, Randolph,
Water Quality Section
Winston-Salem, North Carolina 27105
Stokes, Sufry, Watauga, Wilkes, Yadkin
[phone]
[phone] Fax
INSTRUCTIONS FOR FORM: FTA 05-21 & SUPPORTING DOCUMENTATION Page 3 of 3

State of North Carolina
DWR Department of Envirn olnental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Dlvlslon of Water Resources FTA 06-21 & SUPPORTING DOCUMENTATION
Application Number: (to be completed by DW2)
All items must be completed or the application will be returned
I, APPLICANT INFORMATION:
I. Applicant's name: Town of Wallace (company, municipality, IiOA, ❑tilily, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ❑ State/Comity X Municipal
3. Signature authority's name: Rob Taylor per 15A NCAC 02T .0106(b)
Title: Town Manaeer
4. Applicant's mailing address: 316 East Murray Street
City: Wallace State: NC Zip: 28466-___
5. Applicant's contact information:
Phone number: 910) 285-4136 Email Address: i'tayloi,@wallaceiie.gov
❑ Privately -Owned Public Utility
❑ Other
Ih PROJECT INFORMATION:
1. Project name: Sewer System Expansion — Valley Protein
2. Application/Pioject status: X Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: and issued date: ,
For modifications, also attach a detailed narrative description as described in Item G of [lie checklist,
If new construction, but part of a master plan, provide the existing permit number: W000
3. County where project is located: Dunlin
4. Approximate Coordinates (Decimal Degrees): Latitude: 34.8377' Longitude:-78.0417'
5. Parcel ID (if applicable); (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Linwood E. Stroud License Number: PE5279
Firm: Stroud Engineering, PA
Mailing address: 107B Commerce Street
City: Greenville State: NC Zip: 27858-
Phone number: [phone] Email Address: Istroud(Mstroudengiueer.com
IV. WASTEWATER TREATMENT FACILITY (W WTr) INFORMATION:
1. Facility Name: Wallace Regional WWTP Permit Number:003450
Owner Name: Town of Wallace
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ Discharge will be to headworks of W WTP
2. Downstream (Receiving) Sewer Information: _ inch ❑ Gravity ❑ Force Main
3, System Wide Collection System PermitNumbei(s) (if applicable): WQCS
Owner Name(s):
FORM: FTA 06-21
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 X 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/Properly Owners' Association, has an HOA/POA Operational Agreement (FORM: HOA) and
supplementary documentation as required by ISA 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 Hone ® Other (Explain in Attachment)
5. Nature of wastewater: %Domestic __% Commercial 100% Industrial (See 15ANCAC 02T.0103(20))
If Industrial, is there a Pretreatment Program in effect? ® Yes" No
6. Has a flow reduction been approved under ISA NCAC 02T .0I 14(f)? ❑ Yes ® No
➢ If yes, provide a cony of flow reduction approval letter with this apnlicatimr
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(t))
Daily Design Flow ","
No. of Units
Flow
Rendering Plant
325,000 gal/day
I
325,OOOGPD
gat/
GPD
gal/
GPD
gal/
GPD
gau
GPD
gal/
GPD
Tolnl
325,000 GPD
a See 15A NCAC 02T .0114(b), (d) (e)(1) and e)(2) for cavents 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 ofthe Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G.S. 42A-4).
b Per ISA 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; 0 GPD (per 15A NCAC 02T .0114)
➢ Do not include future flows or previously permitted allocations
If permitted flow is zero, please indicate why:
❑ Pump Station/Foce Main o Gravity Sewer where flow will be permitted in subsequent permits that connect to this line.
Please provide supplementary information indicating the approximate tiuneframe 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 06-21 Page 2 of 5

