WQ0045726_Original Application_20240812

DWR
State of North Carolina
Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 06-21 & SUPPORTING DOCUMENTATION
Application Number: Q TJ �(to be completed by DWR i
All items must be completed or the application will be returned AUG 1 9 2024
1. APPLICANT INFORMATION: 7,.,: ,�— G
I. Applicant's name: City of Wilson (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privatel}-Owned Public Utility
❑ Federal ❑ State County ® Municipal ❑ Other
3. Signature authority's name: Kyle F. Manning, PE _ per 15A NCA.0 02T.0 1Ctb1ki 1'
Title: Assistant Director of Public Works �n �`7il Y
4. Applicant's mailing address: P.O. Box 10
City: Wilson State: NC zip: 27894- AUG Z 2�24
5. Applicant's contact information: Rai hD
Phone number: [phone] Email Address: kmanninaftwilsonne.org
II. PROJECT INFORMATION:
1. Project name: Elizabeth St. Regional SCM Projects-SCM „3-Fire Station I Public Sewer Modification Relocation
2. Application Project status: ❑ Proposed (New Permit) ® Existing Permit Project
If a modification, provide the existing permit number: WQOONot on File and issued date: Not on File.
For modifications, also attach a detailed narrati%c description as described in Item G of the checklist.
If new construction, but part of a master plan, provide the existing permit number: WQOON.A
3. County r%here project is located: Wilson
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.725 Longitude:-77.919'
5. Parcel ID (if applicable): 3722-00-8865, 3722-00-7802 (or Parcel ID to closest downstream sever)
111. CONSULTANT INFORMATION:
I. Professional Engineer: Robert S. Bartlett, PE License Number: 20106
Firm: Bartlett Engineering & Surveying, PC
Mailing address: 1906 Nash St. N.
City: Wilson State: NC Zip: 27893-
Phone number: [phone] Email Address. robert(c�r�,bartletteng.com
1V. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Hominy Creek Water Reclamation Facility Permit Number: NC00239106
Owner Name: City of Wilson
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ0043440
2. Downstream (Receiving) Sewer Information: 8 inch Z Gravity 0 Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS D 0 a
Owner Name(s):
FORM: FTA 06-21 Page I of 5

