HomeMy WebLinkAboutWQ0045584_Application (FTSE)_20240626 T I M M O N S 5410 Trinity Road
GROUP Suite 102 P 919.866.4951
YOUR VISION ACHIEVED THROUGH OURS, Raleigh, NC27607 F919.859.5663
May 3, 2024 www.timmons.com
State of North Carolina Department of Environmental Quality
Wilmington Regional Office Water Quality Section
127 Cardinal Drive Extension
Wilmington, NC 28405
Fast Track Sewer Extension Application—Onslow County: Emergency Operation Center
To Whom It May Concern,
Timmons Group is pleased to submit the following Fast Track Sewer Extension Application on behalf of Onslow
County. This application is being submitted to request the addition of the Onslow County Emergency Operation
Center pump station and force main, which is located at 1180 N Commons Drive, Jacksonville, NC 28546. This
Project is a new pump station, including two(2)submersible grinder pumps,and a new 1.5-inch force main that
discharges into an existing sanitary sewer manhole that is located at the end of the Onslow Emergency Operation
Center's driveway. The proposed pumping capacity is 29.5 GPM at 46'TDH with one pump pumping and one um
for redundancy. The proposed force main is 650'of 1.5-inch PVC SDR 21. p p
This pump station and force main will serve the Emergency Operations Center. No other developments are
connected to the pump station, or plan to be connected to the pump station.
This application includes the application fee, Fast-Track Sewer System Extension application, Flow Tracking for
Sewer Extension application, USGS topographic map, and ariel map.
We look forward to hearing from you regarding this review. If you have any questions or need any additional
information, please don't hesitate to contact me at 919.859.5663 or ashley.cutright@timMons.com com at your
convenience.
Sincerely,
RECEIVED/NMENR/DWR
JUL 0 2 2024
water Qua"Regionai
Operations section
Ashley Cutright, PE Wilmington Regional office
Project Manager
919.859.5663
CIVIL ENGINEERING I ENVIRONMENTAL SURVEYING I GIS LANDSCAPE ARCHITECTURE I CONSTRUCTION SERVICES
D
State of North
WR
Department of Environmental Carolina
uty
Division of Water Resourcesesources
TRACK
Division of WaterQuality
INSTRUCTIONS FOR p CK SEWER SYSTEM EXTENSION APPLICATION
FORM. FTA 10-23&SUPPORTING DOCUMENTATION
This application is for sewer extensions involving gravity sewers
Minimum Design Criteria Gravit Sewer&Pun Stations/Force'Ma np stations and force mains, or an
applicant that the project meets the requirements of 15A NCAC 02T and the Di '
have been prepared in accordance with 15A NCAC 02T 15A NCAC 02T.0 Y combination that has been
d that plans,specifications and supportingvision's
While no upfront engineering design300 Division policies and documents
good engine�yr�ct�.
documents are required for submittal, in accordance with 15A NCAC 02
documents must be prepared prior to submittal of a fast trackpermit
calculations, and project specifications referenced in 15A NCAC 02T .030
documents shall be immediately available upon request by the Divi ionl�cation to the Division, would T •0305(b), design
5 and the applicable minimum des'gndcripterla� These
Projects that are deemed emitted(do not require a n.
P q 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
Projects that do not meet any part of the minimum design criteria MDC
> Projects that involve more than one variance from the requirements full technical review);
Pressure sewer systems utilizing simplex septic tank-effluent pumps )documents;
Simplex STEP or simplex grinder pumps connecting a ensu ( I E NCAC 02T'
Vacuum sewer systems. (stems( .g)or simplex grinder pumps;
pressurized systems(e.g,force mains);
General—When submitting an a
submitted. PPlication,please use the following instructions as a checklist in order to ensure
Adherence to these instructions and checking the provided boxes will help amount of requested additional information. Failure to submit all required items will time,and may result in return of the a all required items are
p produce a quicker review time and reduce the
the application and supporting application. Unless otherwise noted,the Applicant shall necessitatsubmit one oe additional riginal
and and review
Pporting documentation.