Vll. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
I. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
24
563
PVC
24
826
DIP
15
1425
PVC
➢ Section 11 & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to nninimmiln 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) — O2P.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: Valley Protein
2. Approximate Coordinates (Decimal Degrees): Latitude: 34.8377° Longitude:-78.0417'
3. Total number of pumps at the pump station: 2
3. Design flow of the pump station: 0.9 millions gallons per day (firm capacity)
➢ This should reflect the total GPM fo the pump station with the largest pump out of service.
4. Operational point(s) per pump(s): 625 gallons per minuto (GPM) at 142 feet total dynamic mead (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
10
51,670
PVC
to
1,928'
—DIP —
If any portion of the force main is less than 4-bites in diameter, please identify the method of solids reduction per
MDCPSFM Section 2.0IC. Lb. ❑ 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)(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 -
o
❑ Potable pumping unit with plugged emnergency 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 file rotation schedule of the portable power source or pump, including navel timefrannes, shall be provided
as part of this permit application in the case of a multiple station power outage.
FORM: FTA 06-21 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(1)):
I. Does the project comply with all separations/alternatives found in 15A NCAC 02T .0305(t) & (g)? ® Yes ❑ No
15A NCAC 02T.0305(f) contains minimum seoarations 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
Reclahned water lines (vertical - reclaimed over sewer)
18 inches
Reclaimed water lines (horizontal - reclaimed over sewer)
2 feet
_
**Any private or public water supply source, including any wells, WS-1 waters of Class I or
Class 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 fi,on nonual
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 P.), see Section X.1 of this application
* 15A NCAC 02T.0305(a) conains 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 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 Rude.
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 re uirements for situations where separation cannot be met.
➢ No variance is required if the alternative design criteria specified is utilized in design and construction.
4. is the project located in a river basin subject to any State buffer rules? ❑ Yes Basin naune: ®No
If yes, does the project comply with setbacks found in the river basin rules per 15A NCAC,02.B4O200? ❑ Yes ❑ No
➢ This includes Trout Buffered Streanns per 15A NCAC 2B.0202
5. Does the project require coverage/authorization under a 404 Nationwide/individual permits ❑ Yes ® No
or401 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 pennits/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, stornnwater management plans, etc.).
7. Does this project include any sewer collection lines that are deenned "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 n variance approval.
➢ If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shalt be inspected by the pennnittee or its representative at least once every six-nnomths and
inspections documented per 15A NCAC 02T.0403(n)(5) at, the permittee's individual System -Wide Collection permit.
FORM: FTA 06-21 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Mininnun Desien Criteria for the Permitting of Pinup Stations
Had 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. Approval of the request will be issued
concurrently with the approval of the Permit, anti projects requiring a variance approval may be subject to longer
review times, For- projects reguirine two or more variances m' where fire variance is determined by the Division to be a
significant portion of the m•oject, the full technical review is required.
2. Professional Engineer's Certification:
I, Unwood E. Stroud , attest that this application for Maple Creek Punnp Station and Forcemain Rehabilitation
(Professional Engineer's name from Application Item 111.1) (Project Name from Application Hem 11.1)
has heart reviewed by are 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 farther
attest that to the best of my knowledge tire 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 Pump Stations and Force Mains (latest version). Although other professionals may have developed certahl portions of this
submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and
havejudged 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 riot 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
North Carolina Professional En ' Weer s seal, signature, and date: q(-CSS/p
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3. Applicant's Certification per 15A NCAC 02T.0I06(b):
1, Rob Taylor , attest that this application for Maple Creek Punm Station and Forcemain Rehabilitation
(Signature Authority Name from Application Item L3.) (Project Name from Application Item 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 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 retuned as incomplete. I understand that any
discharge of wastewater from this non -discharge system to surface waters or the land will result in air immediate enforcement
action that may include civil penalties, injunctive relief, and/or crim pal 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:'�� / Dater �7
FORM: FTA 06-21 Page 5 of 5

State of North Carolina
4 , 1 1 _i , Department of Environmental Quality
Division of Water Resources
Division of water Resources Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Town of Wallace
Project Name for which flow is being requested: Sewer System Expansion, Valley Protein
More than one FTSE may be rewired for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wasterpater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Wallace Regional Wastewater Treatment Plant
b. WWTP Facility Permit #: NC0003450
All flows are in MGD
c. WWTP facility's permitted flow 5.42
d. Estimated obligated flow not yet tributary to the WWTP 2.35
e. WWTP facility's actual avg. flow 1.4
f. Total flow for this specific request 0.6
g. Total actual and obligated flows to the facility 4.35
h. Percent of permitted flow used 80
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 / pfl, Avg. Daily Daily Flow, Obligated Available
Number) No. MGD MGD Flow, MGD MGD Flow Capacity***
* 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):
Downstream Permit Number:
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I Brent Dean certify to the best of my laiowledge 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 addendmns 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.
Signing Official Signature Date
Title of Signing Official
Page 2 of 6
FTSE 10-18

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