WQ0045646_Application (FTSE)_20240723

State of North Carolina
JUDWRL 2 3 Department of Environmental Quality
z�24 Division of Water Resources
FAST TRACK SEWER SVSTENI EXTENSION APPLICATION
Division of Water Resources FTA 10-23&SUPPORTING DOCUMENTATION
Application Number- IAN1704s 411(0(to be completed by DWR)
All Items must be completed or the a r lication will be returned
L APPLICANT INFORMATION:
I. Applicant's name: Johnston County(company,municipality, HOA,utility,etc.)
2. Applicant type: ❑ Individual ❑Corporation ❑General Partnership ❑ Privately-Owned Public Utility
❑ Federal ®State/Ceunty ❑ Municipal ❑ Othcr
3 Signattuc authority's name: Chandra C. I'armet. PE per 15A NC AC 021' ,0I06(bl
Title: Director of Uti:itics
4. Applicant's mailing address: PO Box 2263
City Smithfield Statc; K Zip, 27577
5. Applicant's contact information:
Phone nttittber: (91 )Q82-5075 Email Address: cliandra.farnierr iiohnstonnc_cont
ii. PROJECT INFORNIATiON:
1. Project name. Island Creek Reserve-North Section
2. Application'Projcct status: ® Proposed(New Permit) ❑ Existing Permit/Project
If modification,provide the existing pert-nit number: WQOO 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: WQOO
3. County where project is loc—& inhnston
4. Approximate Coordinates( - -'—fin•-78.3124.90
5. Parcel ID(if applicable): I F T i
A c�ves�jah11�1
ill. CONSULTANT INFORMA'1
I. Professional Engineer:At MUAlf,
[C1 . �
Firm:Shenandoah Homes
Mailing address: 4112 Bl
City: Raleigh State: t ^
Phone number: (910)23: �'♦�V�N�J F
IV. WASTEWATER TREATl1
I. Facility Name: Central! Number: NCO030716
Owner Name:Johnston
V. RECEIVING DOWNSTREAM
1. Permit Number(s): WQjLjjf C.,GX-j
2. Downstream(Receiving)Sewer Information: 8 inch ® Gravity U Force Main
3. System Wide Collection System Permit Number(s)(if applicable): WQCS001"114
Owner Name(s): Johnston County
FORM: FTA 10-23 Page I of 5

V1. GENERAL ItLQUIRE.MENTS
If the Applicant is a Privately-Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached"?
❑ Yes ❑ No ® N/A
2 If the Applicant is a Developer of lots to be sold,has a v ncr's Operationil Auccmcnt(FORM: DEVf been attached?
[-] Yes [:] No ® N/A
3 1 f the Applicant is a Honne'Property Owners'Association,has an HOA/POA Olncrational Agrccnncnt(F0RM;_HOA1 and
supplementary documentation as required by 15A NCAC 02T.0115(c)been attached?
❑ Yes ❑No ® N/A
4 Origin of wastewater:(check all that apply):
®Residential(individually Owned) ❑ Retail(stores,centers, malls) ❑Car Wash
❑Residential(Leased) ❑ Retail with food preparation/service ❑ Ilotel 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 (Scc 15A NCAC 021' ,010312tJ)
If tndust-ial,is there a Pretreatment Program in effect?❑ Yes❑ No
6 Has a flow reduction been approved under :5A NCAC 021 ,01 14(f)? ® Yes ❑ No
➢ If yes,provide a cogy of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establishment Type(see 02T.0114(I)) Daily Design Flow'n No.of Units Flow
Residential 337.5 gal/day 67 22,612.50 GPD
Fxisting Residential (WQ0030925) 240 gal/day 18 4320 GPD
gal/ GPD
gal/ GPD
gal/ GPD
gali GPD
Tidal 26,932.50 GPD
a Sec ISA NCAC 021" .01 lQb).A-fcX1J-an—dJ-0l22j 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 U.S. 42A-4).
b Per I SA NCAC 02T O1 14(c),design flow rates for establishments not identified[in table 15A NCAC 02T.01 141 shall be
determined using available flow data,water using fixtures,occupancy or operation patterns,and other measured data.
8. Wastewater generated by project: 22,612.50 GPD(per I�A NCAC 021' .O 114 and 6 S 14 3-215.,1)
Y Do not include future flows or previously permitted allocations
If permitted flow is zero,please indicate why:
❑ Pump Station/Force Main or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line.
Please provide supplementary information indicating the approximate timeframe for permitting upstream sewers with flow.
❑ Flow has already been allocated in Permit Number: Issuance Date:
❑ Rehabilitation or replacement of existing sewers with no new flow expected
❑Other(Explain):
FORM: F fA 10-23 Page 2 of5