A• One Original and One Co g al and one co
COPY(second copy may be digital)of A PY of
® Required unless otherwise noted. Signatures on original must be"wet ink" RECEIVED/NCDENR/DWR
Application and Supporting Documents
Please do not submit engineering design plans with the application unless specifically or secure digital signatures.
B. Cover Letter/Narrative Description(Required for All Application P fically requested. JUL O 2 7OZ4
® List all items included in the application package,as well as a briefdescri '
Packages):
Be specific as to the system WaterUuanssectional
� Include the the type,number of homes served,flow allocation tequi ed,etc9uestedpermittin orairiRe ionaion
permit number/status of any other required sewer permits(downstream/upstream0G�14P Regional Office
If necessary for clarity,include attachments to the application form.
➢ If the project is funded b )
Y American Rescue Plan Act(ARPA) finds, please include the ARPA project n
letter and in parentheses under Project Name(Section If.1. of the application .
C. Application Fee(All New and Modification Application Packages): ) umber in the cover
® Submit a check or money order in the amount of$600.00,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
® Submit the completed and appropriately executed application.
➢ If necessaryF I A 10-23):
for clarity or due to space restrictions,attachments to the application ma be m
O If the Applicant Type in Item 1.2 is a corporation or company,
Y made.
North Carolina Secreta of State. P 1nY, provide documentation it is registered for busines
O If the Applicant T
ype inItem 1.2 is a partnership or d/b/a,enclose a co s with the
® The Project Name in Item II.l shall be consistent with the project name o the flow acceptance letters,agreements,etc.
of the certificate filed with the Register of Deeds in
the county of business
® The Professional Engneer's Certification on Page 5 of the application shall i n ineer. all be signed, sealed and dated by a Norte
licensed Professionaln
INSTRUCTIONS FOR FORM: FTA 10-23&SUPPORTING DOCUMENTAT
ION
Pagel 0173
® The Applicant's Certification on Page S of the a
The with 15A NCAC
15A NCAC 02T.0106(ca an alternate application shall be signed
a person who meets the criteria in 15A NCAC 02T 0106(b)may be nated as the signing Official al accordance
f a delegation letter 02
0106 b . Per
E• Flow Tracking/AcceptanceProvided from
Form(Form:FTSE 10-23
® Submit the completed and executed FTSE form from the
(If Applicable):
> Multiple forms maybe required where the downstream sewer owner
> owners of the downstream sewers and treatment facility.
The flow acceptance indicated in form
and wastewater treatment facility are different.
prior to the application date. FTSE must not expire prior to permit Issuance and must be dated less t
> Submittal of this application and form FTSE in that o
Intergovernmental agreements or other contracts will not be Owner
to than one year
caner has adequate capacity and will not violate G,S, 143-215,67 a.
F. Site Ma s accepted lieu ofaprojest-specific FTSE.
P (All Application Packages):
® Submit an 8.5-inch x I1-inch color copy of USGS Topographic
including the closest surface waters.
> P graphic Map of sufficient scale to identify the entire project area,
General location of the project components> Downstream connection points and a (gravity sewer,
map Showing
number(if known)for the receiving g sewer
® Include an aerial location
main)force
can easily locate it in the field. g general project area(such as street names or latitude/longitude)so that D' '
G• Existing Permit A �v�sion staff'
(Application
Packages for Modifications to an Existing Permit):
❑ Submit a copy of the most recently issued existin
❑ Include a descriptive and clear narrative identif 'n
g permit.
added,and/or items to be modified(the a
narrative should also include whether(the
g the previously permitted items to remain in the
application form itself item h include only include items to be added/modified
❑ The narrative should clearly identify the requested perf1�ittin actin permit,items to be
y permitted items have been certified.
the final permit. )• The
g nand accurately describe the sewers to be listed in
H• Power Reliability Plan(Required if portable reliability option utilized for Pump
❑ Per 15A NCAC 02T
submit documentation of power reliability for pumping stations.