Vl.
GENERAL REQUIREMENTS
I. If the Applicant is a Privately -Owned Public Utility, haw a Certificate of Public Convenience and Necessity been attached?
El Yes ❑No ®NA
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEV) been attached?
[]Yes []No ®NA
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.01 15(c) been attached?
El Yes ❑No ®NA
4. Origin of w astewater: (check all that apply).
❑ Residential (Individually Owned) ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential (Leased) ❑ Retail w ith food preparat ionisery ice ❑ 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)
(Exist. Municipal)
5. Nature of wastewater: % Domestic % Commerciale °o Industrial (See 15A NCAC 02T .0103(20))
If Industrial, is there a Pretreatment Program in effect? ❑ Yes❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .0114(fl'' ❑ Yes ® No
➢ If xes, provide a copy of flow reduction approval letter with this application
7. Summarize wastewater generated by project,
Establishment Type (see 02T.0114(f)) Daily Design Flow ',b No. of Units Flow
Existing Municipal gal. GPD
gale GPD
gal.` GPD
gal: GPD
gal! GPD
gal/ GPD
Total 0 GPD
a See 15A NCAC 02T .0114(b), (d), a 1) and (e)(2) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use areas;
and residential property located south or east ofthe Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G.S. 42A-4).
b Per 15A NCAC 02T .0l 14(c), de,,ign 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 .01 14)
➢ Do not include future flows or previously permitted allocations
If permitted flow is zero, please indicate why:
❑ Pump Station Force Maui 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): Exist. Municipal, Not on File.
FORM: FTA 06-21 Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
l . Summarize gray its sewer to be permitted-.
Size (inches) Length (feet) I Material
& 1 574 1 DI
r I �
➢ Section II & III of the MDC for Permitting of Gravity Sewers contains information related to de*ign 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
VI11. PUMP STATION DESIGN CRITERIA (If Applicable) 02T .0305 & MDC (Pump Stations/Force Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PLUMP STATION INCLI'DED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: -
3. Total number of pumps at the pump station:
3. Design flow of the pump station: _ 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): gallons per minute (GPM) at feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
If any portion of the force main is less than 4-inches in diameter, please identify the method of solids reduction per
MDCPSFM Section 2.01 C. Lb. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with 15A NCAC 02T .0305(h)f 11:
❑ 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 NCACO2:r.0305(h)(l)(C):
❑ Portable power source with manual activation, quick -connection receptacle and telemetry -
or
❑ Portable pumping unit w ith plugged emergency pump connection and telemetry:
➢ Include documentation that the portable source is owned or contracted by the applicant and iw 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 06-21 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
I. Does the project comply with all separations. alternatives found in 15A-NCAC 02T .03051f") & irtl'' ® Yes ❑ No
15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
18 inches
ZWater 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-1 waters of Class 1 or
Class 11 impounded reservoirs used as a source of drinking rater, 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 eaters (see item IX.2)
50 feet
**Any other stream, lake, impoundment, or groundwater 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;A3Q5.(t) or (y,), see Section X.1 of
* 15A NCAC 02T.0305(g) contains alternatives where separation,
above if these alternatives are used and provide narrative infornta
**Stream classifications can be identified using the Division's N(
2. Does this project comply with the minimum separation requireme
➢ If no, please refer to 15A NCAC 18C.0906(f) for docum
signed/sealed by an NC licensed PE, verifying the criteri
3. Does the project comply r ith separation requirements for wetlan(
➢ Please provide supplementary information identifying the are
➢ See the Division's draft separation requirements for situation
➢ No variance is required if the alternative design criteria speci
4. Is the project located in a river basin subject to any State buffer rt
I f yes, does the project comply w ith setbacks found in the river b,
➢ This includes Trout Buffered Streams per 15A NCAC 2.B.02
�',w t
NIA
r vw ' L t) vJc� N/A
Y_ P, G �
I+ne-�°
Pao) s&0 v c I, e.
No
5. Does the project require coverage authorization under a 404 Natik , ........ ,J 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.01.05(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, stornwater management plans, etc.).
7. Does this project include any sew er collection lines that are deemed "high -priority?" ❑ Yes ® No
Per 15A NCAC 02T.0402, "high -priority sewer" means any aerial sewer, serer contacting surface waters,
siphon, or sewers positioned parallel to streambanks that are subject to erosion that undermines or deteriorates the sever.
Siphons and seNvers 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 rcpresentati�c 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 06-21 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Desi_&n..Criteria for the Permitting of Pump Station-,_
and Force Mains (latest version), and the Gravity Sewer Minimum Desas applicable?
® Yes ❑ No
If no, for projects requiring a single variance, complete and submit the Variance Alternative Design Request application
(VADC 10-14) and .upporting documents for review to the Central Office. Approval of the request will be issued
concurrently with the approval of the permit, and proiects requirine a variance approval may be subject to loneer
review times. For proiects requirine two or more variances or where the variance is determined by the Division to be a
significant portion of the project, the full technical review is required.
2. Professional Engineer's Certification:
1, Robert S. Bartlett, PE, attest that this application for Elizabeth St. Regional SCM Projects-SCM i13-Fire Station 1 Public
Sewer Modification. Relocation
(Professional Engineer's name from Application Item II] I i (Project Name from Application Item I I 1
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 kno'krledge. I further
attest that to the best of my knowledge the proposed design has been prepared in accordance >h ith the applicable regulations,
Minimum Design Criteria for tar !yii y 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 certain portions of this
submittal package, inclusion of these materialw 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 %kho 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 w ith the applicable Rules and design criteria, may subject
the North Carol ina-licenwed Professional Engineer to referral to the licensing board. (21 NCAC 56.0701)
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b);
1, Kyle F. Manning, PE, attest that this application for Flizabeth St. Regional SCM Projects-SCM 43-Fire Station l Public
Sewer Mod ification'Relocation
(Signature Authority Name from Application Item 13 (Project Name from Application Item It 1)
attest that this application has been reviewed by me and is accurate and complete to the best of my knowledge.
1 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 Hastewater from this non -discharge system to surface raters 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 rill 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 S10,000 as well as civil penalties up to $25,000 per violation.
Signature: 7• Date:
FORM: FTA 06-21 Page 5 of 5