V11. GRAVITY SEWER DESIGN CItYFF111A (If Applicable)-02T.0305& MDC(GraA i Iv Sewers :
1 Summarize gravity sewer to be permitted:
Size(inches) Length(feet) Material
8 5,486 PVC
Y Section 11 & [[[of the MDC for Permitting of Gravity Sewers contains information related to design criteria
Y Section III contains information related to minimum slopes for gravity sewer(s)
Y Oversizing lines to meet minimum slope requirements is not allowed and a violation of the MDC
Vill. PUMP STATION DESIGN CRITERIA(If Applicable)--02T.0305&MDC(Puma Stations/Force Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
I, Pump station number or name: __
2. Approximate Coordinates(Decimal Degrecs): 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 poinrt(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 stain is less than 4-inches in diameter,please identify the method of solids reduction per
MDCPSFM Section 2.01 C.1.b. ❑Grinder Pump ❑ Mechanical Bar Screen ❑Other(please specify)
6. Power reliability in accordance willi,I 5A NC'AC 02T 0305{hjL,IJ:
❑ Standby power source or ❑ Standby pump
Y Must have automatic activation and telemetry- 15A NCAC 02T.0305(h)(l)(B)'
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
Y Must be permanent to facility and may not be portable
Or if the pomp station has an average daily flow less than 15,000 gallons per day I SA NCACO2T.0305(h)(1)(C):
❑ Portable power source with manual activation,quick-connection receptacle and telemetry-
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry:
Y Include documentation that the,portable source is owned or contracted by the applicant and is compatible with the 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 portable power source or pump, including travel tinrcframes,shall be provided
as part of this permit application in the ease of a multiple station power outage.
FORM: FTA 10-23 Page 3 of 5

IX. SETBACKS&SEPARATiONS—(02B.0200 & 15A NCAC 021'.0305(f)):
I. noes the project comply with all separations/alternatives found in 15A NCAC 02T 0305(l)&(.gy ® Yes ❑ No
15A NCAC 02T.0305 t contains minimum separations that shall be provided for sewers stems:
Setback Parameter* Separation Required
Storm sewers and other utilities not listed below(vertical) 18 inchcs
'Water mains(vertical -water over sewer preferred, including in benched trenches) 18 inchcs
'Water mains(horizontal) 10 feet
Reclaimed water lines(vertical-reclaimed over sewer) 18 inchcs
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 iI impounded reservoirs used as a source of drinking water,and associated wetlands. 100 feet
**Waters classified WS(except WS-1 or WS-V), B,SA,ORW, IiQW,or SB from normal
high water(or tide elevation)and wetlands associated with these waters(see item IX.2) 50 feet
**Any other stream, lake, impoundment,or ground water lowering and surface drainage
ditches,as well as wetlands associated with these waters or classified as WL. 10 feet
Any building foundation(horizontal) 5 feet
Any basement(horizontal) 10 feet
Top slope of embankment or cuts of 2 feet or more vertical height 10 feet
Drainage systems and interceptor drains 5 feet
Any swimming pools 10 feet
Final earth grade(vertical) 36 inches
➢ if noncompliance with 02T.0305(1)or 16. see Section X.I of this application
*15A NCAC 02T 030%gI contains alternatives where separations in 02T.0305tn cannot be achieved. Please check"yes"
above if these alternatives arc used and provide narrative information to explain.
**Stream classifications can be identified using the Division's NC Surface Water Classifications wcl1JL,1J
2. Does this project comply with the minimum separation requirements for water mains? ® Yes ❑ No ❑ N/A
➢ if no,please refer to 15A NCAC 18C.0906(f) for documentation requirements and submit a separate document,
signed/sealed by an NC licensed PE,verifying the criteria outlined in that Rule.
3. Does the project comply with separation requirements for wetlands? ® Yes [:] No ❑ N/A
➢ Please provide supplementary information identifying the areas of non-conformance
Y See the Division's draft 5g),aration requirements 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 name; Ncusc ❑ No
If yes,does the project comply with setbacks found in the river basin rules per I SA NCAC 0214 .0200? ® Yes ❑ No
➢ This includes Trout Buffered Streams per I SA NCAC 2B.0202
5. Does the project require coverage/authorization under a 404 Nationwidc/individual permits ® Yes ❑ No
or 401 Water Quality Certifications?
Please provide the permit number/permitting status in the cover letter if coverage/authorisation is required
6. Does project comply with I SA NCAC 021.0105(ckQ)(additional permits/certifications)'? ® Yes ❑ No
Per I SA NCAC 02T 0105 directly related environmental permits or cei tification applications must be being prepared,
have been applied for,or have been obtained. Issuance of this permit is contingent on issuance of dependent permits(erosion
and sedimentation control plans,stormwater management plans,etc.).
7. Does this project include any sewer collection lines that arc deemed"high-priority?" ❑ Yes ® No
Per 15A NCAC 02T.0402,"high-priority sewer"means any aerial sewer,sewer contacting surface waters,
siphon,or sewers positioned parallel to streantbanks that arc subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interference/conflict boxes require a variance approval.
➢ If yes, include an attachment with details for cacti lint,including type(aerial line,size,material,and location)
High priority lines shall be inspected by the pertuittce or its representative at least once every six-months and
inspections documented per 15A NCAC 02T.0403(a)(5)or the permittee's individual System-Wide Collection permit.
FORM: FTA 10-23 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with ISA NCAC 021,tree Minimum Design Criteria for the Permitting of!'t nip_Sta6Qw
and Fwce Mains I.rtest version and the G.ayity Sewer Minimum Design Critcri;�(latest vCt:i;in)as applicable?
® Yes ❑No
If no, E r 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, and protects requiring a variance approval may be subiect to longer•
review times.For proiects requiring two or more ynriances or where the variance is determined by the Division to be a
sieniticant portion of the yr•olect,the full technical review Is required.
2. Professional Engineer's Certification:
1, Anthony E. Mills, PE ,attest that this application for Island Creek Reserve- North Section
(Professional Engineer's name from Application item II1.1.) (Project Name from Application Item 11.l)
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,
Mil)ll1iklu tateM.Ytl-sion ,and the Minimum Design Criteria for the Fast-Track Pernlittin!
of Pump Slati.o artd t rce Mains(latest version). Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and
have judged it to be consistent with the proposed design.
NO'lE - 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 S 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 NC 56.07
North Carolina Professional Engineer's seal,signature,and d e:
I tZ io v -7 1
S
r 039280
3. Applicant's Certification per 15A NCAC 02T.0106(b):
I, Chandra C. Farmer, PE ,attest that this application for Island Creek Reserve-North Section
(Signature Authority Name from Application Item 1.3.) (Project Name from Application Item I1.1)
West 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. 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 1 -21�q and 143-215.6i31 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: Date 10 t�
FORM: FTA 10-23 Page 5 of 5