This alternative is only available for average daily flows less than 15,000 a
> It shall be demonstrated to the Division that the
the station. gallons per day
Portable source is owned or contracted by the applicant and is compatible w'
stating that"the portable power sion will accept
cegen to letter
r signed
Portable,
applicant
and personnel are available for distribution and operation of thi c (see 15A NCAC 02T.0106 bwith
> If the P p le, independently-Powered pumping units,)asso ated a proposed contractor,
Portable Power source or pump is dedicated to Pump station.
storage capacities and the rotation schedule dedicated
to multiple Power- appurtenances
be provided in the case of a multiple station P stations, an evaluation of all the um
Power outage. °' pump including pump stations
I• Certificate of Public Convenience and Necessity g (Required at time of certificcluding travel timeframes,shall
❑ Per 15A NCAC 02T.01 IS a 1 provide the Certificate of Public Conv
Application Packages Tor Privately-Owned Public Utilities):
Co— m�demonstrating the App►icant is authorized to hold the utility extension,or enience and Necessity from the North Carolina Utilities
❑ Provide a letter from the North Carolina Utilities Commission's Water ty franchise for the area to be served b for a franchise has been received and that the service area is contiguous to a Y the sewer
is expected. and Sewer Division Public Staff an application
n existing franchised area or that franchise pro al
�• Operational Agreements A approval
❑ Home/Pro a (�(Applications from HOA/POA and Developers for Tots to be sold):
Owners Associations
❑ Per I SA NCAC 02T.O]15 c,submit the proper)
❑ Per 1 SA NCAC 02T.01 15 c Y executed O
❑ Develo ers of lots to be sold O,submit a co Operational A reement FORM:HOA .
PY of the Articles of Incorporation,Declarations and By-laws.
❑ Per 15A NCAC 02T.O1 IS b submit the properly executed O
FO11nOje'111°l-mation visit the Division s collection yYsal A reement FORM:DEV ,
INSTRUCTIONS FOR FOR terns�vebsite
Al: FTA 10-23&SUPPORTING DOCUMENTATION
Page 2 of 3
THE COMPLETED APPLICATION PACKAGE APPROPRIATE
MATERIALS, SHOULD BE SENT TO THE, GALL SUPPORTING INFORMATION q
ROPRIATE REGIONAL OFFICE; AND
REGIONAL OFFICE
Asheville Re Tonal Office ADDRESS
Water COUNTIES SERVED
Qualit Section 2090 US Highway 70
Swannanoa, North Carolina 28778-8211 Avery Buncombe, Burke,
(828)296-4500 Clay, Graham, Caldwell, Cherokee,
(828)299-7043 Fax Haywood, Henderson, Jackson,
Fa etteville Regional Office Macon, Madison, McDowell, Mitchell, Polk,
Rutherford, Swain, Transylvania, Yancey
Water Qualit Section 225 Green Street Suite 714
Fayetteville, North Carolina 28301-5095 Anson, Baden, Cumberland, Harnett, Hoke,
(910)433-3300 Montgomery, Moore, Robeson, Richmond,
S
Mooresville Re Tonal Office (910)486-0707 Fax ampson, Scotland
Water Qualit Section 610 E. Center Avenue
Mooresville, North Carolina 28115 Alexander,
(704)663-1699 Gaston, Ire dell, Lincoln. Mecklenburg,barrus, Catawba, R d,
(704)663-6040 Fax Stanly, Union Rowan,
Ra�gh Regional Office
Water Qualrt Section 3800 Barrett Drive
Raleigh, North Carolina 27609 Chatham, Durham, g
(919)791-4200 Granville, Halifax, J ha ton Lee NasFranklin,
(919)571-4718 Fax Northampton, Orange, Person, Vanceh
Washin ton Re ional Office Warren, Wilson Wake,
Water Qualit Section 943 Washington Square Mall
Washington, North Carolina 27889 Beaufort, Bertie, Camden, Chowan, Craven,
(252)946-6481 Currituck, Dare, Gates, Greene, Hertford I I
(252)975-3716 Fax Jones, Lenoir, Martin, Pamlico, Pasquotank,
Wilmin ton Re Tonal Office Perquimans, Pitt, Tyrrell, Washington, Wayne
Water Qualit Section 127 Cardinal Drive Extension
Wilmington, North Carolina 28405 Brunswick, Carteret, Columbus, Duplin, New
(910) 796-7215 Hanover, Onslow, Pender
(910)350-2004 Fax
Winston-Salem Re ional Office 450 W.