FULETT
BVGINEIiPIG & SUNVEYPIG, PC
1906 Nash Street North Wilson, NC 27893-1 26
Phone [phone] Fax. [phone] NC Dept
wwwbartletteng.com f f3 ;I,l2iJi2;i�L;;if�l,?�lE�
August 9, 2024
State of North Carolina AUG 12 2024
Department of Environment and Natural Resources Ralc--1 l,Regional w r
Division of Water Quality �Ce
Raleigh Regional Office
1628 Mail Service Center
Raleigh, North Carolina 27699-1628
Reference: Fast Track Application for Gravity Sewers
Public Sewer Modification/Relocation
Elizabeth St. Regional SCM Projects-SCM #3-Fire Station 1
307 Hines Street
Wilson, North Carolina, 27893
To Whom It May Concern:
Enclosed for your review and approval are two (2) copies of the following items related to the
above referenced project:
■ Fast Track Application for Gravity Sewers
■ Engineering Report/Project Narrative & Summary
■ Flow Tracking / Acceptance Form
■ USGS Topographic Map
■ Parcel Report
■ GIS Aerial Location Map
Also enclosed is the $480.00 sewer permit application fee. Should you have any questions or
require further information during your review, please let us know.
Respectfull ,
Steve Oliverio
Project Manager
Enclosures
P •., PROJECT FILE:SMIson City123-297 Fire Stauon I SCM4Permns4SeweA23-29, NCDENR Pub Sew Cover Leaer doc

State of North Carolina
Department of Environmental Quality
DWR AUG �
Division of Water Resources
� �
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources INSTRU.CTIONS 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 & Purrip Stations, -Force Mainsl 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 mould 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 I SA 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
® Required unless otherwise noted. Signatures on original must be "%Net 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):
® 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 pen -nits (downstream upstream)
➢ If necessary for clarity, include attachments to the application form.
C. Application Fee (All New and Modification Application Packages):
® 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):
® 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 1.2 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 1.2 is a partnership or dfb a, enclose a copy of the certificate filed with the Register of Deeds in
the county of business.
® The Project Name in Item 11.1 shall be consistent "ith the project name on the floes acceptance letters, agreements, etc.
® The Professional Engineer's Certification on Page 5 of the application shall be signed, sealed and dated by a North Carolina
licensed Professional En ie neer.
® 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 .0106(b).
INSTRUCTIONS FOR FORM: FTA 06-21 & SUPPORTING DOCUMENTATION Page l 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 FTSL must not expire prior to pennit 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 " ill not violate G.S. 143-215.67(a).
➢ Intergovernmental agreements or other contract,, will not be accepted in lieu of a project -specific F I SE.
F. Site Maps (All Application Packages):
® Submit an 8.5-inch x 11-inch color copy of a I 'SGS 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 permit.
❑ 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 1, 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 bu 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 pumping units, a��ociated 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 sever
extension, or
❑ Provide a letter from the North Carolina Utilit' s ission'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 Prol2ertv Owners' Associations
❑ Per 15A NCAC 02T .0115(c), submit the properly executed Operational Agreement (F RM; HOA).
❑ Per 15A NCAC 02T .0I 15(c), submit a copy of the Articles of Incorporation, Declarations and By-laws.
❑ Developers of lots to be sold
❑ Per 15A NCAC 02T .0115fb), submit the properly executed Operational Agreement (FORM: DEV).
For more information, visit the Division's collection systems website
INSTRUCTIONS FOR FORM: FTA 05-21 & SUPPORTING DOCUMENIATION Page 2 of