State of North Carolina
1-1Department of Environmental Quality
0"',
Division of Water Resources
Division 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 North Section
More than one FTSE nnay 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 wastewaterJlow.
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
All flows are in MGD
c. WWTP facility's permitted flow 7.5
d. Estimated obligated flow not yet tributary to the WWTP 1.1703
e. WWTP facility's actual avg. flow 6.249-1.469 in 01`2-4.780
f. Total flow for this specific request 0.022613
g. Total actual and obligated flows to the facility 1.1929
h. Percent of permitted flow used 64%trib,80% with paper
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/pf), Avg. Daily Daily Flow, Obligated Available
Number) No. MGD MGD Flow,MGD MGD Flow Capacity***
Island 31004Mod 0.1440 0.0576 0.0074 0.0226 0.0300 0.0276
Josephine ri A38867Mod 3.3840 1.3536 0.9390 0.2450 1.1840 0.1696
*The Firm Capacity(design flow)of any pump station is defined as the maximum pumped now 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): Island Creek
Downstream Permit Number: WQ0030925
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 plaruied 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.
cl=� C rI I Ieia
Signing Official Signature Dale
'T)YW I 1
Title of Signing Official
Page 2 of 6
FTSE 10-23

'+SWIF 'CREEK-,-
PUBLIC
1'
' PUMPSTATION#6
NORTH CONNECTION POINT i
(W00031004)
—r4l
PRIVATE PUMPSTATION
TO BE REMOVED
(WQ0030925)
LL
�` ���',� ✓p - LAT:N035° 35' 02.42" z
}\ SFAy LONG: W078' 31' 24.98"
ISLAND CREEK
PHASE 3 &4
$ - -L -
C ISLAND 'E
S REEK
PHASE 1 &2 .
F CONNECTION TO
EX-MH-39
WOODS IN BROADMOOR WEST
$
BRANCH NEIGHBORHOOD
-
r STREAM BR MOOR ,
WEST -
g
SHEET ISLAND CREEK RESERVE
DWR-1 .0 OVERALL AERIAL MAP
co
SHENANDOAH
JOSEPHINE ROAD, GARNER NC 27529 (JOHNSTON COUNTY) u 0 M E s