Water Qualit Section Hanes Mill Road
Suite 300 Alamance, Alleghan ,
27105 Davie, Fors th,Watauga, Wilkes, Yadkin
y Ashe, Caswell, Davidson,
Winston-Salem, North Carolina
(336) 776-9800 Stokes, Sury, Guilford, Rockingham, Randolph
(336) 776-9797 Fax rY,
INSTRUCTIONS FOR FORM: F FA 10-23 & SUPPORTING DOCUME
N I ATION
Page 3 of 3
DWR
State of North Carolina
Department of Environmental Quality
Division of Water Resources Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 10-23&SUPPORTING DOCUMENTATION
Application Number: .5,
(to be completed b),DWR)
All items must be co I, leted or the a lication n'ill be returned
I• APPLICANT INFORMATION:
I• Applicant's name: Onslo� (company,municipality,HOA,utility,etc.)
2• Applicant type:
❑Individual ❑Corporation
❑General Partnership
[I Federal ®State/County El Privately-Owned Public Utility
ty's name:3. Signature authoristant Count Mana er ❑Municipal Other
e: Benue per 15A NCAC 02T.0106 b Title:Assi RECEIVED/NCbENR/DWR
4• Applicant's mailing address:234 NW Corridor Blvd
City:Jacksonville JUL 0 2 2024
State:NC Zip:28540-5. Applicant's contact information: water
Ouallty flegional
Perations section
Phone number: 9 1 0 347-47 77 Email Address:ben-amin warren onlsowcoun Wilmington
itm gton Rego of office
II. PROJECT INFORMATION: nc. ov
1. Project name:Onslow,EOC cc -
2• Application/Project status:
®Proposed(New Permit) El Existing Permit/project
If a modification,provide the existing permit number:WQ00
ARPA funded
For modifications,also attach a detailed narrative description s►d scr ssue date: Elibed in Item
If new construction,but part of a master plan, G of the checklist.
p �provide the existing permit number: WQ00
3• County where project is located: Ong
4• Approximate Coordinates(Decimal Degrees): Latitude: 34.7 � Longitude:-77
5. Parcel ID(if applicable): 34�(or parcel ID to closest downstream sewer 4
III. CONSULTANT INFORMATION: )
1. Professional Engineer:Ashley Kabat Outright
Firm:Timmons Gin License Number:052736
Mailing address: 5410 Trinity Road..
102
City: Raleigh State: LC
Phone number: 919 532-3290 Zip:27607-
)— Email Address:Ashle2. .Cutri ht timmons.com IV- WASTEWATER TREATMENT FACILITY(WWTF)INFORMATION:
I Facility Name:City of Jacksonville Land Treatment System
Owner Name:Qy of Jacksonville Permit Number: W o009267
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1• Permit Number(s): WQ_un—
2. Downstream (Receiving)Sewer Information: 6 inch
3. System Wide Collection System Permit Number(s)(if applicable): WQCS cavity El Force Main
Owner Name(s):
FORM: FTA 10-23
Page 1 of 5
V1• GENERAL REQUIREMENTS
1• If the Applicant is a Privately-Owned Public Utility,has a Certificate of Public Co
nvenience and Necessity been attached?