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 I Rutherford, Swain, Transylvania, Yancey
I
Fayetteville Regional Office
Water Quality Section
I
Mooresville Regional Office
Water Quality Section
Raleigh Regional Office
Water Quality Section
Washington Regional Office
Water Quality Section
Wilminaton Regional Office
Water Quality Section
Winston-Salem Regional Office
Water Quality Section
225 Green Street Suite 714 Anson, Bladen, Cumberland, Harnett, Hoke,
Fayetteville, North Carolina 28301-5095 Montgomery, Moore, Robeson, Richmond,
[phone] Sampson, Scotland
[phone] Fax
610 E. Center Avenue
Mooresville, North Carolina 28115
[phone]
[phone] Fax
3800 Barrett Drive
Raleigh, North Carolina 27609
I [phone]
j [phone] Fax
943 Washington Square Mall
Washington, North Carolina 27889
[phone]
[phone] Fax
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
[phone] Fax
450 W. Hanes Mill Road
Suite 300
Winston-Salem, North Carolina 27105
[phone]
[phone] Fax
Alexander, Cabarrus, Catawba, Cleveland,
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
Stanly, Union
Chatham Durham, Edgecombe, Franklin,
Granville, Halifax, Johnston, Lee, Nash,
Northampton, Orange, Person, Vance, Wake,
Warren, Wilson
Beaufort, Bertie, Camden, Chowan, Craven,
Currituck, Dare, Gates, Greene, Hertford, Hyde,
Jones, Lenoir, Martin, Pamlico, Pasquotank,
Perquimans, Pitt, Tyrrell, Washington, Wayne
Brunswick, Carteret, Columbus, Duplin, New
Hanover, Onslow, Pender
Alamance, Alleghany, Ashe, Caswell, Davidson,
Davie, Forsyth, Guilford, Rockingham, Randolph,
Stokes, Surry, Watauga, Wilkes, Yadkin
INSTRUCTIONS FOR I ORM. rTA 05-21 & SUPPORTING DOCUMENTATION Page 3 of

ENGINEERING REPORT
PUBLIC SEWER SYSTEM MODIFICATION/RELOCATION
ELIZABETH ST. REGIONAL SCM PROJECTS-SCM #3-FIRE STATION 1
CITY OF WILSON, NORTH CAROLINA
J U LY 24, 2024
Wastewater Treatment Facilit
Hominy Creek Water Reclamation Facility
NPDES Permit No. NCO023906
Applicant/Owner Name & Address
City of Wilson
Post Office Box 10
Wilson, North Carolina 27894-0010
Project Name & Location
Elizabeth St. Regional SCM Projects-SCM #3-Fire Station 1
307 Hines Street
Wilson, North Carolina 27893
Project Summary
AUG 12 20?4
-ty
The project is for the Modification/Relocation of an existing sewer line within the site of City of
Wilson Fire Station 1, 307 Hines Street, Wilson NC 27893, to accommodate the installation of
an underground drainage storage system:
approximately 574 linear feet of 8-inch diameter DI gravity sewer line, one (1) standard
manhole, two (2) 5-foot diameter manholes and other necessary appurtenances. This
relocated sewer system will connect to an existing manhole and 8-inch gravity sanitary
sewer main along Spruce Street, as shown on the attached plans.
To
ZU luo ti -
S.3
P i PROJECT FILET -Wilson City123-297 Fire Station 1 SCMU@rm1stSe-erti23-297 Engineering Report doc
VT

Divisfon of Water Resources
State of North Carolin
Department of Environmental Qualit
Division of Water Resource
Flow Tracking for Sewer Extension Application
(FTSE 10-23
Entity Requesting Allocation: City of Wilson
Project Name for which flow is being requested: Elizabeth St. SCM Project - SCM 4!3
More than one FTSE may be required for a single project if the owner of file WWTP is not responsible for al! pump
stations along the route of Ilse proposed waslewafer flaw.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: _Horniney Creek Water Reclamation Facility_
b. WWTP Facility Permit #: NCO023906
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
All flows are in MGD
14.00
0.5828
8.03
0.00
8.613
h. Percent of permitted flow used 61.52
I1. 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)
Design
Obligated,
Pump
Pump
Average
Approx.
Not Yet
Total Current
Station
Station
Firm Daily Flow**
Current
Tributary
Flow Plus
(Name or
Permit
Capacity, * (Firm 1 pf),
Avg. Daily
Daily Flow,
Obligated
Number)
No.
MGD MGD
Flow, MGD
MGD
Flow
(E)=(A-D)
Available
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): - City of Wilson
Downstream Permit Number: W CS00021
Page 1 of 6
FTSE 10-23

