WQ0045647_Application (FTSE)_20240723

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
2 '^ FAST 7'RAC FZ AvER 10-23 & SUPPO EXTENSION APPLICATION
RTING ING DOCUMENTATION
Division of Water Resources
Application Number:w e owls(P v/(to Me completed by DWR)
All items must be complcled or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Johnston County(company,municipality, HOA,utility,ctc.)
2. Applicant type. ❑ Individual ❑Corporation ❑ Gcneral Part icrship ❑ Privately-Owned Public Utility
❑ Federal ®StatelCounty ❑ Municipal ❑ Other
3. Signature authority's name: Chandra C. Farmer.PE per_I 5A NCAC 02T.0106(b)
Title: Director of Utilities
4. Applicant's mailing address: PO Box 2263
City: Smithfield State: NC Zip: 27577-
5. Applicant's contact information:
Phone number: [phone] Email Address, chandra.farmer c 'ohnstonnc.com
H. PROJECT INFORMATION;
1. Project name: Island Creek Reserve-South Section
2. Application/Project status: ® Proposed(New Permit) ❑ Existing Permit/Project
if a modification,provide the existing permit number: WQ00 and issued date: ,
For modifications,also attach a detailed narrative description as described in item G of the checklist.
If new construction,but part of a master plan,provide the existing permit number: WQ00
3. County where project is located:Johnston
4. Approximate Coordinates(1 R.3124.9"
5. Parcel ID(if applicable): It MaP n-eeAS Cei(t'eelio' ri. t)
III. CONSULTANT iNFORMATI QUes�O1�j
I. Professional Engineer: Anth i
Firm: Shenandoah Homes.L KO Q�atlC�}0�/aPt Kovo�lY
Mailing address: 4112 Blue
City: Raleigh State: NC
Phone number: (910)233-85 1
IV. WAST'EWA'1'ER'1'REAT'14IEN
I. Facility Name:Central Johns Q � hber: NC0030716
Owner Name:Johnston Cour
V. RECEIVING DOWNSTREAM
I. Permit Number(s): WQ !�,, ►
2. Downstream(Receiving)Sewer Information: 10 inch ® Gravity ❑ Force Main
3. System Wide Collection System Permit Numbcr(s)(if applicable): WQCS 135-79 (D o U4,r)
Owner Name(s): Johnston County
I.ORM: FT'A 10-23 Pagel of 5

V1. GENERAL REQUIRENIP-NTS
. If the Applicant is a Privately-Owned Public Utility,has a Certificate of Public Convenience and Necessity been attached9
[] Yes [:] No ® NIA
2. If the Applicant is a Developer of lots to be sold,has a ihvcloVer's QKrational Agreement(FORM- DLV)been attached?
[:]Yes ❑No ® N/A
3. If the Applicant is a home/Property Owners'Association,has an}IOA/POA Q4)crational &rcemctit(FORM: IIOAI and
supplementary documentation as required by I SA NCAC 02T.0115(c)been attached?
[—] Yes [-]No ® N/A
4. Origin of wastewater: (check all that apply):
®Residential(individually Owned) ❑ Retail(stores,centers,malls) ❑Car Wash
❑ Residential(Leased) ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑School/preschool/day care ❑ Medical/dental/veterinary facilities ❑Swimming Pool/Clubhouse
❑ Food and drink facilities ❑Church ❑Swimming Pool/Filter Backwash
❑ Businesses/offices/factories ❑ Nursing Home ❑Other(Explain in Attachment)
5. Nature of wastewater: 100%Domestic %Commercial % Industrial(Sec I SA NCAC 02 f .0103(20i)
If industrial, is there a Pretreatment Program in effect?❑ Ycs❑No
6. Hasa flow reduction been approved tinder 15A NCAC 02T.0l 14((1? ®Yes [-]No
> If Yes,nrovide 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 a,n No.of Units Flow
Residential 337.5 gal/day 84 28,350 GPD
Amenity/Pool 1870 gal/day 1 1,870 GPD
gall GPD
gal/ GPD
gal/ GPD
gal," GPD
Twat 30,220 GPD
a See 15A NCAC 02 f .01 lat4S,fdl. (cN I1 and(el(2) for caveats to wastewater design flow rates (i.e. proposed unknown
non-residential development uses; public access facilities located near high public use areas; and residential property
located south or cast of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined in G.S. 42A-4).
b Per 15A NCAC 02T.01 14(c),design flow rates for establishments not identified(in table 15A NCAC 02101 E41 shall be
determined using available flow data,water using fixtures,occupancy or operation patterns,and other measured data.
8. Wastewater generated by project: 30,220 GPD(per 15A NCAC OYf 01 14 and U.S_ 143-21 S,1.)
)0, Do not include future flows or previously permitted allocations
If permitted flow is zero,please Indicate why:
❑ Pump Station/Force Main or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line.
Please provide supplementary information indicating the approximate timeframc for permitting upstream sewers with flow.
❑ Flow has already been allocated in Permit Numbcr: . Issuance Datc:
❑ Rehabilitation or replacement of existing sewers Willi no new flow expected
❑ Other(Explain):
DORM: FTA 10-23 Page 2 of 5