2. ❑ Yes ❑
If the Applicant is a Developer of lots to be sold,has a Develo er ®N/A
s
operational Agreement FORM;DEV
3. If the Applicant is a Home/Property Owners'AssocOl has❑s H N ®N/A been attached?
supplementary documentation as required by 15A NCAC 02T.01 �be0en attached?rational Agreement FORM;
15(c HOA and
4. Origin of wastewater:(check all that apply): El Yes
ElNo ®N/A
❑Residential(Individually Owned
❑Residential(Leased) ) ❑Retail(stores,centers,malls)
❑ School/preschool/day care El Retail with food preparation/service Car Wash
®❑Food and drink facilities ❑Medical/dental/veterinary facilities Hotel and/or Motels
Businesses/offices factories Church ❑Swimming Pool/Clubhouse
❑Nursing Home ❑Swimming Pool/Filter Backwash
5. Nature of wastewater: 100%Domestic u ❑Other(Explain in Attachment)
�/o Commercial %Industrial See 15A NCAC 02T 0103(20))
If Industrial,is there a Pretreatment Program in effect?
6. Has a flow reduction been approved under 15A NCAC 02T.0114
If es rovide a co ❑ Yes❑No
of flow reduction a roval letter with this❑ Yes No
7• Summarize wastewater generated b lication
y project:
Establishment Type(see 02T.0114(1))
Fire or Rescue Stations with Onsite StaffDaily Resign Floe.�.�
50 gal/person/shift No.of Units Flow
gal/ 236 11,800 GPD
gal/ GPD
gal/ GPD
gal/ GPD
gal/ GPD
GPD
a See 15A NCAC 02T.0114 b Total 11,800 GPD
non-residential development uses; public access facilities located near high
e 1 and e 2 for caveats to wastewater design flow rates and
proposed unknown
located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals
b Per 15A NCAC 02T.0114(c),design flow rates for establishments g public use areas; and residential property
determined using available flow data,water using fixtures, hme is n abl a1 defined C G.S0 q1
nts not identified[in table 15A NCAC 02T.0114 shall be
8. Wastewater generated b Occupancy or operation patterns,and other measured data.
Do not include future flows or prey ouslD(per 15A NCAC 02T.0114 and G.S. 143-215.I
If permitted flow is zero,please indicate why e17nitted allocations
❑ Pump Station/Force Main or Gravity Sewer where flow will be permitted i
Please provide supplements information indicating wthe a
n n subsequent permits that connect to this line.
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 ex ecte
❑ Other(Explain): p d
FORM: FTA 10-23
Page 2 of 5
VII. GRAVITY SEWER DESIGN CRITERIA(If Applic.1ble)-02'T0_305& MD
1• Summarize gravity sewer to be permitted: — C(Gravity Sewers):
Size(inches) (Length(feet
)) Material
N/A N/A
N/A
> Section II&III of the MDC for Permitting of Gravity Sewers contains information
> Section III contains information related to minimum slopes for gravity sewer s
> Oversizing lines to meet minimum slope requirements is not allowed and a related to design criteria
VIII. PUMP (}
STATION DESIGN CRITERIA(If Applicable)_ violation of the MDC
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMPMDmn Stations/Force Mains):
I• Pump station number or name:Onslow EOC PS
STATION INCLUDED IN THIS PROJECT
2. Approximate Coordinates(Decimal Degrees):Latitude:34.7966560 Longitude:- o
3• Total number of pumps at the pump station:2 77.4
3. Design flow of the pump station: 0 millions gallons per day(firm capacity)
> This should reflect the total GPM for the pump station with the largest pum out
4. Operational point 9s)per pump(s): . p of service.
minu
5• Summarize the force main to be permitted(for thisrPumptStaG oM)at 46 feet total dynamic head(TDH)
Size(inches) Length(feet
Material
1.5 650
PVC
If any portion of the force main is less than 4-inches in diameter,please identify the met
MDCPSFM Section 2.01C.l.b.