V.
Wells. )¢s. �.�'�` •• `\
� + r
_ _. — .[ -. - y - .� P`�i¢,• rat 1 "p�
fPearJr J � i, � � as ,.� 10
,
J REF D� r34 1. t r .."OF. _ 1'
n ac [--�.I r, "..a' .� Police, i
yibsta l
comrpumry
f _ •�[ Irl t ..,ll ECnter ge • I t .Il 11
• I
' RareignN r r
�` • . .. _ ;. • ., �• t44aPl i Ilt tro g4les Rat
.i
10
•''A 11% smear
- j "� I'
_ I[MlvCn
j `WK ben ♦ gyp. Cn
WT
PO
51
kh
.: ► Ij Si. son•$ynum .,j �' \' :�• , i r •,t{' h
�Flosntal I
�,�� r • !" p F a• ',�
��� • },• '�f t4 '� �-.� 'f �.i4 ? y�y � r�,'� -cry
l'� ` �rF _:�-"•'�'�'• I `'S \ "'�:�'��- � ..� - - �� °ram ,'
rid Gf�i' `Lsc 1 tii 7
� �r_-'�,'-cr-'at"` yi ; ar '� r:� � Zk' SCh �= ' •�.ti
Rd 44U
f ,`fyl!,
Drive-In ►-
N.
V
74i7iit
?�
IrCounty
_ -• r�r< r / . y.o F=,:/ •\ V _l r "JJ _t{� ', i�_[� a ��
j7
ant�� ��• v '1 I 1i� i
Warst-on•, I • .\ • ram' ` , I' -' ,• I}: It
ey • ` I--- ` �P
111• y' ��� • err \ 0 � • Ij �.4L
en 3 Wiggins Mill

Wilson Countv Parcel Resort
PIN: 3722-00-8865.000
Parcel Number: 3722008865.000
Current Owner ID. 10000001
Owner &Address:
CITY OF WILSON
PO BOX 10
Date Sold:
Deed Reference:
1268 - 846
Deed Year
1985
Plat Reference.
5 - 121
Deed Acres:
Actual Year Bu It.
1985
Effective Year Built:
1990
Main Improvement
13452
Finished Area.
Tax Year
2024
Assessed Current
$15t 552
Land Value-
Assessed Current
$1,736,763
Improvement Value
Total Assessed
$1,888,315
Current Value.
Current Land Use
N
Yes or No:
Current Land Use Value:
$151,552
Current Land
$151,552
Fair Market Value
Current Improvement
$1,736,763
Fair Market Value:
Current Total
$1,888,315
Fair Market Value:
Grantor:
Previous ParcefNumber:
Previous Deed Reference:
Plat Book/Page:
307 HINES ST W
Legal Description:
L3-1-8 FIRE DEPT 1.001-T
Sales Amount:
$0
Sales Instrument:
Sales Instrument Description:
Sales Disqualifaction Code:
Sales Disqualifaction Code Description:
Date Sold:
Vacant Improved Code:
Land Current Usage Code:
Land Rate:
SF - SQUARE FOOT
Fair Market Value
8900
Land Rate Code:
Parcel Description Code 1:
89 - OTHER MUNICIPAL
Parcel Description Code 2:
04 - BUSINESS
Multiple Land Segments:
GIS Calculated Acres
1.22
of Selected Polygon:
Quantity: 60621