VII. GRAVITY SF.WF:R DESIGN CRITERIA (If Applicable)-02T.0305& MDC(Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size(inches) Length (feet) Material
8 5,683 PVC
Section 11 & 111 of the MDC for Permitting of Gravity Sewers contains information related to design criteria
Section III contains information related to minimum slopes for gravity sewer(s)
Y Oversizing Iines to meet minimum slope requirements is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA(If Applicable)—02T.0305 &MDC(Pump Stations/Force Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STA1'I0N INCLUDED IN THIS PROJECT
. Pump station number or name:
2. Approximate Coordinates(Decimal Degrees): Latitude: Longitude: -
3. Total number of ptimps 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(TDI-1)
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 ir diameter,please identify the method of solids reduction per
MDCPSFM Section 2.01C.I.b. ❑Grinder Pump ❑ Mechanical Bar Screen ❑Other(please specify)
6. Power reliability in accordance with 15A NCAC 02T.0305th1(I 1:
❑ Standby power source or ❑ Standby pump
➢ Must have automatic activation and telemetry- I SA NCAC 02T.0305(h)(1)(B)_
y 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 ptimp station has an average daily flow less than 15,000 gallons per day I SA NCACO2T.0305(li)(1)(C):
❑ Portable power source with manual activation,quick-connection receptacle and telemetry-
or
❑ Portable pumping unit with plugged emergency pomp connection and telemetry:
Include documentation that the portable source is owned or contracted by the applicant and is compatible with (lie station
Y 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 portab:c power source or pump,including travel tinieframes,shall be provided
as part of this permit application in the case of a multiple station power outage.
FORM: F"I'A 10-23 Page 3 of 5

IX. Sh;TBACKS& SEPARATIONS (02R .0200 & 15A NCAC 027-.0305(f)):
I. Does the project comply with all separations/alternatives found in j�)NLAC 02T,(13b5(f)R(a)? ® Yes ❑ No
1 SA NCAC 02T.0305(f)contains minimum separations that shall be provided for scwcr 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(rcnclies) 18 inches
"Water mains(horizontal) 10 feet
Reclaimed water lines(vertical -reclaimed over sewer) 18 inches
Reclaimed water lines(horizontal -reclaimed over sewer) 2 feet
**Any private or public water supply source,including any wells,WS-I waters of Class 1 or
Class I I impounded reservoirs used as a source of di inking water,and associated wetlands. 100 feel
**Waters classified WS (except WS-I or WS-V), A,SA,ORW, UIQW,or SR from normal
high water(or tide elevation)and wetlands associated with these waters(sec 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.03050)or im) see Section X.I of this application
*IS A N('AC 02 1'.0305(at)contains alternatives where separations in 02T.0305(t)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%%Oo.aac
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/scaled by an NC licensed PE,verifying the criteria outlined in that Rule.
3. Does the project comply with separation requirements for wetlands? ®Yes ❑ No ❑ N/A
➢ Please provide supplementary information identifying the area,.;of non-conformance.
➢ See the Division's +ra`L •),rralion regtuirements 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 roles? ®Yes Basin name: Neuse ❑ No
If yes,does the project comply with setbacks found in the river basin rules per I SA_.N('AC 0213 .0200'' ®Yes ❑No
➢ This includes Trout Buffered Streams per 15A NCAC 213,0202
5. Does the project require coverage/authorization under a 404 Nationwide/individual permits ❑ Yes ® No
or 401 Walcr Quality Certifications?
➢ Please provide the permit number/permitting status in the cover letter if coverage/authorization is required.
6. Does project comply with 1SA NCAC 02-r.OIU t)(additional permits/certifications)? ®Yes ❑ No
Per I SA NCAC 02T,0105(c)(6),directly related environmental permits or certification applications Hurst be being prepared,
have been applied for,or have been obtained. Issuance of this permit is contingent on issuance of dependent permits(erosion
and sedimentation control plans,stormwater management plans,etc.).
7. Does this project include any sewer collection lines that are deemed"high-priority?" ❑Yes ®No
Per I SA NCAC 02T•0402,"high-priority sewer"means any ae ial sewer,sewer contacting surface waters,
siphon,or sewers positioned parallel to strcanubanks that are subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interre•ence;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 he inspected by the permtttee or its representative at least once every six-months and
inspections documented per 15A NCAC 02T.0403(a)(5)or the permittee's individual System- 'Vide Collection permit.
FORM: F I'A 10-23 Page 4 of 5