6. Power reliability in accordance ith rinder 15A NCACp El Mechanical Bar Screen hod of solids reduction per
❑Other(please specify)
® Standby02T.0305 h I
power source or ❑ Standby pump
>
Must have automatic activation and telemetry> Required for all pump stations with an average daily flow greater thanore equal to
> Must be permanent to facility and may not be portable o ( }( )(B)
Or if the pump station has an average daily flow less than 15,000 all q 15,000 gallons per day
❑ Portable power source with manual activation,quick-connecn receptacle le a NCACO2T.0305 h 1 or and
t telemetry- ( )( )(C).
t o
❑ Portable pumping unit with plugged emergency
> Include documentation that the portable source is ow owned or coump ntracted byon and the applicant
> If the portable power source h pump is dedicated to multiple um
rage
capacities and the rotation schedule of the portable power source or pump including evaluation
ant and is compatible with the station.
p Pump stations,an evaluation of all the pump stations,Provided
as part of this permit application in the case of a multiple station power outage.
travel timeframes,shall be provided
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(f)&( )?
15A NCAC 02T.0305 contains minimum se arations that shall be Provided for sewer s stems: ® Yes ❑No
etback Parameter*
Storm sewers and other utilities not listed below(vertical)
Separation Required
2 Water mains(vertical-water over sewer preferred,including in benched trenches) 18 inches
2 Water mains(horizontal) 18 inches
Reclaimed water lines(vertical -reclaimed over sewer) 10 feet
Reclaimed water lines(horizontal-reclaimed over sewer) 18 inches
**Any private or public water supply source, including any wells, WS-I waters of Class I or 2 feet
Class II impounded rese rvoirs used as a source of drinking water,and associated wetlands.
**Waters classified WS(except WS-I or WS-V),B,SA,ORW,HQW,or SB from normal 100 feet
high water(or tide elevation)and wetlands associated with these waters(see item 1X.2)
**Any other stream,lake,impoundment,or ground water lowering and surface drainage 50 feet
ditches,as well as wetlands associated with these waters or classified as WL.
Any building foundation(horizontal) 10 feet
Any basement(horizontal) 5 feet
Top slope of embankment or cuts of 2 feet or more vertical height 10 feet
Drainage systems and interceptor drains 10 feet
Any swimming pools 5 feet
Final earth grade(vertical) 10 feet
> If noncompliance with 02T.0305`�see Section X.l of this application 36 inches
*]SA NCAC 02 ( contains alternatives where separations in 02T.03p5(fl cannot be achieved.Please
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 web a e check"yes"
2. Does this project comply with the minimum separation requirements for water mains?
> i neno,please refer n 15A NCAC 18C.0906(f)for documentation requirements and submit a separate
signed/sealed by an NC licensed PE,verifying the criteria outlined in that Rule. Yes
O No N/A
P document,
3. Does the project comply with separation requirements for wetlands?
> Please provide supplementary information identifying the areas of non-conformance.
> See the Division's draft separation requirements for situations where separation cannot be met.
® Yes ❑No ❑N/A
> 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?
If yes,does the project comply with setbacks found in the river basin rules per 15A NCAC 02B.0200?
> This includes Trout Buffered Streams per 15A NCAC 2B.0202 ® Yes Basin name: Why ❑ No
® Yes ❑ No
5. Does the project require coverage/authorization under a 404 Nationwide/individual permits
or 401 Water Quality Certifications?
Please provide the permit number/pennitting status in the cover letter if coverage/authorization is required.
El Yes
®No
6. Does project comply with 15A NCAC 02T 0105(c)(6)(additional q gyred.
Per be NCAC 02T 0105(e)(6) directly related environmental permits or certification applications must be b
Perm its/certifications)?
have been applied No
for,or have been obtained. Issuance n this permit is contingent on issuance of dependent®Yes ❑re
and sedimentation control plans,stormwater management plans,etc.). being prepared,
permits(erosion
7. Does this project include any sewer collection lines that are deemed"high
Per 15A NCAC 02T.0402,"high-priority sewer" -priority?" El Yes
®No
means any aerial sewer,sewer contacting surface waters'rates the sewer.
siphon,or sewers positioned parallel to streambanks that are subject to erosion that undermines or deterio
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 to High priority lines shall be inspected by the permittee or its representative at least once every six-months inspections documented per 15A NCAC 02T.0403 a 5 or the permittee's individual System-Wide Coll
( )O sand
FORM:FTA 10-23 ection permit.