Road Frontage
Current Use Code Main Improvement.
Main Improvement Decription Code:
Main Improvement Description:
Construction Quality Grade Decription Code.
Depreciation Tab;e
Number of Bedrooms:
Number of Ful Bathrooms
Number of Ha f Bathrooms-
HVAC.
Fireplace Yes or No.
Basement Yes or No:
Attached Garage Yes or No:
Percent of Construction Complete:
Number of Improvements
Neighborhood Code:
City:
Tax D strict:
Township:
Area,
Vicinity Ma
407� O 407
407 C
e_
315'0 ;15
31 a"D 0 315 C
315 F.
307
•
r
8904 828
BUSINESS - OTHER MUNICIPAL
C-05 -
C70
FORCED AIR HEAT WI AC - 13452 SF
N
N-
Y -AC
10D%
001
8373 - WILSON CITY—CENTRAL—OR-1
WLSN - WILSON
31 - ClCIWI-WILSON
1 - WILSON
31 - MKT ZONE-WILSON CITY N
2 o7 A

Orthophotography Map
M. " -, y.T wA �Y 1 1. l�O�: '�t � �V- � 4 -
mmmmlkt"-,

Wilson Countv Parcel Report
PIN:
3722-00-7802,000
Parcel Number:
3722007802.000
Current Owner ID:
10000001
CITY OF WILSON
Owner 8 Address:
PO BOX 10
Date Sold:
Deed Reference.
1268 - 846
Deed Year:
1985
Plat Reference-
6 - 121
Deed Acres.
Actual Year Built.
1985
Effective Year Built:
1985
Main Improvement
3600
Finished Area
Tax Year:
2024
Assessed Current
$172,200
Land Value.
Assessed Current
$574,618
Improvement Value.
Tota • Assessed
$746,818
Current Value:
Current Land Use
N
Yes or No:
Current Land Use Value.
$172,200
Current Land
$172,200
Fair Market Value:
Current Improvement
$574,618
Fair Market Value:
Current Total
$746,818
Fair Market Value:
Grantor:
Previous ParcelNumber:
Previous Deed Reference:
Plat Book/Page:
220 SPRUCE ST W
Legal Description:
L11-L17 1.001-T
Sales Amount:
$0
Safes Instrument:
Sales Instrument Description:
Sales Disqualifaction Code:
Sales Disqualifaction Code Description:
Date Sold:
Vacant Improved Code:
Land Current Usage Code:
Land Rate:
SF - SQUARE FOOT
Fair Market Value
8900
Land Rate Code:
Parcel Description Code 1:
89. OTHER MUNICIPAL
Parcel Description Code 2:
04 - BUSINESS
Multiple Land Segments:
GIS Calculated Acres
1.63
of Selected Polygon:
Quantity: 68800

Road Frontage:
Current Use Code Main Improvement:
Main Improvement Decription Code:
Main Improvement Description:
Construction Quality Grade Decription Code:
Depreciation Table:
Number of Bedrooms:
Number of Full Bathrooms:
Number of Half Bathrooms
HVAC:
Fireplace Yes or No:
Basement Yes or No:
Attached Garage Yes or No:
Percent of Construction Complete:
Number of Improvements:
Neighborhood Code:
City:
Tax District:
Township:
Area:
Vicinitv Ma
8904 - 828
BUSINESS - OTHER MUNICIPAL
D-10 -
C70
-SF
N-
N-
N-
100%
002
8373 - WILSON CITY CENTRAL OR-1
WLSN - WILSON
31 - C/CiWI-WILSON
1 - WILSON
31 - MKT ZONE-WILSON CITY N
90480 504 0500 "407 B • • 467 A x • 300
• 322
510 G �ti 2.34 A 407 C 315, A 32`4 •
0510�H �`' ' • IS-C • i •
• �1~' 23.4 Be ••3315 B
510.1 503 • �:� 0230 315ee .5 0
2ti , � 4N \ �X - D
5
•
•
10 22 5 AT
C7
O
2
220 B4 •
• z1
o
217
211
•
zo9
•
2 20 H,
214
•210 21 APT
206
1}° 206
204
r 2071
ram'' 206 Fk 205 Y
.206 • {200
20 D• 5� •
.206 C 0206 B
y

Orthophotography Map