X. CERTIFICATIONS:
I. Does the submitted system comply with 15A NCAC 02"f,the Minimum Dcgipli CriiS a fof Ilse Permitting of 11tonp$taticltl
and Force Mains flaicsi versiotil,and the Gravity$ewer 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. Annroval of the request will be issued
concurrently with the approval of the permit, and prolects reguiring a variance ariproval may be subject to longer
review times.For nt•oiects requiring hvo or more variances or where the variance is determined by the Division to be a
significant nortlon of the nroiect,the full technical review is required.
2. Professional Engineer's Certification:
1, Anthony E. Mills ,attest that this application for Island Creek Reserve- South Section
(Professional Engineer's name from Application Item III I) (Project Name from Application Item 11.1)
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 knowledge. I further
attest that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations,
i it i:rtt Desiyp Critcrio fPL.Grovity Sewers(I,itest version),and the Minimum Desivii Criteria for the Fast-Track Permiltit)g
2LEWWL5La&QLAW Force Mains fW it version). Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that 1 have reviewed this material and
have judged it to be consistent with the proposed design.
NOTE - In accordance with General Statutes 143-215.6A and 143-215.613, any person who knowingly snakes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed$10,000,as well as civil penalties 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 (21 NCAC,5 1)
North Carolina Professional Engineer's seal,signature,and te: 1 r
0 '
392E0 = I
yrytfiflflullldlfil'n�
3. Applicant's Certification per 15A NCAC 02T.0106(b):
1, Chandra C. Farmer ,attest that this application for Island Creek Reserve-South Section
(Signature Authority Name from Application Item 1.3.) (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 returned as incomplete. I understand that any
discharge of wastewater from this non-discharge system to surface waters or the land will result in an immediate enforcement
action that may include civil penalties,injunctive relief,and/or criminal prosecution. I will make no claim against the Division
of Water Resources should a condition of this permit be violated. 1 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 143-21.5.6A and 143-2115.68, 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: Z� �'�' �'� Date:
f
FORM:FTA 10-23 Page 5 of 5

State of North Carolina
IDW Department of Environmental Quality
Division of Water Resources
Divlslon of Water Resources Flow Tracking for Sewer Extension Applications
(FTSE 10-23)
Entity Requesting Allocation: Johnston County
Project Name for which flow is being requested: Island Creek Reserve South Section
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all pump
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: _Central Johnston County WWTP - Outfall 1
b. WWTP Facility Permit#: NCO030716
A!l flows are in MGD
c. WWTP facility's permitted flow 7.5
d. Estimated obligated flow not yet tributary to the WWTP 1.1929
e. WWTP facility's actual avg. flow 6.249-1.469 in OF2=4.780
f. Total flow for this specific request 0.03022
g. Total actual and obligated flows to the facility 1.2331
h. Percent of permitted flow used 64% trib,80%with paper
11. 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 Pius
(Name or Permit Capacity,* (Firm/pf), Avg. Daily Daily Flow, Obligated Available
Number) No, MOD MOD Flow, MOD MOD Flow Capacity***
Josephine b,a 38867Mod 3.3840 1.3536 0.9390 0,2752 1.2142 0.1394
*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): Weston Woods
Downstream Permit Number: W 0015579
Page 1 of 6
FTSE 10-23

III. Certification Statement:
I Chandra C. Farmer, P.E. 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 form certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
Signing Official Signature ate
1J art' 4, )I ►r —
Title of Signing Official
Page 2 of 6
FTSE 10-23

I 1 SWIFT CREEK
\ T:
PUBLIC PUMPSTATION#6
NORTH CONNECTION POINT '
_ (W00031004)
J
-J,
W A .r .�1 :mil_ � �-•-_
PRIVATE PUMPSTATION
BE REMOVED
cs
{WQ0030925)
LL I
:N035' 35'02.42"
F,oy LONG: W078° 31'24.98"
—! ISLAND CREEK
` PHASE 3&4
ISLAND CREEK
PHASE I &2
r' CONNECTION TO
EX-MH-39
3 WOODS--/ ' IN BROADMOOR WEST
$ BRANCH }', -� _- _ NEIGHBORHOOD
w 4 STREAM ' BROADMOOR
9 WEST -
e
SHEET ISLAND CREEK RESERVE DWR-1 .0 OVERALL AERIAL MAPcv,
SHENANDOAH
JOSEPHINE ROAD, GARNER NC 27529 (JOHNSTON COUNTY)