Page 4 of 5
X. CERTIFICATIONS:
l. Does the submitted system comply with 15A NCAC 02T,the Minimum Desi n Criteria for the Permitting of Pum Stations
and Force Mains(latest version) and the GravitySewer Minimum Design Criteria(latest version)as applicable?
® Yes El 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. A roval of the request will tip stied
concurrent) with the a royal of the ermit and ro'ects re uirin a variance a royal ma be subject to Ion er
review times.For r o'ects re uirin two or more variances or where the variance is determined b the Division to be a
significant Portion of the nroiect the full technical review is required
2. Professional Engineer's Certification:
1, Ashley Kabat Cutright, PE
(Professional Engineer s name from Application Item Ill.I.)
at that this application for Onslow EOC
(Project Name from Application Item ll.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 Gravity Sewers latest version),and the Minimum Design Criteria for the Fast-Track Perm
submittal package, inclus ittin
Of Puma Stations and Force Mains(latest version). Although other professionals may have developed certain portions of this
ion of these materials under my signature and seal signifies that I have reviewed this material and
have judged it to be consistent with the proposed design.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed$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)
..........................
North Carolina Professional Engineer's seal,signature and date: CARrO //i,,,
N
A
052736
04
3. Applicant's Certification per 15A NCAC 02T.0106(b):
1, "'Czn ,attest that this application for
(Signature Authority Name from Application Item 1.3.) ✓tS� 'enr
(Project Name from Application Item IL-I)
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
q
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, an
y person who knowingly mastatement, representation, or certification in any application package shall be guilty of a Class 2 m sdeme norCewhany
ich false
include a fine not to exceed$10,000 as well as civil penalties up to$25,000 per violation.
Signature:
Date:
FORM: FTA 10-23
Page 5 of 5
i
State of North Carolina
Department of Environmental Quality
Division of Water Resources
'' ? ,, f',;:>.� , SE.• Flow Tracking for Sewer Extension Applications
(FTSE 10-23)
Entity Requesting Allocation: Onslow County
Project Name for which flow is being requested: Onslow EOC
More than one FTSE may be required for a single project if ilie owner of the WWTP is not responsible for all punip
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: City of Jacksonville Land Treatment System
b. WWTP Facility Permit#: WQ0009267
All flows are in MGD
c. WWTP facility's permitted flow 9.0
d. Estimated obligated flow not yet tributary to the WWTP 0.523
e. WWTP facility's actual avg. flow 5.446
f. Total flow for this specific request 0,0425
g. Total actual and obligated flows to the facility 5.613
h. Percent of permitted flow used 62.3
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-➢)
Design
Average Approx. Obligated, Total
Pump Pump Daily Current Not Yet Current
Station Station Firm Flow** Avg. Daily Tributary Flow Plus
(Namc or Permit Capacity, * (Firm/pf), Flow, Daily Flow, Obligated Available
Number) No. MGD MGD MGD MGD Flow Capacity***
Henderson W 0035498 8.928 2.976 2.107 .0590 2.166 .8100
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Main Unknown 30.0 12.0 6,014 .0053 6.019 5.981
* 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.
x* 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):
i
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V,rou
Downstream Permit Number:
III. Certification Statement:
1 Ronald F. Massey certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity
related sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant under normal circumstances, given the implementation of the planned improvements
identified in the planning assessment where applicable. This analysis has been performed in accordance
with local established policies and procedures using the best available data. This certification applies to
those items listed above in Sections I and II plus all attached planning assessment addendums for which I
am the responsible party. Signature of this forni certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
Signing Official Signature C —
I�c��e
�of
�� �a�11 afT itigning tJfficial �
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